The Rever Rundown with Mimi Deal

My Operations and Brand Manager Alex is back, and this time we didn't stick to one topic. We talked about circadian rhythm and why morning people and night owls are both just wired differently, how we each build habits around our own energy instead of against it, and how to use tools like the Oura ring without letting them override what your body's already telling you.

We got into stress, mindfulness, parenting, and the ongoing search for purpose. And we closed on the theme of the week in the clinic: blood sugar, and why steady beats high every time when it comes to hormones, mood, sleep, and skin.

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Chapters

00:00 Intro

00:06 Opening and Understanding The Circadian Rhythm

00:31 Your Body's Natural Rhythm

02:07 Working With Your Rhythm Instead of Against It

03:02 Building Sustainable Routines

04:23 Small Lifestyle Shifts That Create Big Change

05:12 Tracking Health Without Getting Overwhelmed

07:52 Managing Stress in Real Life

08:39 Letting Stress Out in Healthy Ways

09:52 Parenting, Emotions, and Self-Regulation

11:32 Mindfulness as a Practice

12:25 Confidence, Stress, and Changing With Age

13:46 Romanticizing Everyday Life

15:03 Purpose, Healing, and Perspective

16:46 Blood Sugar Dysregulation and Wellness Foundations

18:19 Wellness: Becoming a Lifestyle

19:25 Finding Joy in the Journey

20:13 Closing Thoughts

20:41 Outro

I've read all the habit books and stumbled my way toward what works, so sitting down with someone who studies behavior for a living was a gift. 

Sarah Welsh is a board-certified behavior analyst, and this conversation reframed how I think about change entirely.

Here's some of what we get into:

Why willpower isn't the answer, and what actually is and how to start a habit when you hate the very thing you're trying to do. Sarah walks through exactly how, starting far smaller than you'd think and rewarding yourself far more often.

Why ending a behavior is harder than starting one, and why adding a healthier replacement beats forcing yourself to quit. Most especially, what to do when you fall off track, because you will. Sarah teaches us how to plan for it, drop the shame, and get back on quickly instead of giving up entirely.

And the reframes that stuck with me most: why you act your way into an identity rather than waiting to feel it, and how your environment quietly shapes your behavior more than your intentions ever will.

If lasting change has always felt just out of reach, this one will change how you see it.

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Sarah Welsh

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⁠⁠⁠⁠⁠Instagram⁠⁠⁠

Chapters

00:00 Intro

00:06 Instagram, Connection, and Introducing Sarah Welsh

01:33 What Behavior Analysis Is

02:25 Behavior As A Three-Part Formula

04:10 Applying Behavior Science to Fitness and Self-change

08:48 How To Approach Stopping A Behavior

13:31 Why Self-awareness Matters

14:14 Small Steps For Changing Behavior

17:22 Becoming Someone Who Goes to The Gym

18:34 Starting Movement When You Hate The Gym

22:27 Parenting, Identity, and Who Our Kids See Us As

24:28 How Our Behavior Becomes Identity

25:57 How To Start Without Motivation

30:36 Falling Off-track and Bouncing Back

32:16 Reframing A Skipped Workout

35:31 The AMMI Framework

39:07 How Long Behavior Change Takes

42:07 Social Media and Instant Gratification

46:51 Final Takeaway and Closing Thoughts

49:43 Outro

So many questions have been coming in lately about perimenopause, HRT, what to do, and when to do it from patients that I have yet to answer. 

This episode is dedicated to answering every single one of them. 

When should you consider starting hormone therapy, and how do you actually raise it with your provider? Often the first sign that brings a woman in is simply not feeling like herself: disrupted sleep, new anxiety, feeling on edge. That early shift frequently traces back to declining progesterone.

Is it ever too late to start? I walk through the timing hypothesis, why the delivery method matters, and why feeling symptomatic is always worth a conversation, regardless of age.

Why are so many of us afraid of hormones? I unpack where that fear came from, what the Women's Health Initiative reanalysis actually showed, and why the distinction between estrogen and the synthetic progestin used in the trial matters so much.

