When the Science Speaks: What the FDA’s Decision Really Means for Your Midlife Health
Welcome back to the Stay Juicy Podcast. I’m Dr. Arianna, and today we’re unpacking something big — something that is long overdue in women’s health: the FDA’s removal of the black box warning on estrogen therapy.For 23 years, women have lived under a cloud of unnecessary fear. A fear that changed how we treated menopause, how we educated providers, and how millions of women suffered in silence.Today, we’re breaking down what the new evidence shows, why estrogen was never the villain, and how this moment marks a powerful correction in women’s health. If you’ve ever wondered whether estrogen is safe, whether you should be afraid of hormone therapy, or whether you’ve been misled — this conversation is for you.Let’s get into the truth, the science, and the reclamation of estrogen.Timestamped Overview00:00–02:15Why estrogen has been misunderstood for over two decades02:15–04:45How the black box warning originally happened and why it was flawed04:45–07:30The harm the warning caused — millions untreated, suffering, dismissed07:30–12:00New data: what we now know about estrogen’s true safety profile12:00–15:20The real risks (and why they were exaggerated)15:20–22:00What breast cancer data actually shows22:00–27:00Brain health, heart health, metabolic health: estrogen’s wide-ranging benefits27:00–31:15Why this moment matters for midlife women31:15–34:00Reclaiming your choices: how to make confident decisions about hormone therapy34:00–36:00Final message: your body deserves truth, not fearIf you love the podcast, I'd be so grateful if you left me a review! Your feedback helps me educate and empower other women like you.Watch this full episode on YouTube!Where to find Dr. AriannaBook a menopause consultation at Tula WellnessBUY MY BOOK "The Menopause Myth; What Your Mother, Doctor, and Friends Haven't Shared About Life After 35FOLLOW DR. ARIANNA ON SOCIALS!Instagram, Facebook, TikTok, LinkedInWhat's Your Menopause IQ ? — Take a quick self-assessment to gauge your menopause knowledge and symptoms.Dowload a Free Chapter of My Book: The Menopause Myth — Learn the truth about hormones, symptoms, and thriving after 35.
--------
26:38
--------
26:38
Inside the Menopause Society Conference: Conversations That Are Changing How I See Midlife
Welcome back family!This episode is a little different — it’s not about data or symptoms or even solutions. It’s about reflection. I just returned from the Menopause Society Conference, and I have to tell you — it changed me.There were conversations that went beyond the science — about trauma, burnout, and the invisible weight women carry through midlife. About what it means to practice medicine in a system that doesn’t always see the whole woman. And about what happens when we finally start connecting the dots between hormones, health, and healing.So today, I’m taking you behind the scenes — into the rooms, the talks, and the quiet moments that reminded me why I do this work. This is what I took home from the Menopause Society Conference.Timestamped Topic Overview00:00 – 02:30 | Introduction: Returning from the Menopause Society Conference02:31 – 06:00 | The emotional undercurrent of menopause medicine — why it’s more than hormones06:01 – 10:15 | Conversations that shifted everything: trauma-informed care and compassion fatigue in clinicians10:16 – 14:00 | When science meets the soul — connecting data with humanity14:01 – 18:45 | Why menopause is not a diagnosis but a transition of identity18:46 – 22:00 | Reflections on burnout, balance, and rediscovering purpose22:01 – 26:30 | The sisterhood of medicine — community, empathy, and shared healing26:31 – 30:00 | What this means for women everywhere — redefining midlife wellnessIf you love the podcast, I'd be so grateful if you left me a review! Your feedback helps me educate and empower other women like you.Watch this full episode on YouTube!Where to find Dr. AriannaBook a menopause consultation at Tula WellnessBUY MY BOOK "The Menopause Myth; What Your Mother, Doctor, and Friends Haven't Shared About Life After 35FOLLOW DR. ARIANNA ON SOCIALS!Instagram, Facebook, TikTok, LinkedInWhat's Your Menopause IQ ? — Take a quick self-assessment to gauge your menopause knowledge and symptoms.Dowload a Free Chapter of My Book: The Menopause Myth — Learn the truth about hormones, symptoms, and thriving after 35.
--------
35:13
--------
35:13
Saving The World, One Vagina At A Time
Welcome back to the Stay Juicy Podcast! Today, we’re going there. We’re talking about pleasure, vaginal rejuvenation, and why this isn’t vanity — it’s vitality.From estrogen and collagen to radiofrequency and red light, I’m breaking down how we can restore function, confidence, and connection.Because this isn’t just about sex. It’s about women reclaiming their power, their joy, and their permission to feel alive again.TIMESTAMPED OVERVIEW00:00 — Episode intro: Menopause, pleasure, and reclaiming confidence03:00 — Dr. Arianna’s inspiration and recent patient stories07:30 — What vaginal rejuvenation really means (not cosmetic — it’s restorative)11:00 — Estrogen’s role in vaginal health and pleasure14:00 — The science behind Emfemme 360 and radiofrequency therapy17:00 — PRP and the O-Shot: stimulating collagen and blood flow22:00 — Shockwave therapy and the TulaWave experience26:00 — Why pleasure is sacred and powerful31:00 — Patient transformations and confidence stories38:00 — Home tools like the Joylux V-Fit42:00 — The link between pleasure, power, and spiritual healing47:00 — Closing reflections: permission to feel, connect, and stay juicyIf you love the podcast, I'd be so grateful if you left me a review! Your feedback helps me educate and empower other women like you.Watch this full episode on YouTube!Learn more about the JoyLux vFit Gold Where to find Dr. AriannaBook a menopause consultation at Tula WellnessBUY MY BOOK "The Menopause Myth; What Your Mother, Doctor, and Friends Haven't Shared About Life After 35FOLLOW DR. ARIANNA ON SOCIALS!Instagram, Facebook, TikTok, LinkedInWhat's Your Menopause IQ ? — Take a quick self-assessment to gauge your menopause knowledge and symptoms.Dowload a Free Chapter of My Book: The Menopause Myth — Learn the truth about hormones, symptoms, and thriving after 35.
