13 All About Perimenopause: Signs, Symptoms, and What’s Not on TikTok

13 All About Perimenopause: Signs, Symptoms, and What’s Not on TikTok

Perimenopause is trending on social media, but how do you separate the viral “hot takes” from clinical reality? This week on The Savvy Patient, co-hosts Dr. Gillian Goddard and Erin Stein deliver a fun, fluff-free masterclass on what is actually happening to your body. From the difference between perimenopause and menopause, to the metabolic shifts people rarely talk about. Plus, we dare to discuss the mood swings, brain fog, sex function and vaginal atrophy. This episode offers a no-nonsense guide to decoding your body and getting the right treatment. Hit play to skip the algorithm myths and get the medical truth.   Please subscribe savvypatient.substack.com [https://savvypatient.substack.com/] Visit www.thesavvypatient.com/podcast [https://www.thesavvypatient.com/podcast] for episode transcripts. Watch full podcast episodes @TheSavvyPatient on Youtube.com [http://youtube.com]. Get your copy of The Hormone Loop by Dr. Gillian Goddard wherever books are sold.   This episode was produced and edited by Erin Stein. Music: “All We Live For (instrumental)” by Wolfclub licensed through Audiio.com. Intro and outro edited, and video created, by Ian Mayer. The Savvy Patient logo by Amanda Spielman.

12 Clarifying Cortisol: Why Stress Isn’t the Enemy

We unpack the science of cortisol—the hormone often blamed for everything from weight gain to burnout—and explain why it’s essential for survival. Cortisol isn't just your stress hormone—it’s your wake-up call, your emergency response system, and the reason you’re ready for a nap at 3 p.m. From saber-toothed tigers to modern-day deadlines, our stress response hasn’t changed much, even if our stressors have. We explore the difference between healthy stress and chronic stress, how cortisol affects mood, sleep, immunity, and metabolism, and why “adrenal fatigue” isn’t something to worry about. We share practical, evidence-based ways to manage stress—from prioritizing sleep and social connection to spending time in nature (and yes, petting a cat). Dr. Gillian Goddard also explains the rare condition Addison’s disease and what happens when the body can't produce enough cortisol. The Savvy Short: you don't need to “fix” your cortisol—you need tools to help your body and mind navigate life’s inevitable stressors. In this episode, Dr. Gillian Goddard mentions The Human Connectome Project. Learn more at humanconnectome.org.   Note that Addison's disease is also known as primary adrenal insufficiency.   Please subscribe savvypatient.substack.com [https://savvypatient.substack.com/] Visit www.thesavvypatient.com/podcast [https://www.thesavvypatient.com/podcast] for episode transcripts. Watch full podcast episodes @TheSavvyPatient on Youtube.com [http://youtube.com]. Get your copy of The Hormone Loop by Dr. Gillian Goddard wherever books are sold.   This episode was produced and edited by Erin Stein. Music: “All We Live For (instrumental)” by Wolfclub licensed through Audiio.com. Intro and outro edited, and video created, by Ian Mayer. The Savvy Patient logo by Amanda Spielman.

11 Heart Health Facts That Could Save Your Life

Heart disease is the leading cause of death in women—yet many women don't realize they're at risk. We all know we should take care of our hearts, but what does that actually mean? In this episode, we break down essential heart-health facts every woman should know, from how cholesterol really works and why family history matters to the role menopause plays in cardiovascular risk. You'll learn why heart disease often develops later in women, how heart attack symptoms can look different, when statins or aspirin may be helpful, and which risk factors deserve the most attention. We also cover practical steps for screening, prevention, and the everyday habits that can help protect your heart for years to come. Are you at higher risk? What should you know about blood pressure? When is it time to see a cardiologist? We answer these questions and more, giving you the information you need to take charge of your heart health before problems develop.   Please subscribe savvypatient.substack.com [https://savvypatient.substack.com/] Visit www.thesavvypatient.com/podcast [https://www.thesavvypatient.com/podcast] for episode transcripts. Watch full podcast episodes @TheSavvyPatient on Youtube.com [http://youtube.com]. Get your copy of The Hormone Loop by Dr. Gillian Goddard wherever books are sold. This episode was produced and edited by Erin Stein. Music: “All We Live For (instrumental)” by Wolfclub licensed through Audiio.com. Intro and outro edited, and video created, by Ian Mayer. The Savvy Patient logo by Amanda Spielman.

10 You Turned 40. Now What?

Turning 40 is a great time to take charge of your health. In this episode Erin and Gillian walk through the ultimate midlife health checklist, from tracking down your family medical history and finding a good primary care doctor to staying on top of mammograms, colonoscopies, and all the other glamorous milestones of adulthood. They also talk about sleep, diet, exercise, hydration, mental health, and the supplements you probably don't need despite what social media keeps trying to sell you. Packed with practical tips, relatable and expert advice, this episode is roadmap for preventive healthcare, healthy aging, and advocating for yourself.   References: This is the book Erin mentions about mental health is Your Brain Needs a Hug: Life, Love, Mental Health, and Sandwiches by Rae Earl. We take a moment to remind you that while this is a medical discussion, it is not providing a diagnosis or treatment or any medical advice. The only way to get a diagnosis, treatment or medical advice for your particular condition is through a discussion with your doctor. Please subscribe savvypatient.substack.com Visit www.thesavvypatient.com/podcast for episode transcripts. Watch full podcast episodes @TheSavvyPatient on Youtube.com. Get your copy of The Hormone Loop by Dr. Gillian Goddard wherever books are sold. This episode was produced and edited by Erin Stein. Music: “All We Live For (instrumental)” by Wolfclub licensed through Audiio.com. Intro and outro edited, and video created, by Ian Mayer. The Savvy Patient logo by Amanda Spielman.

09 Breast Cancer (Erin's Version) Part 2

We continue our candid conversation about breast cancer, though much of what we discuss applies to anyone facing a major diagnosis or hospital stay. Erin shares practical advice on telling family and friends about a diagnosis, and managing the emotional challenges that come with being both a patient and a supporter. We dive deeper into breast cancer screening and risk assessment tools, reconstruction decisions, scar care, and recovery after surgery. Plus, Erin shares her top hospital stay tips—from what to pack to what to expect. Filled with personal experience, expert insights, and plenty of practical takeaways, this episode offers support and guidance for patients and loved ones alike. We take a moment to remind you that while this is a medical discussion, it is not providing a diagnosis or treatment or any medical advice. The only way to get a diagnosis, treatment or medical advice for your particular condition is through a discussion with your doctor. Please subscribe savvypatient.substack.com Visit www.thesavvypatient.com/podcast for episode transcripts. Watch full podcast episodes @TheSavvyPatient on Youtube.com. Get your copy of The Hormone Loop by Dr. Gillian Goddard wherever books are sold. This episode was produced and edited by Erin Stein. Music: “All We Live For (instrumental)” by Wolfclub licensed through Audiio.com. Intro and outro edited, and video created, by Ian Mayer. The Savvy Patient logo by Amanda Spielman. References: Information about different Breast Cancer Risk Calculators: https://www.breastcancer.org/risk/breast-cancer-risk-calculators The Tyrer-Cuzick Risk Assessment Calculator: https://magview.com/ibis-risk-calculator/ Olivia Munn’s story: https://www.instagram.com/p/C4dXfrULDdJ/?img_index=3