Keeping Abreast with Dr. Jenn

In this episode of Keeping Abreast, Dr. Jenn Simmons sits down with Dr. Aimie Apigian, a physician with a master's in biochemistry who left surgical training to study the biology of trauma after her own health collapsed. Together they make the case that unresolved trauma, including the kind you'd never check a box for, is not a side note to breast cancer but part of the terrain it grows in. This is the conversation conventional oncology skips entirely.

Dr. Aimie didn't recognize her own trauma until it nearly destroyed her health. Raised to be her adopted father's emotional stability, she carried a burden she never named as trauma, until a failed adoption after six years left her with chronic fatigue she couldn't get out of bed from one month later. She knew the research linking adversity to disease. She still didn't see it in herself. If you've ever told yourself your childhood "wasn't that bad," this episode will give language to what your body already knows.

What You'll Learn

• Why the women most likely to carry hidden trauma are the ones who'd swear they had a happy childhood
• What the famous ACE study found when it looked at wealthy women, and why it shocked the medical world
• Why trauma isn't a feeling you can think your way out of, but a physical loop your body keeps running
• What a review revealed about childhood adversity and breast cancer risk
• Why the state you were in before your diagnosis matters more than the diagnosis itself
• How to tell if your body is still holding trauma, without digging into your past
• Why feeling safe feels terrifying to a nervous system that survived on control
• How healing can start with just two seconds at a time
• Why no retreat or single psychedelic trip will do what small daily habits can
• Why most people start their trauma work in the wrong place, and pay for it

Guest Dr. Aimie Apigian
Where to find her: biologyoftrauma.com
Instagram: www.instagram.com/draimie/

To talk to a member of Dr. Jenn's team and learn more about working with Dr. Jenn visit: https://calendly.com/stephanie-1031/clarity-call

To get your copy of Dr. Jenn's book, The Smart Woman's Guide to Breast Cancer, visit: https://tinyurl.com/SmartWomansBreastCancerGuide

Connect with Dr. Jenn:
Website:  https://www.perfeqtionimaging.com/
Facebook: https://www.facebook.com/DrJennSimmons
Instagram: https://www.instagram.com/drjennsimmons/
YouTube: https://www.youtube.com/@dr.jennsimmons

In this episode of Keeping Abreast, Dr. Jenn Simmons responds to Peter Attia's breast cancer screening episode (#396). Attia asks the right question: why are 42,000 women still dying of breast cancer every year? But his answer, more mammograms and MRI on top, is exactly wrong. Dr. Jenn breaks down, study by study, why that 40-year approach has never moved the death toll.

Forty-two thousand women a year. That number has not moved since mammography went mainstream in the 1980s. Detection rates are up, diagnoses are up, and the death toll has not changed. We have been finding more cancer, calling more women patients, and watching the same number of them die. If you have ever scheduled your annual mammogram believing it was the most protective thing you could do, this episode will reframe everything you thought you knew.

What You'll Learn

• Why the breast cancer death toll has not moved in 40 years, and why more screening is the reason
• Why DCIS is not cancer, why mammography invented it, and what happens to a woman the moment it gets labeled "stage zero"
• Why an aggressive tumor is aggressive from the day it forms, and why finding it earlier on a mammogram does not change what it does next
• Why mammography catches the cancers least likely to kill you, and routinely misses the ones that will
• What happened when researchers followed 89,835 women for 25 years and compared annual mammography to doing nothing, and why you have never heard about it
• What the Cochrane review found after analyzing every randomized mammography trial ever run, and why Peter Attia addressed it in one sentence
• Why the WISDOM trial, the most significant recent evidence in this space and the one study Attia never mentions, is an indictment of everything he argued
• Why there is no standard radiation dose for a mammogram, and why the woman next to you in the waiting room may have received ten times less than you did
• What the FDA has formally documented about gadolinium staying in the brain and bones for years, and why the women being told to get it every six months are the last women who should
• Why insulin resistance, chronic inflammation, and toxic burden are among the most powerful drivers of breast cancer risk, and why Attia's episode contained zero mention of any of them

