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In this episode, recorded live at A4M World Congress, Dr. Tara Scott discusses the complexities of perimenopause, a hormonal transition that can last for years. She highlights the challenges providers face in diagnosing and treating this phase, the importance of understanding hormonal changes, and the broader impacts on women's health, including metabolic health and hormonal imbalances.  

Dr. Scott also covers: 

• The need for comprehensive assessments and personalized medicine to address the unique experiences of perimenopause  
• Lifestyle changes that can aid women in perimenopause  
• The role of supplements in supporting women's health  
• Estrogen metabolism and the importance of understanding how the body processes estrogen 
• The nuanced decisions surrounding hormone therapy 

 Show Notes 
Learn more about Dr. Tara Scott and follow her on Instagram @HormoneGuruMD. 

Explore how to support your patients during perimenopause with hormone testing by becoming a DUTCH Provider today! 

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In this episode of the DUTCH Podcast, Dr. Jaclyn Smeaton and Mark Newman, MS, discuss the advancements and highlights from 2024 in the field of hormonal health and functional medicine. They cover the launch of the new DUTCH website, recent research publications, and the exciting growth of the DUTCH Podcast and DUTCH Webinars.  

They also delve into: 

• The importance of education in hormone therapy 
• Updates made to the DUTCH report 
• The introduction of new educational resources, such as Mini Guides 
• The upcoming Introduction to Menopausal HRT course 
• DUTCH’s commitment to excellence and mission to improve hormonal health for all 

Show Notes:
Check out the new DUTCH website and our new Education Hub, and read the research on DIM’s effects on the urinary estrogen profile. For more DUTCH research, visit DUTCHTest.com/research, and check out our estrogen therapy research in Menopause. 

Get access to our new educational course, Introduction to Menopausal HRT, exclusive for registered DUTCH providers. If you’re not a DUTCH Provider, sign up today!  

Take a look at page 2 of this sample report, which highlights the androgen story Mark Newman, MS mentions in this episode. 

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In this episode, Dr. Sara Szal (formerly Gottfried) discusses the rising rates of autoimmunity, particularly among women, and the importance of understanding anti-nuclear antibody (ANA) testing. She emphasizes the need to explore root causes of autoimmunity, including genetic predisposition, leaky gut, and environmental triggers.   

Dr. Szal and Dr. Smeaton also explore: 

• Foundational approaches to managing autoimmune conditions  
• The connection between reproductive hormones and autoimmune diseases 
• The influence of hormonal changes during perimenopause and menopause, and how these changes affect various bodily systems  
• The importance of diet and technology, such as continuous glucose monitors, in managing health during these transitions 
• The role of different testing methods in understanding hormonal balance  

Show Notes:
Learn more about Dr. Sara Szal and her new book, The Autoimmune Cure, and follow Dr. Szal on Instagram @saragottfriedmd.  

Become a DUTCH Provider and learn more about how to use comprehensive hormone testing in your practice. 

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In this conversation, Dr. Carrie Jones and Dr. Jaclyn discuss the challenges that providers face when learning about hormone replacement therapy (HRT) for menopause. They highlight the confusion and conflicting information surrounding HRT and the need for a comprehensive and evidence-based approach. They also introduce a new educational course from DUTCH, Introduction to Hormone Replacement Therapy, which aims to provide a clear and practical guide for providers looking to incorporate HRT into their practice.  

 Dr. Jaclyn and Dr. Carrie also discuss:  

• The core hormones involved in HRT, including estradiol, progesterone, and DHEA 
• Different forms and routes of administration  
• The importance of understanding the evidence and guidelines for HRT 
• The need for individualized patient assessment and testing 
• Controversies and common questions surrounding HRT  

Show Notes:
Sign up to get early access to the Introduction to Hormone Replacement Therapy course. This course is exclusive to registered DUTCH Providers – become a DUTCH Provider today!  

Follow Dr. Carrie Jones on Instagram @dr.carriejones. 

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In this episode, Tom Guilliams and Dr. Jaclyn Smeaton delve into the complexities of the HPA axis, exploring its role in stress response, metabolic regulation, and overall health. They discuss the multifaceted nature of cortisol, its impact on glucose levels, and how early life stressors can shape HPA axis function.  

This episode also explores: 

• The significance of perceived stress 
• How circadian rhythm influences HPA axis function 
• The intricate connections between obesity, inflammation, and the HPA axis  
• Holistic approaches to managing HPA axis dysfunction, including the use of adaptogens and the importance of physical activity 
• Gender differences in stress response and the factors that contribute to burnout 

Show Notes:
Learn more about Tom Guilliams and his research organization, Point Institute. 

Check out other episodes of the DUTCH Podcast with Tom Guilliams: What’s the Deal with the Pregnenolone Steal? and HPA Axis: A Whole-Body Stress Response System. 

Become a DUTCH Provider to gain access to free educational resources, expert clinical support, peer-reviewed and validated research, and comprehensive patient reports. 

