CALL 080425 SHEMEDrev

Summary

Podcast Summary: "Call It What It Is" – Episode: CALL 080425 SHEMEDrev

Host: iHeartPodcasts
Guests: Dr. Ali Abadi, Jessica Capshaw, Camilla Luddington, Dr. Joy Hardin Bradford, Jeff Perlman, Rick Jervis
Release Date: August 4, 2025

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Introduction

In this engaging episode of "Call It What It Is," co-hosts Jessica Capshaw and Camilla Luddington delve into vital women's health topics, featuring renowned OB/GYN Dr. Ali Abadi. The conversation aims to educate listeners on perimenopause, PCOS, endometriosis, breast cancer risks, and innovative treatments, all while fostering a supportive community for women navigating these challenges.

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Guest Background and Connection

Jessica Capshaw and Camilla Luddington open the discussion by introducing Dr. Ali Abadi, a prominent OB/GYN based in Los Angeles. With over two decades of experience, Dr. Abadi is celebrated for her expertise in women’s health and her media presence on shows like Good Morning America and The Today Show. She also spearheads a fashion line, Haney, and co-hosts the SheMD podcast with her partner, Mary Alice, who hails from the fashion industry. Their diverse backgrounds bring a unique perspective to the conversation.

“She has been a stylist, an editor, and so much more. We’re thrilled to have her expertise today,” says Jessica Capshaw (02:43).

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Raising Awareness on PCOS and Its Impact

The conversation shifts to Polycystic Ovarian Syndrome (PCOS), a condition affecting 15% of women and a leading cause of infertility. Rick Jervis shares his personal journey of discovering PCOS and its profound impact on his life, highlighting the lack of readily available information for women compared to men.

“75% of women with PCOS are unaware they have it,” Rick emphasizes (07:36).

Dr. Ali Abadi elaborates on the complexities of diagnosing PCOS in teenagers, noting that symptoms like irregular periods, acne, and weight gain often overlap with normal puberty changes. She stresses the importance of hormone testing and individualized treatment plans to manage symptoms effectively.

“You can’t just say, ‘You’re not 18 yet, so stay with your pediatrician.’ Most need specialized care,” Dr. Abadi explains (13:51).

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Understanding Perimenopause: Definitions and Symptoms

A significant portion of the episode is dedicated to demystifying perimenopause—the transitional phase leading up to menopause, typically occurring 7 to 10 years before the final menstrual period. Dr. Joy Hardin Bradford provides a clear definition, stating that menopause is confirmed after 12 consecutive months without a period, with perimenopause beginning as early as the mid-30s.

“Perimenopause can start as early as 35 and presents over 100 possible symptoms,” Dr. Bradford outlines (28:17).

Key symptoms discussed include:

• Irregular periods
• Hot flashes and night sweats
• Brain fog and memory issues
• Weight gain and metabolic changes
• Vaginal dryness and painful intercourse
• Mood swings and anxiety

“It's a combination of these symptoms that warrant treatment, not just one isolated issue,” Dr. Bradford advises (31:09).

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Breast Cancer Risk and Proactive Measures

The episode underscores the critical importance of understanding individual breast cancer risk. Dr. Abadi introduces the MyRisk genetic test, which evaluates a woman's lifetime risk based on factors like family history, genetic markers, and personal health data. She recounts her personal experience, highlighting how a genetic test revealed a 37% risk despite having no apparent risk factors, leading her to undergo a prophylactic double mastectomy.

“Knowledge is power. You need to know your lifetime risk to take appropriate preventative measures,” Dr. Abadi emphasizes (41:11).

She discusses the criteria for taking the MyRisk test, ensuring listeners understand that it’s essential for women with significant family histories or other risk factors.

“If your lifetime risk is 20% or more, you should start imaging as early as 30,” Dr. Abadi advises (35:06).

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Innovative Treatments: GLP-1 Medications and Weight Management

GLP-1 (Glucagon-Like Peptide-1) medications emerge as a cornerstone in weight management and treatment for conditions like PCOS. Dr. Bradford and Rick Jervis discuss the profound impact these medications have had on their patients, noting significant weight loss and improved metabolic health.

“These medications are a game changer for patients with PCOS and obesity,” Dr. Bradford asserts (59:22).

The hosts explore the various GLP-1 options, including Wegovy, Mounjaro, and Ozempic, discussing their specific benefits and cardiovascular protections.

“Wegovy has cardiovascular protection, helping reduce the risk of coronary artery disease,” Dr. Bradford explains (57:23).

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Hormone Replacement Therapy (HRT) and Breast Cancer Considerations

The discussion advances to Hormone Replacement Therapy (HRT), particularly for women at high risk for breast cancer. Dr. Bradford outlines alternative treatment options for managing perimenopausal symptoms without hormones, such as:

• Brisdal (Paxil): For hot flashes and night sweats
• Trazodone and Magnesium Supplements: To improve sleep
• Minoxidil: For hair loss
• Vaginal Estrogen Treatments: Including non-absorbed options for those with breast cancer

“For patients who can’t use hormones, we have effective non-hormonal treatments to manage their symptoms,” Dr. Bradford states (50:09).

She also highlights the importance of genetic testing for APOE4 mutations, which increase the risk of dementia, and how HRT can benefit these patients during menopause.

“20% of women carry APOE4, and for them, hormone replacement can reduce dementia risk,” Dr. Bradford notes (52:55).

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Alcohol Consumption and Health During Perimenopause

Jessica Capshaw raises concerns about alcohol consumption during perimenopause, questioning its effects on health and hormone metabolism. Dr. Bradford shares her staunch stance against alcohol, referring to it as a “poison” and advocating for its complete elimination to improve overall health.

“Alcohol is a poison. I don’t drink, and I’ve limited my intake to maybe 20-30 drinks in my entire lifetime,” Dr. Bradford declares (65:42).

She discusses how GLP-1 medications can curb alcohol cravings, aiding women in maintaining sobriety.

“GLP-1s take the craving for alcohol away, making it easier to quit,” Dr. Bradford explains (64:55).

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Empowering Women Through Education and Self-Advocacy

Throughout the episode, the trio emphasizes the importance of self-education and advocacy in women's health. Dr. Bradford encourages women to familiarize themselves with their symptoms and risks, enabling them to have informed discussions with their healthcare providers.

“Educate yourself about your symptoms and become your own health advocate,” Dr. Bradford urges (33:42).

Jessica Capshaw and Camilla Luddington echo this sentiment, highlighting the value of resources like podcasts to disseminate accurate health information and empower women to take control of their health journeys.

“We’re in this together, educating ourselves, and asking the right questions,” Jessica affirms (70:18).

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Conclusion and Future Engagements

As the episode wraps up, Jessica Capshaw and Camilla Luddington express their gratitude to Dr. Ali Abadi and encourage listeners to seek out additional resources and support. They hint at future episodes that will delve deeper into various aspects of women's health, ensuring the conversation continues to evolve and support the community.

“We have so many more questions and topics to explore. Stay tuned for more episodes,” Jessica concludes (73:37).

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Key Takeaways:

• Perimenopause is a complex transition with over 100 potential symptoms; individualized treatment is essential.
• PCOS affects 15% of women and is a leading cause of infertility; awareness and proper diagnosis are crucial.
• Understanding breast cancer risk through genetic testing like MyRisk empowers women to take preventative actions.
• GLP-1 medications are effective for weight management and can aid in reducing alcohol cravings.
• Hormone Replacement Therapy has tailored options for women, including those at high risk for breast cancer.
• Self-education and advocacy are vital for women to navigate their health effectively.

Notable Quotes:

• “75% of women with PCOS are unaware they have it.” — Rick Jervis (07:36)
• “Knowledge is power. You need to know your lifetime risk to take appropriate preventative measures.” — Dr. Ali Abadi (41:11)
• “Alcohol is a poison. I don’t drink, and I’ve limited my intake to maybe 20-30 drinks in my entire lifetime.” — Dr. Joy Hardin Bradford (65:42)
• “Educate yourself about your symptoms and become your own health advocate.” — Dr. Joy Hardin Bradford (33:42)
• “We’re in this together, educating ourselves, and asking the right questions.” — Jessica Capshaw (70:18)

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This episode of "Call It What It Is" stands out as a comprehensive guide for women navigating significant health transitions, offering both medical insights and personal empowerment. By bridging the gap between complex medical information and accessible conversation, Jessica, Camilla, and their expert guests provide invaluable support for their listeners.

Transcript

[Dani Shapiro]

This is an I heart podcast.

[Dr. Joy Hardin Bradford]

Your entire identity has been fabricated. Your beloved brother goes missing without a trace. You discover the depths of your mother's illness. I'm Dani Shapiro, and these are just.

[Rick Jervis]

A few of the powerful stories I'll.

[Dr. Joy Hardin Bradford]

Be mining on our upcoming 12th season of Family Secrets. We continue to be moved and inspired by our guests and their courageously told stories. Listen to Family Secrets Season 12 on the iHeartRadio app, Apple Podcasts, or wherever you get your podcasts.

[Dr. Arizona Robbins]

I'm Dr. Joy Hardin Bradford, host of the Therapy for Black Girls podcast. I know how overwhelming it can feel if flying makes you anxious. In session 418 of the Therapy for Black Girls podcast, Dr. Angela Neal Barnett.

[Dr. Joy Hardin Bradford]

And I discuss flight anxiety.

[Dani Shapiro]

What is not norm is to allow.

[Dr. Arizona Robbins]

It to prevent you from doing the thing things that you want to do.

[Dani Shapiro]

The things that you were meant to do.

[Dr. Arizona Robbins]

Listen to Therapy for Black Girls on the iHeartRadio app, Apple Podcasts or wherever you get your podcast.

[Jeff Perlman]

I'm Jeff Perlman.

[Rick Jervis]

And I'm Rick Jervis.

