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When moms and teens face life’s big transitions together, emotions can run high—and communication often breaks down. Puberty and menopause create overlapping waves of change that can leave both feeling overwhelmed, misunderstood, or isolated. Without the right tools, these challenges risk driving a wedge between mothers and their kids, creating resentment, burnout, and emotional distance.

But what if there was a way to navigate these turbulent times with compassion, clarity, and connection?

In this episode, I’m joined by Kianna Carter, LICSW, a community mental health expert who works closely with adolescents and women across generations. Kianna dives into how setting loving boundaries, practicing self-compassion, and using intentional check-ins can prevent emotional burnout and build stronger family bonds—especially when life feels like a “perfect storm” of change.

Resources & How to Connect with Kianna Carter, LICSW

Mindful Therapy Group

Kids Mental Health Pierce County 

Kids Mental Health Washington

Psychology Today

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Eastside Menopause & Metabolism

Audio Stamps

00:40 – Kianna’s journey from community mental health to supporting both adolescents and women across generations.

03:10 – Menopause and puberty: a clash of identities and emotions.

04:45 – How ‘do it all’ culture fuels shame in menopause.

06:27 – Perimenopause triggers past trauma; self-compassion aids healing.

08:57 – Spotting nervous system overwhelm and using somatic tools.

16:43 – Setting firm, loving boundaries with teens.

19:33 – Modeling emotional regulation as a parent.

23:08 – Teen red flags signaling need for support.

26:35 – Talking to kids about struggles without burdening them.

29:23 – Boundary tools to prevent burnout for moms and teens.

33:10 – Self-compassion helps moms model kindness and reduce shame.

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When relationships collide with perimenopause, even the strongest partnerships can face unexpected challenges. Hormonal shifts don't just affect the woman experiencing them—they ripple through her closest relationships, often creating confusion, conflict, and emotional distance that neither partner fully understands. 

What makes this transition especially difficult is the silence surrounding it, many women don't recognize what's happening until they're already questioning their relationships and feeling disconnected, while partners struggle to recognize the person they've built a life with.

In this episode, I'm joined by my sister Neha Kumar, a licensed marriage and family therapist with years of experience helping couples through major life transitions. Neha explains how perimenopause affects emotional well-being, communication patterns, and intimate relationships. She also shares how partners can support each other through emotional shifts, when to seek professional help, and why education and preparation might be the relationship-saving tools you never knew you needed.

References

The School of Essential Ingredients by Erica Bauermeister

Connect with Neha Kumar:

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Eastside Menopause & Metabolism

01:00 - Dr. Patil-Sisodia is joined by sister Neha Kumar, LMFT, who shares her journey to becoming a licensed marriage and family therapist helping women through hormonal transitions.

03:10 - Neha reveals many of her relationship therapy patients struggle with perimenopause, often shortly after postpartum recovery.

05:14 - How hormonal changes during perimenopause and menopause affect a woman's emotional well-being and identity.

08:43 - Neha explains the common emotional and psychological challenges women face during constant hormonal transitions from childhood through menopause.

16:04 - Practical strategies for maintaining intimacy and managing emotional changes in relationships during menopause.

22:58 - Neha shares the biggest sources of conflict in marriages or partnerships she sees which are related to menopause.

26:27 -  How partners can better support each other through this transition even when they're not really fully aware of what's happening, and when to seek professional help.

33:55 - Neha offers her top piece of advice for couples navigating this life transition.

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Struggling with stubborn pounds around your midsection, despite sticking to a healthy diet and regular exercise, is a frustrating reality for many women as they enter perimenopause and menopause. Hormonal shifts—particularly a decline in estrogen—can trigger insulin resistance, making it harder to lose weight, control blood sugar levels, and maintain muscle mass.

In this episode, the first of my Endocrine Series, we dive into what insulin resistance is, how decreasing estrogen during perimenopause worsens it, and the key steps you can take to monitor and manage it effectively. Tune in for practical tips to help you work with your healthcare providers and take charge of managing insulin resistance, weight changes, and overall metabolic health during perimenopause and beyond.

Audio Stamps
00:49 - Dr. Patil-Sisodia explains insulin resistance, detailing the pancreas's role and the two primary ways it can malfunction.

02:26 - We learn about autoimmune attacks, where malfunctioning white blood cells target beta cells in the pancreas, reducing insulin production and causing type 1 diabetes.

03:30 - We discover how changes in body composition and increased visceral fat can impair beta cell function, raising insulin demand and contributing to insulin resistance.

06:48 - Dr. Patil-Sisodia highlights how decreasing estrogen during perimenopause worsens insulin resistance, making blood sugar control more difficult for women with type 1 or type 2 diabetes.

