Health Without The System

You're not crazy. Something really is changing in your body, and a 12-minute appointment once a year was never going to give you the full picture. Eight days after the first Northwest Ohio Women's Health Summit at the Glass City Center in Toledo, Dr. Tim Scott and Mia Scott, CNP, break down what happened when 300+ women (in the room and on the livestream) got the education the system doesn't have time for. Then they answer the anonymous audience questions they didn't get to on stage. In this episode: - Why Dr. Kelly Casperson doesn't care whether you take hormones, and why that's the point - "We are only as good as the people who trained us": how to push back when your doctor says you're "not a candidate" - Kristi Lorenc, NP, on gut dysfunction, autoimmune disease, and seeing every specialist except the right one - Mia's lifestyle prescription: food as medicine (or poison), lowering your toxic load, and why muscle is medicine - If you're over 30 and not lifting, today is the strongest you'll ever be - Melody Hartzler, PharmD, on the metabolic labs to ask for: fasting insulin, A1C, CRP, ApoB, and the triglyceride-to-HDL ratio (with the simple math) - Dr. Maria Sophocles and The Bedroom Gap: sexual health is health, at any age - Does low estrogen desensitize the clitoris? (Yes, and it's fixable.) - Progesterone after a hysterectomy: why you're still a candidate - Vaginal estrogen for recurrent UTIs at 75, 85, even 95, plus a UTI-prevention toolkit for caregivers - Why DEXA scans are reactive medicine, and what to do in your 30s instead - Which supplements you actually need (and why you'll never out-supplement a bad diet) - Lightning round: the one lab every woman over 35 should ask for Plus: a first look at the new studio, what's coming for Rixa Health in 2027 (a new patient app, a local compounding pharmacy, and a revamped supplement line), and why the summit will be back in Toledo every year, bigger. Told no to hormones? Want a second opinion from providers who'll actually explain your options? Visit rixahealth.com. If this episode helped you, follow the show, leave a rating, and send it to the woman in your life who's been told it's "just stress." Hosted by Dr. Tim Scott, board-certified emergency medicine physician, IFMCP-M and MSCP, and Mia Scott, CNP, IFMCP-M and MSCP. This podcast is for education and conversation. It is not medical advice and is not a replacement for personalized care, diagnosis, or treatment. Always talk with your own healthcare provider before making changes to your health, medications, or lifestyle.

Every episode this season, you've heard from the women living through this. This week, you're hearing from the husband who almost made it worse. Dan Hurst is a hospitalist nurse practitioner. He is trauma-trained, ER and life-flight background, the guy coworkers call "Uncle Dan" because he fixes everything. Except he couldn't fix his own wife's insomnia. For months, she was sleeping 45 minutes at a time, and Dan did what most men do: he problem-solved. He pushed sleep hygiene, he pushed melatonin, he pushed the next appointment. None of it worked, because none of it was the actual problem. It took his wife's mother, and eventually his wife getting fed up enough to check her hormones herself, before anyone connected early perimenopause to what she'd been living with for a year. Dan joins Dr. Tim and Mia NP to talk about what happened next: how his own medical training never once covered women's hormonal health, how he accidentally became the unofficial hormone referral for half the women in his hospital, and the six-week case that made him furious (spoiler alert: a woman who spent four years fighting infertility that turned out to be a hormone problem no one had checked). They get into absolute risk vs. relative risk (and why that distinction alone could change how providers talks to you about estrogen), why chronic UTIs are so often a vaginal estrogen problem in disguise, and why "your labs are normal" doesn't mean what you think it means. And yes, Dan has a message for every husband listening. It's blunt. You'll want to hear it. Dr. Tim and Mia will be at the Northwest Ohio Women's Health Summit on October 10th at the Glass City Center in Toledo, alongside Dr. Kelly Casperson, Dr. Maria Sophocles and more. In-person and livestream tickets are available now at summit.rixahealth.com, including a VIP dinner option. This podcast is for education and conversation, not medical advice. It is not a replacement for personalized care, diagnosis, or treatment. Always talk with your own healthcare provider before making changes to your health, medications, or lifestyle.

