In this conversation, we unpack the hidden layers of our relationship with food—how it’s shaped by culture, childhood, trauma, biology, and the nervous system. 

Gina Worful, Founder of the Mastering Mindfulness Institute, is a registered dietitian who watched countless people struggle inside the conventional health model—white-knuckling their way through diets, blaming themselves when their body disagreed, and feeling more confused than empowered. She took a different approach: one that helps people reclaim their power with food, rebuild trust in their body, and understand the deeper patterns that I have seen often surface during perimenopause.

What you will learn 

• Why diets and willpower often fail and how shame keeps people stuck in cycles of control and “falling off the wagon.”
• The difference between blood sugar crashes and nervous system dysregulation, and how each uniquely drives cravings.
• How childhood experiences (like food scarcity, “clean your plate” rules, or cultural beauty ideals) can deeply shape eating patterns.
• The powerful role of self-trust, pleasure, and embodiment in healing our relationship with food.
• Practical tools for tuning into the body—like breath, awareness, and mindful eating practices—that bring regulation and freedom back to the table.
• Why dropping into the body isn’t always comfortable (especially with trauma) and how to gauge your capacity so you don’t overwhelm your system.
• Real-life stories, from mindful indulgence to scar tissue release, that show how body awareness can be both healing and empowering.

Timestamps:

00:00 Introduction to TMI Talk with Dr. Mary

00:03 Understanding Perimenopause and Food Relationships

00:40 Introducing Gina Worful and Her Approach

00:56 Exploring the Layers of Food Relationships

04:32 The Impact of Diet Culture and Shame

05:25 The Role of Control and Willpower

11:14 The Brazilian Perspective on Body Image

21:54 The Science Behind Cravings and Stress

33:34 Practical Tips for Managing Eating Habits

37:41 External Reminders and Executive Function

37:58 Emotional Eating and Childhood Wounds

39:09 Scarcity Mindset and Food Habits

43:04 Reconnecting with Your Body

52:49 Understanding Capacity and Discomfort

01:00:56 Mindful Eating and Pleasure

01:07:23 Conclusion and Contact Information

You can learn more about Gina below:

https://www.masteringmindfulness.institute

instagram.com/gina.worful

Join me and Morgan Grace from The Alchemy Collective on March 4-7, 2026 in Austin, TX for our perimenopause/menopause retreat followed by 8 weeks of group integration.

You can learn more about the details below:

www.drmarygrimberg.com/secondspring 

Want support for perimenopause that goes beyond hormones?

Whether you (or your clients) are taking HRT but still having symptoms, not ready for it, or can’t tolerate it...there’s more we can do.

I’ll be sharing practical tools from a movement and rehab perspective, focusing on the nervous system, fascia, lymph, viscera, and musculoskeletal system.

If you want updates on workshops, resources, and strategies to support this phase of life more fully, would love you to join my email list.

Subscribe to my email list here

I’ll see you in 2 weeks!

PS:

If you are interested in being a guest on the show, please fill out the form here.

What begins as a conversation about money mindset turns into a powerful reflection on how we show up for ourselves and others, especially in a time where the world can feel heavy, chaotic, or even hopeless. We explore how our struggles with money often mirror other parts of our lives—like boundaries, control, jealousy, and grief—and how those "annoying people" or triggering moments are often mirrors revealing where we still have work to do.

If you’ve ever wondered how to stay grounded, generous, and connected when everything feels overwhelming—or how to move from scarcity into alignment—this episode is for you.

Mary Dee joins us. She is a dog Mom, chocoholic, best selling author of Asian Women Who Boss Up, host of the Mad Love Your Life Show, and a trusted business advisor and Conscious Closure Coach who helps businesses and individuals transitioning through break ups, and major life event transitions like divorce, break ups and layoffs.