08:07 - We hear key steps to monitor insulin resistance, including tracking body changes, screening for diabetes risk, and discussing treatment options with healthcare providers.

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Menopause is often a misunderstood and misrepresented phase of life, leaving many women to navigate it in silence and confusion. Each year, over one million women in the U.S. enter menopause, yet many feel unsure about when and how to seek support. Am I too young to ask for help? Are my symptoms “severe enough” to warrant a conversation with my doctor?

In this episode, we welcome Dr. Naomi Busch, the visionary founder of Seattle Menopause Medicine—a groundbreaking practice born from a conversation among friends at a book club! Join us as Dr. Busch and I passionately debunk some of the most pervasive myths surrounding menopause, providing clarity and confidence for women facing this transition.

You’ll discover:

• Why age should not be a barrier to seeking menopause care
• The misconception that significant suffering is required before seeking help
• Effective alternative strategies to manage menopausal symptoms without hormone therapy
• Essential insights into osteoporosis awareness and maintaining bone health post-menopause
• Key information about testosterone pellet therapy and its implications for women

Tune in now to explore how Dr. Busch’s compassionate, evidence-based approach is reshaping care for women, empowering them to embrace this pivotal stage of life with knowledge and confidence!

Audio Stamps

01:08 - Dr. Patil-Sisodia introduces today’s guest, Dr. Naomi Busch, who opened Seattle Menopause Medicine in 2023 to guide women through perimenopause and into the menopause transition.

04:47 - Dr. Busch addresses how many women are dismissed for being too young for menopause treatment and shares her comprehensive approach to working with women experiencing menopausal symptoms.

09:42 - Dr. Busch busts the myth that women must be "suffering enough" to warrant menopause treatment.

14:45 - Dr. Busch addresses the misconception that life will be ruined without hormone therapy, highlighting that while it's beneficial for some, many women can effectively manage symptoms with alternative treatments.

19:53 - Dr. Busch highlights the importance of osteoporosis awareness, stressing that many women remain uninformed about their bone health, especially post-menopause. 

24:38 - Dr. Busch clarifies the misconception that obtaining hormone therapy from a compounding pharmacy is superior to receiving it from standard pharmacies.

28:30 - Dr. Busch and Dr. Patil-Sisodia discuss concerns about testosterone pellets for women, regulatory challenges for female testosterone therapies in the U.S., and dosing complexities.

References

Visit the Seattle Menopause Medicine website

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Could we be on the brink of a public healthcare crisis? In this episode, I tackle a pressing issue: while menopause is a universal experience for women, the support systems in place are alarmingly inadequate. I’ll explore how the “menopause penalty” affects our health, relationships, finances, and careers, and why this could lead to a shortage of physicians to care for us.

Join me as I reveal shocking statistics that highlight the urgent need for better support in our workplaces and communities. My goal is to inspire you to advocate for more resources and create a nurturing environment for women navigating this significant life transition. Tune in to understand the critical need for change and discover how we can work together to build a better future for all women

Working Paper - “The Menopause "Penalty" - Institute for Fiscal Studies
Impact of Menopause Symptoms on Women in the Workplace. Mayo Clin Proc. 2023
Understanding the Role of Menopause in Work and Careers - Korn Ferry

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If you’re navigating the confusing landscape of menopause, you might find yourself overwhelmed by the conflicting advice from well-meaning friends, family, and (often unreliable) online sources. In this episode, I had the pleasure of sitting down with Dr. Susan Baumgaertel, a seasoned internal medicine physician with over three decades of clinical expertise, who has pivoted her career to focus exclusively on menopause care.

Frustrated by the lack of reliable resources, Dr. Baumgaertel created "The Menopause Menu," a comprehensive guide that blends evidence-based medical information with holistic and integrative approaches. Join us as we discuss what inspired Dr. Baumgaertel to write the book, how her personal journey through menopause and rheumatoid arthritis shaped her approach, and why it's crucial for physicians to listen and advocate for their patients throughout this complex journey.

References
https://www.mymdadvocate.com/
https://www.menopausemenu.com/
The Menopause Menu, From Hot Flashes to Delicious Dishes: A Symptom-Driven, Nourishing Guide to Mastering Menopause⁠
“The School of Essential Ingredients” by Erica Barmeister. 

00:39 - Dr. Patil-Sisodia introduces today’s guest, author of “The Menopause Menu”, Dr. Susan Baumgaertel, who shares her career journey.

06:32 - We learn about Dr. Susan Baumgaertel’s experience with menopausal and perimenopausal patients, exploring what inspired her to create "The Menopause Menu."

