Hormones, Metabolism & You!
Cassie Smith
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Your hormones control everything—from energy levels to weight, mood, and overall health. But understanding them shouldn’t feel like decoding a medical textbook. Welcome to Hormones, Metabolism & You!, the podcast where board-certified endocrinologist Dr. Cassie Smith breaks down the science behind your body’s most powerful regulators. Each week, Dr. Smith tackles the real questions about metabolism, weight management, thyroid health, menopause, PCOS, insulin resistance, and more—giving you clear, actionable insights to take charge of your health. Whether you’re struggling with stubborn weight, feeling fatigued, or just want to optimize your well-being, this podcast is your go-to resource for evidence-based advice, practical tips, and expert interviews.
Episódios
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129: Why Is Testosterone Still Off-Limits for Women? 20.09.2026 49minTestosterone in women is finally getting more attention, but what does that actually mean for women and their care? In this episode, I sit down with Dr. Terri DeNeui to discuss the FDA’s focus on testosterone, why there still isn’t an FDA-approved testosterone treatment specifically for women, and the questions surrounding safety, dosing, and access. We also talk about symptoms of testosterone deficiency, why “normal” lab ranges don’t always tell the full story, and the larger conversation around medical freedom and individualized care. Topics We Cover in This Episode: Why testosterone matters for women What the FDA is currently considering Why testosterone remains a controlled substance When symptoms can appear Why “normal” labs may not tell the whole story How dosing and delivery methods matter Where medical freedom fits into the conversation Tune in to hear Dr. Terri DeNeui’s perspective on where women’s testosterone care stands today, what still needs to change, and what patients should be asking. Resources & Links Order Dr. Cassie’s Book ‘Fix Your Gut, Fix Your Hormones’: https://guthormonefix.com/ Use code LISTEN10 for 10 % off your order on shopmodernendocrine.com 📲 Follow Dr. Cassie Smith & Modern Endocrine 💻 Website: https://www.modern-endocrine.com/ 📸 Instagram: https://www.instagram.com/modernendocrine_/ 🌟 Facebook: https://www.facebook.com/ModernEndocrine 📽️ YouTube: https://www.youtube.com/@modernendocrine 🕹️ TikTok: https://www.tiktok.com/@modernendocrine?lang=en 📰 Newsletter: https://linktr.ee/modernendocrine ➡️ Disclaimer: https://www.modernendocrineokc.com/disclaimer-6353 -
128: Viral Hormone Trends: What’s Actually Worth Your Time? 13.09.2026 43minSocial media is full of hormone hacks promising better energy, easier weight loss, balanced hormones, and fewer symptoms. But how much of it is actually backed by science? In this episode, I’m breaking down seven viral trends, including cortisol cocktails, fiber maxing, pink salt, metabolism morning routines, and “hormone-balancing” foods, and separating reasonable health habits from overhyped claims. I also talk about the way social media approaches PCOS and perimenopause, and why oversimplifying complex hormone conditions can do more harm than good. If you’ve ever wondered whether the latest hormone trend is worth trying, this conversation will help you look at these claims with a little more context and a lot less TikTok influence. Topics We Cover in This Episode: Why cortisol cocktails aren't what they claim to be The problem with suddenly “fiber maxing” What pink salt can actually do for you Whether a metabolism morning routine works The truth behind “hormone-balancing” foods Why PCOS weight-loss advice needs more nuance When a viral trend may be masking a bigger issue Tune in, subscribe to Hormones, Metabolism and You, and share this episode with someone who could use a little more context the next time a hormone hack hits their feed. Resources & Links Order Dr. Cassie’s Book ‘Fix Your Gut, Fix Your Hormones’: https://guthormonefix.com/ Use code LISTEN10 for 10 % off your order on shopmodernendocrine.com 📲 Follow Dr. Cassie Smith & Modern Endocrine 💻 Website: https://www.modern-endocrine.com/ 📸 Instagram: https://www.instagram.com/modernendocrine_/ 🌟 Facebook: https://www.facebook.com/ModernEndocrine 📽️ YouTube: https://www.youtube.com/@modernendocrine 🕹️ TikTok: https://www.tiktok.com/@modernendocrine?lang=en 📰 Newsletter: https://linktr.ee/modernendocrine ➡️ Disclaimer: https://www.modernendocrineokc.com/disclaimer-6353 -
127: Birth Control Masterclass: The Mash-Up Every Woman Needs to Hear 06.09.2026 48minIn this mash-up episode, I’m bringing together key conversations about birth control, PCOS, PMS, and the hormonal changes women experience from their 20s through perimenopause. We unpack why birth control is so often used to manage symptoms, what it may be masking, and how hormones like estrogen, progesterone, testosterone, insulin, and cortisol all fit into the bigger picture. We also talk about the different birth control options women may consider as they get older and why the right approach can change throughout different stages of life. From painful and irregular periods to PCOS, weight struggles, low libido, anxiety, fatigue, and the transition into perimenopause, this mash-up brings together the questions women are asking and the answers they deserve to hear. Topics We Cover in This Episode: Why birth control may be masking more than you realize The hormone connection behind PCOS and weight struggles What your period could be trying to tell you Why your 30s and 40s can bring unexpected changes The connection between cortisol, insulin, and androgens When painful or irregular periods deserve a closer look How gut health and stress fit into the hormone picture Why the same treatment may not make sense at every age Tune in for the full mash-up and hear these conversations come together in one place. You may walk away with a very different perspective on birth control, your symptoms, and the questions you should be asking about your own health. Resources & Links Order Dr. Cassie’s Book ‘Fix Your Gut, Fix Your Hormones’: https://guthormonefix.com/ Use code LISTEN10 for 10 % off your order on shopmodernendocrine.com 📲 Follow Dr. Cassie Smith & Modern Endocrine 💻 Website: https://www.modern-endocrine.com/ 📸 Instagram: https://www.instagram.com/modernendocrine_/ 🌟 Facebook: https://www.facebook.com/ModernEndocrine 📽️ YouTube: https://www.youtube.com/@modernendocrine 🕹️ TikTok: https://www.tiktok.com/@modernendocrine?lang=en 📰 Newsletter: https://linktr.ee/modernendocrine ➡️ Disclaimer: https://www.modernendocrineokc.com/disclaimer-6353 -
