PCOS with Felice Gersh, MD (Part 2): Diet and Lifestyle Interventions

Menopause Publication, A Letter to the Editor, and DUTCH’s Response Menopause Publication, A Letter to the Editor, and DUTCH’s Response Season 4, Episode 2  Listen in to this episode of the DUTCH Podcast as Mark Newman, MS, discusses Dr. Pam Smith’s Letter to the Editor in response to our Menopause publication, a peer-reviewed study on the comparison between FDA-approved estrogen patches and gels to compounded estrogen creams.   Mark and Jaclyn examine the somewhat confusing nomenclature between estrogen dose amount and absorption amount, the differences in response between patches, gels, and creams, and how salivary versus urinary testing can tell different stories in a patient. They also discuss how the research around hormone monitoring has advanced over the years and the importance of paying attention to clinical outcomes as well as the full body of scientific literature available. Show Notes:Read our published article in Menopause, check out Dr. Pam Smith’s Letter to the Editor and our response.  

Welcome to Season 4 of the DUTCH Podcast! In this episode, Mark Newman, MS, joins our host Jaclyn Smeaton, ND, to discuss the recent enhancements to the DUTCH report. These visual changes are the first in a series of a few updates aimed at improving readability and providing deeper insights into the data.  Mark and Jaclyn discuss the update from fan gauges to slider graphics to show population percentile, the new estrogen metabolism ratio sliders that display ratios more precisely, and how DUTCH is working on education around the DUTCH report so providers can see a patient’s story more intuitively. Listen in to learn more about these updates!  Show Notes Read our blog post detailing the visual updates to the DUTCH Report and tips for report interpretation. Check out sample reports for a 62-year-old male or a 44-year-old female to see how these updates are represented visually.  Frequently Asked Questions When will I see the enhancements reflected on DUTCH reports? Providers will begin seeing these visual updates reflected on reports starting May 2, 2024.  If my test is already in process, will the enhancements be reflected on my report? Any reports that have not been released to you yet will show these updates. Who can I contact for questions regarding these enhancements? If you have questions, you can contact our Customer Care team by phone at 503-687-2050 or by email at [email protected].  

In this episode, Dr. Alan Bauman, an expert physician in the field of hair restoration, joins Dr. Smeaton to explore the complicated world of hair loss and the options that are available to treat it. Hair loss can have genetic, hormonal, environmental, and lifestyle causes. Even if patients aren’t experiencing symptoms now, they may still be concerned about what’s to come. Dr. Bauman shares his insights on the many factors that can lead to hair loss and how genetics and hormones can go hand-in-hand. Not to worry, though, there are treatments available! From red light therapy to probiotics, what’s most important is to start taking care of your hair early while the follicles are still resilient. Listen in to learn even more about hair and scalp health in this insightful episode! Show Notes: Learn more about Dr. Alan Bauman and his clinic at www.baumanmedical.com Become a DUTCH provider and profoundly change your patients’ lives through comprehensive hormone testing. Read the DUTCH Blog to learn more about hormone health. Learn more about hair loss from our conversation with Marcelle Pick, OB/GYN, NP from Season 2 of the DUTCH Podcast 

Discover the secrets to mastering your body's natural rhythms in this enlightening episode of the DUTCH Podcast. Join Dr. Jaclyn Tolentino, Senior Doctor at Parsley Health, to understand the intricacies of the circadian rhythm, HPA axis, and sleep hygiene. Dr. Tolentino joined Dr. Smeaton to explain why sleep is so important for our overall wellness. She explains the profound impact of natural light on our bodies and the surprising dangers of artificial light at night, deemed a carcinogen by the WHI.  In this episode, you'll gain practical advice on enhancing your daily routine, from the best times to bask in natural light to dietary tips that support a healthy circadian rhythm. Discover why timing matters—from the ideal moments for outdoor exposure to optimizing your bedtime for peak melatonin production. The conversation also covers the personalized nature of exercise and the importance of self-assessment in our busy lives. Beyond lifestyle tips, this episode emphasizes the power of testing in patient care plans. The right assessment can track your patient’s progress towards a harmonious life rhythm and can validate their symptoms that are sometimes disregarded. Tune in to transform the way you think about your daily habits and sleep!  Show Notes:Learn more about Dr. Jaclyn Tolentino, DO: drjaclyntolentino.com   Become a DUTCH provider and profoundly change your patients’ lives through comprehensive hormone testing. Learn more about the Mastering Functional Hormone Testing Course – free to registered DUTCH providers! Follow DUTCH on Social Media: @dutchtest Related Articles from the DUTCH Blog Sleep Hygeine: Foundational Techniques for Your Best Sleep Circadian Rhythm and Human Health.  

