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The Girlfriend Doctor w/ Dr. Anna Cabeca: Daily Summaries Delivered
by Dr. Anna Cabeca OB/GYN
Dr. Anna Cabeca is America's top menopause doctor. Known most widely as The Girlfriend Doctor, Dr. Anna is the first call for the woman who has questions she would only ask her best girlfriend if her girlfriend were a triple-board-certified OB-GYN. This top health podcast is all about helping women live better lives — before, during, and after menopause.
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- 6 days ago1h 7m
What Caused Your Cancer? The Question Nobody Asked Dr. Nasha Winters
When a woman sits across from Dr. Anna after a breast cancer diagnosis, she asks one question. What did your oncologist say caused it? Almost every time, the answer is a blank stare. Dr. Nasha Winters has lived that silence from the inside. By 19, she had collected a decade of diagnoses, including PCOS, endometriosis, IBS, anxiety, and thyroid trouble. Then she landed in the ER with a grapefruit-sized tumor and was told she was too ill for treatment. In this conversation, she shares the three things she credits with changing her path. She also explains how childhood trauma can shape the immune system and why she sees the body as a garden to tend rather than a battlefield. Dr. Nasha is a naturopathic doctor and the author of The Metabolic Approach to Cancer. She walks through the ten areas of terrain she evaluates, the neutrophil-to-lymphocyte ratio hiding in a standard CBC, and her inflammation "trifecta" of CRP, sed rate, and LDH. She explains why ringing the bell after treatment is the beginning of rebuilding. She also shares the four S's she sees as common threads in breast health. Key takeaways Recurring symptoms and diagnoses can be signals worth investigating, not just labels to manage. Dr. Nasha looks at ten areas of terrain and now starts with mental and emotional health. A standard CBC can reveal your neutrophil to lymphocyte ratio. She prefers it closer to 2 to 1. She tracks CRP, sed rate, and LDH together as a picture of inflammation and metabolic health. In her view, finishing treatment is when the work of rebuilding healthy cells begins. Research links a balanced microbiome with a better response to immunotherapy. Her four S's for breast health are sugar, stress, sleep, and sex. Timestamps 00:00 The question most women are never asked 05:45 A terminal ovarian cancer diagnosis at 19 12:15 The three "accidents" she credits 17:00 Dr. Anna on the 13-hour overnight fast 19:00 The ACE score and psychoneuroimmunology 37:45 The 10 areas of terrain 44:40 The neutrophil to lymphocyte ratio 48:15 CRP, sed rate, and LDH 53:30 Why ringing the bell is the beginning 56:00 The microbiome and immunotherapy 61:30 Saliva vs. urine pH and your body's capacity 71:00 The four S's of breast health Memorable quotes "So I thought I was pre-med. Cancer had another story for me." Dr. Nasha Winters "They were trying to be a guidepost of, hey, there's something wrong here that needs our attention." Dr. Nasha Winters, on her early diagnoses "It's very simple. Test, assess, address, don't guess." Dr. Nasha Winters "What I tell folks is that's actually just the beginning." Dr. Nasha Winters, on ringing the bell after treatment "Your body is always speaking to you." Dr. Anna Cabeca "The best years of your life aren't behind you. They're waiting for you." Dr. Anna Cabeca Resources mentioned Dr. Nasha Winters at drnasha.com, which has her books, terrain questionnaire, podcast, Substack, and free resources on what to do after a diagnosis The Metabolic Approach to Cancer by Dr. Nasha Winters Mistletoe and the Emerging Future of Integrative Oncology by Dr. Nasha Winters The Adverse Childhood Experiences (ACE) questionnaire The 2016 JAMA Oncology study on overnight fasting and breast cancer recurrence The Girlfriend Doctor community [TEAM TO ADD LINK] Connect with Dr. Nasha Winter Website: https://drnasha.com Podcast: https://www.youtube.com/@drnashawinters <p dir="ltr" role="presentati
- 1 weeks ago42 min
Leptin Resistance in Menopause: The Hormone Nobody Tests | Sarah Kleiner