126: Health Care is So Broken - 3 Typical Patient Cases 30.08.2026 48minThe healthcare system is not designed to keep you well, and I am done pretending that is okay. In this episode, I am breaking from the usual format to talk honestly about why I believe healthcare in the United States has become so reactive instead of preventative, and how that approach is leaving people sick, frustrated, and without answers. I share my perspective as both a patient and a provider, including the ways insurance companies, healthcare systems, limited appointment times, and a diagnosis-by-diagnosis approach can keep providers from looking at the whole person. I also explain why symptoms and lab results cannot always be viewed in isolation, because our bodies do not operate in silos. Then, I walk through three patient scenarios that I see repeatedly in my practice: a 19-year-old struggling with PCOS symptoms and insulin resistance, a woman in her 30s dealing with fatigue, weight gain, sleep issues and brain fog who was told her labs were normal, and a woman in her 40s experiencing perimenopausal symptoms who was told she was too young for hormones. These stories reveal just how much can be missed when we only look at whether a number falls inside a laboratory's "normal" range instead of asking whether it actually makes sense for the person sitting in front of us. Most importantly, I want you to leave this episode knowing that you are not crazy, your symptoms matter, and you can become your own best advocate when the system isn't listening. Topics We Cover in This Episode: Why "normal" lab results may not tell the whole story The connection between symptoms that seem completely unrelated What three very different patients had in common Why the approach to preventative care needs to change The piece of the puzzle that can be missed when diseases are treated separately Why some women are told they are fine when they know something isn't right What it really means to become your own best health advocate Why waiting until something is completely broken may be costing you years Resources & Links Order Dr. Cassie’s Book ‘Fix Your Gut, Fix Your Hormones’: https://guthormonefix.com/ Use code LISTEN10 for 10 % off your order on shopmodernendocrine.com 📲 Follow Dr. Cassie Smith & Modern Endocrine 💻 Website: https://www.modern-endocrine.com/ 📸 Instagram: https://www.instagram.com/modernendocrine_/ 🌟 Facebook: https://www.facebook.com/ModernEndocrine 📽️ YouTube: https://www.youtube.com/@modernendocrine 🕹️ TikTok: https://www.tiktok.com/@modernendocrine?lang=en 📰 Newsletter: https://linktr.ee/modernendocrine ➡️ Disclaimer: https://www.modernendocrineokc.com/disclaimer-6353 -
125: How to Dementia-Proof Your Brain: Dr. David Perlmutter on Hormones, Gut Health, and Inflammation 23.08.2026 1h 6minWhat if protecting your brain starts decades before memory problems ever appear? In this conversation, I sit down with neurologist and bestselling author Dr. David Perlmutter to talk about what current research says about dementia prevention, why metabolic health may play a much larger role than many people realize, and why waiting until cognitive symptoms develop may be waiting too long. We get into the connection between blood sugar, insulin resistance, inflammation, gut health, sleep, exercise, and brain function, along with why so many of these risk factors begin showing up in our 30s and 40s rather than later in life. We also spend time on topics that generate a lot of questions in my practice, including hormone therapy, women's brain health, alcohol, stimulants, and the current state of dementia treatments. Dr. Perlmutter shares his perspective on why prevention deserves more attention, how lifestyle interventions fit into the conversation alongside medical care, and what practical markers people can monitor to better understand their long-term brain health. Topics We Cover in This Episode: Why brain health may be shaped long before memory loss ever begins How metabolic health and inflammation may influence cognitive function The relationship between gut health, sleep, and long-term brain resilience Why women face unique considerations when it comes to dementia risk How Dr. Perlmutter views bioidentical hormone therapy in the context of brain health What current evidence suggests about alcohol, stimulants, and cognitive wellness Which everyday health markers may provide insight into future brain health Why prevention may be more impactful than waiting for symptoms to appear If you're interested in protecting your brain health for the long term and understanding how everyday lifestyle choices fit into that picture, I think you'll love this episode. Resources & Links Connect with Dr. Perlmutter: https://drperlmutter.com/ Brain Defenders: http://braindefenders.com/ Follow on IG: https://www.instagram.com/davidperlmutter/ Follow on YouTube: https://www.youtube.com/user/DavidPerlmutterMD Connect on X: https://x.com/davidperlmutter Connect on LinkedIn: linkedin.com/in/david-perlmutter-md Order Dr. Cassie’s Book ‘Fix Your Gut, Fix Your Hormones’: https://guthormonefix.com/ Use code LISTEN10 for 10 % off your order on shopmodernendocrine.com 📲 Follow Dr. Cassie Smith & Modern Endocrine 💻 Website: https://www.modern-endocrine.com/ 📸 Instagram: https://www.instagram.com/modernendocrine_/ 🌟 Facebook: https://www.facebook.com/ModernEndocrine 📽️ YouTube: https://www.youtube.com/@modernendocrine 🕹️ TikTok: https://www.tiktok.com/@modernendocrine?lang=en 📰 Newsletter: https://linktr.ee/modernendocrine ➡️ Disclaimer: https://www.modernendocrineokc.com/disclaimer-6353 -
