Explore every episode of the podcast The Advanced Women’s Health Podcast

Dive into the complete episode list for The Advanced Women’s Health Podcast. Each episode is cataloged with detailed descriptions, making it easy to find and explore specific topics. Keep track of all episodes from your favorite podcast and never miss a moment of insightful content.

	Title	Pub. Date	Duration
	Episode 105: Pap Smear vs HPV Test: What Your Results Really Mean	05 nov. 2026	00:32:49
Do you know what you were actually tested for at your last pelvic exam, or what your results mean? In this episode, Dr. Michelle Mussar, ND (Ontario) and Dr. Sasha Sirianni, ND (Vancouver, BC) break down cervical cancer screening so you can walk into your next appointment informed. They explain the difference between a Pap test and an HPV test, why HPV testing is now the standard, and how screening differs between Ontario and BC, including BC's at-home HPV self-swab. They walk through what NILM, ASCUS, LSIL and HSIL results mean, why "watch and wait" can feel so scary, and what you can do to support your immune system while you wait. They also clear up common misconceptions: an abnormal Pap does not mean you have cancer, HPV is incredibly common, and having it does not mean you or your partner did anything wrong. In this episode: What a Pap test is and what happens during one Why HPV testing has become the new gold standard How cervical screening differs in Ontario and BC The at-home HPV self-swab Why a Pap test is not an STI screen Trauma-informed care and reclaiming agency in pelvic exams HPV 16 and 18 and what happens after a positive result Understanding Pap results: NILM, ASCUS, LSIL and HSIL Supporting your immune system to clear HPV Why the HPV vaccine can still help later in life Symptoms you should never ignore Is HPV an STI? What a LEEP procedure is and what recovery looks like Mentioned in this episode: Advanced Men's Health: advancedmenshealth.ca BC Cancer at-home HPV self-swab (BC residents ages 25 to 69) Ontario cervical screening guidelines
	Episode 103: What 3 Naturopathic Doctors Want Every Woman to Know: Our Biggest Takeaways	22 oct. 2026	00:36:28
What do naturopathic doctors actually talk about behind the scenes? In this episode, we (Dr. Alessandra Autieri, Dr. Lauryn Dingwall and Dr. Maryellen Tedeschi) sit down together to share the biggest lessons we have learned from working with women every day at Advanced Women's Health. We talk about why the boring basics still matter most, why "my blood work is normal" is rarely the full story, and why a normal A1C does not always mean your blood sugar and insulin are working well. We also share why the women who get the best results usually have an aligned care team and a strong community behind them. Then we finish with a little fun: the wellness trends we actually love, our most non-ND habits, and our favourite part of being naturopathic doctors. In this episode: Why you have to major in the minors: sleep, movement, water, fibre and protein Why we talk about sleep before we send you to the gym Lifting weights, starting small and picking one habit you actually enjoy Setting health goals that match your values How we read blood work to find dysfunction, not just disease Normal A1C but still insulin resistant? Why we run an insulin glucose challenge Why insulin is often the hormone to test before estrogen and progesterone Your symptoms are real, even when the labs surprise you How collaborative care works, and why it helps you get better faster Community, support and why habits stick when you are not doing it alone Wellness trends we love: wearables, red light therapy for endometriosis and lymphatic drainage massage Our most non-ND habits (yes, dairy, gluten and balloon arches) What working with women has taught us about resilience Mentioned in this episode: The insulin glucose challenge test at Advanced Women's Health The Advanced Women's Health app and community programs Clinically guided programs at Advanced Women's Health, including Advanced Metabolic Rehab and fertility programming: info@advancedwomenshealth.ca Atomic Habits by James Clear
	Episode 102: Do You Need Hormone Replacement Therapy? Safety, Timing and Perimenopause	15 oct. 2026	00:29:52
Do you need hormone replacement therapy? It is the question we get asked more than any other at Advanced Women's Health, so in the final part of the midlife core four, I answer it. In 2002, one study stopped hormone replacement therapy in its tracks. Prescribing dropped, research slowed, and a whole generation of women were told hormone replacement therapy would give them cancer or blood clots. When I started practice ten years ago, women were begging for it because their doctors would not consider it. Since then, that data has been analyzed again and again, and the risks were not what we were told for most women. The FDA has now removed the black box warning from some forms of hormone replacement therapy. So the pendulum is swinging. And now that hormone replacement therapy is having its moment, everyone is being told to just take it. Neither extreme serves you. In this episode, I walk through the safety research, the timing question, how we use hormones in perimenopause, and why hormones alone will make you feel better without necessarily making you healthier. In this episode: The 2002 Women's Health Initiative study, and why its conclusions did not apply to most women What hormone replacement therapy actually is: estradiol, progesterone, progestins and all the acronyms Bioidentical vs synthetic hormones, and why we prescribe bioidentical at Advanced Women's Health Is hormone replacement therapy safe? Why topical estradiol is the gold standard right now How the risk of hormone replacement therapy compares to obesity and to drinking more than four drinks a week Who should work with an oncologist or cardiologist before starting hormone replacement therapy Is it too late to start hormone replacement therapy? The old 7 to 10 year window, and why it is being rethought The four big reasons women stay on hormone replacement therapy long term: bone, brain, heart and hot flashes Why vaginal hormones are an option at any age Hormone replacement therapy in perimenopause: progesterone, the estrogen rollercoaster and low-dose hormones Why we test hormones, blood sugar, nutrients, gut and inflammation before we prescribe On-label vs off-label use, and what informed consent really means Why hormones are brush strokes, not a set-and-forget prescription A recap of the full midlife core four series Mentioned in this episode: Strategic consults at Advanced Women's Health, to map out all of your options At-home serial urine hormone testing Listen to the rest of the Core Four series: Episode 100: Is It Perimenopause or ADHD? Every Woman in Her 40s Needs to Hear This Episode 101: GLP-1s and Protein in Perimenopause: What to Know Before You Start
	Episode 100: Is It Perimenopause or ADHD? Every Woman in Her 40s Needs to Hear This.	01 oct. 2026	00:33:45
If you have found yourself wondering whether you need Ozempic, HRT, more protein, or an ADHD diagnosis all at once — this episode explains exactly why that is happening and what it actually means. In This Episode, We Answer: Why do so many women in their 40s suddenly feel like they have ADHD? Is perimenopause causing my brain fog and focus problems? What is the connection between hormones and ADHD symptoms? Why are women being put on ADHD medications they do not need? What is the midlife core four and why does Dr. Sarah talk about it? Quick Answers (FAQ): Q: Why do so many women in their 40s suddenly feel like they have ADHD? A: Estrogen supports brain function, focus, memory, and word retrieval. Progesterone calms the nervous system and reduces inflammation. When both begin to fluctuate unpredictably in perimenopause, the result looks clinically identical to ADHD. Add nutrient deficiencies and chronic nervous system overload, and the picture becomes nearly indistinguishable. We go deeper into this at 08:06. Q: Is perimenopause causing my brain fog and focus problems? A: Possibly, but it is more accurate to say perimenopause is revealing a problem that was already building. The hormone shift makes the brain less able to compensate for inflammation, blood sugar swings, and nutrient deficiencies that have been accumulating for years. We go deeper into this at 07:18. Q: What should I investigate before starting an ADHD medication? A: Blood sugar, fasting insulin, inflammatory markers, iron, B vitamins, and choline. If these have not been assessed and addressed, the ADHD-like symptoms may resolve without medication. If they do not, you now have a clearer picture of what the medication is working on top of. We go deeper into this at 17:28. Q: What is the midlife core four? A: The four things Dr. Sarah hears about most in clinic for women in their 40s and 50s: GLP-1 medications, hormone replacement therapy, protein intake, and ADHD. They cluster together because they share the same root drivers — hormonal instability, insulin dysregulation, inflammation, and nervous system overload. We go deeper into this at 01:02. Connect With Us: Website: advancedwomenshealth.ca Instagram: @drsarah_nd \| @advancedwomenshealth Book an appointment: advancedwomenshealth.ca Email for programs: info@advancedwomenshealth.ca Leave a review: wherever you are listening, it helps other women find this episode
	Episode 99: What Is the Late Reproductive Stage and Why Is Nobody Talking About It? A Perimenopause and Menopause Chat with Andrea Donsky	24 sept. 2026	00:57:24
If you have been told you are too young for perimenopause, your labs look fine, and you should just manage your stress — this episode is the conversation your doctor should have had with you. In This Episode, We Answer: Can you have perimenopause symptoms before your periods change? Why do my hormone labs look normal if I feel terrible? What does insulin have to do with menopause weight gain? Should I do a nutrition program before starting a GLP medication? Why do I feel like a completely different person? Key Takeaways: You can be fully symptomatic with anxiety, brain fog, sleep disruption, and mood changes years before you are technically perimenopausal by lab criteria. The late reproductive stage is real, it is under-discussed, and standard FSH and LH testing on a single day will miss it. You deserve help regardless of whether you fit a label. Insulin has been more directly associated with hot flashes, night sweats, menopausal weight gain, anxiety, and cognitive changes than reproductive hormones. A normal HbA1c does not rule out insulin dysregulation. A fasting insulin test is inexpensive and changes everything about how a plan is built. The best-performing GLP-1 studies had a three-month nutrition primer built in before starting medication. That nutritional education and habit formation is what produced better sustained results. This is what the headlines do not tell you. Quick Answers (FAQ): Q: Can you have perimenopause symptoms before your periods change? A: Yes. The late reproductive stage can begin in the late 30s and early 40s. Hormone levels on a single blood draw may appear normal while daily fluctuations are already causing anxiety, brain fog, sleep disruption, and mood changes. We go deeper into this at 06:43. Q: Why do my hormone labs look normal if I feel terrible? A: Standard FSH, LH, and estradiol testing on one day gives a single snapshot. Hormones genuinely fluctuate day to day in this stage, meaning a normal reading does not confirm a normal experience. We go deeper into this at 07:47. Q: What does insulin have to do with menopause weight gain? A: Insulin is a storage hormone. When it stays elevated, fat cells are locked in storage mode regardless of how little you eat. Eating less when insulin is high is like making less money when your savings account is locked — the checking account still feels empty. Lowering insulin unlocks fat burning. We go deeper into this at 14:04. Q: Should I do a nutrition program before starting a GLP medication? A: The trials that produced the best GLP-1 results included a three-month nutrition primer before the medication started. Participants learned macronutrient principles, built habits, and changed their relationship with food before the drug was introduced. Results were significantly better at 12 and 24 months. We go deeper into this at 22:38. Q: Why do I feel like a completely different person in perimenopause? A: Hormone fluctuations affect brain function, mood regulation, sleep, and stress response. The late reproductive stage adds a layer of inconsistency — good days and bad days with no predictable pattern — that makes women feel like they no longer know themselves. We go deeper into this at 06:43. Resources Mentioned: Andrea Donsky: @andreadonsky on Instagram Menopause Reimagined Podcast Nourishing Menopause by Andrea Donsky: available at most Canadian bookstores and on Amazon in the US Website: wearemorphis.com⁠ Connect With Us: Website: advancedwomenshealth.ca Instagram: @drsarah_nd \| @advancedwomenshealth Book an appointment: advancedwomenshealth.ca Leave a review: wherever you are listening, it helps other women find this episode The Advanced Women's Health Podcast is hosted by Dr. Sarah Wilson, ND, naturopathic doctor, clinic founder, and obesity and immunology researcher. This episode is crossposted with the Menopause Reimagined podcast by Andrea Donsky.
