Think It’s Your Thyroid? It’s Probably This – The #1 Hormone Women Are Missing with Dr. Tyna Moore
In this powerhouse episode of Hormones, Metabolism & You, Dr. Cassie Smith sits down with the incomparable Dr. Tyna Moore—naturopathic physician, chiropractor, podcast host, and metabolic health disruptor—to dig deep into hormone health, microdosing GLP-1s, gut health, pain, muscle, alcohol, and more.
This episode is a must-listen if you’ve ever been confused by hormone therapy, overwhelmed by menopause symptoms, or curious about GLP-1s like semaglutide and tirzepatide.
Dr. Tyna pulls no punches as she shares her real-world clinical experience using low-dose peptides, how they’re misunderstood, and why muscle is the ultimate hormone therapy. She also drops truth bombs about alcohol, aging, and why most women need progesterone way earlier than they think.
🚀 What You’ll Learn in This Episode:
✅ What GLP-1 medications really do—and what they don’t
✅ Microdosing semaglutide, tirzepatide, and retatrutide—what that actually means
✅ How GLP-1s reveal hidden dysfunctions like low estrogen or gut dysbiosis
✅ Why hormones are essential for gut function, immune health, and metabolism
✅ Estrogen’s role in joint pain, sleep, mood, and cardiovascular health
✅ When hormone replacement therapy (HRT) makes or breaks success with peptides
✅ The connection between low progesterone and sleep, irritability, and anxiety
✅ Why many women have “potato shape” weight gain and how to reverse it
✅ How to properly metabolize estrogen (hint: test your pathways)
✅ Alcohol and inflammation: why even “just a glass of wine” is hurting your health
✅ Why strength training is a non-negotiable for women over 40
✅ What Dr. Tyna wishes every woman knew about aging, hormones, and vitality
🧠 Products & Resources Mentioned:
- DIM Supplement for estrogen metabolism
- Magnesium & Progesterone for sleep
Cassie info and links:
Check out the website
Follow Cassie on Instagram
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Follow Cassie on TikTok
Guest info and links:
With nearly thirty years immersed in the medical field, Dr. Tyna Moore is an expert in holistic regenerative medicine and resilient metabolic health. She is licensed as a Naturopathic Physician and a Chiropractor, drawing on knowledge from both traditional and alternative fields of science and medicine to provide a comprehensive perspective to individuals striving to enhance their health and wellbeing.
Dr. Tyna holds degrees from the National College of Natural Medicine, an esteemed naturopathic medical school, and the University of Western States Chiropractic College. Her work is not just about treating symptoms, it’s about understanding and healing root causes to build a robust foundation for long term wellbeing. She is well-known for her fierce and open-minded exploration of the peptide, Semaglutide/Ozempic, as a longevity tool for healing. Dr. Tyna champions medical autonomy and individual accountability, and she is on a mission to help as many people as possible experience the freedom and joy that health brings.
Blog/Transcription
welcome back to this week’s episode of Hormones Metabolism and You i’m your host Dr cassie Smith i’m a functional
0:12 endocrinologist out of Oklahoma City today I’m interviewing Dr tina Moore
0:18 many of you that listen to this podcast I know know of Dr tina Moore she is a huge advocate of GLP-1 usage and also
0:27 hormone health i got to ask her so many exciting questions so I’m excited to
0:33 share this interview with you we started our interview talking about GLP1s we talked about what do they do what are
0:39 the positive things that they do how do they affect your gut how do they affect your joints how do they affect your
0:45 hormones how do they affect your immune system and immune modulation in addition to weight we transition to talking about
0:53 what is micro doing of GLP1s what does that actually mean are people actually doing it correctly and then we talked
1:00 about what are the difference between GLP1 so simaglutide versus trazepatide versus reatride and so she gave us her
1:08 expert advice on these different peptides and what she’s used and what she has not we then talked about
1:16 hormones we talked about how GLP1s are not magic pills and how in order for them to work correctly your hormones
1:22 have to be optimized and managed and so we had a long conversation about hormon hormones and hormone health about the
1:29 side effects of hormones about the safety of hormones about how hormones do
1:34 not cause cancer about different ways you can take hormones and Dutch testing
1:40 side effects of menopause symptoms of menopause sleep with menopause estrogen
1:48 all things menopause and she gave us a great perspective on menopause and hormone use and then we finally
1:54 transitioned at the end of our conversation to alcohol we had a pretty long in-depth conversation about alcohol
2:01 some of the studies around alcohol now and how alcohol actually affects your hormones so this podcast episode is
2:08 packed full of so much good information dr tina is just a wealth of knowledge i
2:14 love her content and I really enjoyed interviewing her so I hope that you enjoy this podcast as much as I enjoyed
2:21 doing it welcome to this summit episode i’m your
2:27 host Dr cassie Smith i’m a board-certified endocrinologist thank you for joining us for the hormones and
2:33 mental health overcoming anxiety depression and ADHD and women’s summit i
2:38 am interviewing Dr tina Moore today she is a wealth of knowledge when it comes to hormones and we are going to be
2:44 discussing how estrogen impacts your body as you age and progress through
2:50 menopause i’m your host Dr cassie Smith i’m a holistic endocrinologist in Oklahoma
2:56 City and today I’m interviewing Dr tina Moore i’m so excited to have her i’ve been waiting to have her on the show for
3:02 a while i’ve been asking you guys what you want to know and so we have lots of good stuff to talk to you guys about so
3:08 she has nearly 30 years immersed in the medical field dr tina Moore is an expert in holistic regenerative medicine and
3:14 resilient metabolic health she’s a l she’s licensed as a naturopathic physician and a chiropractor drawing on
3:21 knowledge from both traditional and alternative fields of science and medicine to provide a comprehensive
3:26 perspective to individuals striving to enhance their health and well-being dr tina holds degrees from the National
3:33 College of Natural Medicine and esteemed naturopathic medical school and the University of Western States
3:39 Chiropractic College her work’s not just about treating symptoms it’s about understanding and healing root causes to
3:46 build a robust foundation for long-term well-being she’s well known for her fierce and open-minded exploration of
3:52 the peptide simaglutide/ ozimpic as a longevity tool for healing dr tina
3:57 champions medical autonomy and individual accountability and she’s on a mission to help as many people as
4:03 possible experience the freedom and joy that health brings dr tina Show Podcast a top ranking podcast in the health and
4:09 wellness space and an international speaker she’s dedicated to empowering others to take control of their
4:15 well-being heal their metabolism and build strength and resilience her cornerstone recommendations for every
4:21 patient and listener weightlifting and sunshine additionally she extends her expertise to support fellow doctors in
4:28 cultivating their online practices helping them transition away from the insurance centric model to reclaim time
4:34 financial stability and freedom dr ina lives in Oregon with her husband and daughter and is a proud dog mom which is
4:41 another reason that I love her she did a whole episode on her podcast about dog food people so you need to you need to
4:47 find her show and listen but thank you for joining me yeah thanks for having me i I wish I had given you my shorter bio
4:53 i feel like that was a lot thanks for having me though yeah so
5:00 I’m I’m so stoked to have you my listeners kind of know we’ve been um I’ve been kind of letting them know that
5:06 you’re coming on and so they have some questions and so there’s a lot of things I kind of want to talk about today and I
5:11 know you’re very well known in the peptide world um and we’re going to talk about that just briefly i’m going to get
5:16 your expertise on a few things but then I want to talk to you about a lot of other amazing stuff too metabolic health
5:22 gut health estrogen the importance of that i want to talk to you a little bit about chronic pain and then just some
5:27 other fun stuff so I want to start with just in general um peptides right so
5:36 GLP-1’s micro doing my practice uses a ton of micro doed simaglutide trespatide
5:42 and then we’ve even been using reatride and so I guess from your standpoint I would like you know my listeners to hear
5:48 from you what do you think are some patient types that benefit from this is there a single person that doesn’t is
5:55 there a certain type of patient that benefits more like what is your general answer to that so my experience with
6:02 this is predominantly around using these peptides not as a weight loss strategy
6:07 in fact I don’t believe or have not found them to
6:13 be very efficacious as a strategy for the whole
6:18 host of you know we’ve got the whole laundry list of other benefits that GLP1s bring if somebody’s not
6:24 metabolically sound if we’re using a micro dose so all that said I think with
6:29 the folks who need to lose weight I think low dosing you know standard and I guess it depends on how you define micro
6:34 doing the standard starting dose you know and then the next tier up is what a
6:39 lot of people are calling micro doing that’s not what I’m referring to i’m referring to using a fifth to a tenth of the starting dose so tiny little doses
6:46 for a whole host of other conditions such as brain fog um because we’ve we’ve got the data to show it’s you know
6:53 neurocognitive benefits and neurogenerative benefits as well as cardiovascular uh potentially using it
7:00 preventatively there and a whole host of other things i think that it really does require that an individual be
7:07 metabolically optimized for that to work and so I’m not sure what your patient
7:13 base is like but mine doesn’t tend to have a whole lot of pathology around obesity and type two diabetes my
7:20 patients tend to be more already on the tip like they’re already strength training they’re already dialing in
7:25 their sleep they’re already they’ve got their nutrition dialed and we just kind
7:30 of sprinkle it on as an adjunctive tool um for whatever it is that they really
7:36 need it so I’m using it more as a longevity and optimization tool in that regard
7:44 yes I would agree with that and I feel like a lot of our patients are metabolically pretty sound or we’re
7:50 getting them there we focus on this like 10 steps to health at our clinic and so we start with cell membrane health and
7:55 we do gut health and we you know so so we have them going down the right path so we definitely don’t use this as a you
8:02 know here’s a drug you don’t have to do anything you’re going to lose a ton of weight i tell people all the time like if that’s what you think you’re in the
8:08 wrong clinic and this is the wrong medication and if there really was one of those medications then nobody would be overweight 70% of the population
8:14 wouldn’t be overweight or obese right so I think my question to you like we see a
8:20 lot of you know like you said brain fog a lot of joint inflammation a lot of you
8:27 know sleep issues even a lot of GI issues like a lot of people with bloating gas things like that where it
8:34 gets better and to your point not a starting dose much lower than starting doses so when we say micro dose we mean
8:41 that as well i mean we’re talking very very low doses not even close to what you can get from an actual pharmacy and
8:47 so is that kind of in addition to longevity what you’re you know seeing as
8:53 well as far as like joint pain brain fog stuff like that yeah absolutely i think it’s remarkable for pain and I think
8:59 it’s really cool the impacts I’ve seen on folks guts it’s funny because in the