[Dr. Arizona Robbins]

We're journalists and hosts of the podcast Finding Sexy Sweat.

[Jeff Perlman]

At an internship in 1993, we roomed with Reggie Payne, aspiring reporter and rapper.

[Dr. Arizona Robbins]

Who went by Sexy Sweat a couple years ago. We set out to find him, but in 2020, Reggie fell into a coma.

[Jeff Perlman]

After police pinned him down and. And he never woke up.

[Dr. Arizona Robbins]

But then I see my son's not moving.

[Dr. Joy Hardin Bradford]

So we started digging and uncovered city.

[Dr. Arizona Robbins]

Officials bent on protecting their own. Listen to Finding Sexy Sweat on the iHeartRadio app, Apple Podcasts, or wherever you get your podcasts.

[Dani Shapiro]

If you're looking for another heavy podcast about trauma, this ain't it. This is for the ones who had to survive and still show up as brilliant, loud, soft and whole. The Unwanted Sorority is where black women, femmes and gender expansive survivors of sexual violence rewrite the rules on healing, support and what happens after. And I'm your host and co president of this organization, Dr. Lea Tritate. Listen to the Unwanted Sorority. New episodes every Thursday on the iHeartRadio app, Apple Podcasts or wherever you get your podcasts.

[Jessica Capshaw]

Call it what It Is with Jessica.

[Dr. Arizona Robbins]

Capshaw and Camille Ludington, an iHeartRadio podcast Foreign.

[Jessica Capshaw]

Hello, Call it crew. And welcome to another episode of Call it what It Is.

[Dr. Arizona Robbins]

Quite excited about today's Call it what It Is.

[Jessica Capshaw]

Well, as a. As an OB GYN myself, Jessica.

[Dr. Arizona Robbins]

Oh, yes, of course, Dr. Joe Wilson. I forgot.

[Jessica Capshaw]

Yeah, I'm. I'm excited to share it with fellow OBs today.

[Dr. Arizona Robbins]

I do believe that I also have Worked. I mean, I'm Dr. Arizona Robbins. Works interdisciplinarily. There's been lots of specialties I've had in case, you know, I do remember.

[Jessica Capshaw]

That for my liking. Too many.

[Dr. Arizona Robbins]

Too many. She's been too many. You have too many specialties. Pick a lane. How can you be good at them all? Come on. Come on. It's obnoxious. Well, anyways, we're going to have a real life doctor on today, and I'm real excited about it.

[Jessica Capshaw]

Let's talk about her.

[Dr. Arizona Robbins]

Yeah. So Dr. Ali. Well, everyone calls her Dr. A, but her name is Dr. Ali Abadi and she is in Los Angeles and she is a prominent OB GYN since 2002. She has been on a ton of television shows because she's very sought out. She's very sought after as an expert in all things. She's been on a million shows. The doc, the Kardashians, Dr. Phil, all of them. And she's a leading authority. So we have her on because also her partner happens to be one of the most dynamic women I know, who I know personally and comes from a totally different world, which is the fashion world. But being an incredibly smart woman and also being someone who, as long as I've known Mary Alice, she's always been in the center of things. So whether it was a party or a topic or just really anything there, she's just really always been square, barely in the center and.

[Jessica Capshaw]

And the crew know who she is. The crew should be familiar because she has done an episode with us before.

[Dr. Arizona Robbins]

Yes, yes, yes, yes. And she also has done a ton of things, like beyond, you know, Good Morning America and Today and showcasing her fashion expertise. She also has her own line, a fashion line called Haney, which is her last name. She's been a stylist. She's been an editor. She's sort of really kind of done it all within that world. And we're going to find out how she and Dr. A linked up in a bit. So Dr. A and Mary Alice have their own podcast called SheMD where they talk about all the things. And today I think we're going to get into just some of the things that you and Nari are talking about and that are top of mind for us.

[Jessica Capshaw]

You know what I really need to ask about? And you're going to laugh because I know perimenopause is everywhere. Like, you can I. I know that word now.

[Dr. Arizona Robbins]

Yeah, it's cool to talk about.

[Jessica Capshaw]

If someone said to me, what is it? I still could not tell you.

[Dr. Arizona Robbins]

You Would say, I don't know. I don't know. Well, then we might need to just start there.

[Jessica Capshaw]

I would love to.

[Dr. Arizona Robbins]

Yeah.

[Jessica Capshaw]

Because I'm. This is. That's probably because you need a working.

[Dr. Arizona Robbins]

Definition, you know, Working definition. And we can get you one.

[Jessica Capshaw]

Yes, I have. We have so many questions. The crew gave us some great ones, and we are going to be investigating them all.

[Dr. Arizona Robbins]

I love it. Okay, well, here we are, mary Alice and Dr. A. It's so nice to meet you. I'm Jessica.

[Jessica Capshaw]

And I'm Camilla. And we just did a whole intro on both of you guys and talked about the expertise that you have and how we are just so excited to have you on because the crew that listen have so many questions. We have so many questions.

[Dr. Arizona Robbins]

They do. They do. But it did start when we were talking about both of you. Clearly, when you get to the level of. I'm going to call it performance, even though I know doctoring isn't a performance. It just was for me, when I was a doctor, that was a performance. But I know it's not a performance for you. But when you get to the level that both of you are working at, it sort of. It invites the question of, like, how did you two meet? Right. Like, you're both operating in your world. Because we were talking about how incredible both of you were, and you can go on and on and on about both of you, but how did you come together?

[Rick Jervis]

Well, I get to tell the story because it's my favorite story ever. So when I. I was a fashion designer for years and years, and I was in the fashion industry for 30 years, and I Covid happened, and my fashion line was Red carpet Cocktail, so nobody was wearing.

[Dr. Arizona Robbins]

I was gonna say that probably wasn't doing so well.

[Rick Jervis]

No one doing so well. And finally my head, you know, and I'm an entrepreneur, and it was my fifth business and all of these things, but I had to shut it down. And I was really upset about it and sad. And at the same time, my father got very, very sick with Parkinson's, and my mom sort of wasn't great. And I started diving into my own health and turning 50 and what that looked like. I was listening to Peter Attia. I was listening to the Huberman Lab, and there was nothing there for women. I mean, every now and then, there would be one segment here, one segment there.

[Dr. Arizona Robbins]

Yeah.

[Rick Jervis]

And so I went to our mutual friend, the beautiful Molly Sims had asked me to co host when her host was not there. And I said, well, can I bring some doctors on from The. From the lens of a woman and get them to talk about that. I'm really interested in that. I'm, you know, deep diving. So she said, yes. And then one day, this gorgeous tall drink of water walks in and Molly said, hey, you're going to want to stay. We just had this brain doctor. She says, you're going to want to stay because she's going to talk about Ozempic. And I thought, oh, my God, Ozempic. Who doesn't want to talk about Ozempic? I want to know all about Ozempic. And we were waiting, and Dr. A. Thais started telling me about her. Her own breast cancer journey and how she saved her life with breast cancer and how she brought Ozempic and Manjaro and all those for her PCOS patients. And I said, what the hell is PCOS? I don't even know what PCOS is. And she explained, 15% of all women have it, leading cause of infertility, 75% don't have it. It's a, you know, it's a silent epidemic in women. And I just could not believe that I was so educated as a woman. I didn't know all of all of this. I didn't know about lifetime risk of breast cancer, which I'm gonna let her talk about as she does so eloquently. So I just. It just a light bulb went in my head after the podcast, I took her out to lunch. And will you let me. And I get chills thinking about this. Will you let me bring you into the eyes and ears and homes of every woman in the world who need this medical advice? Like, really clear, the correct information that they can't get, because either they don't have the access to the kind of doctors like you, or they live in places that don't even have doctors.

[Dr. Arizona Robbins]

That gives me the chills because Mary Alice and Camilla is here as my witness to say that when we were talking about you, I said that you, as long as I've known you, have always been in the epicenter of things and been and been surrounded by the energy of so many things. And if they're like, there are certain people when you. When you need something or want something that just, like, come to mind, everybody has them, right? That you're just like, I'm going to call them because they're going to know where to send me next, and you're that. So it does not surprise me at all that you found yourself, you know, in this. In this. In this tiny little instance next to someone who knows so much and that then you took advantage of that to bring Dr. A to the rest of the world. So that. That, that story tracks for me.

[Rick Jervis]

And that's gmd, and that's where it is. And it just blew up so fast because Olivia Munn, Dr. A, saved her life, you know, with breast cancer. She came out and told the story, and it just, like, launched our little podcast into the universe.

[Dr. Arizona Robbins]

I took the test because of it.

[Rick Jervis]

We get so proud of you.

[Jessica Capshaw]

I took it. There's a link on your Instagram, I think, to it, right?

[Rick Jervis]

Yep, there's a link and there's on our website, but we get DMS every day from. From people whose lives have been saved. I watched that episode, or I got my. You know who go on. You know, watched the Phoebe Hancock episode on pcos and now know what's wrong with them? These little girls with eating disorders who are. The first time. I mean, the DMs that we get. And when your life has purpose and passion, it's amazing. So that's. That's how I met this gorgeous thing.

[Dr. Arizona Robbins]

Yes, yes, yes. And you bring your sparkle. You both have sparkles. And you know what a little sparkle does? It does. It's helpful.

[Dr. Joy Hardin Bradford]

It's helpful. And without her, I would have never done this.

[Dr. Arizona Robbins]

Well, I'm grateful that you do. I'm. I'm interested if you. If you. If you all are into it at. Starting at the very beginning with your OB GYN background, which would be. I have three daughters. One of them who's right outside my window giving me this. The heart. The heart sign. But I have three. I have a son and three daughters. And there's all these things that we think we know because we're women, and we're supposed to just pass them on to our daughters because. Right. They're women and we're women. So don't we know everything about being a woman because we're a woman? No, we don't. And so often because you just can't even fill all. You know, you can't. You don't have room for everything in your brain. I found myself in a doctor's appointment. Actually, let's back that up. I didn't. I actually found myself in a moment where someone said to me, oh, when do. How old are you when you have your first OB appointment? And, like, not just go to your pediatrician, but when. How old are you when you go to your first OB appointment? And I was like, I don't know.

