Ep 28: Menopause, Hormones, & Diabetes Prevention

📱 Send Us a Text Message! We’d love to hear from you! Please include your name and email address so we can reply. Don’t worry — this won’t sign you up for our email list. We’ll only use your info to respond to your question.In this episode of Reset Recharge, host Dr. Komal Patil-Sisodia is joined by Dr. Sasmita Misra, a fellowship-trained breast radiologist. Dr. Misra shares insights into the importance of breast cancer screening, common misconceptions, and risk factors that women should be aware of. The episode emphasizes the effectiveness of mammograms, discusses the role of breast density, and provides an overview of various imaging modalities, including mammograms, ultrasounds, MRI, and contrast-enhanced mammograms. The conversation also touches on the significance of lifestyle changes, genetic testing, and the impact of early detection on treatment outcomes. Dr. Misra encourages women to advocate for their health by prioritizing regular screenings and provides practical advice for navigating the screening process.Connect with me:TikTokInstagramEastside Menopause & MetabolismAudio Stamps:00:00 Introduction to Reset Recharge00:55 Special Guest: Dr. Sasmita Misra01:44 The Role of a Breast Radiologist03:00 Common Scenarios in Breast Cancer Diagnosis04:23 Misconceptions About Breast Cancer06:20 Risk Factors for Breast Cancer11:09 Breast Density and Its Implications15:48 Screening Guidelines and Recommendations20:11 Advanced Imaging Modalities23:23 Thermography: Myths and Facts26:06 What Happens After an Abnormal Mammogram?29:36 Concluding Thoughts and RecommendationsThanks for listening. Find more info about Reset Recharge on the website or Instagram.

📱 Send Us a Text Message! We’d love to hear from you! Please include your name and email address so we can reply. Don’t worry — this won’t sign you up for our email list. We’ll only use your info to respond to your question.This episode is a special one. In honor of Menopause Awareness Month, I wanted to take a pause and share the story that started it all — my journey to becoming the doctor my mother needed.From watching my mom struggle to get answers about her heart to facing my own midlife health changes, this is the story that shaped everything — my career, my purpose, and how I show up for women in their 40s and beyond.It’s a story about how we listen. How we heal. And how midlife can be a beginning — not an ending.✨ Because when we understand what our bodies are trying to tell us, we take our power back.Connect with me:TikTokInstagramEastside Menopause & MetabolismAudio Stamps:00:00 | Welcome & intro | Why I’m sharing this story now01:05 | My mother’s diagnosis | The moment that changed everything02:34 | My journey into medicine | Seeing what others missed04:51 | The doctor who didn’t listen | Turning anger into purpose6:33 | Becoming the doctor my mother needed | What listening really means7:46 | My own midlife health story | Perimenopause, lipoprotein(a), and intuition10:45 | Building Eastside Menopause & Metabolism | A new kind of space for women13:21 | Reflection | The link between generations of womenThanks for listening. Find more info about Reset Recharge on the website or Instagram.

📱 Send Us a Text Message! We’d love to hear from you! Please include your name and email address so we can reply. Don’t worry — this won’t sign you up for our email list. We’ll only use your info to respond to your question.In this episode of Reset Recharge, hosted by Dr. Komal Patil-Sisodia, a triple board-certified endocrinologist, the focus is on the relationship between metabolic health and breast cancer. Dr. Komal explains how factors like obesity, insulin resistance, and lipid levels can influence breast cancer risk. She emphasizes the importance of lifestyle changes, such as sustained weight loss and regular exercise, in reducing this risk. The episode also explores the role of medications like statins, metformin, and GLP-1 receptor agonists in managing metabolic health and potentially lowering breast cancer risk. Practical tips for improving metabolic health and the importance of personalized medical consultations are also discussed.Connect with me:TikTokInstagramEastside Menopause & MetabolismAudio Stamps:00:00 Introduction to Reset Recharge00:55 Understanding Metabolic Health and Breast Cancer02:10 Key Metabolic Risk Factors03:36 Lifestyle Changes for Reducing Risk05:16 Blood Sugar and Cholesterol Connection06:45 Pharmacologic Allies in Cancer Prevention10:57 GLP-1 Receptor Agonists: The New Frontier12:50 Practical Tips for Better Health14:25 Conclusion and Final ThoughtsReferences :Ligibel JA et al., J Clin Oncol. 2022; MA.32 trial.Borgquist S et al., JAMA Oncol. 2021; Statins and breast cancer outcomes.Orgel E, Mittelman SD. Trends Cancer. 2020; Obesity and insulin resistance.NCCN Guidelines: Weight Management and Cancer Prevention (2024).Li X et al., Lancet Diabetes Endocrinol. 2023; GLP-1 RAs and cancer safety.Thanks for listening. Find more info about Reset Recharge on the website or Instagram.