Resources Mentioned

• Peter Attia, Episode 396 on breast cancer screening: peterattiamd.com/breastcancerscreening
• Dr. Robin Berzin, founder of Parsley Health
• Miller AB, et al. Twenty five year follow-up of the Canadian National Breast Screening Study. BMJ. 2014;348:g366.
• Gøtzsche PC, Jørgensen KJ. Screening for breast cancer with mammography. Cochrane Database Syst Rev. 2013;(6):CD001877.
• Zahl PH, et al. Results of the Two-County trial are not compatible with official Swedish breast cancer statistics. Danish Medical Bulletin. 2006;53(4):438–440.
• Nyström L, et al. Long-term effects of mammography screening: updated overview of the Swedish randomised trials. Lancet. 2002;359:909–19.
• Esserman LJ, et al. Risk-Based vs Annual Breast Cancer Screening: The WISDOM Randomized Clinical Trial. JAMA. 2026;335(9):763–774.
• FDA gadolinium-based contrast agent safety communications (2015, 2017, 2018), summarized in Fotenos A, FDA Pediatric Advisory Committee, Sept 2018.
• Kanda T, et al. High signal intensity in the dentate nucleus and globus pallidus and cumulative gadolinium dose. Radiology. 2014;270(3):834–841.
• Veenhuizen SGA, et al. Supplemental breast MRI for women with extremely dense breasts: DENSE trial. Radiology. 2021;299(2):278–286.
• Tabar L, et al. Reduction in mortality from breast cancer after mass screening with mammography. Lancet. 1985;325:829–32.

To talk to a member of Dr. Jenn's team and learn more about working with Dr. Jenn visit: https://calendly.com/stephanie-1031/clarity-call

To get your copy of Dr. Jenn's book, The Smart Woman's Guide to Breast Cancer, visit: https://tinyurl.com/SmartWomansBreastCancerGuide

Connect with Dr. Jenn:
Website:  https://www.perfeqtionimaging.com/
Facebook: https://www.facebook.com/DrJennSimmons
Instagram: https://www.instagram.com/drjennsimmons/
YouTube: https://www.youtube.com/@dr.jennsimmons

In this episode of Keeping Abreast Dr. Jenn Simmons sits down with keynote speaker, author, and 2025 Dynamic Woman of the Year Erika Rothenberger for a conversation about what happens when life forces you to stop playing small. Erika had a day in 2022 that changed everything. What she did on the other side of it is what this conversation is about. Dr. Jenn and Erika get into the trauma we avoid, the life we keep deferring, and why the hardest moments tend to be the most clarifying ones.

If you have ever survived something hard and wondered what you are supposed to do with it, this episode will give you your answer.

In this episode, you'll learn:

• What Erika survived in 2022 and why she considers it the greatest turning point of her life
• Why playing it safe is the most dangerous thing a woman can do
• Why Dr. Jenn believes a breast cancer diagnosis can be an opportunity and what that actually looks like in practice
• The real reason most women never go after the life they want and why it has nothing to do with time, money, or circumstances
• Why the trauma you have been avoiding is not behind you. It is driving you.
• A simple daily method that takes 36 minutes and rebuilds your entire mindset from the ground up
• The science behind why the people you surround yourself with are either quietly lifting you or quietly costing you
• The gap in Pennsylvania law that leaves women unprotected and the legislation Erika is fighting to change
• Why the most powerful thing a woman can do for her health right now has nothing to do with her body
  
  

Episode Timeline
01:07 Introducing Erika Rothenberger
03:09 Energy, seasons, and the permission to give 60%
06:56 Erika's story and the morning that changed everything
12:41 Playing small vs. playing large
16:36 Fear, inertia, and the life you keep putting off
19:45 Writing the book and going public with her story
27:32 Why healing is a choice you make every day
32:27 How to protect your time and fuel yourself first
35:35 Why no is a complete sentence
38:01 Finding the good in every setback
40:02 Why a breast cancer diagnosis can be its own kind of punch
43:00 Why your circle determines your ceiling
45:22 What Erika took away from watching Mel Robbins
50:57 The Audacious Summit, October 2025
52:45 Money, legacy, and what you are building
59:22 Finding your thing and going after it
1:05:44 Where to find Erika and closing thoughts

Where to Find Find Erika Rothenberger:
Website: erikarothenberger.com
Instagram: @erikalearothenberger
Book: Audacious Expansion

To talk to a member of Dr. Jenn's team and learn more about working with Dr. Jenn visit: https://calendly.com/stephanie-1031/clarity-call

