Thyroid Pharmacist Healing Conversations with Dr. Izabella Wentz

In this episode of Thyroid Pharmacist Healing Conversations, Dr. Izabella Wentz interviews Dr. Anna Cabeca – triple board-certified OB-GYN, functional medicine practitioner, and women’s hormone expert – for an open and honest conversation about the topics many women are too embarrassed to ask about. They discuss libido, vaginal health, painful intercourse, hormones, fertility, postpartum recovery, perimenopause, and menopause. Dr. Cabeca explains how hormonal changes affect everything from mood and intimacy to the vaginal microbiome and bladder health, while also sharing practical strategies women can explore to support healthy aging, hormone balance, and sexual wellness. This episode helps normalize conversations around women’s health, and reminds listeners that many symptoms commonly dismissed as “just aging” deserve attention and support. What You’ll Learn in This Episode: Why libido is about so much more than testosterone. Dr. Anna explains why desire is influenced by hormones, stress, emotional connection, inflammation, adrenal health, and even whether your bedroom feels calming or chaotic. She also shares why many women experience “secondary desire” – meaning they don’t initiate intimacy but enjoy it once they get started. The surprising connection between vaginal health, bladder health, and the microbiome. As estrogen and hormone levels decline with age, the vaginal microbiome changes too, increasing the risk for bacterial vaginosis, urinary symptoms, HPV, and painful intercourse. Dr. Anna explains why Lactobacillus species are essential for maintaining a healthy vaginal environment. Why painful intercourse should never be dismissed as “normal aging.” Loss of collagen, elasticity, hormones, and healthy bacteria can all contribute to discomfort during sex, but Dr. Anna emphasizes that pelvic pain always deserves a full workup, including pelvic exams and transvaginal ultrasounds when appropriate. How pregnancy and postpartum recovery can affect hormones in your 40s. Dr. Anna discusses why women in perimenopause may feel postpartum hormonal shifts more intensely, including the role of progesterone withdrawal, low omega-3 levels, and declining testosterone after pregnancy. The overlooked ways birth control pills can affect libido and attraction. Dr. Anna explains how hormonal birth control suppresses ovulation, testosterone surges, and natural fertility signaling – potentially impacting sex drive, mood, and even who women are attracted to. Why vaginal probiotics may support fertility, urinary health, and intimacy. Dr. Anna discusses how the vaginal microbiome can influence sperm survival, conception, urinary symptoms, and vaginal comfort – and why targeted probiotics may be an important tool in women’s health. Tune in to learn more about hormones, intimacy, vaginal health, and how women can support their bodies through every stage of life. Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: https://thyroidpharmacist.com/gift/ For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Thyroid Pharmacist Healing Conversations, Dr. Izabella Wentz interviews Abel James, the New York Times bestselling author of The Wild Diet, podcast host, musician, and longtime leader in the ancestral health movement. Together, they discuss how the wellness world has evolved over the past decade, why real food still matters, and how modern health culture can sometimes drift into unhealthy extremes. Abel also shares powerful lessons from coaching on a national weight loss television show, recovering from a serious car accident, and learning how to prioritize sustainability, nervous system healing, muscle preservation, and longevity over perfection. This episode offers a refreshing perspective on what true wellness really looks like – especially as we age. What you’ll learn in this episode: Why “real food” is still one of the most powerful healing tools we have. Abel explains why so many health trends come and go, but foundational principles like eating nutrient-dense whole foods continue to stand the test of time. He also shares why reclaiming your health starts with removing the foods and habits that disconnect you from your body. The dangerous problem with modern weight loss culture (especially muscle loss). Abel shares behind-the-scenes insights from coaching on ABC’s weight loss competition show, and how his client lost 87 pounds, improved mobility, and maintained the results without extreme restriction. Why wellness can quietly become unhealthy. Abel shares why many people turn health into an obsession, chasing perfection through restrictive