Ep. 467  Bone & Joint Health Tips for Women 40+ with Dr. Jocelyn Wittstein

Ep. 467 Bone & Joint Health Tips for Women 40+ with Dr. Jocelyn Wittstein

Today, I am delighted to connect with Dr. Joycelyn Wittstein, a board-certified orthopedic surgeon and associate professor of Orthopedic Surgery at Duke who conducts NIH-funded research into post-traumatic knee arthritis. She has shared presentations at many prestigious medical conferences, and her work has appeared in peer-reviewed journals. In our discussion, we dive into many of the joint pain symptoms Dr. Wittstein sees in her perimenopausal and menopausal patients, and we look at the impact of specific, targeted supplementations, including curcumin, collagen peptides, and creatine monohydrate. We explore effusions, the effects of osteoarthritic risk factors like prior injuries, obesity, the perimenopause to menopause transition, and the impact of GLP-1s on joint symptoms and bone physiology. We discuss REDS (Relative Energy Deficiency Syndrome) and the causes of osteoporosis, and Dr. Wittstein also shares what she does to protect her bones and why she believes DEXA scans must get done early in the aging trajectory, why fractures can be problematic, and the significance of exercise and bone-building foods. You will not want to miss today’s valuable and super action-oriented conversation with Dr. Jocelyn Wittstein. IN THIS EPISODE, YOU WILL LEARN: How women in their mid-40s and 50s often experience an acute increase in joint pain How hormone therapy can help women improve their bone health, prevent osteoporosis, and overcome joint pain Dr. Wittstein recommends supplements for reducing joint inflammation Various foods that can drive inflammation and cause joint health problems How the inflammatory state of obesity impacts joint health The benefits of GLP-1s for those with joint pain from inflammation Why early bone density screening is essential for women in their 40s How creatine monohydrate improves cognitive function and muscle mass The value of strength training and balance exercises for improving joint health The best foods and beverages for bone-building Bio: Dr. Jocelyn Wittstein I am an associate professor of orthopaedic surgery at Duke University Medical Center. I completed residency in 2009 and a fellowship in sports medicine in 2010 at Duke. Prior to medical school, I studied nutritional science at Cornell University. My practice focuses on sports medicine, with a particular interest in treating female athletes across the lifespan. I am currently president of the Forum: Women in Sports Medicine. I am part of the core leadership of the Duke Female Athlete Program. I am also a clinician researcher with NIH-funded studies of ACL and meniscus injuries and post-traumatic arthritis in knees. I am a co-author of the Complete Bone and Joint Health Plan, which was released on May 6, 2025. On a personal note, I am a former collegiate gymnast, lifelong athlete, and mom of five. I live in Raleigh, NC, with my husband, Tal Lassiter, who is also an orthopedic surgeon. Connect with Cynthia Thurlow Follow on Twitter, Instagram & LinkedIn Check out Cynthia’s website Submit your questions to support@cynthiathurlow.com Connect with Dr. Jocelyn Wittstein On the Duke Health website Instagram The Complete Bone and Joint Health Plan, co-authored by Jocelyn Wittstein, MD, and Sydney Nitzkorski, MS, RD, is available on Amazon or Barnes and Noble, and from most bookstores.

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Ep. 338 'How to Be the Love You Seek': Decoding Self-Love and Beliefs with Dr. Nicole LePera

Ep. 338 'How to Be the Love You Seek': Decoding Self-Love and Beliefs with Dr. Nicole LePera

