The Dr. Terri Show

Half your feed says seed oils are poison. The other half says that’s nonsense. And you’re standing in the grocery store holding a bag of avocado oil chips, trying to figure out which one of them to believe.

Elizabeth DiMeo is back with Dr. Terri to take the fat debate apart with data instead of opinions. Elizabeth is a Certified Nutrition Specialist and Licensed Dietitian Nutritionist with more than 25 years in the field, and she serves as Director of Nutraceutical Development and Education at EVEXIAS Health Solutions.

They start with what a seed oil actually is, how it differs from a vegetable oil, and what industrial processing does to it. Then Elizabeth explains the part that rarely makes it into a social media post: how omega-6 and omega-3 fats behave inside your cells, why your body genuinely needs both, and what happens in your blood vessels when the balance tips too far one way. They look at why other countries eat these oils without the same consequences, trace the strange history of margarine from a wartime butter substitute to a heart-healthy marketing campaign, and find the seed oils hiding in foods you’d never suspect, including your peanut butter. They also get honest about the all-or-nothing instinct in American food culture, and why neither the chia seed camp nor the steak-and-butter camp has it figured out.

What you’ll discover

--

00:00 The Fat Debate Flipped

02:03 What a Seed Oil Actually Is

06:19 How Much Is Too Much, and Where It Hides

11:01 Margarine, Trans Fats, and How We Got Here

15:40 The All-or-Nothing Problem

27:12 The Snack Aisle, and What to Do Instead

--

Presented by EVEXIAS Health Solutions
https://www.evexias.com

Connect with Dr. Terri

Learn more about your ad choices. Visit megaphone.fm/adchoices

Most women diagnosed with low thyroid are treated for a thyroid problem. Dr. Heather Stone says many of them actually have an immune problem. In Hashimoto’s, as she puts it, “the thyroid is the victim.”

Dr. Terri sits down with Dr. Heather Stone, DC, a functional medicine practitioner who has spent more than twenty years helping women with hypothyroidism and Hashimoto’s. She is the author of The Thyroid Transformation Blueprint. Her path started with her own symptoms and a doctor who told her nothing was wrong. She joins from Italy to talk about what’s driving the immune system to attack the thyroid, and what changes when care looks past the thyroid numbers.

They start with the TSH: what it measures, where it comes from, and what a fuller thyroid panel adds, including the antibody tests that point to Hashimoto’s. Then they work through the triggers Dr. Stone looks for in every autoimmune patient: blood sugar, stress, gut health, and toxic load. Along the way, she explains why having one autoimmune condition raises the risk of developing others. She also describes a diabetes pattern she catches by looking for autoimmunity, which she calls type 1.5.

What you’ll discover

Your symptoms aren’t the problem. They’re the message.

Presented by EVEXIAS Health Solutions
https://www.evexias.com

Connect with Dr. Terri

Connect with Dr. Heather Stone

---

00:00 Dr. Stone's story

04:00 Beyond the TSH: what a full thyroid panel shows

17:20 Hashimoto's and the triggers behind autoimmunity

26:00 Type 1.5 diabetes

35:00 Testing for root causes, optimal ranges, and detox

Learn more about your ad choices. Visit megaphone.fm/adchoices

What if your strongest years are still ahead of you?At 64, Mary Ann Butler entered her first fitness competition... and won. But her story didn't begin on a bodybuilding stage. It started years earlier, with a career in pain management, a growing curiosity about hormone health, and a personal experience that changed the direction of her medical practice.In this episode of The Dr. Terri Show, Dr. Terri sits down with Mary Ann Butler, ANP-C, a board-certified nurse practitioner with more than two decades of experience in medicine. From her wellness practice in Lumberton, Texas, to her role training and mentoring clinicians with EVEXIAS, Mary Ann has dedicated much of her career to exploring approaches to hormone health, pain management, and longevity.Together, they discuss how recognizing symptoms of testosterone deficiency in her husband—and hearing unexpected stories from pain patients receiving hormone therapy—led Mary Ann to rethink conventional approaches to care.They explore the often-overlooked role of testosterone in women's health, the relationship between hormones and pain, and how peptide therapies became part of Mary Ann's clinical practice. They also discuss why peptide therapy requires knowledgeable medical oversight rather than a do-it-yourself approach.Then the conversation turns personal.After a decade of consistent strength training alongside her husband, Mary Ann decided to challenge herself in an entirely new way. With just 16 weeks of competition preparation, she stepped onto the stage at 64 and won her first fitness competition.Her message? Age doesn't have to determine what you're capable of achieving.---- What you’ll discover:How the opioid crisis and a pain conference pointed her toward hormones (00;03;50)Her husband’s testosterone story, and what supplements can hide (00;04;19)Why testosterone in women was the missing puzzle piece (00;07;48)Why creams fell short for so many of their patients (00;08;29)How hormones play into pain and inflammation (00;09;37)How peptides entered her practice (00;12;13)Why peptide therapy is a medical specialty, not a DIY project (00;13;33)How peptides that support growth hormone signaling can help with sleep, recovery, and aging well (00;16;25)Deciding to compete, and what actually changed in her diet (00;19;40)What a 16-week contest prep looked like (00;25;24)“Muscle is currency,” and how to start where you are, even with injuries (00;27;08)It's never too late to set a new goal, build strength, or discover what your body is capable of.Join Dr. Terri and Mary Ann Butler for a conversation about hormones, peptides, longevity, and challenging the expectations that often come with aging.