9:04 high doses we’re hearing about all the horrific side effects and that’s all you hear about in the media but I’m like yeah if you’re overdosing your patient
9:11 although I will say even at tiny doses I’ve seen people have some GI disturbance that maybe they weren’t
9:17 comfortable um living with and that’s usually when I obviously go straight to testing and treating the gut i think
9:22 there’s just a whole litany of
9:28 systemwide issues that I I don’t even want to say issues i feel like we need to optimize a series of systems within
9:35 the body and then GLP ones work really beautifully i feel like they also unmask
9:41 sort of the weak spots right like have you found that with folks whether they’re sitting on the edge of hypothyroidism or they’re sitting on the
9:47 edge of of hormonal imbalance or they’re sitting on the edge of you know maybe like low-grade SIBO chronic digestive
9:54 stuff and then the GLP ones even at the tiny doses sort of thrust them over the edge or at least expose those weak links
10:02 and in that case that’s where we focus right it kind of tells you I mean I
10:07 usually know where to go just by symptoms but it also will tell you where to go and lead you and I think that’s where a lot of folks who online say “Oh
10:14 it’s not working for me or I’m having you know I’m not feeling better on it i’m feeling worse.” I’m like “Yeah well
10:20 if your gut’s really torn up and you’ve got a whole set of dispiosis in there then it’s going to shift your microbiome
10:26 and while that’s happening can be a really uncomfortable experience depending on how you know in like how much those bugs
10:34 have dug in and how long they’ve been living there right and what what microbiome millu we have brewing if you
10:41 will so I think that it’s a really wonderful tool when somebody and I you
10:47 know I shouldn’t say that i was going to say when somebody’s metabolically optimized but I’ve also seen it be the thing that starts the person on the path
10:54 right like I’m sure you get a ton of patients like that where they just need a leg up they just need some help and I’ve seen some folks who are really
11:01 metabolically compromised or quite obese needing higher doses more standardized dosing to move the needle and they don’t
11:07 ever get a single gastrointestinal side effect it’s really remarkable like it’s just kind of very much an individualized
11:15 journey for each patient yeah I would agree and then to your point like I see these people who come
11:21 in and they’re maybe right on the edge of menopause or pmenopause and you put them on this and that may push them
11:27 there and what I find too you know I’m very interested in gut health and so when you especially as a woman enter
11:35 menopause and lose estrogen testosterone too but especially estrogen and it messes with the estrobolum of your gut
11:41 you get all sorts of issues and so you have to go back and really you know look
11:46 at that and look at you know what symptoms are you having and do we need to address your gut and so I talked to
11:51 people you know I saw a lady today who we put on a micro dose and she’s been on it for about a month and a half and I
11:57 thought she was permenopausal well she’s definitely become full-on menopausal and she’s like you know this isn’t working
12:02 it’s causing this it’s causing I’m like no actually that’s because you have no estrogen now like it’s you know you have
12:08 zero estrogen and so you’re a strobble and your gut is a wreck and that is why your gut you’re having all these gut
12:13 issues but then additionally now you’re having hot sweats and or night sweats and you’re you’re hot and you’re you
12:18 know your skin is dry and it’s a whole conglomerate of things so to your point like I don’t think enough people look at
12:24 the body in lots of different systems right and I try to look at it as like a whole so um I’m actually writing a book
12:30 about this now i just finished the first draft last week and it’s all about how hormones in your gut affect everything
12:36 and so like when you lose estrogen what does it do to your gut and then when you change the strobalome and the microbiome
12:41 of your gut how that causes you know can cause leaky gut can cause inflammation can affect your thyroid and so I just
12:47 don’t think that enough people look at that um so yes to your point sometimes I think these medications get blamed for
12:54 things when it’s they’re unmasking things that we just need to fix i agree and I think maybe this is just my
13:01 hypothesis maybe one of the mechanisms is that it really does induce a healing
13:07 impact on the body and for I’ll take myself as an example when I started
13:13 micro doing GLP1s I was on probably for 10 years I was on two grains of armor
13:18 thyroid a day for probably a good decade and I was feeling like I needed more like I was feeling very hypothyroid even
13:25 though labs were coming back you know it just depended on what my Hashimoto’s was doing i now can only handle half a grain
13:31 if that so there’s a healing cascade that’s happening when we go on these peptides and I think one of the big
13:37 things I’ve been trying to share out with the world is the longer somebody’s on them the more of a healing impact
13:42 they’re going to have on different systems of the body and when you shove a healing cascade if all of the other
13:48 co-actors aren’t in place or if you shove you know you know if we shove any pathway and the other co-actors are not
13:54 on board we’re going to have problems if we shove thyroid for instance and we give somebody thyroid medication or
14:00 hormone but we don’t support the adrenal glands we’re going to have problems and I feel like this is kind of in that realm like if we’re getting somebody on
14:07 a GLP-1 and we’re starting to see these shifts and we know it heals up the pancreas we know it heals up and helps
14:13 regenerate pancreatic eyelet cells we know all of these things are happening we we are seeing improvements in uh
14:19 insulin reception and insulin production and then maybe these hormones are off
14:25 this is I’m such a big fan of what you’re saying because I tell people all the time that message me and they say “It’s not working.” And I’m like “Dude
14:32 you’re not on HRT i know you’re not on HRT because I know the only thing you did was go in and get a GLP-1 try to
14:37 micro dose it and now you’re saying it’s not working.” First of all what is it not working for second of all do you have a good doctor on your team helping
14:44 guide you on this and I know we are few and far between who understand it but number three like where’s the hormones
14:52 because especially someone my age Gen X middle-aged woman sitting there complaining about how GOP ones are not
14:58 making them feel great or it’s not doing what I cla seem to claim what it’s doing um I know these I’m like “How old are
15:05 you?” And they’re like “Well I’m 50 why are you not on hormones five years ago?” You know like “Where are the hormones?”
15:10 I just think that I think that’s such a critical piece of the puzzle yeah and I think that’s a lot a lot of the problem
15:16 like with hormones with anything in medicine right so with thyroid hormone with HRT and with these peptides when
15:24 you go to a med spa no offense to med spas but when you go to a med spa or you go to somebody who you know learned how
15:31 to do this in a 4hour class and that’s the extent of their knowledge and they
15:36 just give you A and expect B and B doesn’t happen because in order to get from A to B there are multiple other
15:43 facets that you may have to explore then that’s where these things get a bad name
15:48 right so as an endocrinologist I clean up hormone messes all day every day i cleaned up three of them today i mean
15:54 you know it’s just like but it’s because I also understand the pathway how they work you know if there are side effects
16:00 then I understand well we need to go back and figure out why are we developing this side effect was it the dose was it the type is it you’re not
16:06 metabolizing things correctly and so yes to your point it’s just it’s very frustrating because I do think a lot of
16:11 these drugs get a bad rap because people that are using them don’t know what they’re doing right they just got on
16:16 this train like well everyone’s giving a dose i’ll just give whatever dose they feel is appropriate and then if they
16:22 have side effects they don’t know what to do and they’re you know I tell people this when I talk about thyroid hormone
16:27 when you give somebody thyroid hormone if you don’t also check their B levels and their D levels and their iodine and
16:33 their feritin and their reverse T3 you are wasting their time because if they don’t have the co-actors they need to
16:39 make the thyroid hormone work it’s not going to work and so like same thing with this right you have to go to a provider that understands like hey
16:45 there’s more than one piece to the puzzle and so to your point I think a lot of these people who say they don’t
16:51 work so if you’re somebody listening to this and you’re like well I’ve tried micro doing or whatever and it didn’t work my question to you is first of all
16:58 even further back than that did your provider even talk to you about sunlight movement nutrition sleep stress if they
17:07 didn’t run right like I mean that that’s what kills me with people like people tell me all the time “Well I go to this
17:13 provider and they have me on 10 medications and I don’t know what to do.” And I’m like “Well did they talk to you about your diet did they talk to you
17:18 about movement?” “No.” “No.” I’m like “Why are you still going to that provider?” I don’t understand i I really
17:24 wonder to that point something I say all the time is like “Why are people wasting money on functional medicine doctors
17:30 when they’re not doing all those things first?” Like get those I mean from you and I to your audience I know you feel
17:36 the same way like get those things handled first before you ever even walk into your door my door you know like
17:42 please get the basics handled because if you’re not doing any of that none of this is going to work for very long anyway right and we’re just going to be
17:48 chasing our tails it’s like trying to hit a moving target whereas somebody comes in and they say “Oh I’m strength training and I’m uh you know I’m eating
17:55 nutritionally dense food i’m getting my circadian rhythm set and I’ve got my sleep dialed and or maybe my sleep’s
18:01 challenged because I I’m in freaking menopause and I you know maybe that’s one of their chief complaints but all in
18:06 all they’re trying and they’re doing a pretty damn good job.” then we just get to sprinkle on a little bit of this and
18:11 that and things then it’s like moving puzzle pieces around the table a little bit versus like trying to hit a moving
18:16 target that we’ll never get to and then that patient ends up frustrated and they still choose to not do the work right
18:23 it’s the work that at the end of the day it’s the work and the thing that I love about GLP1s is and I’ve been called
18:30 elitist for this but it’s not for those of us doing the work a little tiny
18:35 sprinkle of all of these things is so easy and simple and it goes down the pathways we want it to go down and
18:41 everything’s pretty easy and we might run into some hair loss here or there if we’re shoving you know uh the pathway a
18:47 little bit too much and that patient’s maybe needing a little bit more thyroid support or maybe some nutritional support but we figure that out and we
18:53 just move the puzzle pieces around the table and eventually they all click together versus somebody coming in
18:58 that’s entirely just an inflamed pardon my French but like just a [ __ ] show of health right and they
19:06 want the micro dose and they think it’s going to do something and I’m like “No honey this is not for you.” Like this is not this is not going to work that way
19:13 yeah if we’re in a situation like the wildfires in LA you can’t just sprinkle a little helicopter water and expect
19:19 things to calm down like No I completely agree it’s Yeah and it’s you