11:45 - Dr. Patil-Sisodia asks Dr. Susan Baumgaertel about the unique approach she took in structuring the chapters for her book, "The Menopause Menu".

15:20 -  Dr. Baumgaertel shares her journey through menopause and rheumatoid arthritis. 

20:16 -  Dr. Baumgaertel reminds us that menopause is a long journey, highlighting the importance of doctors listening to patients and not dismissing their concerns during this process.

22:40 - Dr. Baumgaertel discusses how her book isn't just for women but also for men, helping them understand what their partners, mothers, or sisters are going through during menopause.

24:47 - Dr. Baumgaertel warns against blindly following social media influencers and stresses the importance of individualized care and credible, research-backed information. 

28:02 - Dr. Patil-Sisodia praises the heartfelt and relatable quotes from women featured in Dr. Baumgaertel’s book, comparing it to "The School of Essential Ingredients" by Erica Bauermeister.

32:25 -  Dr. Patil-Sisodia asks how physicians, especially female physicians, can better advocate for their patients.

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Today, there's a strong movement towards body positivity, especially for women and those in larger bodies. However, it conflicts with media pressures that promote a narrow and often unattainable ideal of physical appearance. In my practice, I've seen patients who fit the media's ideal image but struggle with metabolic health issues, and vice versa. So the question I want to delve into is: where does metabolic health fit into this tug-of-war?

To help me shed light on this topic, I've invited my friend and obesity medicine specialist, Dr. Matthea Rentea. She is board-certified in Internal Medicine and Obesity Medicine, and the founder of the Rentea Metabolic Clinic, a telehealth clinic serving residents of Indiana and Illinois, specializing in comprehensive weight management. Join us as we discuss why diversity of thought is crucial when considering what's best for health and why metabolic health and body positivity can coexist, regardless of your body size.

References:
The Obesity Guide Podcast with Matthea Rentea MD
Episode 69: BMI: Proof it Falls Short as a Measure of Health
Rentea Metabolic Clinic Website

Follow Dr. Rentea on TikTok
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Audio Stamps:
00:30 - Dr. Patil-Sisodia introduces her guest, Dr. Matthea Rentea, an internal medicine and obesity medicine physician and founder of the Rentea Metabolic Clinic.

02:21 - Dr. Rentea shares her experiences of why size is not a good indicator of health.

03:18 - Dr. Rentea and Dr. Patil-Sisodia discuss why terms like 'weight' and 'obesity' can carry significant sensitivity among their patient population.

05:42 - Dr. Rentea promotes body neutrality and acceptance, urging patients to embrace diverse health perspectives rather than relying on a singular approach.

08:15 - Dr. Rentea advises patients not to focus on specific weight goals but to embrace body diversity and normalize different body types through varied social media representations.

12:10 - We learn why health and body positivity can coexist, no matter your body size.

13:58 - Remind us that you have the power to change your health at any moment, and you don't owe explanations to others.

16:15 - We learn why it’s important to clearly define what “healthy” is going to look like for you.

21:35 - Understanding health means acknowledging that everyone experiences their body differently.

26:55 - Dr. Rentea shares how she approaches body image work in her practice, helping people accept their current body while pursuing health goals through all of life's changes.

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From a young age, we're bombarded with ideals about how we should look and pressured to fit into certain numbers—whether it’s on the scale, on clothing tags, or on a BMI chart. But today, we're diving into a different narrative with my good friend and obesity medicine expert, Dr. Ali Novitsky. Can you believe she started her first diet at just six years old? Fast forward nearly two decades and over 20 diets later, she finally uncovered the keys to living authentically in her body.
Over the past 10 years, Dr. Novitsky has been teaching people the key strategies to go against diet culture and achieve long term, sustainable weight loss results. And in 2018, I was fortunate enough to be part of one of her first programs, Mind Body Marriage, which was simply life-changing. Join us for an inspiring conversation about reclaiming body autonomy and embracing a life beyond the numbers.

References:
Muscles and Mindset Program
The Fit Collective
The Muscles and Mindset Podcast
Follow Dr. Ali Novitsky on TikTok

Audio Stamps:
00:00 Dr. Patil-Sisodia welcomes her guest Dr. Ali Novitsky, a board certified obesity medicine physician and CEO of The FIT Collective.

02:56 - Dr. Novitsky shares her own experiences of diet culture and how she came to adopt a more mindful approach to health.

07:30 - Dr. Novitsky explains how she shifted her mindset around body image and weight and shares how she has broken the cycle of weight-focused thinking with her daughters.

