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Most women diagnosed with low thyroid are treated for a thyroid problem. Dr. Heather Stone says many of them actually have an immune problem. In Hashimoto’s, as she puts it, “the thyroid is the victim.” Dr. Terri sits down with Dr. Heather Stone, DC, a functional medicine practitioner who has spent more than twenty years helping women with hypothyroidism and Hashimoto’s. She is the author of The Thyroid Transformation Blueprint. Her path started with her own symptoms and a doctor who told her nothing was wrong. She joins from Italy to talk about what’s driving the immune system to attack the thyroid, and what changes when care looks past the thyroid numbers. They start with the TSH: what it measures, where it comes from, and what a fuller thyroid panel adds, including the antibody tests that point to Hashimoto’s. Then they work through the triggers Dr. Stone looks for in every autoimmune patient: blood sugar, stress, gut health, and toxic load. Along the way, she explains why having one autoimmune condition raises the risk of developing others. She also describes a diabetes pattern she catches by looking for autoimmunity, which she calls type 1.5. What you’ll discover What TSH actually measures, and why it comes from the pituitary instead of the thyroid The markers in a fuller thyroid panel, including the two antibody tests for Hashimoto’s Why Dr. Stone sees Hashimoto’s as an immune condition first and a thyroid condition second How blood sugar swings can keep the immune system in attack mode The role stress plays, even for people who say they aren’t stressed How the gut connects to autoimmunity, and why gluten matters for some Hashimoto’s patients How toxic load adds to the burden, and her phased approach to detox What type 1.5 diabetes is, and the clue that makes her look for it Your symptoms aren’t the problem. They’re the message. Presented by EVEXIAS Health Solutionshttps://www.evexias.com Connect with Dr. Terri Instagram: https://www.instagram.com/drterrideneui/ Facebook: https://www.facebook.com/DrTerriDeNeui Website: https://hormonehavoc.com/ Connect with Dr. Heather Stone Website: https://reversemycondition.com/ Book: https://thyroidtransformationblueprint.com/ --- 00:00 Dr. Stone's story 04:00 Beyond the TSH: what a full thyroid panel shows 17:20 Hashimoto's and the triggers behind autoimmunity 26:00 Type 1.5 diabetes 35:00 Testing for root causes, optimal ranges, and detox Learn more about your ad choices. Visit megaphone.fm/adchoices

What if your strongest years are still ahead of you?At 64, Mary Ann Butler entered her first fitness competition... and won. But her story didn't begin on a bodybuilding stage. It started years earlier, with a career in pain management, a growing curiosity about hormone health, and a personal experience that changed the direction of her medical practice.In this episode of The Dr. Terri Show, Dr. Terri sits down with Mary Ann Butler, ANP-C, a board-certified nurse practitioner with more than two decades of experience in medicine. From her wellness practice in Lumberton, Texas, to her role training and mentoring clinicians with EVEXIAS, Mary Ann has dedicated much of her career to exploring approaches to hormone health, pain management, and longevity.Together, they discuss how recognizing symptoms of testosterone deficiency in her husband—and hearing unexpected stories from pain patients receiving hormone therapy—led Mary Ann to rethink conventional approaches to care.They explore the often-overlooked role of testosterone in women's health, the relationship between hormones and pain, and how peptide therapies became part of Mary Ann's clinical practice. They also discuss why peptide therapy requires knowledgeable medical oversight rather than a do-it-yourself approach.Then the conversation turns personal.After a decade of consistent strength training alongside her husband, Mary Ann decided to challenge herself in an entirely new way. With just 16 weeks of competition preparation, she stepped onto the stage at 64 and won her first fitness competition.Her message? Age doesn't have to determine what you're capable of achieving.---- What you’ll discover:How the opioid crisis and a pain conference pointed her toward hormones (00;03;50)Her husband’s testosterone story, and what supplements can hide (00;04;19)Why testosterone in women was the missing puzzle piece (00;07;48)Why creams fell short for so many of their patients (00;08;29)How hormones play into pain and inflammation (00;09;37)How peptides entered her practice (00;12;13)Why peptide therapy is a medical specialty, not a DIY project (00;13;33)How peptides that support growth hormone signaling can help with sleep, recovery, and aging well (00;16;25)Deciding to compete, and what actually changed in her diet (00;19;40)What a 16-week contest prep looked like (00;25;24)“Muscle is currency,” and how to start where you are, even with injuries (00;27;08)It's never too late to set a new goal, build strength, or discover what your body is capable of.Join Dr. Terri and Mary Ann Butler for a conversation about hormones, peptides, longevity, and challenging the expectations that often come with aging. Presented by EVEXIAS Health Solutions https://www.evexias.com Connect with Dr. Terri Instagram: https://www.instagram.com/drterrideneui/ Facebook: https://www.facebook.com/DrTerriDeNeui Website: https://hormonehavoc.