In 1998, the FDA approved a pill for men in under six months. It became a household name, a punchline, and an insurance-covered staple. Women got decades of painful sex, vanishing libido, and doctors with no idea what to do about it. This week, Dr. Tim and Mia NP sit down with Dr. Maria Sophocles, board-certified OBGYN, TEDx speaker, and author of The Bedroom Gap, to talk about what she calls "Viaggravation": the moment Viagra didn't create the gender gap in sexual health, but blew it wide open. They dig into why 92% of OBGYN residents say they're not comfortable talking about menopause, why vaginal estrogen is one of the most underused (and safest) tools in medicine, why "the ring of fire" is a phrase every perimenopausal woman needs to know, and why your vagina isn't the one that failed you, the system did. This is a real, funny, occasionally TMI conversation about sexual pain, the orgasm gap, testosterone, vaginal atrophy (GSM), and why "just use lube" is only half the story. If you've ever felt dismissed, confused, or alone in a bedroom that used to feel different, this one's for you. Dr. Maria Sophocles will be joining us live at the Northwest Ohio Women's Health Summit on October 10th in Toledo. Grab in-person or livestream tickets at summit.rixahealth.com. This podcast is for education and conversation, not medical advice. Always consult your own healthcare provider before making changes to your health, medications, or lifestyle.

Told your labs are "normal" and handed an SSRI instead of answers? You're not imagining it and you're not alone. In this episode of Health Without the System, Dr. Tim Scott and Mia Scott NP sit down with hormone and health expert Brandy Secory NP (Renewed Therapeutics), to break down what's actually happening when perimenopause and menopause symptoms get dismissed — and what real, personalized hormone care looks like. Brandy walks through the tangible differences between hormone pellets, patches, creams, and pills — including why she moved away from pellets after starting her career on them, and why the estradiol patch is her go-to for most patients. She and Dr. Scott tackle the biggest myth in women's health: that testosterone is a "male hormone." Spoiler — women need it too, for libido, energy, mood, and more. They also dig into vaginal estrogen, one of the most feared and most misunderstood treatments in menopause care, discussing why it's safe even for many breast cancer survivors, and why one pharmacist telling a patient she had to "choose" between systemic and vaginal estrogen is a symptom of a much bigger education gap. Plus: compounded vs. FDA-approved bioidentical hormones (and why "not FDA approved" doesn't mean "not safe"), how pairing GLP-1 medications with hormone therapy can dramatically improve weight loss outcomes, and a rapid-fire round tackling the most common things women are told by providers who just aren't listening. If you've ever been told your labs are fine while you feel like a completely different person, this episode gives you the language and the confidence to ask for more. This conversation is part of our lead-up to the Northwest Ohio Women's Health Summit on October 10th — a full day built for women who are ready to stop settling for "normal" labs and start advocating for how they actually feel. In-person and livestream tickets are available at summit.rixahealth.com. Health Without the System is hosted by Dr. Tim Scott and Mia Scott NP, and exists so people can understand their health instead of fearing it. No jargon, no ego, no academic fluff. This podcast is for education and conversation, not medical advice. Always talk to your own healthcare provider before making changes to your health, medications, or lifestyle.

You did everything right. You took the meds. You saw the specialists. You still feel awful — and you've been told there's nothing more they can do. There's always something more. This week on Health Without the System, Dr. Tim Scott and Mia Scott NP sit down with Kristi Lorenc, NP — founder of Rapha Functional Wellness and a Northwest Ohio Women's Health Summit speaker — to break down why autoimmune disease in women (Hashimoto's, lupus, fibromyalgia, and more) is so often missed, dismissed, or masked with a prescription pad instead of actually treated. Kristi isn't just a provider who studied this — she lived it. Diagnosed with fibromyalgia and later autoimmune disease, on six medications by age 35, she found conventional medicine had no real answers for her. So she went looking for the root cause herself. Eight years later, she no longer carries either diagnosis. In this episode, she and the Scotts dig into: Why gut health and autoimmune disease are far more connected than most doctors will tell you The real reason so many women are told "your labs are normal" while still feeling terrible A jaw-dropping patient story: a 19-year-old misdiagnosed with schizophrenia and bipolar disorder — who turned out to be dealing with a chronic infection (PANDAS), not a lifelong mental illness Why functional medicine testing (genetics, comprehensive stool testing, hormone panels) can catch what a 15-minute PCP visit never will What it actually costs — professionally and personally — to walk away from the conventional medicine model If you've ever been told "it's just stress" or "your labs look fine" while your body tells you otherwise, this conversation is your permission to keep asking questions. Kristi will be expanding on all of this live at the Northwest Ohio Women's Health Summit on October 10th in Toledo, OH. Tickets and livestream access at summit.rixahealth.com. This podcast is for education and conversation, not medical advice. Always talk to your healthcare provider before making changes to your health, medications, or lifestyle.