💡 What You’ll Learn:

• How money is an energetic relationship—and not just a number in your bank account
• Why scarcity mindset keeps you stuck (and how to shift it without toxic positivity)
• How to define wealth on your own terms so you’re not chasing someone else’s version of success
• The surprising connection between nervous system regulation, trauma, and money flow
• Why grief, jealousy, and even annoying coworkers can be mirrors for growth
• How to show up as a healing force in your community—even when the world feels chaotic
• Real talk on entrepreneurship, hustle culture, and what it really means to live in alignment
• The power of gratitude, connection, and presence as tools for financial and emotional healing

00:00 Introduction and Episode Overview

00:57 Meet Mary D: Background and Expertise

01:30 Understanding Money as an Energetic Relationship

02:45 Diving into Money Mindset

04:34 The Emotional Impact of Money

06:16 Defining Personal Wealth and Success

16:40 The Importance of Community and Connection

30:18 Exploring Judgment and Jealousy

31:25 The Power of Gratitude and Connection

35:50 Navigating Financial Scarcity

45:50 Embracing Presence and Gratitude

48:19 The Role of Grief in Gratitude

51:47 Finding Joy Amidst Chaos

55:31 Filling Your Own Cup First

56:38 Conclusion and Final Thoughts

You can find Mary Dee on IG @themarydee and all other platforms

You can follow her podcast MAD LOVE: Your life show

Join me and Morgan Grace from The Alchemy Collective on March 4-7, 2026 in Austin, TX for our perimenopause/menopause retreat followed by 8 weeks of group integration.

You can learn more about the details below:

www.drmarygrimberg.com/secondspring 

Want support for perimenopause that goes beyond hormones?

Whether you (or your clients) are taking HRT but still having symptoms, not ready for it, or can’t tolerate it...there’s more we can do.

I’ll be sharing practical tools from a movement and rehab perspective, focusing on the nervous system, fascia, lymph, viscera, and musculoskeletal system.

If you want updates on workshops, resources, and strategies to support this phase of life more fully, would love you to join my email list.

Subscribe to my email list here

I’ll see you in 2 weeks!

PS:

If you are interested in being a guest on the show, please fill out the form here.

Dr. Mary chats with Saundra  Pelletier, CEO of Evofem and creator of Phexxi the first FDA-approved non-hormonal birth control. 

What you will learn:

• Open communication about sex, needs, and pleasure is critical 
• Women deserve to know their bodies, advocate for what feels good, and unlearn shame.
• How vaginal dryness is affected during perimenopause and post cancer
• Connection to self: If you can’t advocate for your needs in the bedroom, where else are you suppressing them?
• Sexual pleasure is deeply tied to self-worth, autonomy, and nervous system regulation.
• Hormonal methods aren’t bad — but informed choice is everything.
• Women have carried the burden too long. It’s time for better tools and equal conversations.
• We can change the system with men, not against them.
• Most just need education and empathy — not shame or blame.

00:00 Introduction and Warm Welcome

00:49 Revolutionizing Birth Control: Introducing Phexxi

01:10 The Science Behind Phexxi

02:55 Empowering Women with Non-Hormonal Options

06:19 Challenges and Launching During COVID

16:56 The Importance of Sexual Health and Communication

24:41 Personal Journeys and Overcoming Shame

25:28 The Importance of Standards

26:11 Recognizing Red Flags in Relationships

27:57 Educating Men on Women's Health

29:17 Raising Awareness Through Education

32:09 Empowering Future Generations

36:36 The Evolution of Women's Roles

42:41 The Efficacy of Non-Hormonal Birth Control

46:47 Concluding Thoughts and Contact Information

You can learn more about phexxi here: https://www.phexxi.com

Her company Evofem: https://www.evofem.com

IG: https://www.instagram.com/saundrapelletier/

Join me and Morgan Grace from The Alchemy Collective on March 4-7, 2026 in Austin, TX for our perimenopause/menopause retreat followed by 8 weeks of group integration.

You can learn more about the details below:

www.drmarygrimberg.com/secondspring 

Want support for perimenopause that goes beyond hormones?

Whether you (or your clients) are taking HRT but still having symptoms, not ready for it, or can’t tolerate it...there’s more we can do.

I’ll be sharing practical tools from a movement and rehab perspective, focusing on the nervous system, fascia, lymph, viscera, and musculoskeletal system.

If you want updates on workshops, resources, and strategies to support this phase of life more fully, would love you to join my email list.

Subscribe to my email list here

I’ll see you in 2 weeks!