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Pellets, shots, creams, patches, pills, troches. If you're starting hormone therapy, or you're already on it and something still feels off, the number of options can be hard to sort through. It's one of the questions Dr. Terri hears most, from patients and from the clinicians she trains. In this solo episode, Dr. Terri goes through each delivery method for testosterone, estrogen, and progesterone, drawing on 17 years of working with all of them. Her favorite is hormone pellets, and she explains her reasoning. She compares steady hormone levels with the peaks and drops of shots, creams, and tablets. She covers why the path a hormone takes through the body matters. She also explains where patches, vaginal estrogen, and oral progesterone still fit. What you'll discover How few testosterone options exist for women, and how long pellets have been around (00;01;30) Why individualized dosing matters for testosterone (00;02;29) The lollipop analogy for how pellets release hormones (00;03;24) What the "roller coaster" of testosterone shots feels like, and how split dosing helps (00;04;47) Dr. Terri's least favorite modality (00;05;52) How troches and rapid dissolve tablets compare (00;07;54) What first pass metabolism means for oral hormones (00;09;23) Estrogen options for women, from pellets to patches to pills (00;10;40) Oral estradiol and blood clot risk (00;12;26) What an FSH lab can show about whether your estrogen dose is enough (00;14;54) Treating symptoms versus optimizing hormones (00;15;17) When vaginal estrogen is the right choice (00;16;50) Progesterone versus progestin, and why the difference matters (00;17;12) A clear map of your options to take to your next appointment. Presented by EVEXIAS Health Solutionshttps://www.evexias.com Connect with Dr. Terri Instagram: https://www.instagram.com/drterrideneui/ Facebook: https://www.facebook.com/DrTerriDeNeui Website: https://hormonehavoc.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Somewhere around 40, the workouts that always worked stop working. The belly shows up, the energy drops, and the instinct is to do more. Dr. Terri sits down with Dr. Eric Fete to hear his case for the opposite: lift a little, walk a lot, eat enough, and build muscle. Dr. Fete, DO, is a former emergency physician and the founder of Prime-X in Zanesville, Ohio. He trained at the Chicago College of Osteopathic Medicine, is certified in Age Management Medicine, and now sees patients in person and by telemedicine. He calls his approach muscle medicine. Together they get into what myokines are and why he treats muscle as more than looks. They cover the simple routine he starts most patients on, how he talks to women about testosterone, and why he puts sleep and stress ahead of peptides and other add-ons. They also talk about the difference between sex drive and erectile function, and why touch and oxytocin belong in the conversation. What you'll discover How a career in the ER pushed him toward prevention, 10:44 Why he treats muscle as an organ of longevity, 13:36 What myokines are and what he says they do, 20:01 A starter routine: short strength sessions plus daily walking, 23:10 How he explains testosterone to women who worry about how it will change them, 31:16 Why lifestyle is the foundation and peptides come last, 35:02 The "double red S": sleep and stress, 43:30 Why sleep medication is not the same as restorative sleep, 45:33 How cystatin C can add context when creatinine looks high, 48:56 Fertility questions to settle before starting testosterone, 51:01 Sex drive, erectile function, and the oxytocin piece, 54:27 Less heroic training, more sleep, and a foundation worth building on. Presented by EVEXIAS Health Solutionshttps://www.evexias.com Connect with Dr. Terri Instagram: https://www.instagram.com/drterrideneui/ Facebook: https://www.facebook.com/DrTerriDeNeui Website: https://hormonehavoc.com/ Connect with Dr. Eric Fete Website: https://www.drericprimex.com YouTube: https://www.youtube.com/@dr.eric-primexthefitnessph6601 Podcast, Dr. Eric's Relentless Vitality: https://podcasts.apple.com/us/podcast/dr-erics-relentless-vitality/id1484876926 Learn more about your ad choices. Visit megaphone.fm/adchoices

Estrogen patches have gotten hard to find, and a lot of women are being told to just wait it out. That may be the riskiest option on the table. Dr. Terri sat down with Dr. Carrie Jones, ND, FABNE, MPH, MSCP, at a national clinician conference the same week the FDA held its public meeting on testosterone in women. Dr. Jones is a naturopathic physician and Menopause Society Certified Practitioner known as the Queen of Hormones. She was the first medical director for the DUTCH test and the first head of medical education at Rupa Health, and she now hosts the Hello Hormones podcast. Together they cover what's really behind the patch problem, why stopping hormones suddenly carries real risk, and how many more options exist than most women (and most prescribers) realize. They take on the reputation of compounding pharmacies: what compounding actually is, where the bad press came from, and why it keeps stepping in when supply runs short. They also get practical about quality, from "research only" peptides to supplements that don't match their labels. And they explain why estrogen, progesterone, and testosterone matter for your heart, brain, and bones long after the hot flashes are handled. What you'll discover Why so few clinicians feel ready to prescribe testosterone for women: 00:03:02 The lipstick rule for finding the hormone option that fits you: 00:04:56 What happened at an HHS roundtable on the estrogen patch problem: 00:06:50 What compounding pharmacies actually do, and what they don't: 00:09:37 How one contaminated batch reshaped the compounding industry: 00:14:25 How compounding filled the gap during the semaglutide shortage: 00:16:20 The price red flag on peptides you find online: 00:19:11 What "research only" on a label really means: 00:20:40 How to vet a supplement company before you buy: 00:24:06 The fish oil smell test: 00:26:08 What to do if you can't fill your estrogen patch: 00:26:25 The four long-term risks your hormones help protect against: 00:30:52 Why testing and replacing all three sex hormones matters: 00:36:25 Why waiting for more studies isn't good enough: 00:38:08 Presented by EVEXIAS Health Solutionshttps://www.evexias.com Connect with Dr. Terri Instagram: https://www.instagram.com/drterrideneui/ Facebook: https://www.facebook.com/DrTerriDeNeui Website: https://hormonehavoc.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices

[Special bonus episode in reaction to the FDA addressing testosterone use in women.] For eighty years, clinicians have been using testosterone to treat women. There is still no FDA-approved testosterone product for women in the United States. In September, the FDA convened a public workshop to examine that gap. In this conversation, recorded in the days beforehand, Dr. Terri sits down with Dr. Cassie Smith, MD, a dual board-certified endocrinologist and the founder of Modern Endocrine in Oklahoma City. Dr. Cassie trained at the Harold Hamm Diabetes Center and spent years running pharmaceutical clinical trials before building a telehealth practice that now serves patients across 45 states. She has seen the approval process from the inside, and she has opinions about it. Together they take on what the hearing might actually accomplish, why the approval gap has persisted this long, and what it costs the women sitting in their exam rooms. They get into the money: why a hormone that pulls patients off statins, blood pressure medication, and antidepressants is not an attractive product to develop. They get into the paperwork: why testosterone sits on the controlled-substance schedule alongside opioids, what that does to access, and why a patient who forgets her prescription on vacation simply goes without. And they get into the part neither of them can let go of — that the people writing these rules have never spent a day in a clinic watching what happens when you get a woman's hormones right. What you'll discover Why 2026 became the year women's health finally got regulatory attention — 00;06;17 What the absence of an FDA-approved product actually does to patients and prescribers — 00;07;21 What clinicians were already doing with testosterone in the 1940s — 00;12;18 How a lab "reference range" gets set, and why normal and healthy are not the same thing — 00;16;53 The risk that a badly dosed product sets the whole conversation back a decade — 00;18;34 Where medical freedom ends and regulatory overreach begins — 00;24;41 How testosterone ended up on the controlled-substance schedule in the first place — 00;31;10 What a DEA license, 46 state databases, and one forgotten prescription look like from the prescriber's side — 00;34;47 The symptoms of testosterone deficiency that start showing up as early as 30 — 00;47;04 Whether either of them is actually optimistic about change — 00;49;10 Two clinicians, one hormone, and a regulatory system that has not caught up to its own evidence. Presented by EVEXIAS Health Solutions https://www.evexias.com Connect with Dr. Terri Instagram: https://www.instagram.com/drterrideneui/ Facebook: https://www.facebook.com/DrTerriDeNeui Website: https://hormonehavoc.com/ -- 00:00 Cold open and welcome 00:05:34 The approval gap 00:16:53 Reference ranges, dosing, and the risk of a bad rollout 00:24:41 Medical freedom and how testosterone became a controlled substance 00:39:24 Who's making these decisions, and who they're hearing from Learn more about your ad choices. Visit megaphone.fm/adchoices

Nobody Has an SSRI Deficiency: Rethinking Postpartum Depression A new mother comes in for one visit, gets a diagnosis, leaves with a prescription, and comes back in a month. In a lot of practices that is first-line care for postpartum depression. The problem is that nothing on the list of things that actually crashed after delivery is an antidepressant. Dr. Terri welcomes back Dr. Johnny J. Peet, MD, a gynecologist with nearly three decades in private practice, for a conversation about what is really happening in a woman's body after a baby, and why he treats postpartum depression almost nothing like he did twenty years ago. Progesterone and estrogen fall off a cliff. Thyroid drops at the same time. Vitamin levels that were fine before pregnancy quietly slip. Add a physical recovery, real anxiety, and no sleep, and his take is that the surprising thing is how many women come through it fine. They open with the trend Dr. Terri is seeing in her own practice, young premenopausal women asking for estrogen because it is trending online, at the same time patches are getting hard to fill. If you have been handed a prescription and told that is the answer, this is the conversation nobody had with you. What you'll discover: What the removal of the estrogen and testosterone black box warnings actually changed, and where the fear came from [03:23] Why an empty hormone receptor in the brain produces symptoms [05:45] The decade-long decline in testosterone and thyroid that happens long before menopause gets the credit [07:25] The full list of what crashes after delivery, and why no single item explains it [09:30] The reason your brain lowers testosterone after the second baby on purpose [13:54] The questions a clinician has to ask before treating anyone's postpartum mood [15:55] What a partner, a grandmother, and four consecutive hours of sleep are actually worth [17:01] The treatment order most practices skip entirely [20:09] Thyroid, TSH, and why a normal-looking panel misses it [22:23] The symptom triad that points to low testosterone in women [26:57] Postpartum depression is common, it is treatable, and it is almost never one problem. 