The DUTCH Podcast

Intermittent fasting can be a valuable tool for providers caring for patients with PCOS.  In this episode, Jaclyn Smeaton, ND, and Kelsey Hojara, RD, discuss the pros and pitfalls of intermittent fasting. They offer suggestions for when it may be beneficial for patients to implement fasting, and some cases for when to avoid it. If you’re thinking about recommending intermittent fasting but don’t know where to start, then this episode is for you! Show Notes For more information about the DUTCH Test, visit our website! www.dutchtest.com DUTCH Blog: Intermittent Fasting and Cycling Women DUTCH Webinar: Fasting, Nutrition, and Hormones Are you interested in becoming a DUTCH provider?  You can sign up to become one today at www.dutchtest.com/providers. DUTCH providers have exclusive access to one-on-one consultations with DUTCH clinical educators, group mentorship sessions, and free educational resources like the DUTCH Interpretive Guide and the Mastering Functional Hormone Testing course.  Become a provider today to take your first step toward becoming a hormone expert. 

It’s time for more cortisol curve talk with guest Kelly Ruef, ND. Join DUTCH Podcast host Jaclyn Smeaton, ND, as she and Dr. Ruef get to the bottom of flat cortisol curves. They highlight two distinct patterns to look for on the DUTCH Test and dive into nutritional and botanical support considerations to help get these kinds of patients healthy again. There’s so much packed into this episode. You’ll be glad you listened! Show Notes Download the case study referenced in this episode: DUTCH ReportRead the 2000 research study that links higher mortality rates for women with metastatic breast cancer to abnormal cortisol curves: https://pubmed.ncbi.nlm.nih.gov/10861311/ DUTCH Blog: Measuring Free Cortisone and Metabolized Cortisol DUTCH Blog: Assessing Chronic Fatigue with the Cortisol Awakening Response Are you interested in becoming a DUTCH provider?  You can sign up to become one today at www.dutchtest.com/providers. DUTCH providers have exclusive access to one-on-one consultations with DUTCH clinical educators, group mentorship sessions, and free educational resources like the DUTCH Interpretive Guide and the Mastering Functional Hormone Testing course.  Become a provider today to take your first step toward becoming a hormone expert. 

Stress can be real or perceived, the body doesn’t recognize the difference! That’s why it’s so important to manage stress and evaluate cortisol when your patients present with chronic stress symptoms.  On this episode of DUTCH Summer School, we’re joined by Kaitlin Tyre, ND, a clinical educator here at DUTCH for some talk on cortisol curves. She and Jaclyn break down what cortisol curve patterns to look for in each DUTCH report and talk about stress management techniques that can help patients improve their stress response. Show Notes Download the case study from this episode: DUTCH ReportLearn more about coritsol and how sleep effects the diurnal rhythm, register for our July webinar with Dr. Allison Smith: DUTCH Monthly Webinars - DUTCH Test DUTCH Blog: Measuring Free Cortisone and Metabolized Cortisol DUTCH Blog: Assessing Chronic Fatigue with the Cortisol Awakening Response Learn more about sleep hygieneAre you interested in becoming a DUTCH provider?  You can sign up to become one today at www.dutchtest.com/providers. DUTCH providers have exclusive access to one-on-one consultations with DUTCH clinical educators, group mentorship sessions, and free educational resources like the DUTCH Interpretive Guide and the Mastering Functional Hormone Testing course.  Become a provider today to take your first step toward becoming a hormone expert. 

Jill Carnahan, MD, joins Dr. Jaclyn Smeaton to discuss the transformational change functional medicine can bring to patients, and they explore the new book, "Unexpected: Finding Resilience Through Functional Medicine, Science, and Faith". If you're attending American Academy of Anti-Aging Medicine 2023 Spring Congress, join DUTCH and Dr. Carnahan for a meet and greet at our booth and to receive a free signed copy of her book.About our Speaker:Dr. Jill Carnahan is dually board certified in Family Medicine for 10 years and in Integrative Holistic Medicine. She is the founder and Medical Director of Flatiron Functional Medicine, a widely sought-after practice with a broad range of clinical services including functional medical consulting, chiropractic therapy, physical therapy, naturopathic medicine, acupuncture, and therapeutic massage.Dr. Carnahan's Website: Dr. Jill Carnahan Flatiron Functional Medicine - Jill Carnahan, MDLearn about her new book: Unexpected - Dr. Jill Unexpected (readunexpected.com)

It’s time to wrap up season two of the DUTCH Podcast. As season two comes to a close, Dr. Jaclyn Smeaton, ND, talks with DUTCH founder, Mark Newman, MS, about new peer-reviewed research and the functional hormone testing model as a whole. They dive into the strengths of the DUTCH Test, what sets DUTCH apart from competitors, and explore the methodology that makes DUTCH a leader in the integrative medicine world. This season is packed with great insights from leaders in the functional medicine community. Listen now to hear our final season two episode!  Sections and Timestamps 00:00Intro 06:57Recent journal publication 24:08DUTCH stays focused on its methodology 30:25DUTCH keeps OATs markers small 44:05Comparing DUTCH to other labs 50:00Conclusion Show Notes Recent Peer-Reviewhttps://pubmed.ncbi.nlm.nih.gov/36414155/ https://www.sciencedirect.com/science/article/pii/S0039128X22000769 “Not Withing Spitting Distance” Article https://pubmed.ncbi.nlm.nih.gov/36527751/ DUTCH Research https://dutchtest.com/research/ Check Out Other DUTCH Podcast Episodes https://dutchtest.com/podcast/ 