diets, overtraining, or extreme fitness goals. He explains why true health should give you more freedom, creativity, and energy for life – not make your world smaller. How aging changes what your body needs (and why that’s not a bad thing). From marathon running to heavy lifting, Abel talks honestly about the habits that worked in our 20s but no longer support long-term health. He shares how his own recovery journey shifted his focus toward mobility, recovery, strength preservation, and sustainable movement practices. The surprising connection between neuroplasticity, stress recovery, and healing. After a severe car accident, Abel explored therapies like PRP prolotherapy, ketamine infusions, and medically supervised psilocybin-assisted healing to support nervous system recovery. He also explains why nervous system healing is becoming such an important part of longevity conversations. Why AI can never replace human intuition and wisdom. Abel shares why concerns about relying too heavily on AI-generated health advice, especially when it comes to complex medical information, can be dangerous. Critical thinking, mentorship, books, and learning from real human experience are key when it comes to longevity and overall wellness. Tune in to learn more about longevity, sustainable wellness, nervous system healing, and how to create a healthier life that actually feels good to live. Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: https://thyroidpharmacist.com/gift/ For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Thyroid Pharmacist Healing Conversations, Dr. Izabella Wentz interviews Dr. Jennifer Mercier, a naturopathic doctor, midwife, and fertility specialist, about the root causes of fertility challenges – especially in women with thyroid and autoimmune conditions. Together, they explore why many cases of infertility are labeled “unexplained” and how conventional approaches often overlook key factors like thyroid health, hormone balance, and pelvic floor function. Dr. Mercier shares her unique approach to restoring fertility through Mercier Therapy, lifestyle changes, and comprehensive testing, while Dr. Wentz reflects on her own journey of overcoming a diagnosis of premature ovarian insufficiency to conceive naturally. This episode offers hope, education, and practical insights for women seeking alternatives or complementary approaches to fertility treatment. What you’ll learn in this episode: Why “unexplained infertility” often isn’t unexplained at all. Dr. Mercier suggests that some 60% of fertility cases fall into this category, yet underlying issues like thyroid dysfunction, hormone imbalances, endometriosis, and structural problems may go undetected. Identifying root causes can improve fertility outcomes before jumping straight to IVF. Why a full thyroid panel matters for fertility. Testing only TSH can miss important thyroid imbalances. Dr. Mercier explains why markers like free T3, free T4, reverse T3, and thyroid antibodies can provide critical insight into conception challenges, miscarriage risk, pregnancy health, and postpartum recovery. How pelvic health and blood flow impact fertility. Dr. Mercier explains how scar tissue, restricted mobility, and poor circulation in the pelvic organs may interfere with hormonal signaling and ovarian function. Her targeted Mercier Therapy is designed to restore mobility, circulation, and communication within the reproductive system. How long-term hormonal birth control may impact fertility and cycle recovery. Dr. Mercier discusses how prolonged suppression of ovulation may contribute to delayed cycle recovery, weaker ovulation signals, and hormone imbalances in some women after discontinuing birth control. The surprising lifestyle factors that impact fertility (for both partners). From stress and environmental toxins to alcohol and THC use, everyday habits can significantly affect egg quality, sperm health, and overall reproductive success. Why preparing your body for pregnancy matters more than forcing it. Rather than rushing into aggressive interventions, Dr. Mercier emphasizes supporting the body – nutritionally, hormonally, and emotionally – to improve outcomes, whether you conceive naturally or pursue assisted options. Tune in to learn how to take a more holistic, root-cause approach to fertility and reproductive health. Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: https://thyroidpharmacist.com/gift/ For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Thyroid Pharmacist Healing Conversations, Dr. Izabella Wentz interviews Dr. Amie Hornaman – also known as “The Thyroid Fixer” – a hormone optimization specialist and founder of the Advanced Thyroid and Hormone Clinic. Dr. Amie shares her personal journey of being misdiagnosed by six doctors while experiencing weight gain, fatigue, and hair loss, and how that experience led her to become a leader in functional thyroid care. Together, they explore why so many thyroid patients continue to struggle despite “normal” lab results, and the importance of going beyond TSH to truly optimize thyroid health. From T4/T3 therapy to nutrient deficiencies and hormone imbalances, this episode provides a comprehensive look at what it really takes to feel well again. What you’ll learn in this episode: Why most thyroid patients don’t feel better on T4-only medications. Dr. Amie shares that only a small percentage of people truly thrive on T4 alone, and explains why adding T3 or using alternative therapies can be a game changer for energy, weight, and hair health. How “thyropause” impacts women over 40. Hormonal fluctuations during perimenopause can trigger or worsen thyroid dysfunction, creating a cascade of symptoms that are often dismissed as “just aging.” The foundational nutrients your thyroid needs to function. Dr. Amie discusses how key nutrient deficiencies (vitamin D, magnesium, B vitamins, and L-tyrosine) can prevent proper thyroid hormone production and conversion. Why you must address the whole body to heal the thyroid. Dr. Amie explains why focusing on thyroid labs alone isn’t enough – and how hormones, gut health, stress, and metabolism must all be supported together for lasting results. The truth about iodine (and how to use it safely). Iodine can be beneficial when used correctly, but high doses or improper use can backfire. One simple dietary shift that can reduce autoimmune attacks. A gluten-free diet may help lower thyroid antibodies and inflammation by reducing immune system confusion and reactivity in people with Hashimoto’s. Tune in to learn more about optimizing your thyroid health and finally feeling like yourself again. Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: ⁠https://thyroidpharmacist.com/gift/⁠ For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: ⁠https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Thyroid Pharmacist Healing Conversations, Dr. Izabella Wentz interviews nurse practitioner, author, and menopause expert Cynthia Thurlow about what happens to the gut during perimenopause and menopause – and why so many women suddenly experience bloating, constipation, food sensitivities, brain fog, anxiety, and weight-loss resistance in midlife. Cynthia breaks down the hormone-gut-stress connection, explaining how shifts in progesterone and estrogen can influence digestion, immune regulation, and the gut-brain axis. Together, they explore why chronic stress, and unresolved trauma can amplify symptoms, and why the most effective strategies often start with the basics: sleep, hydration, protein, movement, and nervous system support. What you’ll learn in this episode: Why progesterone loss can hit your sleep, mood, and gut motility first. Cynthia explains how early perimenopause often begins with declining progesterone – which can reduce GABA (a calming neurotransmitter) and contribute to anxiety, sleep disruptions, and slower digestive movement. How estrogen shifts can drive bloating, brain fog, joint pain, and immune changes. Estradiol can fluctuate dramatically in perimenopause, and because estrogen is an immune-modulating hormone, shifting levels may influence inflammation, autoimmunity risk, and even leaky gut. The stress → gut → brain loop that keeps women stuck in symptoms. Chronic stress can impair digestion at the most basic level (your body won’t “rest and digest”), disrupt the vagus nerve, and increase inflammatory signals that impact the brain – which can worsen anxiety, depression, and brain fog. Why estrogen “recycling” can make perimenopause symptoms feel amplified. We discuss the estrobiome (gut-driven estrogen processing), beta-glucuronidase, and why constipation, poor detox pathways, and gut dysbiosis can lead to estrogen recirculation – contributing to weight-loss resistance, bloating, and mood changes. The overlooked connection between trauma, stress, and menopause timing. Cynthia shares research on adverse childhood experiences (ACEs) and how chronic stress may influence immune health, metabolic function, and the pace of ovarian aging. The foundational strategies that support gut and hormone health. Before complex protocols, simple interventions – breathwork before meals, sleep prioritization, hydration, walking after eating, and gradually increasing protein and fiber – can significantly improve symptoms. Tune in to learn how to support your gut (and your whole-body health) through the perimenopause-to-menopause transition. Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: https://thyroidpharmacist.com/gift/ For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Thyroid Pharmacist Healing Conversations, Dr. Izabella Wentz interviews Dr. Susan Peirce Thompson, a neuroscientist and bestselling author, about the connection between food addiction and weight issues. They explore why some people struggle to moderate certain foods, how processed foods impact the brain, and what it really takes to achieve sustainable weight loss. Dr. Thompson shares her personal journey from addiction to recovery, along with the science behind dopamine, cravings, and appetite regulation. She also explains how her Bright Line Eating approach compares to GLP-1 medications, and why addressing food addiction may be the missing piece for those with thyroid and autoimmunity who are struggling to maintain a healthy weight. What you’ll learn in this episode: Why food addiction is real and can be harder to break than drugs. Dr. Thompson explains how addiction can transfer from substances to food (and many other things such as work and shopping). She also shares why highly processed foods hijack the same brain pathways, making it incredibly difficult to stop once you start. The role of dopamine in cravings, “food noise,” and loss of control. Highly processed foods, especially sugar and flour, create powerful dopamine spikes that rewire the brain, driving persistent cravings and making normal eating feel unsatisfying. How to tell if it’s food addiction, not just lack of discipline. From constant thoughts about food to feeling powerless once you start eating, Dr. Thompson outlines the key signs that your brain chemistry, not willpower, may be driving your behavior. Why “moderation” doesn’t work for everyone and what to do instead. For some people, having clear, non-negotiable boundaries (“bright lines”) around certain foods can actually create more freedom, reduce cravings, and simplify decisions. How the “Bright Line Eating” method compares to GLP-1 medications. Both approaches target hunger, cravings, and appetite regulation, but the “Bright Line Eating” approach works naturally by improving satiety hormones, reducing dopamine overstimulation, and building sustainable habits. Three identity shifts needed to maintain weight loss long-term. Lasting results aren’t just about food – they require becoming devoted to your plan, building emotional resilience, and allowing yourself to fully move on from the struggle with food and weight. Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: ⁠https://thyroidpharmacist.com/gift/⁠ For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: ⁠https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of the Thyroid Pharmacist Healing Conversations podcast, Dr. Izabella Wentz interviews pharmacist and menopause expert Dr. Anna Garrett to unpack the biggest myths – and most misunderstood truths – about menopausal hormone therapy. Together, they explore what hormone therapy looks like today, why many women were unnecessarily frightened after the Women’s Health Initiative (WHI) study, and how modern options (like transdermal estradiol and micronized progesterone) are changing the conversation. They also discuss why progesterone can be a game-changer for sleep and mood in early perimenopause, why estrogen becomes more important later on, how testosterone supports strength and vitality, and why testing and metabolism pathways (including gut and histamine factors) can influence results. What you’ll learn in this episode: Why the “hormones cause cancer” narrative won’t die despite a flawed WHI study. Dr. Garrett explains how the Women’s Health Initiative used older products (like conjugated equine estrogens and synthetic progestins), and why today’s bioidentical options have a very different risk/benefit profile. She also shares the resource that helped her advocate for herself – even with a strong family history of breast cancer. Progesterone supplementation can be a smart starting point, even for mid-30s hormone chaos. If you’ve suddenly developed insomnia, anxiety, mood swings, or “crime scene periods,” it may be a sign you’re ovulating less frequently (and losing that calming progesterone effect). Dr. Garrett talks about why progesterone alone can be a smart starting point for many women. When progesterone stops working for sleep, this may point to a drop in estrogen. Dr. Garrett shares how low estrogen can become a bigger driver of sleep disruption in late perimenopause/menopause, and why combining estrogen and progesterone can be the “lights