Perimenopause Symptoms Women Shouldn't Ignore w/ Dr. Anna Garrett

Perimenopause Symptoms Women Shouldn't Ignore w/ Dr. Anna Garrett

A lot of women hit their mid-to-late 30s or 40s and suddenly feel like their body changed the rules without telling them. They start waking up at 3 AM. Their anxiety increases, their weight starts shifting toward the middle, even though they're eating the same way and exercising the same way. And when they finally ask for help, their symptoms are dismissed, normalized as stress. Or they are told different things: either they're too young for perimenopause, or this is just a part of aging. But perimenopause is not always a clean, obvious hormone story. It can look like burnout, thyroid dysfunction, blood sugar issues, gut problems, stress overload, poor sleep, mood changes, or a body that suddenly feels harder to manage. That's why so many women (and clinicians) miss it. Dr. Anna Garrett, pharmacist and hormone expert, helps women understand what is actually happening underneath those symptoms. Her approach is not "everyone needs hormones," and it's not "just push through it." It starts with the person in front of her. What are her symptoms? What is her stress level? How is she sleeping? Is she ovulating regularly? Is she constipated? How is her body clearing estrogen? What role are alcohol, blood sugar, gut health, exercise, under-eating, or over-functioning playing? In this episode, we unpack why your body changes so much in your mid to late-30s and early 40s, and what to do when you're sure that you're not the way you used to be. Things You'll Learn In This Episode Perimenopause can start earlier than you think Women in their 30s and 40s are often dismissed because they don't fit the outdated picture of perimenopause. So what are the signs that your body may already be entering perimenopause, even if your labs look "normal"? Your symptoms may be signals, not separate problems How do you stop treating each symptom in isolation and start asking what the body is trying to communicate? It's not random insomnia Middle-of-the-night wakeups can be tied to progesterone changes. If sleep is the symptom, what is actually waking the body up? PS. If you enjoy the show, remember to leave a review on your favorite podcast app! Reviews help the podcast reach a wider audience and help more people. Guest Bio Dr. Anna Garrett is a clinical pharmacist, functional health coach, hormone strategist, and midlife health detective. For more than 30 years, she's helped women understand their bodies, advocate for themselves, and create a clear path forward. Dr. Garrett's work combines clinical pharmacy, functional medicine, advanced lab testing, health coaching, and mindset support to help women in midlife feel clearer, stronger, energized, and in control. To learn more, visit https://drannagarrett.com/ [https://drannagarrett.com/], join her private Facebook Group, The Hormone Harmony Club [https://www.facebook.com/groups/hormoneharmonyclub/], and follow her on Instagram [https://www.instagram.com/drannagarrett/]. About Your Host Steve Hoffart is an award-winning pharmacist, entrepreneur, speaker and podcaster. As the visionary founder of Magnolia Pharmacy, Steve saw a need for a more personal pharmacy that could make a bigger impact. Today, Steve and his team of experts deliver on that promise, working with patients and their physicians to solve medication problems and offer personalized solutions to achieve better health and wellness. As host of The Trusted Pharmacist podcast and through his combined reach of over 1M on social media, Steve shares actionable advice on nutrition, supplements, and wellness strategies while advocating for meaningful change in healthcare. Stay Ahead with Steve the Pharmacist! Loving the show? Want more insights into how your body works? Head over to TheTrustedPharmacist.com [https://thetrustedpharmacist.com] and sign up with your email! You'll get the latest episodes, plus exclusive health tips to help you take charge of your wellness. Don't miss out – join me today!

Advanced Tests Don't Always Make You Healthier, Here's Why w/ Dr. Cheryl Burdette