[Dr. Joy Hardin Bradford]

That's a good question.

[Jessica Capshaw]

Yeah, I want to Know too, I have a little girl too, so, so that's the question.

[Dr. Arizona Robbins]

How old should you be? Or I mean, what is the best, best practices around how old you are when you go to your first OB appointment?

[Dr. Joy Hardin Bradford]

So I would say GYN appointment, hopefully not OB appointment.

[Dr. Arizona Robbins]

Yeah, you know what, I should be pregnant.

[Dr. Joy Hardin Bradford]

So hopefully you're not pregnant as a teenager. Because if you're pregnant then you need to go to an OB GYN. Even if you're 12 years old, you need to, you need an OB, but you start with GYN exam. Generally speaking, it's either three years after first intercourse or age 21 if everything else is perfect. However, let's say as she was mentioning, if you have a teenager with pcos, irregular periods, weight gain, acne, facial hair, body hair, depression, anxiety, and you suspect that they have polycystic ovarian syndrome. And sometimes pediatricians have a hard time diagnosing these patients or managing these patients. So those are patients I do see in my office for young girls who are sexually active, if they want birth control, if they need SCD testing, painful periods, periods, hormone irregular periods, acne. So any other issues, especially if their pediatrician is not handling it, then they usually come to us and we start seeing them. So I see patients as young as 12. I have 14 year olds with polycystic ovarian syndrome who are morbidly obese that I'm trying to, you know, I have them on, let's say WeGovy for, for weight loss and I treat them for their pcos with metformin, with spironolactone, painful periods. You know, I have 14 year olds that I've done egg count on when I suspected endometriosis and they have an egg count of a 40 year old. So it's, it all depends. So you can't just say, oh, you're not 18 yet, so you need to stay with your pediatrician. I mean, some pediatricians are very, very involved and well read and they know PCOS and endometriosis and they can handle it themselves. But for majority of patients, they need to come and find specialists to take care of those issues.

[Jessica Capshaw]

So I have a question because if someone's listening right now and they have a teenage daughter, I'm thinking of some of those symptoms that are listed right? So for pcos, for example, in a teenager, so acne, weight gain, maybe anxiety, mood swings, I. Irregular periods, those are things that I probably had also when.

[Rick Jervis]

I probably have pcos.

[Jessica Capshaw]

I don't, but I feel like those, I guess my question is Some of those things can just be, you know, you're going through puberty, right? Like you're breaking out and you're going.

[Dr. Joy Hardin Bradford]

To be gaining a little weight.

[Jessica Capshaw]

What is something that people can look out for that really determines something different?

[Dr. Joy Hardin Bradford]

So it's very good point. So usually actually symptoms of PCOS and with teenagers going through hormonal changes can overlap, just like you said the acne. Irregular periods could be common, but usually in order to diagnose polycystic ovarian syndrome in teenagers, we, we need irregular periods and we usually look for symptoms of high testosterone, especially facial hair and body hair. These patients usually have history of some form of mood disorder, anxiety, depression. A lot of them require psychiatric, you know, visits at some point. A lot of them are on medications. They tend to gain weight. 75% of them gain a lot of weight. These are usually overweight teenagers who are eating the same thing as the other teenagers, exercising the same amount, but they cannot lose weight. These are teenagers with eating disorder. You know, I always say, if you want to find PCOS patients, go knock on the doors of these eating disorder centers because they get dismissed and they don't get diagnosed. They end up, you know, in the wrong path. Having said that, they're lean PCOS patients, which is 25% of PCOS patients who also can have eating disorders. So it's a combination of symptoms. It's very, very tricky to diagnose PCOS in a teenager, but it's always good to run a hormone test, listen to them review their symptoms. And what I do instead of, I don't like labeling teenagers with anything, but I do treat their symptoms because like, if you have a teenager who's 200 pounds at her BMI is 30, you want her to not lose her self esteem and not go down the wrong path and become bulimic and have all these other issues. So I will help them lose their weight, I will help them regular, make their periods regular. If they have a lot of acne, I fix it. And if they have facial hair and body hair, I address it without really giving them a diagnosis, but I monitor them. But the most important thing I do, if I suspect endometriosis, which is, in my personal opinion, there's a strong association between PCOS and endometriosis. And if they have painful periods, that can affect their egg count and quality. So I do check an egg count as early as 14 if I have to.

[Rick Jervis]

If she suspects O6.

[Jessica Capshaw]

Yeah.

[Rick Jervis]

And that's one of the reasons that we started ov, which is our pcos. So when I met her, she said, I need, I have two things that I want to do in this world. One, every woman needs to know her lifetime risk of breast cancer. And we really sort of knocked that out of the park when Olivia came out and did what she did. And the second one was to, you know, make the world know what PCOS is. Because if you think about it, 15% of all women have it. It's a leading cause of infertility with endometriosis, but 75% don't know they have it.

[Dr. Arizona Robbins]

And as Camilla just pointed out, there's so many symptoms that don't seem like. They seem like symptoms of being human and so. Or being a woman.

[Dr. Joy Hardin Bradford]

And, you know, she's right. And because these symptoms are complicated, doctors have a hesitation of diagnosing these patients, and that's why they go dismissed. To this day, they still tell patients, you need to have a high testosterone in your blood to get the diagnosis for pcos. That's not true. So that's not one of the criteria. You don't have to have a high testosterone in your blood. So there's just a lot of misinformation. And, you know, part of cmd, part of this OV platform we created, is to have a place for patients to go to educate themselves because you have to become your own health advocate. If you become your own health advocate, then you, once you're informed, you can go to that appointment knowing what the, what questions you need to ask and what treatments you need to ask for.

[Rick Jervis]

And that's why, like, we have the exact questions that, that she gives every single patient that she thinks might have PCOS on the website for free. You just go on and you take these tests and it tells you if you have the likelihood. And then we created, you know, obviously ov, the supplement that is the all natural version of. And it treats all the different levels of pcos. So it's been amazing and kind of life changing. Like I said, we really.

[Dr. Joy Hardin Bradford]

And you know, we always talk about this. If, imagine if men had a condition that would cause them to become infertile, Gain weight, I mean, hair loss, facial hair, body hair, mood disorder, eating disorder, make them infertile, have their sperm count goes down, go down, or scar their scrotum, do you think majority of them would go dismissed?

[Dr. Arizona Robbins]

I'm guessing no. I'm gonna go with no, we already know. Yeah, no, yeah, yeah, yeah, but, yeah.

[Dr. Joy Hardin Bradford]

But I mean, so PCOS and endometriosis are top two causes of infertility on the planet. Majority of patients are never diagnosed. I mean, I honestly, for this I want to take credit because we've talked so much about PCOS endometriosis. There were a lot of talks before that, but really, PCOS is starting to become more, you know, known.

[Dr. Arizona Robbins]

I hear that. I hear that in stereo. It might be the places I'm, you know, the rooms I'm in as well, but I do really hear that. And I. And again, I think that you've done a beautiful job with, you know, your partnership with Olivia and the stories and the just the vulnerability that you have both brought to it and have turned it into strength. It is really, really so. It's so emotional, but it's also so educational and it's very inspiring and inspiring to be proactive. I feel the same way about the pcos and because I think that it's the other thing that everyone's talking about.

[Radhi Devlukia]

What's up, guys? Welcome to Agusto Papa, the go to spot for everything. Musica Mexicana. We're proud Mexican Americans who live and breathe this music. We started this podcast to share and discuss our views on musica mexicana. Whether you like Peso Pluma, Los Alegres del Barranco, Ariel Camacho or Ivan Cornejo, when you get in your feels, then this podcast is for you. We deep dive into music reviews. Puerto Pluma show Last year, everything was a 10 out of 10. Fashion and lifestyle inspired by the roots of musica mexicana. The craziest controversies and Cheesemans.

[Dr. Arizona Robbins]

I don't have nothing against Puerto and I don't think Joe Peach should be mad at me.

[Radhi Devlukia]

Song and artist comparisons, competition in the scene. There is competition, there is sides to this. There's special Pluma, Double P and there's J Street Mob. I think at the end of the day it's business, it's all competition and of course, our personal stories and opinions along the way. This isn't just a podcast, it's a movement for fans who live Musica Mexicana every single day. Listen to Augusto Papa as part of the Michael Tura Podcast Network on the iHeartRadio app, Apple Podcasts or wherever you get your podcast.

[Camille Luddington]

Hey, I'm Radhi Devlukya and I'm the host of a really good cry podcast. And I have the opportunity to talk to Dr. Julie Smith. Julie is a clinical psychologist, a best selling author and one of the most trusted voices in mental health online. She was one of the first therapists to use TikTok as an educational platform and since then she has built a global audience of nearly 10 million people by making emotional support accessible, honest, and deeply human.

[Dr. Julie Smith]

You know, resentment isn't something that that the world owes you, it's that, you know, something that you need to work on. I would say with this stuff is look out for those feelings of resentment because they're a sign that there was some sort of boundary that wasn't held before you know, that. That if you're not asserting your own desires or wishes or needs and then resenting your partner or your friend for filling the space for you, then it comes back to okay, well, what do you want that's not this.

[Camille Luddington]

Listen to a really good cry on the iHeartRadio app, Apple Podcasts, or wherever you get your podcasts.