124: Heart Disease Myths Exposed: Statins, LDL, Estradiol, Testosterone, & the Truth 16.08.2026 51minHeart disease is still the leading cause of death, yet many people are left wondering whether they're focusing on the right risk factors. In this episode, I sit down with board-certified cardiac surgeon Dr. Philip Ovadia to discuss how his perspective shifted from treating advanced heart disease in the operating room to helping people prevent it in the first place. We talk through common questions about cholesterol, LDL, statins, coronary calcium scores, and why he believes heart health requires looking beyond a single lab value to better understand metabolic health, inflammation, and insulin resistance. Topics We Cover in This Episode: What LDL cholesterol can and cannot tell you about heart disease risk How insulin resistance and inflammation fit into the bigger picture When a statin may make sense and when other factors deserve attention first The current conversation around bioidentical hormones and cardiovascular health Who should consider a coronary artery calcium scan and what the results can tell you Why metabolic health may be one of the most important pieces of heart disease prevention Practical questions to ask when evaluating your own cardiovascular risk Resources & Links Take the Quiz with Dr. Ovadia: https://ifixhearts.com/ Order Dr. Ovadia’s Books: https://ifixhearts.com/books/ Order Dr. Cassie’s Book ‘Fix Your Gut, Fix Your Hormones’: https://guthormonefix.com/ Use code LISTEN10 for 10 % off your order on shopmodernendocrine.com 📲 Follow Dr. Cassie Smith & Modern Endocrine 💻 Website: https://www.modern-endocrine.com/ 📸 Instagram: https://www.instagram.com/modernendocrine_/ 🌟 Facebook: https://www.facebook.com/ModernEndocrine 📽️ YouTube: https://www.youtube.com/@modernendocrine 🕹️ TikTok: https://www.tiktok.com/@modernendocrine?lang=en 📰 Newsletter: https://linktr.ee/modernendocrine ➡️ Disclaimer: https://www.modernendocrineokc.com/disclaimer-6353 -
123: Hashimoto’s, Thyroid Labs, and Exercise: Are You Helping Your Body or Stressing It More? 09.08.2026 1h 5minIf you have Hashimoto’s and feel like you’re doing everything “right” but somehow feeling worse, this episode is for you. I’m answering your most frequently asked questions about Hashimoto’s, exercise, thyroid labs, thyroid antibodies, medication adjustments, estrogen, and why symptoms don’t always match what your lab work says. Throughout our conversation, I explain why looking at one lab value or one symptom in isolation often leads to frustration, and why understanding the bigger picture is essential when managing thyroid disease. I also share ways to think about exercise, recovery, inflammation, medication tolerance, and the relationship between your thyroid, gut, hormones, metabolism, and stress response. Topics We Cover in This Episode: Why exercising harder isn't always the best strategy for Hashimoto's How to recognize when your workouts are exceeding your body's recovery capacity Why thyroid antibodies can fluctuate without necessarily signaling that your condition is worsening How to interpret thyroid labs alongside symptoms instead of viewing them separately The connection between stress, gut health, blood sugar, hormones, and thyroid function Why some people feel overstimulated on thyroid medication even when their labs suggest they need more Order Dr. Cassie’s Book ‘Fix Your Gut, Fix Your Hormones’: https://guthormonefix.com/ Use code LISTEN10 for 10 % off your order on shopmodernendocrine.com 📲 Follow Dr. Cassie Smith & Modern Endocrine 💻 Website: https://www.modern-endocrine.com/ 📸 Instagram: https://www.instagram.com/modernendocrine_/ 🌟 Facebook: https://www.facebook.com/ModernEndocrine 📽️ YouTube: https://www.youtube.com/@modernendocrine 🕹️ TikTok: https://www.tiktok.com/@modernendocrine?lang=en 📰 Newsletter: https://linktr.ee/modernendocrine ➡️ Disclaimer: https://www.modernendocrineokc.com/disclaimer-6353 -
122: Drain Before You Detox: The Missing Link Between Gut Health, Hormones, & Mold Recovery with Marina Ortega (The Poop Fairy) 02.08.2026 47minIf you're dealing with constipation, bloating, brain fog, or you feel like every detox protocol makes you feel worse instead of better, this conversation is for you. In this episode, I'm joined by Marina Ortega, founder of Scottsdale Hydrotherapy and co-founder of Trust Your Gut, to talk about one piece of healing she believes is often overlooked: supporting your body's drainage pathways before asking it to detox. Marina shares her own journey through chronic constipation, mold exposure, and years of searching for answers before becoming a gut health educator. We also discuss what colon hydrotherapy actually is, how the lymphatic system, bile flow, and bowel function work together to support the body's natural detox pathways, and why so many people struggle to feel better even after trying supplements and cleanses. Marina also shares what she learned while recovering from severe mold exposure, her perspective on tools like castor oil packs and coffee enemas, and why she believes the gut-brain connection is an essential part of lasting healing. Topics We Cover in This Episode: Why Marina says drainage should come before any detox protocol What colon hydrotherapy actually involves—and what to expect during a session How constipation can impact hormones, brain fog, and overall health The connection between the lymphatic system, bile flow, and detoxification What Marina learned from recovering from severe mold exposure How castor oil packs and coffee enemas fit into her wellness approach Why stress and nervous system regulation can show up as digestive symptoms Simple ways to support your body's natural elimination pathways Resources & Links Trust Your Gut: https://www.trustyourgut.shop/ Order Dr. Cassie’s Book ‘Fix Your Gut, Fix Your Hormones’: https://guthormonefix.com/ Use code LISTEN10 for 10 % off your order on shopmodernendocrine.com 📲 Follow Dr. Cassie Smith & Modern Endocrine 💻 Website: https://www.modern-endocrine.com/ 📸 Instagram: https://www.instagram.com/modernendocrine_/ 🌟 Facebook: https://www.facebook.com/ModernEndocrine 📽️ YouTube: https://www.youtube.com/@modernendocrine 🕹️ TikTok: https://www.tiktok.com/@modernendocrine?lang=en 📰 Newsletter: https://linktr.ee/modernendocrine ➡️ Disclaimer: https://www.modernendocrineokc.com/disclaimer-6353 -
