If you want a healthy future into old age, you need a healthy liver.  Fortunately, it’s extremely robust and pretty low maintenance, considering how much crazy complicated stuff it does. But at least 1 in 4 Americans has liver dysfunction, which will slowly steal some of their agency of what they’re able to do as they get older.  I think it’s worth 20 minutes of your time to learn how to love and protect your liver.  Did you know one of your liver’s best protectors is estrogen?  

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Are you ready to give your cells their best chance to not have to stop living before they die by allowing them access to physiologic levels of hormones, but aren't sure how to even get started?  Join the waitlist for my new beta program here and help me figure out how best to help wonderful women like you get the hormone care they deserve!
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Provider directory CBT-I: https://cbti.directory/ 
Book: Quiet Your Mind and Get To Sleep: https://www.abct.org/books/quiet-your-mind-and-get-to-sleep-solutions-to-insomnia-for-those-with-depression-anxiety-or-chronic-pain/
Sleepio web based app with virtual therapist
Somryst CBTI app
CBTi coach free app
Insomnia coach free app

Your risk of all of the chronic diseases of aging, how healthily you age, and how powerful you’re able to be in your life are all affected by how well you sleep.  Good sleep is a tremendous advantage to all areas of your life, but unfortunately elusive for over 50% of American adults and up to 85% of perimenopausal women.  There are so many good and effective tools to try for improving sleep.  And while it’s great to have options, they can make sleep seem like a harder problem to solve than it is.  Different problems have different solutions, and sleep is no exception.  Where to focus your resources gets way easier to decide once you understand the 4 aspects of sleep and which one of them is tripping you up.  Poor sleep is absolutely a solvable problem, and worth the effort to finally figure out.  And you won’t have to do so by randomly guessing anymore.

Are you ready to give your cells their best chance to not have to stop living before they die by allowing them access to physiologic levels of hormones, but aren't sure how to even get started?  Join the waitlist for my new beta program here and help me figure out how best to help wonderful women like you get the hormone care they deserve!
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5 Midlife Screening Tests That Give You a well deserved Unfair Advantage

Where to get a DEXA scan
Where to get a Continuous Glucose Monitor  I’ve used Ageless Rx and had a good experience
Where to get a VO2 max test

Feeling overwhelmed by “all the guidelines”? In this episode, I narrow it down to five screening tests that are actually worth your time in midlife.  Especially if you want to feel strong, independent, and fully alive in your 70s and beyond. We start with the biggest threat to long-term health (metabolic dysfunction) and why tracking your glucose (ideally with a continuous glucose monitor) can change everything. Then we cover the DEXA scan for bone density, muscle, and visceral fat, plus the VO2 max test as the #1 predictor tied to all-cause mortality. We also talk smarter cardiovascular risk screening (beyond basic cholesterol, plus blood pressure) and cancer screenings that still matter: colorectal, breast, cervical, and skin. The theme: don’t aim for normal.  Aim for optimal.
00:00 Why Screenings Matter
00:32 Show Intro And Mindset
03:06 What Counts As Screening
04:42 Aim For Optimal
07:39 Test One Glucose Tracking
09:41 Test Two DEXA Scan
11:59 Test Three VO2 Max
15:21 Test Four Heart Risk Labs
20:16 Test Five Cancer Screening
23:30 Wrap Up And Next Week