Today, I have the privilege of connecting with Dr. Nicole LePera, the Holistic Psychologist.  Dr. LePera did her clinical psychology training at Cornell University. She has touched the lives of countless individuals seeking growth and transformation through her popular Instagram account and has written several self-help books, including How to Do the Work and How to Be the Love You Seek.  In our discussion today, we dive into the current impact of our childhood experiences, exploring crises of faith, the dark night of the soul, inner child archetypes, and shame. Dr. LePera sheds light on the dynamics of dysfunctional patterns, triggers, and regression while also examining the role of generational and systemic beliefs, trauma, and the emerging science of heart-brain coherence and heart rate variability, sharing practical tips for cultivating presence in our bodies to assist us in processing our emotions. Dr. LePera's work has been profoundly instrumental in my personal development journey, and I know you will find our conversation enlightening and enriching.  IN THIS EPISODE YOU WILL LEARN: How the subconscious mind determines our habits and relationships Dr LePera explains the concept of the dark night of the soul The importance of examining your conditioned behaviors and reconnecting with your true identity  How inner child archetypes impact behavior Why is self-development essential? How our past experiences shape the way we perceive and interpret current events The benefit of embodiment practices for developing emotional tolerance How childhood trauma impacts physical and mental health The impact of intergenerational trauma on mental health How to achieve heart coherence Dr. LePera shares mindfulness practices for stress management and self-awareness Connect with Cynthia Thurlow Follow on Twitter, Instagram & LinkedIn Check out Cynthia’s website Submit your questions to support@cynthiathurlow.com Connect with Dr. Nicole LePera On her website How to Be The Love You Seek  On Instagram, YouTube, TikTok, and X

24 Feb 20241h 3min

Ep. 337 Transform Your Life with Practical Optimism with Dr. Sue Varma

Ep. 337 Transform Your Life with Practical Optimism with Dr. Sue Varma

Today, I have the pleasure of connecting with Dr. Sue Varma. Dr. Varma is a privately-practicing board-certified psychiatrist and a Clinical Assistant Professor of Psychiatry at New York University. She is a nationally acclaimed keynote speaker, medical contributor, media consultant, and advisor to leading television networks and programs. In our discussion today, we examine the impact of shared life experiences like 9/11 and the pandemic, exploring the role of PTSD and the effects of practical optimism, self-care, and self-reliance. We discuss optimism, its inheritability, and the significance of milestones for women, including transitioning from high school to college, navigating midlife, and addressing feelings of loneliness. We also look into purpose and compassion, the complexities of processing emotions, the challenges of the perfectionism façade, the role of trauma, ACE scores, autoimmunity, and the benefits of mindfulness and meditation.  Stay tuned for more! IN THIS EPISODE YOU WILL LEARN: Dr. Varma discusses the collective sense of grief, fear, connection, and empathy after 9/11 and the pandemic The importance of optimism and resilience when dealing with tragedy How Dr. Varma helps her patients identify their blind spots and other areas for improvement in their lives How perimenopause can bring about a sexual awakening and increased desire for intimacy but also loneliness and dissatisfaction in relationships Why friendships are essential for our well-being Why do we need to invest in different types of connections and relationships? The critical importance of finding purpose in life  How unprocessed emotions affect our mental and physical well-being How trauma impacts mental health Some practical tips for incorporating mindfulness into daily life  The benefits of meditation Bio: Dr. Sue Varma is a board-certified psychiatrist in private practice and a Clinical Assistant Professor of Psychiatry at New York University (NYU) Langone Health. She is a Distinguished Fellow of the American Psychiatric Association. Dr. Varma was the first medical director and attending psychiatrist at the World Trade Center Mental Health Program at NYU Langone Health, treating civilians and first responders in the aftermath of 9/11. Dr. Varma is a nationally acclaimed keynote speaker, medical contributor, media advisor, and consultant to major networks and shows. She regularly appears on the Today Show, Nightly News, CBS Mornings, and Good Morning America and is frequently interviewed by Time, Washington Post, NPR, and beyond. Dr. Varma is the recipient of numerous prestigious awards for her ground-breaking efforts in mental health education and advocacy, including a Sharecare Emmy. Her forthcoming book, “Practical Optimism,” is eagerly anticipated worldwide, with translations in several languages. Connect with Cynthia Thurlow Follow on Twitter, Instagram & LinkedIn Check out Cynthia’s website Submit your questions to support@cynthiathurlow.com Connect with Dr. Sue Varma On her website Instagram Facebook Twitter LinkedIn Dr. Varma's book, Practical Optimism:  The Art, Science, and Practice of Exceptional Well-Being

21 Feb 202453min

Ep. 336 Lipid Masterclass: An Introduction to Lipids and Cholesterol with Dr. Thomas Dayspring