I also answer the everyday questions: whether food and supplements can support your hormones, how to tell if what you're feeling is perimenopause or just life, when in your cycle to test your hormones, whether at-home gut tests are worth it, and how conditions like PMOS and endometriosis fit into the picture.

If you've been wondering where to even begin, this one is for you.

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Learn at Pinnacle to earn FREE CE/CME credit for listening to this episode: ⁠⁠HERE⁠⁠

Femm App: HERE

Link to purchase Oura Ring: HERE

The New Menopause by Mary Claire Haver

Estrogen Matters by Dr. Avram Bluming

Chapters

00:00 Intro

00:22 Introduction to Hormone Therapy and Q&A Session

02:39 Understanding Hormone Therapy Risks and Benefits

06:19 Nutrition and Supplements for Hormonal Health

09:00 Identifying Symptoms: Stress vs. Perimenopause

11:56 Overcoming Fear of Hormone Therapy

15:29 Practical Tips for Hormonal Health and Testing

19:11 Outro

What does it really mean to lead with authenticity, and how do you build influence without losing yourself in the process

In this episode of The Rever Rundown, I sit down with Kimeran Johnson, COO and partner at Nexus Point and one of the most thoughtful leaders I've had the privilege of working with. 

We talk about what it means to lead with purpose rather than ego, and why building people up is, in her words, the most important currency she has. Kimeran shares the moment she received a hatbox full of handwritten letters from colleagues when she resigned, and how that single gift became the touchstone she returns to on her hardest days.

We also get honest about the things women in leadership rarely say out loud. Imposter syndrome that doesn't disappear with experience.And we explore what it actually looks like to delegate, build a team, and stop performing leadership.

Toward the end, Kimeran shares the work Nexus Point is doing for entrepreneurs, including the partnership that's brought her team into the operational side of Rêver Wellness, and what it means to support founders who understand that doing everything yourself is a myth.

It's a conversation about presence, purpose, and the quiet, persistent practice of becoming someone others want to be around.

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Become a Patient: ⁠⁠⁠⁠⁠⁠⁠⁠⁠HERE⁠⁠⁠⁠⁠⁠⁠⁠⁠

Medical Providers: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Join my Clinician Education Platform⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ and use code PATREON10 for 10% off first month

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Kimeran Johnson

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⁠⁠⁠⁠Instagram⁠⁠

Chapters

00:00 Intro

00:06 Introduction to Kimeran and Nexus Point

01:39 Kimeran's Journey and Leadership Philosophy

04:14 The Impact of Mentorship and Personal Growth

07:34 Struggles with Imposter Syndrome

09:49 Resources for Overcoming Self-Doubt

11:55 The Importance of Open-Mindedness

13:32 Navigating Challenges in Entrepreneurship

16:41 Building Resilience in Children

17:29 Cultivating Meaningful Relationships

20:33 Self-Care and Personal Well-Being

24:16 The Myth of Doing It All

27:21 Purpose-Driven Leadership

28:51 Faith and Personal Growth

30:29 Final Thoughts and Key Takeaways

31:58 Outro

This episode is close to my heart in more ways than one. 

Bestselling author, speaker, and the creator of the Soul-Led Living podcast Nikki Novo and I go back to childhood, so sitting down with her in Miami felt less like an interview and more like a long-overdue conversation between two women who took very different paths to the same place: helping people listen to themselves.

We talk about what intuition really is, why so many of us are afraid to hear it, and how to tell the difference between your inner voice and your anxiety. 

Spoiler: they don't sound the same, and Nikki has a beautiful way of explaining how to listen for the calmer one.

We also get into the parts of this that show up in my own practice every day. The mind, body, and spirit are not separate systems. Stress lives in the body. We touch on the gut and the nervous system, on slowing down in a city that rewards the opposite, and on the deeper honesty that tends to arrive in our forties whether we invite it or not.

If you have ever talked yourself out of a feeling you couldn't quite explain, this one is for you.