back on” moment for some women. Testosterone isn’t a “male hormone” – and dismissing it can cost women strength and vitality. Dr. Garrett shares why testosterone matters for muscle maintenance, bone health, drive, and overall wellbeing… plus why pellets can be risky if you haven’t dialed in your dose. The DUTCH test and hormone pathways: why metabolism matters as much as dosing. Even bioidentical hormones can create unwanted effects. Dr. Garrett walks through tools and nutrients used to support healthier estrogen/testosterone metabolism – and why these tests are best interpreted with a trained practitioner. How to decide if hormone therapy is right for you (without needing a medical degree). They talk candidly about “shared decision-making,” quality of life, clotting risk considerations, transdermal estradiol vs oral estrogen, micronized progesterone, and experimenting with HRT to see if it’s right for you. Tune in to learn more about navigating perimenopause and menopause with clarity, confidence, and thyroid-smart support. Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: https://thyroidpharmacist.com/gift/ For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Thyroid Pharmacist Healing Conversations, Dr. Izabella Wentz interviews integrative psychiatrist Dr. Will Van Derveer about the often-misunderstood field psychedelic-assisted therapy, and how it may be an effective tool for trauma healing and even deeper root cause work. Emphasizing the importance of safety, screening, and in-person clinical support, Dr. Van Derveer discusses the myths and misconceptions about these therapies, how they are very different from recreational drug use, and why they may offer new hope for people dealing with treatment-resistant PTSD depression, and more. Together, they explore how trauma can shape immune function, inflammation, and even autoimmune conditions. They also discuss EMDR, somatic work, spiritual disconnection, mental health stigma, and the nuanced differences between MDMA, psilocybin, and ketamine in therapeutic settings. While this field is rapidly evolving, he emphasizes that these therapies are not a DIY solution and can be unpredictable or even destabilizing without proper clinical guidance. What you’ll learn in this episode: Why psychedelic-assisted therapy is not the same as recreational drug use. Dr. Van Derveer explains that these therapies are used in highly specific clinical settings, with careful screening, preparation, dosing, and follow-up. He also shares why trying to replicate these experiences on your own can be risky, unpredictable, and potentially dangerous, highlighting the critical role of trained practitioners in creating a therapeutic (not recreational) environment. How unresolved trauma may become an overlooked root cause in chronic illness. Trauma can affect inflammation, immune function, the HPA-axis, and even autoimmune conditions like Hashimoto’s. This is especially relevant for people with thyroid issues, who may have focused only on the physical side of healing while missing an important emotional piece. Why talk therapy alone may not always be enough. Some people can clearly identify their patterns, understand their trauma intellectually, and still feel stuck. Dr. Van Derveer shares why layered or preverbal trauma may require different approaches, including EMDR, somatic therapies, or psychedelic-assisted therapy, to help people access healing beyond words. The key differences between MDMA, psilocybin, and ketamine in therapeutic settings. Each therapy has a distinct mechanism, duration, and use case. Dr. Van Derveer breaks down how MDMA is being studied for PTSD, psilocybin for depression, and ketamine for rapid symptom relief, and why clinical MDMA and psilocybin therapy may offer longer-lasting benefits. Why safety, preparation, and the right practitioner are everything. Dr. Van Derveer explains how improper dosing, lack of preparation, or the wrong environment can overwhelm the nervous system – while skilled guidance can support meaningful and lasting healing. How trauma healing may improve thyroid antibodies and autoimmune flares. While psychedelic-assisted therapy is not a magic bullet, Dr. Van Derveer has observed improvements not only in mental health symptoms, but also in markers like thyroid antibodies and autoimmune flare frequency, reinforcing the deep connection between emotional and immune health. Tune in to learn more about trauma, safety, and the evolving role of psychedelic-assisted therapy in root-cause healing. Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: ⁠https://thyroidpharmacist.com/gift/⁠ For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: ⁠https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Thyroid Pharmacist Healing Conversations, Dr. Izabella Wentz explores a surprising perspective on food sensitivities – and why eliminating foods may not actually solve the root problem. While elimination diets can provide short-term relief for symptoms like bloating, migraines, IBS, and fatigue, Dr. Wentz explains that reacting to multiple foods is often a sign of deeper issues such as gut infections, digestive enzyme deficiencies, microbial imbalances, and intestinal permeability. She shares insights from her own healing journey and outlines the hidden root causes that can drive food sensitivities. Dr. Wentz also walks through common categories of food reactions – including histamine intolerance, sulfur sensitivity, oxalate issues, and FODMAP reactions – and explains how addressing the underlying gut imbalances can often restore tolerance to many foods. What you’ll learn in this episode: Why food sensitivities are often a symptom – not the root cause – of chronic illness. While elimination diets can temporarily reduce symptoms, reacting to dozens of foods is usually a sign of deeper issues like intestinal permeability, gut infections, or immune dysregulation rather than the foods themselves. How gut infections like Blastocystis hominis can drive food reactions and IBS symptoms. This common protozoal infection may be present in up to 73 percent of people with IBS (according to various studies) and can trigger sensitivities to foods like sugar, wheat, dairy, and fruit until the infection is properly treated. The hidden digestive deficiencies that can make healthy foods feel intolerable. Issues like low pancreatic enzymes, bile acid deficiencies, or poor fat digestion can lead to symptoms after eating fatty foods and may indicate the need for digestive support rather than eliminating those foods entirely. Why reactions to sulfur foods, histamine foods, or FODMAPs often signal metabolic or gut imbalances. Sensitivities to foods like garlic, onions, fermented foods, or cruciferous vegetables may indicate nutrient deficiencies or microbial overgrowth rather than true intolerance. How oxalate and salicylate sensitivities can develop – and what actually resolves them. These reactions are frequently linked to issues like mold exposure, Candida overgrowth, or nutrient deficiencies, rather than the foods themselves. The supplements and gut-support strategies that can help restore food tolerance. Supporting digestive enzymes, microbial balance, intestinal lining repair, and nutrient status can help many people gradually reintroduce foods they once reacted to. Tune in to learn how addressing the root causes of gut dysfunction may help you expand your diet and restore your health. Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: https://thyroidpharmacist.com/gift/ For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Thyroid Pharmacist Healing Conversations, Dr. Izabella Wentz interviews Dr. Christy Sutton about iron overload (hemochromatosis) – an underdiagnosed condition that can contribute to fatigue, pain, mood changes, elevated liver enzymes, blood sugar dysregulation, gut issues, hormone imbalances, and even thyroid dysfunction. Dr. Sutton explains why many people don’t get properly evaluated, how to interpret key iron markers like transferrin/iron saturation alongside ferritin, and the “carrier myth” that can prevent people from getting monitored and treated. She also shares practical strategies that may support healthier iron levels, from therapeutic phlebotomy to diet and targeted nutrients. Iron overload is incredibly problematic, but so is iron deficiency (low ferritin), which is very common in people with Hashimoto’s. While this episode focuses on excess iron, it’s important to understand that both extremes can contribute to fatigue, hair loss, brain fog, mood changes, and poor thyroid hormone conversion. What you’ll learn in this episode: Why “high ferritin” shouldn’t automatically be brushed off as “just inflammation.” Ferritin can rise with inflammation, but when it is paired with high iron saturation, it may signal true iron overload. Dr. Sutton explains how reviewing a full iron panel, especially transferrin and iron saturation, helps distinguish between inflammation-driven ferritin and excess iron so patients know whether to calm inflammation, remove iron, or both. The symptom “grab bag” that can point to iron overload. Dr. Sutton walks through how excess iron can affect the liver (fatigue, elevated enzymes), pancreas (insulin resistance/diabetes), brain (brain fog, mood changes), joints (pain), hormones (fertility