[Dani Shapiro]

Welcome to Pretty Private with ebony, the podcast where silence is broken and stories are set free. I'm Ebony and every Tuesday I'll be sharing all new anonymous stories that would challenge your perceptions and give you new insight on the people around you. On Pretty Private, we'll explore the unknown told experiences of women of color who faced it all, childhood trauma, addiction, abuse, incarceration, grief, mental health struggles and more and found the strength to make it to the other side. My dad was shot and killed in his house. Yes, he was a drug dealer. Yes, he was a confidential informant, but he wasn't shot on street corner. He wasn't shot in the middle of a drug deal. He was shot in his house, unarmed. Pretty Private isn't just a podcast, it's your personal guide for turning storylines into lifelines. Every Tuesday, make sure you listen to Pretty Private from the Black Effect podcast network. Tune in on the iHeartRadio app, Apple Podcasts, or wherever you listen to your favorite shows.

[Jeff Perlman]

What would you do if one bad decision forced you to choose between a maximum security prison or the most brutal boot camp designed to be hell on earth? Unfortunately for Mark Lombardo, this was the choice he faced.

[Dr. Arizona Robbins]

He said, you are a number, a New York state number, and we own you.

[Jeff Perlman]

Shock incarceration, also known as boot camps, are short term, highly regimented correctional programs that mimic military basic training. These programs aim to provide a shock of prison life, emphasizing strict discovery, discipline, physical training, hard labor and rehabilitation programs. Mark had one chance to complete this program and had no idea of the hell awaiting him the next six months.

[Dr. Arizona Robbins]

The first night was overwhelming and you don't know who's next to you and we didn't know what to expect in the morning.

[Dr. Joy Hardin Bradford]

Nobody tells you anything.

[Jeff Perlman]

Listen to Shock incarceration on the iHeartRadio app, Apple Podcasts, or wherever you get your podcasts.

[Dr. Arizona Robbins]

My journey with perimenopause or anything adjacent to it was literally a friend who just was, I don't know, five, five or six years older, who found herself in the time of life where she was really struggling. Like, there were all the things, all the symptoms, all the things that were just hard. And you could see it, she was wearing it. And I remember talking to her and she was just starting to pull at the string and she was starting to advocate for herself, ask the question. This was, by the way, maybe four or five years ago. And I think four or five years ago feels like a little bit of the tipping point where people were talking about it more and she had access. And it was. And that. And that was fantastic. But she. I mean, my memory of it was like in a movie, but it was like she grabbed me by my shirt and was like, you need to get.

[Rick Jervis]

Ahead of this shit.

[Dr. Arizona Robbins]

And I was like.

[Jessica Capshaw]

Okay, we can I add on to this, because then we went to Paris, you guys, and Jess grabbed, beat me by my shirt and said, you need to get on this shit. And I, and, and what I said to her at the beginning of this is, listen, now, I. I had never even heard of the word perimenopause until two years ago. I'm 41. I see it everywhere. If someone still asks me now what it is, I actually still don't know. So we have had.

[Dr. Arizona Robbins]

Let's start there.

[Jessica Capshaw]

Many questions about this. So what is it? I could not define what it is, and so many people still cannot.

[Dr. Arizona Robbins]

I still. I think that's true. So, yes, what is it?

[Dr. Joy Hardin Bradford]

So, very good question. Average. Let's start backwards. Average age of menopause is 51 and a half. Definition of menopause is no period for 12 consecutive months. So if you go one full year without a period, that's considered menopause. Seven to 10 years before menopause, women go through perimenopause. These are early changes that happens in our body, and different women experience different symptoms. And it could start as early as our mid to late 30s to early 40s. So range of menopause is 45 to 55, average being 51 and a half. So if, let's say your body is going to go through menopause at 45, 7 to 10 years before that is 35, 38 years of age, you might start perimenopause. So you can't look at someone and say, oh, you're 38 years old. You're not menopausal yet because you're not 50 yet, so it doesn't go that way. You listen to symptoms, and you really don't need to chase after hormones. Obviously, you look at symptoms. You want to do hormone tests because you don't want to miss thyroid dysfunction, which is very, very common and can have a lot of symptoms similar to perimenopause. You can have hair loss, you can have weight gain, you can have irregular period, hot flashes, all of that with your thyroid issue. So you want to do a hormone test just to make sure everything is okay, but then you look at symptoms. Some patients think they need to have irregular periods to go to become perimenopausal. It's not true. There's some women who have regular cycles, and then, boom, it stops for a year, and it never comes back.

[Dr. Arizona Robbins]

Wow.

[Dr. Joy Hardin Bradford]

And then there are women who have irregular periods before their periods completely stop. So you can't always go with your periods.

[Rick Jervis]

I'm 53, and I still have my period, but every now and then it's. I mean, and I.

[Dr. Joy Hardin Bradford]

But you're perimenopausal.

[Rick Jervis]

I'm perimenopausal, but I almost want to kill my husband. 24. I want to rip his face off sometimes. And I want to look over there, and I'm sweating, and I'm like, you know, I'm peeing every five minutes. So I know that I am perimenopausal even though I get my period every day.

[Dr. Joy Hardin Bradford]

Correct.

[Rick Jervis]

I mean, not every day.

[Dr. Joy Hardin Bradford]

I was gonna say.

[Dr. Arizona Robbins]

Wait, what?

[Rick Jervis]

No.

[Jessica Capshaw]

So what is it exactly is that you're like, what?

[Dr. Joy Hardin Bradford]

What?

[Jessica Capshaw]

What should I be looking out for?

[Dr. Joy Hardin Bradford]

So. Very good. So as we go through perimenopause, we start having fluctuations in our hormones and a decline in our estrogen cells especially, which helps us with a lot of these symptoms. So as we get fluctuations in these hormones, our periods can become irregular. We can start having hot flashes, night sweats, brain fog, hair loss, skin thinning, vaginal dryness, painful sex, frozen shoulder, joint pain, weight gain. What else? Face, facial hair. Did I say? I mean, the list goes on and on and on. There are over 100 symptoms that can happen. So it's a combination of these symptoms. And you don't have to jump and treat someone with hormones, because sometimes, let's say you can have someone who shows up with, I don't know, hair loss or weight gain, then you can specifically treat those symptoms. But when you have someone who shows up with a lot of these symptoms, sleep disturbances, brain fog is up there, because really, you think you're Going crazy, right? You leave your keys, you leave the room, you come back, you, you know, you really think some. I mean, one of the most common symptoms patients complain is, I think they come to my office and they're like, I think I'm having dementia because I forget everything.

[Dr. Arizona Robbins]

So this begs the question that my. That my friend and I got into. Can you get ahead of it? So, like, do you actually need to wait for the symptoms to arrive and then the. And then the blood panel and all that, and then treat that well, or.

[Rick Jervis]

Do you slap hormones all over you? Like, I had seven patches of hormones when I met Dr. A, and she's like, more is not more.

[Dr. Joy Hardin Bradford]

Let's take some of those off.

[Dr. Arizona Robbins]

And for those that don't know, that is a form of the treatment, that is how you can get the medicine is in these patches that you stick to your skin.

[Rick Jervis]

So that's a great question. That's actually.

[Jessica Capshaw]

Yeah, I want to know that.

[Rick Jervis]

Can you get in front of it?

[Dr. Joy Hardin Bradford]

So you don't want to really start treating yourself if you have no symptoms. It doesn't make sense. So if you have regular periods, you have no hot flashes, no brain fog, no joint pain, no weight gain, no vaginal dryness, painful sex, sleep disturbances, anxiety, mood changes, none of that. Why would I treat you? Right.

[Dr. Arizona Robbins]

Are you alive, by the way, if you have none of those. But go ahead.

[Jessica Capshaw]

I was like, check, check, check.

[Dr. Joy Hardin Bradford]

All those symptoms.

[Dr. Arizona Robbins]

Check your pulse.

[Dr. Joy Hardin Bradford]

But if you have any of those symptoms, especially if it's affecting your life, then absolutely. So I had a patient today, she said, you know what? Absolutely. Some night sweats. Does it bother you? Not really. Do you have any other symptoms? No, I'm not going to run at 41 in a panic mode and start treating her. You know, these patients show up and, you know, they're like, I don't feel well. Yeah, you know, I'm starting. For the past three months, I have brain fog. I have. I don't sleep well, and I snap and more anxious. I have palpitations, I'm gaining weight. I. Sex hurts. And you don't have to have all of these symptoms. It's a combination of these symptoms, and that's when we start the conversation.

[Dr. Arizona Robbins]

But isn't that the point? That would be so great because you two have been such angels in two incredibly important categories. Is that.

[Jessica Capshaw]

Is that is to take.

[Dr. Arizona Robbins]

You said a very important word, which is panic. I don't want to panic. I don't want anyone. I love to panic. And so when I say, like, get ahead of it, it's like, I think that I'm thinking in terms of. This is now part of the conversation. This was not being talked about before. So I feel comforted, number one, that it's being talked about, then it's being talked about in time that I'm asking the questions, right? Like, oh. Because I often am also one of those people who has a high tolerance for pain and just keeps going. And I don't even know that I have a symptom until someone says, do you have this, this, this, this, this, this? I'm like, yeah, yeah. Got all of them. I got all of them. Now what? What happens now? And they're like, oh, oh. So it's. It's like, I feel like there's, there's opportunity and there's this call to action to have us not panic, but just be educated, understand and, and feel our bodies and not normalize discomfort, not normalize pain, not normalize someone going, you're fine, but actually say, I don't feel great. I don't feel fine. This does cause me discomfort or pain. It's distracting, by the way. It's distracting. How about that? The fact that when our bodies are not in the right way, it's distracting. And we have jobs. We have jobs in the house, we have jobs out of the house. We have, we have, we have shit to do. So I love that people are talking about this, and I'm so, I'm so grateful that there are things that we can do. So it sounds like you are. The first thing you're doing is talking to your person, whoever that is, and going through what your symptoms are and whether or not you can address those.