	Episode 98: Why Women Get Autoimmune Disease More Than Men (And the Three Windows That Explain It)	17 sept. 2026	00:50:42
If you have ever wondered why your immune system turned on you, why it happened when it did, and why it seems to happen to women so much more than men — this episode has the clearest answer you will find anywhere. In This Episode, We Answer: Why do women get autoimmune disease more than men? What does estrogen have to do with autoimmunity? Can EBV (Epstein-Barr virus) cause Hashimoto's thyroiditis? Did COVID trigger my autoimmune disease? Is leaky gut real and what are doctors getting wrong about it? Key Takeaways: Women make up roughly 78 to 80% of autoimmune disease patients. The three most vulnerable windows are postpartum (the most common), perimenopause into menopause (where conditions like MS most often appear), and puberty. Estrogen gives women a more robust immune system overall but also makes it more likely to misfire into autoimmunity. The gut is accurately rated as important, but the treatment is where things break down. Gut lining integrity is the most underaddressed piece right now. Antimicrobials and elimination diets address bugs and food, but they cannot fix a lining that is already eroded. And you cannot eliminate all exposures when the lining is what is broken. Chronic illness is never just one thing. EBV, COVID, mold, Lyme, Bartonella, and Babesia are almost always found together with multiple stressors. Testing for one and treating one while ignoring the constellation is why so many people stay stuck. Quick Answers (FAQ): Q: Why do women get autoimmune disease more than men?A: Before puberty, boys have more immune dysfunction. After puberty, the pattern reverses because estrogen significantly amplifies immune activity — which protects women from infections but also makes autoimmune misfiring more likely. The three most vulnerable windows are postpartum, perimenopause into menopause, and puberty. We go deeper into this at 00:42. Q: Can EBV or mono cause Hashimoto's thyroiditis?A: Yes, there is a well-documented link. EBV establishes lifelong latency in B cells and reactivates when the immune system is stressed. Through a process called molecular mimicry, antibodies made to fight EBV proteins can mistakenly target thyroid tissue because the proteins look similar. We go deeper into this at 19:00. Q: Did COVID trigger my autoimmune disease?A: Possibly, or it accelerated the onset of something you were already predisposed to. COVID's ACE2 receptor gave it access to far more tissues than most viruses, creating widespread inflammation and a higher chance of immune confusion. New research suggests COVID may accelerate disease onset in genetically predisposed people rather than cause it outright. We go deeper into this at 17:00. Q: Is leaky gut real?A: Increased intestinal permeability is a real, measurable phenomenon seen in celiac disease and IBD. The debate is whether it is a cause or a consequence of chronic illness. Dr. Sarah's take: it is part of a system, not a single lock with a single key. Fix the lining without addressing the causes of lining breakdown and nothing sticks. We go deeper into this at 11:30. Connect With Us: Website: advancedwomenshealth.ca Instagram: @drsarah_nd \| @advancedwomenshealth Book an appointment: advancedwomenshealth.ca Leave a review: wherever you are listening, it helps other women find this episode The Advanced Women's Health Podcast is hosted by Dr. Sarah Wilson, ND, naturopathic doctor, clinic founder, and obesity and immunology researcher. Subscribe so you never miss an episode.
	Episode 97: What Actually Happens at Your First AWH Appointment?	10 sept. 2026	00:51:16
If you have ever wondered how a naturopathic doctor connects brain fog, anxiety, bloating, and irregular periods into one cohesive plan this episode shows you exactly how that thinking works. In This Episode, We Answer: What happens at a first naturopathic appointment? Why do my symptoms feel so unrelated but my ND says they are connected? What is the AWH clinical framework and how does it work? Why are hormones not always the first thing an ND treats? How many appointments does it take to actually feel better? Key Takeaways: Every symptom on your list can be connected back to dysfunction in the same five to seven areas: blood sugar and insulin, gut health, liver health, nutrient deficiencies, nervous system, mitochondrial health, and immune or inflammatory dysfunction. This is why your ND is not treating symptoms individually but looking for the two to three root systems driving most of them. Hormones are not always treated first, but sometimes they are. If a patient is so depleted that they cannot make lifestyle changes, a hormone win can give them the energy and capacity to do the foundational work. It is not hormones versus foundations — it is how to tie them together. The two-week win matters. AWH practitioners aim for at least one clear improvement between every appointment. Health is not linear, and every appointment involves asking where you are now, where you have been, and where you are headed next. Resources Mentioned: AWH daily lunchtime clinical rounds: mentioned as an internal team tool for collaborative patient care Continuous glucose monitor: used at AWH for monitoring blood sugar in the maintenance phase Heart rate variability via smartwatch: used to monitor nervous system and stress response BIA (bioelectrical impedance analysis): used to monitor muscle mass Book an appointment: advancedwomenshealth.ca Advanced Men's Health: advancedmenshealth.ca Related Episodes: Episode 86: Metabolic Rehab Type 1, insulin and insulin resistance Episode 87: Metabolic Rehab Type 2, stress and liver dysfunction Episode 88: Metabolic Rehab Type 3, gut hormones and inflammation Episode 80: Mitochondria and fatigue with Dr. Sasha and Dr. Bianca Connect With Us: Website: advancedwomenshealth.ca Instagram: @drsarah_nd \| @advancedwomenshealth Book an appointment: advancedwomenshealth.ca Leave a review: wherever you're listening, it helps other women find this episode The Advanced Women's Health Podcast is hosted by Dr. Sarah Wilson, ND. This episode features Dr. Ally and Dr. Bianca, naturopathic doctors at Advanced Women's Health. Subscribe so you never miss an episode.
	Episode 96: Start Here Before You Book Your First Aesthetic Appointment	03 sept. 2026	00:44:12
f you have been curious about Botox, filler, or any aesthetic treatment but do not know where to start or who to trust, this is the episode to listen to first. In This Episode, We Answer: Is Botox safe and does it work long term? What is the difference between filler and Sculptra? What is PRF and how is it different from PRP? What should I look for when choosing an injector? What are the real risks of dermal filler I should know about? Key Takeaways: A good injector says no. If someone is giving you a laundry list of everything you need the moment you walk in, that is not the approach that produces the most natural results. Find someone who gives you the mirror first and asks what you love about your face. Vascular occlusion is rare but real, and every patient should know what to look for: severe pain that is getting worse not better, skin that turns white and does not refill with color. If your injector has not told you this, that is a red flag. Filler lasts longer than the product monograph says, especially high density fillers. Many people are adding to filler that is still present, which is how over-augmentation happens. Ask your injector to review your before photos before adding more. Quick Answers (FAQ): Q: Is Botox safe and does it work long term? A: Yes. The 2006 Botox twin study showed that one twin who received Botox consistently for 13 years looked significantly younger than the twin who had one or two treatments. The key is consistency and appropriate dosing. When Botox wears off, you return to where you were before, not worse. We go deeper into this at 38:30. Q: What is the difference between filler and Sculptra? A: Filler (hyaluronic acid) adds volume immediately and is dissolvable. Sculptra (polylactic acid) is a biostimulator that is reabsorbed after injection, then gradually stimulates your body to produce its own collagen over three to six months. Results from Sculptra can last up to two years. We go deeper into this at 27:00. Q: What is PRF and how is it different from PRP? A: Both are blood concentrates where your blood is spun in a centrifuge. PRF is spun slower and retains white blood cells including mesenchymal stem cells, creating a more concentrated healing response. Unlike filler, PRF cannot cause migration, allergic reaction, or lumps. Dr. Nicola uses it particularly for under-eye hollowing and brightness. We go deeper into this at 13:30. Q: What are the real risks of dermal filler? A: Common risks include bruising, swelling, and soreness. The more serious but rare risk is vascular occlusion, where filler blocks a blood vessel. If caught early and dissolved, it can be reversed. Signs include severe pain getting worse, and skin that turns white and stays white. In extremely rare cases, injections near the nose and glabella have caused blindness due to vascular anatomy in that area. We go deeper into this at 33:30. Resources Mentioned: Botox twin study (2006): search "Botox twin study" to find the photos Procedures discussed: Botox/Dysport/Xeomin, dermal filler, PRF, microneedling, Sculptra, HydraFacial, BBL, Moxie Laser Genesis, Morpheus8 Book with Dr. Dasha or Dr. Nicola: advancedwomenshealth.ca Related Episodes: Episode 83: Hidradenitis Suppurativa with Dr. Dasha — skin conditions from the inside out Connect With Us: Website: advancedwomenshealth.ca Instagram: @drsarah_nd \| @advancedwomenshealth Book with Dr. Nicola (Squamish) or Dr. Dasha (Vancouver): advancedwomenshealth.ca Leave a review: wherever you're listening, it helps other women find this episode
	Episode 95: What Your Fertility Hormones Are Actually Telling You	27 août 2026	00:28:57
If you have been told your hormones look fine but something still feels off, this episode explains what most fertility workups are missing. In This Episode, We Answer: What should my hormone levels look like throughout my cycle? What does low or high estradiol in the first half of my cycle mean? Why does progesterone matter for getting and staying pregnant? What does blood flow have to do with fertility? What are the signs that circulation to my ovaries might be affected? Key Takeaways: A single progesterone blood test seven days after ovulation is not enough to assess luteal health. What matters is the level, the stability across multiple days, and the length of the luteal phase. A short luteal phase can cause early pregnancy loss before you even know you were pregnant. All the egg quality supplements in the world only work if those nutrients can actually reach the ovaries via healthy blood flow. Circulation is the missing piece that connects everything else — hormones, egg quality, brain-ovary communication, and lining thickness. Post-viral changes, including changes associated with COVID, have measurably reduced ovarian blood flow in many patients. If you have experienced any circulatory symptoms since a viral illness and are on a fertility journey, blood flow should be part of your conversation. Resources Mentioned: Mira: at-home urinary hormone monitor used at AWH for cycle tracking across the full month AWH Fertility Program: clinically guided fertility programming launching soon, info@advancedwomenshealth.ca Acupuncture for fertility: discussed in context of circulation, egg quality, and stress response Red light therapy belts: emerging research in fertility and mitochondrial health Egg quality supplements mentioned: CoQ10, B vitamins, carnitine, N-acetylcysteine, resveratrol, vitamin E, vitamin C, Vitex/chaste tree Book a fertility consult: advancedwomenshealth.ca Related Episodes: Fertility Masterclass Part 1: Are You Actually Ovulating? Fertility Masterclass Part 2: The Immune System's Role in Getting and Staying Pregnant Episode 86: Metabolic Rehab Type 1, insulin and insulin resistance Episode 88: Metabolic Rehab Type 3, gut hormones and inflammation Coming next: Fertility Masterclass Part 4, structural anatomy and can egg and sperm actually meet Connect With Us: Website: advancedwomenshealth.ca Instagram: @drsarah_nd \| @advancedwomenshealth Book a fertility consult: advancedwomenshealth.ca Fertility programming inquiries: info@advancedwomenshealth.ca Leave a review: wherever you're listening, it helps other women find this episode
	Episode 94: You Might Have Endometriosis and Not Know It	20 août 2026	00:32:10
If you have been told your painful periods are normal, your recurrent UTIs are just bad luck, or your fatigue is just stress, this episode is the conversation you have been waiting for. In This Episode, We Answer: What is endometriosis and who can have it? Can you have endometriosis without fertility problems? What are the symptoms of endometriosis beyond painful periods? What does endometriosis have to do with gut health? Does stress make endometriosis worse? Key Takeaways: Endometriosis is an immune condition, not just a hormonal one. The tissue responds to hormones, but the root is immunological. This is why it shows up after menopause, after hysterectomy, and in people with no menstrual symptoms at all. Recurrent UTIs with negative cultures, period-related digestive chaos, cyclical fatigue, hip pain that comes and goes, shortness of breath with your cycle — all of these can be endometriosis. The symptom picture is far wider than most people are told. Chronic stress makes endometriosis worse in two distinct ways: it causes lesion growth directly, and it sensitizes pain pathways so that the same signals produce more intense pain. Addressing the nervous system is not optional in endo treatment — it is part of the protocol. Quick Answers (FAQ): Q: Can you have endometriosis without fertility problems? A: Yes. Many people with endometriosis have no fertility issues. Some have no menstrual symptoms at all. The disease does not always produce the symptoms you would expect, and symptoms do not correlate with disease severity. We go deeper into this at 09:52. Q: What does endometriosis have to do with gut health? A: The abdomen is like a pool. Endometrial lesions create inflammatory chaos that affects every organ in that space, including the bowel. This causes diarrhea, constipation, incomplete evacuation, reflux, and nausea. And gut bacteria determine 40 to 60% of insulin signaling, which drives lesion growth. Gut health and endo are bidirectional. We go deeper into this at 10:18. Q: Does stress make endometriosis worse? A: Yes, in two measurable ways. Chronic stress directly causes endometrial lesions to grow. It also causes central sensitization, where the nervous system over-responds to pain signals, making existing pain significantly worse. We go deeper into this at 20:13. Q: What are the symptoms of endometriosis beyond painful periods? A: Recurrent UTIs with negative cultures, cyclical fatigue, lightning rod rectal pain, digestive symptoms that worsen with your cycle, pain with a full bladder, hip or rib pain that comes and goes monthly, shortness of breath with menses, and deep pain with intercourse. We go deeper into this at 06:26. Resources Mentioned: Related episodes: Episode 27 and Episode 30 with Dr. Lauryn Dingwall on endometriosis and fertility EMDR, somatic therapy, and hypnotherapy: referenced as nervous system tools used alongside medical and naturopathic treatment Book a visit: advancedwomenshealth.ca Email: info@advancedwomenshealth.ca Related Episodes: Episode 27: Endometriosis and Fertility with Dr. Lauryn Dingwall Episode 30: Endometriosis and Fertility Part 2 with Dr. Lauryn Dingwall Episode 92: Fertility Masterclass Part 2, the immune system's role in getting and staying pregnant Episode 88: Metabolic Rehab Type 3, gut hormones and inflammation Connect With Us: Website: advancedwomenshealth.ca Instagram: @drsarah_nd \| @advancedwomenshealth Book an appointment: advancedwomenshealth.ca Leave a review: wherever you're listening, it helps other women find this episode