To get your copy of Dr. Jenn's book, The Smart Woman's Guide to Breast Cancer, visit: https://tinyurl.com/SmartWomansBreastCancerGuide

Connect with Dr. Jenn:
Website:  https://www.perfeqtionimaging.com/
Facebook: https://www.facebook.com/DrJennSimmons
Instagram: https://www.instagram.com/drjennsimmons/
YouTube: https://www.youtube.com/@dr.jennsimmons

In this episode of Keeping Abreast, Dr. Jenn Simmons sits down with James Maskell, health economist, founder of the Evolution of Medicine, and the architect of a movement to reverse cognitive decline, to make the case that Alzheimer's is not a death sentence. It is a solvable problem that medicine has been approaching the wrong way for 40 years.

James flew to South Africa when his father collapsed and was expected to die. Every doctor in the room was preparing the family for the end. James walked into his father's house and saw black mold on the wall. Days after moving his father out of that environment, he was opening his eyes. Two weeks later, the doctor declared he had no terminal illness at all.

This is the episode to send to anyone who's been told a declining mind is the only end of the story.

In This Episode, You'll Learn

• Why there is no effective drug for Alzheimer's and why 40 years of pharmaceutical research has been chasing the wrong target
• What the 6 root cause categories driving cognitive decline actually are and why they are the same ones driving breast cancer
• What the first randomized controlled trial on reversing Alzheimer's showed and why 91% of participants got better without a drug
• Why catching even a single point drop on a cognitive test can prevent full decline if you act on it immediately
• How biotoxins like mold can trigger what looks exactly like end stage Alzheimer's and how removing the cause reverses it
• Why loneliness and loss of purpose are not soft factors but measurable root causes of cognitive decline and breast cancer
• What the Blue Zones actually have in common and why it has nothing to do with supplements or technology
• Why community is one of the most powerful clinical interventions we have and how to start building it today

Episode Timeline
00:00 Why Community Is the Most Powerful Clinical Intervention We Have
07:15 40 Years of Alzheimer's Drugs and Nothing to Show for It
12:57 Why Neurologists Are the Last Doctors to Accept This Science
18:23 The Myth That You Were Healthy Right Up Until Your Diagnosis
26:03 Catching Cognitive Decline Before It Becomes Alzheimer's
30:41 The 6 Root Cause Categories Driving Cognitive Decline and Breast Cancer
33:21 The Science Behind Why Your Social Circle Shapes Your Health Outcomes
37:41 How Retirement, Isolation, and Lost Purpose Are Fueling Chronic Disease
41:20 Trying to Change the System Is the Wrong Goal
45:51 Why the Chronic Disease Crisis Will Force the System to Collapse
53:10 How Real Health Change Starts at the Grassroots Level
59:08 Final Thoughts on Taking Your Health Back

Where to Find James Maskell:
Instagram: @mrjamesmaskell
Website: jamesmaskell.com

To talk to a member of Dr. Jenn's team and learn more about working with Dr. Jenn visit: https://calendly.com/stephanie-1031/clarity-call

To get your copy of Dr. Jenn's book, The Smart Woman's Guide to Breast Cancer, visit: https://tinyurl.com/SmartWomansBreastCancerGuide

Connect with Dr. Jenn:
Website:  https://www.perfeqtionimaging.com/
Facebook: https://www.facebook.com/DrJennSimmons
Instagram: https://www.instagram.com/drjennsimmons/
YouTube: https://www.youtube.com/@dr.jennsimmons

In this episode of Keeping Abreast, Dr. Jenn Simmons sits down with Broadway star, bestselling author, and master communicator Renee Marino to make the case that self-advocacy is not a career skill, it is a health act. Renee went from five Broadway shows and a Clint Eastwood film to co-hosting Tony Robbins's global summits, and every door she walked through opened because she asked.

She was the only actress in the entire Jersey Boys Broadway cast not called in to audition for the film because a middleman dropped the ball, and if she had not looked the casting director in the eye and asked for the role she was already playing eight shows a week, she would have watched herself be replaced on screen while Clint Eastwood waited for her to walk through a door she never knew was open.

This is the episode for any woman who has ever left an interaction in work, the doctors office, or in their personal life feeling dismissed and said nothing.

