The DUTCH Podcast

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Stress can be real or perceived, the body doesn’t recognize the difference! That’s why it’s so important to manage stress and evaluate cortisol when your patients present with chronic stress symptoms.  

On this episode of DUTCH Summer School, we’re joined by Kaitlin Tyre, ND, a clinical educator here at DUTCH for some talk on cortisol curves. She and Jaclyn break down what cortisol curve patterns to look for in each DUTCH report and talk about stress management techniques that can help patients improve their stress response. 

Show Notes 

• Download the case study from this episode: DUTCH Report
• Learn more about coritsol and how sleep effects the diurnal rhythm, register for our July webinar with Dr. Allison Smith: DUTCH Monthly Webinars - DUTCH Test 
• DUTCH Blog: Measuring Free Cortisone and Metabolized Cortisol 
• DUTCH Blog: Assessing Chronic Fatigue with the Cortisol Awakening Response 
• Learn more about sleep hygiene

Are you interested in becoming a DUTCH provider?  

You can sign up to become one today at www.dutchtest.com/providers. DUTCH providers have exclusive access to one-on-one consultations with DUTCH clinical educators, group mentorship sessions, and free educational resources like the DUTCH Interpretive Guide and the Mastering Functional Hormone Testing course.  

Become a provider today to take your first step toward becoming a hormone expert. 

Get ready to shake up your summer with some fun and interesting episodes of the DUTCH Podcast—Summer School Edition. Host Jaclyn Smeaton, ND, will chat with DUTCH clinical educators about hormone topics such as estrogen detox, estrogen metabolism, cortisol curves, intermittent fasting, and more!  

Tune in each week for new episodes; you won’t want to miss this special edition of the DUTCH Podcast. 

Show Notes  

For more information about the DUTCH Test, visit our website! www.dutchtest.com 

Are you interested in becoming a DUTCH provider?  

You can sign up to become one today at www.dutchtest.com/providers. DUTCH providers have exclusive access to one-on-one consultations with DUTCH clinical educators, group mentorship sessions, and free educational resources like the DUTCH Interpretive Guide and the Mastering Functional Hormone Testing course.  

Become a provider today to take your first step toward becoming a hormone expert. 

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Jill Carnahan, MD, joins Dr. Jaclyn Smeaton to discuss the transformational change functional medicine can bring to patients, and they explore the new book, "Unexpected: Finding Resilience Through Functional Medicine, Science, and Faith".

If you're attending American Academy of Anti-Aging Medicine 2023 Spring Congress, join DUTCH and Dr. Carnahan for a meet and greet at our booth and to receive a free signed copy of her book.

About our Speaker:
Dr. Jill Carnahan is dually board certified in Family Medicine for 10 years and in Integrative Holistic Medicine. She is the founder and Medical Director of Flatiron Functional Medicine, a widely sought-after practice with a broad range of clinical services including functional medical consulting, chiropractic therapy, physical therapy, naturopathic medicine, acupuncture, and therapeutic massage.

Dr. Carnahan's Website: Dr. Jill Carnahan Flatiron Functional Medicine - Jill Carnahan, MD
Learn about her new book: Unexpected - Dr. Jill Unexpected (readunexpected.com)

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It’s time to wrap up season two of the DUTCH Podcast. As season two comes to a close, Dr. Jaclyn Smeaton, ND, talks with DUTCH founder, Mark Newman, MS, about new peer-reviewed research and the functional hormone testing model as a whole. They dive into the strengths of the DUTCH Test, what sets DUTCH apart from competitors, and explore the methodology that makes DUTCH a leader in the integrative medicine world. 

This season is packed with great insights from leaders in the functional medicine community. Listen now to hear our final season two episode! 