Dive deeper into the complexities of Polycystic Ovary Syndrome (PCOS) in this episode. Dr. Krystal Richardson, ND, joins us to discuss the difficult and confusing journey providers must take in order to reach a PCOS diagnosis. She highlights the inadequacies in conventional medical approaches and offers a holistic perspective on the condition. You'll learn more about the importance of considering co-morbidities and personal experiences when evaluating PCOS symptoms, and you’ll hear her challenge the notion that the ovaries are the primary issue in PCOS and why you should instead focus on broader endocrine disruptions. This enlightening episode also offers a fresh perspective for patients who are struggling with PCOS, and how the school of thought is moving away from standard, ineffective weight-loss recommendations. Dr. Richardson explores the impact of diet, exercise, and supplements in PCOS treatment, stressing the importance of individualized care plans that prioritize long-term health and quality of life. From debunking myths about weight loss and dieting to discussing the accuracy of lab tests in detecting PCOS, this episode provides a comprehensive look at the challenges and innovative approaches to managing this complex condition.  Show Notes Learn more about Dr. Richardson at www.nfmseattle.com Become a DUTCH provider and profoundly change your patients’ lives through comprehensive hormone testing. Learn more about the Mastering Functional Hormone Testing Course – free to registered DUTCH providers! Follow DUTCH on Social Media: @dutchtest  Check out our previous podcast episodes on PCOS: Season 2, Eps 5 & 6 DUTCH Summer School, Ep 8 Season 3, Eps 14 & 15  Related Articles from the DUTCH Blog The Role of Adrenals in PCOS  Metabolic Factors in PCOS  Improving Treatment Plans for PCOS and Pregnancy 

This enlightening episode of the DUTCH Podcast takes listeners on a journey to understand how to manage stress and rejuvenate the body featuring our special guest, Dr. Carrie Jones, ND. Dr. Jones wants to shift the mindset of the high-energy “boss babe era” to help listeners embrace more rest-based lifestyles. She discusses how omnipresent stressors can be in our lives and how the brain is constantly evaluating threats in the world. This “always on” mentality can pose significant impacts on the body’s resources. She also sheds light on the effects of norepinephrine, noting that running on this stress hormone hinders the body's ability to heal and repair at the cellular level. This conversation is not just about identifying stress but also about practical, foundational changes for better health management. Key topics include the importance of hydration, sleep, and managing blood sugar, as well as understanding the glymphatic system and the circadian rhythm's role as the master regulator of the body's various rhythms. Dr. Jones explains the nuanced balance of stress and resilience, particularly in relation to exercise, and the potential hormonal shifts when pushing too far. She also highlights the significance of cortisol testing for understanding diurnal rhythms and optimizing patient care plans. Tune in to this groundbreaking discussion on transforming stress management into a tool to repair the body and maintain a resilient, healthy lifestyle.  Show Notes Follow Dr. Carrie Jones on Instagram: @dr.carriejones Learn more about Dr. Jones’ Metabolic Mentor University Follow DUTCH on Social Media: @dutchtest  Access DUTCH Webinars to learn how Cortisol and Stress can impact your life – and what you can do about it! Become a DUTCH provider and profoundly change your patients’ lives through comprehensive hormone testing.   Learn more about the Mastering Functional Hormone Testing Course – free to registered DUTCH providers!   