19:27 know to your point there the doctors have to know what’s going on and my favorite thing to say to patients too
19:33 you kind of made me think of this is like a lot of people are like “Well I eat organic.” And I’m like “That’s great you’re wasting your money eating organic
19:40 if you’re not you know if your gut’s a wreck you’re not sleeping you’re stressed out all the time and you’re not
19:45 going outside walking or moving but you’re spending $400 a week at the grocery store on organic food we need to
19:50 redistribute our funds right like I you’re just pooping it right out if
19:57 you’re pooping if you’re even pooping you know like the the food discussion is so tricky because it’s like you can’t
20:04 move the needle unless your diet’s dialed in for the most part right you really can’t like exercise is not going
20:09 to induce weight loss it’s really what’s at the end of your fork but that said all this hyperfocus on food that we
20:16 see all over the internet that we are even seeing with the Maha movement this hyperfocus on food and and artificial
20:21 ingredients and and all these things i mean that’s all fine and good but at the end of the day I’m like but you don’t have any muscle mass so like your $200 a
20:30 day arrowan grocery store habits while you have zero muscle mass and you’re over there telling me how I should be
20:36 eating or how like you’re telling people on the internet how to eat i’m like “Honey you can’t do a push-up.” Like we we have a problem you
20:43 know so it’s hard and I I know it’s really frustrating for your probably your listeners and the and the people are probably mad at me by now and and
20:50 also the general public the thing is we have to do all the things it doesn’t matter how old we are young we are we
20:56 have to do all the things and I know that’s a full-time job but it really is living in this toxic cesspool that we call planet Earth we really have to be
21:02 doing all the things and at the very minimum strength training walking and
21:07 eating nutritionally dense food right i mean at the very minimum and then if your sleep’s a wreck there’s usually a
21:13 reason right and we need to get to the bottom of that that might be your adrenal function that might be your sex
21:19 hormones as you’re approaching menopause or in pmenopause like we might need to do a little work there but it’s all so
21:25 much easier to fix and fix up if the person’s doing the work yeah no I
21:31 completely agree with all of that and my listeners probably are sick of hearing me say that as well but it’s so true
21:37 like you I I tell my patients all the time like health is your health is not owned it’s rented and rents do every
21:43 single day and I actually have that on my refrigerator at my house and at my office because I got really frustrated
21:49 when my Hashis was all out of control in my early 30s and I thought you know like I do all these things all the time to
21:55 stay healthy and then you know I want to take a month off and then you know my health goes to [ __ ] and I don’t feel good and I just got very frustrated like
22:02 I shouldn’t have to work this hard but it’s like no because your body is like a you know it’s it’s it’s a temple but
22:08 it’s like a machine right and so like if you don’t give the machine what it needs then it’s not going to work so it’s not
22:13 fair to say “I’m going to be really good to you for 11 months out of the year and then one month I’m just going to trash
22:18 you completely right?” Like that’s like you don’t fill your car up with gas or turn the engine off or you know anything
22:24 for a month like it just doesn’t work like that and so I try to remind people like health is not owned it’s rented and
22:30 your rent’s due every day if you want to stay healthy if you don’t then that’s your own prerogative but obviously you
22:36 know you’re going to start having issues so I completely agree with that and you know I think all of this is I want to go
22:43 back to muscle mass but I kind of want to transition out of the the micro dose GLP-1 conversation but I have one
22:49 question that a ton of people were asking about which is retatride and so I’ve used it a little bit i know you
22:56 haven’t used it a ton you were telling me prior but what I have seen and I just want to put this out there I have seen
23:02 in my true micro doses that it actually is more of like an anabolic type peptide
23:10 which is what I’ve heard other people say as well meaning it will make you hungry but if you’re eating the right
23:15 things like the protein and you’re putting in the work and you’re lifting weights what happens is you actually gain muscle mass and so I’ve had people
23:23 who I put on it because they have cortisol issues because it’s supposed to help with stress but I do warn them like
23:28 you may be hungry you have to make sure you’re eating the right things i pick the people I put on it because I pick
23:33 the people that I know are putting in the work and that could build muscle because ultimately building muscle is is
23:39 better for you right like myself so I took a micro dose of retatrite literally
23:45 like one unit for four weeks and last year I was trying to put on muscle like
23:50 I was doing this whole program trying to build muscle and I build like maybe four pounds in a year it was kind of frustrating but I was trying i took Red
23:57 True Tide one unit for four weeks and I put on three pounds of muscle it was
24:02 wild it was so crazy and I was hungry but I was trying to eat more protein but
24:08 I just wondered like have you had any like what have you seen with reatr so it depends on the person what I found
24:16 with Tzepide is that even in tiny tiny doses if somebody is quite lean and you
24:24 know good body composition really just using the peptide for other reasons most notably women my age who are um maybe
24:31 starting I mean because women my age even very lean six-pack abs fit you know
24:36 fitso influencer kind of women um can have cardiovascular and blood sugar
24:42 dysregulation start right you’ve seen it on labs and as that estrogen waines and as things start to shift or stress
24:47 levels get high or all of the above and so they will even take on epatite a tiny
24:54 dose and find their blood sugar about day two to three after their injection their blood sugar will bottom out and
25:01 it’s horrible and it feels like you’re dying it’s really not a pleasant experience i’ve had it happen to me too many times your head gets this weird
25:07 feeling and you feel like you’re you’re like am I having an aneurysm like this is not a fun experience but it’s kind of like a void feeling it’s not a painful
25:14 feeling and I found that on retatrite too i think the triple agonist in there
25:19 i think we’re pulling so many levers and really I’ll tell you the truth i use GLP1s predominantly for my immune system
25:26 modulation i notice the inflammation the edema in my face my psoriasis all of
25:32 those things are so much better when I am using a GLP-1 than when I’m not and
25:38 even if I’m eating super clean and doing I mean I I have had access to all the
25:43 things for a long time and I have been using things like lowd dose nrexone for decades like since 2008 when I got
25:50 licensed um it nothing was working and this is just this wonderful tool I have
25:55 that just like turns down the inflammation i didn’t find that impact to be as profound with reatrite so I I I
26:03 like GLP1s for their immunom modulation in particular and so if I don’t have
26:08 that and I really get that I think most notably with trespatide even over saclletide so I don’t know I think it’s
26:15 different strokes for different folks everybody feels different and has a different experience on them but I feel
26:20 like reatride is pulling too many levers in folks like myself who are really metabolically quite sound um I don’t
26:28 know I maybe a higher dose or some people are saying try a higher dose i’ve seen that blast out people’s
26:37 metabolic health actually a example would be I have a friend who was she’s a
26:42 competitor she does like bikini competitions you know so she’s getting very very lean and then they’re using
26:47 reatride in between shows to because they’ll rebound back up their appetites
26:53 might get a little bit out of control and then they’ll use retatrite almost as an appetite suppressant and um
26:59 metabolism rebuilder from the damage of doing these shows and getting so lean it’s crazy it’s a crazy cycle these
27:04 women and men put themselves through i don’t know though i don’t I feel like a little too much of any of these peptides
27:10 is a lot too much and so really crashing out i mean she just went pale and gaunt and was disappearing in front of me i
27:17 was like what are you doing so and then the bro science guys who are talking about micro doing this is the funny part
27:23 is where they take a standard dose and then they just break it into tiny little daily doses and they’re calling that
27:29 micro doing and they’re talking about rat tide for that and so I feel like the inmates are running the asylum and I
27:34 just haven’t I haven’t come to the right uh I haven’t used it enough to have a
27:40 good opinion on it yet but that that’s been my experience at least what I shared yeah i will say a lot of what
27:45 I’ve heard on the internet about Redat True Tide have come from bodybuilders different things like that and I’m not
27:52 discrediting those people like what they do to their body is wonderful they are different than most people right they do
27:58 different things to their body their metabolis some of the things that they do change their body right and so uh
28:06 they also a lot of times a lot not always but a lot will have body image maybe issues different things like that
28:12 so I just sometimes when they when I hear that right from like bodybuilders or whatever do this do that I’m like 99%
28:18 of the population that’s not going to work for 99% of the population don’t measure out every grain of rice that
28:24 they eat right like they’re just they don’t so you have to be careful with that for sure okay so I just wanted to
28:30 know your your thoughts on that and so I agree with you i think that with Trespatide in my experience with
28:35 patients trespide you get the most inflammatory benefit the most amunodulating benefit and I’m like you i
28:42 tell my patients I’m not giving you this for you to lose weight and this is hard for people to hear i’m not giving you this because I want you to it’s going to
28:48 make you like lose weight do I want you to lose weight yes but I want your body to heal itself i want the environment
28:54 that you live in to feel loved and well and nourished to the point that it
29:00 starts to heal your body and you fix yourself like that’s the point of our body i think it’s it’s so true like your
29:05 body is like an environment and when you don’t when your organs don’t feel safe and and you know like mature and and
29:13 like they can eat and they’re just well in your body then things are disarray
29:18 and you’re not going to lose weight and so I use it for that inflammatory calming effect um and I do agree i think
29:24 that when you get on these higher doses you just end up with issues and so the people who want to push their doses
29:30 higher and higher and higher my question to those people are what are we missing like are you sleeping what you know what
29:36 does your stress look like are you drinking like why do we need to keep are we using food to cope with something else like why do we need to keep going
29:42 up on this dose right so I think those are all great wonderful things you can
29:48 chew through it you can totally chew through it or drink through it i I I joke and say it’s kind of like the the
29:54 [ __ ] around and find out peptide because you it it really inhibits your inflammation so much in most folks that
30:00 they feel so great and you’re like I can eat gluten again i can have a couple glasses of wine without looking terrible
30:05 and feeling terrible the next day that benefit will eventually wear off and you’ll be right back where you were and you’re going to have to keep cranking up