Food sensitivities and intolerances have become a much bigger conversation in health and wellness. More people are starting to wonder whether the foods they eat every day could be contributing to symptoms such as bloating, fatigue, brain fog, joint pain, skin issues, mood changes, weight-loss resistance, or inflammation. And because testing has become more accessible, many people are now ordering food sensitivity tests themselves, cutting out the foods that show up, and trying to figure it out from there. But for most people, that creates more confusion. Food sensitivity testing is still widely misunderstood. Some people dismiss it completely. Some people treat every result like a permanent diagnosis. And many people end up with a long list of foods to avoid but no clear understanding of what the test is actually showing them, why their bodies are reacting in the first place, or what they're supposed to do next. That's the problem. Elimination diets are not forever food ban lists. They were never meant to make someone's diet smaller and smaller until eating becomes stressful. They are meant to be used as a therapeutic tool: to reduce inflammation, calm the immune system, repair the gut, and eventually understand how and when foods can be reintroduced. In this episode, I'm joined by Dr. Cheryl Burdette, a naturopathic doctor, co-founder of Precision Point Diagnostics, and medical director for KHS. We talk about the difference between food allergies and food sensitivities, and why a food sensitivity test is only useful if it helps change the plan. We also get into the bigger issue with advanced testing in general. A lab result should not just give you a number, a list, or another thing to worry about. It should help you understand the process happening underneath the symptoms. Things You'll Learn In This Episode Elimination diets are not forever food ban lists Many people take a food sensitivity test, remove the foods, and then get stuck there. How are you actually supposed to use these diets? Food allergies and food sensitivities are not the same thing An IgE allergy can be immediate and obvious, while an IgG sensitivity may show up hours or days later. How do we understand the difference without oversimplifying either one? Leaky gut changes how the immune system sees food When the gut lining becomes more permeable, food particles and bacterial toxins can cross into places they do not belong, triggering immune reactions. What do markers like zonulin, LPS, diamine oxidase, and food antibodies actually help us see? Advanced testing should help you know what to do next Testing itself isn't the problem; testing without a plan is. How do we use labs to guide diet, gut repair, probiotics, immunoglobulins, antioxidant support, and prevention instead of just collecting more numbers? PS. If you enjoy the show, remember to leave a review on your favorite podcast app! Reviews help the podcast reach a wider audience and help more people. Guest Bio Dr. Cheryl Burdette is a naturopathic doctor, co-founder of Precision Point Diagnostics, medical director of KHS, and Director of Education at Progressive Medical Center, which hosts a Naturopathic residency, at one of the largest integrative clinics in the Southeast. She is the co-founder of Precision Point Diagnostics, a laboratory that focuses on gut-based health and wellness. There, she designs clinical profiles and trains clinicians on their utilization. She has a rich history in the integrative medicine laboratory space. She designed and teaches the clinical curriculum for Origins Incubator, a practice management group that has helped to launch many successful practitioners. She is on the board of advisors for TheraDura Diagnostik, a German-based lab company. She serves on IRB boards, is involved in study design and translational research, and has lectured extensively worldwide. Dr. Burdette's passion is teaching about the practice of Integrative and Naturopathic Medicine, to increase awareness of evidence-based natural therapies, to both rule in and rule out tools that are effective in-patient care. To learn more, visit https://www.progressivemedicalcenter.com/ [https://www.progressivemedicalcenter.com/] or send an email to cburdette@precisionpointdiagnostics.com [cburdette@precisionpointdiagnostics.com]. Resources Here are the five biomarkers Dr. Burdette recommends paying attention to: * 8-OH-DG / 8-hydroxy-2-deoxyguanosine - oxidative stress/DNA damage marker * Oxidized LDL - damaged LDL; discussed as more predictive for cardiovascular risk than standard cholesterol * Vitamin D - broad immune, hormone, bone, brain, and inflammation relevance * CRP / C-reactive protein — general inflammation marker * Hemoglobin A1C — blood sugar/glycation marker, long before diabetes becomes the only concern About Your Host Steve Hoffart is an award-winning pharmacist, entrepreneur, speaker and podcaster. As the visionary founder of Magnolia Pharmacy, Steve saw a need for a more personal pharmacy that could make a bigger impact. Today, Steve and his team of experts deliver on that promise, working with patients and their physicians to solve medication problems and offer personalized solutions to achieve better health and wellness. As host of The Trusted Pharmacist podcast and through his combined reach of over 1M on social media, Steve shares actionable advice on nutrition, supplements, and wellness strategies while advocating for meaningful change in healthcare. Stay Ahead with Steve the Pharmacist! Loving the show? Want more insights into how your body works? Head over to TheTrustedPharmacist.com [https://thetrustedpharmacist.com] and sign up with your email! You'll get the latest episodes, plus exclusive health tips to help you take charge of your wellness. Don't miss out – join me today!