Ep. 336 Lipid Masterclass: An Introduction to Lipids and Cholesterol with Dr. Thomas Dayspring

Today, I am excited to share the first class in a series of lipid masterclasses with the amazing Dr. Thomas Dayspring! Dr. Dayspring is certified in internal medicine and clinical epidemiology and is a fellow of the American College of Physicians and the National Lipid Association. He was previously the Educational Director of a nonprofit organization and has served as the Chief Academic Advisor for two major cardiovascular labs.  Due to the in-depth nature of my discussions with Dr. Dayspring over several sessions, each lasting nearly six hours, it seemed logical to present these masterclasses in segmented chunks to make them easier to understand. In our first class today, we dive into the fundamentals, exploring what lipids are and how lipids and fatty acids are classified. We cover the physiology and transportation of cholesterol and the role of apoptosis, apo-proteins, and apo-lipoproteins, unravel the differences between HDL, LDL, IDL, and VLDL, and explain how to calculate LDLs and triglycerides for assessing metabolic health. Dr. Dayspring also shares his preferences regarding lab values and the indicators that provide information to help him determine the early risk of cardiovascular disease. We get into some detailed aspects of physical chemistry in this episode, so I highlight the main clinical points throughout our conversation to make it more understandable. Be sure to join Dr. Dayspring and me for our next episode in the lipid masterclass series. IN THIS EPISODE YOU WILL LEARN: What are lipids, and why are they important? Dr. Dayspring explains what triglycerides are. How lipids get absorbed and transported throughout the body What lipoproteins are, and how they get classified How cholesterols get calculated The impact of triglycerides on cholesterol levels and cardiovascular health How high triglyceride levels can indicate early insulin resistance or increased ASCVD risk What is the role of HDL particles? How metabolic syndrome impacts cardiovascular health Bio: Thomas Dayspring MD is a Fellow of both the American College of Physicians and the National Lipid Association and is certified in internal medicine and clinical lipidology. After practicing in New Jersey for 37 years, in 2012, he moved to Virginia. He served as an educational director for a nonprofit cardiovascular foundation and until mid-2019 as a Chief Academic Advisor for two major CV laboratories. Since then, he has served as a virtual cardiovascular / lipidology educator. Career-wise he has given over 4000 domestic (in all 50 states) and several international lectures, including over 600 CME programs on atherothrombosis, lipids/lipoproteins (and their treatment), vascular biology, biomarker testing, and women’s cardiovascular issues. He has authored several manuscripts and lipid textbook chapters and performed several podcasts. For several years he was an Associate Editor of the Journal of Clinical Lipidology. He was the recipient of the 2011 National Lipid Association’s Presidents Award for services to clinical lipidology and the 2023 Foundation of NLA Clinician/Educator Award. He has over 34K followers on his educational Twitter (X) feed (@Drlipid). He has Gold Heart Member status as a professional member of the American Heart Association and serves as a Social Media Ambassador for the European Atherosclerosis Society and the National Lipid Association. Connect with Cynthia Thurlow Follow on Twitter, Instagram & LinkedIn Check out Cynthia’s website Submit your questions to support@cynthiathurlow.com Connect with Dr. Thomas Dayspring Twitter (@DrLipid) LinkedIn Books written by Gary Taubes

17 Feb 202444min

Ep. 335 Gut Check: Understanding Gut Diversity, Leaky Gut and Ways to Heal with Dr. Steven Gundry

Ep. 335 Gut Check: Understanding Gut Diversity, Leaky Gut and Ways to Heal with Dr. Steven Gundry

