Could the secret to better health be hiding in your gut? Today, we’re exploring the powerful role the gut microbiome plays in overall well-being with Dr. Megan Rossi.

Dr. Rossi is a researcher and clinician at King's College London and founder of The Gut Health Clinic. She translates cutting-edge research into practical, everyday advice—including what to eat, what to avoid, and why your gut affects much more than digestion.

Links to resources mentioned in this episode:

The Gut Health Clinic: https://theguthealthdoctor.com/clinic

Is My Gut Healthy? Quiz - This is from Eat Yourself Healthy, published 2019 (UK). You can take the quiz online here: https://theguthealthdoctor.com/gut-health-quiz

The influence of demographic characteristics on constipation symptoms: a detailed overview: https://pmc.ncbi.nlm.nih.gov/articles/PMC7268616/

In one study women on a low-fat vegan diet that included soybeans had fewer symptoms than those on other diets - The Women's Study for the Alleviation of Vasomotor Symptoms (WAVS): a randomized, controlled trial of a plant-based diet and whole soybeans for postmenopausal women: https://pmc.ncbi.nlm.nih.gov/articles/PMC8462449/

You can see some common causes of bloating documented in this paper from 2021 - Management of Chronic Abdominal Distension and Bloating: https://www.cghjournal.org/article/S1542-3565(20)30433-X/fulltext

Plenty of research has supported the idea that plant-based and plant-heavy diets reduce menopausal symptoms, such as: https://pmc.ncbi.nlm.nih.gov/articles/PMC9812421/ and https://pmc.ncbi.nlm.nih.gov/articles/PMC9812421/

A randomized controlled trial of dietary improvement for adults with major depression (the ‘SMILES’ trial) - Study summary is here: https://link.springer.com/article/10.1186/s12916-017-0791-y

Eczema-protective probiotic alters infant gut microbiome functional capacity but not composition: sub-sample analysis from a RCT: https://pubmed.ncbi.nlm.nih.gov/30574802/

The Prevalence of Autoimmune Disorders in Women: A Narrative Review: https://pmc.ncbi.nlm.nih.gov/articles/PMC7292717/

Fermented-food diet increases microbiome diversity, decreases inflammatory proteins, study finds: https://med.stanford.edu/news/all-news/2021/07/fermented-food-diet-increases-microbiome-diversity-lowers-inflammation.html

New research presented at ECCO Congress on low emulsifier diet and Crohn's disease: https://www.kcl.ac.uk/news/new-research-presented-at-ecco-congress-on-low-emulsifier-diet-and-crohns-disease

The therapeutic efficacy of Bifidobacterium animalis subsp. lactis BB‐12® in infant colic: A randomised, double blind, placebo‐controlled trial: https://pmc.ncbi.nlm.nih.gov/articles/PMC6973258/

Chrononutrition and Gut Health: Exploring the Relationship Between Meal Timing and the Gut Microbiome: https://link.springer.com/article/10.1007/s13668-025-00670-z

Note: In this show, we use “women” as shorthand for people with XX chromosomes. We understand sex and gender are more complex, and acknowledge the experiences we describe reach beyond that word.

See omnystudio.com/listener for privacy information.

Have you considered getting plastic surgery? We’re separating the social media hype from the surgical reality with board-certified plastic surgeon Dr. Troy Pittman. He walks us through some of the most common procedures he performs, including his specialty: aesthetic and reconstructive surgery of the breast.

We also discuss how to spot red flags when looking for qualified surgeons and what he wishes every patient knew before sitting down for their initial consultation. Plus, he’ll weigh in on AI tools and the latest trends reshaping the industry.

Links to resources mentioned in this episode:

Hormonal therapies and venous thrombosis: Considerations for prevention and management: https://pmc.ncbi.nlm.nih.gov/articles/PMC9399360/

The American Board of Plastic Surgery, Inc.: https://www.abplasticsurgery.org/

American Academy of Facial Plastic and Reconstructive Surgery, Inc.: https://www.aafprs.org/

Note: In this show, we use “women” as shorthand for people with XX chromosomes. We understand sex and gender are more complex, and acknowledge the experiences we describe reach beyond that word.

See omnystudio.com/listener for privacy information.

Sleep in midlife can be complicated — shaped by stress, hormone fluctuations, and a lifetime of habits that may not be serving you. Dr. Jade Wu offers a reframe that challenges how many of us approach sleep. It’s not a problem to be solved. Sleep is your friend, one that responds better to patience than control.

Dr. Wu also explains why the real measure of sleep doesn’t come from a tracker or device but from how alert you feel during the day. We outline the difference between sleep deprivation, insomnia and sleep apnea. And we discuss the potential benefits of CBT-I or cognitive behavioral therapy for insomnia.

Links to resources mentioned in this episode:

Thrive Sleep Clinic FAQs

Hello Sleep: The Science and Art of Overcoming Insomnia Without Medications

Genome-wide association study identifies genetic loci for self-reported habitual sleep duration supported by accelerometer-derived estimates

Sleep Disturbance and Perimenopause: A Narrative Review

Sleep Apnea

Apnea-Hypopnea Index (AHI)

To learn more about at-home sleep studies, speak with your doctor and read this

See a breakdown of the evidence for different treatments for sleep

You can find a list of certified CBT-I therapists here

A 2023 paper in JAMA tested 25 over-the-counter melatonin supplements and found that 22 of them contained very different amounts of melatonin and did not match what was on the label: https://jamanetwork.com/journals/jama/fullarticle/2804077

Note: In this show, we use “women” as shorthand for people with XX chromosomes. We understand sex and gender are more complex, and acknowledge the experiences we describe reach beyond that word.