📱 Send Us a Text Message! We’d love to hear from you! Please include your name and email address so we can reply. Don’t worry — this won’t sign you up for our email list. We’ll only use your info to respond to your question.In this episode of Reset Recharge, Dr. Komal Patil-Sisodia explores a groundbreaking study that reveals how menopause hormone therapy (MHT) may actually reduce the risk of type 2 diabetes in perimenopausal women with prediabetes.Dr. Komal unpacks the data from a major Diabetes and Metabolism study of over 6,500 women aged 46–60, showing that those who used hormone therapy were 30% less likely to develop diabetes. She explains the science behind how estrogen supports metabolic health — improving insulin sensitivity, lowering inflammation, reducing central fat gain, and supporting pancreatic function — and why timing, age, BMI, and ethnicity make all the difference.You’ll learn:How estrogen affects blood sugar and fat distributionWhy MHT works best when started near menopauseWhich hormone formulations and delivery routes are safest and most effectiveWhy personalized, evidence-based care is key to menopause medicineWhether you’re navigating perimenopause, supporting patients, or simply curious about hormone health, this episode breaks down complex science into practical takeaways you can use.💡 Key takeaway: Menopause hormone therapy isn’t just about symptom relief — it can be metabolic protection for the right woman, at the right time.Connect with me:TikTokInstagramEastside Menopause & MetabolismTime Stamps:00:00 – 00:54 | Welcome & Episode Overview  00:55 – 02:30 | The Study That Sparked the Conversation  02:31 – 04:00 | Who Benefits Most from Hormone Therapy  04:01 – 06:00 | How Estrogen Supports Metabolic Health  06:01 – 07:45 | The Timing Hypothesis Explained  07:46 – 09:15 | Type & Route of Hormone Therapy Matter  09:16 – 10:45 | Balancing Benefits and Risks  10:46 – 12:15 | The Takeaway: Personalized Menopause Care  12:16 – 13:06 | Closing & Next StepsReferences:Shih YH, Yang CY, Wang SJ, Lung CC. Menopausal hormone therapy decreases the likelihood of diabetes development in peri‑menopausal individuals with prediabetes. Diabetes Metab. 2024 Jul;50(4):101546. doi: 10.1016/j.diabet.2024.101546. Epub 2024 Jun 5. PMID: 38843591.Thanks for listening. Find more info about Reset Recharge on the website or Instagram.

📱 Send Us a Text Message! We’d love to hear from you! Please include your name and email address so we can reply. Don’t worry — this won’t sign you up for our email list. We’ll only use your info to respond to your question.If you’ve ever wondered how to honor your ambitions and your wellbeing, this episode is for you. Dr. Una—pediatrician, founder of EntreMD, and builder of multiple businesses—joined me to talk about motherhood, identity, and the practical systems that help women create time, joy, and wealth (in every sense of the word). Her story is a masterclass in learning new skills, delegating with intention, and aligning your roles so your life feels like one purpose instead of competing parts.Connect with Dr. Una:EntreMDInstagramFacebookYouTubeConnect with me:TikTokInstagramEastside Menopause & MetabolismAudio Time Stamps:00:02 — Welcome and disclaimer02:06 — Dr. Una’s origin story: accidental entrepreneur04:48 — “All business skills are learnable”11:20 — Motherhood, identity, and building a village25:45 — Time management and the 20% approach38:59 — Alignment: finding your through‑line57:56 — Becoming over circumstances: what to do when you feel stuck1:02:21 — Where to find Dr. Una and EntreMDThanks for listening. Find more info about Reset Recharge on the website or Instagram.