Your Pharmacist's Role Is Bigger Than Prescriptions w/ Lauren Castle

Most people still picture pharmacists as the people behind the counter, filling prescriptions, checking interactions, and putting pills in bottles. But the truth is, a growing number of pharmacists are asking a much bigger question: what if the answer isn't always another drug? For a long time, modern medicine has trained us to treat symptoms in isolation, but sometimes, the symptom is not the problem. It's the body's way of telling us something deeper is out of balance. What's interesting is that pharmacy didn't begin with synthesized drugs pulled off a shelf. Historically, pharmacists worked with plants, herbs, compounds, powders, tinctures, and preparations. They understood medicine as something closer to the intersection of nature, chemistry, and the body. In many ways, the rise of the functional pharmacist isn't a rejection of pharmacy. It's a return to the deeper roots of it. We're now in an era where functional pharmacists can help bridge traditional herbal approaches, modern science, nutrition, medications, supplements, lifestyle, and root-cause care. Not in a way that dismisses medicine, but in a way that asks: where is medicine needed, and where can we use lifestyle, nutrition, stress reduction, gut support, and targeted natural therapies to help the body heal? In this episode, I'm joined by Dr. Lauren Castle, PharmD, functional medicine practitioner, founder and CEO of the Functional Medicine Pharmacists Alliance, and board member of the Psychedelic Pharmacists Association. She shares how her husband's health struggles first opened her eyes to functional medicine, how her own hormone and grief journey changed the way she understands healing, and why functional pharmacists may become one of the most important members of a patient's care team in the future. Things You'll Learn In This Episode Symptoms aren't the problem… they're the signal We're often trained to lower the number, quiet the symptom, or add the next medication. But what changes when we ask what the body is trying to tell us? Pharmacists belong in functional medicine Pharmacists understand medications, supplements, interactions, biochemistry, and therapeutic decisions. So why aren't they more often treated as part of the root-cause care team? Your body may not be broken; it may be protecting you Hormone issues, burnout, amenorrhea, anxiety, and fatigue can look like dysfunction. But what if the body is responding intelligently to stress, under-fueling, grief, or unsafe conditions? Plant medicine is not "just herbs" From oregano and berberine to psychedelics and pharmaceutical compounds derived from nature, plant medicine sits at the origin of pharmacy. How do we use these tools responsibly without dismissing their power? Psychedelics are not magic pills Psychedelic therapies may hold promise for trauma, PTSD, addiction, and mental health, but they require preparation, supervision, and integration. What does safe, ethical use actually look like? PS. If you enjoy the show, remember to leave a review on your favorite podcast app! Reviews help the podcast reach a wider audience and help more people. Guest Bio Dr. Lauren Castle is a PharmD, functional medicine practitioner, and founder and CEO of the Functional Medicine Pharmacists Alliance, the first professional organization representing pharmacists in functional medicine, now nearly 5,000 strong. She holds a Master of Science in Human Nutrition and Functional Medicine, is certified through the School of Applied Functional Medicine, and sits on the board of directors of the Psychedelic Pharmacists Association. To learn more, visit fmpha.org [http://fmpha.org] and drlaurencastle.com [http://drlaurencastle.com]. About Your Host Steve Hoffart is an award-winning pharmacist, entrepreneur, speaker and podcaster. As the visionary founder of Magnolia Pharmacy, Steve saw a need for a more personal pharmacy that could make a bigger impact. Today, Steve and his team of experts deliver on that promise, working with patients and their physicians to solve medication problems and offer personalized solutions to achieve better health and wellness. As host of The Trusted Pharmacist podcast and through his combined reach of over 1M on social media, Steve shares actionable advice on nutrition, supplements, and wellness strategies while advocating for meaningful change in healthcare. Stay Ahead with Steve the Pharmacist! Loving the show? Want more insights into how your body works? Head over to TheTrustedPharmacist.com [https://thetrustedpharmacist.com] and sign up with your email! You'll get the latest episodes, plus exclusive health tips to help you take charge of your wellness. Don't miss out – join me today!

The Ultimate Vitamin D Guide: Best Dose, Sun Exposure, and Common Mistakes

Vitamin D is a hot topic right now. Everyone's talking about it and supplementing with it, and I get countless questions on social media and in the pharmacy. "Am I taking enough?" "Is the specific dose I was told to take on social media better?" "Should I take D2 or D3?" Even though everyone's talking about Vitamin D, it's still so heavily misunderstood, and it starts with what people think it is. It's not just the bone vitamin; it's not really a vitamin at all. It works more like a pro-hormone, influencing immune function, hormones, metabolic health, brain health, inflammation, and thousands of processes across the body. And that's why it's so critical, and easy to get wrong. The first mistake people make: Thinking there's one dose of vitamin D for everyone. The truth is, vitamin D is very individualized; the dose you need is affected by everything from where you live, your skin tone, and how old you are. So you have to know your number and test your levels to see what your body actually needs. The second mistake is thinking you can take Vitamin D in isolation for it to work. To work effectively, Vitamin D actually relies on key co-factors like magnesium and vitamin K2, so if you're not also supporting those nutrients, you could be missing out on the full benefit. So how do you supplement your Vitamin D the right way? How do you know what to buy? In this episode, I walk through the truth about Vitamin D: why deficiency is so common, why "normal" levels are not always optimal, and why the safest approach is to test, dose, and retest instead of guessing. Things You'll Learn In This Episode Vitamin D is not just about bones Vitamin D acts more like a pro-hormone than a simple vitamin. What are all the crucial functions in our bodies that it supports? What are we missing when we only think of it as a bone-health supplement? Your Vitamin D dose should be based on testing, not guessing The same dose can produce very different blood levels in different people. How do you know whether your supplement is actually working? "Normal" Vitamin D is not always optimal What range of vitamin D should you be aiming for if your goal is optimization? Vitamin D can't work alone Magnesium helps activate vitamin D, while K2 helps direct calcium into the right places instead of soft tissues or arteries. So if you're taking vitamin D but not seeing results, what else might your body be missing? P.S. Are you looking for a high-quality Vitamin D supplement you can trust? Get our Vitamin D3 5000IU: https://magnoliapharmacy.com/products/vitamin-d3-5000iu [https://magnoliapharmacy.com/products/vitamin-d3-5000iu] About Your Host Steve Hoffart is an award-winning pharmacist, entrepreneur, speaker and podcaster. As the visionary founder of Magnolia Pharmacy, Steve saw a need for a more personal pharmacy that could make a bigger impact. Today, Steve and his team of experts deliver on that promise, working with patients and their physicians to solve medication problems and offer personalized solutions to achieve better health and wellness. As host of The Trusted Pharmacist podcast and through his combined reach of over 1M on social media, Steve shares actionable advice on nutrition, supplements, and wellness strategies while advocating for meaningful change in healthcare. Stay Ahead with Steve the Pharmacist! Loving the show? Want more insights into how your body works? Head over to TheTrustedPharmacist.com [https://thetrustedpharmacist.com] and sign up with your email! You'll get the latest episodes, plus exclusive health tips to help you take charge of your wellness. Don't miss out – join me today!