	Episode 93: Pregnancy Myths, Busted: What You Can Actually Eat, Do, and Stop Worrying About	13 août 2026	00:35:29
Up to 80% of pregnant people receive advice that directly contradicts current medical evidence — this episode cuts through the noise. In This Episode, We Answer: Can I drink coffee while pregnant? Is it safe to have sex during pregnancy? Should I be exercising while pregnant? Am I really eating for two? Do I need to "bounce back" after having a baby? Key Takeaways: Up to 200 milligrams of caffeine per day is safe during pregnancy according to current guidelines. That is roughly one 12-ounce cup of brewed coffee or two shots of espresso. Matcha is about 40 to 60 milligrams per cup. Exercise during pregnancy is not only safe, it is recommended. The 140 beats per minute heart rate cap has been removed. Canada's 2019 guidelines recommend working up to 150 minutes per week at moderate intensity, and research shows blood flow to the baby is protected even during high-intensity exercise. "Bounce back" is not a health goal. Your brain, your body, and your physiology have been reprogrammed in pregnancy to optimize your new role. Postpartum recovery involves your pelvic floor, your core, your hormones, your mental health, and your energy — not just what you see in the mirror. Quick Answers (FAQ): Q: Can I drink coffee while pregnant? A: Yes, in moderation. Current guidelines recommend staying under 200 milligrams of caffeine per day. That is one 12-ounce brewed coffee or two espresso shots. Matcha is lower at 40 to 60 milligrams per cup. We go deeper into this at 03:45. Q: Is sex safe during pregnancy? A: Yes, for most pregnancies. There are specific medical conditions like placenta previa, cervical insufficiency, and preterm premature rupture of membranes where pelvic rest is prescribed, and your provider will tell you if that applies to you. Otherwise there is no contraindication. We go deeper into this at 05:30. Q: Should I be exercising while pregnant? A: Yes. The old 140 beats per minute heart rate cap has been removed. Canada's 2019 guidelines recommend 150 minutes per week of moderate-intensity activity. Research using fetal heart rate monitoring during exercise has shown that blood flow to the baby is protected, even at high intensities. We go deeper into this at 10:15. Q: How much extra food do I actually need during pregnancy? A: Almost none in the first trimester. A modest increase in the second trimester and a bit more in the third. "Eating for two adults" is not what the evidence supports. We go deeper into this at 15:00. Resources Mentioned: Canada's 2019 Pregnancy-Specific Physical Activity Guidelines (free access online) Related Episodes: Fertility Masterclass Part 1: Are You Actually Ovulating? Fertility Masterclass Part 2: The Immune System's Role in Getting and Staying Pregnant Coming next in the fertility series: circulation and structural fertility Connect With Us: Website: advancedwomenshealth.ca Instagram: @drsarah_nd \| @advancedwomenshealth Book an appointment: advancedwomenshealth.ca Leave a review: wherever you're listening, it helps other women find this episode
	Episode 91: Fertility Masterclass: Are You Actually Ovulating? What Your Period, AMH, and FSH Results Really Mean	30 juil. 2026	00:53:55
If you have a regular period and assume that means you are ovulating, this episode will change how you understand your cycle, your hormones, and your fertility. In This Episode, We Answer: How do I know if I'm actually ovulating? What does AMH actually mean and is mine too low? Can I have a regular period and still not ovulate? Why does it take so long to get a fertility diagnosis? What blood tests should I ask for if I'm trying to conceive? Key Takeaways: Having a regular period does not mean you are ovulating. A bleed can occur without ovulation, and the only way to confirm ovulation is by tracking LH, progesterone, and estrogen through the cycle. Not just on day 2 or 3. AMH is a useful marker of ovarian reserve but it is not the complete picture. Primordial follicle pools do not contribute to AMH. A low AMH with a normal antral follicle count can indicate ovarian inflammation, stress, or follicles stuck in arrest, not necessarily permanent diminished reserve. Not ovulating has consequences far beyond fertility. Progesterone and estrogen affect the immune system, brain health, glucose metabolism, muscle development, sleep quality, and inflammation. If you are not ovulating at any age, it is worth understanding why. Quick Answers (FAQ): Q: How do I know if I'm actually ovulating?A: A period alone does not confirm ovulation. You need to track LH and progesterone across your full cycle. At-home urinary hormone monitors like Mira can show you the full picture. Blood work on cycle day 2 to 4 (FSH, LH, estradiol) plus a progesterone test 7 days after ovulation gives a clearer view. We go deeper into this at 07:00. Q: What does AMH actually mean and is mine too low?A: AMH (anti-Mullerian hormone) is a marker of how many follicles are actively developing, not a direct count of all your eggs. Primordial follicles, which are eggs in reserve, do not contribute to AMH. A low AMH does not necessarily mean you have no eggs. It can mean your follicles are stuck and not being recruited due to inflammation or stress. We go deeper into this at 18:00. Q: Can I have a regular period and still not ovulate?A: Yes. Dr. Sarah describes a patient who bled every 30 to 40 days but had no evidence of ovulation on cycle monitoring. The bleed was not a true period because no egg had been released and no progesterone had been made. We go deeper into this at 09:30. Q: What blood tests should I ask for if I'm trying to conceive?A: At minimum: FSH, LH, and estradiol on cycle day 2 to 4. AMH. Progesterone 7 days post-ovulation. Prolactin. Thyroid (TSH, T3, T4, anti-TPO, anti-TG). Two-hour insulin and glucose challenge test. Inflammatory markers (ESR, CRP). HbA1c, vitamin D, iron, ferritin. If PMOS or PCOS is suspected, add testosterone and DHEA. We go deeper into this at 49:00. Resources Mentioned: Mira: at-home urinary hormone monitor used at AWH for cycle tracking AWH Fertility Fellowship: advanced fertility training for AWH practitioners Nature article referenced: "Anti-Mullerian Hormone as an Ovarian Reserve Marker in Primary Ovarian Insufficiency" Book a fertility consult: advancedwomenshealth.ca Email the team: info@advancedwomenshealth.ca Advanced Men's Health (sperm-side fertility): advancedmenshealth.ca Related Episodes: Episode 81: PCOS is now PMOS, what does it mean for you Episode 86: Metabolic Rehab Type 1, insulin and insulin resistance Connect With Us: Website: advancedwomenshealth.ca Instagram: @drsarah_nd \| @advancedwomenshealth Book a fertility consult: advancedwomenshealth.ca Email: info@advancedwomenshealth.ca Leave a review: wherever you're listening, it helps other women find this episode
	Episode 90: Ask Dr. Sarah: Muscle, Protein, Probiotics, and Gut Health Myths	23 juil. 2026	00:38:20
If you have been wondering why your supplements and fitness routine are not moving the needle, Dr. Sarah is answering the questions patients are actually asking in clinic. In This Episode, We Answer: Is muscle mass really that important for inflammation and metabolism? How much protein do I actually need to build muscle? Does my protein intake change if I have insulin resistance? Are probiotics actually worth taking? Do I need to worry about pre- and post-workout nutrition before fixing my basics? Key Takeaways: Muscle is not just for strength. It is your main glucose disposal site, a source of immune-signaling compounds called myokines, and a key factor in bone health, insulin sensitivity, and longevity. Building and preserving it is one of the highest-yield things you can do for your health at any age. Your protein requirements depend on your metabolic state. A metabolically healthy person and someone with insulin resistance need different amounts and types of protein to stimulate muscle growth. One gram per pound is a reference for healthy people, not a universal prescription. Most people do not need a probiotic. In many cases, gut symptoms come from too many bacteria, not too few. Adding a probiotic to an already-overgrown environment can make symptoms worse. The more important question is why the terrain allowed those bugs to overgrow in the first place. Quick Answers (FAQ): Q: Is muscle mass really that important for inflammation and metabolism? A: Yes. Muscle is your main glucose disposal site, produces immune-signaling compounds called myokines, supports bone density, and plays a direct role in regulating inflammation. The research shows low muscle mass and high inflammation are closely correlated, though the causation runs both ways. We go deeper into this at 03:45. Q: How much protein do I actually need to build muscle? A: For metabolically healthy people eating animal-based protein, 25 to 30 grams per meal is enough to trigger muscle protein synthesis via leucine. But this number changes significantly if you have insulin resistance, high inflammation, or are older. There is no universal answer without knowing your metabolic state. We go deeper into this at 10:45. Q: Are probiotics actually worth taking? A: Sometimes, but most people do not need them. Many gut symptoms come from bacterial overgrowth, not bacterial deficiency. Adding more bacteria to an overloaded environment worsens symptoms. The goal is to understand why the terrain allowed the overgrowth and fix that, rather than use a probiotic as a long-term fix. We go deeper into this at 25:00. Q: Do I need to worry about pre and post-workout nutrition before fixing my basics? A: No. If you are dealing with insulin resistance, the priority is getting your general daily meals right first: protein at every meal, stable blood sugar, consistent timing. Micromanaging your post-workout protein shake while eating a chocolate chip muffin for breakfast is backwards. We go deeper into this at 19:30. Resources Mentioned: Advanced Metabolic Rehab program: advancedwomenshealth.ca Clinically guided programs: info@advancedwomenshealth.ca Advanced Men's Health: advancedmenshealth.ca Dr. Sam: Dr. Samantha Maloney, ND, AWH Brooklyn/Whitby location
	Episode 89: The Real Reason You're Gaining Belly Fat in Perimenopause	16 juil. 2026	00:21:26
If what used to work has stopped working and nobody can tell you why, this episode is for you. In This Episode, We Answer: Why am I gaining belly fat in perimenopause when nothing in my diet changed? What is visceral fat and why is it different from regular fat? Can perimenopause start in your 30s? Why can't I lose weight no matter what I do in perimenopause? What labs should I get to understand my hormones and metabolism? Key Takeaways: Perimenopause is not just a hormonal event. It is a metabolic one. When hormones fluctuate rapidly, the body shifts from depositing subcutaneous fat (under the skin) to visceral fat (around the organs). These two types of fat do not respond to the same interventions. Caloric restriction and resistance training alone are not enough to address visceral fat in perimenopause. The research is clear on this. You also need Zone 2 cardio, specific protein and carbohydrate targets, and a plan that preserves muscle while losing visceral fat. DHEA is what Dr. Sarah calls the secret hormone of resilience. When levels are appropriate for your age, it supports metabolic resilience, stress resilience, and muscle mass. It is almost never tested in standard care and almost always worth checking. Quick Answers (FAQ): Q: Why am I gaining belly fat in perimenopause when nothing in my diet changed? A: Rapid hormone fluctuation causes the body to shift from depositing fat under the skin to depositing it around the organs. This visceral fat does not respond to the same strategies as other fat and requires a different approach. We go deeper into this at 11:25. Q: What is visceral fat and why is it different from regular fat? A: Subcutaneous fat sits under your skin. Visceral fat sits around your organs in your abdomen. Visceral fat is metabolically active in a way that drives inflammation, insulin resistance, and cardiovascular risk, and it does not respond as well to caloric restriction or standard resistance training alone. We go deeper into this at 11:25. Q: Can perimenopause start in your 30s? A: Yes. Perimenopause is defined as the 2 to 10 years before menopause, and for some women that window begins in their late 30s. Hormonal fluctuation-based weight changes can also happen postpartum and when going on or off hormonal contraceptives at any age. We go deeper into this at 09:36. Q: What labs should I get to understand my hormones and metabolism? A: For this pattern, Dr. Sarah looks at DHEA, morning cortisol, a two-hour insulin and glucose challenge test, inflammatory markers, lipids (HDL, LDL, triglycerides), and a liver panel. Together these build a metabolic map of what your body is doing with glucose and fat. We go deeper into this at 17:23. Resources Mentioned: Visceral Adiposity Index calculator: https://www.advancedwomenshealth.ca/vai-calculator Advanced Metabolic Rehab program: advancedwomenshealth.ca Clinically guided programs: info@advancedwomenshealth.ca Advanced Men's Health: advancedmenshealth.ca Related Episodes: Episode 86: Metabolic Rehab Type 1, insulin and insulin resistance Episode 87: Metabolic Rehab Type 2, stress and liver dysfunction Episode 88: Metabolic Rehab Type 3, gut hormones and inflammation Connect With Us: Advanced Men's Health: advancedmenshealth.ca Instagram: @drsarah_nd \| @advancedwomenshealth Book an appointment: advancedwomenshealth.ca Clinically guided programs: info@advancedwomenshealth.ca Leave a review: wherever you're listening, it helps other women find this episode The Advanced Women's Health Podcast is hosted by Dr. Sarah Wilson, ND, naturopathic doctor, clinic founder, and obesity and immunology researcher. This is the final episode in the four-part Metabolic Rehab series.