121: Why Successful Men Are Secretly Running Themselves into the Ground: What Every Man and Spouse Needs to Hear 26.07.2026 48minWhat does it really mean when a man starts feeling constantly exhausted, loses motivation, struggles with brain fog, or notices changes in his physical and sexual health? In this episode, I sit down with Dr. Stephen Sanders, founder of Whole Men's Health, to talk about why these symptoms deserve more attention and why men's health is about far more than testosterone alone. We discuss the growing number of younger men experiencing hormone and metabolic challenges, how stress, sleep, nutrition, relationships, and modern lifestyles all intersect, and why so many men delay asking for help until their symptoms become impossible to ignore. Topics We Cover in This Episode: Why fatigue and brain fog may signal more than simply getting older The symptoms many men experience long before they seek medical help How stress, sleep, gut health, and hormones influence one another Why conversations about men's health often happen later than they should Practical ways couples can support each other's long-term health Why tracking biomarkers matters, even when you feel "fine" The foundational habits that consistently outperform the latest health trends How to approach sensitive health conversations with empathy instead of judgment If you're looking for a thoughtful conversation about men's health, relationships, and the habits that support long-term well-being, I hope you'll join us for this episode. Resources & Links Connect with Dr. Stephen: https://www.wholemenshealth.com/ Order Dr. Cassie’s Book ‘Fix Your Gut, Fix Your Hormones’: https://guthormonefix.com/ Use code LISTEN10 for 10 % off your order on shopmodernendocrine.com 📲 Follow Dr. Cassie Smith & Modern Endocrine 💻 Website: https://www.modern-endocrine.com/ 📸 Instagram: https://www.instagram.com/modernendocrine_/ 🌟 Facebook: https://www.facebook.com/ModernEndocrine 📽️ YouTube: https://www.youtube.com/@modernendocrine 🕹️ TikTok: https://www.tiktok.com/@modernendocrine?lang=en 📰 Newsletter: https://linktr.ee/modernendocrine ➡️ Disclaimer: https://www.modernendocrineokc.com/disclaimer-6353 -
120: From PCOS to PMOS; Why Hormones Are Not the Only Problem 19.07.2026 33minIn this interview with Terri DeNeui, we explore why the conversation around PCOS is shifting toward a broader understanding of metabolic health with the emerging term PMOS. Rather than viewing irregular cycles, infertility, and hormone imbalances as isolated ovarian problems, we discuss how insulin resistance, gut health, inflammation, stress, and lifestyle factors may be driving many of the symptoms women experience. I also share why this updated perspective could change the way clinicians evaluate and support patients across different stages of life—not just during their reproductive years. We also spend time talking about practical treatment considerations, from comprehensive lab testing and lifestyle interventions to the appropriate role of GLP-1 medications. Topics We Cover in This Episode: Why some experts are moving from the term PCOS to PMOS—and what that shift represents How insulin resistance and gut health may influence hormone balance Why irregular menstrual cycles deserve a broader metabolic evaluation The role inflammation and stress may play in hormone-related symptoms Why body composition can be a more meaningful measure than weight alone How to think about GLP-1 medications as one tool rather than a complete solution Practical lifestyle habits that support long-term metabolic and hormonal health Why treating symptoms without addressing underlying metabolic dysfunction may leave important questions unanswered If you're interested in a more comprehensive way of thinking about hormones, metabolism, and women's health, I think you'll find this conversation both practical and thought-provoking. Order Dr. Cassie’s Book ‘Fix Your Gut, Fix Your Hormones’: https://guthormonefix.com/ Use code LISTEN10 for 10 % off your order on shopmodernendocrine.com 📲 Follow Dr. Cassie Smith & Modern Endocrine 💻 Website: https://www.modern-endocrine.com/ 📸 Instagram: https://www.instagram.com/modernendocrine_/ 🌟 Facebook: https://www.facebook.com/ModernEndocrine 📽️ YouTube: https://www.youtube.com/@modernendocrine 🕹️ TikTok: https://www.tiktok.com/@modernendocrine?lang=en 📰 Newsletter: https://linktr.ee/modernendocrine ➡️ Disclaimer: https://www.modernendocrineokc.com/disclaimer-6353 -