🔗 Find a provider trained in what we discussed: evexias.com 📱 Instagram: https://www.instagram.com/drterrideneui/ 📱 Facebook: https://www.facebook.com/DrTerriDeNeui 💻 Website: https://hormonehavoc.com/ This episode is for educational purposes and is not medical advice. Specific doses, lab targets, and treatment decisions discussed here are clinician-to-clinician and should not be applied without your own provider. **If you or someone you know is having suicidal or harmful thoughts, please immediately reach out to someone or call 1-833-TLC-MAMA** 00:00 Introduction 00:44 A Real Shift in Women's Health This Year 02:21 Estrogen Trending Online and the Patch Shortage 03:23 What the Black Box Removals Actually Changed 05:45 Receptors, Deficiency, and Mood 07:25 The Four Hormonal Stages of a Woman's Life 09:30 What Actually Causes Postpartum Depression 13:54 Testosterone After the Second Baby 15:55 Screening First, Then Treating 17:01 Partners, Family, and the Village 18:51 An SSRI Is Not First Line 20:09 Progesterone, Estrogen, and Thyroid 22:23 Thyroid, TSH, and the Depression Link 24:05 B Vitamins, Vitamin D, and the Gut 26:57 Testosterone in Women: Mood, Energy, Sex 29:05 Injectable Progesterone and Follow-Up 30:12 Why Women Don't Talk About It Learn more about your ad choices. Visit megaphone.fm/adchoices

If you are a woman, there is a good chance someone handed you a prescription at 15 or 16 and told you almost nothing. Maybe it was for acne. Maybe it was for cramps. Nobody sat you down and explained that it does not only turn off your ability to get pregnant, it turns off the hormones that were building your brain. We have never followed a generation of women long enough to find out what happens when you start at 13 and stay on it until you are 35. We just did it, and we called it health care. Dr. Terri sits down with Dr. Sarah Hill, a research psychologist and professor at Texas Christian University who has spent more than 20 years studying women's hormones and neuroendocrinology. She is the author of This Is Your Brain on Birth Control and The Period Brain. Her interest in the subject started personally. After more than a decade on the pill, she went off it and, within three months, felt like parts of herself were coming back online. She went to the research literature to find out why, and found a body of evidence almost nobody was talking about. This conversation covers what hormonal contraception actually shuts down, why the alternatives are less studied than most women are led to believe, and what a generation of young women walking away from it are walking toward instead. What you'll discover: What Dr. Hill noticed within three months of going off the pill, and why she went straight to the research [15:03] Why ovulation is not just about releasing an egg, and what stops when it stops [18:23] The cultural hypothesis about hormones, femininity, and how young women dress today [23:18] Why there is no such thing as a locally acting hormone, and what that means for the hormonal IUD [24:47] How synthetic progestins interact with androgen and cortisol receptors differently than your own progesterone does [30:49] The calming compound your body makes from progesterone that synthetic progestins never produce [34:19] What the research actually says about long-term birth control and fertility, including the caveat most women never hear [40:55] Dr. Hill's take on the growing number of premenopausal women being put on estrogen therapy [47:08] The percentage of healthy, regularly cycling college-age women in her lab's studies who are not ovulating, and the reason why [55:13] What we know, and mostly do not know, about starting hormonal contraception while the brain is still developing [1:01:47] The bottom line: We cannot make good decisions without good information. For an entire generation of women, the information was never on the table. The Dr. Terri Show is presented by EVEXIAS Health Solutions. For more, visit: https://www.evexias.com Connect with Dr. Terri: 📱 Instagram: https://www.instagram.com/drterrideneui/ 📱 Facebook: https://www.facebook.com/DrTerriDeNeui 💻 Website: https://hormonehavoc.com/ Connect with Dr. Sarah Hill: 📱 Instagram: https://www.instagram.com/sarahehillphd/ 💻 Website: https://www.sarahehill.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Lipedema: The Painful Fat Disorder Doctors Keep Calling Obesity You've done the diets. You've done the exercise. Maybe you've done hormone therapy, and maybe you've even tried GLP-1 medications. And the weight in your legs will not move. It hurts to be touched. It bruises for no reason. And every doctor you've asked has looked at you and told you to eat less and move your body more. There's a name for what might be happening, and it is not obesity and it is not your willpower. Erika Schlick spent nearly a decade being told the same thing. She had already survived a two-year fight to get diagnosed with Lyme disease. Then, after stem cell therapy, she gained more than 50 pounds that no diet, no workout, and no medication would touch. It took eight more years to get an answer: lipedema, a connective tissue and adipose disorder that affects an estimated 1 in 9 women, was first described in 1940, and is still barely taught in medical school. In this episode she walks Dr. Terri through the hallmark signs most doctors miss, why lipedema fat behaves nothing like ordinary fat, how surgical treatment differs from cosmetic liposuction, and what it actually takes to manage the condition long term. What you'll discover: 04:35 — The tick bite in 2012 that started a fourteen-year health journey 05:27 — Lyme remission, and the weight gain that started