	Episode 88: Why Is My Gut Making It Harder to Lose Weight?	09 juil. 2026	00:21:14
If you have been told bloating, joint pain, allergies, and weight gain are unrelated, this episode connects the dots. In This Episode, We Answer: Why can't I lose weight even though I eat well? Is my gut health affecting my weight? What do gut bacteria have to do with fat storage? Why do I have such bad food cravings and food noise? What is inflammation doing to my metabolism? Key Takeaways: Ozempic, Wegovy, and tirzepatide are synthetic versions of hormones your gut makes naturally. When those gut hormones drop from yo-yo dieting, poor diet, or gut bacteria imbalance, weight loss becomes very hard regardless of effort. Your gut bacteria affect how many calories you extract from food, what hormones tell your body to store or burn fat, and what cravings you experience. This is biology, not willpower. A probiotic alone will not fix this. The pattern requires testing first (ESR, CRP, urate) to understand what is driving the inflammation, then a personalized plan based on those results. Quick Answers (FAQ): Q: Why can't I lose weight even though I eat well?A: Your gut bacteria may be extracting more calories from your food, lowering the gut hormones that control fat storage, and sending cravings signals to your brain that override your intentions. We go deeper into this at 12:00. Q: What do gut bacteria have to do with fat storage?A: In mice studies, transplanting gut bacteria from an obese mouse into a lean mouse causes the lean mouse to gain weight. In humans, giving lean microbiome bacteria to an obese person causes rapid weight loss. These bacteria are directly controlling the hormones that decide whether your body stores or burns fat. We go deeper into this at 12:30. Q: Why do I have such bad food cravings and food noise?A: The bacteria in your gut send signals to your brain instructing it to seek high-fat, high-sugar foods, because those foods feed the bacteria. The food noise you are experiencing may be coming from the bugs in your system, not from a lack of willpower. We go deeper into this at 13:00. Q: Is my gut health affecting my weight?A: Yes, and in multiple ways: calorie extraction, gut hormone production, insulin signaling, inflammation levels, and cravings. We go deeper into all of this starting at 11:30. Resources Mentioned: Advanced Metabolic Rehab program: advancedwomenshealth.ca Clinically guided programs inquiry: info@advancedwomenshealth.ca Advanced Men's Health: advancedmenshealth.ca Herbs mentioned: berberine, nigella (black cumin seed), resveratrol, glutamine, N-acetylglucosamine Related Episodes: Episode 86: Metabolic Rehab Type 1, insulin and insulin resistance Episode 87: Metabolic Rehab Type 2, stress and liver dysfunction Metabolic Rehab Type 4: Perimenopause and Visceral Fat, coming next in this series Connect With Us: Website: advancedwomenshealth.ca Advanced Men's Health: advancedmenshealth.ca Instagram: @drsarah_nd \| @advancedwomenshealth Book an appointment: advancedwomenshealth.ca Clinically guided programs: info@advancedwomenshealth.ca Leave a review: wherever you're listening, it helps other women find this episode The Advanced Women's Health Podcast is hosted by Dr. Sarah Wilson, ND, naturopathic doctor, clinic founder, and obesity and immunology researcher. Subscribe so you don't miss the final episode in this series.
	Episode 87: Why Is Stress Making Me Gain Weight?	02 juil. 2026	00:24:01
If you gain weight in your middle when you're stressed, can't tolerate things you used to, and feel like diet and exercise are making things worse, this episode explains why. In This Episode, We Answer: Why do I gain weight when I'm stressed even if I'm not eating more? Why is my belly fat not responding to diet and exercise? What is cortisol actually doing to my weight? Does stress cause fat storage? Why do I feel flat, unmotivated, and burnt out all the time? Key Takeaways: Stress causes your liver to release glucose into your bloodstream. When you're sitting at a desk, that glucose has nowhere to go except fat cells. This is called auto-generating fat, and it happens completely independent of what you eat. Eating less and exercising more can make this pattern worse. If your body reads calorie restriction and intense exercise as additional stressors, it generates more fat, not less. Cortisol isn't the whole story. The initial stress response (fight, flight, freeze, fawn) runs on epinephrine and norepinephrine. Cortisol comes about 20 to 30 minutes later. Both matter, and they affect your metabolism differently. Quick Answers (FAQ): Q: Why do I gain weight when I'm stressed even if I'm not eating more? A: Cortisol signals your liver to release glucose into the blood. Since you're not moving, that glucose converts to fat. It's independent of food. We go deeper into this at 13:45. Q: Why is my belly fat not responding to diet and exercise? A: If stress is auto-generating fat, no amount of calorie restriction or cardio will outrun it. You need to address the cortisol and liver piece first. We go deeper into this at 14:30. Q: What is cortisol actually doing to my weight? A: Cortisol on a healthy circadian rhythm is beneficial. When it stays persistently elevated, it drives glucose dysregulation, fat storage, and eventually hormone and immune dysfunction. We go deeper into this at 12:00. Q: Why do I feel flat, unmotivated, and burnt out all the time? A: After years of chronic stress, the body starts to shut down the stress response because it isn't helping. That shows up as flatness, low drive, and feeling switched off. It's a physiological pattern, not a personality problem. We go deeper into this at 16:00. Resources Mentioned: Advanced Metabolic Rehab program: advancedwomenshealth.ca Clinically guided programs inquiry: info@advancedwomenshealth.ca Advanced Men's Health: advancedmenshealth.ca Heart rate variability tracking: Oura Ring, WHOOP, Fitbit (mentioned as tools used in-clinic) Continuous glucose monitors (CGM): used in-clinic for real-time stress and glucose tracking Related Episodes: Episode 86: Metabolic Rehab Type 1, insulin and insulin resistance Metabolic Rehab Type 3: Fat and Inflammation, coming next in this series Metabolic Rehab Type 4: Perimenopause and Visceral Fat, coming this summer Connect With Us: Website: advancedwomenshealth.ca Advanced Men's Health: advancedmenshealth.ca Instagram: @drsarah_nd \| @advancedwomenshealth Book an appointment: advancedwomenshealth.ca Clinically guided programs: info@advancedwomenshealth.ca Leave a review: wherever you're listening, it helps other women find this episode
	Episode 86: Why Can't I Lose Weight No Matter What I Do? \| Metabolic Rehab Type 1	25 juin 2026	00:22:31
If you've ever felt like you're doing everything right and still can't lose weight, this episode is for you. In This Episode, We Answer: Why can't I lose weight no matter what I do? Is my metabolism broken? How does insulin resistance affect weight? What labs should I get to understand my metabolism? Why do I crave sugar so badly? Key Takeaways: Insulin is a storage hormone, not just a number on a lab. When it stays high all the time, your body can't access stored fat for energy, no matter how little you eat. Feeling hangry between meals (that hungry, shaky, angry combination) often isn't actual low blood sugar. It's your brain sensing it can't access fuel efficiently, which creates a stress response on its own. A standard ferritin test can miss anemia entirely if you're also inflamed. Ask your doctor for a full iron panel, not just ferritin alone. Resources Mentioned: Advanced Metabolic Rehab system: advancedwomenshealth.ca Advanced Men's Health (partner support): advancedmenshealth.ca Finally Lose It: A professional woman's guide to stop dieting, fix your hormones and overcome weight loss resistance Related Episodes coming next in this series: Metabolic Rehab Type 2: Fat and Inflammation Metabolic Rehab Type 3: Perimenopause and Visceral Fat Metabolic Rehab Type 4: Stress, the Liver, and Weight Connect With Us: Website: advancedwomenshealth.ca Advanced Men's Health (partner support): advancedmenshealth.ca Instagram: @drsarah_nd \| @advancedwomenshealth Book an appointment: advancedwomenshealth.ca Leave a review: wherever you're listening, it helps other women find this episode. Quick Answers (FAQ): Q: Why can't I lose weight no matter what I do? A: Weight loss is driven by hormones, not just calories. If insulin stays elevated even after fasting overnight, your body never gets the signal to burn stored fat. We go deeper into this at 12:04. Q: Is my metabolism broken? A: Probably not broken, but it may be stuck communicating the wrong message. Insulin tells your body whether to store or burn fuel. When that signal stays stuck on "store," weight loss becomes hard regardless of effort. We go deeper into this at 08:34. Q: What labs should I get to understand my metabolism? A: A fasting glucose and HbA1c only show part of the picture. A two-hour insulin and glucose challenge test, plus markers like uric acid and free fatty acids, show what's actually happening when you eat. We go deeper into this at 17:55. Q: Why do I crave sugar so badly? A: When your body can't efficiently access stored fuel between meals, your brain senses a shortage and pushes you toward quick energy, usually sugar or refined carbs. We go deeper into this at 13:58.
	Episode 85: Histamine, MCAS, POTS & Endo: The Hidden Connections	18 juin 2026	00:37:47
Dizziness. Headaches. Random food reactions. Bloating. Palpitations. Period pain that doesn't make sense. If you've been collecting diagnoses — endometriosis, MCAS, POTS — and seeing a different specialist for each one, this episode is going to connect the dots no one else has. Dr. Michelle and Dr. Karina dive deep into histamine, mast cells, and how conditions that seem completely unrelated are often driven by the same underlying mechanisms. In this episode they cover: What histamine actually is — an inflammatory messenger released by mast cells, and why antihistamines only block one piece of a much bigger puzzle The gut-histamine connection — how gut bacteria imbalances increase histamine production, and why some people react to foods they were totally fine with yesterday Mast Cell Activation Syndrome (MCAS) — a systemic, more intense version of histamine intolerance, with symptoms ranging from skin flushing and hives to brain fog, palpitations, and breathing issues POTS (postural orthostatic tachycardia syndrome) — how histamine creates vascular leakiness, why standing up can trigger dizziness or fainting, and a simple at-home heart rate test you can try The EDS connection — how a genetic collagen defect (Ehlers-Danlos Syndrome) compounds the vascular issues seen in POTS and MCAS PMDD and hormones — why histamine fluctuates with your cycle, and why PMDD often has a histamine and inflammatory component The nervous system's role — both external stress and internal stress (nutrient deficiencies, blood sugar swings) drive mast cell instability The 6 health pillars AWH uses to map it all out — insulin & blood sugar, gut & liver health, nutrient deficiencies, oxidative stress, energy production, and nervous system regulation Also in this episode: an update on AWH's new patient onboarding system, the Advanced Metabolic Rehab program, and what's coming this summer — fertility deep dives and "the core four" of perimenopause. Resources & Links 🌐 Book with Dr. Michelle, Dr. Karina, or any AWH practitioner: advancedwomenshealth.ca 📧 Ask about clinically guided programs (Metabolic Rehab, Fertility & more): info@advancedwomenshealth.ca 📲 Follow Dr. Sarah: @drsarah_nd 🏥 Advanced Women's Health: @advancedwomenshealth 🎙️ Mentioned: Episode 3: Understanding Histamine Intolerance with Dr. Michelle Mussar, ND — Dr. Michelle's original histamine deep dive
	Episode 84: The Real Reasons Behind Women's Fatigue	11 juin 2026	00:33:22
You're exhausted. You've been told your labs are normal. And you still feel terrible. Dr. Michelle and Dr. Steph are breaking down the real reasons behind chronic fatigue in women — and why it is almost never just one thing. In this episode, they cover: Nutrient deficiencies — B12, iron, vitamin D, and why being "in range" isn't the same as being optimal. Plus: why ferritin can actually be falsely elevated during inflammation and mask an iron deficiency Insulin resistance and blood sugar dysregulation — the energy crashes, brain fog, and cravings that come from riding the blood sugar rollercoaster all day. And why fixing the gut is half the equation (40–60% of insulin signaling is determined by gut bacteria) Sleep dysfunction and cortisol — why blood sugar drops at 3 AM trigger a cortisol surge that wakes you up, and what's really happening hormonally in perimenopause and menopause Thyroid dysfunction — why a TSH alone isn't enough, what Hashimoto's has to do with fatigue, and why the autoimmune piece goes underinvestigated Immunological fatigue — what happens when your immune system is constantly fighting something (infections, autoimmune activity, endometriosis) and why that by itself creates deep, unrelenting exhaustion Chronic infections — recurrent UTIs, strep, cold sores, mono, shingles. When infections keep coming back, the immune system needs investigation — not just antibiotics Oxidative stress and mitochondrial dysfunction — the cellular rusting that happens when the body can't keep up with its own cleanup, and why this is especially common post-viral illness 📍 Resources & Links 🌐 Book with Dr. Michelle, Dr. Steph, or any AWH practitioner: advancedwomenshealth.ca 📲 Follow Dr. Sarah on Instagram: @drsarah_nd 🏥 Advanced Women's Health: @advancedwomenshealth
	Episode 83: Hidradenitis Suppurativa (HS): The Skin Condition Nobody Is Talking About	04 juin 2026	00:40:07