I am delighted to reconnect with Dr. Steven Gundry today. He last joined me for episode 236.  Dr. Gundry is one of the world's leading cardiothoracic surgeons and a nutrition pioneer. He hosts the highly acclaimed Dr. Gundry Podcast, on which I was honored to be a featured guest. He is the Founder and Director of the International Heart and Lung Institute Center for Restorative Medicine and the author of several New York Times bestselling books, including his most recent, Gut Check.  In our conversation, we dive into gut diversity, exploring the interrelationship between specific parasitic organisms like toxoplasmosis and behavior. We share information on mitochondrial DNA and polyphenols and uncover the synergistic relationships they share with our gut microbiome. We also get into Resveratrol and Urolithin A and discuss pre-, pro-, and post-biotics, the impact of leaky gut, glyphosate, statin therapy, and Dr. Gundry's new Gut Check program.  I am honored to facilitate this insightful dialogue with Dr. Steven Gundry and feel confident you will find it as engaging as I did while recording. IN THIS EPISODE YOU WILL LEARN: Why should your spouse clean the cat litter tray if you are pregnant? The synergistic relationship that exists between the gut microbiome, mitochondrial DNA, and polyphenols How resveratrol in red wine activates mitochondrial DNA repair compounds Why a diverse microbiome is the key to longevity  How do fermented foods improve gut health? How a leaky gut impacts bone health What bacterial translocation can lead to in men and women How does glyphosate affect our health? How gut sealing can reverse a leaky gut and autoimmune diseases Dr. Gundry explains how statins affect the gut microbiome Bio:  Steven R. Gundry, MD, is the founder and director of the International Heart and Lung Institute in Palm Springs, California, and the Center for Restorative Medicine in Palm Springs and Santa Barbara. After a distinguished surgical career as a professor and chairman of cardiothoracic surgery at Loma Linda University, Dr. Gundry changed his focus to curing modern diseases via dietary changes. He is the author of New York Times bestsellers The Plant Paradox, The Plant Paradox Cookbook, The Plant Paradox Quick & Easy, and The Longevity Paradox, along with national bestsellers The Plant Paradox Family Cookbook, The Energy Paradox, Dr. Gundry’s Diet Evolution, and Unlocking the Keto Code, and more than 300 articles published in peer-reviewed journals on using diet and supplements to eliminate heart disease, diabetes, autoimmune disease, and multiple other diseases. He is the host of the weekly Dr Gundry Podcast and founder of wellness brand, Gundry MD. Dr. Gundry lives with his wife, Penny, and their dogs in Palm Springs and Montecito, California About GUT CHECK: Unleash the Power of Your Microbiome to Reverse Disease and Transform Your Mental, Physical, and Emotional Health By Steven R. Gundry, MD In the latest addition to his New York Times bestselling Plant Paradox series, GUT CHECK: Unleash the Power of Your Microbiome to Reverse Disease and Transform Your Mental, Physical, and Emotional Health (Harper Wave, January 9, 2024; ISBN: 978-0062911773; $32.00; 352 pages), Dr. Steven Gundry offers a definitive guide to the gut biome and its control over its home – us! Revealing the unimaginably complex and intelligent ecosystem controlling our health, Gut Check teaches us how to heal our gut to prevent and reverse every type of disease. Connect with Cynthia Thurlow Follow on Twitter Instagram LinkedIn Check out Cynthia’s website Submit your questions to support@cynthiathurlow.com Connect with Dr. Steven Gundry On his website or Gundry MD Gundry Health.Com The Dr. Gundry Podcast on YouTube Ep. 236 Keto Code: Unlocking Mitochondrial Health with Dr. Steven Gundry

14 Feb 202451min

Ep. 334 Hormone Insights: Advocacy, Trends and Tips for 2024 with Esther Blum

Ep. 334 Hormone Insights: Advocacy, Trends and Tips for 2024 with Esther Blum

I am delighted to reconnect with Esther Blum today. She joined me once before for Episode 264, one of the most popular podcast episodes for 2023.  Esther is the bestselling author of many books, including See You Later Ovulator. She is a registered dietitian with a thriving virtual practice specializing in helping women balance their hormones, shed stubborn body fat, and address the root causes of their health issues. Today, Esther and I discuss the state of hormones in 2024. Our conversation covers lazy medicine advocacy, meno-washing, and meno-care, and we explore uncommon symptoms associated with perimenopause and menopause and methods for obtaining testing. Esther also shares her recommended supplements.  You will love this engaging and insightful conversation with Esther Blum! IN THIS EPISODE YOU WILL LEARN: How safe is hormone replacement therapy? Why hormone testing and monitoring is essential  The importance of prioritizing romance and connection in a marriage The benefits of pelvic floor therapy How working with compounding pharmacies can reduce the cost of hormone replacement therapy How to work with doctors to address hormone imbalances Some uncommon symptoms of perimenopause and menopause How dietary changes and probiotics can improve focus and brain clarity  Hormone testing and menopause management  Esther recommends supplements for adrenal support during menopause Connect with Cynthia Thurlow Follow on Twitter Instagram LinkedIn Check out Cynthia’s website Submit your questions to support@cynthiathurlow.com Connect with Esther Blum On her website Instagram Get Esther’s 14-Day Metabolic Menopausal Meal Plan   Esther’s Books Esther’s book, See Ya Later, Ovulator!, by Esther Blum Cavewomen Don’t Get Fat, by Esther Blum Eat, Drink, and Be Happy, by Esther Blum Previous Episode featuring Esther Blum Ep. 264 Peri/Menopause are a Natural Function of Aging: See you later, Ovulator!