issues), and gut (IBD/IBS and infections that thrive on iron). The simple labs that can catch this early (and why many people still don’t get them). A basic iron panel that includes TIBC or UIBC, serum iron, and iron saturation, along with ferritin and a CBC, is often enough to identify a problem. These tests are inexpensive and accessible, yet frequently overlooked. Dr. Sutton explains why iron saturation above 45 percent with elevated ferritin is an important warning sign. Why women may “fly under the radar” until perimenopause/menopause. Menstruation and pregnancy naturally lower iron stores, which can mask iron overload. Once bleeding stops, iron levels can quietly rise, especially in women with genetic risk. Ongoing monitoring is important (for both women and men). The “carrier myth” can delay diagnosis. Being told someone is “just a carrier” of a hemochromatosis gene does not mean they are protected. Even one gene can increase risk, and iron overload can develop without classic genetics. Dr. Sutton explains how this misunderstanding can delay diagnosis and treatment. How to support iron overload beyond blood donation. Therapeutic phlebotomy is only one of many strategies for lowering excess iron. Dr. Sutton discusses dietary adjustments, nutrients that reduce iron absorption such as quercetin and berberine, and iron chelators such as curcumin and alpha-lipoic acid that may help remove iron from tissues and reduce oxidative stress. Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: https://thyroidpharmacist.com/gift/ For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of the Thyroid Pharmacist Healing Conversations podcast, Dr. Izabella Wentz interviews trauma therapist Dr. Nadine Macaluso (“Dr. Nae”), the real-life inspiration behind Naomi Belfort's character in the movie The Wolf of Wall Street. Her personal story led her to dedicate her work to helping people break free from trauma bonds and reclaim their health and identity. Together, they explore how relational trauma can impact the stress response and inflammation, why empathetic “healer” personalities may be more vulnerable to predatory partners, and what it takes to leave safely and rebuild after a toxic, controlling relationship. What you’ll learn in this episode: What a trauma bond actually is (and what it isn’t). A trauma bond isn’t “bonding over shared trauma” – it’s a toxic, emotionally attached relationship where one partner seeks power and control and the other loses autonomy. Dr. Nae explains how these bonds can exist between romantic partners, friends, bosses, and even within families. Why “empaths and healers” are often targeted – and why it’s not your fault. Many women in trauma bonds score high in agreeableness and conscientiousness: empathy, loyalty, strong morals, and the willingness to work things through. In an unhealthy dynamic, those strengths get weaponized – and the victim often gets blamed (including by herself). The “Romeo mask” vs. “Dirty John” behavior pattern. Dr. Nae breaks down intermittent reinforcement: the cycle where a partner is cruel and controlling much of the time, then returns to being charming and loving just enough to reignite hope. That “hope hook” keeps people stuck far longer than they ever expected. Red flags that aren’t romantic, but controlling. Jealousy framed as “love,” constant tracking/texting, broken promises, boundary-pushing, and “all my exes are crazy” stories can be early warning signs. If it feels too good to be true, Dr. Nae shares why it often is. How to leave safely (without tipping your hand). Leaving can be the most dangerous time. Dr. Nae explains why planning matters, emphasizing the need for securing documents, money, credit, legal support, and trauma-informed care behind the scenes while acting normal – then making a safe exit. What healing looks like after you leave. Getting out is a relief, but it can also bring grief, C-PTSD symptoms, anxiety, depression, and physical inflammation from prolonged stress. Dr. Nae shares why real recovery includes turning the mirror back toward yourself, with nervous system regulation, attachment healing, and identity rebuilding. Tune in to learn more about trauma bonds, relational safety, and the healing path back to yourself. Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: https://thyroidpharmacist.com/gift/ For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Thyroid Pharmacist Healing Conversations, Dr. Izabella Wentz interviews functional medicine health coach and Hypothyroid Chef founder Ginny Mahar about creating sustainable daily rituals for thyroid health. Drawing from her personal Hashimoto’s journey and professional culinary background, Ginny shares how food, lifestyle, and mindset work together to support healing – without overwhelming patients or requiring perfection.' Together, they explore the thyroid trifecta of care, the Eight Daily Rituals of Thyroid-Healthy Living, and how nutrition, gut health, sleep, stress management, and movement all influence thyroid hormone function. Ginny also debunks common myths around goitrogenic foods and explains how thyroid-friendly eating can be personalized, nourishing, and enjoyable. What you’ll learn in this episode: Why medication alone rarely resolves thyroid symptoms. Ginny explains the “thyroid trifecta” – medical care, nutrition, and lifestyle – and why relying on TSH and levothyroxine alone often leaves patients stuck with fatigue, brain fog, and inflammation. The eight daily rituals that support sustainable thyroid healing. From sleep and stress management to movement, detox support, and nourishment, Ginny walks through her “Eight R’s” framework and explains how small daily habits compound into real, lasting change. How to approach thyroid-friendly eating without overwhelm. Ginny shares how anti-inflammatory, nutrient-dense eating can be made easy, why personalization matters more than perfection, and how elimination and reintroduction diets can be used as tools (not life sentences). Why gut health plays such a central role in thyroid function. Because thyroid conditions increase the risk of gut issues, impaired nutrient absorption, and medication malabsorption, daily gut support is a cornerstone of healing. The truth about goitrogenic foods and common thyroid myths. Ginny breaks down why cruciferous vegetables are often misunderstood, when they might be problematic, and how cooking, quantity, and iodine status change the conversation entirely. How food can be both medicine and joy. Healing doesn’t require bland meals or culinary misery. Ginny shares how flavor, pleasure, and connection in the kitchen actually support consistency and long-term success. Tune in to learn how small, daily choices can lead to lasting thyroid healing. Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: https://thyroidpharmacist.com/gift/ For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Thyroid Pharmacist Healing Conversations, Dr. Izabella Wentz interviews functional medicine physician Dr. Vincent Pedre about the hidden root causes of IBS, gut inflammation, and chronic digestive symptoms that often precede autoimmune disease. Together, they explore how stress physiology, nervous system dysregulation, environmental toxins, mold exposure, microplastics, and mitochondrial dysfunction can damage the gut – even in people who are already gluten-free and eating “clean.” Dr. Pedre also debunks common myths about coffee and gut health, sharing how high-quality, clean coffee can be enjoyed without triggering reflux or inflammation. What you’ll learn in this episode: Why IBS is often the first warning sign of deeper immune dysfunction. Dr. Pedre explains how years of gut inflammation can dysregulate the immune system, increase intestinal permeability, and eventually contribute to autoimmune conditions like Hashimoto’s – long before labs reveal antibodies. How stress and nervous system dysregulation quietly sabotage digestion – even when you feel “fine.” Chronic stress suppresses vagal tone, lowers stomach acid and enzyme production, and slows gut motility. Your body always tells the truth. The hidden gut disruptors most people never test for. Mold exposure, parasites, yeast overgrowth, microplastics, and environmental toxins can damage the gut lining and microbiome, even without classic digestive symptoms. Why elimination diets don’t always lead to true healing. Removing foods can reduce symptoms, but true healing often requires repairing the gut barrier, addressing toxin load, supporting mitochondria, and calming the nervous system. The truth about coffee, gut health, and thyroid symptoms. Coffee itself isn’t the enemy – poor-quality beans, mold contamination, pesticides, over-roasting, and plastic exposure are. Dr. Pedre shares information on coffee that is cleaner and gentler on the gut. How targeted therapies can dramatically speed gut healing. Dr. Pedre shares how phospholipids, peptides, sauna therapy, and mitochondrial testing are helping patients tolerate foods again – often in months instead of years. Tune in to learn how to heal your gut at the root – and reclaim your health. Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: ⁠https://thyroidpharmacist.com/gift/⁠ For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: ⁠https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices