The Truth About Your Periods – What Doctors Aren’t Telling You About Hormones
Could Your Period Problems Be Solved With a More Functional Approach?
In this episode of Hormones, Metabolism, and You, Dr. Cassie Smith is joined by Dr. Shawn Tassone—known as America’s Holistic Gynecologist—for an eye-opening conversation about periods, PCOS, hormone therapy, and why women are often underserved by conventional gynecology.
Together, they unpack the myths around hormonal care, discuss integrative strategies for menstrual and menopausal symptoms, and explore how stress, gut health, and even modern medical bias influence women’s health outcomes.
Dr. Tassone shares his deeply personal story of entering gynecology after watching his mother suffer from ovarian cancer, and how that journey led him to pursue a PhD in mind-body medicine and a more holistic practice. This powerful episode shines a light on the frustrations many women experience in conventional care and offers science-based, integrative solutions that truly address the root cause.
💡 Whether you’re struggling with painful periods, irregular cycles, PCOS, perimenopause, or hormone confusion—this episode will leave you feeling seen, informed, and empowered.
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Guest info and links:
Dr. Shawn Tassone is a double board-certified OB/GYN and integrative medicine physician, with a PhD in Mind-Body Medicine. Known as America’s Holistic Gynecologist, he has cared for over 40,000 women over two decades and is the creator of the world’s first integrative hormone mapping system. He is a national speaker, author of The Hormone Balance Bible, and a passionate advocate for patient-centered hormone care. Based in Austin, Texas, Dr. Tassone is also a frequent voice online, helping women reclaim their hormonal health through education, empowerment, and integrative care.
Blog/Transcription:
0:00 [Music] Welcome back to this week’s episode of
0:06 Hormones Metabolism and You. I’m your host, Dr. Cassie Smith. I’m a boardcertified endocrinologist and a
0:13 functional medicine gut specialist now based out of Oklahoma City. If you are ever having any issues with bleeding,
0:21 painful menstrual cycles, PCOS, indometriosis, just hormone questions in
0:26 general, should my periods be heavy? Should they hurt? Should I be moody
0:32 prior to my period? You know, what’s causing these things? I have all your answers today. So, I asked one of my now
0:40 very dear friends, Dr. Sean Tone. He is on Instagram. He’s a OB/GYN is functional gyn doctor based out of
0:46 Austin. I asked him to come on today so we could just chat all thing all things hormones. I wanted to ask him kind of as
0:52 we transition through our life with hormones, just some questions you guys ask me. And so we talked about PCOS, we
0:59 talked about PMS. Is it normal to have these terrible symptoms before we have our period? Is it normal to feel like
1:04 we’re dying? Is there something that we should do if we’re having these symptoms? We talked about bleeding. Is
1:09 it normal if we have irregular bleeding? What should we do about it after we go through menopause? We talked about
1:15 bleeding there. And the other thing we talked about were hormones. Like are hormones really safe? We still have this
1:21 stigma out there with hormones. There’s a lot of doctors saying that they cause cancer. And so we broke that down for you. So, we just did a really good deep
1:27 dive into hormones, but we also got to learn a little bit about a little bit about Dr. Tone and like why he went into
1:33 gynecology and what it’s like to be a male as a gynecologist. And I thought he had a really good story and a a really
1:39 good perspective. Dr. Sean Tone, known as America’s holistic gynecologist, is the first physician in the United States
1:45 to be double board certified in obstetrics and gynecology and by the American Board of Integrative
1:51 Integrative Medicine. He holds a medical degree in addition to a PhD in mindbody
1:56 medicine. And he told us that story as to how that happened. He’s practicing OB/GYN in Austin, Texas. A hormone
2:02 specialist, an author, a speaker, highly rated patient advocate, and a creator of the world’s first integrative hormone
2:08 mapping system. In his 20 plus years of practice, he’s seen over 40,000 women, and he’s determined to remove the myths
2:14 around women’s health. as an integrative health practitioner, he believes that you should have an active role in your
2:20 care, which is exactly why I asked him to come on today. So, I hope that you guys enjoy this episode. So, today I
2:27 have the privilege of interviewing Dr. Sha Tone. He and I met through our
2:33 friend McCall McFerson. You guys know McColl, she’s been on the podcast. We both actually work with her now at
2:38 Modern Thyroid Clinic. He is a gynecologist who kind of believes like I
2:43 do, right? So he’s he’s more of a normal gynecologist, I guess we should say, or maybe not normal, but just more
2:49 functional medicine approach based. And so I brought him on today because I want to talk to him about several things that
2:55 you guys ask a lot of questions about. We’re going to talk about some PCOS questions you guys have, some
3:01 pmenopause, painful menstrual cycles, maybe a little bit of bleeding after menopause. So lots
3:08 of good stuff. So thank you for coming on and chatting with me. Oh, well us paras we have to stick
3:15 together. Yes, we do. So, will you kind of tell everyone briefly? So, to my Oklahoma
3:21 people, he did his fellowship or residency here uh at OU and he actually
3:26 was just telling me he lived in Chicochet and in Edmund. So, he’s an Oklahoma. But tell everyone kind of how
3:32 you ended up doing what you’re doing because you know kind of like you asked me on your podcast. most of us end up in
3:39 this space for one reason or another and it’s usually interesting to know why. So
3:44 what’s fascinating is uh when when I asked you that question um I when I did
3:50 my residency when I you know we have to choose in our fourth year I did OB
3:56 because at the I was going to do medicine because I liked the diagnostic aspect but I quickly realized I hated
4:02 rounding all day and so uh I did a fourth year elective in um ultrasound
4:08 and just noticed that the residents were really happy. It was a good group of people and I thought well you can do
4:15 surgery there is medicine cuz we dealt with diabetes and pregnancy and thyroid and all this stuff and then there was
4:20 surgery and I don’t think you know that was a very superficial I mean I was my
4:26 late 20s but it was it was a rather superficial thing but then what happened to me um in my second year of residency
4:34 my mom was diagnosed with ovarian cancer and I through that process the 5 years
4:43 that she lived after that diagnosis. What I what I found was that, you know,
4:48 they wouldn’t put her on hormones and they wouldn’t do any of this stuff. And I knew a lot about ovarian cancer cuz I was a resident. But what I found was
4:55 that I couldn’t I couldn’t help my own mother live a happy, productive life.
5:01 She was miserable. Um and and when she died, I thought to myself, I kind of
5:07 felt somewhat worthless. And as an only child, um, I didn’t have anybody to talk
5:13 to. So, I kind of went on this journey, if you will. Um, naturally, I was living
5:18 in Tucson at the time. I went to Sedona, cuz that’s where you go when you have a spiritual crisis. And I was reading a
5:25 book at the time, I think it was 20 or 2001. Uh, I was reading a book by Andrew
5:31 Wild called the eight weeks to optimum health. And at the time he was talking about crazy stuff like CoQ10 and fish
5:38 oil and blah blah blah. And I I decided cuz the he had a fellowship program at
5:43 the University of Arizona. So I thought, okay, I’ll I’ll do that because I needed to do something. I had to figure this
5:49 out. There had to be more, if you will. And so I did the two-year fellowship at the University of Arizona. And then
5:55 there was this section that we did on spirituality and health. I mean, I grew up Catholic, but you know, I barely went
6:02 to church, and I didn’t really think of spirituality very much. But I did a I
6:07 decided I needed to learn more. So, I did a I just did a PhD program, which to
6:12 this day, I don’t quite understand why I did it, but in philosophy. And in that
6:18 six years, I traveled to um Brazil, Peru, Mexico
6:24 um and I basically studied with shamans
6:30 in those areas and just learned that there was so much more to healing than
6:37 what we think in modern medicine. We think we have all the answers and we do have a lot of answers and we can do a
6:43 lot of cool things but we have kind of forgotten a lot of the things that the body can do. And so now in my practice
6:52 because of my mom passing away and and pushing me into that kind of spiritual,
6:58 you know, death, if you will, um I’ve I think I’ve just come out the other side and have really found myself now in the
7:04 last probably seven years of uh just doing gynecology and and really helping
7:10 women just feel better, which I couldn’t do for my own mom. That’s a really cool story. I’m glad
7:15 that you shared that with us because a lot of people will say, and I kind of wanted to ask you like, especially when
7:21 you kind of went into gynecology, it’s, you know, men going into gynecology, it’s like, well, why would, you know,
7:28 why would you do that? And that’s an actually, it’s a good answer, right? Um, but it was kind of the joke whenever we
7:34 were in residency. I don’t know about you, it’s like guys were like, “Oh, I don’t want to go listen to women complain about their hormones all day.”
7:40 But you actually enjoy that, which is a good thing. Well, when I was a resident, it was half and half. There were 10 men,
7:46 10 women. Now, I you probably couldn’t find a man if you tried in a gynecology program. And I think that now it’s a
7:53 legitimate question for sure. Um, but I think at the time I didn’t know. Um,
8:00 maybe it was destiny or whatever you want to call it, listening to
8:06 some sort of inner voice or whatever. But I I I now feel like finally I’ve
8:12 probably delivered 5,000 babies, but now I feel like I’m I’m finally living what
8:17 I was supposed to do, which is amazing. And actually, what’s very interesting, I personally know
8:23 three male gynecologists that are very phenomenal people. Um, one of them is thankfully my own gynecologist, but I
8:31 know three male gynecologists that are just phenomenal doctors, and I unfortunately don’t know a lot of women.
8:38 So, for whatever that’s worth, I don’t know a lot of men, so we’re we’re we’re even.
8:43 Yeah. So, so whatever for whatever that’s worth. But, um, yeah, but I know some really really I don’t know if you
8:49 know Dr. Johnny Pete. He’s out of Woodland, Texas. I really like Johnny. And there’s a Dr. Wesley Vaughn here in
8:56 Oklahoma City. He actually was in fellowship whenever I was in fellowship. So he’s a younger male gynecologist,
9:01 just super sweet guy. So anyways, just it’s interesting. And I I kind of joke,
9:07 but sometimes I wonder if like, you know, I’ve been to female gynecologists and sometimes I feel like they’re kind
9:12 of like, “Suck it up. You have period pain, whatever.” You know, because they’ve had it too. But whenever I talk
9:19 to my gynecologist about it, he’s like, “Oh my gosh, I’m so sorry. That’s terrible.” You know? I don’t know. It sounds horrible. That’s what I say. Like, “Oh, that sounds
9:25 awful.” Yeah. Yeah. So maybe I don’t know maybe that’s some of it. But so speak so so you’ve done you’ve delivered
9:31 babies. You’ve you’ve been a sham you’ve studied with shamans. That’s pretty cool. That’s what I want to do in my
9:36 next life. Um but so you do a very like functional medicinebased holistic
9:42 gynecology practice. And you’re in Tucson, right? Did I make that up? I’m in Austin now. A Oh, now you’re in Austin.
9:48 Moved into Austin in 2013. So everyone lives in Austin, including Micole. Maybe I need to move there.
9:54 Okay. Everybody’s here. Everyone’s in Austin. Okay. So, I think I want to start our hormone journey talk
10:01 with PCOS because this is like the big thing people are talking about now, right? Like, you know, it affects a lot
10:06 of women. A lot of women are undiagnosed. It takes a long time to diagnose them. I see a ton of women who in their 30s or 40s, I’m like, you have
10:13 PCOS. They were never told that. So, just give us like a brief synopsis. Do you feel like PCOS is as prevalent as we
10:21 say it is? Is it more prevalent than it used to be? Why, etc.
10:26 I think a lot of women are diagnosed with PCOS that don’t have it. And I think a lot of women aren’t diagnosed
10:32 with PCOS that have it. And the reason for that is because it’s a syndrome.
10:38 There isn’t a strict criteria. There’s the Roderdam, but I think that’s horribly inadequate. Um, you know, it
10:45 used to be like we would look for no period, weight gain, abnormal hair
10:50 growth, and then on an ultrasound, we would look for that string of pearls around the the edges of the ovaries, but
10:56 we never talked about insulin resistance 20 years ago. Um, we just thought it was
11:02 part of the syndrome, but we didn’t really ever dive into it. and the, you know, horribly to say this, but we would
11:09 just put women on birth control pills. And it’s still done today, unfortunately, but I think I see a lot
11:17 of younger women that have it because those are the people that come to me, usually a daughter of a patient of mine
11:23 or something, and they’re diagnosed with it, but they’re not really given any options, first of all. And then second,
11:30 I see a lot of women that have been having issues for a long time. Like you’ll see their their you know, I
11:37 always ask them if you look at your pictures um throughout high school and college and whatnot, did you have a
11:43 period of your life where you gained like 30 or 40 lbs in a year or two and inevitably, yeah. And it’s like, and
11:49 nobody’s ever asked me, you know, I I eat right. And and I think when women say they eat right, they exercise all
11:54 the time, and they keep gaining weight, that the medical system just says, yeah, sure. Right. Yeah. You know, of course
12:00 you you know, everybody says that and they’re minimized as more than usual. And so I think the lack of diagnostic
12:07 criteria, the the desire I always try to defend my colleagues because I think
12:14 when you see 50 patients a day and the high ticket item in OB/GYN is OB, that’s
12:19 where you make all your money and they’re a five minute appointment for the most part. to sit down with somebody
12:24 for 30 minutes and talk about PCOS, it’s just not going to happen because they don’t have the time. And um they’ll run
12:31 some labs and then it’s just like, “Yep, you got it. Let’s put you on a birth control pill.” So, unfortunately, it’s
12:36 just not getting treated. And and I think sometimes they don’t even want to look at the labs cuz they don’t want to
12:42 know. The doctors just they know it’s going to be a pain in the butt. So, they won’t even draw the labs. They’ll just
12:47 say, “Oh, you probably have PCOS. Let’s put you on a birth control pill.” Do you think that birth control is the best
12:53 treatment for PCOS? Well, as you I’m sure you would agree, it covers it up. It it doesn’t fix it. I
12:59 mean, it can fix the high testosterone because you’re shutting down the ovaries. Um, it might maybe help with
13:06 insulin resistant in some patients, but the reality is once you come off the birth control pill, you you still have
13:13 PCOS. And so, um, I’ve even seen women in menopause that still, even though the
13:19 ovaries aren’t working per se, still have the insulin resistant part of PCOS. So, we always used to tell women too,
13:25 well, okay, now you’re in menopause, you don’t have PCOS anymore, but I don’t think it necessarily I kind of talk
13:31 about PCOS now as a chronic disease process. Like, it may never go away, but
13:38 we can definitely if we can get you maybe under a certain weight. I think there’s just I call it a switch. It’s
13:44 like there’s this switch that flips for some women at a certain weight and then all of a sudden they just pack on like
13:50 30 or 40 pounds in 6 to 12 months. And if we can get you down under that weight, and I’m sure there’s some
13:57 genetic component to that, too, because if you look at the family picture, you you tend to see similarities, but I just
14:04 I I think uh to make it’s a long answer to say I don’t think birth control pills
14:10 treat it. I think they just cover it up and they can help with some of the symptoms, but it’s a band-aid.