If you've ever had a recurring boil in your armpit, groin, or under your breast and been told it's just ingrown hair or a sign of poor hygiene, this episode is for you. Dr. Sarah and Dr. Dasha are diving into hidradenitis suppurativa (HS): a chronic inflammatory skin condition that is far more common than most people realize, deeply connected to insulin resistance and immune dysfunction, and almost always misdiagnosed or dismissed. Here's what they cover: What HS actually is — a chronic inflammatory disease of the hair follicle, not an infection, not caused by poor hygiene, and absolutely not your fault The three Hurley stages — from a single boil to interconnected tunnels and scarring, and why catching it early matters Where HS shows up — armpits, groin, under the breasts, buttocks — and why it's so often mistaken for ingrown hairs or shaving irritation The root causes — immune dysregulation, insulin resistance, genetics, gut dysbiosis, and a significant metabolic component (Dr. Sarah has never seen a single case without underlying metabolic dysfunction) Food and lifestyle triggers — high insulin-demand foods, histamine-rich foods (bread, vinegar, fermented products, alcohol), smoking, and sedentary behavior Why exercise actually helps — and why the "sweating makes it worse" myth is causing real harm What treatment actually looks like — from dietary shifts and targeted supplements (zinc, vitamin D, doxycycline at low doses) to biologics and surgery for severe cases The hormonal piece — androgens, the cycle connection, and why "estrogen dominance" is not the right explanation What an AWH visit looks like — from assessment and staging through to a flare plan and a maintenance plan Takeaways from this episode: HS is not caused by poor hygiene — it's an immune and metabolic condition If you have recurring boils in classic locations AND PCOS/PMOS or insulin resistance, get screened A fasting insulin test isn't enough — a 2-hour glucose challenge reveals the real picture Low insulin demand eating and managing metabolic health are foundational to managing HS Sweating does not make HS worse — exercise actually improves outcomes If a provider just gives you one thing and sends you home, that's a red flag — this condition requires a comprehensive plan There is hope — this condition can be brought under control with the right team 📍 Resources & Links Book with Dr. Dasha or the AWH team: advancedwomenshealth.ca Follow Dr. Sarah: @drsarah_nd Follow Dr. Dasha: @dr.dashaleneva Advanced Women's Health: @advancedwomenshealth
	Episode 82: The New AWH Onboarding Experience: What's Inside and Why I Built It	28 mai 2026	00:22:34
You've had your appointment. You have a plan. And then you go home, and real life is still there. That gap between knowing what to do and actually doing it? I've been thinking about it for 10 years. And I've finally built the answer. In this episode, I'm walking you through the brand-new AWH onboarding system. 18 months in the making, designed to hold your hand through your first month so that this time, your plan actually sticks. Here's what's included: Daily education Meal plan templates Movement programming Community cohorts The AWH app All of it: $27 a month. And if you're a current patient, your first month is free. Just email info@advancedwomenshealth.ca. Resources & Links Book a visit: advancedwomenshealth.caFollow me on Instagram: @drsarah_ndAdvanced Women's Health: @advancedwomenshealth
	Episode 81: PCOS Is Now PMOS: What Does It Mean for You?	21 mai 2026	00:28:41
You may have heard the news — PCOS is being renamed. But if you're sitting there thinking, "Okay, what does that actually mean for me?" — this episode is exactly what you need. Dr. Sarah breaks it all down. In this episode, Dr. Sarah covers: 1. Why the name had to changeThose "cysts" on your ovaries? They were never actually cysts. They're immature follicles — the result of your brain and ovaries not communicating efficiently. Not everyone with PCOS even has them. The old name was creating missed diagnoses and dismissed women. That ends now. 2. What birth control actually does — and what it doesn'tThe pill suppresses ovulation, manages estrogen, and protects the uterine lining from thickening. Dr. Sarah is clear: she recommends medications when her patients need them. But the pill doesn't touch insulin resistance. It doesn't fix metabolic risk. And it doesn't protect your cardiovascular health long-term. That's the gap we need to talk about. 3. PMOS doesn't "graduate" at menopauseOne of the most damaging things Dr. Sarah hears: women being told they no longer have PCOS once they stop having periods. That is not how this works. The insulin resistance doesn't disappear. The cardiovascular risk doesn't disappear. The thyroid and adrenal connections don't disappear. The condition changes — but it doesn't end. 4. The test that changes everything: the 2-hour insulin glucose challengeA fasting blood test can only tell you what happened overnight. It cannot tell you what happens when you eat — and in PCOS/PMOS, that's where most of the dysfunction lives. Dr. Sarah explains why she runs this test on every single patient with this diagnosis, and what it allows her to do: build a meal plan that is specific to your insulin response. How many carbs. When to eat. Whether fasting is right for you. Protein types and timing. Information most women have never been given. 5. What real PMOS management looks like at AWHAt Advanced Women's Health, nothing is changing — because the AWH approach has always treated this as a multi-system condition. That means assessing the brain (FSH, LH, prolactin), the thyroid, the ovaries, the adrenals, and the pancreas/insulin system. On an ongoing basis. Because this condition requires monitoring through every phase of life, including perimenopause and menopause. Takeaways from this episode:✅ You don't need cysts on your ovaries to have PCOS/PMOS — irregular cycles and androgenic signs (acne, hair growth, high testosterone or DHEAS) are the key markers✅ The birth control pill manages symptoms — it does not treat the underlying metabolic condition✅ If you've only ever had a fasting insulin test, you're missing most of the picture — ask about the 2-hour insulin glucose challenge✅ PMOS is a lifelong condition requiring ongoing monitoring — not just until you start ovulating or until menopause✅ Up to 30% of women with PMOS also have hypothyroidism — thyroid and adrenal health must be assessed alongside ovarian function✅ Metabolic health can be achieved with this condition. You don't need hundreds of dollars of supplements for life — you need the right strategic approach, customized to your body Go back and listen to Episodes 8 and 9 for Dr. Sarah's deep dives on hormones, insulin, and insulin resistance — they're essential companions to this one. 📍 Resources & Links Book a visit or reach out: advancedwomenshealth.ca Not sure who to work with? AWH onboarding coordinators offer free 15-minute calls to match you with the right practitioner 📲 Follow Dr. Sarah on Instagram: @drsarah_nd 🏥 Advanced Women's Health on Instagram: @advancedwomenshealth If you've been told you don't have PCOS, or that you've "outgrown" it, or if you've never had a full insulin workup — reach out. This is exactly what we're here for.
	Episode 80: Why You're Still Exhausted Even When You're Doing Everything Right	07 mai 2026	00:25:41
You're sleeping more. You've slowed down. You've taken a break. And you're still exhausted. Not just tired — foggy, heavy, unmotivated, running on empty no matter what you do. And every explanation you've been given sounds like some version of "it's just stress, rest more, you'll feel better." But what if something deeper is going on? What if burnout isn't just a mental health issue or a scheduling problem — but a cellular one? That's exactly what Dr. Sasha and Dr. Bianca are unpacking in this episode. And once you understand it, you will never see your fatigue the same way again. Here's what they cover: What mitochondria actually are — and why they matter for everythingYour mitochondria are the batteries inside every single one of your cells. They produce ATP — measurable, biochemical energy that powers every thought, heartbeat, hormone, immune response, and muscle contraction in your body. When they're struggling, you feel it everywhere. The iPhone battery analogy that makes it all clickYour body isn't lazy. It's not unmotivated. It's running on low power mode — and the battery needs attention, not willpower. Signs your mitochondria might be struggling You crash after exercise and take days to recover You wake up after a full night of sleep still feeling unrested Brain fog, word searching, and feeling mentally slow Energy dips after meals, relying on snacks and caffeine to function Mood that feels flat or harder to regulate Basic tasks that feel like they take way more out of you than they should What damages mitochondria over time Chronic stress and elevated cortisol Blood sugar spikes and insulin dysregulation — the cycle that keeps you stuck Poor sleep reducing mitochondrial repair Sedentary lifestyle decreasing mitochondrial density Over-training without adequate recovery Environmental toxins and endocrine disruptors Nutritional deficiencies in key co-factors What you can actually do about it — 4 key areas: Stabilize blood sugar — eat at consistent times, balance every meal with protein + fat + fiber, and stop skipping meals Move in a way that builds mitochondria — resistance training and short bursts of higher intensity movement signal the body to make new mitochondria (but match it to your current stress load — over-training damages them) Lower the oxidative burden — colorful plants, berries, antioxidant-rich foods, short walks after meals, slow deep breathing, and reducing unnecessary stressors Rebuild the raw materials — CoQ10, L-carnitine, magnesium, B vitamins, NAD, alpha lipoic acid (ALA), and glutathione — not as energy stimulants, but as the specific building blocks your cells need to produce ATP Supplements work best on top of a solid lifestyle foundation — not instead of it. If you've been told your labs are normal but you still don't feel right, this episode might be the missing piece you've been looking for. 📍 Resources & Links 🌐 Book a visit with Dr. Sasha, Dr. Bianca, or any AWH doctor: advancedwomenshealth.ca 📲 Follow Dr. Sarah on Instagram: @drsarah_nd 🏥 Advanced Women's Health on Instagram: @advancedwomenshealth 💬 Does this sound like you? Book with the AWH team — we'd love to help you get back to feeling like yourself.
	Episode 79: Why You Keep Getting Sick — And What to Actually Do About It with Dr. Michelle Mussar, ND & Dr. Lauren Reimer, ND	30 avr. 2026	00:27:59
Do you feel like you catch everything that goes around? Or maybe you always get hit in the same spot — the throat, the sinuses, the stomach — like clockwork, every single season? Or you finally shake something, but you never quite feel like yourself again for weeks afterward? This episode is for you. Dr. Michelle and Dr. Lauren sit down to talk all things immune function — from why some people get sick more than others, to what you should actually be doing when illness hits, to how to truly recover (not just "feel better enough to go back to work"). If you're tired of just pushing through, this episode gives you an actual game plan. 💛 💬 Struggling with recurrent or chronic infections and don't know where to start? Reach out — the AWH team is ready to help.
	Episode 78: Everything You Were Never Told About Your Pelvic Floor with Amanda Pereira, MScPT	23 avr. 2026	00:40:04
If you have ever been told to just do your Kegels and left wondering if there is actually more to it than that, this episode is going to be a really good one. Dr. Alessandra Autieri, ND, sits down with Amanda Pereira, our new pelvic health physiotherapist at AWH Port Credit, to break open everything about pelvic health that most women have never been told. We cover why leaking, heaviness, pelvic pain, and urgency are incredibly common but not normal, and what you can actually do about them. We get into why Kegels are not always the answer, and for a lot of women, they are the last thing your body needs right now. Amanda walks through what a first appointment actually looks like, how virtual pelvic physio works and who it can help, and she shares a simple exercise you can do tonight to start calming your pelvic floor down. This is the episode we wish someone had given every woman before she ever Googled pelvic floor. What We Want You to Walk Away With Leaking, pelvic pressure, and urgency are very common but they are not normal. There is help available and you do not have to just live with it. A pelvic health assessment is not just an internal exam. It is a full conversation about who you are, what you carry, and what your body needs. No physical touch required. Kegels are not the default answer for every pelvic floor concern. If your pelvic floor is already holding too much tension, more contraction will make things worse, not better. Calves on the couch is the most downregulating position for your pelvic floor. One to two minutes at the end of your day can calm tension, pain, and that heaviness feeling.
	Episode 77: Non-Negotiable Habits Busy Moms Actually Stick To	16 avr. 2026	00:46:16
What does it actually look like to practice what you preach — when you have a baby, two teenagers, a toddler, a full patient schedule, and real life happening all around you? In this episode, Dr. Michelle Mussar, ND (currently in the thick of postpartum with a baby under one) and Dr. Tracy-Lynn Reside, ND (mom of three, including two teenagers and a toddler) get completely real about the health habits that anchor their lives. Not the polished, perfectly filtered version. The messy, honest, works-for-us-right-now version. This is the mom spin-off of the non-negotiables episode with Dr. Lauren and Dr. Alessandra — and it hits a little different. Here's what they get into: Meal planning as a lifeline — why Sunday planning isn't about being rigid, it's about eliminating the decision fatigue that drains you by 5 PM. Plus: the shredded chicken hack that keeps protein on track all week. Movement that's actually sustainable — how Dr. Michelle rebuilt her relationship with exercise after a rough postpartum recovery, why she treks 25 minutes to a gym she has to pay for (on purpose), and what Dr. Tracy-Lynn does when a sleepless night blows up the 6 AM plan. The consistency vs. perfection trap — you don't lose six weeks of progress by missing one week. You only lose it if you don't get back up. Water, supplements, and the alarm trick — the low-tech strategies that actually make daily habits stick. Nighttime routines that aren't fancy but work — e-readers, app blockers, phone alarms set 75 minutes before bed, and why winding down needs more runway than you think. Gratitude that isn't corny — how Dr. Tracy-Lynn uses it to regulate, not toxic-positivity her way through stress. Capacity before habits — because if your thyroid, iron, or nervous system are tanking you, no habit stack is going to save you. If you've ever felt like you're failing at self-care because your life doesn't look like a wellness influencer's — this episode will feel like a deep exhale. Imperfect consistency beats perfect paralysis every single time. 📍 Resources & Links 🌐 Book a visit: advancedwomenshealth.ca 🆓 Free 50-minute consult available — reach out if you're on the fence or want to find the right fit 📲 Follow Dr. Sarah on Instagram: @drsarah_nd 🏥 Advanced Women's Health on Instagram: @advancedwomenshealth 🎙️ Mentioned in this episode: Dr. Lauren & Dr. Alessandra's non-negotiables episode — go back and listen if you haven't yet! 📱 App mentioned: Be Present (screen time blocker) 💬 Are you a mom trying to figure out your non-negotiables right now? DM us on Instagram — we want to hear what's working for you (and what isn't).