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Become a Patient: ⁠⁠⁠⁠⁠⁠⁠⁠HERE⁠⁠⁠⁠⁠⁠⁠⁠

Medical Providers: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Join my Clinician Education Platform⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ and use code PATREON10 for 10% off first month

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Book a complimentary call with Nexus Point: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠HERE⁠⁠⁠⁠

Learn at Pinnacle to earn FREE CE/CME credit for listening to this episode: HERE

Nikki Novo

⁠⁠⁠Website⁠⁠⁠

⁠⁠⁠Instagram⁠

Podcast

Chapters

00:00 Intro

00:18 Guest Introduction: Nikki Novo

01:12 Understanding Intuition: The Voice of the Soul

03:25 From Media to Spirituality: Nikki's Journey

07:11 The Power of Manifestation and Desires

10:23 Intuition in Practice: Helping Others

17:31 Aligning Purpose with Intuition

23:00 Energetic Influences on Health

26:27 Integrating Traditional and Energetic Medicine

29:32 Distinguishing Intuition from Fear

33:39 Finding Purpose and Intuition

37:41 Empowering Women to Speak Their Truth

40:54 The Importance of Listening to Intuition

46:57 Outro

Most of us feel it: the slow, heavy drop in energy and focus that arrives in the early afternoon. 

In this episode, I break down what is actually behind the post-lunch dip and why it lands for almost everyone around the same time of day. I explain the two systems that overlap in the early afternoon. The first is your circadian rhythm, the internal clock that has not yet reached its peak wake signal at midday. The second is sleep pressure, the steady buildup of adenosine that makes you drowsier the longer you are awake. When the two meet, you feel the slump.

From there, I look at how food and meal timing can deepen the dip, why the body handles blood sugar less efficiently later in the day, and how a poor night of sleep raises the stakes.

The second half turns practical. I walk through the tools I have tested myself: short naps, daylight and bright light, strategic caffeine and the coffee nap, moderate movement, steady blood sugar, and non-sleep deep rest. I am honest about what works for me and what does not, and I keep the focus on small, realistic adjustments rather than a full overhaul.

The throughline is reassuring. The afternoon slump is biology, not a personal failing, and it responds to a few well-placed changes.

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Become a Patient: ⁠⁠⁠⁠⁠⁠⁠HERE⁠⁠⁠⁠⁠⁠⁠

Medical Providers: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Join my Clinician Education Platform⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ and use code PATREON10 for 10% off first month

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Book a complimentary call with Nexus Point: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠HERE⁠⁠⁠

List of low glycemic foods:

• Vegetables: leafy greens, broccoli, cauliflower, zucchini, asparagus, green beans, peppers, tomatoes, cucumber, mushrooms, eggplant, cabbage, Brussels sprouts, raw carrots

• Fruit: berries, cherries, apples, pears, plums, peaches, apricots, oranges, grapefruit, kiwi

• Legumes: lentils, chickpeas, black beans, kidney beans, edamame

• Intact whole grains: steel-cut and rolled oats, barley, quinoa, bulgur, farro, sourdough or dense whole grain bread, whole wheat pasta cooked al dente

• Nuts and seeds: almonds, walnuts, pistachios, pumpkin seeds, sunflower seeds, chia, flax

• Dairy and alternatives: plain yogurt, Greek yogurt, milk, cheese, unsweetened plant milks

• Pair with protein and healthy fat: eggs, fish, poultry, lean meat, tofu, olive oil, avocado

Amazon links for light to use for afternoon alertness:

• https://a.co/d/09Alcscw 

• https://a.co/d/0c9FCpIF 

• https://a.co/d/0jfFL0N8

  
  

Chapters

00:00 Intro

00:06 Understanding the Post Lunch Dip

02:08 Circadian Rhythms and Their Impact

05:17 Sleep Pressure and Homeostasis

07:41 The Role of Diet in Energy Levels

10:34 Blood Sugar and Its Effects

12:40 Timing of Meals and Metabolism

15:03 Unique Biology and Individual Differences

17:57 Strategies to Combat the Afternoon Slump

20:49 Napping and Light Exposure

23:38 Caffeine and Exercise as Solutions

26:15 Recap and Final Thoughts

30:04 Outro

For more than twenty years, "hormones cause cancer" has shaped how women are counseled, and how often they're left to suffer through symptoms dismissed as inevitable.