📱 Send Us a Text Message! We’d love to hear from you! Please include your name and email address so we can reply. Don’t worry — this won’t sign you up for our email list. We’ll only use your info to respond to your question.Do you ever catch yourself stuck in the same mental loops, replaying negative thoughts about your body, your energy, or your future? Science shows we think around 70,000 thoughts a day, and 90 percent are repeats. That constant replay can keep us trapped in patterns we don’t even realize we’re reinforcing.In this episode, I sit down with Sarah Centrella, bestselling author, master life coach, and creator of the Centrella Method. When her marriage suddenly collapsed in 2008, Sarah was left as a single mom of three with no clear options. Instead of staying in survival mode, she created simple mindset tools that turned her entire life around.Sarah reveals how her “mental tennis” technique can flip a negative thought in seconds, why daily affirmations are a powerful map for who you are becoming, and how “future boards” can make your biggest goals tangible. We also dive into why the myth that life gets worse after 40 is holding women back and how to reclaim real joy at any age.Connect with Sarah:WebsiteBook TourBooksPodcastInstagramHow to write your life plan storyConnect with me:TikTokInstagramEastside Menopause & MetabolismAudio Stamps02:08 – Today’s guest, Sarah Centralla, shares how her husband's infidelity became the catalyst for completely rebuilding her life from scratch.11:17 – Sarah breaks down why our thought patterns automatically recreate yesterday's reality.13:50 – Sarah introduces "mental tennis" - her simple technique for instantly flipping negative thoughts into empowering alternatives.18:46 – How to use daily "I am" affirmations as your list of who you're becoming, not who you currently are.24:32 – Breaking the myth that life gets worse after 40 and why this is actually when you come into your power.34:17 – The step-by-step process for creating future boards that actually manifest your goals, starting with your life plan story.41:27 – Sarah's five core life categories that need attention for fulfillment: relationships, career, wealth, mind/body, and passions.45:13 – How to rediscover joy by reconnecting with childhood interests and why "doing" activities build confidence like they do for kids.Thanks for listening. Find more info about Reset Recharge on the website or Instagram.

📱 Send Us a Text Message! We’d love to hear from you! Please include your name and email address so we can reply. Don’t worry — this won’t sign you up for our email list. We’ll only use your info to respond to your question.Osteoporosis medications often get a bad rap… but the science tells a different story. Left untreated, bone loss can lead to fractures that steal independence, mobility, and quality of life. Think about the difference between confidently carrying your groceries or lifting your grandkids versus spending months recovering from a hip fracture, dealing with chronic pain, or losing the ability to live independently.In this third and final episode of my bone health series, I'll break down the different osteoporosis treatment options, who they're best suited for, and what you need to know about side effects, safety, and timing—so you can make informed decisions about protecting your bones and your future.Connect with me:TikTokInstagramEastside Menopause & MetabolismAudio Stamps00:55 - Why osteoporosis medications prevent life-changing fractures and protect your independence.03:20 - Who needs treatment: T-scores, FRAX risk calculations, and Rose's story of preventable hip fracture.05:10 - Bisphosphonates as first-line therapy: proper dosing, timing, and IV alternatives for pill intolerance.06:43 - Denosumab offers an alternative option but requires careful transition planning to avoid sudden bone loss.07:50 - Safety concerns addressed: drug holidays, dental work timing, and separating jaw risk facts from fears.11:58 - Anabolic therapies for high-risk patients: teriparatide and romosozumab actually rebuild bone like in Sophia's case.15:12 - Additional options: raloxifene for breast cancer risk, hormone therapy for prevention, and calcitonin for pain.17:44 - Lifestyle foundations, monitoring consistency, and medication sequencing to maintain independence and quality of life.Thanks for listening. Find more info about Reset Recharge on the website or Instagram.

📱 Send Us a Text Message! We’d love to hear from you! Please include your name and email address so we can reply. Don’t worry — this won’t sign you up for our email list. We’ll only use your info to respond to your question.Which supplements really strengthen bones? Is walking enough to keep them strong or do you need something more? And how do you actually lower your risk of the kinds of falls that can change life overnight?With advice coming from every direction, it's easy to waste time, money, and effort on things that don't truly make a difference. If you're over 50, post-menopausal, or simply planning to be stronger in the future, this second installment of my bone health series is packed with tools to help you take control of your bone health—starting today.I'll share evidence-based strategies you can put into action right now, from spotting everyday habits that quietly weaken bones, to building an exercise routine proven to support bone density. We'll also cover simple, practical ways to make your home safer and reduce your risk of falls.Tune in now for a clear, science-backed plan to protect your bones—and your independence—for years to come.References:https://www.thefitcollective.com (Dr. Ali Novitsky)Connect with me:TikTokInstagramEastside Menopause & MetabolismAudio Stamps00:52 - Dr. Patil-Sisodia introduces lifestyle strategies for osteoporosis prevention and why bone health matters for women over 50.02:15 - The two biggest lifestyle habits that are sabotaging your bone health (and why quitting them is crucial).04:10 - Why calcium and vitamin D are the foundation of bone nutrition, plus the best ways to actually absorb them.05:50 - The truth about trendy bone supplements like magnesium, vitamin K2, and strontium.09:54 - The types of exercise that have the strongest evidence for building bone density and preventing fractures.12:21 - New research reveals the optimal timing for combining protein meals with strength training for better bone formation.13:21 - Fall prevention strategies that can dramatically reduce fracture risk, including simple home modifications.15:42 - Dr. Patil-Sisodia's essential action plan for stronger bones with key strategies you can start implementing today.Thanks for listening. Find more info about Reset Recharge on the website or Instagram.

