You Are Not Broken

• 329. GLP-1s with Dr. Salas-Whalen

  This week on the You Are Not Broken podcast, I'm joined by the incredible Dr. Rocio Salas-Whalen, an expert in obesity medicine who breaks down the real science behind GLP-1 medications like Ozempic and Wegovy. Spoiler: they’ve actually been around since 2005 for diabetes, and only now are we waking up to their potential in treating obesity as the complex disease it is—not a failure of willpower. We talk about how COVID changed the national conversation on obesity, shifting it from “personal choice” to a serious health risk that deserves real medical treatment. We get into how GLP-1s work, why maintaining muscle is critical during weight loss, and the often-ignored psychological shifts that happen when your body changes rapidly. Dr. Salas-Waelin also clears up the noise: Are GLP-1s safe? Are they just for the ultra-rich? Will they be lifelong meds or stepping stones? And what’s next in hormone-based obesity treatment? This is a must-listen if you’re using—or considering—GLP-1s, working in healthcare, or just want to understand what’s really going on behind the headlines. In this episode, we cover: Why GLP-1s aren’t actually new—and why that matters How COVID helped the world reframe obesity as a disease The importance of muscle preservation during weight loss How to make sure your protein intake supports your body What happens to your brain when your body changes fast Myths and misconceptions about the safety and use of GLP-1s The future of GLP-1s: personalized care, better formulations, and smarter dosing Why body composition (not just weight) should be part of the conversation This episode is about science, empowerment, and getting real with the tools we have to help people feel better in their bodies—inside and out. 🎧 Tune in and share with someone who's navigating weight, health, or hormones. https://www.nyendocrinology.com/ https://www.instagram.com/drsalaswhalen Pre Order Dr. Salas-Whalen's book "Weightless" Want more honest, empowering conversations like this one?⁠⁠Preorder my Next Book⁠⁠ share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing. Listen to my Tedx Talk: ⁠⁠⁠⁠⁠⁠⁠⁠Why we need adult sex ed⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠ Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠ Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com Learn more about your ad choices. Visit podcastchoices.com/adchoices

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• 328. Should I take hormones?

  Episode 328: Should I take hormones? In this episode, I dive deep into the evolving conversation around hormone therapy—where we’ve been, where we are, and where we need to go. If you’ve been confused, scared, or unsure about hormones, this one’s for you. I break down the myths, share the science, and explain why education—not fear—should drive our health decisions. I talk about the crucial difference between vaginal and systemic hormones, the benefits of both, and why so many women are missing out simply because they’ve never been properly informed. I also touch on the role of GLP-1 medications, not just for weight, but as part of a broader discussion around midlife health. We also get into the realities of perimenopause—what’s normal, what’s not, and how to stop dismissing symptoms as “just aging.” I explain why hormone therapy isn’t just about hot flashes—it’s a longevity and quality-of-life tool. The truth? Living decades post-menopause without hormones can come with real risks. But with the right education, you get to choose what’s right for you. Reminder: knowledge is power—and the foundation of empowered healthcare. Takeaways: The narrative around hormone therapy is changing—from fear-based to informed and empowering. Education is the single most important tool in making good decisions about your health. Vaginal estrogen and DHEA are safe and effective for many postmenopausal women. Perimenopause isn’t just “normal aging”—hormonal shifts can cause real symptoms worth treating. GLP-1 medications are part of a bigger picture of metabolic and hormonal health. It’s never too late: women post-menopause can still benefit from hormone therapy. Hormones play a critical role in preventive health, including protecting your bones and brain. We need to stop misunderstanding breast cancer risk in the context of hormone therapy. Choosing to live without hormones comes with its own set of risks—know them before deciding. Want more honest, empowering conversations like this one?⁠⁠⁠ Preorder my Next Book⁠⁠⁠ , share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing. Listen to my Tedx Talk: ⁠⁠⁠⁠⁠⁠⁠⁠⁠Why we need adult sex ed⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠ Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠ Explore and expand pleasure with resources, advice, and the most exciting pleasure products with Good Vibes, and save 10% with coupon code NOTBROKEN10 at ⁠goodvibes.com/menopause⁠ Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com Learn more about your ad choices. Visit podcastchoices.com/adchoices

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• 327. Bladder Matters, Leakage and What To Do

  Episode 327: Bladder Leakage Is Common, But That Doesn’t Mean It’s Normal — with Dr. Alex Rogers I’m joined this week by my brilliant colleague and fellow urologist, Dr. Alex Rogers, for a candid, informative conversation about something way too many people silently struggle with: bladder leakage. We’re two urologists talking all things pee — from stress incontinence to overactive bladder, and everything in between. Whether you’re dealing with a sudden urge to run to the bathroom, leaking when you laugh or sneeze, or you’re just confused about what’s going on down there, this episode is for you. We break down the two most common types of bladder leakage — overactive bladder and stress urinary incontinence — and explain why they require totally different treatment approaches. We also talk about the huge impact of hormones on bladder health, especially in menopause (yes, estrogen matters here too!). Dr. Rogers and I dive into: Why bladder leakage is so common — and why we shouldn’t normalize it The real science behind overactive bladder Why Botox is an underutilized but super effective treatment option How pelvic floor therapy fits into the bigger picture What’s new and exciting in urology (hello, neuromodulation and telehealth) The frustrating role of insurance in limiting access to care How to find a provider who actually knows what they’re doing when it comes to bladder health This isn’t just a “deal with it” issue — it’s a quality of life issue. And the good news? There are solutions. Real, evidence-based, life-changing options. But only if we talk about it. So let’s talk. Takeaways: Bladder leakage is common but under-discussed Hormonal changes play a huge role in bladder function Overactive bladder ≠ stress incontinence — and treatments vary Botox is a powerful and underutilized option Telemedicine and new tech are changing the game Education empowers patients to advocate for better care Insurance hurdles are real — and we need to fight for better access Find the right specialist — not all care is created equal Let’s stop suffering in silence and start empowering ourselves and our patients with facts, not shame. 🎧 Listen now and share with someone who needs to know they're not alone — and that bladder leakage is treatable. https://www.bladderboutique.com/ Want more honest, empowering conversations like this one?⁠⁠⁠Preorder my Next Book⁠⁠⁠ share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing. Listen to my Tedx Talk: ⁠⁠⁠⁠⁠⁠⁠⁠⁠Why we need adult sex ed⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠ Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠ Explore and expand pleasure with resources, advice, and the most exciting pleasure products with Good Vibes, and save 10% with coupon code NOTBROKEN10 at goodvibes.com/menopause Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com Learn more about your ad choices. Visit podcastchoices.com/adchoices