[Dr. Joy Hardin Bradford]

I think the first step is to educate yourself about symptoms of perimenopause.

[Dr. Arizona Robbins]

Gotcha.

[Dr. Joy Hardin Bradford]

Unfortunately, even now, when you go to your gynecologist, because of that time limitation, you know, if you're spending 10 minutes with your doctor, you don't even have time to go for me to list all those symptoms. It'll take me 10 minutes to list all the symptoms.

[Dr. Arizona Robbins]

Yeah.

[Dr. Joy Hardin Bradford]

And explain everything to you. More than 10 minutes. So a lot of patients get dismissed. So it's good to educate yourself. It all start with self advocacy. Once you. You have to know what perimenopause is. Now we learned it. You have to know what symptoms to look for and just know that we can fix it. And there are treatment options. And not every patient will have the same exact treatment option. So you have to. That's why it's so important to go to someone who Prescribes hormones. Who understands it? Because I might put a progesterone IUD in one person and give them an estrogen patch with the next person, I might give a progesterone micronized progesterone at night with their estrogen patch with the third person, I might give her a birth control pill to regulate her symptoms. So we don't throw everyone in one basket. And I can sit here. I mean, I can go through it quickly and explain it to you guys, but it's hard for someone at home to know what they exactly need, which.

[Rick Jervis]

Is why we started the podcast. Like, we literally have perimenopausal, menopausal episode. We have a brain health episode. We have a PCOS episode. We have a. So that you can go in every phase of your life and have, you know, the doctor A cheat sheet with you so that when you walk into your doctor, you're armed and you say, hey, this is what I have. These are my symptoms. This is what I think is. And if it's not Dr. A, it's, you know, the biggest medical heart doctor or the brain doctor or whatever. It's there. What? There's not enough information. Excuse me, Let me. Let me reiterate. There's not enough correct information, factual information really readily available to women. And this has to change. And you having us on this podcast makes that change. Yeah, you have talking to Dr. A, asking these very important questions. Every single woman is going to go through menopause. That is the one thing we know. If you're born as a woman and you die at a certain point and you're lucky enough to live long enough, you're gonna go through menop, but you don't have to suffer through it.

[Jessica Capshaw]

And is every single woman going to go through perimenopause, or are there some women that don't go through that and just they're straight into menopause?

[Dr. Joy Hardin Bradford]

No, you go through perimenopause. Okay, Then you go through menopause. But different women have different symptoms. Some women go through menopause and they never experience hot flashes. Some women go through menopause and they never experience irregular periods. That's why the treatment, especially in perimenopause, one message I want to make very clear is you don't need to become menopausal without a period for a year to start hormone replacement most of the time. For most patients, I actually start them on hormone replacement therapy years before they hit menopause.

[Dr. Arizona Robbins]

Let's get ahead of this. That's What I'm talking about.

[Dr. Joy Hardin Bradford]

Yeah, but as, but as long as you're not treating someone who's pre menopausal, meaning they're not even in the perimenopause, they have regular cycles and they have no symptoms. No symptoms. But for someone, for example, who has irregular periods only, and they maybe have some hot flashes and they're not smokers and they need birth control, putting them on a low dose birth control pill is a great option to treat their symptoms of perimenopause. For another person who's really, really anxious and who's not sleeping well and mood is an issue, then I would start them with a micronized progesterone at night just to calm their nerves down. Because micronized progesterone at night, if you give them 100 milligrams of a compounded natural progesterone, it helps them sleep well and it helps with their mood. I also add two forms of magnesium for those patients. Let's say magnesium threonate and magnesium glycinate. Threonate is the only form of magnesium that crosses the blood brain barrier and calms the brain down and the glycinate relaxes our body. So if you give them progesterone and these two magnesiums, their nerve, they, they calm down and they sleep better. So for that patient, I might just do the progesterone. Another patient who has endometriosis, heavy periods, painful periods, I might do a progesterone iud. And once I slow down the their bleeding and I make their period super light, then I'm gonna add the estrogen patches. That's why, you know, I can sit here and do a full episode on just perimenopause.

[Dr. Arizona Robbins]

Mariela, I mean, this is. I can understand why you are. You don't understand.

[Rick Jervis]

This is like, it all makes sense every day. I just, I just learned so much. But the other thing I want to make sure that we're talking about too is that there is a group of women. I mean that again, like, I'm somebody that throws hormone patches all over me anytime I possibly can. But you had breast cancer. You can't. So will you talk a little bit about a woman who does. Their lifetime risk is high. Like, what do you do to make sure before, you know, do they take a genetic test? Like, what do you do? Like kind of walk through what every patient that walks into your office does.

[Dr. Joy Hardin Bradford]

So that's a very good point. So when for every woman on this planet, and I always said this, if, you know Your first name, last name, date of birth, you need to know your lifetime risk of breast cancer. And that number, you need to know that number as early as age 30. So it's very important because an average American woman has a 12.5% chance of getting breast cancer. Now, if you have family history of breast cancer, that goes up. If you have any biopsies that shows atypia, that can go up. If you're morbidly obese, it can push your lifetime risk up. So there are different factors and there's a calculator, it's on gmd. You can go enter all your information and it will tell you what your lifetime risk of breast cancer is. Anything 20% or more is considered high risk. For high risk patients, we start breast imaging as early as 30, not 40. So this is a very important point because to this day, a lot of women, I mean, thanks to Olivia Munn, this has changed. But a lot of women still go to the doctor at age 38 and they feel a lump in their breast and their doctor says, you're too young for a mammogram. And we know it's not true. So you start your mammogram 10 years before your first or second degree relative was diagnosed with breast cancer. Or you start depending on your lifetime risk of breast cancer. If your average risk, then you can start at age 40. If your lifetime risk is 20% or more, you start as early as 30. Let's say I had a patient today when I left my office who is BRCA positive with a lifetime risk above 80%. Her paternal aunt was diagnosed with breast cancer at age 29. So that patient who was 22 today, I sent her for breast imaging because she falls into the high risk category. So you can't. And she already had, you know, some other cancer that she was diagnosed with.

[Dr. Arizona Robbins]

So I've done the test. I mean, I think that everybody listening to this, that's like right now, pause, press pause, just go do it.

[Dr. Joy Hardin Bradford]

So, and there are many genetic tests out there in my office. I do the Myrisk genetic test by myriad. Myrisk calculates the patient's lifetime risk of breast cancer. So that's an information that is calculated by Myrisk for the patients by, by myriad. And the test is called Myrisk. But in addition to that, they also look for little markers in the DNA that, so they check you for 48 cancer causing genes because BRCA is the.

[Rick Jervis]

One we hear all the time, but.

[Dr. Joy Hardin Bradford]

There'S 48 other cancer causing genes, not all of them. Associated with breast cancer, but other cancers associate associated with other cancers. But in addition to that, myriad looks in the DNA for tiny little markers that some women carry in their genes that can bump up their lifetime risk of breast cancer. And some women walk around with a lot of those markers that are silent, and you don't know about them until you do this test. So. And those markers can bump up your lifetime risk. You can go from a lifetime risk of 18% to 38% if you have a lot of those tiny markers in your DNA unrelated to these major genetic mutations like the BRCA and check 2 and Palb 2 and all these other genetic tests that are associated with breast cancer. So again, knowledge is power. You can, you know, I had no family history of any cancers. I had no gene mutations. I never smoked, never did drugs. I was never overweight. I was never on hormones. But my lifetime risk of breast cancer was 37 because of this biopsy in my breast that showed Atypia. So 37 for someone who had no family history of gene mutation. So someone like me would be a poster child of someone who should never get breast cancer. Right. But my left hand risk was 37%. And I pushed my doctors to give me a double mastectomy because I had little kids and I didn't want to get breast cancer. And everyone called me crazy paranoid. They told me, you know, I was being anxious and I didn't have to worry about it until I finally, after a year, found a doctor who was willing to do it. She did my double mastectomy prophylactically. That was my choice. I'm not saying for people to run and do a double mastectomy, but that's what I wanted. And a week later, they called me and they told me I had breast cancer. And going into my mastectomy, I had a negative mammogram, ultrasound, and a benign mri.

[Jessica Capshaw]

Wow, that's terrifying.

[Rick Jervis]

This is not good for Camilla yourself. Women know their bodies. They do when they think something is wrong, something is wrong. Thais always says that. She's like when a woman comes into my office and they tell me something is wrong, and everybody else is saying it's not, something is wrong. You believe that?

[Dr. Joy Hardin Bradford]

Yes.

[Radhi Devlukia]

What's up, guys? Welcome to Agusto Papa, the go to spot for everything. Musica Mexicana. We're proud Mexican Americans who live and breathe this music. We started this podcast to share and discuss our views on musica mexicana. Whether you like Peso Pluma, Los alres del Barranco, Ariel Camacho or Ivan Cornejo when you get in your feels, then this podcast is for you. We deep dive into music reviews. First of all, my show last year, everything was a 10 out of 10. Fashion and lifestyle inspired by the roots of Musica Mexicana, the craziest controversies and Cheesemans.

[Dr. Arizona Robbins]

I don't have nothing against Puerto, you know, and I don't think Joe Peach should be mad at me.

[Radhi Devlukia]

Song and artist comparisons, competition in the scene. There is competition, there is sides to this, there's special Pluma, Double P and there's jp. I think at the end of the day, it's business, it's all competition, and of course, our personal stories and opinions along the way. This isn't just a podcast, it's a movement for fans who live Musica Mexicana every single day. Listen to Augusto Papa as part of the Michael Tura Podcast Network on the iHeartRadio app, Apple Podcasts, or wherever you get your podcast.

[Camille Luddington]

Hey, I'm Radhi Devlukia and I'm the host of a really good Cry podcast. And I have the opportunity to talk to Dr. Julie Smith. Julie is a clinical psychologist, a best selling author, and one of the most trusted voices in mental health online. She was one of the first therapists to use TikTok as an educational platform and since then she has built a global audience of nearly 10 million people by making emotional support accessible, honest and deeply human.