Tell me if you've heard this before. You're sleeping. You're eating the way you were told to eat. Your labs come back normal, and you still know something is off. That's the woman I had in mind for this conversation. After twenty years in hormone and longevity medicine, here's what I keep coming back to. Most of what supports your hormones comes down to the foundations, like light, darkness, and when you eat, and so many of them cost you nothing. My guest, Sarah Kleiner, is board-certified through the Quantum Biology Institute and the creator of My Circadian App. She came to this work the hard way. In her forties, she went through two pregnancy losses and two rounds of IVF with no viable embryos. Then a single conversation with Jack Kruse pointed her toward leptin and circadian biology. When she asked her fertility doctor to test her leptin, she was told it was an insignificant hormone. Her levels came back very low. She rebuilt her rhythm with morning sunlight, dark evenings, and a shift in how and when she ate, and she later got pregnant with her son without IVF. We get specific. Sarah explains what leptin does while you sleep and why she sees leptin resistance show up before insulin resistance. She covers the early hunger signals that something may be off and how to test leptin so the result means something. We talk through yellow versus orange and red blue light blockers, and why an incandescent bulb on your desk is worth it. We also cover why sitting in the shade still counts and why the same meal lands differently at 8 AM than at 8 PM. I also share why I built MenuPause around rotating eating patterns, especially if you've been doing carnivore, keto, or Keto-Green for a long time. Most of the women who find Sarah's work are in perimenopause and menopause. These small, consistent shifts give your body clearer instructions to work with. And the best years of your life are waiting for you. KEY TAKEAWAYS Leptin works like your body's accountant. Overnight, it reports to your brain how much stored energy you have, then passes instructions along to your thyroid, your sex hormones, and your metabolism. Blue light at night, eating close to bed, or staying up late can interrupt that nightly conversation. In Sarah's experience, leptin resistance shows up before insulin resistance. It's rarely tested, which is one reason "normal" labs can miss what you're feeling. Some early signs your leptin signaling may be off are feeling hungry again soon after you eat, never feeling satisfied, or having no appetite in the morning at all. Sarah skipped breakfast for about ten years and felt nauseous at the thought of eating in the morning. If you test leptin, do it fasted in the morning, 12 to 14 hours after your last meal. Eating beforehand skews the result, and so does fasting too long. Your morning reset is simple. Go outside soon after you wake up, before your phone and before the overhead lights. After sunset, keep your home dim and switch to orange or red light. Use yellow-tinted blue blockers during the day at screens, and orange or red ones after dark. When you eat matters, not only what you eat. Research we discuss shows your body handles the same meal better earlier in the day, which is why I encourage breaking your fast by 10 AM. You don't need to overhaul your house. An incandescent bulb on your desk, a seat by the window, and working outside when you can, even in the shade, are where Sarah tells people to start. Time Stamps 00:00 Why the foundations matter more than hacks and peptides 04:02 Sarah's path from corporate America to circadian biology 07:22 Two IVF rounds and a wall with conventional care 10:04 What a morning circadian reset looks like 22:09 Yellow, orange, or red? Choosing blue light blockers 24:48 What leptin is and why Sarah calls it a master hormone <li dir="ltr" ar
- 2 weeks ago51 min
What's Really Aging Your Skin (And the Diagnosis Doctors Miss) | Dr. Mamina Turegano
Dr. Anna sits down with triple board-certified dermatologist, internist, and dermatopathologist Dr. Mamina Turegano for a deep dive into skin health from the inside out. They cover the real drivers of collagen breakdown, which anti-aging ingredients and procedures actually hold up to decades of evidence, and how to build a sunscreen routine you don't have to second-guess. The conversation then turns to two of the toughest conditions in women's health, rosacea and vulvar lichen sclerosus, with practical, root-cause-informed guidance for both. This is the episode to bookmark if you've ever wondered what's worth your money on the skincare shelf and what's just noise. Timestamps 00:00 – Intro, today's topics 02:23 – Welcome, Dr. Mamina's path into dermatology 03:03 – Blending integrative medicine with medical derm 08:04 – Why we lose collagen, and what accelerates the breakdown 10:29 – Sun protection, the case for and against sunscreen fear 15:00 – Chemical vs. mineral sunscreens, the benzene scare explained 19:51 – Retinoids, how often to use them and why 23:36 – Vitamin C, peptides, and topical hormones for the skin 25:50 – Why topical estrogen can sometimes deepen lines 29:06 – In-office procedures, IPL for dark spots and