10 Feb 202456min

Ep. 333 Overtraining, Body Image and the Power of Strength Training with Dr. Sean Pastuch

Ep. 333 Overtraining, Body Image and the Power of Strength Training with Dr. Sean Pastuch

I am honored to engage in a conversation with Dr. Sean Pastuch today. Dr. Pastuch spent more than ten years treating patients and training clients. He has worked with some of the most elite athletes in the world, guiding them toward success by seamlessly connecting fitness with healthcare.  In today’s conversation, we discuss the sustainability of New Year's resolutions, explain why strength training is essential, and talk about chronic cardio and muscular independence, the pitfalls of overtraining, and the impact of body image marketing. We explore advocacy within the current healthcare system, emphasizing the need for confidence-building to become effective advocates for ourselves and our children. Dr. Pastuch also explains the simplicity of his morning routine, highlighting the importance of uncomplicated habits for maintaining a balanced and healthy lifestyle. Stay tuned for simple-to-apply behavior changes, mindset shifts, and exercise protocols to help you live a life of freedom without compromise. IN THIS EPISODE YOU WILL LEARN: Dr. Pastuch shares his thoughts on New Year's resolutions How fitness planning in 5-year rather than 1-year chunks can make your progress feel less daunting and more achievable Why mindset is such an essential aspect of fitness Dr. Pastuch shares advice for finding a good trainer Some strategies for weight loss and fitness Why do we need to adapt to our body changes during perimenopause and menopause rather than relying on methods that worked in the past? The benefits of focusing on overall health and well-being instead of striving for a specific body ideal The importance of addressing underlying issues before focusing on exercise and nutrition for weight loss Why passive solutions are not enough to address generational problems How to become your own best health advocate  Bio: Dr Sean spent over a decade treating patients and training clients. He has worked with the most elite athletes in the world, the people who need the .01% edge on their competition, like professional baseball players, CrossFit games champions, and Olympic medalists. He found his success by bridging the gap between fitness and healthcare, using his expertise in both the gym and the clinic to create a new way to help people consistently get out of pain without going to the doctor or missing out on their active lives. Since leaving practice in 2017, Dr. Sean has taken the methods he used to help over 10,000 people perform at their best, free of pain, and made his methods and mindset shifts available to the masses through the founding of his company, Active Life, where his team not only help people from around the world to get out of pain without going to the doctor or giving up their active life, but they mentor fitness and healthcare professionals to do the same for their clients and patients.  Connect with Cynthia Thurlow Follow on Twitter Instagram LinkedIn Check out Cynthia’s website Submit your questions to support@cynthiathurlow.com Connect with Dr. Sean Pastuch Website    Instagram

7 Feb 202455min

Ep. 332 Bio-individuality and Fasting: Personalized Approaches to Metabolic Health with Dr. Jason Fung

Ep. 332 Bio-individuality and Fasting: Personalized Approaches to Metabolic Health with Dr. Jason Fung