right after stem cell therapy 06:18 — Eight more years, and why a second undiagnosable condition felt like a Rubik's Cube 07:16 — Four lipedema removal surgeries in 2024, and what recovery actually looked like 08:30 — What lipedema is, why researchers now suspect a connective tissue disorder, and why it resists diet and exercise 09:39 — The hallmark signs: disproportionate fat distribution, swelling, easy bruising, and hands and feet that are spared 10:52 — The nodular texture that gets dismissed as cellulite, and the blame patients absorb instead of a diagnosis 12:54 — Why lipedema surgery is circumferential and lymphatic-sparing, and why a cosmetic surgeon is the wrong choice 15:07 — Post-surgical management: compression, lymphatic drainage, pneumatic pumps, and an anti-inflammatory diet 17:16 — Hormones as the trigger, starting at puberty, and why the condition tracks life stage changes 18:53 — Mold, environmental toxins, and why men carry the gene but rarely express the condition 20:11 — The mast cell and Ehlers-Danlos overlap that keeps showing up in lipedema patients 22:36 — The gut as another layer of connective tissue 25:53 — Building muscle after surgery, identifying trigger foods, and a hotel room in Mexico that caused five pounds of swelling in 24 hours 27:36 — Why diagnosis is still clinical, and what a specialist actually looks for 28:39 — How to find a provider who can diagnose, operate, and manage aftercare 29:22 — Lipedema versus lymphedema, and why the distinction matters when choosing a doctor 35:24 — You know your body best. Why self-advocacy is still the deciding factor. If you have spent years being told your legs are a discipline problem, this episode gives you the language to ask a different question. The Dr. Terri Show is presented by EVEXIAS Health Solutions. For more, visit: https://www.evexias.com Connect with Dr. Terri: 📱 Instagram: https://www.instagram.com/drterrideneui/ 📱 Facebook: https://www.facebook.com/DrTerriDeNeui 💻 Website: https://hormonehavoc.com/ Connect with Erika Schlick: 💻 Website: https://thetrailtohealth.com 📱 Instagram: https://www.instagram.com/thetrailtohealth/ 🎟️ Lipedema Summit: https://event.lipedemasummit.com Learn more about your ad choices. Visit megaphone.fm/adchoices

How Long Does It Take You to Wake Up? The Cortisol Cheater Question You hit snooze six times. You need two cups of coffee before you can hold a conversation. Or the opposite: your eyes open at a level ten, heart already going, anxiety already running. There is a name for what is happening, and there is a test for it. Dr. Terri sits down with Carrie Jones, ND, FABNE, MPH, MSCP, the naturopathic physician known as the Queen of Hormones, for a conversation about the hormone testing almost nobody is ordering. Not blood. Not saliva. Urine metabolites, which show you not just how much of a hormone you have, but where it goes after your body is finished with it. Because that turns out to be the part that matters. Estrogen can travel down three different pathways, and one of them is protective while another is genotoxic. Testosterone can convert into something far more potent, which is why some women get hair loss and jawline acne on a dose that works beautifully for someone else. Progesterone can knock one woman out in ten minutes and do almost nothing for the woman next to her on an identical dose. None of that shows up on a standard panel. They also spend real time on cortisol, which has become the most misunderstood hormone on the internet. Dr. Carrie makes the case that we are doing to cortisol exactly what we did to estrogen after the Women's Health Initiative: blaming the messenger, missing the message, and reaching for supplements to suppress something the body is doing on purpose. This one is for anyone who has been told their hormones are fine, or who has tried hormone therapy and quit because of side effects nobody could explain. What you'll discover: What urine metabolite testing actually measures, and why hormones have to go somewhere (02:03) The three estrogen pathways, and which one you want to push toward (04:45) The pathway that explains breast tenderness, spotting, and estrogen sensitivity (07:58) Why testosterone causes acne and hair loss in some women and not others (09:23) Alpha versus beta: why two women on the same progesterone dose have completely different nights (11:16) Whether the route you take progesterone changes the effect (14:20) What cortisol metabolites reveal about your thyroid that a TSH will not (19:39) Free T3, reverse T3, and reference ranges that are normal but not optimal (21:39) Poor, poor cortisol: what it is actually doing for you, and why we get it backward (26:29) The everyday medications quietly suppressing your cortisol results (30:11) Serum, saliva, or urine: which cortisol test answers which question (34:57) The cortisol awakening response, and the cheater question you can answer yourself (36:24) When a urine metabolite panel is worth the money, and when it is not (40:22) Cruciferous vegetables, DIM, and the caution nobody gives you before you start (42:39) Supplements that support the DHT pathway, and why sourcing decides whether they work (47:01) Alcohol as a bully: how the liver decides what gets detoxified first (52:55) You are not stuck with the hormone you were dealt. You are working with a pathway, and pathways are modifiable. The Dr. Terri Show is presented by EVEXIAS Health Solutions. For more, visit: https://www.evexias.com Connect with Dr. Terri: 📱 Instagram: https://www.instagram.com/drterrideneui/ 📱 Facebook: https://www.facebook.com/DrTerriDeNeui 💻 Website: https://hormonehavoc.