GI Doc Reveals Why Your Gut Test May Be Misleading w/ Dr. Vivian Asamoah

Gut health is one of the most talked-about areas of wellness…but it's also still one of the most misunderstood. Right now, it's very easy for someone to order a stool test, get a long report back, see a list of bacteria, parasites, yeast, or "imbalances." But here's the problem: more data doesn't always mean more clarity. And when we treat gut health the same way conventional medicine often treats symptoms, we end up recreating the exact problem we were trying to solve. Because the gut is not static. It changes with food, stress, sleep, circadian rhythm, trauma, hormones, environment, and even the season of life someone is in. A single test may give us useful information, but it cannot tell the whole story. And if we're not careful, we can become so focused on fixing the numbers that we miss the person sitting in front of us. So instead of asking, "What does this test say?" we have to ask, "What question are we trying to answer?" In this episode, I'm joined by Dr. Vivian Asamoah, a triple board-certified gastroenterologist trained at Johns Hopkins who went beyond conventional GI care to pursue integrative medicine. She now leads Houston Gastro Institute and an integrative functional GI practice, where she helps patients look beyond "normal" test results and get to the deeper patterns driving their symptoms. We get into why microbiome testing has limitations, what comprehensive stool testing can actually reveal, how trauma and stress affect the gut, and why PPIs are more complicated than people think. Things You'll Learn In This Episode A gut test is only a snapshot, not the whole story Your gut can shift based on what you eat and sleep, your stress levels, and even your circadian rhythm. How does current gut testing miss this? The real question is not "What test should I take?" Testing only matters when it answers a clear clinical question and changes the next step in care. So before ordering another lab, what should patients and practitioners be asking first? Gut symptoms can start outside the gut Trauma, grief, perimenopause, and nervous system dysregulation can all shape digestive health. What happens when we stop treating gut symptoms in isolation and start looking at the full timeline of a patient's life? The truth about PPIs Acid-suppressing medications like Nexium, omeprazole, and pantoprazole have become really popular. How do we know when acid suppression is necessary and when lifestyle, nutrition, and root-cause work should come first? Guest Bio Dr. Vivian Asamoah is a triple board-certified gastroenterologist who trained at Johns Hopkins and did something that most GI doctors would never do. She went further. She pursued an integrative medicine certification because she realized conventional training alone just wasn't actually enough to fix her patients. She now runs Houston Gastro Institute and has built one of the most unique root-cause GI practices in the country. To learn more, visit https://www.houstongastroinstitute.com/ [https://www.houstongastroinstitute.com/] or follow Dr. Asamoah on Instagram [https://www.instagram.com/drvivianasamoah/] and TikTok [https://www.tiktok.com/@dr.vivianasamoah/]. About Your Host Steve Hoffart is an award-winning pharmacist, entrepreneur, speaker and podcaster. As the visionary founder of Magnolia Pharmacy, Steve saw a need for a more personal pharmacy that could make a bigger impact. Today, Steve and his team of experts deliver on that promise, working with patients and their physicians to solve medication problems and offer personalized solutions to achieve better health and wellness. As host of The Trusted Pharmacist podcast and through his combined reach of over 1M on social media, Steve shares actionable advice on nutrition, supplements, and wellness strategies while advocating for meaningful change in healthcare. Stay Ahead with Steve the Pharmacist! Loving the show? Want more insights into how your body works? Head over to TheTrustedPharmacist.com [https://thetrustedpharmacist.com] and sign up with your email! You'll get the latest episodes, plus exclusive health tips to help you take charge of your wellness. Don't miss out – join me today!