[Dr. Julie Smith]

You know, resentment isn't something that the world owes you, it's that, you know, something that you need to work on. I would say with this stuff is look out for those feelings of resentment because they're a sign that there was some sort of boundary that wasn't held before. You know, that. That if you're not asserting your own desires or wishes or needs and then resenting your partner or your friend for filling the space for you, then it comes back to, okay, well, what do you want that's not this?

[Camille Luddington]

Listen to a really good cry on the iHeartRadio app, Apple Podcasts, or wherever you get your podcast.

[Dani Shapiro]

Welcome to Pretty Private with ebony, the podcast where silence is broken and stories are set free. I'm Ebony, and every Tuesday I'll be sharing all new anonymous stories that would challenge your perceptions and give you new insight on the people around you. On Pretty Private, we'll explore the untold experiences of women of color who faced it all. Childhood trauma again, addiction, abuse, incarceration, grief, mental health struggles and more. And found the strength to make it to the other side. My dad was shot and killed in his house. Yes, he was a drug Dealer. Yes, he was a confidential informant, but he wasn't shot on a street corner. He wasn't shot in the middle of a drug deal. He was shot in his house, unarmed. Pretty Private isn't just a podcast. It's your personal guide for turning storylines into lifelines. Every Tuesday, make sure you listen to Pretty Private from the Black Effect podcast network. Tune in on the iHeartRadio app, Apple Podcasts, or wherever you listen to your favorite shows.

[Dr. Arizona Robbins]

A foot washed up, a shoe with.

[Dr. Joy Hardin Bradford]

Some bones in it.

[Dr. Arizona Robbins]

They had no idea who it was. Most everything was burned up pretty good.

[Dr. Joy Hardin Bradford]

From the fire that not a whole lot was salvageable.

[Dr. Arizona Robbins]

These are the coldest of cold cases, but everything is about to change. Every case that is a cold case that has DNA right now in a backlog will be identified in our lifetime. A small lab in Texas is cracking the code on DNA using new scientific tools. They're finding clues in evidence so tiny you might just miss it. He never thought he was going to get caught. And I just looked at my computer screen, I was just like, ah, gotcha. On America's Crime Lab, we'll learn about victims and survivors, and you'll meet the team behind the scenes at othram, the Houston lab that takes on the most hopeless cases to finally solve the unsolvable. Listen to America's Crime Lab on the iHeartRadio app, Apple Podcasts, or wherever you get your podcasts. This would be a good segue only because, you know, you're talking to us and every PODC is different and every combination of people is different. So Camilla is my best friend and Camilla has and lives in the world with health anxiety. So I'm listening to you two talk through her ears and I'm like, oh, okay. So because when you have health anxiety and you actually have been told, you actually can't trust how you. Your. Your suspicions, you can't trust your feelings because there's this other thing that's happening. I mean, Camilla, I don't want to speak for you.

[Jessica Capshaw]

No, no, it's true. I mean, you guys, if I stub my toe, I think my foot's going to come off like that. You know, that's where I'm at. So I understand what Jess is saying. I think that what is really helpful, I took the test that I clicked on the link and did the test. And I'm fortunate enough I haven't done the further testing, but, you know, according.

[Dr. Arizona Robbins]

Yeah, I'm definitely my risk myriad is like average.

[Jessica Capshaw]

But I think that for someone with me, it is Comforting to have that knowledge where you know you're not. You don't just feel like you're gaslighting yourself and all those things. What I do want to talk about, though, that I feel like we skipped a little bit is we were going to talk about the hormone element of treating Paramount and breast cancer, perimenopause and perimenopause and menopause. So I would love to know more about that.

[Dr. Joy Hardin Bradford]

But before we go there, I want to add one thing. I don't want people to run and do the MYRIS test. You have to qualify for it.

[Dr. Arizona Robbins]

Okay.

[Dr. Joy Hardin Bradford]

If you have, you need to have family history.

[Dr. Arizona Robbins]

Gotcha.

[Dr. Joy Hardin Bradford]

Of certain cancers to qualify for the myriad test. And the qualifications are on their site or your doctor, there's a questionnaire, you have to answer it. And if you qualify, you can take the test.

[Dr. Arizona Robbins]

Gotcha.

[Rick Jervis]

But you have every single woman take.

[Dr. Joy Hardin Bradford]

It that walks into your office only if they qualify. So if you have no family history, you qualify. A lot of us have family history of breast cancer. A lot of women have, you know, if you have a relative with ovarian cancer, we do that. You qualify for detached. If you have, let's say your father had aggressive prostate cancer, you qualify. If you have a first or second degree relative with pancreatic cancer, you qualify. If you have, I don't know, an aunt who had breast cancer under age 50, you qualify. So there's qualification criteria. We don't randomly do a MYRIS test if someone has no family history of cancer.

[Dr. Arizona Robbins]

I just wanted to clarify that.

[Dr. Joy Hardin Bradford]

And now let's talk about breast cancer and perimenopause. So a lot of patients like myself, as they go through perimenopause or menopause, they don't have the option of hormone replacement. And for those patients, we treat them with non hormonal options. For example, let's say you have hot flashes, there's prescriptions. Let's say it's called Brisdal, which is a generic form of. I'm sorry, it's Paxil is a generic form of it. And basically it treats the symptoms of hot flashes and night sweats. If they can't sleep, we. We give them prescriptions like Trazodone or magnesium to help them sleep. If they have hair loss, we give them Minoxidil. If they have vaginal dryness, we treat it with Mona Lisa laser or other hyaluronic acid vaginal inserts to fix their vaginal dryness. A lot of patients with breast cancer do qualify for vaginal estrogen because majority of it does not get absorbed, especially the ones in the pill form. So those are all options. So we treat, if they gain weight, we give them GLP1s to lose the weight. We put them on metformin. So, you know, we, again, we treat their symptoms without having to give them hormones. And there are some patients who go through perimenopause and they really don't want to take hormone replacement. Even for those patients, we do symptomatic treatment and we treat their specific symptom as they're going through perimenopause. I want to add one thing. 20% of women carry a genetic mutation called APOE4, which increases their risk. Put them. It puts them at a higher risk of having dementia in their life. It doesn't mean they're going to get dementia, but it increases their lifetime risk for getting dementia. And for those patients, they do benefit from hormone replacement, especially at the time of menopause, for about seven years. That's the data we have. So I usually check the APOE4 gene on my patients, and if they have it, I usually do the counseling for hormone replacement if they qualify.

[Jessica Capshaw]

Okay, how long. This is probably like a really silly question, but how long does menopause last?

[Dr. Joy Hardin Bradford]

Menopause is no period for a year. But the symptoms can vary. Right? I have 75 year olds when they don't take their hormone replacement. They have hot flashes, night sweats, and they feel terrible. And then you have patients go through menopause and they feel nothing. Wow.

[Dr. Arizona Robbins]

You know, so, so crazy.

[Dr. Joy Hardin Bradford]

It's usually.

[Jessica Capshaw]

We're all snowflakes.

[Dr. Joy Hardin Bradford]

What's that?

[Dr. Arizona Robbins]

We're snowflakes.

[Rick Jervis]

We're snowflakes.

[Dr. Arizona Robbins]

Each one of us is different. We're snowflakes.

[Jessica Capshaw]

I definitely want to talk about GLP1s.

[Dr. Arizona Robbins]

I was gonna say, I feel like. I feel like the crew is interested in the, the weight gain aspect of, of probably life. But yes, specific to perimenopause. And then also I think that there's been in some interest in how alcohol plays into all of this.

[Dr. Joy Hardin Bradford]

With the GLP1s, you mean?

[Dr. Arizona Robbins]

Well, I think that I. I mean, I feel like people talk about sort of like, you know, we live in a culture where there's the cocktail parties. Mary Alice, you and I have talked about this too, where it's like, you know, it's like all the, like, like you, you can. Once you put your attention on it. When you put your attention on not drinking, all of a sudden you're very aware of just how much people drink. And so you can put yourself in the bucket of, like, I have a casual drink. And then you look at your week and you're like, every day, like, you know what I mean? Like, that's not a casual drink. And you. So I certainly, you know, put a lot more attention in my life on, you know, just sort of going, well, all right, let's put attention on it. What is it? So just how alcohol affects us at different ages. Obviously, people use alcohol in different ways, but medically speaking, you know, during the. During this period of perimenopause or menopause, is there any difference in how you metabolize alcohol? Is there any difference in your. In your understanding of it or your attitude towards it, or what is the. What's the information as power?

[Rick Jervis]

We talk about this all the time.

[Dr. Joy Hardin Bradford]

For alcohol. I think you're poisoning your body. And that was, you know, when I first met Mary Alice, that was my argument with her. You would go to her house, and she had 50 different supplements on her and on her kitchen counter and trying to go to all these longevity doctors. And I would tell her, you know, the first thing you have to do is sleep, exercise, and stop drinking alcohol. She's not a smoker, but if she was smoking, I would tell her to stop. These are the four main things. What you put in your mouth is very important. Alcohol to me, is a poison. I don't drink. I. I've had maybe, I don't know, 20, maybe 30 alcoholic drinks, maybe wine in my entire lifetime. And I don't think you need to drink. So you're talking to someone. I would say, quit. No one should drink alcohol. And the best part of GLP1s actually has been this, the craving. It takes the cravings for alcohol away. And, you know, I started prescribing these medications in 2014, and I think that's why I was on the Molly podcast when I met her. These medications are not new. In 2014, I was using these medications. I remember Trulicity came out. I'm pretty sure it was 2014. And back then, I was using it for my PCOS patients for weight loss. And I had patients in 2014, 2015, losing, you know, 50, 60 pounds on these medications. So I know a lot of, you know, people think these are newer medications. They are like the. It just got better and better. But we started with Trulicity. It went to Victoza, to Saxenda, to Wegovy and Ozempic, and then it went to Zepbound and Mounjaro. So it just got better. And better and better. And yeah, we started learning more about it.