In this episode, we sit down with Nico Misleh, FNP, founder of HRT University and the virtual clinic Apollo Health Optimization, for a clear-eyed look at where that fear came from and what the science actually supports.

Nico shares his unconventional path into hormone medicine, shaped by a physician grandfather and mentors who championed integrative approaches long before they were mainstream. We talk through what later re-analysis clarified, and why type, dose, timing, and delivery change the picture considerably.

Throughout, Nico returns to a single theme: education is empowerment. The more you understand your own physiology, the better you can advocate for care that fits you.

A grounded, hopeful conversation for anyone who's been told their symptoms are "normal" and left without answers.

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Medical Providers: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Join my Clinician Education Platform⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ and use code PATREON10 for 10% off first month

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Nico Misleh, NP

⁠⁠Website⁠⁠

Newsletter

⁠⁠Instagram

Chapters

00:00 Intro

00:06 Introduction to Nico Misleh and HRT

04:46 Nico's Journey into Hormone Medicine

09:48 The Women's Health Initiative: A Turning Point

14:43 Understanding Hormone Therapy Risks and Benefits

19:46 Patient Education and Empowerment in Hormone Therapy

21:19 The Efficacy of Desiccated Thyroid

23:55 Standard of Care vs. Best Practice in Medicine

27:17 The Role of Compounding Pharmacies

29:27 Understanding Progesterone and Its Benefits

34:03 Testosterone's Importance for Women

37:56 Managing Testosterone Side Effects

41:44 Finding the Right Care and Resources

43:56 Outro

GHK-Cu, the copper peptide currently positioned across social media as a near-miraculous anti-aging compound, has actually been studied for more than four decades.

In this episode, we take an honest look at GHK-Cu as an anti-aging cure-all. We cover what 40+ years of research actually shows, the difference between GHK and GHK-Cu, the human topical studies that support its use, the gaps in the data on injectable use, the labs to monitor (especially copper and zinc), and how it compares to free alternatives like exercise, vitamin C, and retinol.

We also slow down and look at what the research truly supports, what remains speculative, and how to evaluate this peptide with the same clinical rigor we would apply to any therapeutic decision.

We close with the lab work to consider before starting, the patient profiles most likely to benefit, and a reminder that one of the most powerful interventions for the same gene-expression benefits is something far more accessible: thirty minutes of exercise, three times per week, which has been shown to reset mitochondrial gene expression to that of a younger person.

If you have been wondering whether GHK-Cu lives up to the hype and how to use it thoughtfully if you choose to, this episode is for you.

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Become a Patient: ⁠⁠⁠⁠⁠⁠HERE⁠⁠⁠⁠⁠⁠

Medical Providers: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Join my Clinician Education Platform⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ and use code PATREON10 for 10% off first month

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Book a complimentary call with Nexus Point: ⁠⁠⁠⁠⁠⁠⁠⁠⁠HERE⁠⁠

Chapters

00:00 Intro

00:06 Introduction to GHK-CU: The Skin Peptide Phenomenon

01:21 Understanding GHK and GHK-CU: The Science Behind the Peptide

03:47 Mechanisms of Action: How GHK-CU Works

06:49 Research and Studies: Evidence Supporting GHK-CU

13:18 Potential Benefits: Wound Healing and Anti-Aging Effects

15:59 Risks and Contraindications: What to Consider Before Use

17:15 Dosing and Administration: Guidelines for Safe Use

19:17 Conclusion: The Future of GHK-CU and Alternatives

22:17 Outro

Some of my favorite conversations start in the DMs, and this one is no exception. 

For this episode of The Rever Rundown, I sat down with Dr. Jason Pencek. He’s a chiropractor, nurse practitioner, and founder of Fountain Wellness in Chicago. He's one of the most generous voices I've come across in the peptide and functional medicine space, and the conversation that unfolded was one of the most candid and clinically rich I've had on the show so far.