redness 30:18 – Morpheus and RF microneedling, who it's right for 32:53 – Chemical peels for pigmentation and melasma 33:51 – Red light therapy, what to look for in an at-home mask 34:55 – Rosacea, the gut connection and genetic factors 41:44 – Vulvar lichen sclerosus, why it's so often missed 45:34 – Treatment approach, topical steroids to LDN 50:41 – Where JAK inhibitors and biologics may be headed 51:39 – Where to find Dr. Mamina online 52:22 – Rapid fire round 57:50 – Closing thoughts and where to learn more Memorable Quotes "Your skin is a window of what's going on internally, and when you're addressing your internal health, that can manifest so much on the skin." – Dr. Anna Cabeca "Healthy digestion for a glowing complexion." – Dr. Anna Cabeca "I use the phrase, the cells start to poop out, and we get brown spots." – Dr. Mamina Turegano "Getting a good night's sleep is like aging in reverse." – Dr. Anna Cabeca "When you have lichen sclerosus, it's like double-barreled shotguns. We're going to get rid of this, and we want you to be comfortable and at home in your body." – Dr. Mamina Turegano "Aging beautifully is feeling comfortable in your skin, literally and metaphorically. It's confidence, and I think that can radiate out as beauty." – Dr. Mamina Turegano Connect with Dr. Mamina Turegano Prescription topicals - dermclick.com Consultations - https://app.futureclinic.com/clinics/drturegano/profile Instagram - instagram.com/dr.mamina TikTok - https://www.tiktok.com/@dr.mamina YouTube - https://www.youtube.com/@dr.mamina Co-Author, Holistic Psoriasis Management and Nutrition Guide - https://amzn.to/42tRkaQ Connect With Dr. Anna: Website: Dranna.com Instagram: https://www.instagram.com/thegirlfrienddoctor/ YouTube: https://www.youtube.com/@thegirlfrienddoctor TikTok: https://www.tiktok.com/@drannacabeca Facebook: https://www.facebook.com/thegirlfrienddoctor
- 3 weeks ago56 min
From Blindsided to Empowered, Four Coaches' Real Stories | Dr. Anna Cabeca
I was sitting in my studio in Dallas with four women who had just spent five months inside my Magic Menopause Certification, and every one of them got emotional before we even started recording. That tells you something about what this season of life actually does to a woman who thought she had it handled. As a triple board-certified OB/GYN and the creator of the Keto-Green method and the Magic Menopause Coach Certification, I sat down with graduating coaches Chelsea, Song, Tara, and Jamie for a live, unscripted panel on everything nobody warns you about before perimenopause hits. In this episode, you'll hear: - Why declining progesterone and DHEA between ages 35 and 55 quietly drive insulin resistance and weight gain that shows up out of nowhere - Why fibroids don't have to mean an automatic hysterectomy, and what a natural starting point can look like instead - Why perimenopause symptoms get dismissed as "normal" in a standard OB/GYN visit, and why that isn't good enough - Why this conversation belongs in mother-daughter relationships, starting as early as a daughter's first period - How to reclaim vaginal and sexual health without shame - What it actually means to become the CEO of your own health This is the conversation I wish someone had handed me twenty years ago. Peace is possible on the other side of this transition. So is feeling like yourself again. Learn more about the Magic Menopause program at magicmenopause.com, subscribe if you're watching on YouTube, and comment your one word for this season of your life. I read every one. Key Timestamps 00:00 — Why I brought four coaches into one room 04:00 — Fibroids, hysterectomy, and the missing third option 05:25 — The 30-day cycle nobody could explain 18:30 — Why the weight shows up even when nothing else changed 22:00 — The conversation that needs to start with our daughters 47:35 — Peeling back the shame around vaginal and sexual health 52:30 — Becoming the CEO of your own health Memorable Quotes "I didn't realize that until I crossed the line into menopause. And I was devastated." "You go to that doctor's appointment and you're the doctor. If your doctor won't partner with you, that's not your doctor." -CONNECT WITH DR. ANNA- Website: http://drannacabeca.com/ Facebook: https://www.facebook.com/thegirlfrienddoctor Instagram: https://www.instagram.com/thegirlfrienddoctor/ TikTok: https://www.tiktok.com/@thegirlfrienddoctor Pinterest: https://www.pinterest.com/thegirlfrienddoctor/ * Always seek the advice of your own physician or qualified health professional before starting any treatment or plans. Information found here and results are provided for informational purposes only and are not intended to replace a one-on-one relationship with a qualified healthcare professional and are not intended as medical advice. *