[Dr. Arizona Robbins]

So let's talk about that. I mean, the Camilla I. Let's jump in the GLP ones.

[Jessica Capshaw]

Well, I want to know, like, in your opinion, is there a superior one? Because there are so many on the. On the market right now. And I know people that are on WeGovy. I know people that are on Zepbound. Is there one that you prefer?

[Dr. Joy Hardin Bradford]

So that's a very good question. It depends on who you're treating. Right. For someone who wants to lose £20, I would so will go V specifically has a cardiovascular protection study, but I think all these other medications they have at too. They just, they're going to release it soon. But right now, if we speak about it, WOVI does have cardiovascular protection, which. That's what they.

[Jessica Capshaw]

What does that mean exactly?

[Dr. Joy Hardin Bradford]

It means that it helps long term. It can help with your risk of coronary artery disease. So these medications, I just want to make sure people understand these medications are approved for obese patients. Obesity is defined with a BMI of 30 or more or overweight patients with BMI of 27 with another underlying condition like high blood pressure, coronary artery disease, something else that affects them because of their weight. However, over the years, we've started microdosing patients, let's say in perimenopause, who suddenly or menopause, who gain like 10, 15 pounds and they can't lose it. Or with patients who drink a lot of alcohol. We microdose it. And a lot of. For PCOS patients I've used them in for since 2014. I love these medications and they've been a game changer for my patients with PCO, especially the ones I have. Patients who've lost 120 pounds on these medications. Wow, 100 pounds. I mean, these options were not available to these patients. And honestly, you know, I've never had any weight issues and when I would go out, I was always the thin, tall, thin person at the party. But now I walk in and I'm the average person and I love that. I love seeing everyone. Everyone's so healthy. You know, There are over 200 diseases associated with obesity and I feel like these g. With the use of these GLP ones, we're reversing its preventative care. Patients are not needing to be on blood pressure medications. We're reducing the risk of diabetes, coronary artery disease, dementia, all of it. I mean, I really think these medications are longevity medication.

[Dr. Arizona Robbins]

Wow.

[Dr. Joy Hardin Bradford]

It brings down inflammation. It does affect, you know, people talk about the muscle mass it's true. But when you have someone who's £300.

[Jessica Capshaw]

Yeah.

[Dr. Joy Hardin Bradford]

That patient needs to lose the weight, you know.

[Jessica Capshaw]

Yes.

[Dr. Joy Hardin Bradford]

As they become healthier, they become more motivated to exercise. So I get. It breaks my heart when I see these negative comments. And I'm not talking about someone who wants to lose £5 going on these GLP1. Yeah. Like I said, these medications are made for patients with pcos with diabetes with who are obese or morbidly obese. And it's been a game changer for them, really. A game changer.

[Radhi Devlukia]

What's up, guys? Welcome to Agusto Papa, the go to spot for everything Musica Mexicana. We're proud Mexican Americans who live and breathe this music. We started this podcast to share and discuss our views on musica mexicana. Whether you like Peso Pluma, Los Alres del Barranco, Ariel Camacho, or Ivan Cornejo, when you get in your feels, then this podcast is for you. We deep dive into music reviews. Puerto blew my show last year. Everything was a 10 out of 10. Fashion and lifestyle inspired by the roots of musica mexicana. The craziest controversies and Cheesemans.

[Dr. Arizona Robbins]

I don't have nothing against Puerto and I don't think Joe Peach should be mad.

[Radhi Devlukia]

I mean, song and artist comparisons, competition in the scene. There is competition, there is sides to this, there's special Pluma, Double P and there's J Street Mob. I think at the end of the day, it's business, it's all competition and of course, our personal stories and opinions along the way. This isn't just a podcast. It's a movement for fans who live musica Mexicana every single day. Listen to Augusto Papa as part of the Michael Tura Podcast Network on the iHeartRadio app, Apple Podcasts, or wherever you get your podcasts.

[Camille Luddington]

Hey, I'm Radhi Devlukia and I'm the host of a really good Cry podcast and I have the opportunity to talk to Dr. Julie Smith. Julie is a clinical psychologist, a best selling author, and one of the most trusted voices in mental health online. She was one of the first therapists to use TikTok as an educational platform and since then she has built a global audience of nearly 10 million people by making emotional support accessible, honest, and deeply human.

[Dr. Julie Smith]

You know, resentment isn't something that the world owes you, it's that, you know, something that you need to work on. I would say with this stuff is look out for those feelings of resentment because they're a sign that there was some sort of boundary that wasn't held before you know that that if you're not asserting your own desires or wishes or needs and then resenting your partner or your friend for filling the space for you, then it comes back to okay, well, what do you want that's.

[Camille Luddington]

Not this Listen to a really good cry on the iHeartRadio app, Apple Podcasts, or wherever you get your podcasts.

[Dani Shapiro]

Welcome to Pretty Private with ebony, the podcast where silence is broken and stories are set free. I'm Ebony, and every Tuesday I'll be sharing all new anonymous stories that would challenge your perceptions and give you new insight on the people around you. On Pretty Private, we'll explore the untold experiences of women of color who faced it all childhood trauma, addiction, abuse, incarceration, grief, mental health struggles and more and found the strength to make it to the other side. My dad was shot and killed in his house. Yes, he was a drug dealer. Yes, he was a confidential informant. But he wasn't shot on a street corner. He wasn't shot in the middle of a drug deal. He was shot in his house, unarmed. Pretty Private isn't just a podcast. It's your personal guide for turning storylines into lifelines. Every Tuesday, make sure you listen to Pretty Private from the Black Effect Podcast Network. Tune in on the iHeartRadio app, Apple Podcasts, or wherever you listen to your favorite shows.

[Jeff Perlman]

What would you do if one bad decision forced you to choose between a maximum security prison or the most brutal boot camp designed to be hell on Earth? Unfortunately for Mark Lombardo, this was the choice he faced.

[Dr. Arizona Robbins]

He said, you are a number, a New York State number, and we own you.

[Jeff Perlman]

Shock incarceration, also known as boot camps, are short term, highly regimented correctional programs that mimic military basic training. These programs aim to provide a shock of prison life, emphasizing strict discipline, physical training, hard labor, and rehabilitation programs. Mark had one chance to complete this program and had no idea of the hell awaiting him the next six months.

[Dr. Arizona Robbins]

The first night was overwhelming and you don't know who's next to you and we didn't know what to expect in the morning.

[Dr. Joy Hardin Bradford]

Nobody tells you anything.

[Jeff Perlman]

Listen to Shock incarceration on the iHeartRadio app, Apple Podcasts, or wherever you get your podcast.

[Jessica Capshaw]

What does microdosing look like? Because it sounds like it's a shot or a pill that you take usually once a week, right?

[Dr. Joy Hardin Bradford]

Yes. So when if you take Wegovy, Mounjaro or Zepbound, it's one dose. You inject it depending on which pen you're using and you can't really Change the dosing of it.

[Dr. Arizona Robbins]

It.

[Dr. Joy Hardin Bradford]

But for the ones like let's say Sexenda or let's say Ozempic, you can actually use the number of clicks. So let's say if it's 72 clicks, if you have a 1 milligram.

[Jessica Capshaw]

So it's a dial on the thing that you can. Okay, correct. Can figure out how to microdose once a week and just sort of.

[Dr. Joy Hardin Bradford]

Bravo. And sometimes there are a lot of doctors. Let's say you have an al. A patient who drinks a lot of alcohol, and you want them to stop drinking, you can start microdosing them. And it's been a game changer. I don't know if you guys notice or not. I go. I live in la and I go to a lot of bar mitzvahs and bat mitzvahs. Over the years, I've gone. And I'm not Jewish, but I go to a lot of parties. And 10 years ago, 15 years ago, the bar was packed. Now you go to these parties. No one's drinking. No. Go to rest. I went to a restaurant, a fancy restaurant in Beverly Hills I was invited to, and the waiter was telling me how they don't sell desserts anymore and they don't sell alcohol anymore. I mean, restaurants are suffering right now.

[Dr. Arizona Robbins]

Oh, I hadn't even thought about that.

[Dr. Joy Hardin Bradford]

Oh, yeah.

[Rick Jervis]

Except me, who's still eating desserts.

[Dr. Arizona Robbins]

Yeah.

[Rick Jervis]

I'm the last one sitting there.

[Dr. Arizona Robbins]

You gotta. You know what? I gotta keep them in business. Mary Ellis.

[Dr. Joy Hardin Bradford]

Yeah, but people share food. They don't order as many desserts. They're not drinking as much. Much. Go to restaurants and notice. Go to parties and notice the bar. That makes sense, at least. I mean, I'm talking about Los Angeles. It might not be the case in other states.

[Jessica Capshaw]

I have a question because I think some people were worried about, with GLP ones, the thyroid cancer element of it. So what if. If you have hypothyroidism, hyperthyroidism, like, what can you. Is.

[Dr. Joy Hardin Bradford]

That's completely different. So the sink. The contraindication to GLP1s is a family history of medullary thyroid cancer, which is a more aggressive form of thyroid cancer. Papillary thyroid cancer, which is very, very common, is not a contraindication. Being hypo or hyper. Having hypothyroidism or hyperthyroidism is not a contraindication. Actually, a lot of patients who are hypothyroid, when your thyroid doesn't function well, you gain a lot of weight. Those patients do need to be on GLP1, especially if they're obese to lose that weight. So that's not a contraindication. But let's say if you personally had medullary thyroid cancer, which is a rare form of aggressive thyroid cancer, or if your mom or dad or aunt and uncle had it, then we would not prescribe it.