30:11 the dose into nausea into stomach cramps to get the same impact so you have to be
30:16 doing all the other things in order to keep that dose as low as possible it’s a reward for doing good work it’s not a
30:24 tool that you keep cranking up to mask shitty lifestyle that’s actually a really good point i’ve never thought
30:30 about it like that but I might start telling a few of my patients that are like that you This isn’t your Yeah you can’t
30:36 just keep making really bad decisions and going up higher on your doses well I’ve done it so
30:42 I I’ve done it i’m like why do I need a higher dose oh cuz I’m Why is my psoriasis coming back oh cuz I you know
30:50 yeah okay so I kind of want to transition and talk to you about like pmenopause menopause because a lot of
30:56 the people that listen to this are in this stage and I kind of want to talk to you about a couple things so one is
31:02 estrogen i feel like there’s a lot of negativity about estrogen and
31:07 progesterone out there some of it came from WHI we’ve talked about this on that pod on this podcast in particular you
31:14 know progesterine is not the same thing as micronized progesterone hormone should be given at the right dose the
31:20 right frequency the right duration etc but I want to kind of focus with you since you’re really passionate about
31:26 metabolic health and gut health i mean tell people in your experience you know
31:32 is estrogen important and why specifically for metabolic health muscle mass gut health and the same thing with
31:38 progesterone yeah so I have been prescri I I didn’t
31:44 get the memo on the women’s health initiative apparently to be afraid of it because my mentor at the time was like “Oh this is a garbage study don’t don’t
31:51 worry about it we’re not using oral estrogens we’re not using progesterines so we’re fine.” Right and so I continued
31:56 to prescribe and live in my little bubble in Portland Oregon where I’m surrounded by naturopathic doctors and
32:02 all my patients have been just wonderful um and my mentor you know was prescribing for women who with a past
32:09 history of breast cancer and other issues and and I say all that with the disclaimer of I am not your doctor i’m
32:14 just sharing a story and this is for educational purposes but this idea that
32:19 everything that you we were hearing out there was pretty nonsensical when it for the last two decades when it came to
32:26 hormones and HRT so I was just hanging with my mentor and and doing what you know what we did that said I have found
32:34 a need for progesterone and virtually almost every woman who’s walked into my clinic regardless of age there’s been a
32:40 need for progesterone and young women we could often get away with a topical depending on what they need it for but you know we could often get away with a
32:46 topical progesterone if we were maybe needing to mitigate some PCOS symptomology or whatever um and then
32:52 obviously there’s a point where we want to go to a more oral form especially if we’re dealing with sleep issues anxiety
32:59 you know um what have you we need more of a neuropeptide impact we go to an oral micronized and then as women needed
33:06 estrogen I would give estrogen and I was a fan of topical creams i will say my
33:13 own personal experience I completely changed my mind on that most recently i’m a little bit ashamed to say how slow
33:18 I was to the party on this i was able to get what I needed done
33:23 with topical estrogen it was so much better when I put a patch on and got steady state estrogen in me like it was
33:29 so much better so I just didn’t realize what I didn’t know what I didn’t know and I also didn’t appreciate the amount
33:37 of horrific chronic pain that can come with waning estrogen so I knew that
33:44 testosterone was a player there i knew that estrogen was indeed a player but for some reason I didn’t of course as we
33:53 do I didn’t appreciate it as much as I do now until I lived it right and so after going through like two years of
33:59 crippling spinal pain to the point of I just I couldn’t I did not want to get up right i like wanted to lay down all day
34:05 i was in so much pain and then sm slapping a patch on and then seeing how as that p I I like to use the patch that
34:12 lasts a week and seeing how after you know not even up to a week all of a
34:17 sudden as that estrogen would start to get used up and wayne out of the patch the pain would come back and seeing that
34:22 cause and effect that correlation I was like “Holy smokes this is crazy like how impactful that And I had many patients
34:29 who experienced I mean they were good on their creams but I’m thinking now in hindsight maybe a patch would be a good
34:35 idea the that whole impact on the pain side of things is crazy and I don’t
34:41 think we fully understand it or appreciate it but from what I’ve studied I’ve I’ve read a lot about this i have
34:47 been treating patients in pain my background is in regenerative medicine and regenerative injection therapies so
34:53 I have been approaching women of middle age and of course that’s predominantly who comes in is middle-aged folks right
34:58 men and women to a regenerative injection therapy practice i have been approaching them with hormones first
35:04 with a hormone first sort of that that menopause the you know muscularkeeletal syndrome of menopause i’ve known that
35:10 for decades and I’ve been treating that way for decades now the data is catching up with how I’ve been treating right and
35:17 again my mentor taught me that Dr dr heidi Peterson she taught me years ago like put the progesterone and estrogen
35:22 cream on the frozen shoulder like actually treat topically get the hormones in the system before you start
35:29 throwing the injections at them right and calm down the system and so that’s how I’ve been doing it
35:34 but I think that now we have a new player as we bring in GLP1s and it’s really important that we
35:42 address the steadystate estrogen because it’s the fluctuations in the estrogen it’s the fluctuations up and down it’s
35:49 the peaks and valleys I believe is what’s driving that pain it’s not just the lack of it’s when we start to get
35:55 these waves right and I think mayy pansy smearing on your cream whenever you feel like it during the day which is what I
36:02 did or when you remember is a bit problematic now in hindsight so I am a
36:07 big fan of patches i I would love to hear what you have to say about that and then I’m a big fan of utilizing GLP-1s
36:13 in conjunction because I have found and you’re the endocrinologist i I’m sure you’re I you know I I bow down to your
36:21 expertise far more than mine but what I have always seen is this sort of um I
36:26 like to use blood to test initially to get confirmation that we need it just
36:31 really to cover my butt right we got to cover our butts and make sure that we have objective data showing that we and
36:38 we have a symptom picture that adds up so that seems not necessarily with progesterone but definitely for estrogen and testosterone and then I like to use
36:44 a Dutch test on the tail end to see what pathways things are going down and I have found that estrogen in a inflamed
36:52 metabolically compromised you know excess adaposity woman tends to go not always the way we
37:00 want to go and so that has been a real problem and something that has frustrated me for a long time in
37:05 practice and I have found GLP1 ones to be this beautiful tool that we can bring in to just clean up the millu and then
37:10 we can apply the hormones and they are much more predictable so I would love to hear what you have to say about that and
37:16 then as far as pain goes it just goes hand inand I think most women in middle
37:22 age do experience some level of pain that is what I have seen clinically and not just because that was the focus of
37:27 my practice but because most women in middle age as that estrogen Wayne starts to experience more micro traumas to
37:34 their tissues more tears we get tears at the enthesis which is that muscular that tendonous ligamentous junction where
37:41 tendon and ligament meet bone is called the anthesis it’s highly innervated this is where the injections that I do in
37:46 prolotherapy that’s really our focus and that area freaking hurts when you tear it and it’s not something you’re going
37:52 to see on MRI it’s not something you’re going to see on imaging it’s something you palpate it’s in the symptom picture
37:58 it’s how they describe their pain and that is I believe predominantly what most people are experiencing when they
38:03 start to age is we start to get these little micro traumas in the anthesis and
38:08 you’re you’re just going to tear to [ __ ] when your estrogen goes away like as your estrogen goes away you just tear you lose your juiciness and your
38:15 elasticity so what an absolute disaster that is and then let’s compound the
38:20 issue with the fact that you’re becoming metabolically compromised by default from aging it’s called inflammaging it’s
38:27 what’s happening as we age you’re losing your estrogen which puts you into more of a metabolically compromised state and
38:33 you shift from a gynoid shape to an android shape so you go from this nice curvy woman with hips and boobs to a
38:41 little potato shape android more male shape you know androgenic shape which
38:46 then further potentiates the metabolic dysfunction and it’s just an absolute disaster and when you add that to the
38:54 fact that elevated insulin elevated leptin inside the joint actually causes
39:00 further damage and compromise it’s basically osteoarthritis is in my opinion diabetes of the joint and lack
39:07 of hormones and it’s just a shitow and so I think that this is where GLP1s are a beautiful place to interject glp1s
39:15 were the missing link in my practice for the last 20 years like when I finally figured out that I could use little tiny
39:21 amounts to just sort of clean up shop and get what I get done what I need to get done it it just miraculous
39:29 yeah no I comp I completely agree and to your point like this you know [ __ ] show
39:35 that you start to go through through menopause i mean it it’s true and a lot of it I think is this this lack of
39:41 estrogen and to your point also the progesterone i see so many young girls now i do a lot of infertility stuff
39:48 unfortunately I see people lots of infertility people who haven’t had a proper thyroid workup i’m sure you’ve
39:55 heard that amen jesus yeah i mean literally I saw a girl last week who’s
40:01 had paid for three in vitro uh procedures and her T3 level was 2.9 and
40:07 her TSH was 3.5 and her progesterone was undetectable and so I was just like what
40:15 anyways so can I can I add something before you go on this this is what I have told my patients for a long time
40:21 for decades in animal husbandry if a dog like if they’re dog breeders that are
40:27 breeding high-end dogs if the dog can’t get pregnant the first thing they do is treat the thyroid address the thyroid
40:33 and we for some reason as humans do not do that we put these poor women through these horrible horrible experiences with
40:39 drugs and hormones to try to get them pregnant and I’m like you just need a little thyroid and you need to stay on the
40:45 thyroid so you can maintain the pregnancy also and the progesterone like don’t and the progesterone yeah right
40:51 they go off to their OB/GYN they say “Oh you’re seeing a naturopathic doctor you don’t need that that’s you don’t need any of this.” And then they I’ve
40:57 unfortunately had patients lose the fetus so anyway just wanted to throw that in yeah I had one of those last
41:02 week too but yes so to your point with progesterone I tell everyone progesterone is like God’s Xanax right
41:08 it’s like God’s gift to women um and so if you are listening to this and you are
41:14 not nice to people especially during certain times of the month I don’t care how old you are if you can’t sleep if
41:20 you lose your mind over little things you need to talk to somebody about some progesterone possibly um your husband
41:25 will like you or your significant other and everyone you work with will like you and so and crying lots of crying if you