Learn more about your ad choices. Visit megaphone.fm/adchoices

Pellets, shots, creams, patches, pills, troches. If you're starting hormone therapy, or you're already on it and something still feels off, the number of options can be hard to sort through. It's one of the questions Dr. Terri hears most, from patients and from the clinicians she trains.

In this solo episode, Dr. Terri goes through each delivery method for testosterone, estrogen, and progesterone, drawing on 17 years of working with all of them. Her favorite is hormone pellets, and she explains her reasoning. She compares steady hormone levels with the peaks and drops of shots, creams, and tablets. She covers why the path a hormone takes through the body matters. She also explains where patches, vaginal estrogen, and oral progesterone still fit.

What you'll discover

A clear map of your options to take to your next appointment.

Presented by EVEXIAS Health Solutions
https://www.evexias.com

Connect with Dr. Terri

Learn more about your ad choices. Visit megaphone.fm/adchoices

Somewhere around 40, the workouts that always worked stop working. The belly shows up, the energy drops, and the instinct is to do more. Dr. Terri sits down with Dr. Eric Fete to hear his case for the opposite: lift a little, walk a lot, eat enough, and build muscle.

Dr. Fete, DO, is a former emergency physician and the founder of Prime-X in Zanesville, Ohio. He trained at the Chicago College of Osteopathic Medicine, is certified in Age Management Medicine, and now sees patients in person and by telemedicine. He calls his approach muscle medicine.

Together they get into what myokines are and why he treats muscle as more than looks. They cover the simple routine he starts most patients on, how he talks to women about testosterone, and why he puts sleep and stress ahead of peptides and other add-ons. They also talk about the difference between sex drive and erectile function, and why touch and oxytocin belong in the conversation.

What you'll discover

Less heroic training, more sleep, and a foundation worth building on.

Presented by EVEXIAS Health Solutions
https://www.evexias.com

Connect with Dr. Terri

Connect with Dr. Eric Fete

Learn more about your ad choices. Visit megaphone.fm/adchoices

Estrogen patches have gotten hard to find, and a lot of women are being told to just wait it out. That may be the riskiest option on the table.

Dr. Terri sat down with Dr. Carrie Jones, ND, FABNE, MPH, MSCP, at a national clinician conference the same week the FDA held its public meeting on testosterone in women. Dr. Jones is a naturopathic physician and Menopause Society Certified Practitioner known as the Queen of Hormones. She was the first medical director for the DUTCH test and the first head of medical education at Rupa Health, and she now hosts the Hello Hormones podcast.

Together they cover what's really behind the patch problem, why stopping hormones suddenly carries real risk, and how many more options exist than most women (and most prescribers) realize. They take on the reputation of compounding pharmacies: what compounding actually is, where the bad press came from, and why it keeps stepping in when supply runs short. They also get practical about quality, from "research only" peptides to supplements that don't match their labels. And they explain why estrogen, progesterone, and testosterone matter for your heart, brain, and bones long after the hot flashes are handled.

What you'll discover

Presented by EVEXIAS Health Solutions
https://www.evexias.com

Connect with Dr. Terri

Learn more about your ad choices. Visit megaphone.fm/adchoices

[Special bonus episode in reaction to the FDA addressing testosterone use in women.]

For eighty years, clinicians have been using testosterone to treat women. There is still no FDA-approved testosterone product for women in the United States.

In September, the FDA convened a public workshop to examine that gap. In this conversation, recorded in the days beforehand, Dr. Terri sits down with Dr. Cassie Smith, MD, a dual board-certified endocrinologist and the founder of Modern Endocrine in Oklahoma City. Dr. Cassie trained at the Harold Hamm Diabetes Center and spent years running pharmaceutical clinical trials before building a telehealth practice that now serves patients across 45 states. She has seen the approval process from the inside, and she has opinions about it.

Together they take on what the hearing might actually accomplish, why the approval gap has persisted this long, and what it costs the women sitting in their exam rooms. They get into the money: why a hormone that pulls patients off statins, blood pressure medication, and antidepressants is not an attractive product to develop. They get into the paperwork: why testosterone sits on the controlled-substance schedule alongside opioids, what that does to access, and why a patient who forgets her prescription on vacation simply goes without. And they get into the part neither of them can let go of — that the people writing these rules have never spent a day in a clinic watching what happens when you get a woman's hormones right.

What you'll discover

Two clinicians, one hormone, and a regulatory system that has not caught up to its own evidence.

Presented by EVEXIAS Health Solutions https://www.evexias.com

Connect with Dr. Terri

--

00:00 Cold open and welcome

00:05:34 The approval gap

00:16:53 Reference ranges, dosing, and the risk of a bad rollout

00:24:41 Medical freedom and how testosterone became a controlled substance

00:39:24 Who's making these decisions, and who they're hearing from

Learn more about your ad choices. Visit megaphone.fm/adchoices

Nobody Has an SSRI Deficiency: Rethinking Postpartum Depression

A new mother comes in for one visit, gets a diagnosis, leaves with a prescription, and comes back in a month. In a lot of practices that is first-line care for postpartum depression. The problem is that nothing on the list of things that actually crashed after delivery is an antidepressant.

Dr. Terri welcomes back Dr. Johnny J. Peet, MD, a gynecologist with nearly three decades in private practice, for a conversation about what is really happening in a woman's body after a baby, and why he treats postpartum depression almost nothing like he did twenty years ago. Progesterone and estrogen fall off a cliff. Thyroid drops at the same time. Vitamin levels that were fine before pregnancy quietly slip. Add a physical recovery, real anxiety, and no sleep, and his take is that the surprising thing is how many women come through it fine.

They open with the trend Dr. Terri is seeing in her own practice, young premenopausal women asking for estrogen because it is trending online, at the same time patches are getting hard to fill.

If you have been handed a prescription and told that is the answer, this is the conversation nobody had with you.

What you'll discover:

Postpartum depression is common, it is treatable, and it is almost never one problem.

🔗 Find a provider trained in what we discussed: evexias.com

This episode is for educational purposes and is not medical advice. Specific doses, lab targets, and treatment decisions discussed here are clinician-to-clinician and should not be applied without your own provider.

**If you or someone you know is having suicidal or harmful thoughts, please immediately reach out to someone or call 1-833-TLC-MAMA**

00:00 Introduction

00:44 A Real Shift in Women's Health This Year

02:21 Estrogen Trending Online and the Patch Shortage

03:23 What the Black Box Removals Actually Changed

05:45 Receptors, Deficiency, and Mood

07:25 The Four Hormonal Stages of a Woman's Life

09:30 What Actually Causes Postpartum Depression

13:54 Testosterone After the Second Baby

15:55 Screening First, Then Treating

17:01 Partners, Family, and the Village

18:51 An SSRI Is Not First Line

20:09 Progesterone, Estrogen, and Thyroid

22:23 Thyroid, TSH, and the Depression Link

24:05 B Vitamins, Vitamin D, and the Gut

26:57 Testosterone in Women: Mood, Energy, Sex

29:05 Injectable Progesterone and Follow-Up

30:12 Why Women Don't Talk About It

Learn more about your ad choices. Visit megaphone.fm/adchoices

If you are a woman, there is a good chance someone handed you a prescription at 15 or 16 and told you almost nothing. Maybe it was for acne. Maybe it was for cramps. Nobody sat you down and explained that it does not only turn off your ability to get pregnant, it turns off the hormones that were building your brain. We have never followed a generation of women long enough to find out what happens when you start at 13 and stay on it until you are 35. We just did it, and we called it health care.

Dr. Terri sits down with Dr. Sarah Hill, a research psychologist and professor at Texas Christian University who has spent more than 20 years studying women's hormones and neuroendocrinology. She is the author of This Is Your Brain on Birth Control and The Period Brain. Her interest in the subject started personally. After more than a decade on the pill, she went off it and, within three months, felt like parts of herself were coming back online. She went to the research literature to find out why, and found a body of evidence almost nobody was talking about. This conversation covers what hormonal contraception actually shuts down, why the alternatives are less studied than most women are led to believe, and what a generation of young women walking away from it are walking toward instead.

What you'll discover:

The bottom line: We cannot make good decisions without good information. For an entire generation of women, the information was never on the table.

The Dr. Terri Show is presented by EVEXIAS Health Solutions. For more, visit: https://www.evexias.com

Connect with Dr. Terri:

Connect with Dr. Sarah Hill:

Learn more about your ad choices. Visit megaphone.fm/adchoices

Lipedema: The Painful Fat Disorder Doctors Keep Calling Obesity

You've done the diets. You've done the exercise. Maybe you've done hormone therapy, and maybe you've even tried GLP-1 medications. And the weight in your legs will not move. It hurts to be touched. It bruises for no reason. And every doctor you've asked has looked at you and told you to eat less and move your body more.

There's a name for what might be happening, and it is not obesity and it is not your willpower.

Erika Schlick spent nearly a decade being told the same thing. She had already survived a two-year fight to get diagnosed with Lyme disease. Then, after stem cell therapy, she gained more than 50 pounds that no diet, no workout, and no medication would touch. It took eight more years to get an answer: lipedema, a connective tissue and adipose disorder that affects an estimated 1 in 9 women, was first described in 1940, and is still barely taught in medical school.

In this episode she walks Dr. Terri through the hallmark signs most doctors miss, why lipedema fat behaves nothing like ordinary fat, how surgical treatment differs from cosmetic liposuction, and what it actually takes to manage the condition long term.

What you'll discover:

If you have spent years being told your legs are a discipline problem, this episode gives you the language to ask a different question.

The Dr. Terri Show is presented by EVEXIAS Health Solutions. For more, visit: https://www.evexias.com

Connect with Dr. Terri:

Connect with Erika Schlick:

Learn more about your ad choices. Visit megaphone.fm/adchoices