[Jessica Capshaw]

Okay, Understood.

[Dr. Joy Hardin Bradford]

Okay.

[Jessica Capshaw]

Thank you for clearing that up, because I think we're going to see.

[Rick Jervis]

There's a lot of information out there that's so. It's overwhelming.

[Dr. Arizona Robbins]

Well, now I just want to direct everyone, and I. I mean, I. I have. So. I mean, I. I found your episode on PCOS incredible. I. I'm. I think that everybody now needs to go check out all of your episodes. I'm gonna go check out the ones that. That speak to me, but, man, that was a. That was a ton of information. Thank you so much.

[Jessica Capshaw]

And, please, we would love to have you guys back on, because I just know that the crew is going to have so many more questions for us after this that we won't be able to answer.

[Rick Jervis]

We loved it.

[Dr. Arizona Robbins]

Yeah, exactly. I'm actually still gonna. I'm gonna be. It's gonna be the middle of the night, and I'm gonna wake up and say, I can't. I think to myself, I can't believe I said I was gonna take my daughter to the OB gyn. Yeah, right. I said that. I said it at the beginning. It's okay. We don't need. We don't need obstetrics for her. Nope. We just need a gynecologist.

[Dr. Julie Smith]

Jessica.

[Rick Jervis]

Yes.

[Dr. Joy Hardin Bradford]

Yes.

[Dani Shapiro]

All right.

[Dr. Arizona Robbins]

Capsha's back in line. Thank you so, so, so much for spending this time with us.

[Rick Jervis]

We love you guys. And I'm. I'm so. You know, I. I watched the first episode of Grey's Anatomy last night. I made. I made. I made Tom watch the first episode of er, which I hadn't seen since, you know, I was, like, working for a producer. And then I said, we've got to watch the first episode of Grey's Anatomy. And it holds up, right? It holds up, like, the whole thing. And so I did.

[Dr. Joy Hardin Bradford]

I have a question, because I never watched it, but my patients often tell me my fourth. I'm an OB gyn, and I adopted my fourth daughter, who I delivered. And they tell me there's a doctor on the show that adopts obgyn who adopts a baby.

[Jessica Capshaw]

That's me.

[Rick Jervis]

That's you.

[Dr. Arizona Robbins]

That's me.

[Jessica Capshaw]

So I am. Yes. I play Joe Wilson on the show. She's an OB gyn. This is why it's so fun. And I joked. We did a little intro before you guys came on, and I said, I, you know, know nothing, really. So it's really fun to talk to you guys. And she does. She adopts a baby that A baby girl that she delivered a few seasons ago called Luna. So we are one.

[Rick Jervis]

Coco. She's Coco.

[Dr. Joy Hardin Bradford]

Wait, did you guys copy my story?

[Jessica Capshaw]

Honestly, like, we probably. I will find out for you next time we talk to you, but, yes, I am you.

[Dr. Joy Hardin Bradford]

Oh, my God, I love it.

[Rick Jervis]

Well, I love you guys. Thank you so much for having us. We're such big fans. And, Jessica, you're one of my favorite people in the whole.

[Dr. Arizona Robbins]

Oh, my gosh. Right back at you. Any. Anytime I see you, I'm right next to you. I find my way there fast.

[Dr. Joy Hardin Bradford]

She's a ray of sunshine.

[Dr. Arizona Robbins]

It's true. Like, it's true. Well, all right.

[Dr. Joy Hardin Bradford]

Thank you for having us.

[Jessica Capshaw]

We will be back with more questions with you guys at some point. Thank you so much.

[Rick Jervis]

Thank you.

[Dr. Joy Hardin Bradford]

Bye. Bye.

[Jessica Capshaw]

Oh, my God. Honestly, I feel like. Like it's just the tip of the iceberg for me. I could have talked to them for, like, three hours. And I know these things through my day today that I know I'm gonna be walking around and being like, wait, I gotta ask them about that.

[Dr. Arizona Robbins]

Also, it's. Dr. A makes what she's explaining sound so simple and so reasonable when it's really not. Like, the re. The reason why. Likely the things that she was talking about, you're like, I don't wanna. I don't know what the definition of perimenopause is, and I don't know what the definition of menopause is.

[Dr. Joy Hardin Bradford]

Is.

[Dr. Arizona Robbins]

Is because someone wasn't explaining it very well. But when you have someone like her, the way that she explains it, the time she takes, the articulation, the choice of words, you really get it. So I feel like we just got so much from that.

[Jessica Capshaw]

I think so, too. And I also think that, like, sometimes when you're talking about perimenopause and, you know, the hundred symptoms, it's, like, so intimidating. And then I'm. Maybe I'm a little bit of a weirdo, but I actually get so excited when she starts listing off all the ways she can treat you. Maybe it's like, my anxiety or my health anxiety.

[Dr. Arizona Robbins]

It's incredible.

[Jessica Capshaw]

It's so incredible. She's like, we can do this and this and this. And I'm sat here thinking, like, there's not. What are you going to do. You got to deal with it, you know?

[Dr. Arizona Robbins]

No, no, no, no. You never have to deal with, oh, I don't have that. Oh, gosh. We just work on that.

[Jessica Capshaw]

Everyone. I think what's tough is that, like, not everyone has a her.

[Dr. Arizona Robbins]

No, no, no. That's. But that's what's so exciting about living in a time like this where you've access to podcasts. By the way, not every podcast and not every person, you know, giving information is giving. I do think that if you. If you mine for the good ones, you have access to people like her. I think that's what Mary Alice's, you know, mission has been. And so I was very. I loved hearing their story. But, yeah, you mine for the good ones. You mine for what. What works and what speaks to you and what is sound and correct. And I think that, you know, shocker to no one, me looking on the half glass, full side of things. But. But there's a lot of things that are really tough about life and then. Or this time in life. And then there's some crazy, wild, deeply exciting and inspiring parts. Like, I heard her also speak to many of the treatments for things to. It wasn't just all about pharmacology. I mean, there were. There were. There were, you know, remedies in there that didn't have to do with that. It's not all just, you know, get yourself to the CVS and, you know, fill out, you know, get the radio ex for something. But the. But. But I heard her really talking about knowing yourself and trusting yourself and identifying what your symptoms are so that you can go and you can speak to someone or I also heard her say, go to your doctor with an idea in hand, because it's true, not everybody gets a ton of time in there. But if you go and you. And you have an inkling that something's going on and you can do a little research or listen to some podcasts and see if that's what's going on with you. And you can go to your doctor and say, this is what I think it might be. You know, maybe you're. You're a step ahead.

[Jessica Capshaw]

Agree. Yeah.

[Dr. Arizona Robbins]

So anyways, I found it very inspiring.

[Jessica Capshaw]

I loved it. I loved all of it. Please, you guys, I know that you have questions after this, too. Write us about anything. I mean, we asked a lot about, like, you know, anything about, you know, labor delivery, period, anything, anything, anything. And we will have them back on to ask them all the questions, because we are in this with you guys, too.

[Dr. Arizona Robbins]

All right, well, let's call it.

[Jessica Capshaw]

Let's call it the end of the episode.

[Dr. Arizona Robbins]

Hey, can we talk about Plan B for a second? What exactly is it?

[Jessica Capshaw]

Okay, Plan B is emergency contraception you take after unprotected sex. Think of it as backup birth control. It works by temporarily delaying ovulation to help prevent pregnancy before it starts.

[Dr. Arizona Robbins]

And it's available right off the shelf?

[Jessica Capshaw]

Yep. It's at all major retailers in all 50 US states. No prescription ID or age requirement.

[Dr. Arizona Robbins]

Ah. Together, we've got this.

[Jessica Capshaw]

Follow Plan B on insta at Plan B. One step. Use as directed.

[Dr. Joy Hardin Bradford]

Your entire identity has been fabricated. Your beloved brother goes missing without a trace. You discover the depths of your mother's illness. I'm Dani Shapiro, and these are just.

[Rick Jervis]

A few of the powerful stories I'll.

[Dr. Joy Hardin Bradford]

Be mining on our upcoming 12th season of Family Secrets. We continue to be moved and inspired by our guests and their courageously told stories. Listen to Family Secrets Season 12 on the iHeartRadio app, Apple Podcasts, or wherever you get your podcasts.

[Dr. Arizona Robbins]

I'm Dr. Joy Hardin Bradford, host of the Therapy for Black Girls podcast. I know how overwhelming it can feel if flying makes you anxious. In session 418 of the Therapy for Black Girls podcast, Dr. Angela Neal Barnett.

[Dr. Joy Hardin Bradford]

And I discuss flight anxiety.

[Dani Shapiro]

What is not normal is to allow.

[Dr. Arizona Robbins]

It to prevent you from doing the things that you want to do, the.

[Dani Shapiro]

Things that you were meant to do.

[Dr. Arizona Robbins]

Listen to Therapy for Black Girls on the iHeartRadio app, Apple Podcasts, or wherever you get your podcast.

[Jessica Capshaw]

Everyone thinks they'd never join a cult.

[Dr. Joy Hardin Bradford]

But it happens all the time.

[Jessica Capshaw]

To people just like you and people just like us.

[Rick Jervis]

I'm Lola Blanc.

[Dr. Arizona Robbins]

And I'm Megan Elizabeth. We're the hosts of Trust Me, a.

[Dr. Joy Hardin Bradford]

Podcast about cults, manipulation, and the psychology of belief.

[Dr. Arizona Robbins]

Each week, we talk to fellow survivors, former believers, and experts to understand why people get pulled in and how they get out. Trust me. New episodes every Wednesday on Exactly right.

[Jessica Capshaw]

Listen.

[Dr. Arizona Robbins]

Wherever you get your podcasts.

[Dr. Joy Hardin Bradford]

This is.

[Dani Shapiro]

An I Heart podcast.