I am delighted to reconnect with Dr. Jason Fung today. We last connected in October 2020 for Episode 121.  Dr. Fung is a nephrologist and a prominent figure in the intermittent fasting and low-carb space. He has made significant contributions as a founding member of The Fasting Method with his evidence-based guidance on weight loss and blood glucose management through low-carb diets and intermittent fasting. He has written several books, including The Obesity Code, The Complete Guide to Fasting, The Diabetes Code, and The Cancer Code.  In our discussion today, we look at the forecast for metabolic health in 2024, exploring how the growth of the diabetes population relates to the effects of the pandemic and addressing the conflict of interest with organizations like the ADA and registered dieticians. Dr. Fung shares some of his biggest frustrations, including the shallow and myopic thinking amongst those focusing on calories in and calories out, and we get into various facets of metabolic health, from the nuanced influences of gender, puberty, perimenopause, and menopause to hedonistic eating, sarcopenia, bio-individuality, and therapeutic fasting. Dr. Fung also shares his perspective on GLP-1s, shiftwork, supplements, and more. Join us for valuable insights on various aspects of metabolic health and how they impact our well-being. IN THIS EPISODE YOU WILL LEARN How the influence of food companies has led dieticians and diabetes associations to focus on moderation instead of a balanced diet Dr. Fung shares his frustration with the lack of progress in addressing the diabetes issue How hormones impact weight gain and hunger Why does focusing on calories in and out not provide the solution to weight loss? How intermittent fasting can help to control hormonal issues How middle-aged women need to find balance when fasting to maintain muscle mass and avoid sarcopenia How intermittent fasting can lead to increased strength despite losing muscle mass  What causes shift workers to gain weight? The potential drawbacks of using GLP-1 drugs for weight loss Why magnesium deficiency is a common problem in modern society Connect with Cynthia Thurlow Follow on Twitter, Instagram & LinkedIn Check out Cynthia’s website Submit your questions to support@cynthiathurlow.com Connect with Dr. Jason Fung Website Twitter and YouTube The Fasting Method Dr. Fung's books Previous Episode Featuring Dr. Jason Fung Ep. 121 – The Truth About Diabetes, Kidney Disease and Insulin Resistance with Dr. Jason Fung

3 Feb 202455min

Ep. 331 Hunger Habit: Impact of Lifestyle, Self-Talk and Trauma with Dr. Jud Brewer

Ep. 331 Hunger Habit: Impact of Lifestyle, Self-Talk and Trauma with Dr. Jud Brewer

Today, I have the pleasure of reconnecting with the incredible Dr. Jud Brewer, who was previously on the podcast in June 2020 in episode 99. Dr. Brewer is an internationally recognized addiction psychiatrist and neuroscientist. He is also a professor at Brown University and a former TEDx speaker, with his talk in 2016 amassing over 19 million views.  In our conversation, we discuss his latest book, The Hunger Habit, and explore many subjects, from the differences between homeostatic and hedonistic hunger to detachment from body awareness. We look at self-talk, self-judgment, and dopamine survival mechanisms, addressing issues like stress-eating and comfort-eating within the context of the food and reward system. Dr. Jud also shares his perspective on macro tracking, explaining why he does not endorse it, and he introduces his 21-Day Challenge, emphasizing the need to build awareness around our habits and be present. Lastly, we dive into how trauma impacts binge eating, touching on adverse childhood events and effective ways to reflect on our past experiences and how they affect our current behavior. Dr. Jud's wealth of knowledge and insights offer a fresh perspective on the interplay between our habits, mental well-being, and relationship with food. Stay tuned! IN THIS EPISODE YOU WILL LEARN: What is the difference between hedonic hunger and homeostatic hunger? The evolutionary survival mechanisms that drive human eating behaviors How our self-talk impacts our eating habits and body image  Why we cannot depend on willpower to change our behavior   Dr. Jud shares his concerns about macronutrient tracking  Dr. Jud discusses the simple three-step process to healthier weight loss he outlined in The Hunger Habit How the brain learns and remembers  How past traumas and adverse childhood events can lead to binge eating How self-awareness allows us to create healthier eating habits Connect with Cynthia Thurlow Follow on Twitter, Instagram & LinkedIn Check out Cynthia’s website Submit your questions to support@cynthiathurlow.com Connect with Dr. Jud Brewer Website Instagram and Twitter TEDx Talk: A Simple Way to Break a Bad Habit   Episode 99: How To Change Bad Habits – with Dr. Jud Brewer

31 Jan 202455min

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