13:30 - We learn the importance of re-scripting our thoughts about weight to focus on body composition and muscle gain rather than the number on the scale.

17:31 - Dr. Novitsky explains how understanding the different body types—ectomorph (naturally thin), mesomorph (muscular), and endomorph (prone to higher body fat)—helps tailor health strategies.

22:42 - We learn the importance of approaching nutrition and strength training in a way that supports muscle retention and overall health, especially during perimenopause.

31:19 - We find out why consistency is key to building sustainable health habits.

34:11 - We explore how to shift mindset around body weight and expectations, emphasizing self-acceptance and living authentically in your own body.

41:12 - Dr. Novitsky shares information about her new program, Muscles and Mindset, and how it’s helping people gain more muscle in less time.

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“Metabolism” is a term that gets thrown around a lot these days. You might have heard people say things like “your metabolism slows down as you age” or “she can eat whatever she wants because she has a fast metabolism.” But how does your metabolism really affect your body? In this episode, we’ll explore how metabolism isn’t a fixed process; it changes with age, hormonal shifts, and lifestyle choices, especially during significant phases like menopause. 

Join me as we delve into how factors like diet, physical activity, stress levels, and genetics influence our metabolic health. Plus, we look at what happens to our bodies as we age, particularly during perimenopause and menopause. If you’re seeking the confidence to effectively manage your metabolic health, tune in now to uncover insights that will empower you to understand and navigate the shifts in your metabolism with confidence.

Audio Stamps

02:55 - Dr. Patil-Sisodia uses an analogy to show the difference between the two key categories of metabolism: anabolism and catabolism.

05:30 - We learn the difference between metabolism and basal metabolic rate.

06:00 - Dr. Patil-Sisodia shares two examples to demonstrate how our bodies respond defensively to protect us when disruptions occur in our metabolic processes or environment.

08:34 - Dr. Patil-Sisodia emphasizes how weight loss plateaus are normal and necessary because of the brain's tendency to maintain a weight set point.

11:52 - We find out how metabolism is influenced by family history, genetics (including conditions like obesity and diabetes), and aging, including menopause.

12:24 - Dr. Patil-Sisodia discusses the metabolic changes during perimenopause and menopause and how hormone changes can impact metabolism. 

14:39 - We hear five key strategies for navigating metabolic changes during menopause.

18:43 - Dr. Patil-Sisodia outlines the key takeaways from the episode.

References

The Inner Clock: Living in Sync with Our Circadian Rhythms by Lynne Peeples

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Are you tired of feeling overwhelmed by the pressures of modern womanhood? Women are often told that we can “have it all”, but the truth is that constantly chasing perfection leads to burnout and feelings of self-doubt and inadequacy.

As we approach midlife, the lines between stress and perimenopausal symptoms really start to blur, leaving us feeling lost and totally unsure of which factors are truly influencing our well-being.

In this episode, I’m exposing the hidden challenges faced by women trying to balance competing priorities and societal expectations. Together, we’ll debunk the myth of busyness as a symbol of success and embrace the transformative power of self-awareness as the foundation of genuine self-care.

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Ever since the first Women’s Health Initiative (WHI) findings were announced in 2002, women have been led to believe that hormone replacement therapy (HRT) is unsafe. The premature halt of estrogen-progestin therapy due to safety concerns resulted in a significant decline in HRT use, leaving many women to needlessly abandon a treatment that offered symptomatic relief from severe menopausal symptoms.

In today's episode, we're diving deep into the WHI hormone therapy trials. We'll explore the key questions the trials aimed to answer, delve into the study's design, and dissect the findings from both the estrogen and progesterone arm and the estrogen-only arm. Additionally, we'll examine the conclusions drawn from the study, recent revisions to those conclusions, and emphasize the urgent need for further research in this area of women's health. 

Join me as we unravel the complexities of the WHI study and uncover the truths behind hormone replacement therapy.

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Are you feeling left in the dark about your body's natural aging process? Many women feel lost when it comes to understanding the changes their bodies go through as they age. And when symptoms are brushed off by healthcare professionals, it can leave you feeling powerless.

But now is the time to reclaim the power and autonomy over our bodies! In this episode, I’m exploring the natural history of aging in women. Although we’ll discover that Mother Nature isn’t exactly a feminist, we can still arm ourselves with the right knowledge to help us confidently advocate for ourselves when we meet with our healthcare providers. 