41:31 if you fall apart cry seriously that’s like cardinal symptom if you cry on the drop of a hat
41:38 progesterone or The other big one I think is sleep you know a lot of times people will like when you go to a doctor
41:45 and you’re having issues sleeping they’ll blame your phone or they’ll blame and a lot of times that is the case like if you’re playing around on
41:50 your phone not seeing the sunlight whatever and you have issues with sleeping maybe but if somebody has
41:55 issues with insomnia like that’s what kills me these younger girls where you can see they’re clearly in you know
42:01 having insomnia issues their cortisol is high their progesterone’s low their insulin’s high i mean this has probably been going on for a while give them some
42:08 progesterone like it’s not going to hurt them you know and so I I love progesterone i use a ton of it i use it
42:14 myself my husband loves progesterone so much that he actually has progesterone in his bag when we travel cuz I forgot
42:20 it once and he was like “That’s not going to happen again.” So he’s like “We must have Cassie’s progesterone.” Um no
42:27 I love progesterone and the same thing with estrogen i agree with you you know I think that a lot of times people don’t
42:33 realize when they’re losing estrogen the symptoms that they have to your point the joint pain you know it there’s
42:39 nothing worse than you being in pain and I’m sure you can relate to this you’re everything hurts like you were talking
42:45 about your chronic back pain and then you start gaining weight and not feeling good and then you know you need to get
42:50 up and move and exercise or do whatever but it’s like you’re in pain and that’s just like I think that’s the the problem
42:56 with aging is like one thing starts and then it’s the next thing and it’s the next thing and people are like I just you know anything that’s difficult
43:02 people don’t want to do right like the harder it is the more we don’t want to do it and that’s just human nature like we’re wired to not want to be in pain
43:08 and not do things that hurt us or are hard and so I think that’s the problem with estrogen is like the slip slippery
43:14 slope with women and the other problem I think I tell women this all the time women do not pay attention to their own
43:21 bodies like how many people listening to this right now have taken two minutes today to stop and say check in with
43:28 themselves i call it tea time right like hey Cassie how are you feeling today did you take your supplements do you you
43:34 know are you in any pain did you get enough water do you feel like you slept well last night are you hungry like
43:40 how’s your headsp space have you been outside have you you know what I mean like people don’t do that we especially women we don’t do that right and so if
43:47 you don’t do that ever then it’s like one day you wake up 10 months from when
43:53 you thought you started feeling bad and it’s like really bad right because you haven’t been paying attention you haven’t been listening to yourself and
43:59 so I tell people all the time like if you listen to your body when it whispers to you then you don’t have to deal with
44:04 the [ __ ] when it starts screaming right like because it’s bad when it starts screaming and so I Oh I didn’t mean to
44:11 interrupt you i’m sorry no and so I think that’s part of the problem too with estrogen is like it’s like this slippery slope like as you lose it you
44:17 know your levels 100 one month and then the next month it’s 95 and then the next month it might be 80 and so it’s like
44:23 this progressive loss and by the time you put it all together it’s just really bad and women just don’t listen to
44:29 themselves well the terrible part is is you’re you feel
44:36 like the carpet got pulled out from underneath you and you end up often with a very flat affect coupled with
44:42 crippling anxiety and mood swings and so you’re almost unable to hear your body
44:48 it’s it’s a very weird detachment what they did a study I need to find it i read this last year and I was like
44:54 “Yep.” They took mice and they cut out their ovaries and the mice went in the corner and got fat and quit moving
45:00 i I mean they I was like “Yeah that’s that’s it.” And I was just I was just parmenopausal like I wasn’t even in I’m
45:07 still cycling regularly i I share that because I want women to understand this all can be happening in real time over a
45:12 period of time sometimes an extended period of time years where you are going through this and you’re not even in
45:19 menopause and poor women are my this whole generation my whole generation got completely screwed over by that Women’s
45:25 Health Initiative study a whole generation without hormones i just it’s it’s really devastating to me and the generation above me the uh terrible part
45:34 is though is you don’t even know what’s happening it’s like you have an eight-cylinder engine and you’re only firing on two so you can’t see it in
45:40 front of you it’s my h your husband has progesterone i told my husband he’s got a book with all the passwords all his
45:46 passwords cuz he’s very disorganized and so it’s like one the book we call it the book and I told him to put in there like
45:52 these are the three things to tell me to do when I’m not making any sense so did
45:59 I take my thyroid am I taking my thyroid yes did I am I where’s my progesterone
46:04 and do I need to change my patch like those are the like three-step process if I’m not making sense because you just
46:11 can’t always see it and I didn’t I’m with you i was I’m very in tune with my body i find through the work that I’ve
46:18 done in regenerative medicine that a lot of people are not and as women start to feel like they’re living in this alien
46:25 body that the brain isn’t working the body isn’t what they you know you don’t see yourself in the mirror anymore you
46:30 don’t look right your body is changing everything is just like [ __ ] like what is happening to me you start to detach
46:37 especially if there’s pain you really do start to emotionally detach from your body and that’s where physical
46:42 physicality uh physical fitness strength training doing hard things like that’s the one way to really stay in your body
46:48 and sex i mean those are two great ways to really stay in your body but as those changes are happening you don’t feel
46:54 sexy you don’t know where your brain is if you’re type A like you and I like hi you know we’re boss babes all of a
47:00 sudden our brain power is gone and we’re driving our team members crazy because we can’t remember what we just did with our car keys it’s bad and I really want
47:08 women to understand start sooner than later get on this before you think you need it find a doctor like Dr cassie
47:14 here before you think you need it because this is this is not going to get better it’s a slippery slope and you
47:20 don’t always identify that it’s happening yeah and to your point you’re
47:25 still cycling i tell people this all the time they come to me i saw a lady today and she’s like “Well my gynecologist said I can’t take estrogen because I
47:32 still have periods.” And I said “Well congratulations your FSH is 30 your estrogen is 18 you’re 45 you have dry
47:39 skin you have vaginal dryness you have you know hot flashes every symptom of menopause you can take some estrogen
47:46 like your ovaries are trying but and so to your point and and I do so I I use
47:51 estrogen cream I use patches I use estrogen i don’t I do not like oral estrogen but I do I mean patches are
47:59 fine creams are fine i tell people I want to give you whatever you’ll take to get your levels where they need to be
48:05 and keep them sustained and get rid of your symptoms like that’s what I’m looking for is your symptoms to be gone
48:10 and your levels to be high enough in your blood where I know it’s protecting your heart your brain your bones your
48:15 breast everything I need it to protect in addition to that I completely agree with you with Dutch testing so we do
48:21 Dutch testing and I see astronomical amounts of estrone being made the 16
48:27 hydroxy pathway when you start someone on estrogen and it’s kind of my rule you know and again I’m not your doctor
48:33 either i give hundreds of women who have had breast cancer estrogen because I’m very comfortable doing that because I
48:38 will tell them when I give you this estrogen I’m going to look at your pathways and if you’re making estrone we’re going to fix it because you’re
48:44 more likely based on studies to develop recurrent breast cancer and have mortality increases if you don’t take
48:50 estrogen after cancer than if you do and so I’m highly comfortable with that um I have family members I’ve done that with
48:57 that have had breast cancer and I have put them on estrogen and then I see how it metabolizes because it’s to your point you can shunt it down the correct
49:04 pathway and then people do so well and so I like that you said that and you brought that up about Dutch testing you
49:10 know I’ve had patients come in and they’re like “Oh my oncologist my primary care doctor says you’re trying to kill me.” And I’m like “Really we’ll
49:16 take them this Dutch test back and show them that you’re making 100% estradiol for the most part and you’re not making
49:21 estrone.” And then you go ask them how likely you are to have a heart attack and die because two out of three women
49:26 that are postmenopausal die of heart disease versus that like one to two% that you’re going to get recurrent
49:31 breast cancer i’m taking the estrogen you know amen so it’s just it’s
49:37 frustrating right like because that’s what I mean we do that too and then oh they come back and by the way they’re
49:42 like oh yeah and my skin’s not dry and I don’t have brain fog and I feel really good and I’m sleeping and I don’t hate
49:48 my husband and I’m like “Yeah exactly.” You know and oh by the way that’s protecting your heart and it’s doing lots of things you don’t even realize
49:54 it’s doing and to that point I want to talk to you about gut too and that’s the one thing I don’t think people
50:00 understand which also frustrates me like you said we get this changed shape as we get older right and we you know make
50:06 this pear make this uh potato whatever you call it potato potato shape yes and
50:12 a lot of times when you talk to women they also have bloating right they’ll have like “Oh I feel really bloated i
50:18 have acid reflux it doesn’t matter what I eat and a lot of those women estrogen is affecting their gut like the lack of
50:25 estrogen is affecting their gut so significantly it’s destroyed their strobalome they’re not able to you know
50:31 they’re recirculating toxins it’s it’s a nightmare and then estrogen actually affects the paristalsis or the movement
50:38 of your gut so these women are constipated and then they have this bad bacteria setting there that’s releasing
50:44 bad things called LPS which are you know bacteria in these uh bacteria it’s kind
50:49 of like um in bacteria for the people that are listening bacteria have something called LPS and they release it
50:54 it’s it’s kind of like a toxin so it causes a lot of inflammation and it makes the gut lining your your GI tract
51:01 swell and then break apart and then food leaves your gut lining and goes into your bloodstream and your bloodstream
51:07 doesn’t know what all this crap is in your blood so then you develop these immune complexes something called interlucan 6 and tissue necrosis factor
51:13 alpha they all go up and so then your body thinks it’s being attacked like it’s it’s under war and this and so then
51:19 your your cortisol goes up and your insulin goes up and then that makes your you know you gain weight and your
51:24 estrogen goes down and your progester this happens every time you eat every single time you eat and when you’re
51:29 you’re not digesting your food and you’re not pooping regularly this makes it worse and a lot of this is strictly
51:36 driven by estrogen so I have women who we do a lot of GI maps i do a ton of them i reviewed three of them today and
51:42 I’ll have people say “Well I don’t understand Dr cassie i eat really good like how do I have all these issues?”