In This Episode, You'll Learn

• Why losing your voice shifts your body chemistry toward defeat and stress, and why Dr. Jenn calls speaking up a health tool, not just a mindset 
• Why no agent, manager, or doctor will ever advocate for you as powerfully as you can advocate for yourself in the room
• What keyboard confidence is costing women in their health relationships and why a text is almost always the wrong tool for an important conversation
• The two questions to ask before hitting send on any message, post, or reply that actually changes how you communicate
• What breast cancer screening looks like when the technology is built to actually show you what is there, not flatten and irradiate you
  
  

Episode Timeline:
00:00 Introduction to Renee Marino
04:10 The power of asking for what you want
06:50 Navigating Rejection
09:53 The Importance of Hard Work and Integrity
12:41 The Role of Communication in Success
15:15 The Journey to Becoming Mary Delgado
18:14 The Impact of Speaking Up
25:47 Speaking up as self-advocacy
31:39 Lessons from the kitchen table
37:37 Why she wrote Becoming a Master Communicator
40:05 The three communication homes
44:44 Balancing technology with real connection
47:47 Women, voice, and the difficult label
1:06:35 Experiencing breast screening that treats you like a person
1:12:08 Glam and Grit: an event built for real connection
1:14:45 Final thoughts and takeaways

Where to Find Renee Marino:
Instagram: @iamreneemarino
Book: Becoming a Master Communicator

To talk to a member of Dr. Jenn's team and learn more about working with Dr. Jenn visit: https://calendly.com/stephanie-1031/clarity-call

To get your copy of Dr. Jenn's book, The Smart Woman's Guide to Breast Cancer, visit: https://tinyurl.com/SmartWomansBreastCancerGuide

Connect with Dr. Jenn:
Website:  https://www.perfeqtionimaging.com/
Facebook: https://www.facebook.com/DrJennSimmons
Instagram: https://www.instagram.com/drjennsimmons/
YouTube: https://www.youtube.com/@dr.jennsimmons

In this episode of Keeping Abreast, Dr. Jenn Simmons sits down with Dr. Betsy Greenleaf, the first board-certified female urogynecologist in the world, to dismantle the lie that estrogen causes breast cancer, expose the hormone training gap hiding inside every OB/GYN office in the country, and explain why the online HRT explosion isn't liberation; it's the setup for the next Women's Health Initiative.

At 41, Dr. Greenleaf was surgically menopausal, prescribed antidepressants for symptoms her doctors blamed on hormones, and living with a lupus diagnosis she'd carried since age 18. When she stopped treating the symptoms and started treating her gut microbiome, the mood swings resolved, the immune dysfunction cleared, and the lupus markers that had defined her health for decades simply disappeared. The conventional medical system had no framework for what happened to her so she went looking for one.

If you've ever been handed a hormone prescription with no questions asked, or been told your labs look "normal" while you feel anything but, this episode will give language to what you've already suspected.

In this episode, you'll learn:

• Why your gynecologist, urologist, and endocrinologist almost certainly received zero formal training in sex hormones
• Why only 23% of residents finishing training today feel prepared to treat midlife women
• How chronic stress hijacks your sex hormones and converts them straight to cortisol
• Why when tens of millions of women stopped HRT after the Women's Health Initiative, breast cancer rates went up, not down
• Why estrogen is not cancerous and why progestins are a different story entirely
• How 90% of your serotonin and 80% of your immune system live in your gut
• Why putting a 20-something on testosterone is masking the real problem
• The five lactobacillus strains that actually rebalance the vaginal microbiome and why most probiotics don't contain them
• Why no probiotic will work until the tissue itself is healthy and the full menu of options that can fix it
• How the brain-gut-vagina connection drives libido, and why testosterone is rarely the answer for low sex drive

Episode Timeline
00:00 Introduction to Urogynecology and Dr. Betsy Greenleaf
03:48 Awakening to Functional Medicine
06:34 The Importance of Gut Health
08:14 Training Gaps in Hormonal Health
11:09 The Dangers of Hormone Mismanagement
14:00 Stress and Hormonal Balance
16:46 The Role of Lifestyle in Hormonal Health
19:21 The Fear of Hormones and Cancer
21:55 Understanding Estrogen and Cancer Risks
24:01 The Holistic Approach to Health
28:38 Integrative Medicine and Continuous Learning
31:30 The Role of Tools in Health Management
34:19 The Shift from Conventional to Holistic Medicine
37:15 Understanding Microbiomes: Gut and Vaginal Health
40:05 The Interconnection of Health Systems
43:58 Intimacy and Libido: The Psychological and Physical Connection
50:38 Navigating Midlife Symptoms and Hormonal Health
53:33 Innovations in Health Tracking and Patient Empowerment