Are you ready to give your cells their best chance to not have to stop living before they die by allowing them access to physiologic levels of hormones, but aren't sure how to even get started?  Join the waitlist for my new beta program here and help me figure out how best to help wonderful women like you get the hormone care they deserve!
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How Shakespeare Helps You Age Better: The Missing Half of IntelligenceIn this Health Courage Collective Podcast episode 264, host Christina Hackett argues that aging “abnormally well” requires more than logic, data, and risk stratification: it requires story-based “primal intelligence,” a set of human abilities AI cannot replicate. Drawing on Angus Fletcher’s book Primal Intelligence and examples of influential figures inspired by Shakespeare (including Steve Jobs, Maya Angelou, Abraham Lincoln, Darwin, and Tesla), she explains that modern education trains people to think like computers, which fails when life demands decisions with little or no data. Fletcher’s four elements of primal intelligence are outlined: intuition (spotting exceptions and anomalies), imagination (leaping into uncertain futures), smart emotion (using feelings as feedback on your life narrative), and common sense (knowing when you do not know and detecting unknown unknowns). Hackett connects these skills to adapting plans amid chaos and creating healthier outcomes as we age.
00:00 Big Questions
00:33 Podcast Welcome
01:21 Logic Versus Wisdom
02:55 Shakespeare Changed Minds
07:19 Clausewitz And Surprise
09:28 Primal Intelligence Explained
10:36 Why Story Beats AI
14:50 Four Primal Powers
15:31 Intuition Spotting Anomalies
16:27 Imagination For Uncertainty
17:25 Smart Emotion Dashboard
18:23 Common Sense Unknown Unknowns
19:59 Aging Better With Story
21:23 Planning For Chaos
24:12 Practical Takeaways And Close
26:49 Outro And Disclaimer

Are you ready to give your cells their best chance to not have to stop living before they die by allowing them access to physiologic levels of hormones, but aren't sure how to even get started?  Join the waitlist for my new beta program here and help me figure out how best to help wonderful women like you get the hormone care they deserve!
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Do you ever have bad days?  Do you think that if you were somehow different or better…you wouldn’t?  Nope.  Everyone has bad days sometimes, and there are 6 things you can do to extract all the value out of the gift of a bad day.  Instead of spiraling down, you can spiral up.  Your bad days won’t take you as low or last as long.  But you’ll still have them sometimes.  And that’s OK.  You’ll know exactly what to do.

www.healthcouragecollective.com

00:00 Bad Days Happen
00:29 Podcast Intro
01:19 When Plans Fall Apart
03:56 The One Day That Matters
04:59 Elite Performers Expect Slumps
07:03 Step 1 Expect Bad Days
08:13 Step 2 Catch Turnarounds
11:00 Step 3 Learn From It
12:25 Step 4 Play Badly Well
13:49 Step 5 Commit To Protocol
15:14 Step 6 Design Great Days
18:37 Six Steps Recap
20:08 Closing And Disclaimer 

Are you ready to give your cells their best chance to not have to stop living before they die by allowing them access to physiologic levels of hormones, but aren't sure how to even get started?  Join the waitlist for my new beta program here and help me figure out how best to help wonderful women like you get the hormone care they deserve!
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Cologuard at home test link: https://www.cologuard.com/insurance
To learn more about preparing your brain for anesthesia, read the Amen Clinics Blog on Anesthesia and POCD or the Amen Clinics Blog on Surgery Risks.

Are Colonoscopies Helping Us? How to Make Colon Cancer a Problem You Don’t Have to Have


www.healthcouragecollective.com

Are colonoscopies actually helping (women and society)?  Colorectal cancer (the second leading cause of cancer deaths in the U.S.) is one of the most preventable because it usually develops predictably over about 10 years and colonoscopy can both find and remove polyps in the same visit. She contrasts this with mammograms (episode 258) and explains why colonoscopy payoff is high but not perfect: prep quality and provider skill strongly affect what gets missed, with an adenoma miss rate around 24%. She reviews updated screening guidance to start at 45 (earlier with risk factors), discusses alternative tests like Cologuard and SHIELD, and weighs real risks—prep complications, perforation, bleeding, and sedation—against the dramatic survival difference between localized and metastatic disease.
00:00 You Can Prevent This Cancer
00:49 Podcast Welcome And Breathing
01:37 Mammograms To Colonoscopies
04:19 Why Colon Cancer Is Predictable
06:42 Colonoscopy Removes Polyps
07:55 Rising Rates And When To Screen
09:35 Prep Quality And Doctor Metrics
12:23 Miss Rates And Screening Gaps
15:58 Risks And Sedation Concerns
20:26 Risks Of Skipping Screening
23:31 Other Tests And Costs
25:38 Wrap Up And Final Thoughts 