51:48 I’m like “Well sister you have no estrogen and you have no testosterone and you have no thyroid so your gut’s on
51:53 vacation everything you’re eating is just sitting there and it’s just you know wreaking havoc in this playground that we call your stomach instead of
52:00 being excreted you know and so you can’t just leave your trash like it would be like you never take your trash out right
52:05 if you never take your trash out of your house your house is going to start smelling really bad and you’re gonna have an overgrowth of things you don’t
52:10 want there and so you have to poop every day yes you got to poop every day
52:16 usually more than once a day like most people if you’re eating three meals a day you should be going to the bathroom
52:21 and if you’re not that’s a problem and a lot of times that’s hormone driven and like we just completely miss this right
52:27 like totally miss it and so that’s part of the reason I think people develop this pear-shaped too is because they
52:32 have such bad I mean I have seen Dr tina some of the nastiest guts you have ever seen in 50 something year old women who
52:39 eat you know only organic food from you know whole foods and do Pilates every
52:45 day i’m like I don’t know what to tell you your gut is not happy it’s like a trash ground in there you know like
52:51 we’ve got to get your hormones fixed it’s so sad too when these women think
52:57 that you know they’re they’re trying so hard they really are i mean they’re they’re way more diligent about it than even I am and they’re doing carnivore or
53:05 they’re doing keto and they’re just getting worse and they’re gaining weight and they’re getting worse and they’re gaining weight and I’m like you you are
53:11 in a situation where that high arachidonic acid that high LPS is actually inducing further metabolic
53:18 disruption and devastation and you’re in this feed forward trap and you got to
53:23 put some vegetables back in or you you know we got to we got to work around we got to put some carbs back in the ship and it’s they just won’t hear it they’re
53:30 like but carnivore and you know Dr so and so said and I’m like yeah well high fat high animal fat higher
53:37 econic acid is not always the panacea and just for the reason you said if if
53:42 we add some estrogen in we can start to see some improvement and once you take that android shape you are sort of feed
53:49 forwarding the metabolic dysfunction which is further destroying your gut health and it’s just a really messy
53:55 terrible place to be and throw slap an estrogen patch on and clean it up
54:02 my thyroid and yeah and to my you know I have people who say that to me all the time too like well I’ve eaten carnivore
54:07 forever or you know carbs are bad and I’m you’ve been doing it for three years and it hasn’t gotten better so maybe we
54:13 should try something different you know like everything has to work together and so I think that’s another huge misnomer
54:20 to women like if you are having issues and your hormones are changing not everyone gets hot flashes there are
54:26 lucky people who just go right through menopause and never have a hot flash bless you people but like there are
54:32 people that that happens but you know everyone’s symptoms are different too and so I think that’s part of the problem like if you don’t have hot
54:38 flashes but maybe you have dry skin or you don’t have dry skin or hot flashes but you have severe vaginal dryness and
54:44 UTI or you have that and you’re having gut issues like everyone’s going to have different symptoms and so finding
54:50 somebody who helps you understand that I can help you fix that is is really important and to your point like there
54:56 are people who are trying so hard but they’re listening to people
55:01 online people without credentials people that are just making stuff up people that you know maybe one thing worked for
55:07 them and so they’re just toing that everyone is like an end of one i tell my patients you are an end of one like you
55:13 are like no other creature on this planet and just because something worked for them doesn’t mean it’s going to work
55:18 for you and so to your point we have to move all the puzzle pieces around and figure out how to fix it and I think that a lot of women have this huge
55:25 disservice of you know not wanting you know we can’t put you on estrogen because fill in the blank and I will go
55:31 on record saying there is not a single contraindication to estrogen in the world other than if you have seizures
55:39 and even if you have seizures you can do a patch to your point you can do a cream you just don’t want to do an injection
55:45 or a pellet something that you can’t take the estrogen back but other than that there is zero contraindication to
55:51 estrogen i don’t care what anyone says um you know except for seizures it will lower your seizure threshold but again
55:58 if you’ve got a patch on you just take the patch off if they have seizure right um so there’s no contraindication to it
56:04 but there’s so many benefits and there’s just so many people who have been disserviced because doctors are are
56:11 idiots a lot of doctors are idiots not all of them but a lot of them are idiots i’m not going to argue they’re not
56:16 idiots they just don’t read literature correctly right right like they hear they hear something they take that they
56:23 go with it right and they don’t like look for themselves or look for answers or you know that’s that’s what I meant i
56:29 didn’t mean they were all idiots that’s what I meant oh no it’s fair i don’t disagree with you completely um there’s
56:34 a lot of mediocre doctors who do mediocre work that’s what that’s how I describe it and and they don’t want it
56:40 to go that extra mile because that’s a lot of work it’s it’s hard you know if they were to actually hear what we were
56:45 saying and and have to learn all of this themselves it would be a tremendous undertaking and so it’s easier just to
56:51 [ __ ] all over what we’re saying than it is to actually go change up their paradigm um yeah it’s to write a
56:58 prescription and shut someone up and like walk out the door than it is to actually listen and figure out what’s
57:03 causing their symptoms that how do you fix it yeah and that takes a lot of extra education on their part right
57:09 um the interesting part is that the
57:15 estrogen I mean I’m always a big fan of like can I get the patients instincts to turn on and I feel like estrogen is one
57:22 of those things that gives you that really beautiful feeling like you’re floating on clouds kind of calm i mean
57:29 it really takes just sucks the anxiety right out of the air it helps alleviate
57:34 for me yeah I mean my big symptoms were really flat affect and depression and I
57:39 was like getting my teenage depression back i was a pretty depressed teen and I was like what is happening why is this
57:44 happening as I approach 50 it was estro lack of estrogen and when that estrogen’s back on board you start to
57:51 make good decisions again everything makes sense so you make better decisions about the food you put in your mouth you make better decisions you want to move
57:56 again you want to have sex again you want to do all the things you want to be out and you want to be social you want to have find community you want to be a
58:02 better person and really dive into your purpose like those are all the things that lack of estrogen take away from you
58:07 and so I’m just a big fan of giving women their life back in that regard um it’s really unfair that they are not
58:15 being given the opportunity and it’s really terrible when we wait until hot flashes hot flashes are so so bad hot
58:21 flashes are the harbinger of doom i don’t get hot flashes but man if you’re getting hot flashes especially
58:26 frequently you are there’s like a whole litany a laundry list we could go through of what that means and that the
58:33 harbinger of doom and it’s bad it’s all bad and so I look at hot flashes as a
58:38 spasm of the cardiovascular system that’s happening bodywide that’s bad news so those women like get the
58:45 estrogen on board ASAP because that’s nothing to mess around with that’s not something you want to wait and see if it
58:51 gets better it’s not going to get better yeah I like that a spasm of the cardiovascular system that’s like a slap
58:57 in the face like figure it out that’s pretty much what it is right is like hello yeah pay attention that’s what
59:05 migraines are when people are you know experiencing frequent migraines i’m like your cardiovascular system is spasming
59:10 and that’s not that’s happening bodywide we do not want that that’s not good news for anybody with their cardiovascular
59:16 health i have a question for you what is your some of your favorite tools uh that are I mean aside from probably some
59:23 specialty supplements how do you like to tell women to get them to get off of
59:29 that estone pathway and get down into estradiol because that estrone just for the women listening like that is where
59:35 that your fat makes your estone so when your ovaries go offline if your adrenals are crapped out from chronic stress like
59:41 so many of us then your fat is what makes your estone and that’s what doctors I hate to say it it’s usually
59:48 men men are like “Oh you’ll be fine through menopause because you have fat and that’s your estrone.” But we don’t
59:53 want that estron’s bad news so how do we divert that yeah i tell patients this all the time so you want your estrogen
1:00:01 to be estradi right ideally good happy estrogen and estradi is you know the
1:00:07 reason I this is how I explain to women you it’s impossible for estrogen to cause breast cancer when you have estradi because there’s two receptors in
1:00:13 your breast an alpha and a beta receptor and estradile affects your alpha and beta equally so you’re not going to
1:00:19 increase the risk of breast cancer estrone is this really bad estrogen that’s made in fat tissue and so our
1:00:25 testosterone is converted to something called estrone in our fat cells i think of it as like a mechanism for fat
1:00:31 because it doesn’t want to die testosterone will over time kill fat cells right and it will develop muscle
1:00:37 and so our fat cells have made this way of not dying by converting that testosterone that would kill it into a
1:00:43 bad estrogen that bad estrogen that estrone has a five times affinity for
1:00:48 the alpha receptor in your breast and alpha receptors estrone or estradi alpha
1:00:54 receptors in your breast are what increase something called BCL2 which is basically food for cancer and so when
1:01:00 you have a lot of alpha receptors stimulated in your breast and a lot of BCL2 if a cell in your breast mutates on
1:01:08 accident or whatever it actually has food to continue to mutate and that’s how we develop cancer so the more estone
1:01:14 you have the more likely you are to get cancer that’s just factual and why traditional oncologists do not check
1:01:20 estrone levels in women when they are diagnosed after they are treated at any point in breast cancer has blown my mind
1:01:26 for a really long time and frustrated me but it’s a level you can check very easily in your blood so if you are
1:01:32 somebody who is shunting all your estrogen down this 16 hydroxy pathway instead of down a good pathway and
1:01:38 you’re making estrone what I talk to patients about yes is supplementation so we talk about things like DIM that helps
1:01:44 stop that conversion but we also talk about stress so I do think that chronic
1:01:50 stress that elevated cortisol pushes it down the wrong pathway so we talk about the things we were talking about this is
1:01:55 why I ask people what do you do for a living you know do you feel chronically stressed do you wake up in the middle of
1:02:00 the night thinking about things you know how’s your sleep do you see the sun what do you eat so we talk about that and
1:02:06 then the other thing I like to talk to people about is like what are ways that we can mitigate this fat tissue right so we need to get rid of some of this fat
1:02:13 tissue and so and then depending on you know with the Dutch test there organic acids and a bunch of other things we’re
1:02:19 looking at we can find ways to change that estrogen um and so I mean what are
1:02:25 what are some other things you do well I like GLP1s to get the fat off i mean that’s that’s a beautiful It’s And
1:02:33 there’s other I mean we can we can bring in like you know epomorlin i’m sure you’ve got a whole litany of tools i
1:02:39 just get the fat off and then we can start to
1:02:46 have things go down the right pathway and things are just much prettier it’s just much nicer it’s it’s it’s just a
1:02:52 much better future for everyone yeah I like to focus on the sleep too and the
1:02:57 fat like you said so epomorm CJC wonderful for people going through menopause too wonderful like if you’re
1:03:04 having a really hard time sleeping i saw a lady today who was literally getting like 25 minutes of rim sleep a night her
1:03:10 it was awful she saw me her gynecologist wouldn’t give her hormones we gave her hormones i gave her estrogen i gave her
