Rebellious Wellness Lifestyle

This week's guest is Dr. Christina Enzmann, a board-certified gynecologist and certified menopause practitioner who now practices functional medicine. We talk about what's actually happening behind the scenes when estrogen and progesterone decline: why a stress system running the show can mean gaining belly fat and losing muscle even when you eat carefully and work out hard, why chronic underfueling stalls your metabolism, and why your gut is part of the story.

She also untangles functional medicine from integrative medicine and the longevity industry. If you've ever been told your labs are "normal" while you feel anything but, this one's for you, and for every younger woman you love.

Board-certified gynecologist and certified menopause practitioner. She wrote her doctoral thesis in Germany on pediatric dermatology, spent years in conventional practice, and now works for herself in functional medicine, helping women find the biochemical drivers behind their symptoms. Her book, The Underfueled Woman, is due out at the end of the year.

What functional medicine is, and isn't (00:47–03:11) — Integrative medicine is a real board certification. Functional medicine is an unregulated toolbox physicians and coaches can acquire through additional training, and the term traces back to Dr. Jeff Bland in the 1990s and his focus on the gut.

Whack-a-mole medicine and the root-cause approach (03:11–04:23) — Treating each symptom separately versus asking what biochemical imbalance is causing them.

Wellness, longevity, and who's selling what (04:23–05:42) — How to tell whether someone is addressing your underlying symptoms or trying to sell you something, and why that is a different system with different goals.

Putting the life jacket on first (06:29–08:10) — When a quick fix is fair, why pain and stress make root-cause work hard, and why the Band-Aid should come off safely later.

Estrogen and progesterone as fire extinguishers (08:33–12:18) — What these hormones were doing for us all along, what hormone therapy does well (hot flashes, osteoporosis prevention for higher-risk women), and why it is one puzzle piece, not the whole picture.

Cortisol takes over (12:18–16:18) — How falling estrogen and progesterone affect stress, sleep, and insulin, and why one bad night can mean up to three days of blood sugar dysregulation. Plus why women end up gaining fat and losing muscle at the same time.

Insulin-resistant women and underfuelers (16:18–19:36) — The two big groups Dr. Enzmann sees, why the online calorie calculator stops working, and what a slowed metabolism, sluggish thyroid conversion, and deep fatigue have to do with not eating enough.

Menopause, perimenopause, and post-menopause, defined (20:19–21:43) — The correct terms, and why perimenopause can last eight to 15 years.

Why talk about perimenopause with a 60-plus audience (21:43–22:17) — Our daughters, nieces, and friends, and our obligation to educate the generations on either side of us.

PMS versus PMDD (22:17–26:44) — What PMDD is, why it is about brain sensitivity to hormone swings rather than hormone levels, and what conventional options (SSRIs, birth control pills) and functional options look like.

The gut and the stress connection (26:44–30:22) — Every kind of stressor counts, from inflammation to under-eating. Why gut issues clustered in her perimenopausal patients and what IBS may be missing.

The gated-neighborhood gut (30:22–32:29) — Leaky gut, food sensitivities, the estrobolome, and why the female gut microbiome looks like a male one after menopause.

Advice for the women behind us (32:29–34:00) — Why age 40 is the time to have someone look at your life and tell you what to change.

Working with Dr. Enzmann (34:00–35:10) — The strategy call and the health questionnaire.

Cardiometabolic bloodwork and optimal ranges (35:10–38:46) — Why standard lab ranges are too wide, what a cardiometabolic panel looks at (A1c, fasting insulin, HOMA, lipoprotein(a), ApoE), and why optimal is a stricter standard than normal.

Her closing words (39:25–40:00) — Why post-menopause is a fantastic time.

• Dr. Enzmann's website and strategy call: drchristinaenzmann.com
• Book: The Underfueled Woman (due at the end of the year)

This episode is education, not individual medical advice. Dr. Enzmann was clear that quick fixes have a place and that no one should change medications without talking to their own doctor. Use this episode to ask better questions.

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Menopause has gotten plenty of media attention. What it hasn't gotten is day-to-day direction, especially on the parts nobody likes to say out loud. This week I sat down with Dr. Cat Brown, a board-certified OB-GYN and the medical director at Winona, to talk about why a little dab of vaginal estrogen can protect you from recurring UTIs (and the urosepsis they can lead to), why the age-60 guideline doesn't mean what you think it means, and how one badly handled study cost a generation of women their care. If you've been told hormone therapy isn't for you, this episode is worth your 35 minutes.

Board-certified OB-GYN and medical director at Winona, an online telemedicine platform created to bridge the gap for low-risk women who are good candidates for hormone therapy but don't have a doctor willing, or experienced enough, to prescribe it. She came to this personally, too: most of her own menopause education was self-directed after she hit roadblocks seeking care following her hysterectomy.