	Episode 74: Part II: Weight Loss Resistance in Perimenopause: What Changes After 40	26 mars 2026	00:41:59
In this episode of the Advanced Women’s Health Podcast, we’re continuing our conversation on weight loss resistance—this time focusing specifically on what happens during perimenopause and menopause. This is one of the most common things I hear from patients in this stage of life: “I’m doing everything the same… and my body is changing anyway.” And the truth is—you’re not imagining it. There are very real, measurable shifts happening in your body during this time. Your hormones are changing, your sleep may be more disrupted, your stress tolerance can shift, and your metabolism starts responding differently. But here’s the most important part: you are not broken. When we understand what’s changing, we can actually work with your body instead of feeling like it’s working against you. In this conversation with Dr. Samantha Maloney, we break down the key drivers behind weight changes in midlife—from insulin resistance and fat distribution to muscle loss, sleep, and stress. We also talk about something I feel very strongly about: weight is not just about calories. It’s about hormones, metabolism, and how your body is functioning as a whole. And while some things do change with age, many of the factors influencing your health are still modifiable—and that’s where we focus our attention. There is so much happening in your body during this phase of life—but that doesn’t mean you’re stuck. When you understand what’s changing, you can start making decisions that actually support your body in a way that feels effective and sustainable. If you haven’t yet listened to Part 1 of this conversation, I highly recommend starting there first. Please follow this show on Spotify. It really helps!
	Episode 73: Fasting for Women Explained: Hormones, Stress & When It Works with Dr. Ashley Stapleton, ND	19 mars 2026	01:00:13
Fasting has become one of the most talked-about topics in health right now—and also one of the most misunderstood. In this episode, I sit down with Dr. Ashley Stapleton to break down what fasting actually means, the different ways it can be used, and most importantly… whether it’s right for you. Because the truth is, fasting isn’t good or bad. It’s context-dependent. We dive into the physiology behind fasting, how it impacts hormones, metabolism, and stress, and why two women can try the exact same approach and have completely different results. If you’ve ever wondered whether fasting is helping you—or holding you back—this episode is for you. Chapters: 00:00 Fasting Types Defined 02:04 Why People Fast 03:31 Fasting Mimicking Deep Dive 09:24 Cravings Dopamine and Food Triggers 21:09 Fasting Physiology and Women’s Cycles 29:54 Fasting Risks for Lean Women 32:10 Calories, Weight Loss, and Cortisol 36:19 Stress Buckets and Body Feedback 43:16 Fasted Workouts and Fuel State 54:22 Personalized Fasting Takeaways
	Episode 72: Part I: Weight Loss Resistance Explained with Dr. Samantha Maloney, ND & Dr. Alyssa Louras, ND	12 mars 2026	00:42:04
In this episode of the Advanced Women’s Health Podcast, I sit down with two incredible doctors from our Brooklyn clinic, Dr. Samantha Maloney, ND and Dr. Alyssa Louras, ND to talk about one of the most common and frustrating concerns we hear from patients: weight loss resistance. If you’ve ever felt like you’re doing everything right—eating well, exercising, and still not seeing the changes you expect—this conversation is for you. One of the biggest misconceptions about weight loss is that it simply comes down to calories in versus calories out. But in reality, the body is much more complex than that. Hormones, inflammation, gut health, stress, thyroid function, and metabolic signaling all play a role in how the body uses or stores energy. In this episode, we each share our perspectives on weight-loss resistance, drawing on our clinical experience and personal journeys. Dr. Samantha talks about how her background in bodybuilding helped her understand how the body can shift between muscle building and fat loss, and why those signals can sometimes go wrong. Dr. Alyssa shares how her training in nutrition led her to see that weight loss is rarely just about food—it’s about the larger systems in the body that influence metabolism. Throughout the conversation, we unpack some of the biggest drivers of weight-loss resistance, including insulin resistance, chronic stress, inflammation, thyroid function, and the nervous system's impact. We also talk about why testing and understanding your individual physiology are so important when you feel stuck. Most importantly, we emphasize something I say often in clinic: you didn’t eat your way into weight loss resistance, and you’re not going to eat your way out of it either. Weight is often a reflection of what is happening in the body as a whole. When we address the underlying drivers—hormones, gut health, inflammation, stress response—the body often starts responding again. This is just the first part of a bigger conversation, and we will be diving even deeper in Part 2.
	Episode 71: Dr. Karina’s Path into Naturopathic Medicine	05 mars 2026	00:25:45
In this episode of the Advanced Women’s Health Podcast, we are introducing a new member of our team. I’m so excited for you to meet Dr. Karina Samji, ND, who is now seeing patients at our Toronto West and Port Credit clinics. Dr. Karina’s journey into naturopathic medicine began with her own health challenges. After struggling with digestive issues and symptoms that no one could quite connect, she experienced firsthand how powerful a root-cause approach to healthcare can be. That experience shaped the kind of doctor she wanted to become—someone who listens deeply, connects the dots, and helps patients understand what is happening in their bodies. In this conversation, we talk about Dr. Karina’s path into naturopathic medicine, the types of concerns she loves supporting, and what patients can expect when working with her. We also dive into the foundations of naturopathic medicine, how it focuses on treating the whole person, and why collaboration—both with patients and other healthcare providers—is such an important part of care. If you’ve ever wondered what it’s like to work with a naturopathic doctor or what a first visit looks like, this episode will give you a clear picture. You’ll also hear some of Dr. Karina’s favorite foundational health habits and simple ways you can start supporting your health today.
	Episode 70: Our Health Non-Negotiables: The Habits We Actually Practice, Not Just Preach	26 févr. 2026	00:44:09
We talk a lot about health on this podcast — hormones, gut health, skin, stress, inflammation — but today’s episode is a little different. In this conversation, Dr. Alessandra Autieri and Dr. Lauryn Dingwall take you behind the scenes and share something much more personal: the habits they prioritize in their own lives. Because here’s the truth — we cannot ask our patients to build consistency if we are not doing it ourselves. This episode is not about perfection. It’s not about cold plunges at 5 a.m. or complicated wellness routines. It’s about the simple, foundational habits that actually move the needle — and how to make them realistic, sustainable, and integrated into real life. You’ll hear how they structure their days, how they approach movement and nutrition, how they build support systems, and how they stay consistent even when life gets busy. If you’ve ever felt overwhelmed by health advice or unsure where to start, this episode brings you back to the basics — in a way that feels achievable. The biggest takeaway from this episode? You do not rise to the level of your goals. You fall to the level of your systems. Health is not built in one appointment. It is built in the daily decisions — the quiet ones, the repetitive ones, the unglamorous ones. And those are the habits that change everything. If this episode resonated with you, share it with a friend and start building your non-negotiables together. Be well.
	Episode 69: Eczema Explained: Breaking the Itch–Inflammation Cycle from the Inside Out with Dr. Dasha Leneva, ND	19 févr. 2026	00:48:00
Eczema is one of those diagnoses that almost everyone has heard — and almost no one truly understands. In this episode, I sit down with Dr. Dasha to unpack what eczema actually is, why it flares, and how we approach it in a way that goes far beyond “just use this cream.” Because eczema isn’t just dry skin. It’s an inflammatory loop. It’s immune activation. It’s barrier dysfunction. It’s stress. It’s microbiome imbalance. And for many women and children, it’s incredibly overwhelming. We break down the science in a way that makes sense — and most importantly, we give you a framework you can actually use. This conversation is about clarity, not confusion. Empowerment, not fear. If you or your child struggle with eczema, this episode will help you understand what’s happening beneath the surface — and what you can do about it. In this episode, you’ll learn: What the word “eczema” really means — and why it’s often overused The different types of eczema and how they present Why itching becomes a self-perpetuating inflammatory loop What skin barrier dysfunction actually is — and why it matters The role of the filaggrin gene and why some people are more prone How environmental triggers like fragrance, detergents, stress, and weather contribute to flares Why eczema is not just a skin issue — it’s an immune issue How the gut microbiome influences eczema severity When food may play a role — and why extreme elimination is often not the answer How to use topical corticosteroids properly and safely The difference between flare treatment and maintenance care Practical tools like wet wraps, black tea compresses, zinc, and topical B12 The nutrients that matter most for barrier repair and immune balance Why anxiety, mood changes, and eczema are often connected How to create an eczema action plan that reduces overwhelm This episode is for you if: You or your child have been told “it’s just eczema” but nothing feels resolved You feel overwhelmed by possible triggers You’ve tried everything and still experience flares You’re scared of using topical steroids but unsure what the alternative is Your eczema worsens during stress You suspect gut health may be playing a role You want a holistic plan that treats the root, not just the rash You’re ready to stop playing whack-a-mole with symptoms Eczema can feel unpredictable. It can feel discouraging. It can feel like you’re doing everything right and still reacting. But there is a path forward. It starts with understanding the pillars: barrier health, inflammation, microbiome balance, nervous system regulation, and itch control. And it continues with a plan that makes sense for your body. If you’re in British Columbia and looking for support, Dr. Dasha sees patients virtually and in person at our Vancouver clinic. You do not have to navigate this alone. Be well.
	Episode 68 – What Aging Well Really Looks Like: Inside Aesthetic and Naturopathic Medicine with Dr. Nicola Bennett, ND	12 févr. 2026	00:58:31
So many women I meet are curious about aesthetic treatments—Botox, fillers, PRP—and also cautious. They want to feel like themselves, but more vibrant and confident. They want to age well, not erase their age. And they want to understand how these treatments actually work. In this episode, I sit down with Dr. Nicola Bennett, ND, to explore the intersection of aesthetic medicine and naturopathic care. Dr. Nicola has built a practice that combines the science of aging with a deep understanding of women’s health and healing. Whether she’s treating wrinkles or supporting someone’s hormonal health, she brings the same lens: what’s the most supportive, sustainable, and aligned approach for this person? We cover so much in this episode—from how neuromodulators and dermal fillers work, to natural regenerative options like PRF (Platelet-Rich Fibrin) and microneedling, to the role of lifestyle, skincare, and timing. This is a thoughtful, grounded conversation about what’s possible when you blend intention with innovation. In this episode, you’ll learn: What causes wrinkles—and how aging shows up in the skin The difference between Botox, dermal fillers, PRF, and PRP How microneedling works and who it’s best for Why timing matters for aesthetic treatments, especially around big life events How your nervous system, inflammation, and stress affect how you age What a holistic approach to aging well can look like—including the role of exosomes, nutrition, and skincare This episode is for you if: You're curious about aesthetic medicine but want to avoid the “overdone” look You’ve heard of treatments like microneedling, PRF, or neuromodulators but want real, clear explanations You want to age with confidence, not chase unrealistic beauty standards You’re navigating your 30s, 40s, or 50s and noticing changes in your skin and energy You believe health, healing, and beauty are all connected—and want care that reflects that
	Episode 65: The Impact of the Nervous System on Healing with Dr. Andrea Whelan and Lisa Lopez, RMT	15 janv. 2026	00:43:16
When it feels like your body just won’t calm down—when you’re anxious, wired, or constantly on edge—it’s often your nervous system trying to protect you. In this episode, we explore how stress, trauma, and even everyday overwhelm can get stuck in the body, and what it really takes to shift into a state of true healing. In this episode, you’ll learn: What the nervous system actually is and how it affects your health. The difference between “fight or flight” and “rest and digest”—and why balancing the two matters. How trauma, stress, and even poor sleep or nutrition can keep your body in a stress state without you knowing it. Why motivation often comes after action, not before it. Practical tools you can use right away to reset your nervous system and start feeling better. This episode is for you if: You feel stuck in survival mode but can’t figure out why. You’ve been told to “just relax” but it never works. You’re curious about craniosacral therapy or how massage therapy can support emotional and physical healing. You want to know how your breath, blood sugar, sleep, and even technology use are impacting your stress levels. You’re ready to make small, supportive changes that create long-lasting resilience. In this deep and heartfelt conversation, Dr. Andrea Whelan is joined by Registered Massage Therapist and craniosacral therapist Lisa Lopez. Together, they unpack what it means to truly heal—not just physically, but mentally and emotionally. You’ll hear real talk about trauma, parenting, burnout, daily stress, and how simple changes can begin to shift your body back into a healing state. This is not about doing everything perfectly. It’s about understanding your body better, and gently giving it what it needs to feel safe, grounded, and supported again. Resources & Mentions: Interested in working with Advanced Women’s Health? We’re accepting patients in BC and Ontario—join the waitlist if you’re in another province. [Link in show notes] Stay tuned for Dr. Andrea and Lisa’s upcoming course on nervous system healing—details coming soon!