1:03:16 progesterone i gave her testosterone and I gave her CJC epomorm three months ago and I literally saw her today and she
1:03:22 had lost 10 pounds she looked 10 years younger and she was like look and she’s getting like two hours of rim sleep a
1:03:28 night and she’s like I’m not waking up for like seven hours and I was like perfect you know so you’ve got to get these people to sleep um I think that
1:03:35 helps a ton too right and just giving them the things that they need and and she was actually micro doing simlutide
1:03:42 too so I have found the GLP1s can induce some insomnia which is a bummer it’s a
1:03:49 have you seen that at all I haven’t directly correlated that Um but I’m really I don’t know we work a lot with
1:03:56 sleep um so people who are having issues sleeping a lot of times i’ve already had
1:04:02 it i haven’t put that directly together um what do you mean like rim sleep waking up not being able to fall asleep
1:04:08 what are you seeing waking up in the middle of the night but I also think that those women probably need estrogen
1:04:14 so or progesterone both yeah both i mean
1:04:19 yeah the combo is very nice or here’s the other thing that I have found actually to your point thinking about
1:04:25 that if you are on GLP-1 micro doing as a woman and you’re waking up in the middle of the night the first thing I
1:04:31 ask those women do you drink alcohol because you do get a hypoglycemic effect that I’ve seen um with continuous
1:04:38 glucose monitors especially with alcohol and GLP1s you’re going to get it with alcohol anyways I think it’s worse with
1:04:44 GLP-1s so a lot of times what I have found are the people who wake up at 3:00 in the morning if it’s not because they
1:04:50 have to go pee It’s because their blood sugar is low so I’ve put um CGMs on them
1:04:55 and their blood sugar will get really low and a lot of times the night they’re waking up is the night they might have had a cocktail with dinner or they had
1:05:01 you know wine or they had So that’s one thing that I do see as well actually
1:05:07 yeah alcohol and middle-aged women are not friends it’s too bad it’s just not a it’s not a good fit so that actually
1:05:14 that that is a perfect segue into the next question I wanted to ask you which was I I follow you on social media and
1:05:20 if you guys don’t follow Dr tina you need to she has great stuff but I saw your what’s in and what’s out for 2025
1:05:27 and so I had to ask you one of your outs for 2025 was alcohol and I tell people
1:05:34 this all the time i truly think in 10 years from now Dr tina alcohol is going to be like tobacco it’s going to be like
1:05:40 why did we think it was okay for so long you know and you see it in younger people right now which I think is really
1:05:46 cool a lot of the 20 year olds like I was at dinner on Saturday night my husband and I and there were this group
1:05:52 of 20-year-olds sitting next to us i heard all of them ordering mocktails and I heard one of them say to the other one
1:05:57 “Yeah I just don’t understand why older people drink alcohol it’s so silly you can have fun drinks that don’t have alcohol.” And I was like “Yes we have
1:06:04 this younger generation of people who are actually intelligent.” Um but what
1:06:09 are your like why I guess why are you why is alcohol out in 2025 and what is your kind of stance on on alcohol
1:06:18 i love alcohol i love drinking i love drinking like I absolutely I love and
1:06:23 I’m a lightweight so I only need a couple like a a glass of wine maybe two glasses of wine i have a fun little buzz
1:06:30 i feel great i love having just a glass one glass of wine with dinner one glass you know I’m not a heavy drinker by any
1:06:35 means have never been a heavy drinker have been a very consistent drinker and I just realized I’ll tell you the truth
1:06:42 I’ve been on all these podcasts lately right and I’ve been flying around like right now I can control the lighting i can control the camera angle but a lot
1:06:49 of these podcast these dudes host they do this overhead lighting and overhead
1:06:56 lighting is not a middle-aged woman’s friend by any means and I just was tired of looking at these
1:07:03 videos after the fact and thinking how ugly I looked i just look like [ __ ] in them and I was I knew why it was not
1:07:10 that I am ugly it or that I think I’m an ugly person it was that my face was swollen and lumpy and it was from
1:07:16 alcohol and even just the littlest bit of alcohol i have the homozygous MTHFR mutation i cannot metabolize or detox
1:07:23 anything and what the hell am I doing drinking alcohol like right like what am I doing and I was if you know who Elle
1:07:31 McFerson is this she was the super okay like of my generation i I’m I know you’re you know not the super young but
1:07:38 I I know we’re of different generations elle McFerson was like the body like she was the beauty and the fit she was fit
1:07:46 she was tan and this like world of Kate Moss skinny girls like Elle McFerson was very lean but also very fit and tan and
1:07:54 lots of vitality and she quit drinking well she got breast cancer and she quit
1:07:59 drinking and she said “It’s not how much you’re drinking because I never drink a lot it’s why you’re drinking.” And I was
1:08:06 like “Oh god there it is why am I drinking?” So I asked myself that and I
1:08:11 was drinking to numb emotions and and numb feelings and I just think with the
1:08:16 current state of the world right now we got to be all hands on deck like I don’t know what kind of [ __ ] is
1:08:22 going on but I I mean I’m I’m pretty excited i’m I’m pretty excited about this new administration i will admit
1:08:28 like I’m excited i I’m a pretty firm libertarian but I’m pretty excited that like we get freedom of speech back and
1:08:35 you know maybe not get thrown in the goologs for talking about things that we care about on Instagram but I also just
1:08:42 don’t trust like that anybody’s going to come save us you know there’s nobody going to be appointed there’s no maha
1:08:48 like saving us we have to save ourselves and so I can’t really be doing that and consuming alcohol so I just decided in
1:08:55 one fell swoop i I honestly this is the first time I’ve talked about it i’m really mad at myself for all the years I
1:09:01 poisoned myself with it and I’m chasing these symptoms around with peptides and I mean I’ve have access to the best i’ve
1:09:07 had access for decades to the coolest most advanced things in regenerative
1:09:12 medicine that the world has to offer and I mean aside from going to Germany and getting stuff that’s not legal in the US
1:09:18 and I am sitting here like pouring poison on It’s like pouring lighter fluid on a fire and wondering why the
1:09:23 fire doesn’t go out right so that to me was just like eh I’m just tired of looking like [ __ ] i just want to be
1:09:28 pretty i know I’m a pretty person i’m not trying to be vain like I think we’re all pretty people you know i want to see
1:09:33 myself in the mirror i want to look in the mirror and be like “Oh there’s Tina.” You know not like some weird kind of swollen version of myself so and I’d
1:09:41 like my brain to work because that doesn’t I mean even with the hormone replacement therapy like your brain if
1:09:47 you don’t take care of it you poison it for a long portion of your life you will have problems so I would like my brain
1:09:53 to be in top shape i completely agree i could not agree more with everything that you said i think that a lot of
1:09:59 people drink so I drank a lot in my 20s and 30s plenty um and when I really you
1:10:06 know I have a good friend who a couple years ago stopped drinking and I was like “What is wrong with you?” And she said “You know when I really asked
1:10:13 myself why I was drinking I it was it was to numb feelings.” And I thought
1:10:18 “Okay well that’s weird whatever.” Um but then as I’ve gotten older my problem more so was the way I metabolized it so
1:10:25 I have MTHFR as well and it didn’t matter whether I had a half a glass of wine a whole glass of wine a vodka or a
1:10:32 whole bottle i still wake up and feel like I had a whole bottle like I just feel like [ __ ] and I’m like you know and
1:10:39 I have dark circles naturally anyways like I have staining under my eyes it’s a whole thing um it’s genetic but like
1:10:46 and so I look sort of tired anyways just naturally even when I’m greatly rested
1:10:51 um and then when you put alcohol on top of that it’s just like yeah you look awful and and to your point it’s like
1:10:57 why am I drinking well a lot of times it was because other people were drinking so I didn’t want to feel awkward well I’m too old to give a [ __ ] what anyone
1:11:02 cares anymore or thinks about me anymore and then the other question the other reason was yes it was like to numb
1:11:08 whatever was going on and it’s like if you numb it which is what I did for a really long time when you wake up it’s
1:11:14 still there and when you numb it long enough and wake up then there’s more things there and then it’s just a bigger problem so you might as well just put on
1:11:20 your big girl panties and figure it out right suck it up yeah so to your point
1:11:26 like um that’s what I told my husband like we in the last two years we do not drink very much at all actually we
1:11:32 probably have a hundred bottles of wine downstairs that we’ve been trying to give away for for years um we very
1:11:37 rarely drink but I told him actually it was funny i saw your post the day before I saw your post we decided we were going
1:11:43 to do dry January and then I told him I was like I think I’m just not going to drink anymore this year and he was like
1:11:48 okay um and so let’s do it yeah ever i mean and he’s
1:11:54 my my husband’s great he’s very supportive whatever I want to do you know we get on whatever he’ll do it um
1:12:00 but I think that people really need to ask themselves when they’re drinking alcohol why am I doing this you know
1:12:06 because I don’t know a single person that drinks alcohol and says I feel wonderful the next day so like why are you doing it it costs a lot of money
1:12:13 it’s toxic to your body you know it’s just Anyways it we do it because I think you know the industry wants you to do it
1:12:20 right they make it look cool there’s these fun you know looking drinks whatever well of course they want you to
1:12:26 do it because it it’s beneficial to them just like the tobacco industry right so
1:12:31 I just wanted your it was a thing like I think it was a thing for us right our generation I mean my generation drank a
1:12:37 lot we drank a lot like I lived in Oregon um kids here drank a lot i was
1:12:43 before that I lived in Southern California kids there drank a lot like I just think our generation drinks a lot
1:12:48 and it’s just not pretty i’ll tell you the other thing i when I I smoked like a
1:12:53 chimney when I was young from 14 to 24 I smoked a pack of cigarettes a day i cannot believe it and I remember driving
1:12:59 down the road and seeing this old lady pull up next to me it’s in I was living in San Diego at the time and she’s got a
1:13:05 cigarette and she’s sucking off her cigarette and I thought you know there’s I was in my early 20s and I like was
1:13:12 just considering that maybe I was I think I had found like a gray hair you know I was like realizing I was not
1:13:17 immortal and I looked at her and I thought there’s just not I cannot think of a beautiful woman who’s older who
1:13:23 smokes like I couldn’t think of an actress i couldn’t think of anybody who you you just can’t get away with that if
1:13:29 you keep smoking you’re not gonna it’s going to be evident that you’re a smoker right at some point and so I decided to
1:13:35 quit smoking and then same thing with alcohol the other day I was like well I
1:13:40 guess the other month I was like I don’t know a single woman of of my cohort of
1:13:46 my age cohort of my level of of success honestly like of my circle of women who
1:13:52 I hang out with who are very successful and who are doing really cool [ __ ] in the world and really having a big impact
1:13:59 on a big scale i don’t know any of them who drink much if at all and I thought
1:14:06 well that’s it and that they’re all so beautiful you know the ones who like the JJ virgins of the world who’ve aged so
1:14:11 well like they’re just you might see her with a glass of wine but she nurses it all night long you know they’re just not
1:14:17 drinkers and I’m a drinker like it’s like Kool-Aid if you put it in front of me I will just keep drinking it and then
1:14:23 I feel horrific and I feel like I’m going to die the whole next day if not two days and then it totally destroys my
1:14:29 productivity for the next several days even if it’s not a hangover i have tremendous brain fog and I cannot do the
1:14:34 cool [ __ ] in the world that I want to do and I feel like after turning 50 time is definitely limited i have more years
1:14:41 behind me than I do in front of me i feel that and I have some cool [ __ ] I got to get done and I can’t do it if I’m
1:14:47 hung over so that was it i love it that’s what I’m going to go tell my husband i have some cool [ __ ] I need to
1:14:53 do this year no alcohol it’s out it is on the out list out okay i love that and