14:15 I completely agree. My I think most viral Tik Tok video I ever did has over
14:21 2.3 million views was the answer to PCOS or the treatment for PCOS is not birth
14:26 control. And I explained why. And I just think that to your I said exactly what you said, your OB/GYN has five minutes
14:34 to talk to you and they don’t know how to interpret your labs or what to do with them. and but they do know how to
14:40 write a script for birth control and it shuts you up. It makes you feel better. But when you stop that birth control 5,
14:45 10, 15 years later, your cortisol is still high, your insulin’s still high, and you still have PCOS. So, that’s
14:52 where I think that we miss the boat. You know, we have these young girls that we never talk to, and then unfortunately,
14:57 you know, they come to you or I when they’re 35 and they want to have a baby and nobody’s talked to them about their
15:04 PCOS and haven’t gotten them ready for that, then that can take a couple years. Well, then they’re 37, 38, and then
15:10 we’re in trouble because their egg quality is generally worse than somebody who’s healthy, right?
15:16 I call PCO I call the birth control pill a the get out of my office prescription.
15:22 Um because it’s not only used for PCOS, it’s used for abnormal bleeding, weight gain, headaches, acne. I mean, you name
15:30 it. And it’s it’s like they just like you said, it’s like, I’m going to do something for you now. you can go, but
15:37 and and you got to give it at least 3 months so then they don’t have to deal with you. And I think if they do that
15:43 long enough, you just end up leaving and trying to find somebody else. Yeah. No, I completely agree. So,
15:51 transitioning from PCOS, what about like PMS? So, PMS is another thing, you know,
15:57 I I I hear lots of things on the internet. Um, one of the things that you hear though from some people is like,
16:04 you know, your your period shouldn’t be the most painful thing in the world. You shouldn’t have any pain at all. You
16:10 should just bleed. And, you know, they should be very regular and perfect. What is the truth about that? Like, should we
16:15 have pain? Should we have mood swings? Like, should we have these fluctuations
16:20 in our hormones or should we just be very like flat flat people all the time?
16:25 I think that, you know, again, as a man, I wouldn’t want something that hurts
16:31 every month. I think if you have, you know, if you have some cramping for part
16:36 of a day, that’s probably normal. But if I always say if the pain is interfering
16:42 with the way you live your life, or if you have to plan your life around your
16:47 period, if you dread your period, if you’re missing school, if you’re missing work, well, that’s not normal. And you
16:55 know, I don’t want to say some pain is normal cuz I think pain is always a sign that there’s something going on, but
17:01 like you know, if you have a headache, maybe you didn’t sleep the night before. You know, it’s not that it doesn’t mean
17:06 that there’s something horribly wrong with you, but it means that you probably
17:11 have something going on. And I think the same thing usually I see young girls all the time probably 14 to 22 give or take
17:21 that will come to me for really bad periods and it’s usually prostaglandon
17:27 issues um that are causing them to basically feel like they’re in labor every month heavy heavy bleeding you
17:33 know that’s obviously abnormal but again I think a lot of women are meant to ever
17:39 since Eve bit the apple women have been taught that pain is normal and you’re
17:45 still kind of being punished for the original sin, if you will. Um, that, you
17:50 know, you should suffer a little bit. And it’s the same thing. It’s not just with periods. It’s with menopause. It’s
17:56 a little suffering is okay. I asked my grandmother once, I think she was 85. I said, you know, what was menopause like
18:03 for you? And she said she was this 411 Italian woman um who would beat your ass
18:10 you know kind of a you know and I said and she’s like she said what the hell is menopause and I’m like you know when you
18:16 had the hot flashes she’s like she’s like See listen I was a World War II mom
18:21 and your grandfather went off to war. I had to go work and basically I made bullets for four years and we didn’t
18:29 talk about stuff like that. one because people wouldn’t listen to us, but two, we just didn’t have time for like
18:35 that. Not that it’s a bad thing to talk about pain, but this is a phenomenon that we’re seeing now because women have
18:42 a voice more at least than they did before. And so I think that um the more that we talk
18:49 about it, the less we’re taking that stigma off of it. And we’re and I see
18:55 women all the time, as I’m sure you do, that feel like an a completely different
19:01 person just from hormone replacement that they didn’t know was possible. They just thought they had to suffer. And we
19:07 make fun of them all the time, like sitcoms, you know, it’s like I remember when my mom had her hysterctomy, she was
19:12 probably 30some. And one day, I think I was 16 or something, she was yelling at
19:19 me cuz naturally, it was her fault, not mine, cuz I was perfect. And I said to
19:24 her, I made the mistake of saying to her, “Did you did you take your pill today?” which was her primarin probably.
19:32 And I even knew that at 16. So, I had learned that from somewhere, right? It
19:38 had to have been TV or whatever, that all women’s problems come from their uterus and their hormones. And I think
19:44 that’s still real today. I want to know what your mom said when you said, “Did you take your
19:49 I don’t even remember cuz I probably blocked it out.” But yeah, it was uh
19:54 like I said in our podcast, things you should never say to a woman. That would be one of them. That would be one of them. Did you take
20:00 your pill today? Especially your mom. Yeah. And I think a lot of women just
20:06 have a lot of PMS symptoms. You know, a lot of there’s a lot of people with endometriosis, whether it’s
20:13 diagnosed or not. There’s a lot of people with, you know, gut issues. We talked a lot about that on your podcast.