Where to find Dr. Betsy Greenleaf:

• Website: pauseinstitute.com
• Instagram: instagram.com/drbetsygreenleaf

To talk to a member of Dr. Jenn's team and learn more about working with Dr. Jenn visit: https://calendly.com/stephanie-1031/clarity-call

To get your copy of Dr. Jenn's book, The Smart Woman's Guide to Breast Cancer, visit: https://tinyurl.com/SmartWomansBreastCancerGuide

Connect with Dr. Jenn:
Website:  https://www.perfeqtionimaging.com/
Facebook: https://www.facebook.com/DrJennSimmons
Instagram: https://www.instagram.com/drjennsimmons/
YouTube: https://www.youtube.com/@dr.jennsimmons

In this solo episode of Keeping Abreast, Dr. Jenn Simmons takes on one of the most accepted messages in women's health and dismantles it with decades of evidence. Routine yearly mammography screening does not hold up when you actually read the trials. Dr. Jenn walks through the WISDOM trial, the Cochrane Review, the Canadian Breast Cancer Screening Study, and the brand new 2026 American College of Physicians guidelines to make the case that one-size-fits-all screening is not just outdated, it is causing real harm.

She also takes on the estrogen myth that has left millions of women suffering through hot flashes, bone loss, brain fog, and lost quality of life for decades. A 1.8 million woman study and the Women's Health Initiative say estrogen is not the villain. The real culprit may be something millions of women are still being prescribed today.

If you have ever been told to just get your mammogram every year without a single conversation about the risks or what the data actually shows, this is the episode you have been waiting for.

What You'll Learn

• What the 2026 American College of Physicians guidelines say about annual mammography and why radiology groups do not want you to hear it
• What the WISDOM trial found when women received fewer mammograms  and why the results challenge everything we have been told
• What the Cochrane Review and Canadian Breast Cancer Screening Study concluded after studying hundreds of thousands of women over decades
• Why up to 50 percent of screen-detected cancers may have never grown, spread, or threatened a woman's life and what that means for how we treat them
• Why estrogen alone has never been shown to cause breast cancer and what the data actually implicates instead
• The difference between synthetic progestins and bioidentical progesterone and why that distinction could change every conversation about hormones and breast cancer
• What BRCA mutation carriers need to know about hormone replacement therapy after risk-reducing surgery
• What smarter, safer, individualized breast cancer screening actually looks like

Episode Timeline

00:00 Introduction
01:08 This Is an Informed Consent Episode
04:00 The WISDOM Trial and the End of One-Size-Fits-All Screening
08:30 Fewer Mammograms, No More Advanced Cancers
11:41 Why Adding MRI Led to More Biopsies and Zero Benefit
15:00 The Only Endpoint That Actually Matters
17:30 What the Cochrane Review Actually Found
19:30 The Number Every Woman Deserves to Hear
23:00 The Canadian Breast Cancer Screening Study
27:00 What Overdiagnosis Really Means
31:00 The 2026 American College of Physicians Guidelines
36:03 The Estrogen Myth
41:00 The Women's Health Initiative Unpacked
49:00 Birth Control, Progestins, and Breast Cancer Risk
53:00 Progestins Are Not Progesterone
57:00 BRCA Mutation Carriers and HRT: What the 2026 JAMA Data Shows
01:03:00 The Future of Breast Cancer Screening

Studies Mentioned in This Episode

• The WISDOM Trial — JAMA
• The Cochrane Mammography Review — Cochrane
• The Canadian National Breast Screening Study: 25 Year Follow-up — BMJ 2014
• ACP Breast Cancer Screening Guidance Statement — Annals of Internal Medicine 2026
• Cracks in the Estrogen Carcinogenesis of Breast Cancer — Journal of Clinical Oncology 2026
• Hormonal Contraception and Breast Cancer Risk — NEJM 2017
• Menopausal Hormone Therapy and Breast Cancer: Women's Health Initiative — JAMA Oncology 2020
• HRT After Oophorectomy and Breast Cancer Risk in BRCA Carriers — JAMA Network Open 2026