Listen in to learn more about:

• The hormone changes that happen throughout the course of your lifetime and their impact on your body
• Why midlife brings about certain hormonal shifts and what symptoms to expect
• The metabolic changes that start to happen when we hit midlife

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As if menopause didn’t already bring enough changes, many women are surprised to discover that the hormonal rollercoaster doesn’t just impact reproductive health—it can also wreak havoc on your jaw. Research shows that fluctuating estrogen levels during menopause can contribute to TMJ (temporomandibular joint) disorders, which can cause jaw pain, clicking or popping sounds, difficulty chewing or speaking, and even headaches or facial pain. These symptoms are often overlooked or dismissed, yet they can seriously affect your daily life.

In this episode, I’m joined by none other than my sister, Dr. Priya Mistry, a TMJ specialist with years of experience helping patients find relief from chronic pain. Dr. Mistry walks us through TMJ disorders, explaining how they are linked to menopause and sleep apnea. She shares the latest in TMJ treatment options, including how dentists can help with diagnosis and care, and how women can take charge of their jaw health during this stage of life.

References

Ep. 14: How to Sleep Better with Dr. Andrea Matsumura

Connect with Dr. Priya Mistry 

Website 

Instagram

“Unclenched” Podcast

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Audio Stamps

02:10 - What TMJ is, common symptoms (beyond jaw clicking), and why headaches are often overlooked.

05:08 - How menopause-related hormonal shifts contribute to TMJ dysfunction and symptoms like jaw pain, headaches, and sleep apnea.

12:30 - The growing recognition of the connection between TMJ and sleep apnea, despite limited research on TMJ and menopause.

14:42 - Hidden TMJ symptoms, particularly during menopause, and the jaw-pelvic floor connection, highlighting the value of whole-body care.

20:21 - The influence of hormone changes (including low testosterone and gender-affirming hormone therapy) on TMJ issues.

21:53 - How TMJ pain impacts brain fog and fatigue, emphasizing the need for a holistic approach to treatment.

27:42 - Women with autoimmune disorders often face more severe TMJ, with treatment taking over a year in some cases.

29:23 - Dr. Mistry's patient-centered treatment approach and the role of thorough patient history in managing TMJ.

34:28 - At-home TMJ relief tips and the benefits of disclusion time reduction (DTR) therapy for bite adjustments and pain relief.

38:14 - Dr. Mistry recommends seeing a TMJ dentist or ENT for facial pain and exploring treatment options beyond Botox.

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Welcome to the very first episode of Reset Recharge, a podcast dedicated to women's health and empowerment. As an endocrinologist deeply passionate about women's well-being, I consider this podcast a love letter to women's health, inspired by my own experiences and the stories of countless women facing health challenges.

I am excited to bring you experts in different fields of medicine so that we can dig into how perimenopause and menopause affect every organ system in our body, from head to toe. My aim is to reset our understanding around what metabolic health looks like during this time and to recharge the conversations people are having with their healthcare providers. 

In this introductory episode, you’ll find out all about my professional background, my journey into medicine, and my motivation for creating this podcast. We'll delve into the importance of hormone replacement therapy (HRT) in preventing metabolic diseases and discuss how informed choices can positively impact women's health.

I can't wait to have you with me as we reset the narrative on women's health together!

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For many women in midlife, changes in sleep patterns, energy levels, and even weight can feel confusing and frustrating. What’s often overlooked is how menopause and modern life together disrupt our natural circadian rhythms—the internal clocks that regulate nearly every system in the body. 

When circadian rhythms fall out of sync, it doesn’t just affect sleep; it can also impact hormonal balance, mood, metabolic health, and even long-term disease risk. Yet most of us have no idea how much these hidden clocks influence our daily lives—or how to get them back on track.

In this episode, I’m joined by longtime friend and science journalist Lynne Peeples, author of The Inner Clock: Living in Sync with Our Circadian Rhythms. Lynne shares what inspired her to dive into the science of circadian rhythms, why menopause can further dampen our internal clocks, and the powerful strategies she uses to realign them. We also explore the emerging research on time-restricted eating, medication timing, and how small daily shifts can help improve sleep, mood, and overall health.

References

Center for Environmental Therapeutics

Connect with Lynne Peeples

The Inner Clock: Living in Sync with Our Circadian Rhythms by Lynne Peeples

Website

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Eastside Menopause & Metabolism

00:40 - Dr. Patil-Sisodia welcomes longtime friend Lynne Peeples to discuss her new book, The Inner Clock, and the powerful impact of circadian rhythms on our health.

02:52 - Lynne shares what sparked her interest in circadian rhythms.

07:40 - We learn how the timing of certain medications can impact their effectiveness, with some showing better results when taken at specific times of day.

11:35 - Lynne explains that circadian rhythms involve multiple internal clocks, and our chronotype is based on how we respond to light and sleep patterns.