119: Beyond Sick Care: Why Insurance Isn’t Coming To Save You 12.07.2026 59minFor many people, the healthcare system becomes frustrating long before they receive a diagnosis. Symptoms are dismissed, lab work comes back "normal," and the next step is often another prescription rather than a conversation about why those symptoms developed in the first place. In this episode, I'm joined by board-certified anesthesiologist and hormone optimization specialist Dr. Mike Fortunato to discuss his journey from conventional medicine into functional medicine, and why he believes many patients are looking for something today's healthcare model wasn't designed to provide. Our conversation explores the realities of practicing medicine inside an insurance-driven system, the role hormones play in long-term health, and what Dr. Mike observed after years of caring for increasingly unhealthy surgical patients. Topics We Cover in This Episode: Why "normal" lab results don't always reflect optimal health How Dr. Mike's own health challenges changed the way he practices medicine What anesthesiology taught him about the declining health of today's patients Why hormone optimization is about more than treating symptoms How insurance influences the care many patients receive The role lifestyle plays alongside hormone health Why prevention often receives less attention than disease management How patients can become stronger advocates for their own health If you've been searching for a broader perspective on healthcare, hormones, and long-term wellness, I hope you'll join us for this conversation. Dr. Mike’s Resources & Links: 💻 Optimize MD: https://optimizemd.health Order Dr. Cassie’s Book ‘Fix Your Gut, Fix Your Hormones’: https://guthormonefix.com/ Use code LISTEN10 for 10 % off your order on shopmodernendocrine.com 📲 Follow Dr. Cassie Smith & Modern Endocrine 💻 Website: https://www.modern-endocrine.com/ 📸 Instagram: https://www.instagram.com/modernendocrine_/ 🌟 Facebook: https://www.facebook.com/ModernEndocrine 📽️ YouTube: https://www.youtube.com/@modernendocrine 🕹️ TikTok: https://www.tiktok.com/@modernendocrine?lang=en 📰 Newsletter: https://linktr.ee/modernendocrine ➡️ Disclaimer: https://www.modernendocrineokc.com/disclaimer-6353 -
118: Stop Starving, Start Healing: The Real Root Cause of Weight Loss Resistance 05.07.2026 54minWhat if the reason you're struggling with weight, low energy, or hormone symptoms isn't just about eating less and exercising more? In this episode, I sit down with functional medicine practitioner Dani Conway to talk about the bigger picture of metabolic health. We discuss why so many women are told their lab work is "normal" even when they still feel exhausted, inflamed, or stuck, and why looking beyond the scale often leads to better answers. Dani shares how her own health journey shaped the way she now helps women address gut health, hormones, inflammation, and metabolism with a personalized, root-cause approach rather than a one-size-fits-all plan. We explore the role digestion and detoxification play before focusing on hormones, why testing matters more than guessing, and how factors like stress, sleep, nervous system regulation, nutrition, exercise, and even peptide therapy fit into the conversation. Topics We Cover in This Episode: Why gut health and detoxification may need attention before addressing hormone balance How to recognize signs that your body may not be processing nutrients or toxins efficiently Why "normal" lab results don't always tell the whole story What comprehensive testing can reveal beyond standard blood work Why stress and nervous system regulation can influence weight loss, even with healthy habits How to think about nutrition and exercise without relying on one-size-fits-all advice If you're looking for a more personalized way to think about hormones, metabolism, and sustainable health, I think you'll find plenty to consider in this conversation. Resources & Links Instagram: @daniconwayofficial Website: https://nutritionthenaturalway.com/ Order Dr. Cassie’s Book ‘Fix Your Gut, Fix Your Hormones’: https://guthormonefix.com/ Use code LISTEN10 for 10 % off your order on shopmodernendocrine.com 📲 Follow Dr. Cassie Smith & Modern Endocrine 💻 Website: https://www.modern-endocrine.com/ 📸 Instagram: https://www.instagram.com/modernendocrine_/ 🌟 Facebook: https://www.facebook.com/ModernEndocrine 📽️ YouTube: https://www.youtube.com/@modernendocrine 🕹️ TikTok: https://www.tiktok.com/@modernendocrine?lang=en 📰 Newsletter: https://linktr.ee/modernendocrine ➡️ Disclaimer: https://www.modernendocrineokc.com/disclaimer-6353 -
117. Perimenopause Is Wild: Symptoms, Support, and What Actually Helps 28.06.2026 53minPerimenopause and menopause affect every woman, yet many are still caught off guard by the wide range of symptoms that can come with this stage of life. In this episode, I sit down with nutritionist, menopause researcher, and author Andrea Donsky to discuss what she's learned from studying thousands of women and why so many continue to feel confused, dismissed, or unsupported when seeking answers. We explore common symptoms like fatigue, brain fog, sleep disruption, anxiety, memory issues, and weight changes, along with some of the lesser-known experiences that often go unrecognized. Andrea also shares her personal journey through perimenopause, the inspiration behind her book Nourishing Menopause, and practical ways women can better support themselves through nutrition, lifestyle habits, mindset, and self-advocacy. This conversation offers reassurance, validation, and a reminder that while every woman's experience is different, no one has to navigate it alone. Topics We Cover in This Episode: Why perimenopause symptoms are often overlooked or misunderstood The most common symptoms women report experiencing What Andrea's research reveals about women's experiences with healthcare providers Why hot flashes aren't always the first sign of hormonal change The connection between stress, sleep, hormones, and weight fluctuations How mindset can influence the menopause experience Why community and shared experiences matter during this transition Practical ways to better support your body through perimenopause and menopause If you've been questioning changes in your mood, energy, sleep, memory, or weight, I hope this conversation helps connect some of the dots. Perimenopause and menopause can feel isolating, but understanding what's happening is often the first step toward feeling better. Resources & Links Connect with Andrea @andreadonsky Order Dr. Cassie’s Book ‘Fix Your Gut, Fix Your Hormones’: https://guthormonefix.com/ Use code LISTEN10 for 10 % off your order on shopmodernendocrine.com 📲 Follow Dr. Cassie Smith & Modern Endocrine 💻 Website: https://www.modern-endocrine.com/ 📸 Instagram: https://www.instagram.com/modernendocrine_/ 🌟 Facebook: https://www.facebook.com/ModernEndocrine 📽️ YouTube: https://www.youtube.com/@modernendocrine 🕹️ TikTok: https://www.tiktok.com/@modernendocrine?lang=en 📰 Newsletter: https://linktr.ee/modernendocrine ➡️ Disclaimer: https://www.modernendocrineokc.com/disclaimer-6353 -