- Sep 5, 202641 min
Menopause Is Natural. Suffering Is Optional. — Four Coaches Share Their Stories
Grab your Mighty Maca and get cozy. In this episode of The Girlfriend Doctor Podcast, Dr. Anna Cabeca sits down with the very first graduates of her Magic Menopause Hormone Restoration Coaching Certification, Emily, Ann, Amy and Angela. Four women, four completely different paths into menopause, and one shared mission, making sure no woman has to go through this alone. We're talking surgical menopause, the myths that keep women suffering in silence, the postpartum "mini menopause" nobody warns you about, and what it actually takes to feel like yourself again. Key Timestamps 0:00 Welcome back and meet the first Magic Menopause coaches 01:51 Emily's story, from burnout to becoming every woman's advocate 04:41 Ann's story, a fertility journey that led her to integrative medicine 09:06 Amy's story, surviving sudden surgical menopause 13:29 Angela's story, how coaching became a matter of life and death 18:55 Busting the biggest menopause myths 21:37 Emily's postpartum "mini menopause" story 25:58 The truth about hormones and cancer risk 27:40 Girlfriend to girlfriend, words of encouragement 33:01 Menopause in the workplace 35:35 Where to find each coach 39:11 Closing thoughts and what's next Ready to turn your own story into your life's work? The Magic Menopause Certified Coach program trains practitioners, health professionals and passionate advocates to guide women through perimenopause and menopause with real clinical grounding and coaching skill behind it. Learn more here: https://magicmenopause.com/pages/magic-menopause-certified-coach Subscribe for new episodes every week, and share this one with a friend who needs to hear it today. Memorable Quotes "Menopause is natural. Suffering is optional." — Angela "It's the difference between common and normal." — Emily "Hormones are not the enemy." — Amy "You're not broken." — Dr. Anna Cabeca Connect With Dr. Anna Website: Dranna.com Instagram: https://www.instagram.com/thegirlfrienddoctor/ YouTube: https://www.youtube.com/@thegirlfrienddoctor TikTok: https://www.tiktok.com/@drannacabeca Facebook: https://www.facebook.com/thegirlfrienddoctor
- Aug 27, 202657 min
Are You Being Medically Gaslit? | Dr. Efrat LaMandre
You leave your doctor's office with "everything looks normal" ringing in your ears, but your body is telling you something else. This week Dr. Anna talks with nurse practitioner Dr. Efrat LaMandre, aka Dr. E, about medical gaslighting, why "you're fine" often means "I ran out of tools," and how to advocate for yourself without burning every bridge with your doctor. You'll learn: The difference between "normal" and "optimal," and why it matters What "pre-disease" is and why most providers aren't equipped for it How to describe your symptoms so your doctor actually listens Why one provider can't be your whole healthcare team How to trust your own intuition instead of talking yourself out of it If you've ever been told you're fine and known you're not, this one's for you. Connect with Dr. E: TikTok: tiktok.com/@drefratlamandre Instagram: instagram.com/drefratlamandre Facebook: facebook.com/drefratlamandre YouTube: youtube.com/@DrEfratLaMandre Website: drefratlamandre.com LinkedIn: efratlamandre Podcast: drefratlamandre.com/e-podcasts Connect with Dr. Anna: Website: dranna.com Instagram: instagram.com/thegirlfrienddoctor YouTube: youtube.com/@thegirlfrienddoctor TikTok: tiktok.com/@drannacabeca Facebook: facebook.com/thegirlfrienddoctor #MedicalGaslighting #WomensHealth #Perimenopause #Menopause #PatientAdvocacy #FunctionalMedicine
- Aug 13, 202641 min
Midlife Isn't a Breakdown, It's Your Upgrade | Chalene Johnson
Have you done everything right and still watched the scale refuse to move? I sat down with fitness industry veteran Chalene Johnson, who built her career telling women exactly how to lose weight, and then walked straight into that same wall herself in perimenopause. Her hormone panel came back "dialed in." She was still doing every workout, every macro track, every habit that used to work. The weight stayed anyway, until she found the piece nobody had pointed her toward, the link between cortisol, insulin resistance, and a metabolism that stops cooperating no matter how hard you push. We get into the stress inventory that changed her day almost overnight, why she traded daily cardio for heavy strength training, her honest concerns about GLP-1s, and the Harvard longevity data that convinced her friendship matters