What Winona is, and what telemedicine can't do (00:38–02:19) — Winona was born during COVID, when nobody was prescribing hormone therapy by telemedicine. Dr. Cat is upfront that it's a bridge, not a replacement: you still need an in-person gynecologist, a breast exam, and a Pap smear if you have a cervix.

You don't have to be a patient to use it (02:19–04:20) — A quiz, a library of free education on the long list of menopause symptoms, the Winona Women's app, and a Winona Women's Facebook group. Dr. Cat points to research showing that women with strong female friendships live healthier, longer lives, which is why community is part of the model.

Why estrogen matters, and why it starts in perimenopause (04:21–09:05) — The Women's Health Initiative backstory, and why Dr. Cat says headlines reached the media before other doctors had peer reviewed the results. Then the case for estrogen as the hormone that fuels skin, joints, blood vessels, the heart, and the brain, plus why the goal isn't your 20-year-old hormone levels and why she says "hormone therapy," not "replacement." Her reframe: let menopause be the pause that makes you reevaluate what you're feeding your body and your soul.

Why UTIs spike after menopause (09:06–11:43) — Estrogen loss thins the tissue around the urethral opening and weakens the barrier that keeps normal vaginal bacteria out of the bladder. That's the same reason we're taught to pee after sex. Left to recur, UTIs can lead to urosepsis, which Dr. Cat calls deadly for older women.

Vaginal estrogen is not "taking hormones" (11:43–13:44) — Cream applied around the urethral opening treats the surface changes of menopause, with very little absorbed systemically. Dr. Cat says even women who can't take systemic hormones, including those with a history of breast cancer or blood clots, are safe to use it, and that menopause providers think it should be sold over the counter.

Cream, tablets, rings, and painful sex (13:44–16:08) — Your options for vaginal estrogen, including a heads-up that some rings are designed to release hormone systemically. Plus the negative feedback loop of painful intercourse and what it does to long-term relationships. Dr. Cat's observation: every man gets the little blue pill, and most women get nothing for their own tissue.

The estrogen face cream (16:09–18:36) — Estriol plus tretinoin, what it does for texture and fine lines, why it's controversial in the medical community, and why Dr. Cat says it's still a personal decision. I use it, and it feels great.

The age-60 question (18:37–22:06) — Why 60 is Winona's line for starting hormone therapy by telemedicine, and what it is not: it isn't a deadline for stopping. Dr. Cat explains the window of opportunity (within 10 years of menopause), the slightly higher clotting risk when starting after 60, and why starting in early perimenopause, before your final period, gets you more heart and bone protection. Her analogy: don't wait for the gas tank to hit empty.

If you're over 60 and curious (22:07–23:32, 29:29–29:47) — You're not locked out, you just need a different front door. Dr. Cat recommends an in-person menopause provider who can work with your other physicians and monitor you closely, and The Menopause Society has a zip code search to find one.

The black box warning, birth control, and breast cancer risk (25:36–27:05) — Dr. Cat on why the warning never applied to topical estrogen, why she says birth control carries higher hormone doses and more clot risk than hormone therapy, and why she says daily alcohol is a much bigger breast cancer risk factor. (Yes, there goes the wine.)

Patch, pill, or cream? (27:06–29:28) — Why Dr. Cat generally recommends transdermal, why she still prescribes pills, and her rule: the best method is the one you'll actually use consistently. Hormone therapy is like trying on jeans. Five women, five different cuts.

Tell your doctor everything (30:12–31:22) — Even if they won't prescribe. Dr. Cat shares how patients' in-person doctors came around after seeing their labs and how much better they felt. "We've converted another doctor."

The physician education gap (31:23–34:14) — Dr. Cat was taught in residency to learn this for the exams and never prescribe it. She mentions a large grant from Melinda Gates's foundation to The Menopause Society to educate physicians, why we should talk to younger women about menopause the way we talk about first periods, and why answering surveys and showing up is how the black box warning came off in the first place.

• Winona, including the quiz and free education: bywinona.com
• Winona Women's app and Winona Women's Facebook group
• Find an in-person menopause provider: The Menopause Society
• Instagram: Dr. Cat OBGYN (she's also on Facebook and TikTok)

This episode is education, not a prescription, and Dr. Cat's own point is that telemedicine doesn't replace in-person care. If you have a history of breast cancer or blood clots, or you're over 60 and thinking about starting, take these questions to your own doctor or an in-person menopause specialist. Use this episode to ask better questions.

Enjoyed this one? Leave a review. It helps other women find the show. And if you want more of this in your inbox between episodes, sign up for the Rebellious Wellness Lifestyle newsletter.

