Lara Briden's Podcast

There's a lot going on in the luteal phase, but treating premenstrual mood symptoms might be simpler than you think.In this episode, Lara discusses common drivers of hormonal mood symptoms, such as high histamine, high prolactin, and a higher requirement for sodium. Links:Why progesterone is both good and bad for moodIdentifying a link between prolactin and female painMy iodine article ADHD linked to higher risk of premenstrual dysphoric disorder

If you’ve struggled with irregular periods, you might have noticed it can be a little tricky to figure out exactly what’s going on—and, therefore, exactly what you need to do to get your period back. In this episode, Lara discusses:the two most common explanations for irregular periods,how to tell them apart, andhow hypothalamic amenorrhea is frequently misdiagnosed as PCOS. Links:Prof Jerilynn Prior's paper about hypothalamic suppressionPCOS cannot be diagnosed by ultrasoundCyclic progesterone therapy for PCOSLara's metabolism book

If you’ve been diagnosed with endometriosis, the big question is: What type of lesions?In this episode, Lara challenges long-held assumptions to explore:the three types of endometriosis lesions, emerging evidence that superficial lesions may not explain pain or other symptoms, alternative explanations for pelvic pain and infertility, including pelvic congestion, immune dysfunction, and gut microbiome imbalance, and an update on the bacterial contamination hypothesis.Links:Could pelvic congestion syndrome explain your pelvic pain?Prevalence of endometriosis in asymptomatic women (1991 study)Surgical removal of superficial peritoneal endometriosis for managing women with chronic pelvic pain: time for a rethink? (2019 BJOG article)Bacterial contamination hypothesis (2018 paper)Fusobacterium infection facilitates the development of endometriosis (2023 paper)ANZCA 2024 Statement on pelvic pain and endometriosis 

Is your low blood sugar a symptom of insulin resistance or mild dysfunction of the autonomic nervous system?In this episode, Lara returns to the topic of hypoglycemia to discuss:the difference between insulin resistance and dysautonomia,why unstable blood sugar does not automatically mean insulin resistance, and her concerns about continuous glucose monitoring. Links:Dr Andrew Maxwell's presentation about dysautonomia, hypermobility, and mast cell activation.

Symptoms of hypoglycemia or low blood sugar include light-headedness, headaches, and anxiety. Hypoglycemia can even feel like panic attacks. In this episode, Lara discusses:why young women are more prone to hypoglycemia,the importance of the autonomic nervous system and a "blunted glucagon response," and what you can do to feel better. Links:Prevalence of self-reported symptoms attributed to hypoglycaemia within a general female population of the UKHypoglycemic symptoms in the absence of diabetes: Pilot evidence of clinical hypoglycemia in young women

Do you feel hungry all the time? Abnormally hungry? If so, it’s worth trying to figure out why. Potential drivers of abnormally high hunger include insulin resistance, gut and microbiome issues, low blood sugar, and food addiction—just to name a few.In this episode, Lara explores food addiction and some of the controversy around the term. She also discusses the next best steps on the road to recovery. Links: Lara's new book about metabolic healthPoll: Addiction to highly processed food among older adultsDr. Jen Unwin's Resource page

For some women, stopping normal dairy products can relieve period symptoms. But why?In this episode, Lara discusses:the inflammatory effects of A1 casein  how a mast cell histamine response can drive period problems such as premenstrual mood symptoms, heavy bleeding, and pain.Links:Successful mast-cell-targeted treatment of chronic dyspareunia, vaginitis, and dysfunctional uterine bleedingChildhood asthma, allergies and risk of premenstrual disorders in young adulthoodCasomorphins and gliadorphins have diverse systemic effects spanning gut, brain and internal organs

Did you know that what’s happening in your gut can affect your periods and hormones? In this episode, Lara discusses:small intestinal bacterial overgrowth (SIBO) and its role in IBS,how SIBO can drive or worsen endometriosis, insulin resistance, premenstrual mood symptoms, and the fibromyalgia of perimenopause, plushow to treat SIBO. Links:The curious link between estrogen, mast cells, and histamineAltered intestinal permeability in patients with primary fibromyalgia and in patients with complex regional pain syndrome

Why do antihistamines cause weight gain? And how does hormonal birth control affect metabolism?In this episode, Lara looks at:how common medications affect metabolismwhy birth control that is *androgenic* is more likely to cause weight gain, andwhether natural progesterone is more likely to cause weight gain or weight loss.Links:The histaminergic system as a target for the prevention of obesity and metabolic syndromeHigh H1-affinity antidepressants and risk of metabolic syndrome in bipolar disorderNatural treatment of menstrual migrainesWeight change among women using intramuscular depot medroxyprogesterone acetate, a copper intrauterine device, or a levonorgestrel implant for contraceptionImpact of micronized progesterone on body weight, body mass index, and glucose metabolism: a systematic reviewCyclic progesterone therapy for PCOS

Are you a morning person or an evening person? And could that affect your ability to lose weight?In this episode, Lara looks at chronotype, which is your individual disposition to be awake or asleep at certain times. And how that might affect your overall health and metabolism.