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Discover the truth behind nutrition myths, intuitive eating, whole foods, sugar cravings, and simple strategies for healthier, sustainable eating. Carrots are bad. Avocados are bad. Don't eat egg yolks. Eat every two hours. Go gluten free. Detox with tea. As long as you stay under your calories, you're fine. Every single one of those is wrong. And Dr. Terri and Elizabeth DiMeo are done watching people make themselves miserable following food advice from people who have no business giving it. In this episode they go myth by myth through the top ten dietary rules that need to be retired — and replace each one with what the science actually says. From why a calorie is absolutely not a calorie, to why your gluten sensitivity may disappear entirely when you travel to Italy, to why organic crackers are still just crackers — this is the food conversation your patients, your family, and your social media feed desperately need. They close with a practical breakdown of the Dirty Dozen and Clean 15 — the Environmental Working Group's ranked list of which produce you should always buy organic and which ones you don't need to worry about — plus a simple baking soda and vinegar wash that removes pesticide residue from non-organic produce when organic isn't in the budget. Simple. Practical. No nonsense. This is what intuitive eating actually means. What you'll discover: Why a 230-calorie Snickers bar and a 230-calorie serving of broccoli are not remotely the same thing — and what "food is communication" actually means [03:20] Why fat doesn't make you fat — and what actually does [06:01] The difference between starchy and non-starchy carbohydrates — and why broccoli, arugula, and artichokes are all technically carbs [08:22] Why gluten sensitivity in the US may have nothing to do with gluten — and everything to do with glyphosate and hybridized wheat [13:36] Why skipping meals slows your metabolism — and what your body actually needs to detox every single day [17:45] The myth of eating every two to three hours — and what 100 years of human eating patterns tell us about snacking [19:59] Why organic automatically means healthy is one of the most dangerous myths in the grocery store [25:16] Why all inflammation does not come from food — and the overlooked sources most people never address [25:43] The Dirty Dozen and Clean 15: which produce to always buy organic, which ones you don't need to, and the $0 baking soda wash that removes pesticide residue [27:32] Real food. Not too much. Mostly plants. The rest is noise. The Dr. Terri Show is presented by EVEXIAS Health Solutions.Learn more and find a provider near you at evexias.com Connect with Dr. Terri: 📱 Instagram: instagram.com/drterrideneui 📘 Facebook: facebook.com/DrTerriDeNeui 🌐 Website: hormonehavoc.com CHAPTERS 00:00 — Intro & Why Food Myths Are Driving Us Crazy 03:20 — Myths 1–3: Calories, Fat & Carbs 10:32 — Myths 4–6: Eating at Night, Gluten Free & Skipping Meals 19:59 — Myths 7–10: Meal Frequency, Breakfast, Detox Teas & Organic 27:32 — The Dirty Dozen & Clean 15: What to Buy Organic and What to Skip Learn more about your ad choices. Visit megaphone.fm/adchoices

PCOS Is Now PMOS. What the New Name Changes About How You Get Treated For decades, the diagnosis pointed at your ovaries. Cysts. Fertility. Birth control to regulate the cycle, and a shrug for everything else. This year, that changed. Polycystic ovary syndrome was formally renamed polyendocrine metabolic ovarian syndrome, or PMOS, in a global consensus published in The Lancet. The point was not cosmetic. It was an admission that this was never really a gynecological problem. Dr. Terri sits down with Dr. Cassie Smith, MD, dual board-certified endocrinologist, founder of Modern Endocrine, and author of Fix Your Gut, Fix Your Hormones, recorded on location at the EVEXIAS provider training. Dr. Smith has been making this argument for years, long before the literature caught up: the insulin, the inflammation, and the gut come first. The hormones are downstream. And if you only treat the hormones, you never actually fix anything. The conversation runs from the patient who was thin, had no cysts, had one symptom, and whose insulin nobody ever checked, all the way to what is happening right now with GLP-1s, the telehealth prescribing free-for-all, and the muscle loss almost nobody is monitoring. If you have been told your cycles are irregular and handed a prescription, if you are thin but feel metabolically off, or if you are on a GLP-1 and wondering whether you are doing it right, this one is for you. What you'll discover: 00:00 PCOS is officially renamed PMOS, and why the shift moves the focus off the ovaries entirely 00:59 The six different presentations of PCOS, including lean patients with no cysts and normal testosterone 01:42 The thin patient with one symptom, an irregular cycle, and an insulin level nobody ever ordered 03:33 The metabolic dumpster fire: how gut dysfunction drives estrogen, progesterone, insulin, and cortisol out of balance 04:08 What actually happens when you come off birth control after years of symptom suppression 05:36 The lab panel Dr. Smith runs first, including Free T3, insulin, cortisol, and a gut study 06:28 The unsexy basics: sleep, real food, sunlight, walking, and getting off the phone at midnight 07:29 Delayed childbearing, coming off the pill at 33, and the fertility math nobody explains 09:29 Treating PMOS in perimenopause when fertility is no longer the goal 10:50 Low serum testosterone with high free testosterone, and what low SHBG is telling you 11:50 The estrobolome: the gut bacteria responsible for recycling your estrogen 13:39 Why endocrinology and gynecology both missed this for so long 15:32 Fat cells as a full endocrine organ, and the signals they send when they