Are you ready to give your cells their best chance to not have to stop living before they die by allowing them access to physiologic levels of hormones, but aren't sure how to even get started?  Join the waitlist for my new beta program here and help me figure out how best to help wonderful women like you get the hormone care they deserve!
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What if your body were doing something automatically without any conscious control from you that contributed to fatigue, weight gain, sleeping problems, respiratory problems, mental health struggles, heart disease and poor athletic endurance?  Tons of people’s bodies are doing this and they have no idea.  They also have no idea that they can change it.  For free.  And if they do, they’ll age at a more elite level with fewer health conditions.

my website: www.healthcouragecollective.com

The Oxygen Advantage (work of Patrick McKeown) Book, program, etc

Are you ready to give your cells their best chance to not have to stop living before they die by allowing them access to physiologic levels of hormones, but aren't sure how to even get started?  Join the waitlist for my new beta program here and help me figure out how best to help wonderful women like you get the hormone care they deserve!
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Since our body breathes without us having to think about it, it seems like it would do this automatic job correctly and optimally.  Unfortunately, since the industrial revolution, we have drifted away from our proper way of eating, moving, sleeping, AND breathing.  What?  There are simple, easy, and free things we can be doing to improve our body’s ability to more fully oxygenate all of our cells for better longevity, mental health and athletic performance, and it’s not breathing more.  It’s breathing less.  

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The Oxygen Advantage (work of Patrick McKeown) - book, program, etc

Are you ready to give your cells their best chance to not have to stop living before they die by allowing them access to physiologic levels of hormones, but aren't sure how to even get started?  Join the waitlist for my new beta program here and help me figure out how best to help wonderful women like you get the hormone care they deserve!
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Do driven, high achieving people ever have days when they just don’t have any motivation?  I think yes.  I think they’d tell us they experience the same feelings and motivational deserts as the rest of us.  The only difference is in how they reflexively act when they have no motivation.  It’s easier to reactively act like your more ideal self when you have a pre-established protocol in place for days when you have no motivation and all you have to do is unthinkingly obey it.

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work with me for a limited time steal of a deal!

Are you ready to give your cells their best chance to not have to stop living before they die by allowing them access to physiologic levels of hormones, but aren't sure how to even get started?  Join the waitlist for my new beta program here and help me figure out how best to help wonderful women like you get the hormone care they deserve!
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How do you feel about mammograms?  Have you had one?  More than one?  Or, are you feeling guilty or reckless for not getting one yet?  Conventional medical dogma is definitely to get regular mammograms.  Mammograms are our first line of defense against breast cancer.   You probably personally know someone who has encouraged you to get a mammogram because a mammogram discovered cancer in them or someone they love, and they want to make sure you’re taking care of your health by getting screened before it’s too late.  We’re very indoctrinated that mammograms save lives.  Too bad they don’t.

https://auria.care/science  coupon code: drjenn20

U.S.  QT imaging locations: https://www.qtimaging.com/locations/ 

Dr Jenn Simmons’ Podcast episodes:11,  34,  64,  96,  125,  142,  144

Cochrane report on mammographic screening

Boobs: The War on Breasts Documentary by Megan Smith

Article in the Journal of the Royal Society of Medicine to an article called “Mammography Screening is Harmful and Should be Abandoned.”

Are you ready to give your cells their best chance to not have to stop living before they die by allowing them access to physiologic levels of hormones, but aren't sure how to even get started?  Join the waitlist for my new beta program here and help me figure out how best to help wonderful women like you get the hormone care they deserve!
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Come visit me: www.healthcouragecollective.com

email me: [email protected]