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• 326. Australia, Testosterone, Mast Cells and More

  326. Australia, Testosterone, Mast Cells and More In this episode, I sit down with Dr. Ceri Cashell for a wide-ranging conversation that spans continents and dives deep into women’s health—from hormones to mast cells to medical mindset. Dr. Cashell and I talk about what we’re seeing in clinical practice and what women around the world are still fighting for: access, advocacy, and actual answers. We unpack the critical role of testosterone in women’s health (yes, women have and need testosterone), and explore how cultural perceptions—especially around sexuality—still shape what treatments women are offered or denied. We also talk about mast cell activation syndrome and how it might explain so many symptoms that often get brushed off or misdiagnosed in women. We get into why vaginal DHEA is so underutilized, how lifestyle changes make a real impact, and why curiosity in medicine is a superpower. There’s also a deep dive into the hormone–mental health connection and why so many women are struggling in silence because of outdated medical thinking. This episode is a reminder: women’s health is not niche, and we deserve better. Takeaways: Testosterone isn’t optional—it’s vital for women’s health, especially during midlife. Cultural norms around sexuality still impact the care women receive. Mast cell activation syndrome might be the missing puzzle piece for many women with unexplained symptoms. We need more advocacy to break through the outdated thinking that limits women’s treatment options. Lifestyle changes matter—more than most doctors admit. Staying curious as a clinician can change the game for patients. Vaginal DHEA is safe, effective, and overlooked far too often. Hormones are deeply connected to mental health—this isn’t just about libido. Access to hormone therapy is often blocked by stigma, not science. Education and awareness are the keys to transforming women’s healthcare. Australian petition to put Androfeme on PBS https://www.instagram.com/drcericashell/ https://www.healthyhormones.au/ https://drcericashell.com/ Want more honest, empowering conversations like this one?⁠⁠⁠Preorder my Next Book⁠⁠⁠ share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing. Listen to my Tedx Talk: ⁠⁠⁠⁠⁠⁠⁠⁠⁠Why we need adult sex ed⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠ Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠ Explore and expand pleasure with resources, advice, and the most exciting pleasure products with Good Vibes, and save 10% with coupon code NOTBROKEN10 at ⁠goodvibes.com/menopause⁠ Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com Learn more about your ad choices. Visit podcastchoices.com/adchoices

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• 325. Sex, Safety and Embodied Intimacy

  This week, I sat down with the radiant Whitni Miller, also known as BDEmoves on Instagram, a queer sex educator and pleasure coach who’s changing the game when it comes to how we talk about sex, desire, and embodiment, especially in the queer community. Together, we explored what it really means to be embodied in midlife and why so many of us still struggle to feel sexually safe—not just physically, but emotionally and relationally. Whitni brings a trauma-informed lens to her work, helping people unpack shame, regulate their nervous systems, and come back home to themselves. We talked about: Why safety (not spontaneity) is the foundation of good sex How queer and same-sex couples deal with libido differences What late bloomers can teach us about authenticity and desire The power of non-sexual touch in long-term relationships How responsive desire isn't broken—it’s just misunderstood The absolute joy of reclaiming play and pleasure at any age Whitni also got real about what it takes to share accurate, pleasure-centered sex ed online in the face of constant censorship. Hint: It’s hard, it’s frustrating, and it’s absolutely necessary. She’s a fierce advocate for creating digital and real-life spaces where people—especially queer folks—can learn, explore, and thrive. If you’ve ever wondered, What can we learn from the queer community about sex, intimacy, and communication?—this episode is for you. Whitni’s work is bold, honest, and full of compassion. Follow her @bdemoves and check out her offerings for late bloomers, folks navigating WLW relationships, and anyone looking to deepen their connection with themselves and their partners. Takeaways: ✨ Sexual safety is foundational to desire—not optional. ✨ Queer relationships offer a refreshing reframe of intimacy and play. ✨ Scheduling sex is not unsexy—it’s smart, respectful, and hot. ✨ Responsive desire is normal, especially in midlife and long-term partnerships. ✨ Pleasure-first education challenges societal norms that prioritize performance. ✨ We need more trauma-informed, inclusive sex ed—and we need it now. https://www.instagram.com/bde.moves Want more honest, empowering conversations like this one?⁠⁠Preorder my Next Book⁠⁠ share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing. Listen to my Tedx Talk: ⁠⁠⁠⁠⁠⁠⁠⁠Why we need adult sex ed⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠ Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠ Explore and expand pleasure with resources, advice, and the most exciting pleasure products with Good Vibes, and save 10% with coupon code NOTBROKEN10 at goodvibes.com/menopause Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com Learn more about your ad choices. Visit podcastchoices.com/adchoices

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