1:15:00 I do think that’s a very good point if you’re drinking alcohol and you have a you know if if you are somebody
1:15:05 listening to this and you think “Oh my god I could never stop drinking alcohol they’re crazy.” First of all you’ve probably got a problem right but then if
1:15:11 you’re somebody who’s like “Well maybe I could do it.” Then then the question should be “Why do I drink?” You know and
1:15:17 then figure it out like you do you we’re not Dr tina and I aren’t trying to tell you what to do you do you but I agree if
1:15:23 you want to do some really cool [ __ ] that’s not the way to do it um and then the last question I want to ask you so
1:15:31 what are your what are three of your biggest wins for 2024 because I also saw
1:15:36 and I’m I’m So my one of my biggest wins of 2024 was I don’t know if you know
1:15:41 Coach Michael Bert i met him i went to a a coaching thing that he did and he said something that literally put my jaw on
1:15:48 the floor like you have these moments in life where you’re like “Huh?” and he was talking about type A entrepreneurs and
1:15:54 how we’re so hard on ourselves and how we are mean to ourselves and how you know we don’t treat ourselves like we would treat friends all true i know all
1:16:00 this i was like whatever what is just keep going um but he said to me the problem with most people and especially
1:16:07 entrepreneurs are that they are always living in the gap instead of the gain
1:16:12 and I was like huh and he was like you’re always living for the next thing the next thing the next thing and you
1:16:19 never set and truly reflect on all of the gain and when you change that perspective and you start living in the
1:16:25 gain instead of the gap your life will be different and I was like okay and so
1:16:32 gratitude I’ve always somewhat practiced but I like from that day I was like okay I’m going to make sure that I pick a win
1:16:39 every day and before my head hits the pillow no matter how bad and I’ve had a couple really bad days in 2024 we all do
1:16:46 but like pretty bad and I remember one night I laid there and I thought there wasn’t a single thing today that went right and then I was like nope Cassie
1:16:52 that that is not we’re not playing that game we’re going to pick one right you’re breathing there’s one um so I
1:16:59 think that when I saw that I really liked that like what are your big wins and so I’ve really focused on that last
1:17:05 year and that and this year too like live in the gain and not in the gap and so I want to know what are three of your
1:17:11 biggest wins for 2024 well I will say honestly um getting I’m writing down
1:17:19 live in the gain and not in the gap i getting that’s so cheesy but it’s true
1:17:26 getting this hormonal situation sorted out because something that was happening to me was for a few years I was
1:17:32 chronically getting injured and I was making no gains in the gym because I just kept injuring myself and I wouldn’t
1:17:39 I I couldn’t sort it out i was doing all the things i was consulting with all the people it just was not getting sorted
1:17:44 out i have seriatic arthritis so that you know was contributing but I you you tear your own thesis when you have
1:17:50 seriatic arthritis that’s where it attacks you it’s terrible but I was also just not elastic and so having I finally
1:17:58 gave myself permission in 2024 i was like you know what you’re going to stop training so hard you’re going to stop
1:18:03 going for goal like really just stop going for goals in the gym period just get to the gym peri just get there and
1:18:10 do your little grandma strength training and relax and just relax into it and let
1:18:16 your body heal and so for all of 2024 I did lose a lot of muscle i did lose a lot of my shape i did get some fat on me
1:18:22 in places that I’m not super happy about but I just let my body rest and heal and
1:18:27 now I’m back in the gym and my pain is tremendously managed and I am so happy
1:18:33 about that like I’m so I really It really took me a good year of not beating the hell out of myself in the
1:18:39 gym to I had to stop pringing i had to stop all of that nonsense and just
1:18:44 accept where I was at and let my body heal and know that I was on the right path so that was a big one i’m very proud of myself for doing that because
1:18:49 I’m very type A and I’m very goal oriented so I think the other one was uh I went back out in the world like I had
1:18:56 been really isolated through COVID because I pushed back very hard on the narrative and I had I lost a ton of
1:19:03 friends and colleagues and along the way and I got in this really messed up headsp space where I just thought
1:19:08 everybody was out to get me i I really did because I was so battered like I had I really do have such tremendous PTSD
1:19:14 from those years and it was something i mean I yesterday I had a big Saabb session when I saw Trump sign the
1:19:20 executive order to overturn censorship and make it illegal i cry I cried because I thought God to be on the
1:19:27 receiving end of that like full force with a big platform was something to experience and was not fun and it messed
1:19:33 me up so I went back out in the world and I did so by going on podcast but I
1:19:38 was just so happy to like connect to people make friends like you like meet cool people and not only be seen I mean
1:19:45 that’s exciting to have your voice out there and be seen it comes with some drawbacks because I’m kind of a hermit but to like connect with humans again
1:19:52 just not hide on my farm i live on a farm and I talk to my dogs all day so I was like “Oh I made I made friends.” So
1:19:58 I made a lot of great friends in 2024 which I’m very proud of and then I think the last thing is just having there’s
1:20:06 just an acceptance of um realizing what you can and can’t do and not fighting so
1:20:12 hard against the things you can’t change you know and just falling into maybe that just comes with age but falling into a calmer place of like there is
1:20:19 some [ __ ] going on that I can’t have any control over and it’s not my circus and it’s not my monkeys and I’m not
1:20:25 going to engage in it so learning to be more strategic in picking my battles or not or just not giving a [ __ ]
1:20:32 no I love that that’s that’s one of my goals for 2025 and I to to that point
1:20:38 have you read the book Let Them by Mel Robbins no but I have I have I purchased it and I have heard her speak on it yeah
1:20:45 yeah and that whole pluckery that you’re talking about it Yeah it makes you feel a lot better about that so I love those
1:20:52 i think those are awesome gains and I think that anyone listening to this you should and I I did a whole episode about
1:20:58 this you should always look for your gains and you should write them down and because it makes you feel good right
1:21:04 like you just lived in the in the gain and not the gap and so everyone
1:21:09 listening to this I would encourage you find three wins from 2024 write them down and then maybe even think of one
1:21:14 win from 2025 you’ve already had so I’m going to give Dr tina hers and that is that she’s done with alcohol that’s her win for 2025 at least for now she
1:21:22 figured out why she doesn’t need it or why she doesn’t want to use it and so that’s a win for her whether she does it
1:21:28 for the rest of the year or not she took it upon herself to say “Hey you know what i’m drowning my feelings with it
1:21:33 and I don’t want to do it.” That’s a huge win so she’s already got one and so you know I would encourage you guys if
1:21:38 you’re listening to this to to do that so thank you for sharing that with us yes i have um three questions really
1:21:46 fast I ask every guest at the end of my podcast simple don’t overthink it people love this like they love this um what is
1:21:53 one food that’s most beneficial and why beef okay it It’s packed full of really
1:22:01 highly absorbable nutrients it’s such an easy wonderful food to I mean it’s it it
1:22:07 just will change the game if you can bring more high quality beef into your life i think most women undereat it and
1:22:13 just give yourself an not like you don’t have to go carnivore but bring some beef in and give yourself permission on that
1:22:18 you’ll feel better yep i’m going to have some ground beef with onions and avocado when we’re done and rice favorite that’s
1:22:25 That’s easy if you’re listening to this you heat up some rice like some jasmine rice you can get a package of it
1:22:30 whatever cut it in half you put some ground beef on it put a little bit of coconut aminos throw some avocado on
1:22:35 there some salt you’re in girl okay so the
1:22:41 next question what is one thing that anyone can do for their health that is completely free that’s beneficial go
1:22:47 outside just go outside do this just go outside if it’s cold and
1:22:52 rain i live in Oregon you guys sometimes I don’t know what time of day it is it’s so gray but I still go outside like just go it’s that’s a game changer i I hid
1:23:00 for many winters for decades I hid all winter long and now I’m a big these last
1:23:05 few years like get the right gear just make sure you have the right coat get outside yep i saw that i think that was
1:23:11 on your list too you were gonna go outside every day no matter what the weather was yeah no matter what good and then the last question is what is one
1:23:18 thing that you wish you would have known about your health 15 to 20 years ago that you know now and you would have
1:23:24 done differently i would have absolutely been strength training the whole time i would have been actively building muscle
1:23:32 in the gym if I if I knew the far-reaching impacts on my health not
1:23:37 just the ones that you hear about all of us talking about i’m talking calm mind
1:23:43 uh clarity of thought strength and willpower and just kind of a general
1:23:49 badassery that you don’t have when you’re not strong you know like that that it’s a superpower strength is a
1:23:54 superpower i love it okay so Dr tina Moore thank you so much for coming on
1:24:00 and chatting with us i know everyone will find this beneficial if you guys don’t follow her we’re going to link all
1:24:05 of her stuff and her social media she has a podcast as well The Dr tina show so it’ll all be linked in the show notes
1:24:11 if you thought any of this was beneficial so basically if you know a single other female you should probably
1:24:17 share this with them make sure that you like and follow us and then join us next week on the next episode thanks thank
1:24:23 you i feel like this week’s episode was full
1:24:30 of so many great tips just beneficial tips about life in general hormones
1:24:36 metabolism GLP-1 use just life feelings and goals and so I really loved doing
1:24:44 this interview with Dr tina i know you can find someone to share this interview with it was so impactful so please
1:24:51 please share this interview with anyone that you think it would benefit make sure that you are following us on any
1:24:56 platform you get your podcasts so that you get our episode when it drops every single week make sure that you leave us
1:25:03 a review follow me on social media tell me who you want me to interview tell me what questions you want answered because
1:25:09 that’s where I get a lot of this information for this podcast and please remember that Modern Endocrine is now
1:25:14 available to see patients in 33 states and counting if you need a provider to
1:25:20 talk to about any of this if any of this resonated with you and you want to discuss hormones you want to discuss
1:25:25 micro doing GLP1s you want to discuss gut health we would be honored to help you on that journey and help you become
1:25:32 the healthiest best version of yourself so please reach out to us and become a patient as well i appreciate your time
1:25:40 this week thank you for joining me to become healthier and I’ll see you next week on the next episode
1:25:47 [Music] the information presented including any materials discussed referenced or linked
1:25:53 within this podcast are for general educational purposes only not the practice of medicine no doctor patient
1:26:00 relationship is formed from you listening to this podcast or utilizing any of the information provided i am a
1:26:06 doctor but I am not talking to you as your doctor the information provided is not intended to diagnose or treat health
1:26:14 problems or take the place of the professional medical care provided by your doctor if you are experiencing any
1:26:21 health problems including problems you believe have been touched upon in any respect within this podcast you should
1:26:27 consult your doctor about the problems without delay you may ask your doctor whether he or she believes the
1:26:33 information I have provided would be helpful to you but you should still consult your doctor immediately and
1:26:39 follow his or her medical advice as your treating physician i’m just here to provide you basic knowledge about the
1:26:45 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
1:26:52 to the basics join me on the next episode as we continue our journey
1:26:58 [Music] my you are my
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.