116: What Screen Time Is Really Doing to Your Eyes, Brain, and Stress Levels 21.06.2026 57minOne of the most overlooked aspects of health may be influencing how you think, learn, focus, perform, and even respond to stress every single day. In this episode, I sit down with neuro-optometrist Dr. Bryce Appelbaum to explore the difference between eyesight and vision, and why seeing 20/20 doesn't necessarily mean your visual system is functioning optimally. We discuss how the eyes and brain work together, the role vision plays in learning, reading, athletic performance, spatial awareness, and everyday confidence, and why many functional vision problems often go unrecognized. We also spend time talking about something that affects nearly all of us: screen time. Dr. Appelbaum explains what prolonged screen exposure is doing to our visual system, nervous system, sleep, stress response, and overall well-being. Topics We Cover in This Episode: How eyesight and vision are related, and why they're not the same thing The subtle signs that may point to an underlying functional vision problem Why screen fatigue may involve much more than tired eyes What vision has to do with focus, learning, reading, and information processing The connection between visual function, stress, and nervous system regulation Why some people struggle with motion sickness, bridges, tunnels, or spatial awareness How vision training differs from traditional eye care approaches Simple daily habits that may help support long-term visual health Whether you're a parent, athlete, professional, avid screen user, or simply interested in optimizing your health, this conversation offers a fascinating perspective on the connection between vision and whole-body wellness. Resources & Links 📚Get the Free Vision Health Guide: www.screenfit.com/5-proven-secrets-to-relieve-eye-strain 📝Free Vision Assessment: www.myvisionfirst.com/quiz 🫰🏻 $200 off ScreenFit™ using code DRCASSIE at screenfit.com/enroll 😎 10% off Digital Performance Lenses using code DRCASSIE at shop.myvisionfirst.com If you want to check out ScreenFit™ to see the exercises DrB talks about firsthand, you can log in with a backstage pass here. 📲 Follow Dr. Bryce Appelbaum Instagram: @drbryceappelbaum Youtube: https://www.youtube.com/@drbryceappelbaum Facebook: https://www.facebook.com/myvisionfirstoptometry Linked in: https://www.linkedin.com/in/dr-bryce-appelbaum/ Tik Tok: https://www.tiktok.com/@dr.bryceappelbaum Order Dr. Cassie’s Book ‘Fix Your Gut, Fix Your Hormones’: https://guthormonefix.com/ Use code LISTEN10 for 10 % off your order on shopmodernendocrine.com 📲 Follow Dr. Cassie Smith & Modern Endocrine 💻 Website: https://www.modern-endocrine.com/ 📸 Instagram: https://www.instagram.com/modernendocrine_/ 🌟 Facebook: https://www.facebook.com/ModernEndocrine 📽️ YouTube: https://www.youtube.com/@modernendocrine 🕹️ TikTok: https://www.tiktok.com/@modernendocrine?lang=en 📰 Newsletter: https://linktr.ee/modernendocrine ➡️ Disclaimer: https://www.modernendocrineokc.com/disclaimer-6353 -
115: PCOS Has a New Name: Why It’s More Than an Ovarian Disorder 14.06.2026 42minIn this episode, I explain why PCOS is now better understood as Polyendocrine Metabolic Syndrome (PMOS). While the traditional name focuses on the ovaries, the reality is that this condition often extends far beyond reproductive health. I discuss why many women with PCOS don't actually have ovarian cysts, how the condition can affect everything from insulin and metabolism to cortisol, inflammation, gut health, and hormone balance, and why this updated framework may lead to more accurate diagnoses and more personalized care. I also walk through the different patterns I commonly see in clinical practice, including insulin-resistant, lean, inflammatory, adrenal, post-pill, postpartum, and mixed presentations. We explore why women are so often overlooked when they don't fit the typical PCOS profile, the lab markers that can provide a more complete picture of what's happening beneath the surface, and why understanding the root drivers of symptoms matters. Whether you're dealing with irregular cycles, fertility challenges, acne, weight changes, hair loss, fatigue, or simply feel like something isn't adding up, this episode offers a broader way to think about a condition that has long been oversimplified. Topics We Cover in This Episode: Why many experts believe the term PMOS better reflects the reality of this condition The key reasons PCOS has historically been misunderstood and underdiagnosed How insulin resistance can influence hormone symptoms long before blood sugar becomes abnormal Why women who are thin can still experience significant metabolic dysfunction The different patterns that can contribute to PMOS symptoms and why they matter How stress, cortisol, inflammation, and gut health may influence hormone balance Which lab markers can help uncover what is driving symptoms beneath the surface Why individualized treatment strategies often produce better outcomes than a one-size-fits-all approach If you found this conversation helpful, be sure to subscribe so you don't miss future episodes on hormones, metabolism, and whole-body health. Resources & Links: Order Dr. Cassie’s Book ‘Fix Your Gut, Fix Your Hormones’: https://guthormonefix.com/ Use code LISTEN10 for 10 % off your order on shopmodernendocrine.com 📲 Follow Dr. Cassie Smith & Modern Endocrine 💻 Website: https://www.modern-endocrine.com/ 📸 Instagram: https://www.instagram.com/modernendocrine_/ 🌟 Facebook: https://www.facebook.com/ModernEndocrine 📽️ YouTube: https://www.youtube.com/@modernendocrine 🕹️ TikTok: https://www.tiktok.com/@modernendocrine?lang=en 📰 Newsletter: https://linktr.ee/modernendocrine ➡️ Disclaimer: https://www.modernendocrineokc.com/disclaimer-6353 -