📱 Send Us a Text Message! We’d love to hear from you! Please include your name and email address so we can reply. Don’t worry — this won’t sign you up for our email list. We’ll only use your info to respond to your question.I see it all the time in my practice: women who feel perfectly fine put off their DEXA scans, brush off conversations about medication, or think, “That won’t happen to me.” But the reality is sobering. Half of all women over 50 will break a bone because of osteoporosis. And in many cases, it could have been prevented.What makes osteoporosis so dangerous is how quietly it develops. There’s no pain, no obvious symptoms—just a seemingly harmless moment, like moving a coffee table or missing a step, that ends in a serious, sometimes life-altering fracture. By then, your independence and quality of life may already be at risk.This episode kicks off a three-part series on bone health, designed to give you the knowledge and tools you need to protect yourself. We’ll break down how your bones function, how menopause affects them, and what you can do to stay strong, starting today. You'll also learn the difference between osteopenia and osteoporosis, and how to assess both your lifestyle and medical risk factors.Your bones are your foundation. Let’s make sure they stay strong for the life you want to live.Connect with me:TikTokInstagramEastside Menopause & MetabolismAudio Stamps00:55 - Introduction to a three-part series on bone health, covering how bones work, lifestyle strategies, and medication options to prevent osteoporosis.01:36 - How bones constantly remodel using osteocytes, osteoclasts, and osteoblasts working together to break down and rebuild bone tissue.04:06 - How menopause disrupts bone remodeling when estrogen drops, plus the three stages of bone health.06:06 - Why osteoporosis is called a "silent disease", and a real patient story showing the importance of early detection and prevention.7:38 - Risk factors for osteoporosis broken down into modifiable factors and non-modifiable factors.11:06 - Episode recap covering three key takeaways.Thanks for listening. Find more info about Reset Recharge on the website or Instagram.

📱 Send Us a Text Message! We’d love to hear from you! Please include your name and email address so we can reply. Don’t worry — this won’t sign you up for our email list. We’ll only use your info to respond to your question.When women hit midlife, it can feel like their bodies start to betray them overnight. Weight creeps on despite doing "all the right things," energy plummets, and those tried-and-true habits suddenly stop making a difference. Society blames willpower, leaving women feeling broken and ashamed. But what if it’s not your fault—and biology holds the real answer?This week, I’m joined by Dr. Caissa Troutman, an obesity medicine physician and menopause specialist, who runs Midlife reMDy/WEIGHT reMDy, a Direct Care Wellness practice in central Pennsylvania. In this episode, she shares her personal story, unpacks the four key metabolic hormones, and explains why the “eat less, move more” model completely ignores the complex hormonal disruptions of perimenopause and menopause. Together, we explore a compassionate, science-based path to feeling better in your body.If you're tired of fighting your changing body and ready to understand what's really happening during this life stage, this conversation will transform how you think about midlife health.ReferencesClimacteric ScaleConnect with Dr. TroutmanWEIGHT reMDy websiteFacebookConnect with me:TikTokInstagramEastside Menopause & MetabolismAudio Stamps00:40 - Today’s guest, Dr. Caissa Troutman, shares how her personal struggles led her to create a practice focused on midlife, weight, and hormone health.04:30 - We unpack the deep-rooted shame around midlife weight gain and why the 'eat less, move more' myth is failing so many women.08:40 - Understanding your midlife biology means recognizing when willpower isn’t enough and knowing how to use every tool available to support your body and brain.13:53 - The importance of validating women’s experiences and how metabolic hormones change during perimenopause and menopause.17:56 - Hormone therapy improves overall health, not weight loss, and realistic expectations are key.20:13 - Dr. Troutman focuses on hormone therapy, weight management, and realistic health goals for midlife women seeking to feel better.27:44 - Dr. Troutman helps patients define success through non-scale wins, steady progress, and greater body awareness for sustainable health.Thanks for listening. Find more info about Reset Recharge on the website or Instagram.