To talk to a member of Dr. Jenn's team and learn more about working with Dr. Jenn visit: https://calendly.com/stephanie-1031/clarity-call

To get your copy of Dr. Jenn's book, The Smart Woman's Guide to Breast Cancer, visit: https://tinyurl.com/SmartWomansBreastCancerGuide

Connect with Dr. Jenn:
Website:  https://www.perfeqtionimaging.com/
Facebook: https://www.facebook.com/DrJennSimmons
Instagram: https://www.instagram.com/drjennsimmons/
YouTube: https://www.youtube.com/@dr.jennsimmons

In this episode of Keeping Abreast, Dr. Jenn Simmons sits down with thyroid and hormone specialist Dr. Amie Hornaman to dismantle the standard of care that is leaving millions of women dismissed, misdiagnosed, and under treated. They cover what the full thyroid panel actually looks like, why T4-only therapy fails the vast majority of patients, and how the thyroid is connected to every other hormone system in a woman's body.

What happens when a competitive athlete starts gaining weight, losing hair, and can't get a single doctor to take her seriously? Dr. Amie found out in her 20s with 40 pounds of unexplained weight gain, six doctors, six dismissals, and one mentor who finally ran the right tests and changed the course of her life and career. 

If you've ever been told your thyroid is fine while your body is telling you otherwise, this is the episode you've been waiting for.

What You'll Learn

• Why testing TSH alone is not a thyroid workup and what the five markers are that actually tell the full story
• What free T3, free T4, and reverse T3 mean and why reverse T3 is the most dismissed marker in the panel
• What thyroid antibodies TPO and TGA reveal about Hashimoto's and why your doctor's normal range is meaningless
• Why 95% of hypothyroid cases are Hashimoto's and why your antibodies may already be elevated even if your doctor says they are not
• Why your GLP-1 will stop working if your thyroid is not optimized first
• How estrogen dominance low progesterone high cortisol insulin resistance and low ferritin all interfere with thyroid function
• Why your insurance-based doctor cannot give you proper thyroid care even if they want to
• What the FDA's move against natural desiccated thyroid is really about and who benefits
• Why testosterone is protective against breast cancer and why women are being denied access to it
• What it actually feels like when your thyroid is optimized and how Dr. Amie gets patients there

Episode Timeline:

00:00 Show Intro
01:08 How Dr. Amie Became Dr. Jenn's North Star
05:02 Pain to Purpose: 40 Pounds and Six Dismissals
08:37 Where Conventional Medicine Gets It Wrong
16:58 Why Thyroid Disease Is at Epidemic Levels
19:14 The Full Thyroid Panel You Actually Need
36:43 Why T4-Only Therapy Fails Almost Everyone
40:27 The Hormonal Web Nobody Is Addressing
45:32 What Thyroid Optimization Actually Looks Like
52:22 The FDA Threat to Natural Desiccated Thyroid
59:42 Dr. Jenn's Testosterone Gatekeeping Story
01:05:22 The Importance of Prevention in Healthcare

Find Dr. Amie Hornaman 

Website: dramie.com | Book: thyroidfixbook.com

To talk to a member of Dr. Jenn's team and learn more about working with Dr. Jenn visit: https://calendly.com/stephanie-1031/clarity-call

To get your copy of Dr. Jenn's book, The Smart Woman's Guide to Breast Cancer, visit: https://tinyurl.com/SmartWomansBreastCancerGuide

Connect with Dr. Jenn:
Website:  https://www.perfeqtionimaging.com/
Facebook: https://www.facebook.com/DrJennSimmons
Instagram: https://www.instagram.com/drjennsimmons/
YouTube: https://www.youtube.com/@dr.jennsimmons

In this solo episode, Dr. Jenn Simmons delivers a five-alarm wake-up call on breast cancer screening. The American College of Physicians just dropped new guidelines and the radiology world is furious, not because the science is wrong, but because it isn't on their side. Dr. Jenn breaks down what the data actually shows, why mammography's survival benefit has been a statistical illusion for decades, and what real preventive screening looks like.

She also takes on DCIS, collagen fears, and the question every woman with a breast cancer history is afraid to ask about hormones. 

Every woman deserves this information before she makes a decision, not after.