Nobody prepares us to become a caregiver for our own parents, but Nicole Hilgenkamp did it twice, with both of her parents, and turned what she wishes she'd known into a system for the rest of us.

Nicole is the founder of Your Parents' Keeper, a caregiver education company built around 12 essential documents and a 7-phase roadmap from independence to end of life.

In this episode:

• The 12 documents every family needs before a crisis — not after
• How to open the conversation with a parent who won't talk about it
• The home safety signs that get missed until it's too late
• Why polypharmacy is one of the most under-caught risks in aging parents
• How to build a caregiving team so it's not all on you
• The skilled nursing bed shortage — and why you need a plan before you need a bed
• What to do about a parent's digital accounts after they pass

Nicole lost her mother this past June. This conversation is the guide she wishes someone had handed her first.

Resources: Your Parents' Keeper — yourparentskeeper.com

Enjoyed this one? Leave a review — it helps other rebellious spirits find the show.

Biochemist Dr. Nathan Bryan has spent 30 years researching nitric oxide (NO) — a molecule he calls the earliest event in the onset of every chronic disease.

But despite all the supplements, powders, gummies, and health claims surrounding nitric oxide, much of what people are being sold isn't backed by the science.

In this episode, we sort the real science from the Instagram-ad noise and explore what nitric oxide actually does, how your body makes it, and the everyday habits that may be shutting down your body's own production.

In this episode we cover:

• What nitric oxide actually does and why loss of NO production may come before chronic disease, not after
• Why many arginine and beet supplements don't work the way people think they do — including the surprising gummy trick that can completely inactivate active ingredients
• The everyday habits that may be shutting down your body's own nitric oxide production, from oral health products to medications and other lifestyle factors
• Hydroxyapatite, what it is, and why Dr. Bryan uses it in his fluoride-free toothpaste — along with the surprising connection between your mouth, inflammation, and heart health
• Why sunlight, vitamin D, and nitric oxide are connected — and why you can't necessarily out-supplement the sun
• A simple nasal-breathing practice that can support nitric oxide production for free
• How topical nitric oxide helped heal a wound doctors had called “unhealable”

Dr. Nathan Bryan is a biochemist and one of the world's leading researchers on nitric oxide. His work explores the role nitric oxide plays in cardiovascular health, mitochondrial function, aging, and chronic disease.

Find Dr. Nathan Bryan at N101.com.

His book, The Secret of Nitric Oxide: Bringing the Science to Life, is also available now.

Instagram: @drnathansbryan

X: @DrNitric

Most everyday pain isn't “just aging”, and it's not permanent. This week, chiropractic physician Dr. Ya-Ling joins the show to talk about why so much everyday pain — stiff necks, cranky backs, tight shoulders — is actually retrainable.

We get into:

• The real difference between everyday pain and true chronic pain
• Why ignoring pain trains your nervous system to expect more of it
• The nocebo/placebo effect and how belief shapes what you feel
• Your “pain personality” and what your first pain memory reveals about it
• Why painkillers need an exit strategy, not an open-ended commitment
• The graded movement approach: release, retrain, strengthen
• Why slouching isn't the enemy (and “sit up straight” might be hurting you)
• Whether zero-drop shoes or heels are better for your back (spoiler: it depends)

Dr. Ya-Ling practices in Seattle and is the author of Fix the Fire Damage and What's Your Pain Personality? Find her books, her free Pocket Pain Relief app, and more at ya-ling.com.

Enjoyed this episode? Leave a review — it helps other rebellious spirits find the show.

Neurosurgeon Dr. Ravi Kumar returns to break down what the science actually says about melatonin — including a new study linking long-term use to heart failure — plus why popular sleep meds like Ambien and Benadryl come with hidden costs, his real sleep protocol (temperature, timing, screens), and two blood tests you should ask for once in your life: Lp(a) and ApoE4.

In this episode:

• Why Dr. Kumar generally doesn't recommend melatonin as a nightly sleep aid — and when it actually helps
• The correct melatonin dose (hint: it's a fraction of what's on most labels)
• Why up to 80% of melatonin supplements don't contain what the bottle says — and what certification to look for
• What the new melatonin/heart failure study does and doesn't prove
• The real risks of Z-drugs (Ambien, Lunesta) and antihistamine sleep aids (Benadryl, Tylenol PM)
• Dr. Kumar's 5-step sleep protocol: screens, showers, socks, room temp, and CBT-I
• What Lp(a) is, why it's genetic and untestable by diet, and why you only need to check it once
• ApoE4 and Alzheimer's risk — and why genetics isn't destiny

Full protocol PDF and more research: drkumardiscovery.com

No guest this week — just me, and a confession-style rundown of nine habits I let slide and am now recommitting to. I call the phenomenon behind it “magical thinking”: the quiet belief that staying generally healthy day-to-day means the little stuff doesn't apply to you. Here's what made the list, and what finally got me to stop skipping each one.