	Episode 64: Inside Clinical Rounds: Real Cases on Digestion, Inflammation, and Stress	08 janv. 2026	00:36:19
Hi everyone, it’s Dr. Sarah. In today’s “Inside Clinical Rounds,” I’ve passed the mic to our incredible team at Advanced Women’s Health. Dr. Alessandra leads this episode and is joined by Dr. Liz and Dr. Bianca for a deep dive into real clinical cases we’ve seen in the clinic. These conversations are an inside look at how our practitioners think, how we work together, and how we approach complex women’s health cases through a truly integrative lens. We’re pulling back the curtain to show you what happens behind the scenes — and why individualized care matters so much. From tricky digestion symptoms and bile acid diarrhea to the stress-inflammation connection and unexpected endometriosis presentations, this episode is packed with insight. Whether you’re a fellow practitioner or someone navigating these issues yourself, there’s something here for you. In this episode, you’ll learn: How stress and nervous system dysregulation can show up as persistent digestive issues What bile acid diarrhea is, and why it’s often missed The role of inflammation in gut health and hormone balance How we identify and treat endotoxemia (a fancy word for toxins from the gut entering the bloodstream) What we look for in possible endometriosis cases beyond just period pain Why individualized testing and treatment plans make all the difference This episode is for you if: You’ve been told your labs are “normal” but still feel off You’ve tried everything for your digestion and still don’t have answers You’re curious how stress could be affecting your physical symptoms You’re a practitioner who wants to sharpen your clinical lens You love seeing how real patients are supported with compassionate, evidence-based care Want to see how naturopathic doctors think through complex cases? You’ll love this one. Thanks for listening,Dr. Sarah
	Episode 63: Women’s Health in 2025: Trends, Tools & Real-Life Favorites	01 janv. 2026	00:57:38
As we step into a new year, I wanted to take a moment to reflect, reset, and share with you what I see unfolding in the world of women’s health in 2025. In this solo episode, I’m pulling back the curtain on some key healthcare trends, practical tools, and a few personal favorites that are helping me feel my best right now. There’s a lot of noise out there about what women “should” be doing, but this conversation is all about tuning in to what actually matters. From learning how to align your life with your hormones to embracing strength training and community as essential parts of wellness, we’re diving into real-life strategies for thriving—not just surviving—this year. Plus, I’ll walk you through some of the simple things that are making a big difference in my everyday routine, from what I’m drinking in the morning to the red light I’m sitting under while recording this. In this episode, you’ll learn: Why individual, hormone-aware healthcare is more important than ever How more women are embracing strength training and why it matters The role of community, connection, and movement in your long-term health My top favorite wellness tools and routines right now How I’m supporting my nervous system and energy in 2025 This episode is for you if: You’re curious about what’s changing in women’s health this year You want to feel better without overhauling your entire life You’re looking for small but impactful ways to support your hormones, mood, and energy You love a peek behind the scenes of what’s working for someone else (with no pressure to copy it) Let this episode be your reminder that your health doesn’t need to be perfect—it just needs to be supported. And sometimes, that starts with one small shift. If this episode resonates with you, feel free to take a screenshot and share it on Instagram. Tag me @drsarah_nd so I can thank you personally.
	Episode 62: Understanding Acupuncture: How Tiny Needles Can Make a Big Impact with Allison Adams, R.Ac.	18 déc. 2025	00:21:42
In this episode, I hand the mic over to Dr. Aless from our Advanced Women’s Health team for a fascinating conversation with registered acupuncturist Allison Adams. Together, they dive into what acupuncture really is, how it works, and why it's such a powerful tool in women’s health. Allison shares how acupuncture affects everything from your nervous system and hormones to digestion and sleep—and why so many women are turning to this ancient therapy for modern-day issues. They also discuss how acupuncture can support fertility, pregnancy, period pain, perimenopause, and even cosmetic goals. If you’ve ever been curious about how sticking tiny needles in your body could actually help you feel better—this episode is for you. In this episode, you’ll learn: How acupuncture supports hormonal balance and nervous system regulation What a typical acupuncture session looks like The difference between traditional and modern acupuncture How acupuncture helps with fertility and pregnancy symptoms Why period pain, digestion issues, and sleep can improve with treatment What facial acupuncture is and how it works Common myths and fears around acupuncture—debunked Why relaxation is a big part of the healing process This episode is for you if: You’re curious about acupuncture but unsure what to expect You’ve been dealing with chronic stress, anxiety, or burnout You’re trying to conceive or struggling with cycle irregularities You’re pregnant and looking for natural support You want a natural way to support your skin, digestion, or sleep You’re just looking for a gentle, evidence-informed approach to better health Book with Allison Adams, R.Ac. Allison practices at our Port Credit location and is currently accepting new patients. Book with Allison here
	Episode 61: Pregnancy and Postpartum: What Real Support Looks Like with Dr. Heather Elford, ND, and Dr. Erin Kooy, DC	11 déc. 2025	00:55:47
In this episode of the Advanced Women’s Health Podcast, Dr. Heather Elford, ND, and Dr. Erin Kooy, DC lead a powerful and practical conversation around supporting the female body during pregnancy and the postpartum period. Together, they dive into how pregnancy impacts everything from hormones and posture to pelvic floor function, thyroid health, and energy levels. Rather than reinforcing the outdated narrative that women are fragile during this time, they explore how strength can be reclaimed—mentally, emotionally, and physically. Whether you’re planning a pregnancy, currently expecting, or navigating the often-overlooked postpartum stage, this episode offers clarity, compassion, and actionable steps to support your health every step of the way. In this episode, you’ll learn: Why pregnancy doesn’t mean fragility—and what strength actually looks like How the body changes structurally during pregnancy and postpartum The role of hormones like relaxin, insulin, and thyroid in your energy and mood What to know about pelvic floor shifts and recovery How nutrient depletion and overlooked thyroid issues can affect healing Why so many women feel dismissed postpartum—and what better care looks like This episode is for you if: You’re pregnant and want real, supportive information You’re postpartum and feeling dismissed, depleted, or confused You want to better understand how to prepare your body before and after birth You believe women deserve better care and more answers in motherhood Don’t forget to subscribe, share, and review the show.If you loved this episode, take a screenshot and tag @advancedwomenshealth on Instagram to continue the conversation.
	Episode 60: The Hormone Weight Struggle, PCOS Confusion & the Real Fixes That Work	04 déc. 2025	00:41:21
In this episode of the Advanced Women’s Health Podcast, Dr. Michelle Mussar, ND, sits down with Dr. Natalie Scheer, ND, for a real-world look at what’s coming through the clinic doors. From PCOS misdiagnoses and irregular cycles to metabolic shifts, early perimenopause, and stress-related hormone disruptions — they cover it all. This clinical roundtable offers a behind-the-scenes view into how the Advanced Women’s Health team approaches care: with thoughtful questions, personalized strategies, and a deep commitment to treating the whole person — not just lab numbers. In this episode, you’ll learn: Why so many women are misdiagnosed with PCOS — and what to look out for The difference between PCOS, hypothalamic amenorrhea, and early perimenopause How life changes like stopping sport, weight shifts, and stress impact hormones The hidden role of insulin resistance in weight gain and fatigue Why emotional stress and food shame often block progress How realistic, sustainable plans (not perfection) lead to real results This episode is for you if: Your cycles have changed and you don’t know why You’ve been told you have PCOS — but it doesn’t quite add up You’re tired of being handed one-size-fits-all hormone advice You’re overwhelmed by information on social media and need clarity You want a real look into how clinical care actually works 🎧 Listen now and discover what’s really working in women’s health care — and why your story deserves a second look. 📍 Book with our team or learn more at advancedwomenshealth.ca
	Episode 59: The Thyroid-Hormone Connection – What Every Woman Should Know with Dr. Micaela Gregory, ND	27 nov. 2025	00:53:06
Your thyroid might be small — but its impact on your hormones, energy, and overall health is massive. In this episode, I sit down with Dr. Micaela Gregory, ND to unpack one of the most misunderstood areas in women’s health: the thyroid. We talk about how thyroid issues like hypothyroidism and Hashimoto’s often go undetected, what symptoms to look for, and how they can affect everything from your period to your mood and metabolism. Dr. Micaela shares her clinical insights and compassion-first approach to treating thyroid dysfunction — with a focus on getting to the root of the problem, not just treating lab numbers. In this episode, you’ll learn: How your thyroid affects your hormones, energy, cycles, and mood The difference between hypothyroidism, hyperthyroidism, and Hashimoto’s What symptoms to watch for — even if your labs are “normal” Why many thyroid cases go undiagnosed or undertreated in women How irregular periods, heavy bleeding, and fertility are linked to thyroid health What a full thyroid workup should really include When to look beyond TSH levels for a clearer picture Lifestyle, nutritional, and medical strategies that support thyroid balance This episode is for you if... You’re feeling tired, foggy, bloated, or off — and can’t figure out why You’ve been told your thyroid is “fine” but still don’t feel well You’re struggling with irregular periods, heavy bleeding, or hormonal shifts You’re curious about autoimmune thyroid conditions like Hashimoto’s You want a more informed, compassionate approach to thyroid treatment 🎧 Listen now on your favorite podcast app and tag Dr. Micaela @feelbetter.livebetter and @drsarah_nd with your biggest takeaways.
	Episode 58: Understanding Fatty Liver Disease with Andy the RD	20 nov. 2025	00:43:53
“Your liver is doing more than you think — and it needs your support.” In this episode, Dr. Ally Hilario sits down with registered dietitian Andy De Santis, also known as Andy the RD, to talk all things liver health. With fatty liver disease now affecting nearly one in four adults, it’s time we shed light on what’s really going on — and what you can do about it. We break down what fatty liver is, how it often shows up silently, and the surprising ways insulin resistance, stress, gut health, and nutrition all play a role. Andy shares practical, no-fluff strategies you can start using today to take care of your liver — without overwhelm or shame. In this episode, you’ll learn: What fatty liver disease is — and why so many people have it without knowing How insulin resistance and stress are connected to liver function Why gut health matters more than most people realize The impact of sugar, alcohol, and ultra-processed foods on liver health Easy food swaps and realistic lifestyle habits that support a healthier liver Why you don’t need to cut out everything you love to make progress How to feel empowered (not judged) when making changes to your diet This episode is for you if… You’ve been told you have a “fatty liver” and aren’t sure what to do next You’re curious how food, stress, and hormones affect your liver You want real-life, doable nutrition tips — not strict rules or fear-based advice You’re working on metabolic health and want to go deeper than just “cut carbs” Connect with Andy the RD: 📲 Instagram: @andytherd 🌐 Book a consult: andytherd.com 🎧 Listen now wherever you get your podcasts, and tag us with your takeaways! Chapters: 00:00 Introduction to Fatty Liver Disease 01:04 Meet the Experts: Dr. Allie and Andy DeSantis 04:36 Understanding Fatty Liver: Causes and Symptoms 09:39 The Role of Diet, Lifestyle, and Gut Health 22:08 The Impact of Stress on Digestion and Health 23:24 Practical Tips for Stress Management 24:35 Optimizing Meal Habits for Better Health 29:01 Top Foods for Liver Health
	Episode 57: Why Women Deserve Their Own Sports Shoes — with Lindsay Housman of Hettas	13 nov. 2025	00:57:42
“Why are women still wearing shoes designed for men?” In this episode, I sit down with Lindsay Housman, CEO and founder of Hettas — the first performance footwear brand engineered specifically for women’s biomechanics. If you've ever laced up a pair of runners and felt like something was off, this conversation will hit home. We talk about how most athletic shoes are still made using men's feet as the default, why that matters for women’s health, and how Lindsay's background in tech, finance, and sport led her to create a company that’s rewriting the rules for women in motion. This isn’t just about footwear. It’s about equity, injury prevention, and giving women the tools to perform, recover, and thrive — in sport and beyond. In this episode, you’ll learn: Why most sports shoes don’t actually fit women’s bodies The performance gap in gear — and how it’s putting women at risk How injuries, especially in knees and feet, often trace back to poor shoe design What goes into engineering shoes for women’s unique needs How Lindsay’s journey from finance to founder is paving the way for better gear What “resilience through sport” really means for women and girls How Hettas is reshaping the future of women’s athletic performance This episode is for you if… You’ve ever felt pain or discomfort during or after working out You’ve had recurring injuries in your knees, feet, or hips You want to support brands that center women’s health and performance You believe women deserve more than a “shrink it and pink it” approach to gear You’re raising or coaching girls in sport and want them to feel confident and strong Special Offer for Listeners: Use code WOMENSHEALTH20 at www.hettas.com for 20% off your first pair. 📍 Learn more about women’s wellness at advancedwomenshealth.ca 📲 Share this episode or tag me @drsarah_nd — I’d love to hear your thoughts on the future of women’s performance gear.