PS:

If you are interested in being a guest on the show, please fill out the form here.

Dan Metcalfe is the Creator / CEO of Total Balance and Born SuperHuman. 

This episode is for anyone learning how to love themselves and build resilience during a tough season of life, whether you’re navigating perimenopausal shifts, recovering from an injury, or living with chronic illness

What You’ll Learn in This Episode:

• Why your body is wired to heal—and how to stop getting in its way and affecting our health
• The 7 pillars of natural health that optimize recovery 
• How to rewire your brain using visualization and belief instead of hope
• Why character—not willpower or “making the right choice”—drives lasting change
• What happens to your cells  when you shame or love your body
• How trauma, illness, and breakdowns can become the doorway to your purpose
• Why you might feel lonely after healing—and how to find your new “people”
• The difference between being supported and being held back by others
• How to recognize victim patterns—and shift into empowered action
• What self-love actually looks like in practice 
• Why our culture profits off your disconnection—and how to reclaim your power
• A powerful framework for daily decisions using integrity, energy, and intention

 

00:00 Introduction to the Episode

00:03 Meet Dan Metcalfe: Overcoming Adversity

02:24 Dan's Journey to Healing and Empowerment

08:28 The Power of Visualization and Belief

10:43 The Importance of Self-Love and Inner Work

24:52 Rewiring the Brain for Success

37:57 Breaking the Four-Minute Mile Barrier

38:12 Overcoming Fear and Embracing Success

39:49 The Power of Writing and Reflection

45:38 Developing Character Over Choices

01:03:53 Lessons from Failure and Resilience

01:10:20 Conclusion and Contact Information

Links:

• Learn more at bornsuperhuman.com
• Dan on IG: @dansmetcalfeofficial
• Check out totalbalancecompany.com

Join me and Morgan Grace from The Alchemy Collective on March 4-7, 2026 in Austin, TX for our perimenopause/menopause retreat followed by 8 weeks of group integration.

You can learn more about the details below:

www.drmarygrimberg.com/secondspring 

Want support for perimenopause that goes beyond hormones?

Whether you (or your clients) are taking HRT but still having symptoms, not ready for it, or can’t tolerate it...there’s more we can do.

I’ll be sharing practical tools from a movement and rehab perspective, focusing on the nervous system, fascia, lymph, viscera, and musculoskeletal system.

If you want updates on workshops, resources, and strategies to support this phase of life more fully, would love you to join my email list.

Subscribe to my email list here

I’ll see you in 2 weeks!

PS:

If you are interested in being a guest on the show, please fill out the form here.

Episode 58: The Aftermath of Cancer: Early Menopause, and Starting Over with Dr. Laura Currens

In this raw and deeply personal episode, Dr. Mary sits down with fellow physical therapist and breast cancer survivor Dr. Laura Currens to talk about what really happens after cancer — especially when you're young.

Together, they unpack the overlooked realities of survivorship: the sudden dive into early perimenopause, unexpected relationship changes (from divorce to deeper connection), and the mental, physical, and emotional whiplash of being told you’re “done” with treatment… when your healing has only just begun.

You will learn:

• How to support a loved one going through cancer (and what not to say)
• What early perimenopause can look like after chemo — and why most doctors miss it
• The impact of cancer on identity, sexuality, and relationships
• How grief shows up after survival
• Why pelvic and orthopedic physical therapy can play a huge role in post-cancer recovery and perimenopause
• Alternatives and complements to hormone therapy
• How to rebuild a meaningful life when you no longer recognize yourself
• The hidden gifts and clarity that can emerge from facing mortality too young

