Assessing a Midlife Patient: Practical Steps

What if your mouth could reveal your hormonal health, fertility status, and even your brain’s risk for Alzheimer’s?

In this episode, I sit down with Dr. Leedia Riman, a biological and integrative dentist redefining how we care for our teeth. She reveals the science behind estrogen receptors in the mouth, jawbone, and salivary glands—and how they link oral health to menopause, fertility, and brain aging.

We explore the oral microbiome and how an imbalance can spark inflammation that spreads to the brain, gut, and even the placenta. Dr. Leedia explains how testing your oral microbiome can flag disease risks early, and why every woman over 35 should understand what’s happening inside her mouth.

This episode isn’t just for women—oral inflammation also impacts male fertility, bone density, and long-term health. From dry mouth to dementia, pregnancy gingivitis to biofilm mapping, this is one of the most eye-opening conversations we’ve had on The Neuro Experience.

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About Dr. Riman:

Dr. Leedia Riman is a Beverly Hills biological and integrative dentist who connects oral health with whole-body wellness. She specializes in conservative, biomimetic cosmetic dentistry, gum and bone health, and a root-cause approach—with a focus on how hormonal shifts, especially in women, affect the mouth and jaw. Dr. Leedia coined “Responsible Cosmetic Dentistry” to describe her philosophy of long-term, minimally invasive, personalized care.

Instagram: @drleedia

Website: https://www.drleedia.com

Elev8 Dentistry: https://elev8care.com

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I’m Louisa Nicola — clinical neurophysiologist — Alzheimer’s prevention specialist — founder of Neuro Athletics.

My mission is to translate cutting-edge neuroscience into actionable strategies for cognitive longevity, peak performance, and brain disease prevention.

If you're committed to optimizing your brain — reducing Alzheimer’s risk — and staying mentally sharp for life, you’re in the right place.

Stay sharp. Stay informed. Join thousands who subscribe to the Neuro Athletics Newsletter → https://bit.ly/3ewI5P0

Instagram: https://www.instagram.com/louisanicola_/

Twitter : https://twitter.com/louisanicola_


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Topics discussed:

Use 00:00:00 Intro 00:02:09 What is Biological Dentistry? 00:03:44 Estrogen Decline and Your Mouth 00:06:45 The Oral Microbiome Crisis 00:10:51 The Pregnancy-Oral Health Connection 00:13:41 Biofilm Mapping: A Revolutionary Diagnostic Tool 00:16:55 Fertility, Sperm Health, and Oral Inflammation 00:24:27 Warning Signs: Burning Mouth and Gum Disease 00:28:57 Hormone Replacement Therapy and Oral Health 00:29:31 The Saudi Arabia Discovery 00:20:41 Pregnancy's Impact on Oral Health 00:33:31 Essential Dental Care Protocol 00:42:11 Bone Loss and Osteoporosis in the Jaw 00:46:15 Daily Oral Care Routine for Menopausal Women 00:52:32 The Vitamin D and K2 Connection 00:49:43 Mouth Taping and Saliva Preservation 00:54:45 Action Plan: Treating the 52-Year-Old Woman to include chapters.

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