114. Why Your Brain Feels Drained... and How to Reset It with Dr. Patrick Porter 07.06.2026 1h 6minIn this episode, I sit down with Dr. Patrick Porter, founder of BrainTap and a longtime researcher in brain fitness and human performance, to explore why so many people today are struggling with brain fog, poor focus, low energy, and chronic stress. We discuss the relationship between the brain, gut, and nervous system, and how modern life may be affecting the way we think, feel, and function. Dr. Porter shares his perspective on brain fitness, why recovery is just as important as stress itself, and how simple daily habits can influence cognitive performance, mood, and resilience. We also talk about practical strategies listeners can start using right away, including breathing techniques, movement, sleep routines, and ways to support healthier energy patterns throughout the day. Topics We Cover in This Episode: What “brain fitness” actually means and how it differs from brain health Why so many people experience brain fog, memory lapses, and afternoon fatigue The connection between stress, the nervous system, and metabolic health How sleep quality influences hormones, recovery, and cognitive function Why the gut may play a larger role in brain function than many people realize Simple breathing techniques that can help regulate the nervous system throughout the day The reasoning behind delaying caffeine first thing in the morning How recovery practices may improve focus, energy, and resilience in a high-stress world If you’re struggling with stress, poor sleep, afternoon energy crashes, or simply want to better understand how your brain influences the rest of your health, this episode offers plenty of food for thought. Resources & Links 📸Connect with Dr. Patrick Porter on Instagram: https://www.instagram.com/drpatrickporter 📲 Follow Dr. Cassie Smith & Modern Endocrine 💻 Website: https://www.modern-endocrine.com/ 📸 Instagram: https://www.instagram.com/modernendocrine_/ 🌟 Facebook: https://www.facebook.com/ModernEndocrine 📽️ YouTube: https://www.youtube.com/@modernendocrine 🕹️ TikTok: https://www.tiktok.com/@modernendocrine?lang=en 📰 Newsletter: https://linktr.ee/modernendocrine ➡️ Disclaimer: https://www.modernendocrineokc.com/disclaimer-6353 Use code LISTEN10 for 10 % off your order on shopmodernendocrine.com -
113: Why Cholesterol Isn’t the Villain and Estrogen Isn’t the Enemy with Dr. Terri DeNeui 31.05.2026 44minFor years, cholesterol numbers have been treated as one of the primary indicators of heart health, but are we focusing on the right markers? In this episode, I sit down with Dr. Terri DeNeui to discuss the bigger picture behind cardiovascular risk. We talk through the limitations of looking at LDL cholesterol in isolation, the importance of factors like inflammation, insulin resistance, ApoB, lipoprotein(a), calcium scores, and lifestyle habits, and why a more comprehensive assessment may be necessary before deciding on treatment options. We also discuss the role statins can play, who may benefit from them, and why individualized care matters when evaluating cardiovascular health. We also explore the connection between hormones and metabolic health. Dr. DeNeui explains how changes in estrogen, progesterone, and testosterone can influence cholesterol, blood pressure, body composition, and overall wellbeing. Topics We Cover in This Episode: Why cholesterol numbers rarely tell the whole story The cardiovascular markers many people have never heard of What calcium scores can and cannot tell you How insulin resistance often shows up long before diabetes The relationship between menopause, hormones, and changing cholesterol levels Why gut health keeps showing up in conversations about chronic disease The role estrogen plays in men's health and performance Questions worth asking when evaluating your long-term cardiovascular risk Whether you're trying to better understand your own lab work, navigate conversations about statins, or learn more about the connection between hormones and overall health, this episode offers a thoughtful discussion on some of today's most debated topics in preventive medicine. Join us as we explore the factors that may matter most when it comes to supporting long-term health and making informed decisions about your care. Resources & Links 💻 Evexias Health Solutions: https://www.evexias.com/ 📲 Follow Dr. Cassie Smith & Modern Endocrine 💻 Website: https://www.modern-endocrine.com/ 📸 Instagram: https://www.instagram.com/modernendocrine_/ 🌟 Facebook: https://www.facebook.com/ModernEndocrine 📽️ YouTube: https://www.youtube.com/@modernendocrine 🕹️ TikTok: https://www.tiktok.com/@modernendocrine?lang=en 📰 Newsletter: https://linktr.ee/modernendocrine ➡️ Disclaimer: https://www.modernendocrineokc.com/disclaimer-6353 Use code LISTEN10 for 10 % off your order on shopmodernendocrine.com -