We talked about Dr. Pencek's path from nursing to nurse practitioner, and the frustration with symptom-based medicine that shaped his approach. We went deep on peptides and why he still describes them as a sprinkle on the cake, never the cake itself. Labs first. Hormones, iron, gut, inflammation. Then peptides. Then the more advanced tools.

We also talked about IV therapy in real clinical practice, the hormone and thyroid conversations so many women are still being denied, the gut work that has to underpin Hashimoto's care, and the responsibility providers carry as patients increasingly arrive with AI-generated recommendations in hand.

If there's a single takeaway, it's the one Dr. Pencek offered at the end, and the one that underpins how we practice at Rever: do the lab work, and work with a practitioner who actually knows you. Whether you're a patient or a provider, this one is for you.

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Become a Patient: ⁠⁠⁠⁠⁠⁠HERE⁠⁠⁠⁠⁠⁠

Medical Providers: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Join my Clinician Education Platform⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ and use code PATREON10 for 10% off first month

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Book a complimentary call with Nexus Point: ⁠⁠⁠⁠⁠⁠⁠⁠⁠HERE⁠⁠

Dr. Jason Pencek

⁠Website⁠

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Chapters

00:00 Intro

00:06 Guest Introduction: Dr. Jason Pencek

02:43 The Journey into Functional Medicine

05:35 Peptides and Their Role in Health

08:30 Navigating AI in Healthcare

11:48 The Importance of Provider Guidance

15:32 Traveling with Peptides: What to Bring

18:18 FDA Approval and Melanotan Studies

19:08 Melanotan-1 vs. Melanotan-2: A Comparative Analysis

20:10 The Role of Data in Peptide Efficacy

22:14 The Placebo Effect vs. Real Results

24:30 Challenges in Peptide Research and Funding

26:11 The Failings of Modern Medicine and Insurance

26:58 The Shift from Symptom-Based Care to Holistic Treatment

27:58 Exploring IV Therapy and Nutrient Infusions

31:23 The Importance of Hormone Testing and Treatment

35:09 Understanding Thyroid Health and Reverse T3

36:53 Utilizing LDN and Gut Health in Autoimmune Conditions

44:39 Outro

In this episode, we break down peptides. What they are, how they work in the body, and which categories are most relevant in modern medicine. 

Peptides are everywhere; across social media, wellness clinics, and patient questions in nearly every functional and integrative medicine practice. They are also one of the most misunderstood categories in modern medicine.

We cover GLP-1s, growth hormone-releasing peptides, healing peptides like BPC-157 and TB-500, skin and cosmetic peptides, and immune-modulating peptides, along with the safety questions every patient should ask before starting one.

For each category, we cover the proposed mechanism, the available human data, what is FDA approved and what is not, the theoretical risks worth understanding, and the patient profiles most likely to benefit. We also walk through the critical safety questions every patient should ask before starting sourcing peptides, third-party testing, certificates of analysis, compounding pharmacy regulation, and the meaningful differences between compounded medications, investigational compounds, and research chemicals.

This episode is meant to do what social media cannot: give you the framework to make a thoughtful, informed decision about whether peptides belong in your protocol, and how to use them safely if they do.

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⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠See full show notes⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Become a Patient: ⁠⁠⁠⁠⁠HERE⁠⁠⁠⁠⁠

Medical Providers: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Join my Clinician Education Platform⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ and use code PATREON10 for 10% off first month

Subscribe to our Newsletter: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠HERE⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

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⁠⁠⁠⁠⁠⁠⁠⁠Gramms Protein⁠⁠⁠⁠⁠⁠⁠⁠ - Get $20 off 

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Book a complimentary call with Nexus Point: ⁠⁠⁠⁠⁠⁠⁠⁠HERE⁠

Chapters

00:00 Intro

00:06 Introduction to Peptides

00:38 Understanding Peptides: Basics and Functions

01:58 Peptides in Medicine: Applications and Limitations

02:50 Categories of Peptides: Metabolic and Growth Hormone

05:07 Healing and Regeneration Peptides

07:04 Cosmetic and Skin Peptides

08:24 Immune Modulating Peptides

08:49 Safety and Regulation of Peptides

11:14 Conclusion: Making Informed Decisions about Peptides

12:46 Outro