20:20 So, if you’re already bloated and you already have a little bit of like SIBO or constipation and then your uterus
20:27 starts cramping, I mean, you correct me if I’m wrong. or the surgeon here, but I think from anatomy, your bowel is very
20:33 close to your uterus. Um, so if you have a bowel that is full of stool and you’re
20:40 bloated and gassy and your uterus is cramping, that just seems like a pretty big disaster for me in a small space,
20:48 right? So, I mean, I think there’s just a lot of things that can go on. But then the other thing that women really
20:54 struggle with is their mood, right? whenever their hormones are fluctuating or as they go through menopause. So,
21:00 let’s talk about that a little bit. Like some women will say to me, you know, there’s a certain week of the month or there’s a certain time of the month
21:05 where my mood is terrible. I feel like every, you know, I’m going to die, yada yada yada. It’s typically right before
21:11 they start their period, right? But they feel like they’re going to die doomsday. And then they start their period and
21:17 everything is fine. Is that normal or is that something people should be concerned about? Well, again, even on
21:23 Instagram, there’s reals that that women will do like uh they’ll show like me on
21:29 my period and they’re happy and then the week before their period they’re miserable and and they joke about it.
21:35 But the reason that it’s joked about is because it’s true. It happens to a lot of women. I I don’t think that again if
21:43 I as a man I don’t deal with that. And I would think looking at that when women talk to me about it, I wouldn’t want to
21:49 live like that. I wouldn’t want I can’t stand if my back hurts for like two
21:55 hours, let alone having to suffer for 7 to 10 days every single month. I mean, I
22:02 can’t even imagine that. So, but again, we minimize it and we we make it seem
22:07 normal. And women also feel like, especially now that, you know, women are
22:12 working as much as guys do, if not more, and they don’t feel like they can talk
22:17 about it because they’re in a practice with with men, and they don’t want to lose time at work. They don’t want to be
22:24 the butt of a joke or feel like they’re weak. Um, so yeah, we definitely um we
22:30 definitely I see that all the time and it’s not normal. It’s not the way you should have to live your life. So that
22:36 if somebody’s listening to this and they say, “Oh, yes, I do have extremely painful periods and it affects my life
22:42 and my, you know, it changes my mood at certain points.” What would your advice be to those people? Is it that they
22:48 should? Because if you’re listening to this and you can’t come to somebody like you or I, I would say that 99.9% of the
22:56 time that somebody goes to a doctor and says that, they’re either going to give them birth control or an SSRI. That’s
23:01 probably fair. What would be your suggestion? Is that good or is there
23:06 something we should be doing instead of like what are your thoughts? Let’s assume that everything is normal
23:13 in the sense that there’s nothing horrible like endometriosis or cancer or something weird like that. Usually what
23:21 I what I say with pain and heavy bleeding and stuff like that is that it’s probably a huge release of
23:27 prostaglandins. Prostaglandins cause we use them to induce labor. So the pain
23:32 can be pretty in severe. dilates blood vessels, so you have heavier bleeding,
23:37 can make you feel like you have the flu, muscle aches and pains, diarrhea, headache. Um, it’s it’s horrible. And
23:44 usually if women, in my experience, even add magnesium, high doses of fish oil,
23:51 cuz fish oil will move you from there’s there’s a prostaglanding cascade. One
23:56 arm is really painful, the other arm usually is more relaxing to the uterus. uh fish oil will move you to the
24:03 relaxing side. Um I use a lot of maca in my practice. Those three things, if you
24:09 can’t start progesterone because you don’t have it, progesterone will thin out the lining. So you have less
24:15 prostaglandon release because you have less lining. Those four things, if you can use all four of those, 75% of that
24:22 goes away within two or three months just doing that. Um, you can even get
24:27 progesterone now over the counter in like 20 milligram doses that you can buy on Amazon. Not a huge fan of doing that,
24:34 but it’s out there. Um, but yeah, maca, magnesium, and and fish oil, two to four
24:41 grams a day, um, can make a huge difference. Okay. Well, that’s very helpful. What
24:46 about irregular bleeding? So, some women will say, you know, I maybe have a
24:52 period every 75 days, and that’s really annoying because I don’t know when I’m going to bleed. But the even worse part is some people will say, I bleed every
24:59 14 days, or I bleed every 18 days, and I never know when I’m going to bleed. What are some of the causes of that? Or what
25:06 are some of the things you would recommend if somebody is having those issues that is not birth control?
25:12 Usually uh depending on age, but um if it’s a young girl, it’s like 14 to 18.
25:20 It might just be that their hypothalamic pituitary ovarian axis just hasn’t matured yet. Um so they, you know, we we
25:28 can throw a lot of stuff at them, but it might just be they they need to give it a couple of years. Uh and if it’s not
25:34 necessarily interfering with their life, um then I don’t necessarily get too
25:39 involved with them. they just need to have that maturation process. Uh women in their 20s, 30s, 40s, you could have
25:47 PCOS. So, we want to look into that because that’s probably the number one thing we think of with an irregular
25:52 period. Um but you also want to look at, you know, obesity can affect that. Um we
25:59 talked about gut health and the inflammatory process, the inflammation load in the body. And we throw around
26:06 the word inflammation all the time without really talking about what it is, but I think that comes down to
26:11 lifestyle, food, sleep. Um, we talked about cortisol in high levels uh because
26:17 of stress. And you know, you can say, “Oh, you’re stressed.” But what does that mean to a person? You know, it’s
26:23 like you need to calm down. Okay. Well, that’s another thing you should never probably say to a woman. But I think
26:29 it’s, you know, one, I think a lot of the problems with cycling, if it’s if
26:34 everything is fairly normal, is probably lifestyle related. Um, I think we live
26:40 in a very stressful world and we live in a society where we’re on the phones all
26:46 the time. We’re not outside. You know, some women might exercise almost too much because of body image things that
26:53 can mess up your cycle. I’ve had women in my practice where I have diagnosed
26:58 that their cortisol is really high on like a Dutch test and I’ve had to tell
27:04 them to not exercise as much for a few months and then they are stressed out because they’re worried about weight
27:10 gain. But if but if they slow down and they do some relaxation or just walk,
27:16 I’ve seen 7 to 10 pound weight loss just from actually dialing it back a little bit. So, it really depends on and and
27:23 and that’s the other thing we don’t do a lot of in our society as as physicians
27:28 is we don’t ask those lifestyle questions really because as we talked about doctors may not have the time to
27:35 do that but if you really just the first question I ask new patients is tell me
27:41 your story you know like what is what’s your journey so far what have you done
27:46 what are your symptoms and kind of where would you like to go where would you what’s perfect day kind of a thing. And
27:54 most people if you listen will will kind of give you hints as to what’s going on.
