Ep. 440 Why Less Than 3% of Women Use HRT: Myths, Labs & Lifestyle Jackie Piasta, RN, MSN, RNFA, WHNP-BC, NCMP | HRT & Hormone Replacement Therapy

Ep. 440 Why Less Than 3% of Women Use HRT: Myths, Labs & Lifestyle Jackie Piasta, RN, MSN, RNFA, WHNP-BC, NCMP | HRT & Hormone Replacement Therapy

I am excited today to connect with my friend and colleague, Jackie Piasta. Jackie is Vanderbilt-trained and has been board-certified as a women’s and gender health nurse practitioner. She has been practicing since 2010. She serves on medical advisory committees for several foundations and co-hosts the justASK Podcast. In our conversation, we dive into the challenges and complexities surrounding menopausal hormone replacement therapy and FDA-approved formulations, looking at the minute percentage of women currently on menopausal hormone replacement therapy. We discuss supraphysiologic-dosing of hormones and lab work strategies regarding prescribing lifestyle, and Jackie clarifies how she differentiates hypoactive sexual disorder from low libido and dysfunctional uterine bleeding from early menopause. We explore IUDs, ablations, and other long-term bleeding therapy options, explaining how endometriosis can impact the onset of menopause. Jackie also shares her approach to managing patients who have had ablations or are using IUD therapies and not getting regular menstrual cycles, helping them to determine when they transition into menopause. This conversation is full of valuable insights, and we look forward to having Jackie back for a further deep dive into this pivotal stage of women’s health. IN THIS EPISODE YOU WILL LEARN: Jackie compares the varying information and lack of a one-size-fits-all approach in HRT with that of other medical treatments. Overwhelming options and fear surrounding HRT can make it challenging for clinicians to prescribe those treatments. How compounded HRT formulations differ from commercially available formulations The difference between a normal physiologic and a supraphysiologic dose How low libido differs from hypoactive sexual desire disorder Challenges of diagnosing menopause in women who have had ablations or hysterectomies or use long-acting reversible contraceptives Importance of evaluating postmenopausal bleeding to rule out endometrial cancer Transparency and open communication with patients about the benefits and risks of HRT Other health interventions to be addressed alongside HRT How endometrial biopsies confirm the presence of uterine disease rather than ruling it out Connect with Cynthia Thurlow Follow on Twitter Instagram LinkedIn Check out Cynthia’s website Submit your questions to support@cynthiathurlow.com Connect with Jackie Piasta On her website My Monarch Health on Instagram Jackie on Instagram The justASK Podcast

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Ep. 27 The TedX Experience

Ep. 27 The TedX Experience

TedX speakers bring wisdom and perspective to a variety of topics in life. Cynthia's talk on TedX is no exception. Cynthia's TedX talk covers perimenopause in a whole new light. In this episode, Cynthia talks about her process for preparing for her talk, what happened during the talk and how she stayed calm, and how she recovered and practiced self-care. Thanks for listening! Please subscribe and leave us a rating/review. We appreciate it.

6 Tammi 201925min

Ep. 26 How to  Lose Weight When You've Tried Everything with Gordon Light

Ep. 26 How to Lose Weight When You've Tried Everything with Gordon Light

Gordon tells us about his journey from exercise-hater to movement and wellness enthusiast. Gordon loves to work with individuals who have tried all the diet and exercise programs without any real progress. Gordon's practical and fun approach to health and fitness is refreshing in a world of rigid diets and strict exercise protocols. Learn more about Gordon HERE: https://www.facebook.com/gordon.a.light Thanks for listening! Please subscribe and leave us a rating/review. We appreciate it.

23 Joulu 201855min

Ep.25 Are you SAD: Lifestyle Medicine Strategies for Healing Seasonal Affective Disorder (SAD)

Ep.25 Are you SAD: Lifestyle Medicine Strategies for Healing Seasonal Affective Disorder (SAD)

Seasonal Affective Disorder is common this time or year, but that doesn't mean that you have to live with it. If you suffer from low mood, irritability, weight gain, carb cravings, lack of motivation, and difficulty sleeping during the fall and winter months, this episode is for you. In addition to the information that we provide in the podcast, check out the article I wrote on Beating the Winter Blues. Thanks for listening! Please subscribe and leave us a rating/review. We appreciate it.

16 Joulu 201821min

Ep. 24 Considering CrossFit and Keto with Liam McElwee

Ep. 24 Considering CrossFit and Keto with Liam McElwee

Liam McElwee is a trainer and coach who is passionate about CrossFit and the ketogenic diet. Liam has used his own experience to fuel his work as on online health and wellness coach. Join us to learn more about Liam's journey and his passion for health! https://www.facebook.com/liam.mcelwee Thanks for listening! Please subscribe and leave us a rating/review. We appreciate it. Find out more about Cynthia at www.chtwellness.com and more about Kelly at www.everydaytherapist.com

16 Joulu 201837min

Ep. 23 Festive Holiday Strategies for Food, Fun,  and Balance

Ep. 23 Festive Holiday Strategies for Food, Fun, and Balance

Amanda Nighbert is a registered dietitian specializing in Bariatric and weight loss nutrition, a fitness enthusiast, and a working mom of two. She is passionate about motivating, supporting and educating people to meet their wellness goals. Amanda's enthusiasm about life and helping other to become healthier is infectious! Listen to feel it for yourself. Find out more about Amanda at www.amandanighbert.com Thanks for listening! Please subscribe and leave us a rating!

16 Joulu 201842min

Ep. 22 Improve your Health with Accelerated Resolution Therapy

Ep. 22 Improve your Health with Accelerated Resolution Therapy

Dr. Diego Hernandez joins us to talk about accelerated resolution therapy (ART). Dr. Diego explains what ART is, how it works, and who it can help. He draws on his years of experience working with military professionals on retreat and with a variety of clients in his private practice to show us how we can benefit from ART. www.balancedlivingpsychology.com and https://acceleratedresolutiontherapy.com/ Thanks for listening! Please subscribe and leave us a rating/review. We appreciate it.

16 Joulu 201838min

Ep. 21 Talk Back to Anxiety with Lynn Dutrow

Ep. 21 Talk Back to Anxiety with Lynn Dutrow

Lynn Dutrow is not your average counselor. Her approach to healing anxiety involves a lot of backtalk and a good dose of swearing. Find out why this unique approach works so well for reducing anxiety and get practical tips to reduce anxiety in your life. www.auntieanxiety.com and www.thecompassionateasskicker.com Thanks for listening! Please subscribe and leave us a rating/review. If you have questions you'd like us to answer on the podcast, send them to everydaywellnesspodcast@gmail.com.

6 Marras 201842min

Ep. 20 Diet Dilemma: Keto, Paleo, Primal, HGH…which is right for you?

Ep. 20 Diet Dilemma: Keto, Paleo, Primal, HGH…which is right for you?

With so many popular diets out there, how do you know which to choose and what is the most important component across all ways of eating? Cynthia and Kelly define the differences and similarities among these diets and the importance of self-care and processing emotions to your success on a diet. Thanks for listening! Please subscribe and leave us a rating/review. We appreciate it. If you have questions you'd like us to answer on the podcast, send them to everydaywellnesspodcast@gmail.com.

6 Marras 201831min

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