00:00 Introduction and Guest Introduction

00:31 Cancer Journeys: Personal Stories

01:11 Navigating Relationships During Cancer

01:34 Life After Cancer Treatment

01:46 Early Perimenopause and Physical Therapy

03:16 The Importance of Advocacy and Early Detection

06:12 Support Systems and Mental Health

20:59 Cold Caps and Chemo Experiences

28:47 Relationship Challenges and Support

37:12 Navigating Life Post-Cancer Treatment

38:14 The Pain of Cancer Treatments

39:08 The Role of Medical Marijuana

39:39 Coping with COVID and Cancer

40:11 The Emotional Toll of Cancer

40:43 The Blessing in Disguise

42:36 The Aftermath of Cancer

52:36 Facing Perimenopause After Chemo

57:46 Understanding Blood Sugar and Hormones

01:04:24 The Importance of Mental Health

01:11:43 Final Thoughts and Contact Information

You can find more about Dr. Laura and her clinic below:

instagram.com/drlauradpt

https://dynamicflowpt.com

Join me and Morgan Grace from The Alchemy Collective on March 4-7, 2026 in Austin, TX for our perimenopause/menopause retreat followed by 8 weeks of group integration.

You can learn more about the details below:

www.drmarygrimberg.com/secondspring 

Want support for perimenopause that goes beyond hormones?

Whether you (or your clients) are taking HRT but still having symptoms, not ready for it, or can’t tolerate it...there’s more we can do.

I’ll be sharing practical tools from a movement and rehab perspective, focusing on the nervous system, fascia, lymph, viscera, and musculoskeletal system.

If you want updates on workshops, resources, and strategies to support this phase of life more fully, would love you to join my email list.

Subscribe to my email list here

I’ll see you in 2 weeks!

PS:

If you are interested in being a guest on the show, please fill out the form here.

In this episode, Dr. Mary shares her perimenopause story — from going through chemotherapy at 33, to years of painful periods and confusing symptoms, to finally realizing she had been in perimenopause all along. That turning point reshaped not only how she cares for herself and her clients, but also the direction of this podcast.

Dr. Mary is shifting the focus of TMI Talk toward perimenopause and midlife health, because this transition is about so much more than hormones. As an orthopedic and pelvic floor physical therapist, she brings a perspective that expands beyond prescriptions and protocols to include fascia, lymphatic flow, visceral mobility, movement, and nervous system regulation.

In this episode, listeners will learn:

• How chemo and endometriosis can set the stage for early perimenopause.
• Why estrogen, insulin resistance, and midlife weight gain are often connected.
• How fascia and lymph play a role in symptoms like brain fog, swelling, and fatigue.
• Why chronic stress can mimic or magnify hormone changes.
• What rehab professionals can do to support women in perimenopause beyond “just HRT.”
• Why understanding seasons of energy — balancing hustle with rest — is vital for long-term health.
• How Dr. Mary’s upcoming research on fascia and lymph aims to shed light on overlooked aspects of perimenopause.

This episode marks a new season for TMI Talk — one that breaks myths, shares real tools, and reframes perimenopause as a time to reclaim strength, clarity, and connection to the body.

00:00 Introduction and Podcast Direction

01:19 Personal Health Journey and Perimenopause

04:15 Understanding Perimenopause Symptoms

07:08 Navigating Health and Movement

10:46 Creating an Intentional Life

18:23 Fascia, Lymphatic System, and Movement

23:55 Exploring Progesterone Tolerance

24:46 Understanding Blood Sugar Regulation

26:02 Navigating Emotional and Physical Health

26:47 Spiritual Bypassing and Nervous System Burnout

28:36 Community Support and Personal Growth

30:58 The Importance of Self-Care

32:57 Financial and Emotional Well-being

37:07 Embracing Pain and Growth

47:11 Future Research and Community Engagement

49:18 Conclusion and Call to Action

Join me and Morgan Grace from The Alchemy Collective on March 4-7, 2026 in Austin, TX for our perimenopause/menopause retreat followed by 8 weeks of group integration.

You can learn more about the details below:

www.drmarygrimberg.com/secondspring 

Want support for perimenopause that goes beyond hormones?

Whether you (or your clients) are taking HRT but still having symptoms, not ready for it, or can’t tolerate it...there’s more we can do.

I’ll be sharing practical tools from a movement and rehab perspective, focusing on the nervous system, fascia, lymph, viscera, and musculoskeletal system.

If you want updates on workshops, resources, and strategies to support this phase of life more fully, would love you to join my email list.

Subscribe to my email list here

I’ll see you in 2 weeks!

PS:

If you are interested in being a guest on the show, please fill out the form here.

I sit with Gabrielle Mullinix, a holistic hairstylist and head spa practitioner, to talk about the unspoken realities of the beauty industry, toxic work environments, and how chronic exposure to chemicals can affect your health.  Gabrielle was also my hairstylist who helped me navigate my hair loss during chemotherapy. I am truly so thankful for her and how much her guidance meant to me at that time.

About Gabrielle:

Gabrielle Mullinix is a trailblazing scalp therapist, Holistic HEAD SPA Educator, and founder of GEMPIRE HEAD SPA, a soulful brand dismantling the toxic norms of the beauty industry from the inside out. With over 15 years of experience behind the chair, Gabrielle transformed her own health collapse into a mission-driven movement, guiding both clients and professionals toward a more sustainable, spiritual, and science-backed approach to scalp and nervous system care.

Based in Austin, Texas, Gabrielle blends ancient wisdom, nervous system regulation, and non-toxic tools to create deeply nourishing HEAD SPA experiences. Her online education platform empowers sensitive stylists, estheticians, and wellness practitioners with the techniques, rituals, and marketing tools to build peaceful, profitable careers that don’t compromise their health.

Known for her intuitive guidance, honest insights, and a sense of humor that brings levity to the real stuff, because healing doesn’t have to feel so serious. Gabrielle is a natural leader who blends education with embodiment. She moves with intention, follows her curiosity, and holds deep respect for the sacred rituals that reconnect us to our inner wisdom. She believes that when we care for the crown, we awaken something sacred - our connection to self, spirit, and purpose.

 

What You’ll Learn:

• How chronic exposure to chemicals in beauty and healthcare settings can contribute to illness
• The real story behind hair loss, cancer, and the overpriced wig industry that often isnt quality despite cancer patients paying thousands of dollars
• What greenwashing is and why “vegan” or “clean” labels aren’t always safe
• Why the nervous system needs time to reset after leaving toxic environments
• How scalp health connects to fascia, hormones, blood flow, and even your nervous system
• Daily things you can do to support healthy hair growth without losing your mind or your money
• Why slowing down and reconnecting with your body is non-negotiable if you want to truly heal

Timestamp:

00:00 Introduction and Welcoming Gabrielle

00:07 Journey of Leaving Toxic Work Environments

00:50 How We Met: A Hair Salon Story

01:51 Health Concerns in the Hair Industry

04:0

Join me and Morgan Grace from The Alchemy Collective on March 4-7, 2026 in Austin, TX for our perimenopause/menopause retreat followed by 8 weeks of group integration.

You can learn more about the details below:

www.drmarygrimberg.com/secondspring 

Want support for perimenopause that goes beyond hormones?

Whether you (or your clients) are taking HRT but still having symptoms, not ready for it, or can’t tolerate it...there’s more we can do.

I’ll be sharing practical tools from a movement and rehab perspective, focusing on the nervous system, fascia, lymph, viscera, and musculoskeletal system.

If you want updates on workshops, resources, and strategies to support this phase of life more fully, would love you to join my email list.

Subscribe to my email list here

I’ll see you in 2 weeks!

PS:

If you are interested in being a guest on the show, please fill out the form here.

I’m joined by Jeremiah Rangel for this episode. We break down how emotional patterns, trauma, and survival strategies get stored in the body, and how most people are unconsciously running their life from old programming they don’t even know they have.

About Jeremiah:

Jeremiah Rangel is a Master Life & Business Coach. For over 26 years he has successfully helped over 7000+ clients focused on connecting them to their internal guidance, Divine Connection and a deeper understanding of how their mind psychologically impacts health, wellness, and success in life. His specific skill set comes from an extensive background traveling the world to gather tools, techniques and strategies that profoundly help to heal chronic illness in a holistic way. When a person has tried everything to heal, but nothing has worked for them; that is when they find Jeremiah to do the deep inner spiritual & psychological work that rescues the younger parts that are demanding attention through physical ailments and are stuck in the past.

I’m joined by Jeremiah Rangel — master NLP practitioner, subconscious rewiring expert, and someone who deeply understands how the nervous system and belief systems shape our lived reality. We break down how emotional patterns, trauma, and survival strategies get stored in the body — and how most people are unconsciously running their life from old programming they don’t even know they have.

This episode bridges the nervous system with NLP, embodiment, subconscious work, and somatic healing in a way that’s grounded, real, and applicable.

What you will learn

• How the body stores emotional and subconscious patterns
• Why your nervous system might be driving your behavior (even when your brain disagrees)
• What NLP is and how it helps rewire limiting beliefs
• Why some people stay stuck in survival mode no matter how much they “try”
• How to spot when you're living from an old subconscious program
• Why regulation and safety are the foundation of real change
• How to create alignment between your body, mind, and future self
• Practical ways to start listening to what your body has been trying to tell you

Timestamps:

00:00 Introduction and Episode Overview

00:21 Meet Jeremiah Wrangle: Master Life and Business Coach

02:50 Understanding NLP: Neurolinguistic Programming

03:51 The Evolution of NLP and Its Founders

07:10 The Importance of Communication in Therapy

19:05 Learning Styles and Effective Teaching

24:02 The Deeper Roots of Pain and Healing

40:16 Exploring Somatic Experiencing and EMDR

40:34 The Importance of Addressing Psychological Stuck Points

41:41 Healing Through

Join me and Morgan Grace from The Alchemy Collective on March 4-7, 2026 in Austin, TX for our perimenopause/menopause retreat followed by 8 weeks of group integration.

You can learn more about the details below:

www.drmarygrimberg.com/secondspring 

Want support for perimenopause that goes beyond hormones?

Whether you (or your clients) are taking HRT but still having symptoms, not ready for it, or can’t tolerate it...there’s more we can do.

I’ll be sharing practical tools from a movement and rehab perspective, focusing on the nervous system, fascia, lymph, viscera, and musculoskeletal system.

If you want updates on workshops, resources, and strategies to support this phase of life more fully, would love you to join my email list.

Subscribe to my email list here

I’ll see you in 2 weeks!

PS:

If you are interested in being a guest on the show, please fill out the form here.

In this episode, Dr. Theresa Pugh and I talk about what’s actually happening in perimenopause, especially the information that isn’t explained clearly. If you're in your 30s or 40s  or you work with women in this age range, this podcast episode is for you.

Dr. Theresa Pugh is a board-certified family practitioner with over 20 years of experience in family medicine. She received her MD degree from the  Medical College of Virginia at Virginia Commonwealth University and completed residency at Carilion Health Systems where she was able to train with the sports medicine department at Virginia Tech. 

A lifelong horsewoman, she continues to ride and compete in hunter/jumpers and became trained in equine assisted learning in the Epona method. She is a facilitator for an Austin-based non-profit called Horselink who provides sanctuary for retired competition horses while providing equine programs for people who have experienced trauma. Dr. Pugh became interested in integrative medicine after being diagnosed with Sjogren's Syndrome. 

Through her own healing journey, she gained valuable insight and experience into utilizing different healing modalities to balance mind, body and spirit. She is currently in private practice at Resilient Health in Austin and enjoys helping others with autoimmune conditions as well as practicing precision,  personalized healthcare using advanced testing and medical genomics. 

We cover:

• Why perimenopause starts earlier than most people realize
• The difference between estrogen dominance and low progesterone in perimenopause and how they can show up together
• What’s really happening when you wake up at 3am or feel ragey
• How symptoms like constipation, hip pain, frozen shoulder, and anxiety can all be hormone-related
• Why labs don't always tell the full story
• What to know about DIM, methylated B vitamins, and hormone detox
• How fascia, nervous system dysregulation, and stress play into it
• Why some people don’t tolerate progesterone and what to do about it
• We also talk about why so many women are told they’re “too young” to be in perimenopause and how to track symptoms so you can advocate for yourself or your patients. This is the conversation I wish more providers were having. It’s time we stop writing off women’s symptoms and start looking at the full picture.

Timestamps:

00:00 Introduction and Welcome

00:26 Understanding Perimenopause Symptoms

02:18 Hormonal Changes and Their Effects

03:37 Estrogen Dominance vs. Perimenopause

05:58 Progesterone and Its Impact

08:04 Detox and Lifestyle Adjustments

13:41 Emotional and Physical Changes

16:50 Hormone Replac

Join me and Morgan Grace from The Alchemy Collective on March 4-7, 2026 in Austin, TX for our perimenopause/menopause retreat followed by 8 weeks of group integration.