See omnystudio.com/listener for privacy information.

Figuring out how to take care of your skin shouldn’t be so hard. Leading dermatologist Dr. Elizabeth Hale joins the show to give us all the crucial information we need to take care of our skin all year around. Dr. Hale also walks us through the various regenerative treatments that are in high demand, from exosomes and red light therapy to microneedling, to other mainstays like Botox™ and fillers. Plus, some actionable tips for early skin cancer detection.

Links to resources mentioned in this episode:

Skin Cancer Foundation

See omnystudio.com/listener for privacy information.

What if you could actually delay the process of aging? Dr. Nir Barzilai hopes to identify interventions that could do just that. He believes a class of drugs known as gerotherapeutics could be real game changers.

Dr. Barzilai walks us through his pioneering research and explains why your biological age may actually be different from your chronological age. And we break down the buzziest trends in the longevity space.

Links to resources mentioned in this episode:

Cellergy Therapeutics

How to measure biological aging in humans

Rapamycin, But Not Resveratrol or Simvastatin, Extends Life Span of Genetically Heterogeneous Mice

An Updated Prioritization of Geroscience- Guided FDA-Approved Drugs Repurposed to Target Aging

Comparative Effectiveness of Metformin Versus Sulfonylureas on Exceptional Longevity in Women With Type 2 Diabetes: Target Trial Emulation

The Super Ager Family Study

Nir Barziliai, MD, on what we can learn about longevity from SuperAgers and Centenarians

Cardiovascular advantages among the offspring of centenarians

Lower all-cause, cardiovascular, and cancer mortality in centenarians' offspring

Reduced Prevalence and Incidence of Cognitive Impairment Among Centenarian Offspring

What You Should Know About NAD+ Supplements

Abstract 4168: NMN supplementation enhances proliferation and aggressiveness in UV-induced skin cancer

Note: In this show, we use “women” as shorthand for people with XX chromosomes. We understand sex and gender are more complex, and acknowledge the experiences we describe reach beyond that word.

See omnystudio.com/listener for privacy information.

Integrative health expert & naturopathic physician Dr. Robert Kachko shares his powerful framework for better understanding our biology, our ecology and our biography. His holistic approach helps patients navigate PTSD, trauma, and chronic conditions.

His work centers on some really powerful questions: Why does a body get sick? What are our symptoms trying to tell us? And how can that information be reverse engineered into a treatment plan?

Links to resources mentioned in this episode:

American Association of Naturopathic Physicians

Somatic Experiencing

Trauma and Violence

Veterans Administration National Center for PTSD

Remission from post-traumatic stress disorder in the general population

Remission from post-traumatic stress disorder in the general population

Recovery from DSM-IV post-traumatic stress disorder in the WHO World Mental Health surveys

Assessing Primary Care Contributions to Behavioral Health: A Cross-sectional Study Using Medical Expenditure Panel Survey

Clinician's Guide to Medications for PTSD

2023 U.S. Surgeon General - Our Epidemic of Loneliness and Isolation

‘Dunbar's number’ deconstructed

Why friendship and loneliness affect our health

Note: In this show, we use “women” as shorthand for people with XX chromosomes. We understand sex and gender are more complex, and acknowledge the experiences we describe reach beyond that word.

See omnystudio.com/listener for privacy information.

We’re tackling your questions about midlife hormone support. We’ll debunk common myths, unpack the research, and break down the basics of hormone support. We’ll also discuss some of the systemic benefits that may come with taking hormones, as well as important considerations for people with a history of health conditions, like cancer or stroke. Joining Dr. Elizabeth Poynor for this discussion is Atria Health Institute’s Chief Content Officer Siobhan O’Connor.

Links to resources mentioned in this episode:

(00:25:29) - Decoding Happiness in Midlife with Dr. Laurie Santos

(00:27:27) - Decoding Brain Fog with Dr. Caroline Gurvich

(00:48:00) - Decoding Partnership in Midlife with Dr. Richard Shapiro

Vaginal estrogen use in breast cancer survivors: a systematic review and meta-analysis of recurrence and mortality risks

Oral micronized progesterone for perimenopausal night sweats and hot flushes a Phase III Canada-wide randomized placebo-controlled 4 month trial

Systematic review and meta-analysis of the effects of menopause hormone therapy on risk of Alzheimer’s disease and dementia

Menopausal Hormone Therapy and Risk of Endometrial Cancer

Allopregnanolone and Reproductive Psychiatry: An Overview

Adverse Changes in Body Composition During the Menopausal Transition and Relation to Cardiovascular Risk: A Contemporary Review

The role of lifestyle medicine in menopausal health: a review of non-pharmacologic interventions

Skeletal muscle as an endocrine organ: PGC-1α, myokines and exercise

ADHD and Sex Hormones in Females: A Systematic Review

The range and variation in serum estradiol concentration in perimenopausal and postmenopausal women treated with transdermal estradiol in a real-world setting: a cross-sectional study

The use of HRT containing transdermal estradiol in women with a personal history of venous or arterial thromboembolism: A consecutive series of 115 cases

Recurrent Uncomplicated Urinary Tract Infections in Women: AUA/CUA/SUFU Guideline (2025)

Note: In this show, we use “women” as shorthand for people with XX chromosomes. We understand sex and gender are more complex, and acknowledge the experiences we describe reach beyond that word.

See omnystudio.com/listener for privacy information.