27:59 Yeah. So, a lot of it then could be stress. It could be but I mean it could
28:05 also be indometriosis, things like that. But I would say that stress is probably a good
28:13 answer for a lot of people with with the life that we live. What about though if
28:18 if you’re listening to this and you’ve gone through menopause, so you’re on the other side of menopause and maybe you’re
28:25 on hormones. Obviously, if you’re if you’re not on hormones and you’ve gone through menopause and you’re bleeding,
28:30 that’s a big red flag and you need to see somebody for that. You need an ultrasound, lots of things. Wonder if
28:35 you’re someone who has gone through menopause, now you’re on hormones, now you’re having issues with bleeding. Talk
28:41 about that a little bit. So, we’re always taught in residency, anybody with
28:47 post-menopausal bleeding has cancer until proven otherwise, right? So, whenever I get a if I just start someone
28:53 on hormones and they have spotting, I don’t get too worried. I usually will give it a month or two um because we’re
29:00 cranking the engines back up and that can stimulate the lining, can stimulate the uterus. So, a little cramping, a
29:06 little spotting is pretty common. If I have a woman that calls me, and it also depends on age. if they’re right around
29:12 48 to 52ish, I don’t get like super worried. But, you
29:18 know, if I have a lady that’s 72 and she’s been on hormones for 6 months and
29:24 she calls me with spotting, I’ll probably get an ultrasound because we want to look at the lining of the
29:29 uterus. Is it too thick? You could also have bleeding if it’s too thin. Um, if
29:34 it’s too thin and they’re bleeding, I probably will adjust their hormones. If the lining is a little thickened, we
29:40 want to do that extra step of an endometrial biopsy just to make sure there isn’t a polip or, you know,
29:46 something. I pick up fibroids all the time. Uh, they can definitely cause spotting because the hormone replacement
29:52 could stimulate the fibroid as well. So, yeah, the ultrasound is pretty important. an endometrial biopsy. Um
30:00 there’s a lot of horror stories on the internet about how painful they are and how we don’t anesthetize women, but if
30:07 it’s done the right way, um most of the time it’s a it’s uncomfortable, but it
30:12 shouldn’t be like the worst thing you’ve ever experienced in your life and it can rule out cancer for sure. Um, so yeah, I
30:20 think an ultrasound and then a biopsy, but most of the time I I can tell you I’ve been in practice for 25 years and
30:27 I’ve maybe seen two cases of endometrial cancer that
30:33 I’ve picked up on a biopsy. It’s it’s a pretty rare disease process. usually in conjunction with diabetes, obesity,
30:40 there’s a family history, uh things like that. But usually if a woman’s on hormones, I have to go through those
30:46 steps to cover myself and to make sure there isn’t something there. But most of the time it’s just the hormones maybe
30:53 aren’t the estrogen and progesterone particularly aren’t quite balanced yet. Yeah, I would agree. So, I think that’s
31:00 important because yes, a lot of people will read on the internet like, “Oh, if you’re bleeding and you’ve gone through
31:05 menopause, you have cancer.” And so, then people lose their mind and then that kind of spirals and segways into
31:10 the whole, “Oh my gosh, you know, hormones cause cancer,” which is not
31:16 true. So, you mentioned that, you know, your grandma just didn’t take hormones
31:22 and part of the reason that you ended up in gynecology was or OB/GYN was wanting
31:27 to kind of be able to help somebody like your mom in the future. So, you mentioned that she had cancer, but then
31:34 after she was diagnosed, they wouldn’t give her hormones, so she was pretty miserable at the end of her life. So, let’s talk about that. I think that
31:41 conversation is starting to change for the better slowly and you people like
31:47 you and I yes in mainstream OBGYn endocrinology primary care it’s probably
31:53 going to take another 10 years unfortunately but you know I bring people on and talk about this all the
31:59 time does hormones cause cancer and we know this uh but the women’s health initiative not only damaged an
32:06 entire generation of women I think it really hurt an entire generation of physician physicians, even the younger
32:11 physicians are still afraid of it because they learned from my generation and so they still think it causes
32:18 cancer. You know, the big study in the summer of 10 million women that were on
32:24 estrogen um had lower rates of breast cancer, lower rates of lung and colon
32:29 cancer, and they had less dementia. And actually the crappy women’s health initiative, the estrogen only arm in
32:37 that study did not have an increased risk of cancer and nobody ever talks about that. It was the combination of
32:43 primer and provera which who uses those anymore anyways. Um I have seen a couple
32:50 patients on primin in the last week but it’s pretty rare. Um so it’s it’s it’s
32:55 just scared everybody senseless. And I can’t tell you how many times I’ve had a patient come in in the last year or two
33:03 who’s feeling great on her hormones and she’s in a walking group and she’s walking with her girlfriends and one of
33:10 them will say, “Oh, you can’t be on hormones. They’re going to cause cancer.” And then she stops everything and then she calls me and I have to have
33:16 that discussion with her all over again. So, it’s still pretty prevalent. Or they are in a doctor’s visit with
33:22 their primary care doctor and they say, “Dr. Cassie or Dr. Sean put me on this
33:27 hormone and their doctor tells them how they’re going to get cancer and how we’re trying to kill them and those are the people that really infuriate me. Um,
33:34 but I completely agree with that. I actually have seen several people recently on prim too. So I’m like, what
33:40 is going on here? Like and it’s young young doctors. It’s not I always ask how old is your doctor cuz I
33:45 would expect them to be 65 or 70. And no, they’re younger younger doctors prescribing. I don’t know where that is
33:51 coming from, but yeah, I wouldn’t I wouldn’t recommend Primin. Um, yeah. So,
33:58 and and I agree with you. I think that there’s this whole generation of women, unfortunately, who had a huge disservice
34:03 done to them over the last 25 years. These are the women that are going to be demented and breaking their bones and,
34:08 you know, have heart disease. And unfortunately, you know, if you were somebody kind of going through menopause around 2000 and you’re just now kind of
34:16 coming up for air, you’ve missed a pretty big window of opportunity. Now, not to say that you can’t do hormones
34:22 now. I would happily put you on hormones now, but you know, unfortunately, a lot
34:27 of times the damage has been done. And so, I don’t know, like what do you think the answer is? How do we like break this
34:34 stigma and get people to understand that hormones done correctly in the right doses don’t hurt people? like what is
34:40 what do we do? women women change the med medical it’s a joke I have but um
34:47 Neils Boore said that science evolves one funeral at a time meaning as the old
34:52 guard dies off things change what used to be crazy stupidity 10 years ago is
34:59 now the norm like Ignes Ignovvice discovered if you washed your hands
35:05 after you delivered a baby or did an autopsy and then went and did a delivery your patient wouldn’t die and he was
35:11 laughed out of medical science and lost his license. Well, he was right. And it’s kind of similar, I think, as women
35:19 are searching. You know, I just I just saw a post today from a very well-known
35:26 traditional gynecologist and she’s saying that that NMS, who unfortunately
35:32 trains a lot of doctors, um says that testosterone therapy adds absolutely no
35:38 benefit to women’s health. um it doesn’t protect bones. It doesn’t help women
35:43 feel better. And I was reading it and I’m like, well, nobody told me that cuz
35:51 I see it all the time. I’ve seen osteoporosis reversed. Um and and and
35:57 they stick to it like it’s it’s almost like so they’re so staunch about it that
36:04 they they foam at the mouth. And I I really don’t understand that mindset. So
36:09 that’s not going to change until those people go out of practice because you somehow we need to get to the younger
36:15 docs that are just coming up in the ranks and and I think women are going to do that by asking questions and saying I
36:21 want this and if you’re not going to give it to me I’m going to go somewhere else because if you doctors hate to lose
36:28 patients. We all take it personally when people leave because we feel like we’re not doing something right. And if if
36:33 they start seeing, hey, this lady’s going to him and this lady’s going to him, then they might start going like me
36:40 when we were talking in on your pod on my podcast about the GI map. Not something that I routinely offer, but
36:47 listening to you talk about it and I have patients ask about it all the time. I I I’m kind of that mindset. I want to
36:54 learn more about it cuz I I want to know and I think the younger docs will start doing that as women start transitioning
37:00 their mindset as well. Well, I hope so. And my other hope is that, you know, there are more and more
37:06 female doctors now. And so, I’m hoping that as female doctors get to that age where they’re going to start becoming
37:12 permenopausal and menopausal that they’re going to demand better for their health. And sometimes, unfortunately, it
37:17 takes you being the patient and having a bad experience from a health perspective for you to really want to do better for
37:23 your patients. But it, to your point, I have thousands of women I’ve treated
37:28 with testosterone, and all of them get better bones. Um, and they do feel
37:35 astronomically better. They have better energy. It actually does help your gut.
37:40 It helps you love and tolerate your husbands more. Um I mean there’s so many
37:45 it helps your brain blood flow to your brain, right? So the fact that Nam says
37:51 that and whoever is toing this is is very it it is disheartening and I hate that you know some platforms on
37:58 Instagram you know there was a podcast and somebody that I really really like and enjoy but they had a doctor on who
38:04 just ripped hormones and this was a big podcast. Millions of women listen to this ripped hormones talked about how
38:10 bad they were you know yada yada they want to quote all these you know the uh
38:16 national menopause society and it’s just really disheartening but also very
38:21 hurtful for women because then I have people coming to me like well this person on this podcast said that okay well I don’t care like what are their
38:27 credentials how many and how many people does that person treat like there’s a lot of people who stand up there and say
38:34 oh let’s do this this and this because I researched it Well, there’s a big difference between research and clinical
38:39 practice. And I know this cuz I did it in fellowship, but and you know this, like we’re out on the front lines talking to people every day. There is no
38:46 better, in my opinion, way to learn about people and research what is good
38:52 for people than by taking care of them every single day, right? The same thing goes for the Huberman’s
38:58 out there that spout off all this stuff. They don’t see patients either, but they sell a lot of supplements. It goes both
39:04 ways, right? There’s so much misinformation from people that don’t actually see people. It’s like, okay,
39:10 well, you know, uh either way, you know, whether it’s a supplement junkie pushing stuff or if it’s a physician who’s, you
39:18 know, pushing their narrative and they don’t see people anymore because they wrote a book 10 years ago and they made
39:25 millions and they didn’t need to uh see people anymore. But I think what I always say is some people out there are
39:32 trying to be relevant in a noisy space. I mean, the hormone space is really noisy. And in order to seem relevant or
39:40 to seem like you know something that nobody else knows, you cherrypick data. You cherrypick one study that had 12
39:48 people in it or you misconstrue the data um and you make it this revolutionary
39:55 thing. Like what’s funny about the Women’s Health Initiative, the the results that they found were already in
40:01 the package insert. We knew that. We knew the results because it was already in there. So, but when they came out of
40:06 it, they they glombmed on to that one in 1,000 risk. Even the breast cancer risk
40:13 was only one in a thousand higher than than the general population, but they
40:18 made it seem like it was this enormous thing or the DVT risk. I’m still trying
40:24 to get women to not be afraid of oral estrogen. I mean, oral estradile, granted it wouldn’t be my first choice,
40:30 but it’s not. It’s a one in500 risk of DVT. It’s not the end of the world. You
40:36 know, it’s there’s probably a higher risk takingaking Tylenol if you take it long enough. But we just glom onto these
40:43 little t bit tidbits medical medium, you know, whatever. And that’s doctrine now.
40:50 And unfortunately, the higher number of followers you have, the more it means you’re an expert somehow.
40:57 Yeah. The more credibility you get. And then what happens too is, you know, there are a lot of people out there
41:02 talking about it, specifically the ladies with the menopausi group. And what happens is when you start to hit
41:09 like a million or two million followers, for some reason, I don’t I hope I
41:15 wouldn’t do this, but they start going the way of monetary gain and supplements
41:20 and endorsements and stuff and they kind of lose the message a little bit. And
41:26 while they’re doing good things, I think it gets confusing for patients. No, I agree. And also the other thing
41:31 that is confusing is, and I just learned this, like I’m a complete idiot when it comes to things like this, but I didn’t
41:36 even know you can buy Instagram followers. So like some of these people that have all these followers allegedly,
41:43 and have all this credibility, and I’m trying to look up their credibility, and you know, there are people out there who call themselves doctors and I’m not sure
41:50 what they’re a doctor of. um they don’t necessarily have all the credibility that you think they do because they’ve
41:57 bought their followers and they’re a doctor of I don’t even know what are they
42:05 prominent guy out there who talks about gut thyroid and everything and he’s a doctor so and so but he’s a doctor of
42:12 pastoral sciences. What is that? It’s a you can buy it. I think it means
42:18 you’re a doctor of divinity or something. And it’s like, but he’s but he’s now in the health space. But they
42:23 use I always tell my followers, if someone’s a doctor, if it takes you more than a minute to figure out what kind of
42:30 a doctor they are, there’s a reason they’re hiding that because people like doing me, I’ll just put MD on my title
42:37 so people know what I am. I don’t usually say I’m Dr. Sean Tessone. I’ll say MD. But if you have to dive and you
42:45 have to it takes you 14 pages on their bio to figure out that they’re a doctor of chiropractic or something, why are
42:52 they hiding that? And and that’s something you need to look at too is what are they a doctor of like you just
42:58 said. Well, or just Google them because like if you put you or I in Google, the first thing that’s going to come up is that
43:04 you know our NPI number like all sorts of stuff you can Google about people, right? But no, I completely agree and it
43:10 is frustrating because it’s difficult for for pat like it’s it’s the patients that kill me, right? It’s like they’re
43:15 in a difficult spot. But I am hopeful that people like you and I and people that spread the correct word are going
43:21 to change that trajectory because I personally have seen hormones change the life of lives of thousands of people. It
43:28 is like the you know the I love it so much in my practice. I’m I have this new love for gut. But like when you put
43:34 those things together, I mean you can really change people’s lives. And the fact that people get on social media and
43:40 make a bunch of stupid ass remarks about how hormones cause cancer or whatever you said, you know, because they’re
43:46 getting paid to do it or because they know one person that took one thing and had one side effect. Like, of course,
43:52 are hormones for every single human listening to this? No. Do some people have problems with hormones? Yes. At our
43:57 practice, we really try to figure out why. If you’re having issues with hormones, let’s look at your gut. Let’s do Dutch testing. Like, let’s figure out
44:03 It’s because your hormones are supposed to come and go. are we not metabolizing them correctly? Like, but they are so
44:08 beneficial and so it’s just really frustrating when you all encompass something like that. Like I try really
44:14 hard not to do that. Um, so I completely agree with you and I do I’m going to
44:19 start telling people that if you are trying to find someone’s credentials and they call themselves a doctor, if you can’t Google them and within 30 seconds
44:26 figure out what they’re a doctor of. Yeah. And and there I will tell you
44:31 people always rag on big pharmacy because it’s an easy target. Oh, you’re paid. How many I always get this
44:37 whenever somebody’s arguing with me on the internet. How many how many vaccines did you get? It’s like, what does what
44:43 the hell does that even have to do with anything? But but that big pharma, oh, you’re paid by big pharma. That’s
44:49 against the law. We we can’t get money from big pharma. But if you look at the supplement industry, I think it made
44:55 three times the amount big pharma did last year. And nobody talks about that. It’s like these people that are I mean I
45:04 know somebody that’s in the thyroid space that probably made $3 million last year and selling supplements and
45:11 programs and is a doctor of clinical nutrition, but the school that this
45:18 person got their degree from has closed because it was shut down because it wasn’t legitimate, but they’re still a
45:25 doctor and they’ve been on like Good Morning America and it’s like, you know, and And then the you and I are just out
45:31 here grinding trying to trying to help people and uh it’s just it’s a it’s the
45:38 internet is a fascinating space. I mean it’s fascinating. Well and and we have something to lose if we do something incorrectly, right?
45:44 Like that’s the other thing that’s frustrating. If I say something on social media, you know, people are like, “Oh, you’re a doctor. I can take that as
45:51 medical advice.” But some of these doctors that aren’t doctors can say whatever the hell they want and do whatever they want because they don’t
45:56 have anything to lose. They have a fake doctor license. you know, or they’re or they’re a doctor of pastoral science or
46:02 of philosophy or whatever. And so it is I mean it is true. I almost wish that
46:07 Instagram meta like if you’re listening to this, you should have like a special way that people are verified and you
46:13 shouldn’t allow them to call themselves doctor unless they’re a real medical doctor in my opinion, but that’s just me
46:18 and so we’ll go back to not talking about that. So anyways, um I So I think
46:24 this is all very helpful information and very interesting. I want to ask you a couple questions I ask everyone. This is
46:31 not medicine related and I want you to tell me the first thing that comes to mind. Like don’t overthink this, but
46:36 my brain is a scary place. So we’ll try. First words. What is one food that’s
46:44 most beneficial and why? Food. Food. Lord have mercy. Is the first thing that
46:49 popped into my head um is just meat. Beef. Um, I know that vegans or
46:56 vegetarians might have a problem with that. I just think that because most women don’t get enough protein. Um, I
47:03 think clean protein sources, meat, chicken, fish, um, we probably underconume because I’m I’m definitely
47:10 not a cholesterol um, weirdo. I I do think that cholesterol matters, but I also think,
47:17 you know, eating a a a diet with good protein sources, eggs and stuff like that is is super important, especially
47:24 for women. I like it. Protein. What is one thing that anyone listening to this podcast
47:31 right now can do that will improve their health that’s 100% free? Sleep.
47:36 I agree. Easier said than done. I don’t sleep, but sleep. Why don’t you sleep? I don’t know. You know, it’s really
47:42 weird. Um, I used to sleep great and then I got divorced seven, eight years ago and I don’t sleep. Um, I didn’t
47:50 sleep for a long time. Now that my fiance moved out here to Austin in July,
47:57 I actually sleep a lot better. I I don’t know if it was some weird trigger for me being alone, but I just would I couldn’t
48:04 fall asleep and it was stressful. There’s great things for that, by the way, if that ever happens again. There’s
48:10 a peptide called DSIP that helps you get into deep sleep. I love it. I use it when I’m stressed. It works like a
48:16 charm. Um, so there’s Is it an injectable or is it a pill or It’s injectable, but the cool thing is
48:22 you can take it and not take it, but it just induces delta wave sleep. So it takes you from alpha beta into delta.
48:28 And it’s thought that like your subconscious stops that when you’re stressed, right? So you get into that like light sleep, but you don’t really
48:34 fall asleep. Um, so it just induces delta w. How quick does it work? Is it pretty quick? So within I mean I when you’re
48:42 tired it works within 10 minutes. If you’re really like rolling you know like
48:48 like two nights ago I did a podcast until like 11:00 cuz I was doing it with somebody in Saudi Arabia and I go
48:53 downstairs and I’ve been under these lights and I’m like you know but I was so tired I took it. It took about 35
48:59 minutes but I mean it works. It’s pretty and like you go to sleep and you do not wake up because you know these things
49:05 tradone and clinazipam those things they cause dementia like
49:11 and people just write them like candy and pe you know some people tell me like none of this causes dementia bologoney
49:17 like they cause dementia you know I took ambient one time and I woke up in
49:23 the corner of my bedroom and I didn’t know why I was standing there and I was like I’m not taking this ever again.
49:30 What the heck am I doing in the corner of the bed? I mean, I was sleepwalking obviously and I’ve heard people that do that, but I don’t even prescribe
49:36 ambient. I can’t I use hops a lot in my practice because it it works sometimes for patients. Yeah. And I like a little bit of
49:42 melatonin. Also, your gut, like just throwing that out there. There are certain things when your gut is off that will cause you to either not be able to
49:49 fall asleep or wake up. But DSIP, I like it because it’s not something you have to take necessarily every day. Um, so
49:56 just anyways, we we digress. But uh my last question is what is one thing you
50:02 wish you would have known about your health 30 years ago that you would have done differently knowing what you know
50:08 now? This might sound horrible to all the patients whose babies I delivered,
50:14 but I wish I would have just done gyn a long
50:19 time ago for my body because I think the
50:25 stress levels, my blood pressure, um my my happiness,
50:30 um I didn’t do well with being on call all the time. And I think when you’re 27
50:36 and you decide, I can do this forever. And then when you’re 47 and you’re like, “Wow, I’m just I mean, it takes three
50:44 days to recover from call.” Um, and you’re in a big group and you’re doing like 12 deliveries. I have found that
50:50 joy the joy in my life right now. Um, I’m down 40 lbs. Um, I sleep a lot
50:58 better now. And and having It’s okay. I guess what I would say to myself would be it’s okay to be happy. You know, I
51:05 was always I always felt like I I had to suffer through that because this is what
51:11 I signed up for. And the reality was I needed to figure out for me what makes
51:17 me happy because I got being in private practice gyn only. I have like 825
51:25 five-star reviews. I never used to get that when I did OB. And I think it’s
51:30 because I was on the inside. I was just miserable. Not because I was not happy with my patients, but the lifestyle was
51:37 just slowly killing me. And how many of us out there kill ourselves because of our jobs, you know?