You can learn more about the details below:

www.drmarygrimberg.com/secondspring 

Want support for perimenopause that goes beyond hormones?

Whether you (or your clients) are taking HRT but still having symptoms, not ready for it, or can’t tolerate it...there’s more we can do.

I’ll be sharing practical tools from a movement and rehab perspective, focusing on the nervous system, fascia, lymph, viscera, and musculoskeletal system.

If you want updates on workshops, resources, and strategies to support this phase of life more fully, would love you to join my email list.

Subscribe to my email list here

I’ll see you in 2 weeks!

PS:

If you are interested in being a guest on the show, please fill out the form here.

I’m joined by Dr. Sally Sarrel to discuss the hidden layers of pelvic pain that often get dismissed, misdiagnosed, or misunderstood.

Dr Sallie Sarrel is a pelvic physical therapist and person with endometriosis. After diagnosis took 23 years of sheer frustration with the medical system, Sallie created a practice to be a safe haven for all with endometriosis and its associated disorders. 

Together with Dr Andrea Vidali, she founded The Endometriosis Summit to unite surgeons, patients, practitioners and caregivers to drive endometriosis forward. 

She has a passion for treating people with endometriosis with leg, bladder, and groin pain , Sallie gives voice to all who struggle with endometriosis and adenomyosis. Reminding the endometriosis community that you are worthy and together we can ignite change

We dig into:

• What an occult (aka hidden) hernia is, and why it’s often missed on imaging
• Why so many people with groin pain or endometriosis are told "it's your ovary"... when it’s not
• The role of the ilioinguinal and genitofemoral nerves in chronic pelvic pain
• How what we think are yeast infections, are nerve compression causing itching 
• Why your feet, fascia, and diaphragm might be contributing to your symptoms
• How misused medical language can tank a person’s healing and hope
• The role of thoracic mobility, gait, lymph, and nervous system regulation in long-term recovery
• How as pelvic floor physical therapists we have much more skillsets to help our patients besides internal treatments.

Whether you're a patient, a provider, or both, this episode brings truth, education, and advocacy in a way the pelvic health world desperately needs.

00:00 Introduction to TMI Talk with Dr. Mary

00:13 Meet Dr. Sally Rell: Pelvic Floor Specialist

01:06 Episode Overview: Topics on Pelvic Pain

03:14 Welcome to the Show, Dr. Sally Rell

03:42 Understanding Occult Hernias

07:24 Diagnosing Hidden Hernias

08:52 Physical Therapy Approaches for Pelvic Pain

14:35 The Role of the Diaphragm and Thoracic Mobility

18:11 Challenges in the Medical System

23:44 The Importance of Holistic Treatment

28:08 Hydration and Heart Rate Management

28:24 Empowering vs. Traumatic Diagnoses

28:55 Personal Experiences with POTS and Endometriosis

32:03 The Role of Fascia in Health

33:17 Endometriosis: A Surgical Disease

36:17 Diaphragmatic and Lung Endometriosis

41:33 Educating Healthcare Practitioners and Patients

47:29 The Future of AI in Medical Diagnosis

50:57 Conclusion and Contact Information

Join me and Morgan Grace from The Alchemy Collective on March 4-7, 2026 in Austin, TX for our perimenopause/menopause retreat followed by 8 weeks of group integration.

You can learn more about the details below:

www.drmarygrimberg.com/secondspring 

Want support for perimenopause that goes beyond hormones?

Whether you (or your clients) are taking HRT but still having symptoms, not ready for it, or can’t tolerate it...there’s more we can do.

I’ll be sharing practical tools from a movement and rehab perspective, focusing on the nervous system, fascia, lymph, viscera, and musculoskeletal system.

If you want updates on workshops, resources, and strategies to support this phase of life more fully, would love you to join my email list.

Subscribe to my email list here

I’ll see you in 2 weeks!

PS:

If you are interested in being a guest on the show, please fill out the form here.