Angela presents once more, her most popular episode of 2024, in which she talks to the remarkable Dr Sara Gottfried, about a wide-ranging array of aspects impacting women's health, including hormones, perimenopause, and postpartum depression.

Dr. Sara highlights the impact of hormonal changes during perimenopause and menopause, emphasising the importance of understanding triggers and dysregulation. She also delves into the effects of stress, immune system changes, and metabolic shifts during this transition. The conversation touches on topics like mitochondrial function, hormone therapy, PCOS, and postpartum depression, exploring both biological and environmental factors that contribute to women's health challenges.

KEY TAKEAWAYS

• Mitochondrial Fatigue: Common after 40; leads to energy depletion during or after exercise.
• Hormonal Changes: Perimenopause involves declining progesterone, fluctuating estrogen, and impacts on metabolism, mood, and immune system.
• Stress and Trauma Impact: Toxic stress and unresolved trauma can damage mitochondria and disrupt hormones.
• Vaginal & Urinary Symptoms: Estrogen decline causes dryness, infections, and reduced sexual satisfaction – treatable with local therapy.
• Proactive Preparation: Lifestyle, strength training, glucose monitoring, and mindfulness can help women navigate menopause effectively.

TIMESTAMPS AND KEY TOPICS

• 0:05 – Mitochondrial fatigue and energy loss.
• 3:12 – Perimenopause and hormone dysregulation.
• 8:06 – Immune changes and increased autoimmunity.
• 12:54 – Hormones and energy: ATP production decline.
• 16:45 – Vaginal dryness, bladder issues, and sexual satisfaction.
• 24:47 – Stages of perimenopause: progesterone and estrogen decline.
• 26:39 – Progesterone-only therapy and its benefits.
• 33:33 – Navigating menopause without hormone therapy.
• 44:25 – Postpartum depression and hormone shifts.
• 52:27 – Genetic and blood tests for inflammation.

VALUABLE RESOURCES

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Dr Sara Gottfried - https://www.saragottfriedmd.com/

ABOUT THE GUEST

Sara Gottfried MD, is a scientist, researcher, Harvard – educated medical doctor with 25 years of experience, and author of four New York Times bestselling books.

Through her practise, Dr Gottfried treats people with a host of conditions, and educates about hormone balance, metabolic health and the interaction between food and your metabolism.

From the Harvard and MIT-educated physician, and New York Times bestselling author of The Hormone Cure, The Hormone Reset Diet and Younger, comes a brand new book on the impact of trauma on your body and immune system – and what you can do to heal.

Up to 80 per cent of patients with autoimmune disease experienced significant emotional distress before getting sick. In other words, trauma and autoimmune disease are intimately linked, and Dr Gottfried shows us how.

A leading voice in the autoimmune and women’s health space, Dr Gottfried’s insights into the gut, women’s health and hormones, and trauma as it pertains to autoimmune illness is essential reading

Conventional medicine falls short when it comes to both diagnosing and treating autoimmune disease. Many people suffer from mysterious symptoms like severe fatigue, brain fog, aches and pains, feelings of tingling and numbness, stubborn weight gain, abdominal pain, digestive problems, hair loss, insomnia, and even anxiety, and don't realize their immune system is at the root of their symptoms. In her precision medicine practice, Dr Gottfried noticed a seemingly unusual pattern: many of her patients who suffer from autoimmune disease and symptoms have a history of trauma. Dr Gottfried has created a powerful programme designed to break the vicious cycle of autoimmune disease, reset your immune system and restore your health, with advice on diet, sleep, supplements, breathwork, microbiome restoration, somatic therapy and much more.

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