51:43 I completely agree. No, it’s so true. I did two years of call at the VA as a
51:49 internal medicine doctor who admitted people from the ER all night long and I
51:55 was only 30 and I bet those two years aged me 15. I tell people all the time I
52:02 completely uh commend anyone in the military and I never served in the
52:07 military but I feel like I did for two years there. You want to talk about a war zone? Um, it was it’s hard and it’s
52:14 so hard on your body, right? And it’s just I agree and and it was for me the same thing. Like I told my husband, I
52:20 feel like I am going to do a disservice to these people if I quit because they don’t have anyone else. But like you
52:27 have to at some point take care of yourself because some of the best advice I ever got, I had a patient, oh my gosh,
52:33 she’ll make me cry. Sweetest lady, I took care of her forever. um she passed away recently, but she was 93. But she
52:39 told me at her last visit, because she was going to go home and die, she said, “Cassie, you just make sure that you
52:44 always take care of yourself because if you don’t take care of yourself, no one else will.” And that was the last thing she said to me. She was the sweetest
52:51 lady. And you think about it, you think it’s cliche, but as you I’m 58 and now that
52:56 I’m older, my dad’s 82, and I look at my dad and he’s never really lived his true
53:04 self, you know? I think he just kind of went through the motions that generation, you know, Vietnam and all
53:10 that stuff. And he never really had the opportunity to figure out what he what he wanted, you know, what did he was he
53:17 fulfilled, you know, and I really feel like now in my life going through divorce, reinventing myself. This is
53:25 this is me. This is uh this is really kind of where I’m at right now. And I see a full schedule now. I don’t dread
53:31 it. I’m like, “Wow, these people all want to see me.” you know, it’s like, wow, that’s like to me that’s amazing.
53:38 Whereas before I would have been like, dang it, I got like 45 patients today and nobody’s going to be happy and you
53:45 know, you project and and it’s true. You know, it’s kind of woo, but it’s like you attract what you put out there to a
53:52 certain you to extent. So, I’m in I feel like I’m in a good place. I love that. So, Dr. Sean, tell everyone
53:59 where they can find you because I’m sure now people are very interested in you. So, where can they find you on social
54:05 media? We know you’re in Austin. Like, tell everyone about you. Instagram, Sean Tassone MD. Tas. It’s T
54:12 ass one. That’s how you spell my last name. Not that, not that in high school anyone ever called me Tassel. Not, you
54:19 know, not that they did that. TS1 and Sean Tassone, MD. Uh, obviously, uh,
54:26 I’m there most of the time, but we push everything out to YouTube. Um, you know, I was surprised. Uh, there’s a lot of
54:33 women out there. I did a video on uh women over 65 that do hormones. Probably my biggest video to this day, the the
54:40 the the demographic on uh there’s a lot of people on YouTube watching stuff,
54:45 even the 65 to 85 year olds. Um, and I’m on Facebook, not as much, but I also
54:51 have uh my book, The Hormone Balance Bible. You can get that on Amazon. There’s a QR code in there. You can take
54:58 my hormone quiz. It’s 36 questions. Everybody’s got a quiz. Mine’s better. Um, and it’ll just kind of give you a
55:04 starting point as to what hormones might be bothering you. I love that. Well, thank you so much for
55:10 coming on and for just helping educate my listeners on all things hormones.
55:15 We’ll have to do it again. I loved it. And then at some point, I’m going to come to Austin and visit you and Micole.
55:21 And maybe we should like all three sit down and just like, you know, enlighten the world with all of our
55:27 We will eat. We will eat beef. Oh yeah, for sure. Micole likes beef, too. Let’s do it.
55:33 I’ve been to dinner with Micole many times, so we’re just missing you. You got to come out here. Well, let me know. Let me get the next
55:39 invite. I’m happy to come out. All right. All right. Thank you. You’re welcome.
55:45 I hope that you found that episode as enlightening as I did. I always love having somebody on that has the same,
55:51 you know, thought process as me and just how patients need to be treated as a holistic
55:56 uh entity and Dr. Tone is he’s just an amazing guy. And so if you had any questions about PCOS or bleeding, I hope
56:03 that we or hormones in general that we helped answer some of those questions. Please remember that Modern Endocrine is
56:10 licensed in 43 states now. We are so happy to help you with any problems you have whether they’re hormonal related,
56:16 gut related, thyroid related. We do visits in person in Oklahoma City, but also via teleaalth. We have some great
56:22 gut programs. Also, if you enjoyed this episode, please share it. Share this with anyone that you know. Make sure
56:28 that you give me a review wherever you get your podcast. Um whether it be Apple, whether it’s on YouTube or
56:35 Spotify. And then my last ask is that you’re following us on social media. I do try to give you really good
56:41 educational information that is 100% free. So follow us there. Let me know who you want me to interview, what
56:47 questions you have, and I really appreciate the fact that you spend this time trying to learn and fix your health
56:53 every week with us. I’ll see you guys next week. [Music] The information presented, including any
57:00 materials discussed, referenced, or linked within this podcast, are for general educational purposes only, not
57:07 the practice of medicine. No doctor patient relationship is formed from you listening to this podcast or utilizing
57:13 any of the information provided. I am a doctor, but I am not talking to you as your doctor. The information provided is
57:21 not intended to diagnose or treat health problems or take the place of the professional medical care provided by
57:28 your doctor. If you are experiencing any health problems, including problems you believe have been touched upon in any
57:34 respect within this podcast, you should consult your doctor about the problems without delay. You may ask your doctor
57:41 whether he or she believes the information I have provided would be helpful to you, but you should still
57:46 consult your doctor immediately and follow his or her medical advice as your treating physician. I’m just here to
57:53 provide you basic knowledge about the issues we discuss so you are more aware of them and can better discuss them with
57:59 your doctor. That’s why we call it back to the basics. Join me on the next episode as we continue our journey.
58:13 with you. I’m
Disclaimer:
The information presented including any materials discussed, referenced, or linked within this podcast are for general educational purposes only, not the practice of medicine.
No doctor-patient relationship is formed from you listening to this podcast or utilizing any of the information provided.
I am a doctor, but I am not talking to you as your doctor. The information provided is not intended to diagnose or treat health problems or take the place of the professional medical care provided by your doctor.
If you are experiencing any health problems, including problems you believe have been touched upon in any respect within this podcast, you should consult your doctor about the problems without delay. You may ask your doctor whether he or she believes the information I have provided would be helpful to you, but you should still consult your doctor immediately and follow his or her medical advice as your treating physician.
I’m just here to provide you with basic knowledge about the issues we discuss so you are more aware of them and can better discuss them with your doctor.
That’s why we call it Back to the Basics. Join me on the next episode as we continue our journey.