What You'll Learn

• Why DCIS is not breast cancer and what the data says about over treating it
• What the new ACP mammography screening guidelines say and why the radiology world responded with opinion instead of evidence
• How lead time bias and over diagnosis have made mammography look like a lifesaver when it isn't
• What the Wisdom Trial revealed about personalized breast cancer screening and why the results make annual mammogram guidelines indefensible
• What preventive breast cancer screening actually looks like without radiation, compression, or harm
• Why collagen supplementation has no association with breast cancer risk or recurrence
• Why bioidentical hormone replacement therapy is not off the table after a breast cancer diagnosis.
• Why you need to tread the root cause and treat the tumor

To talk to a member of Dr. Jenn's team and learn more about working with Dr. Jenn visit: https://calendly.com/stephanie-1031/clarity-call

To get your copy of Dr. Jenn's book, The Smart Woman's Guide to Breast Cancer, visit: https://tinyurl.com/SmartWomansBreastCancerGuide

Connect with Dr. Jenn:
Website:  https://www.perfeqtionimaging.com/
Facebook: https://www.facebook.com/DrJennSimmons
Instagram: https://www.instagram.com/drjennsimmons/
YouTube: https://www.youtube.com/@dr.jennsimmons

In this episode of Keeping Abreast, Dr. Jenn Simmons sits down with hormone specialist Karen Martel to talk about what's really driving the metabolic chaos of perimenopause and menopause and why the solution most women need is the one they've been told to fear. They also tackle one of the most misunderstood topics in women's health: the relationship between estrogen, metabolic health, and breast cancer.

What happens when a nutrition expert who helps women lose weight suddenly can't lose weight herself? Karen found out the hard way at 42, gaining 15 pounds in six months, losing her period, battling depression, and watching her skin age before her eyes. Despite eating clean, exercising, and doing everything "right," her body had other plans.

This is the episode you'll want to send to every woman in your life who's been told her labs look "fine."

What You'll Learn

• Why you can gain weight in perimenopause without changing your diet or exercise routine
• The biological aging study that found perimenopausal women are aging faster on the inside and what stops it
• Why estrogen is the metabolic master hormone and what happens to your hunger signals, blood sugar, cholesterol, and muscle when it drops
• Why being asymptomatic in perimenopause does not mean nothing is happening to your heart, brain, and bones
• Why it is never too late to start hormone replacement therapy
• Why insulin and insulin-like growth factor may be driving estrogen receptor positive breast cancer more than anyone is talking about
• Why women with a history of breast cancer are not automatically disqualified from hormone replacement therapy and why most doctors have it wrong
• How GLP-1s are changing the game for menopausal women
• The truth about breast cancer, estrogen receptors, and why insulin may be a bigger driver than anyone is talking about

Episode Timeline:
01:07 Meet Karen Martel
04:10 Karen's Personal Perimenopause Wake-Up Call
09:09 Why You Cannot Out-Diet or Out-Exercise Hormone Loss
17:21 What Estrogen Actually Does in the Body
25:12 HRT Delivery Methods and Why Form Matters
26:28 Breast Cancer, Estrogen Receptors, and the Insulin Connection
33:48 The Vaginal Estrogen Contradiction
37:08 Estrogen as the Most Powerful Anti-Aging Tool
38:56 The Pharmaceutical Incentive Behind the Anti-Hormone Narrative
44:35 Menopausal Weight Gain and Where GLP-1s Fit In
53:13 Is It Ever Too Late to Start Hormone Replacement
59:39 Women Deserve Better Standards of Care
1:02:06 The Statistics That Should End the Debate
1:05:38 Topical Estrogen and Why Ingredients Matter

Find Karen Martel
Website: karenmartel.com

To talk to a member of Dr. Jenn's team and learn more about working with Dr. Jenn visit: https://calendly.com/stephanie-1031/clarity-call

To get your copy of Dr. Jenn's book, The Smart Woman's Guide to Breast Cancer, visit: https://tinyurl.com/SmartWomansBreastCancerGuide

Connect with Dr. Jenn:
Website:  https://www.perfeqtionimaging.com/
Facebook: https://www.facebook.com/DrJennSimmons
Instagram: https://www.instagram.com/drjennsimmons/
YouTube: https://www.youtube.com/@dr.jennsimmons