Your fasting insulin is 25 and your doctor says it's "normal." Dr. Tim and Mia Scott sit down with functional pharmacist Dr. Melody Hartzler (PharmToTable) to explain why "normal" and "optimal" are not the same thing — and why that gap might be the reason you feel exhausted, inflamed, and dismissed. Dr. Hartzler pulls back the curtain on what most people don't know pharmacists can actually do: manage medications, order labs, and run functional medicine consults under a collaborative practice agreement — all without ever setting foot in a hospital. In this episode, she breaks down: Why fasting insulin can predict diabetes risk a full decade before your A1C ever budges The truth about PPIs (heartburn medications): why they're meant for 14 days, not 14 years, and what long-term use is actually doing to your gut, your iron, and your brain Lipoprotein(a), the genetic cardiovascular risk marker almost nobody checks — and why the guidelines only ask for it once in a lifetime Why heart disease is the #1 killer of women, starts quietly in your 30s and 40s, and gets ignored while everyone's worried about breast cancer The real difference between treating symptoms and treating root cause (and why your "20 supplements" might not be the answer) This episode kicks off part two of our 10-part series leading up to the Northwest Ohio Women's Health Summit. Dr. Hartzler will be speaking live on Saturday, October 10th, where she'll dig deeper into women's cardiovascular health and how to actually act on it. Tickets are available both in-person and via livestream at summit.rixahealth.com — so no excuse not to be there, wherever you are. Health Without the System is hosted by Dr. Tim Scott and Mia Scott, CNP, for people who are done being told their labs are "fine" when they don't feel fine at all. This podcast is for education and conversation, not medical advice. Always talk to your own healthcare provider before making changes to your health, medications, or lifestyle.

Season 3 kicks off with a bang. Dr. Tim and Mia sit down with hormone all-star and women's health champion Dr. Kelly Casperson — board-certified urologist, bestselling author of You Are Not Broken, and one of the loudest voices calling out how badly the healthcare system has failed women on hormones and sex. In this episode, Dr. Casperson breaks down why testosterone isn't just a "male hormone," what decades of misinformation from the Women's Health Initiative study did to a generation of women's access to HRT, and the massive gender gap in sexual health education — in medical school and in the exam room. This isn't a lecture. It's a real conversation about why you don't need to feel broken, confused, or dismissed to get answers about your own body. Expect zero jargon, zero ego, and a lot of "wait, why did no one tell me this sooner." If you've ever left a doctor's appointment more confused than when you walked in, this episode hands you the language to walk back in and ask better questions. Kelly Casperson, MD is a board-certified urologic surgeon, TEDx speaker, and host of the top-ranked podcast You Are Not Broken. Follow her @kellycaspersonmd. Health Without the System is hosted by Dr. Tim Scott and Mia Scott, NP — because you deserve to understand your health, not fear it.

In the Season 2 finale of Health Without the System, emergency physician Dr. Tim Scott and nurse practitioner Mia Scott tackle one of the most polarizing topics in modern healthcare: GLP-1 medications and the stigma surrounding weight loss treatment. Together, they break down why obesity is far more than a willpower problem, discuss the science behind metabolic health, and challenge common misconceptions about weight loss. The episode also features a comprehensive recap of Season 2's biggest conversations, including nutrition, hormone health, endocrine disruptors, ADHD, gut health, hydration, mold exposure, parasites, muscle preservation, wearable health technology, and the future of personalized medicine. Whether you're a longtime listener or discovering the podcast for the first time, this episode is packed with practical takeaways, empowering health insights, and a look ahead at what's next when Health Without the System returns for Season 3.

Heart disease is still the number one killer in America, yet most people think their biggest health threat is cancer. In this episode of Health Without the System, Dr. Tim Scott and NP Mia Scott break down what cardiovascular disease really is, why cholesterol is only part of the story, and the overlooked root causes driving heart attacks, stroke, and metabolic dysfunction. We're talking inflammation, insulin resistance, visceral fat, muscle loss, blood pressure, cholesterol myths, statins, and the key labs everyone should know to better understand their cardiovascular risk. If you want to age well, protect your heart, and stop waiting for symptoms before taking action, this episode is a must-listen.

Was ivermectin unfairly dismissed during COVID, or was the science simply misunderstood? In this episode of Health Without the System, Dr. Tim Scott and Mia Scott dive into one of the most controversial medical topics of our time. From the scientific method and research bias to COVID treatment protocols, pharmaceutical influence, and the growing conversation around ivermectin beyond infectious disease, this episode challenges listeners to think critically, ask better questions, and understand the difference between blindly trusting science and actually examining it.