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In this conversation, Dr. Kara Fitzgerald discusses the intricate relationship between epigenetics and longevity, detailing her journey into the field, the design and outcomes of her Methylation Diet and Lifestyle Program, and the implications of biological age versus chronological age. She emphasizes the importance of personalized interventions and the role of environmental factors in gene expression, while also exploring various lifestyle changes that can positively impact biological aging.  
 
Dr. Fitzgerald and Dr. Smeaton also explore:

• The impact of lifestyle changes on biological age  
• Recent studies on aging patterns 
• The significance of hormonal health, especially for women 
• How small daily changes can lead to significant improvements in health span 
• The importance of DUTCH testing in understanding hormonal patterns and its relevance in aging discussions 

Show Notes
Learn more about Dr. Kara Fitzgerald and check out her book, Younger You. 

 Follow Dr. Kara Fitzgerald on Instagram @drkarafitzgerald. 

Become a DUTCH Provider to learn more about using the DUTCH Test in your practice. 

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In this episode, professional CrossFit athlete, Brent Fikowski, shares his journey from a competitive athlete in volleyball to becoming the world-ranked #3 CrossFit competitor. He discusses the evolution of his training, the importance of listening to his body to prevent injuries, and the crucial roles that nutrition and hormones play in his performance and recovery.  

Brent and Dr. Jaclyn also discuss: 
- The intricate relationship between hormonal changes, stress, and athletic performance 
- Using the DUTCH Test to monitor hormone levels for optimal performance 
- Brent’s personal experience with managing his cortisol levels 
- The significance of lifestyle choices and accountability  
- Brent’s journey with developing a high-performance mindset 

Show Notes:
Follow Brent’s journey on Instagram @fikowski. 

Learn more about cortisol and the DUTCH Test in our episode Understanding Cortisol Curves. 

Become a DUTCH Provider to get access to free educational resources, expert clinical support, peer-reviewed and validated research, and comprehensive patient reports. 

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In this conversation, Dr. Jaclyn Smeaton and Esther Blum delve into the complexities of perimenopause and menopause, discussing the myriad symptoms women experience, the medical community's understanding of these transitions, and the importance of early intervention and personalized care. 

Esther and Dr. Smeaton also explore: 

• The physiological changes that occur during perimenopause and menopause 
• The role of hormones like estrogen and progesterone 
• How early intervention with hormones can optimize quality of life 
• How lifestyle factors can impact women’s health during this time 
• The importance of women advocating for themselves and seeking knowledgeable healthcare providers 

Show Notes:
Learn more about Esther Blum and follow her on Instagram @gorgeousesther. 

Check out Esther’s other DUTCH Podcast episode, Finding Comfort in the Menopause Metamorphosis, to hear more tips about transitioning into menopause. 

Become a DUTCH Provider to learn more about how the DUTCH Test can help support your patients in the phases of perimenopause and menopause. 

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In this episode of the DUTCH Podcast, Dr. Smeaton interviews Dr. Tara Scott, a hormone expert, to discuss hormone therapy (HRT) in the context of breast cancer awareness month. They delve into the definitions of HRT and its recent resurgence in media discussions, sparked by celebrities like Gwyneth Paltrow and Halle Berry. 

Dr. Scott also covers: 

• The distinction between bioidentical and synthetic hormones, clarifying that bioidentical hormones mimic what the body produces  
• The updated recommendations from the North American Menopause Society, which state that HRT is not universally necessary but should be an option based on individual risk factors 
• The controversial use of testosterone in women 
• The differing guidelines for men and women regarding hormone therapy  
• The importance of understanding the risks and benefits of HRT, particularly concerning breast cancer 

Show Notes:
Check out the global testosterone therapy study, the NAMS article about misinformation on HRT, and Versalie. 

Learn more about Dr. Tara Scott @HormoneGuruMD on Instagram. 

Become a DUTCH Provider to learn more about using hormone replacement therapy in your practice and how the DUTCH Test can help. 

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In this episode, Dr. Anna Cabeca and Dr. Jaclyn Smeaton discuss the multifaceted nature of fertility, exploring the impact of ovarian health, toxic burden, hormonal influences, and autoimmunity on reproductive health.  

Dr. Cabeca and Dr. Smeaton also discuss: 

• How toxic burden can significantly impact fertility and hormonal balance 
• The importance of lifestyle factors and testing when it comes to fertility 
• The often-overlooked role of male fertility in the conception process 
• Taking a holistic approach to fertility that integrates both conventional and functional medicine 
• Empowering patients in their journey toward conception 

Show Notes:
Learn more about Dr. Anna Cabeca and her upcoming program, Magic Menopause Coaching Certification, launching October 15. 

Follow Dr. Anna Cabeca on Instagram @thegirlfrienddoctor. 

Watch Dr. Jaclyn Smeaton’s DUTCH Webinar on Fertility and the DUTCH Test to explore how the DUTCH Test can be a useful tool to explore fertility. 

Become a DUTCH Provider to learn more about how the DUTCH Test can help you profoundly change your patients’ lives.