16:06 - Find out how shift work and modern life disrupt our circadian rhythms, affecting health and chronotype.

20:08 - How circadian science, particularly time-restricted eating, shows promise in improving metabolic health by aligning eating windows with natural body rhythms.

24:38 - Lynne explains how menopause dampens circadian rhythms, affecting hormones, sleep, and metabolic health.

28:04 - Lynne shares the strategies she uses to improve her circadian rhythms, including 3 key lifestyle adjustments that support better sleep and overall health.

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For many women, hair is more than just an appearance—it’s tied to identity, femininity, and confidence. Hair loss can be difficult to navigate, especially with hormonal changes from pregnancy, perimenopause, and menopause. Many women, however, are left unsure of the cause and how to address it.

I’ve been there too—brushing off hair shedding as "just stress" until a dermatologist friend pointed out that it was actually female-pattern hair loss. It’s easy to overlook the signs, but ignoring the issue can end up making it worse.

In this episode, I’m joined by Dr. Nancy Echefu, a hair transplant surgeon, who breaks down the different types of hair loss, including scarring and non-scarring alopecia, and explains how to spot the signs early. She also provides a simple, actionable guide to help you start addressing hair loss before seeing a doctor—because awareness and early intervention are key. Tune in now to learn how you can start taking control of your hair health today.

References

Connect with Dr. Echefu

Website

Instagram

Facebook

Connect with me:

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Eastside Menopause & Metabolism

01:35 - Dr. Echefu shares her background and expertise and what pushed her towards  pursuing her career in hair restoration. 

07:00 - Dr. Patil-Sisodia shares her own experience of hair shedding and hair loss.

08:33 - Dr. Echefu explains the two major classifications of hair loss: scarring and non-scarring alopecia.

13:18 - CCCA, a type of scarring alopecia, is identified through symptoms like itching and burning, with biopsies used to confirm a diagnosis when needed.

15:27 - We learn the difference between hair loss and hair shedding and how much hair shedding is considered normal.

21:45 - Dr. Echefu customizes treatment based on history, symptoms, and prior care, tracking progress over a year with in-office and at-home therapies.

26:48 - Dr. Echefu combines medical treatments with PRP, microneedling, or laser therapy, tailoring care to patient needs and referring to specialists when needed.

32:18 - Trichotillomania is often linked to anxiety. Even mild hair-pulling can cause hair loss, so awareness is key.

35:54 - Before seeing a doctor for hair loss, Dr. Echefu recommends simple hair care practices to track and assess your routine.

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We’ve all done it—put off a doctor’s visit because we “feel fine”, life gets busy, or let’s be honest, scheduling an appointment feels like one more thing on an endless to-do list. I know I did. After having my son, I didn’t make it to a doctor for five years. But here’s the thing: many of the biggest health concerns for women don’t show up with obvious symptoms right away. By the time we feel something is wrong, it’s often been developing for years.

Routine screenings aren’t just another box to check; they’re a proactive way to catch issues early and protect your long-term health. In this episode, I'm joined by Dr. Lindsay Ogle, a board-certified family medicine and obesity medicine physician, who helps me break down the key screenings women need at every stage of life. Tune in to find out why these screenings matter, how often to get them, and how to prioritize your health even when life feels overwhelming.

References

Connect with Dr. Lindsay Ogle:

Website: https://missourimetabolichealth.com/

Instagram: https://www.instagram.com/dr.lindsayogle/

YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg

Facebook: https://www.facebook.com/lindsay.ogle.90/

TikTok: https://www.tiktok.com/@dr..lindsay.ogle?_t=8prC4VUQZ5i&_r=1 

Connect with me:

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Eastside Menopause & Metabolism

00:42 - Dr. Lindsay Ogle shares her journey into family medicine, her passion for weight management, and what inspired her to establish her own metabolic health clinic.

04:45 - Why routine health screenings and wellness visits are so important for women.

06:03 - Key screenings by decade to support long-term health.

14:35 - Colonoscopy as the gold standard for screening, plus alternatives like Cologuard and FIT.

21:17 - Lung cancer screening guidelines, eligibility, and limitations for non-smokers.

22:45 - Routine screenings for blood pressure, mental health, substance use, and vaccines.

24:13 - Bone density screening recommendations.

26:04 - Screening for reproductive health.

28:24 - Screening for obesity-related risks.

33:45 - Ways women can advocate for their health by asking questions, seeking second opinions, and bringing support.

36:58 - The role doctors play in building trust, asking open-ended questions, and normalizing struggles.

39:20 - Limited healthcare access can make it hard for women to get the care they need.

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Menopause isn’t a blink-and-you-miss-it moment. It’s a major life shift that lasts much longer than most of us realize. For many women, perimenopause can span five to ten years, sometimes even longer. So why do so many of us wait until symptoms hit to pay attention? 

The reality is, the earlier you prepare, the more control you have over your experience. By taking a proactive approach, you can manage your health throughout this journey, instead of reacting when symptoms become overwhelming.

In this episode, I share 10 key strategies to help you approach perimenopause and menopause with confidence—from tracking symptoms and optimizing sleep to managing metabolic health and knowing when to seek treatment. Let’s dive into how to advocate for your health, reflect on your needs, and ensure you’re prepared to handle this life transition on your terms.

References

“The Menopause Menu” by Dr. Susan Baumgaertel

Ep. 14: How to Sleep Better with Dr. Andrea Matsumura

https://menopause.org/

Connect with me:

TikTok

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Eastside Menopause & Metabolism

00:41 - Dr. Patil-Sisodia explains menopause as a journey, not a destination, and introduces strategies to help women proactively prepare for perimenopause and menopause.

02:53 - Understanding your family health history is crucial, as genetics affect menopause risks like heart disease, diabetes, and osteoporosis.

04:35 - Tracking symptoms early helps understand how menopause affects mood, sleep, body composition, and more.

06:28 - Dr. Patil-Sisodia emphasizes the importance of a balanced diet, focusing on protein, fiber, hydration, and natural carbs during menopause.

08:37 - Regular exercise, combining strength training and cardio, helps adjust to menopause-related changes while preventing injury.

11:06 - Good sleep habits are essential; hormone therapy and sleep apnea testing may help if issues persist.

12:26 - Managing stress and mindset is key during menopause.

14:10 - Be proactive about your health to prepare for perimenopause and menopause.

15:37 - Managing metabolic health is vital, as hormonal shifts can lead to weight gain and insulin resistance.

18:45 - Non-hormonal treatments can be effective if lifestyle changes and hormone therapy aren't options.

19:40 - A recap of the ten key recommendations to prepare for perimenopause and menopause.

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For many women, poor sleep has almost become a normalized part of life—whether it’s pregnancy, menopause, managing family, or juggling careers—there always seems to be an excuse for why we’re not sleeping well. I know that when I was in my twenties, I could fall asleep anywhere, at any time. But as I’ve gotten older, sleep has certainly become more elusive. So how do we reclaim better sleep, especially as our bodies and lives change? And how much sleep do we really need to feel rested?

In today’s episode, I’m joined by Dr. Andrea Matsumura, a board-certified sleep medicine physician, who specializes in helping women navigate the unique sleep challenges of perimenopause and menopause. We dive into topics like how hormonal changes disrupt sleep, why sleep is crucial for our overall health, and, most importantly, how we can improve our sleep to thrive during this season of life. 

If you’re struggling with sleep during menopause, this episode is a must-listen for actionable tips to improve your sleep and overall well-being!

Connect with Dr. Matsumura:
LinkedIn
Instagram
Cascadia Health

Audio Stamps
00:39 - Dr. Patil-Sisodia introduces her guest, Dr. Andrea Matsumura, a board-certified specialist in sleep and internal medicine, who focuses on sleep disorders affecting women in perimenopause and menopause. 

02:10 - Dr. Matsumura explains her shift from primary care to sleep medicine, driven by the critical role of sleep in managing chronic conditions.

04:07 - Dr. Matsumura explains her initial approach to evaluating sleep issues, focusing on bedtime routines, medical history, and sleep preparation in a tech-driven world.

06:49 - Dr. Matsumura shares her recommended number of hours of sleep for optimal health, noting that people who get less often rely on stimulants to compensate.

10:25 - We find out how perimenopause and menopause disrupt sleep, affecting hormones like cortisol and growth hormone, and learn the importance of sleep for overall health.

12:55 - We find out how declining estrogen affects sleep, and the importance of balancing estrogen and progesterone, along with addressing other factors like chronic insomnia, when treating sleep problems.

15:23 - Dr. Matsumura recommends cognitive behavioral therapy for insomnia (CBT-I) to address chronic sleep issues, focusing on managing sleep anxiety and stress.

18:17 - Dr. Matsumura stresses diagnosing the root cause of sleep issues and favors behavioral treatment over relying on medications.

22:15 - We learn factors that can cause sleep issues in menopause. While hormone therapy can help, behavioral changes may be needed if problems persist.

27:00 - Dr. Matsumura shares her sleep recommendations for setting up a good sleep routine, emphasizing the importance of a wind-down period before bed.

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PCOS is so common, yet so commonly misunderstood. Despite affecting millions of women, its symptoms—and even its name—lead to confusion and delayed diagnoses. PCOS is often referred to as a "disease of exclusion," as it’s commonly diagnosed only after other conditions have been ruled out. This delay leaves many women struggling for years with symptoms like irregular periods, weight gain, and acne before receiving a proper diagnosis. Yet, early detection is critical, as PCOS is linked to serious comorbidities such as obesity, type 2 diabetes, and cardiovascular disease.

In this episode, triple board-certified endocrinologist Dr. Sonia Hans pulls back the curtain on this misunderstood condition. From how PCOS is diagnosed to its relationship with metabolic syndrome, Dr. Hans explains why recognition and treatment shouldn’t wait. She highlights the revolutionary advancements in care, including GLP-1 medications, and explores how PCOS evolves during perimenopause and menopause.

If you’ve been searching for answers—or know someone who is—this conversation offers clarity, hope, and actionable steps to better understand and manage PCOS.

References
Find Dr. Sonia Hans at the following locations:
EvergreenHealth Diabetes & Endocrinology Care (for PCOS management)
EvergreenHealth Weight Loss & Bariatric Care

Audio Stamps

00:40 - Dr. Patil-Sisodia's guest, Dr. Sonia Hans, shares her background in endocrinology, obesity medicine, and metabolic health, detailing her journey into these fields and her passion for managing conditions like PCOS (polycystic ovarian syndrome) and diabetes.

03:50 - Dr. Hans explains PCOS as a dysregulated female reproductive hormone system, leading to irregular periods and metabolic disruptions.

06:47 - Dr. Hans shares the red flags which indicate someone may have PCOS.

12:50 - Dr. Hans explains that PCOS and metabolic syndrome often occur together, with managing one condition helping to control the other.

16:49 - Dr. Hans highlights the challenges young women face with body image and weight, stressing the importance of empowering them with knowledge and options for managing PCOS and metabolic disease.

21:02 - Dr. Hans discusses treatments for PCOS, including birth control, spironolactone, insulin sensitizers, and GLP-1 receptor agonists, alongside lifestyle changes like nutrition and exercise.

30:00 - We learn how PCOS transitions in perimenopause, including metabolic changes and increased visceral fat, and how GLP-1s help manage these symptoms and improve health outcomes.

35:35 - Dr. Hans shares what to look out for when hormonal imbalances arise, urging women to seek help if they notice changes in energy, sleep, or weight.

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In the first installment of The Endocrine Series, we explored insulin resistance, a condition where your body struggles to use insulin effectively, often worsened by hormonal shifts during perimenopause. Now, we turn our attention to prediabetes—a stage where blood sugar levels are elevated but not yet high enough for a type 2 diabetes diagnosis. While prediabetes increases the risk of developing type 2 diabetes and cardiovascular disease, it doesn’t have to be inevitable. Early intervention is key.

In this episode, we’ll discuss how simple lifestyle changes—like adjusting your diet and exercise—can reverse prediabetes, regulate blood sugar, and lower health risks. We'll also cover medical treatments, including anti-obesity medications and hormone replacement therapy, to further support metabolic health. Listen in for practical tips on managing prediabetes and preventing the progression to type 2 diabetes.

References
“I Love Lucy” chocolate factory clip

Ep. 11: Understanding Insulin Resistance During Perimenopause

Audio Stamps
00:40 - Dr. Patil-Sisodia reminds us about insulin resistance and how rising blood sugar levels indicate whether someone is in the prediabetes range, as they begin to exceed normal thresholds.

01:56 - Another indicator of prediabetes is the hemoglobin A1C test, which measures average blood sugar over three months and signals prediabetes when levels are between 5.7% and 6.4%.

03:05 - Excessive carbohydrate intake and reliance on packaged meals high in refined sugars stress the pancreas and contribute to insulin resistance.

04:35 -  Lack of physical activity contributes to pancreatic stress and insulin resistance, as sedentary lifestyles lead to muscle atrophy, weight gain, and changes in body composition.

05:55 - Dr. Patil-Sisodia uses an analogy from “I Love Lucy” to demonstrate how the pancreas operates in hyperdrive in prediabetes, producing excessive insulin to manage blood sugar levels.

07:15 - We hear practical ways to slow down the pancreas's assembly line by adapting diet and fitness habits.

10:58 - Dr. Patil-Sisodia emphasizes the importance of discussing metabolic medications and hormone replacement therapy with your primary care provider to address prediabetes.

Thanks for listening. Find more info about Reset Recharge on the website or Instagram.