Oral contraceptive pills (OCPs), or “the pill,” revolutionized women’s healthcare in 1950. Now, almost 75 years later, women and their practitioners are asking questions. In this thought-provoking episode of the DUTCH Podcast, Dr. Jaclyn Smeaton and Dr. Rebecca Clemson compare and contrast the usefulness of the pill with some of its side effects.  You can join the conversation on the good and bad of birth control. Listen now! Sections and Timestamps 00:00Intro 04:10The pill to “fix” female problems 08:02Uses for the pill 12:10The pill is not benign 18:20Cardiovascular risks and the pill 19:56When should a patient take an OCP? 24:50Endometriosis and OCPs 27:41How to do birth control right 34:15Conclusion

Each phase of the menstrual cycle is intertwined with the phase that came before and the one coming after—a continuous loop of natural hormone fluctuations. Our guest, Dr. Kelsey Stang and host Dr. Jaclyn Smeaton uncover the role of each hormone in the cycle and share what exactly occurs in the female body during each phase. Women are empowered with knowledge when they understand their menstrual cycle. And with expert hormone education like the discussion in this podcast, providers and patients can be better equipped to notice when symptoms deviate from normal.  Sections and Timestamps 00:00Intro 03:34Understanding menstrual cycle phases 06:15Luteal phase description 11:46HPO axis 14:05Progesterone’s role in the cycle 16:55Signs to notice throughout the cycle 21:00DUTCH Test options 24:50 Conclusion Additional Resources Get to know Dr. Kelsey Stang, ND drkelseystang.com  Interpreting Specific Examples of Cycle Mapping Reports https://dutchtest.com/video/interpreting-specific-examples-of-cycle-mapping-results/ DUTCH Cycle Mapping https://dutchtest.com/info-cycle-mapping/  DUTCH Complete https://dutchtest.com/info-dutch-complete/  DUTCH Plus https://dutchtest.com/info-dutch-plus/  

Happy Valentine’s Day! This episode of the DUTCH Podcast is sex ed for adults. There is an overwhelming gap in knowledge surrounding the menstrual cycle. Dr. Jaclyn Smeaton and Lindsey Szczepanski, NP get back to the basics with a complete menstrual cycle overview. Lindsey and Dr. Smeaton cover what menstrual symptoms are considered “normal” for cycling, pre-, and postmenopausal women. And even spend time discussing male sexual health, including libido and testosterone.  Don’t be shy—we’d love for you to listen to this episode!  Sections and Timestamps 00:00Intro 04:13Cervical mucus NOT a yeast infection 07:18Educating patients on the menstrual cycle 10:50Normal cycle: bleeding 15:48Normal cycle: cervical mucus changes 18:45Male libido 25:08HRT testing and suggestions 32:35What women need to know about their cycles 35:35Vasectomy follow-up 38:08Conclusion  Additional Resources The Sex and Stress Connectionhttps://dutchtest.com/2023/01/18/the-sex-and-stress-connection/ Listen to more of the DUTCH Podcasthttps://dutchtest.com/podcast/ Monitoring HRT with DUTCH Test https://dutchtest.com/2022/08/26/new-peer-reviewed-data-shows-the-reliability-of-urine-hormone-testing-to-monitor-hrt/  

Sexual wellness can be a sensitive topic. Libido is important for overall health and quality of life. When men struggle to get erections, it could be an indicator of arterial disease, endothelial disease, or diabetes.  Our DUTCH Podcast guest Dr. Geo Espinosa is passionate about helping men achieve the life and health they desire. In this episode, he and Jaclyn Smeaton, ND, go over several approaches to treating low testosterone. They discuss the connections between low libido and systemic disease. And they highlight the importance of exercise in boosting testosterone.  Tune in now to learn more.  Time Stamps00:00Intro 04:13Evaluating male patients who complain of low libido 08:05Dr. Espinosa doesn’t recommend aromatase inhibitors 14:10Men do not become more aggressive with testosterone 17:35Testosterone decreases each year after age 30 21:38Top lifestyle strategies to support testosterone function 28:34Outro Additional Resources Diet and Lifestyle Recommendations from Dr. Geo Ashwagandha Higher fat/keto diet Decrease waist-to-hip ratio Strength training Lowering cortisol Supporting testosterone production Dr. Geo’s Website https://drgeo.com/ Integrative and Functional Urology Institute https://aw6f826.aweb.page/p/cb5f323b-65b8-4863-8aa2-9c2a48e4e92e 

Marcelle Pick, OBGYN, NP is a functional medicine expert and has built her career in women’s health. Her approach to treating hair loss is detailed in this episode of the DUTCH Podcast.  Hear Jaclyn Smeaton, ND, and Marcelle share their experiences treating hair loss. They dive into potential root causes of hair loss and discuss solutions to treat this sometimes-terrifying patient complaint. Marcelle shares some of her go-to nutritional supplement strategies for supporting hair growth, and she and Jaclyn offer advice on searching for reputable and effective supplements.  Sections and Timestamps 00:00Intro 02:08Hair loss is alarming to most patients 04:00Causes of hair loss 06:04Nutrition for hair-health 11:58What is the typical evaluation for a patient experiencing hair loss? 17:19Shopping carefully for supplements 22:01DHT and hair loss 23:49Lifestyle suggestions for patients experiencing hair loss 26:09Outro Additional Resources Marcelle Pick’s Website https://marcellepick.com/ IFM.org — Marcelle Pick, NP https://www.ifm.org/about/profile/marcelle-pick/