In this week's episode, Dr. Jaclyn Smeaton and Mark Newman, MS reflect on the DUTCH team’s advancements in hormone education and research in 2023, plus they give insights for what’s to come in the year ahead. Listen in to hear more about the Mastering Functional Hormone Testing course and DUTCH Interpretive Guide that became available to DUTCH providers in 2023. They also explain the significance of two groundbreaking research studies including the first peer-reviewed study comparing FDA-approved estrogen patches, gels, and creams published in the journal Menopause. This pivotal research underscores the clinical validity and utility of urine metabolite testing in transdermal estrogen replacement therapy.  As we look ahead to 2024, DUTCH is committed to furthering our mission to profoundly change lives by making it easier for providers and patients to access reports and hormone education. Be the first to hear about a new educational course on menopausal hormone therapy, designed to help providers navigate the complexities of monitoring and dosing HRT. We also have some exciting advancements coming to our customer experience plus even more research to help providers make more confident hormone-related decisions. This will be an exciting year at DUTCH, and we are so grateful to our provider community for joining us in our mission!  Show Notes Read more about the latest DUTCH research published in Menopause Discover even more peer-reviewed research validating DUTCH and learn how DUTCH Trust can help you feel more confident in your treatment decisions. Learn more about all of the expert hormone education available to DUTCH providers. Become a DUTCH provider and profoundly change your patients’ lives through comprehensive hormone testing. 

In this replay of an episode from Season 2, Dr. Jaclyn Smeaton welcomes Dr. Christina O'Brien to the show to dive into cortisol and the HPA axis.Sometimes a traditional diurnal cortisol test isn’t enough to properly evaluate a patient. With the DUTCH Plus, the cortisol awakening response (CAR) gives additional insight into your patient’s stress response. A “mini stress test” the CAR takes snapshots in the minutes and hours after waking to paint a clearer picture of HPA axis function.  In this episode, Christina O’Brien, DC, discusses the value of the CAR in finding hidden points of dysregulation in patients. She and Dr. Smeaton cover typical cortisol testing procedure and dive into the benefits of measuring the CAR to enhance patient care.  Show NotesDUTCH Complete https://dutchtest.com/info-dutch-complete/  DUTCH Plus https://dutchtest.com/info-dutch-plus/  Cortisol Awakening Response (CAR) https://dutchtest.com/info-dutch-plus/#cortisol-awakening-response  

The DUTCH Podcast is back for part two of this fascinating conversation about PCOS with expert practitioner Dr. Felice Gersh, MD! In the second installment of this interview, Dr. Gersh and DUTCH Podcast host Jaclyn Smeaton, ND, dive into the lifestyle interventions that can support women with PCOS. From strategic eating windows to stress-reduction techniques and other diet recommendations, this episode is full of suggestions to help patients with PCOS thrive. Show Notes Become a DUTCH provider and profoundly change your patients’ lives through comprehensive hormone testing. Visit Dr. Felice Gersh’s website https://integrativemgi.com/ Read the DUTCH Blog to learn more about hormone health. The Role of Adrenals in PCOS  Metabolic Factors in PCOS  Improving Treatment Plans for PCOS and Pregnancy 

Polycystic Ovarian Syndrome (PCOS) affects between 10%-20% of reproductive-aged women. While this can be a very difficult diagnosis for women these days, there are evolutionary benefits that may have led to its proliferation.  Host Jaclyn Smeaton, ND, unpacks the physiology and human history of PCOS with guest Dr. Felice Gersh, MD, in this groundbreaking episode of the DUTCH Podcast. They dive into the possible causes of PCOS and the various “types” of PCOS that are affecting female patients today. In fact, there is so much to uncover about PCOS that we had to split it into two episodes! Check back next week to hear part two of this interview. Show NotesBecome a DUTCH provider and profoundly change your patients’ lives through comprehensive hormone testing. Visit Dr. Felice Gersh’s website https://integrativemgi.com/ Read the DUTCH Blog to learn more about hormone health. The Role of Adrenals in PCOS  Metabolic Factors in PCOS  Improving Treatment Plans for PCOS and Pregnancy