are overfull 17:29 Ten thousand smoke signals: how inflammatory cytokines confuse your immune system 19:51 Skinny fat explained, and how you can be thin with the metabolic profile of someone who isn't 22:09 GLP-1s: what they do well, and how they are being prescribed badly 22:53 There is no magic bullet, and why your health is rent, not something you own 24:34 Telehealth vial-and-titration prescribing, the gray market, and patients with no follow-up 26:52 Doing it correctly: body composition scans, protein, resistance training, realistic timelines 29:44 GLP-1s slow gut motility. What Dr. Smith does to protect the gut long term 30:05 Fiber, hydration, and the two steps that changed one patient's life before she lost a pound The rename was the easy part. Now somebody has to start treating the whole system. The Dr. Terri Show is presented by EVEXIAS Health Solutions. For more, visit: https://www.evexias.com Connect with Dr. Terri: 📱 Instagram: https://www.instagram.com/drterrideneui/ 📱 Facebook: https://www.facebook.com/DrTerriDeNeui 💻 Website: https://hormonehavoc.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Are you tired of conflicting nutrition advice on social media? One day potatoes are "bad," the next day avocados are the problem. In this episode, we cut through the noise and explain why healthy eating doesn't have to be so complicated, and why intuitive eating makes so much sense. Why extreme diet trends are doing more harm than good The truth about intuitive eating and whole foods How social media influencers create confusion around nutrition Why sugar cravings and food addictions are more complex than willpower Simple strategies to build healthier eating habits that actually last Why meeting people where they are leads to sustainable lifestyle change How cooking at home and shopping for real food can transform your health Dr. Terri is joined by Elizabeth DiMeo, MS, CNS, LDN, Director of Education and Clinical Nutritionist at EVEXIAS Health Solutions. A Certified Nutrition Specialist and Licensed Dietitian Nutritionist with 25 years in clinical practice — and a former chef — Elizabeth has spent her career translating nutrition science for both practitioners and patients. She's also the person who will tell you, without apology, that a potato roasted in olive oil with chives and grass-fed butter is not the enemy. This conversation started as a rant about Instagram and turned into something more useful: an honest look at what "intuitive eating" actually means, why restriction culture has made people afraid of real food, and how clinicians should actually counsel someone who wants to change — not with a list of things to quit, but with things to add. Along the way: the three-day food log that reveals everything, the patient drinking six Big Gulps a day who became migraine-free, what cravings are really signaling, and how reference ranges quietly normalized a metabolic epidemic. If you're overwhelmed by conflicting food advice, tired of being told everything you enjoy is killing you, or you're a clinician trying to help patients who won't follow a perfect plan — this one's for you. What you'll discover in this episode: [00:57] / 00;07;22 — The Instagram post that set this whole conversation off, and what it gets backwards about fat [05:38] / 00;12;03 — What intuitive eating actually means — and how it got confused with hedonistic eating [09:47] / 00;16;12 — Paleolithic man didn't just eat meat: why the carnivore framing misreads history [14:26] / 00;20;51 — Meeting people where they are: nutrition advice that works on a real budget [16:14] / 00;22;39 — The three-day food log, what patterns it reveals, and why shame has no place in it [20:19] / 00;26;44 — Cheese, rennet, and the serving size almost nobody is actually eating [23:56] / 00;30;21 — Add before you subtract: the counseling approach that makes change stick [24:39] / 00;31;04 — Six Big Gulps a day, chronic migraines, and a year-long taper that worked [29:05] / 00;35;30 — Cravings as nutrient deficiency: pica, ice chewing, and what salt is really telling you [31:11] / 00;37;36 — How shifting lab reference ranges quietly normalized fatty liver and elevated fasting insulin [41:54] / 00;48;19 — "If you can't pick it, pull it, or kill it" — the simplest food rule in the episode [48:03] / 00;54;28 — Farmers markets, teaching kids to cook, and making whole food a family habit Food was never supposed to be this complicated. The Dr. Terri Show is presented by EVEXIAS Health Solutions. EVEXIAS Health Solutions is an emerging leader in integrative medicine on a mission to positively impact people's lives through the transformation of health care. EVEXIAS educates and trains practitioners on new, innovative, integrative therapies that support a preventative care model that drives vitality as you age. Learn more and find a provider near you at https://www.evexias.com Connect with Dr. Terri: 📱 Instagram: https://www.instagram.com/drterrideneui/ 📱 Facebook: https://www.facebook.com/DrTerriDeNeui 💻 Website: https://hormonehavoc.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices

What Nobody Is Telling You About Peptide Stacks and GLP-1s Peptides are everywhere. Stacks are trending. Influencers are dosing on camera. Clinicians are ordering compounds off websites. And somewhere in all of it, the actual science of how these molecules work — and what can go wrong when you combine them without testing — is getting completely lost. Dr. Terri sits back down with Jim LaValle, RPh, CCN, for a no-nonsense conversation on the state of the peptide and GLP-1 landscape in 2025. They cover peptide stacking, why combining untested compounds in a single vial is not precision medicine, the black market GLP-1 problem, what retatrutide actually is and why so many people are injecting a version of it that has never been tested for human safety, and what's happening to patients — and clinicians — who cut corners. They also go deep on GLP-1s done right: why 30% of Dr. Terri's patients are on one, why the ones who thrive are the ones who do the work, and why a thinner person can still be metabolically sicker than before they started. If you or someone you love is using peptides or GLP-1s — or thinking about it — this is the episode to share. What you'll discover: Why peptide stacks sound like precision medicine but are actually dartboard medicine without stability and efficacy data [04:02] What "research use only" and "physician use only" actually means on a label — and why injecting it is a gamble [09:34] The regulatory reality: why rogue labs are giving the FDA the ammunition to shut down all compounding [10:20] Retatrutide: what the three-mechanism GLP-1 actually is, why it's not legally available yet, and what patients are actually injecting when they think they're on it [25:31] Dr. Terri's clinical red flag: three postmenopausal patients on black market retatrutide all presenting with unexpected spotting [28:04] Why GLP-1s done wrong are creating scurvy, bone loss, hair loss, and skinny fat — and what done right actually looks like [33:14] How to protect gut integrity, lean mass, and metabolic rate while on a GLP-1 [32:48] Why food noise comes back every time the dose drops — and how addressing sympathetic dominance may be the real fix [38:07] The full circle: GLP-1s, nervous system, dopamine, and why stress is what created the craving in the first place [38:07] A tool used wrong is still a tool used wrong. Do this right or don't do it. The Dr. Terri Show is presented by EVEXIAS Health Solutions.Learn more and find a provider near you at evexias.com Connect with Dr. Terri: 📱 Instagram: instagram.com/drterrideneui 📘 Facebook: facebook.com/DrTerriDeNeui 🌐 Website: hormonehavoc.com Connect with Jim LaValle: 🌐 Website: jimlavalle.com 🔬 Metabolic Code: metaboliccode.com CHAPTERS 00:00 — Peptide Stacks: Why Combining Without Testing Is Dartboard Medicine 09:34 — Research Use Only: What That Label Actually Means 17:00 — The FDA Landscape, Rogue Labs & What's Coming 25:31 — Retatrutide, Black Market GLP-1s & Clinical Red Flags 32:21 — GLP-1s Done Right: Muscle, Gut Health & Metabolic Protection Learn more about your ad choices. Visit megaphone.fm/adchoices

Your Nervous System Is the Vital Sign Nobody Is Checking Blood pressure. Heart rate. Respiratory rate. These are the numbers medicine has built its entire screening system around. But what if the thing driving all of those numbers, the autonomic nervous system, is never actually assessed? Dr. Terri sits down with returning guest Jim LaValle — internationally recognized clinical pharmacist, board-certified clinical nutritionist, and founder of the Metabolic Code platform — for a conversation that connects dots most clinicians never connect. The nervous system as a root driver of cardiovascular disease, thyroid dysfunction, gut permeability, autoimmune disease, blood sugar dysregulation, and sleep failure. If you're doing all the right things and still not getting results, this episode may be the missing piece. They cover heart rate variability, what your wearable data is actually telling you, why 60% of people who die of a heart attack have no arterial disease present, and the specific supplements, adaptogens, theanine, holy basil, phospholipids, aged garlic extract, that can begin to calm a chronically activated sympathetic nervous system while you work on the root cause. This is a masterclass in practical nervous system medicine. Bring a pen. What you'll discover: Why heart rate variability is as important as blood pressure — and what it tells you about your cardiovascular risk [20:21] The shocking stat: 60% of people who die of a heart attack have no arterial disease present. What is actually killing them [22:22] How chronic sympathetic dominance suppresses T3, causes gut permeability, triggers autoimmune thyroiditis, and disrupts sleep — all from the same root cause [44:45] How to use your wearable data practically: what to look at in the morning, how to read your sleep data, and why your sleep score may be lying to you [50:32] Box breathing vs. meditation: why they are two different tools that work best together — and how to know when you've actually arrived in that meditative state [35:12] Why 5am boot camp may be the worst thing you can do for your nervous system — and what to do instead [59:15] The supplement protocol for calming sympathetic dominance: theanine, loric acid, holy basil, kava, phospholipids, magnesium threonate, and Kyolic aged garlic extract [1:12:24] How blood sugar directly drives sympathetic tone — and why people with diabetes almost always end up with heart disease [1:01:58] Why childhood stress and prenatal maternal stress can hardwire sympathetic dominance into the nervous system before a child is even born [1:06:13] You cannot optimize what you have not calmed. The Dr. Terri Show is presented by EVEXIAS Health Solutions.Learn more and find a provider near you at evexias.com Connect with Dr. Terri: 📱 Instagram: instagram.com/drterrideneui 📘 Facebook: facebook.com/DrTerriDeNeui 🌐 Website: hormonehavoc.com CHAPTERS 00:00 — The Nervous System as a Vital Sign & Heart Rate Variability 22:22 — Sympathetic Dominance: What It Looks Like and What It Causes 44:45 — Thyroid, Gut, Sleep & the Downstream Cascade 50:32 — Reading Your Wearables: HRV, Sleep Data & What to Track 1:12:24 — The Supplement Protocol for Calming the Nervous System Learn more about your ad choices. Visit megaphone.fm/adchoices