1. Resistance training — the wake-up call was a 25-lb bag of soil, not a scale number.

2. Balance — how to fold single-leg practice into things you already do daily, like brushing your teeth.

3. Flossing — the real link between gum health and heart disease, and a simple habit-stacking fix.

4. Fiber — the 21-gram target for women over 50, why it's harder to hit than it sounds, and what I actually eat instead of Metamucil.

5. Hydration — why sipping all day beats chugging, and the surprising kidney-heart connection.

6. The melatonin story — what a neurosurgeon told me about how melatonin really works, and why I ditched my nightly gummy.

7. Grip strength — the data linking it to longevity, and the cheap tool I use to practice it.

8. The sitting-rising test — a real clinical test for functional fitness, and why I look like “a creature made of dough” attempting it.

9. Cardio and VO2 max — why this number matters more than most blood markers, and how I lost ground during a recovery period.

Got one of these you're ready to add back in? Post it in the comments on the podcast page or email me at gregory@rebelliouswellnesslifestyle.

Dr. Carolyn Dean — MD, ND, and author of The Magnesium Miracle — has spent 50+ years connecting mineral deficiency to chronic illness. In this episode, she breaks down why magnesium is the foundation everything else is built on, what the biohacking world is missing, and how her Maui study reversed biological aging by an average of four years in six months.

In this episode:

• Why 80% of people are likely magnesium deficient — and don't know it
• How magnesium powers ATP production and mitochondrial function (and what that means for dementia risk)
• The difference between magnesium forms and why bioavailability is the key variable
• Results from the Maui Reset Study: 4 years of biological age reversal in 6 months
• The real cause of heart disease — and why cholesterol is not the villain
• How sugar blocks vitamin C absorption at the cellular level
• Why high-dose vitamin D without magnesium may be making things worse
• The FDA's 99 mg potassium cap — and how to work around it intelligently
• What the RDAs were actually designed to do (and it's not optimize your health)

Guest resources:

• drcarolyndean.com — education, podcast, and free resources
• rnareset.com — Dr. Dean's supplement store
• Live stream every Monday at 7 PM Eastern on YouTube
• The Magnesium Miracle (updated edition) — condition-indexed reference guide

"If you don't have enough magnesium, you're going around trying to treat the symptoms of magnesium deficiency with ashwagandha and NAC and creatine — and missing the whole point." — Dr. Carolyn Dean

Laura Richards spent 32 years married to a covert narcissist — someone who looked like “the nice guy” to everyone outside the marriage while quietly breaking her down inside it. After her divorce, she became a bestselling author (“Married to a Nice Guy,” “You’re Not Crazy”), podcaster, and coach helping other women recognize the same patterns she lived through.

In this conversation, Laura and Greg dig into:

• How covert narcissism hides in plain sight — generous and well-liked in public, cold and controlling at home
• Trauma bonding and the “breadcrumb” cycle that keeps people hoping things will change
• Gaslighting in real, everyday moments — not just dramatic ones
• The subtle ways partners get isolated from friends and family
• Why “could you live like this for the rest of your life?” is the only question that matters
• What to do first if this is resonating — and why a trauma-informed therapist matters
• How to leave safely: quiet, strategic, and on your own terms

Laura’s full library of books, coaching, community, and resources is at thatswhereimatpodcast.com.

If you've wondered whether your mental and emotional state affects your body's ability to heal cancer, the answer — backed by 50+ years of science — is yes.

Avinoam Lerner is a holistic therapist, clinical hypnotherapist, and cancer recovery coach with 25 years of experience working at the intersection of trauma and cancer recovery.

In this episode, we cover:

• Why unresolved trauma creates chronic immune suppression — and how that connects to cancer

• The science of psychoneuroimmunology (PNI): what it is, why your oncologist doesn't mention it, and why that's not the whole story

• The difference between conscious and subconscious mind — and why treating only the physical body leaves half the healing equation unaddressed

• How clinical hypnotherapy bypasses the conscious mind to update the patterns driving stress and immune dysfunction

• Why self-blame is both scientifically inaccurate and actively harmful to recovery

• When to start this work — and why stage doesn't matter as much as you think

• Avinoam's new book, Mindful Remission, and how to access his programs

Mindful Remission: The Mental Science of Healing CancerAvinoam’s new book https://www.avinoamlerner.com/shop/p/the-new-cancer-paradigm-3lte7

Mindful Remission Program: Support for people navigating cancer diagnosis, treatment, and recovery.

TEDx Talk: “The New Cancer Paradigm” https://www.avinoamlerner.com/videos

Connect with Avinoam Lerner https://www.avinoamlerner.com/