112: The Birth Control Conversation We Need to Have: Helpful Tool or Hidden Problem? 24.05.2026 25minWhat if the birth control pill you’ve been told is safe for decades is affecting far more than just pregnancy prevention? In this episode, I sit down with OB-GYN Dr. Johnny Peet for a powerful and nuanced conversation about oral birth control, hormone health, and the risks many women are never fully informed about, especially as they enter their 40s and 50s. We unpack the real differences between oral contraceptives and progesterone-only IUDs, why birth control pills can impact testosterone, mood, sleep, thyroid function, and gut health, and why the conversation around women’s health needs to become far more individualized. We also dive into the difficult transition of perimenopause, why so many women feel dismissed or confused during this phase, and the important questions every woman should ask before staying on hormonal birth control long term. Topics We Cover in This Episode: Why birth control can affect far more than just fertility The hormone shift many women experience in their 30s and 40s What happens when SHBG levels become too high Why perimenopause can feel harder than menopause itself The connection between birth control, gut health, and thyroid function The birth control options Dr. Peet says he would avoid after 40 Why some women feel worse even when their hormone labs “look normal” These conversations matter because women deserve better education, better support, and better options when it comes to their health. Resources & Links Connect with Dr. Peet Website Instagram Facebook1 Facebook2 YouTube 📲 Follow Dr. Cassie Smith & Modern Endocrine 💻 Website: https://www.modern-endocrine.com/ 📸 Instagram: https://www.instagram.com/modernendocrine_/ 🌟 Facebook: https://www.facebook.com/ModernEndocrine 📽️ YouTube: https://www.youtube.com/@modernendocrine 🕹️ TikTok: https://www.tiktok.com/@modernendocrine?lang=en 📰 Newsletter: https://linktr.ee/modernendocrine ➡️ Disclaimer: https://www.modernendocrineokc.com/disclaimer-6353 Use code LISTEN10 for 10 % off your order on shopmodernendocrine.com -
111: Beyond the Labs: The Metabolic Clues Behind Fatigue, Weight Gain & Thyroid Issues 17.05.2026 38minIn this conversation, I sit down with Dr. James LaValle to unpack the deeper metabolic patterns driving symptoms like fatigue, thyroid dysfunction, weight gain, hormone imbalances, brain fog, inflammation, and low energy. We dive into why the body cannot be viewed as isolated systems and how stress hormones, insulin, gut health, thyroid function, sex hormones, and inflammation are all deeply connected. Dr. LaValle shares how his Metabolic Code framework helps identify where people should actually begin when they feel overwhelmed by symptoms and conflicting health advice. We also have a great discussion about gut health as one of the biggest hidden drivers behind hormone dysfunction and metabolic chaos. We talk about GLP-1 medications, the right and wrong way to use peptides, why muscle mass matters more than most people realize, and how people can create real change without chasing quick fixes. Topics We Cover in This Episode: Why your thyroid symptoms may actually be connected to stress hormones and gut dysfunction The hidden metabolic patterns that can quietly drive weight gain, fatigue, and hormone imbalance How inflammation and cortisol can interfere with nearly every hormone in the body What most people are getting completely wrong about GLP-1 medications and muscle loss Be sure to subscribe, leave a review, and follow along so you never miss an episode. And if you are ready to take a more personalized, root cause approach to your own health, check out the resources in the show notes and learn more. Resources & Links 💻 Dr. James’ Website: https://www.jimlavalle.com/ 📲 Follow Dr. Cassie Smith & Modern Endocrine 💻 Website: https://www.modern-endocrine.com/ 📸 Instagram: https://www.instagram.com/modernendocrine_/ 🌟 Facebook: https://www.facebook.com/ModernEndocrine 📽️ YouTube: https://www.youtube.com/@modernendocrine 🕹️ TikTok: https://www.tiktok.com/@modernendocrine?lang=en 📰 Newsletter: https://linktr.ee/modernendocrine ➡️ Disclaimer: https://www.modernendocrineokc.com/disclaimer-6353 Use code LISTEN10 for 10 % off your order on shopmodernendocrine.com -
110: Is Your Thyroid the Missing Piece? Dr. Amie Hornaman on Energy, Metabolism & Real Answers 10.05.2026 46minIn this episode, I sit down with Dr. Amie Hornaman, also known as the Thyroid Fixer, to unpack the real reasons so many people struggle with fatigue, weight gain, brain fog, and hormone imbalances without getting clear answers. We dive into her personal journey of being misdiagnosed multiple times, what finally led her to answers, and why so many patients today are still being overlooked in traditional medicine. Together, we discuss what is actually happening beneath the surface when it comes to thyroid function, including the critical difference between T4 and T3, the role of reverse T3, and why a one-size-fits-all approach to treatment often falls short. I also ask the questions so many of you are wondering like how to advocate for yourself with your doctor, what labs truly matter, and how to know if your current treatment is actually working. Topics We Cover in This Episode: Why “normal labs” might not mean optimal thyroid function The hidden reason some people never feel better on standard thyroid medication What your body may be doing instead of converting thyroid hormone properly The overlooked factors that could be sabotaging your energy and metabolism Why some people thrive on certain thyroid treatments while others don’t How stress, gut health, and nutrients quietly influence your thyroid What most doctors were never taught about thyroid optimization The signs your body is trying to tell you something deeper is off Resources & Links Dr. Amie’s Links Facebook: Amie Hornaman Nutrition and Functional Medicine YouTube: Dr. Amie Hornaman Instagram: @dramiehornaman Thyroid Optimization Guide: https://health.dramie.com/thyropause 7 Day Thyroid Healing Kickstarter: https://fixyourthyroid.com/7daykickstarter Thyroid on Trial: https://health.dramie.com/thyroid-on-trial-optin 📲 Follow Dr. Cassie Smith & Modern Endocrine 💻 Website: https://www.modern-endocrine.com/ 📸 Instagram: https://www.instagram.com/modernendocrine_/ 🌟 Facebook: https://www.facebook.com/ModernEndocrine 📽️ YouTube: https://www.youtube.com/@modernendocrine 🕹️ TikTok: https://www.tiktok.com/@modernendocrine?lang=en 📰 Newsletter: https://linktr.ee/modernendocrine ➡️ Disclaimer: https://www.modernendocrineokc.com/disclaimer-6353 Use code LISTEN10 for 10 % off your order on shopmodernendocrine.com
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