--------
50:26
--------
50:26
GLP-1s + Estrogen: A New Era in Menopause Metabolism
Hey family! October is Menopause Awareness Month — but let’s be real, around here every month is menopause awareness month.In this episode, we’re talking about one of the biggest conversations in midlife medicine right now: GLP-1s, GIPs, and how estrogen plays a massive role in metabolism and weight. If you’ve been doing all the right things and that “meno belly” still won’t budge, this episode is for you. We’re breaking down the science, the hype, and the truth about what’s happening in your body — and how you can support it with grace, knowledge, and power.If you love the podcast, I'd be so grateful if you left me a review! Your feedback helps me educate and empower other women like you.Watch this full episode on YouTube!Where to find Dr. AriannaBook a menopause consultation at Tula WellnessBUY MY BOOK "The Menopause Myth; What Your Mother, Doctor, and Friends Haven't Shared About Life After 35FOLLOW DR. ARIANNA ON SOCIALS!Instagram, Facebook, TikTok, LinkedInWhat's Your Menopause IQ ? — Take a quick self-assessment to gauge your menopause knowledge and symptoms.Dowload a Free Chapter of My Book: The Menopause Myth — Learn the truth about hormones, symptoms, and thriving after 35.Timestamped Overview00:00–01:30 — Menopause Awareness Month and the reality of midlife weight changes01:30–04:30 — Why estrogen plays a key role in fat metabolism04:30–09:00 — Understanding GLP-1s and GIPs: what they are and how they work09:00–12:00 — The Endocrine Society data on combining GLP-1 therapy with estrogen12:00–16:00 — The rise of new medications: retatrutide, trulicity, rebelsus, and others16:00–20:00 — How estrogen regulates metabolism and insulin sensitivity20:00–27:00 — What happens when you stop taking GLP-1s and how to taper wisely27:00–31:00 — Why yo-yo dieting can be more dangerous in midlife31:00–35:00 — Long-term strategies for maintaining muscle and metabolic health35:00–39:00 — The importance of individualized care and Tula’s holistic approach39:00–41:00 — Closing reflections: You’re not losing yourself — you’re finding your strongest self
--------
28:42
--------
28:42
The Evolution of Tula Wellness: Building a Sanctuary for Women's Health
Welcome back family! Today I’m sharing the story behind Tula Wellness — not as a polished “how I built this,” but as an honest journey of leaving corporate medicine, listening to women’s needs, and creating a space where healing and beauty meet. Tula has evolved because I’ve evolved, and because my patients keep showing me what they need most. This episode is both my story and an invitation for you to step into your own evolution.If you love the podcast, I would be so grateful if you left me a review! Your feedback helps me educate and empower other women like you.Where to find Dr. AriannaBook a menopause consultation at Tula WellnessBUY MY BOOK "The Menopause Myth; What Your Mother, Doctor, and Friends Haven't Shared About Life After 35FOLLOW DR. ARIANNA ON SOCIALS!Instagram, Facebook, TikTok, LinkedInWhat's Your Menopause IQ ? — Take a quick self-assessment to gauge your menopause knowledge and symptoms.Dowload a Free Chapter of My Book: The Menopause Myth — Learn the truth about hormones, symptoms, and thriving after 35. Timestamped Overview00:00 – Why I recorded this episode: the story of Tula Wellness02:05 – Leaving corporate medicine without a clear plan05:00 – From Coolsculpting to Botox: how services grew by request08:30 – Staying true to mission despite financial challenges11:00 – The meaning of “Tula” and its evolution15:00 – Growing as a businesswoman and spiritual seeker20:00 – How patient interactions feed my own journey25:00 – The culture and energy of Tula Wellness30:00 – Integrative and functional medicine roots34:00 – Why I created my own supplement line40:00 – Reflections on love, expression, and legacy
Dr. Arianna Sholes-Douglas, MD, FACOG is a double boarded Obstetrician/gynecologist and maternal fetal medicine specialist and author of the best-selling book, The Menopause Myth: What your mother, doctor, and friends haven't shared about life after 35. As a women’s health and menopause expert, she is debunking menopause myths and empowering women to “STAY JUICY” on their midlife journey. Nothing is off the table as she and her guests explore this magical and sometimes mystical midlife journey. Join Dr. Arianna as she explores JUICY lives, JUICY experiences, and yes, even JUICY vaginas.
Ireland