	Episode 56: Hormone Replacement Therapy: What Every Woman Deserves to Know Before Deciding with Dr. Natalie Scheer, ND	06 nov. 2025	00:48:13
“I just wish someone had told me what was happening to my body.” In this episode, I’m joined by my colleague Dr. Natalie Scheer, ND, and we’re having the kind of honest, informed conversation every woman deserves to hear as she approaches perimenopause and menopause. From patients feeling dismissed or misunderstood, to the confusion around hormone therapy and conflicting advice online — we’re clearing the air. Dr. Natalie shares her personal journey into naturopathic medicine, what inspired her to specialize in women’s hormonal health, and the practical, compassionate ways she supports women during this often-overlooked stage of life. This is more than a hormone talk. It’s about being seen, being heard, and understanding that you are not alone. In this episode, you’ll learn: Why so many women feel unheard during perimenopause — and how to change that How hormonal shifts can impact mood, weight, sleep, and mental health The role of estrogen and progesterone in supporting energy, memory, and quality of life How to approach HRT with clarity: when it helps, how it’s prescribed, and what’s safe Why early menopause, hysterectomy, or fallopian tube removal changes hormone needs The link between hormone therapy and cardiovascular, breast, and vaginal health How we follow up with women after starting HRT — and why personalized care matters This episode is for you if… You’re confused or overwhelmed by menopause info online You’re noticing symptoms but unsure if it’s “just stress” or hormone-related You’ve been told to “just wait it out” and feel like something is missing You want to understand your body — and your options — with evidence-based, compassionate support Resources:ASCVD Risk Estimator Plus Want to feel confident in your hormone journey? 🎓 Check out our short video course: Mastering Perimenopause & Menopause — designed to help you understand what’s really going on in your body, in 10-minute lessons. 📍 Learn more about working with us at advancedwomenshealth.ca 📲 Tag me on Instagram @drsarah_nd with your takeaways — I always love hearing what hits home.
	Episode 55: Insights from the National Menopause Show: Visceral fat, hormone replacement therapy misconceptions, hysterectomy, and more with Dr. Sarah Wilson	30 oct. 2025	00:35:08
You’ve been told “there’s not enough research.” But is that really true? In this solo episode, I’m sharing raw, honest reflections fresh from the National Menopause Show in Toronto — one of Canada’s biggest consumer health events dedicated to midlife women. After speaking with hundreds of women, answering live questions, and absorbing what other presenters shared, I’ve come back with strong opinions and a mission to clear up the confusion. It’s time to shift from fear and frustration to facts and forward motion. From bioidentical hormones to hysterectomies, visceral fat to conflicting advice — we’re breaking down what’s actually backed by research, and how to advocate for the personalized care you deserve. In this episode, you’ll learn: The biggest myth still holding women back from informed healthcare decisions Why saying “there’s no research” is keeping us stuck — and what the data actually shows What bioidentical hormones are (and what they’re not) — explained in plain language How hysterectomies impact your hormones, pelvic health, and what support you really need post-op The science behind visceral fat, weight gain, and why “eat less, move more” doesn’t cut it Why you don’t need to do everything at once — just two targeted changes can transform your health How to know if your provider is truly informed about menopause care (and what questions to ask) This episode is for you if… You feel confused by conflicting hormone advice and want the facts, not fear You’ve had (or are preparing for) a hysterectomy and want to feel supported, not sidelined You’re overwhelmed by midlife weight changes and wondering what’s actually in your control You want to stop relying on Dr. Google and start making confident, research-informed decisions You’re craving real, unfiltered conversation about what it means to be a woman navigating midlife health Resources + Links: Join our waitlist or become a patient: advancedwomenshealth.ca Watch the 10-Minute Masterclasses on HRT, hysterectomy, weight gain, and more: https://advancedwomenshealth.mykajabi.com/offers/MF7oVGSi/checkoutLearn more about our new men’s clinic: [Advanced Men’s Health] Follow Dr. Sarah on Instagram: @dr.sarahwilson.nd If this episode resonated with you… Take a screenshot and tag me on Instagram @dr.sarahwilson.nd — I’d love to hear what stood out. Your shares help more women access real, empowering health info, and they mean so much to me. Let’s keep the conversation going.
	Episode 53: Weight Loss, Mindset & Building Sustainable Habits with Coach Magda Banas	16 oct. 2025	00:50:42
Ever feel like you've tried everything and still don’t see results with weight loss? This episode will change how you think about your body, your habits, and your health journey. I’m Dr. Ally, a naturopathic doctor at our Port Credit clinic, and today I’m joined by the amazing Magda, a body transformation coach with Lady the F Up. Together, we dig into the real reasons women struggle with weight loss — and why one-size-fits-all plans don’t work. Whether you're a busy mom, someone who's been on every diet imaginable, or just feeling stuck, this episode is packed with practical insights and inspiration to help you take the first step — and keep going. What You’ll Learn in This Episode: Why women often get frustrated when the scale doesn’t move, even though their body composition is changing The truth about fad diets and why extremes rarely lead to sustainable results. Hidden saboteurs: food scales, sneaky calories, and how weekends can undo weekday progress The under-eating trap: why eating too little can stall weight loss Cortisol belly explained: stress, hormones, and that stubborn midsection Food comparisons that matter: 300 calories of processed food vs. 300 calories of whole food Magda’s top 3 strategies you can start this week to beat weight loss resistance Magda also shares: Her journey from dance and kinesiology to coaching What her real-life coaching process looks like (and why it’s not a quick fix)How to plan for social events and vacations without guilt Why perfection isn’t the goal — consistency is This episode is for you if… You’re frustrated with your current weight loss progress You’ve lost weight before but can’t keep it off You’re overwhelmed with all the conflicting fitness advice online You want to learn how to fuel your body, not restrict it Ready to take the next step in your health journey? Connect with Magda and learn more about sustainable fat loss coaching: 🔗 Instagram: @magdabanas \| @ladythefup🌐 Website: ladythefup.com Want personalized naturopathic care designed for women? 💜 Visit us at advancedwomenshealth.ca to explore our services, join our waitlist, or book a consultation. Thanks for tuning in — and remember, your health journey doesn’t have to be perfect. Just keep going. We’ve got you.
	Episode 52: Perimenopause Isn’t Just Hormones: What We Treated This Week	09 oct. 2025	00:31:04
Feeling unlike yourself lately? It might not be "just hormones." In this episode of the Advanced Women’s Health Podcast, Dr. Maryellen Tedeschi, Dr. Kaitlyn, and Dr. Ashley take you behind the scenes for a candid look at what we treated this week in clinic — and how we help women navigate the often confusing symptoms of perimenopause and menopause. We’re talking about brain fog, poor sleep, mood swings, fatigue, and those “I don’t feel like myself anymore” moments — not with guesswork, but with real strategies that go far beyond hormone replacement therapy. You’ll hear how we break down complex cases using foundations like nervous system support, insulin sensitivity, gut health, thyroid antibodies, and more. We explain how treating just two or three key pillars can lead to incredible change — all while making it manageable for you. If you’re wondering where to start or you’re feeling brushed off by the usual “everything’s fine” approach, this episode will feel like a breath of fresh air. In this episode, you’ll learn: Why not all symptoms are caused by fluctuating hormones How gut health, blood sugar, and thyroid autoimmunity affect sleep and mood What it really means when your doctor says “everything is normal” The truth about hormone therapy — and why we call it the cherry on top A real case of a 62-year-old woman and how we personalized her care plan This episode is for you if... You’re 35+ and starting to feel “off” but don’t know why You’re overwhelmed by advice and need a clear starting point You’re curious about holistic or naturopathic care for perimenopause You want a smarter, more personalized path to feeling like yourself again Visit advancedwomenshealth.ca to learn more. Thanks for tuning in — we’re so glad you’re here.
	Episode 51: Why Summer Didn’t Recharge You—And How to Recover Now	02 oct. 2025	00:27:46
Are you dragging yourself into fall feeling more exhausted than when summer began? If your vacations, lake days, and slower schedules didn’t leave you recharged, you’re not alone—and you’re not broken. In this solo episode, I’m diving deep into why so many of us end the summer more burnt out than renewed, and what we can actually do to recover before the next season fully takes hold. I share real patient stories that reveal the hidden reasons behind post-summer exhaustion, from disrupted sleep patterns to blood sugar shifts and nervous system hypervigilance. Most importantly, I’ll guide you through practical, holistic steps you can start now to reset your body, reclaim your energy, and head into fall with resilience instead of fatigue. What You’ll Learn in This Episode: Why “time off” doesn’t always equal true recovery. How disrupted sleep quality (not just sleep hours) impacts energy and burnout. The hidden role of late-night eating, alcohol, and travel on your physiology. Why loving your work (or vacation!) can still burn out your body if you ignore recovery. Four pillars of true recovery: metabolism, nervous system regulation, inflammation management, and intentional rituals. How small, consistent choices can restore energy before the holiday season begins. Resources and Links Mentioned: 21-Day Cortisol Reset — part of the Advanced Women’s Health App: https://advancedwomenshealth.mykajabi.com/offers/oKx82ceb/checkout Episode with Connie on hypnotherapy and subconscious healing: https://open.spotify.com/episode/2gcczUZsQDbYmRMnQOnSMp?si=mGyHfNFrRFevKmq06u3Law ✨ You cannot out-vacation your physiology—but you can reclaim your energy with intention. If this episode resonated with you, share it with a friend who’s feeling burnt out, and don’t forget to subscribe so you never miss another conversation designed to empower your health, your body, and your story.
	Episode 50: The New World of PCOS: Are We Ignoring Foundational Cures for a Quick Fix? With Dr. Micaela Gregory, ND	25 sept. 2025	00:39:47
With all the talk about new weight-loss drugs, I have to ask: are medications like Ozempic and mounjaro the cure for PCOS, or are they just another tool that masks the symptoms, like the birth control pill did for decades? In this episode of the Advanced Women's Health Podcast, I sit down with the wonderful Dr. Micaela Gregory to unpack this very question. We cut through the hype surrounding these new GLP-1 medications, revealing why we see them as powerful tools, but not a cure-all. We break down the significant risks that often get overlooked, like severe muscle loss and gastrointestinal side effects. This episode isn’t about choosing between medication and lifestyle; it’s about helping you understand how to build a truly resilient foundation for your health. We want you to be able to address the root drivers of your PCOS—like insulin resistance, androgen excess, and inflammation—so you can achieve lasting results, with or without a prescription. In our conversation, we break down: 1. The New Tools vs. The Old Rules: We take a critical look at GLP-1 agonists (Ozempic, etc.) and discuss how they're being talked about in a similar way to the birth control pill. 2. The Hidden Risks: We discuss why nausea, constipation, and especially the massive loss of lean muscle mass are serious side effects that can worsen your metabolic health in the long run. 3. Beyond Medication: We cover the non-negotiable foundations that medication can't replace , including eating well , sleeping, managing stress , and movement. 4. Treating the Whole Picture: We explain why it's so important to address the underlying drivers of PCOS that medications don't fix, such as elevated androgens , gut microbiome imbalances , and inflammation. My greatest hope is for you to know that your health journey is not about finding a single magic bullet. If this conversation brought you clarity, please share it with a friend who is navigating the complexities of PCOS. And if you loved today's episode, please take a moment to leave us a review—it's how we spread this message and revolutionize women's healthcare.
	Episode 49: The Science of Motivation: How Mitochondria Shape Confidence, Habits, and Health	18 sept. 2025	00:36:50
Could your struggles with motivation and follow-through have less to do with discipline—and more to do with what’s happening in your mitochondria? In this powerful episode, Dr. Sarah breaks down the surprising connection between mitochondrial health, hormones, and the brain’s reward system. She reveals why so many women feel “stuck” in cycles of fatigue, cravings, and overwhelm despite doing all the “right” things—and why the missing piece often lies in how energy is produced and used in the body. This isn’t about another supplement stack or quick fix; it’s about learning how to work with your body’s deepest operating system. By the end, you’ll see that real confidence and resilience don’t come from hacks or trends—they’re built on the cellular foundations of health. Key Takeaways: 1. The Foundations of Mitochondrial Health 2. The Loop of Dysfunction and Overwhelm 3. Motivation, Reward, and Hormonal Influence If this episode resonated with you, share it with a friend who’s been struggling with fatigue, motivation, or “doing all the right things” without results. Don’t forget to leave a review—it helps spread the word and bring this life-changing approach to more women.
	Episode 48: Inside Clinical Rounds: What ADHD, Skin Inflammation, and Thyroid Dysfunction Reveal About Women’s Health	11 sept. 2025	00:40:03
Have you ever left a doctor’s office feeling like the pieces of your health story weren’t quite adding up? In this week’s episode of the Advanced Women’s Health Podcast, I’m bringing you behind the scenes into one of our team’s clinical rounds—a space where we challenge assumptions, share cases, and expand perspectives. Together with Dr. Laura and Dr. Dasha, we dive into real patient stories that reveal the hidden connections between ADHD and hormones, the complexity of inflammatory skin conditions like hidradenitis suppurativa, and the frustrations of living with thyroid dysfunction despite “normal” labs. These are the conversations that don’t always happen in the exam room, but they can change everything about how you see your health. This episode might just give you the clarity—and hope—you’ve been searching for. Conversation Breakdown 1. ADHD, Stimulants, and Women’s Health 2. Hidradenitis Suppurativa: An Overlooked Skin Condition 3. Thyroid Dysfunction and Why “Normal” Labs Miss the Mark 4. Post-COVID Thyroid Trends and Autoimmunity If today’s conversation sparked an insight or gave you hope, don’t keep it to yourself—share this episode with a friend who needs to hear it. And if you found value in these behind-the-scenes perspectives, please take a moment to rate, follow, and review the podcast. Your support is how we spread this message and transform the future of women’s healthcare.

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