Sections and Timestamps 

• 00:00Intro 
• 06:57Recent journal publication 
• 24:08DUTCH stays focused on its methodology 
• 30:25DUTCH keeps OATs markers small 
• 44:05Comparing DUTCH to other labs 
• 50:00Conclusion 

Show Notes 

Recent Peer-Review
https://pubmed.ncbi.nlm.nih.gov/36414155/
https://www.sciencedirect.com/science/article/pii/S0039128X22000769 

“Not Withing Spitting Distance” Article
https://pubmed.ncbi.nlm.nih.gov/36527751/ 

DUTCH Research
https://dutchtest.com/research/ 

Check Out Other DUTCH Podcast Episodes
https://dutchtest.com/podcast/ 

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Oral contraceptive pills (OCPs), or “the pill,” revolutionized women’s healthcare in 1950. Now, almost 75 years later, women and their practitioners are asking questions. In this thought-provoking episode of the DUTCH Podcast, Dr. Jaclyn Smeaton and Dr. Rebecca Clemson compare and contrast the usefulness of the pill with some of its side effects.  

You can join the conversation on the good and bad of birth control. Listen now! 

Sections and Timestamps 

• 00:00Intro 
• 04:10The pill to “fix” female problems 
• 08:02Uses for the pill 
• 12:10The pill is not benign 
• 18:20Cardiovascular risks and the pill 
• 19:56When should a patient take an OCP? 
• 24:50Endometriosis and OCPs 
• 27:41How to do birth control right 
• 34:15Conclusion

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Each phase of the menstrual cycle is intertwined with the phase that came before and the one coming after—a continuous loop of natural hormone fluctuations. Our guest, Dr. Kelsey Stang and host Dr. Jaclyn Smeaton uncover the role of each hormone in the cycle and share what exactly occurs in the female body during each phase. 

Women are empowered with knowledge when they understand their menstrual cycle. And with expert hormone education like the discussion in this podcast, providers and patients can be better equipped to notice when symptoms deviate from normal. 

Sections and Timestamps 

• 00:00Intro 
• 03:34Understanding menstrual cycle phases 
• 06:15Luteal phase description 
• 11:46HPO axis 
• 14:05Progesterone’s role in the cycle 
• 16:55Signs to notice throughout the cycle 
• 21:00DUTCH Test options 
• 24:50 Conclusion

Additional Resources 

Get to know Dr. Kelsey Stang, ND
drkelseystang.com  

Interpreting Specific Examples of Cycle Mapping Reports
https://dutchtest.com/video/interpreting-specific-examples-of-cycle-mapping-results/ 

DUTCH Cycle Mapping
https://dutchtest.com/info-cycle-mapping/  

DUTCH Complete
https://dutchtest.com/info-dutch-complete/  

DUTCH Plus
https://dutchtest.com/info-dutch-plus/  

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Happy Valentine’s Day! This episode of the DUTCH Podcast is sex ed for adults. There is an overwhelming gap in knowledge surrounding the menstrual cycle. Dr. Jaclyn Smeaton and Lindsey Szczepanski, NP get back to the basics with a complete menstrual cycle overview. 

Lindsey and Dr. Smeaton cover what menstrual symptoms are considered “normal” for cycling, pre-, and postmenopausal women. And even spend time discussing male sexual health, including libido and testosterone.  

Don’t be shy—we’d love for you to listen to this episode! 

Sections and Timestamps 

• 00:00Intro 
• 04:13Cervical mucus NOT a yeast infection 
• 07:18Educating patients on the menstrual cycle 
• 10:50Normal cycle: bleeding 
• 15:48Normal cycle: cervical mucus changes 
• 18:45Male libido 
• 25:08HRT testing and suggestions 
• 32:35What women need to know about their cycles 
• 35:35Vasectomy follow-up 
• 38:08Conclusion 

Additional Resources 

The Sex and Stress Connection
https://dutchtest.com/2023/01/18/the-sex-and-stress-connection/ 

Listen to more of the DUTCH Podcast
https://dutchtest.com/podcast/ 

Monitoring HRT with DUTCH Test
https://dutchtest.com/2022/08/26/new-peer-reviewed-data-shows-the-reliability-of-urine-hormone-testing-to-monitor-hrt/ 

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Sexual wellness can be a sensitive topic. Libido is important for overall health and quality of life. When men struggle to get erections, it could be an indicator of arterial disease, endothelial disease, or diabetes.  

Our DUTCH Podcast guest Dr. Geo Espinosa is passionate about helping men achieve the life and health they desire. In this episode, he and Jaclyn Smeaton, ND, go over several approaches to treating low testosterone. They discuss the connections between low libido and systemic disease. And they highlight the importance of exercise in boosting testosterone.  

Tune in now to learn more.  

Time Stamps
00:00Intro 

04:13Evaluating male patients who complain of low libido 

08:05Dr. Espinosa doesn’t recommend aromatase inhibitors 

14:10Men do not become more aggressive with testosterone 

17:35Testosterone decreases each year after age 30 

21:38Top lifestyle strategies to support testosterone function 

28:34Outro 

Additional Resources
Diet and Lifestyle Recommendations from Dr. Geo 

• Ashwagandha 
• Higher fat/keto diet 
• Decrease waist-to-hip ratio 
• Strength training 
• Lowering cortisol 
• Supporting testosterone production 

Dr. Geo’s Website 

https://drgeo.com/ 

Integrative and Functional Urology Institute 

https://aw6f826.aweb.page/p/cb5f323b-65b8-4863-8aa2-9c2a48e4e92e 

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Marcelle Pick, OBGYN, NP is a functional medicine expert and has built her career in women’s health. Her approach to treating hair loss is detailed in this episode of the DUTCH Podcast.  

Hear Jaclyn Smeaton, ND, and Marcelle share their experiences treating hair loss. They dive into potential root causes of hair loss and discuss solutions to treat this sometimes-terrifying patient complaint. Marcelle shares some of her go-to nutritional supplement strategies for supporting hair growth, and she and Jaclyn offer advice on searching for reputable and effective supplements.  

Sections and Timestamps 

• 00:00Intro 
• 02:08Hair loss is alarming to most patients 
• 04:00Causes of hair loss 
• 06:04Nutrition for hair-health 
• 11:58What is the typical evaluation for a patient experiencing hair loss? 
• 17:19Shopping carefully for supplements 
• 22:01DHT and hair loss 
• 23:49Lifestyle suggestions for patients experiencing hair loss 
• 26:09Outro 

Additional Resources
Marcelle Pick’s Website
https://marcellepick.com/ 

IFM.org — Marcelle Pick, NP
https://www.ifm.org/about/profile/marcelle-pick/ 

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Sometimes a traditional diurnal cortisol test isn’t enough to properly evaluate a patient. With the DUTCH Plus, the cortisol awakening response (CAR) gives additional insight into your patient’s stress response. A “mini stress test” the CAR takes snapshots in the minutes and hours after waking to paint a clearer picture of HPA axis function.

 In this episode of the DUTCH Podcast, Drs. Jaclyn Smeaton and Christina O’Brien discuss the value of the CAR in finding hidden points of dysregulation in patients. They cover typical cortisol testing procedure and dive into the benefits of measuring the CAR to enhance patient care.

 Sections and Timestamps

•  00:00   Intro
• 01:57   What’s the typical cortisol test?
• 03:10   Why saliva for measuring the CAR?
• 07:15   The CAR can identify dysfunction missed by typical diurnal curve
• 10:00   Typical patterns of dysfunction on a CAR report
• 13:05   When should providers order the DUTCH Plus vs the DUTCH Complete
• 16:25   Conclusion

Additional Resources

 DUTCH Complete

https://dutchtest.com/info-dutch-complete/

 DUTCH Plus

https://dutchtest.com/info-dutch-plus/

 Cortisol Awakening Response (CAR)

https://dutchtest.com/info-dutch-plus/#cortisol-awakening-response