more for a long healthy life than anything you'll find in a gym. Timestamps: 0:00 — Doing everything right and still gaining weight in perimenopause 4:36 — How the fitness industry sets women up to fail on purpose 12:00 — Hormones "dialed in," weight still not moving 13:14 — The cortisol and insulin resistance connection nobody explained to her 13:57 — The stress inventory exercise that changed her days 23:39 — Why she traded cardio for heavy strength training 25:48 — The identical twin study on muscle, memory, and cognition 27:55 — Her honest concerns about GLP-1s and rapid weight loss 33:49 — Why community predicts longevity more than diet or exercise 36:03 — Rapid fire: supplements, sunlight, and energy vampires 42:08 — Camp Be More and where to find Chalene Memorable Quotes: "I have my hormones dialed in, but when I was working with an integrative medical doctor who would look at my panel, she's like, 'Your cortisol is through the roof.'" — Chalene Johnson "The machine needs for you to not succeed so that you believe, okay, something else is going to work for me." — Chalene Johnson "We can't heal a body we hate." — Dr. Anna Cabeca Key Takeaways: A "perfect" hormone panel doesn't rule out cortisol and insulin resistance quietly driving weight gain underneath it Writing out every stressor and circling only what you control turns "reduce your stress" into something actually doable Lower body strength training, not cardio, was the single habit Chalene says moved the needle most for her body and brain The identical twin study she references found more lower body muscle correlated with better memory and cognition at 50 and beyond Rapid weight loss without addressing muscle and detoxification support can cost you the two things that matter most for longevity Community, not diet or exercise, was the strongest predictor of quality of life and lifespan in the longest running Harvard longevity study Vitamin D from sunlight and magnesium are the two non negotiables in Chalene's own daily routine FAQ Why do I keep gaining weight in perimenopause even though my hormones are balanced? For many women, hormone balance is only part of the picture. Cortisol and insulin resistance can quietly drive weight gain even when a hormone panel looks well managed. Addressing stress load and metabolic health alongside hormones is often the missing piece. Does stress actually cause weight gain, or is that oversimplified? Chronic stress raises cortisol, and elevated cortisol is linked to increased insulin resista
- Aug 6, 20267 min
Why Your Sexless Marriage Isn't About Sex | Tressa Yonekawa
She shut down. Walked out of the room. And you spent the next three days replaying the one sentence that did it. That right there is a trigger talking to a trigger. And it's exactly what my guest today spends her career untangling. Tressa Yonekawa holds a graduate degree in cognitive neuroscience for communication. Twenty five years in, she's used it with corporate leaders, celebrity clients, and couples who feel more like roommates than lovers. We get into her own near drowning at four years old, the voice she heard underwater that redirected her entire life, and how her father's war trauma and a chaotic childhood taught her to read the patterns hiding underneath a fight. Here's what you'll walk away with. The exact phrase that stops a fight before it starts ("I have a story that...") Why "we're not having sex anymore" is almost never actually about sex Her four layer Trust Pyramid: presence, emotional safety, curiosity, then trust The one question most couples have never asked each other, and what happens when they finally do How she navigated her own divorce with grace instead of a courtroom fight Gorgeous, if you have ever gone quiet mid conversation because you didn't have the words, this one is for you. Watch the full conversation now and tell me in the comments which tool you're trying first. And if you're ready to take your health, relationships, and vitality to the next level, join me at my upcoming Vitality Event! Learn more and reserve your spot here: https://drannacabeca.com/pages/f-vitality-experience Key Timestamps 00:00 — Meet Tressa and her background in cognitive neuroscience 04:00 — The near drowning at four and the voice underwater 10:00 — How childhood patterns show up in adult relationships 16:00 — The "I have a story that..." tool for defusing triggers 22:00 — Why sexless marriages are rarely about sex 28:00 — The Trust Pyramid explained 36:00 — Her own divorce and the elegant exit 42:00 — First steps for a woman feeling discontent in her relationship 48:00 — Where to find Tressa and how to send in your questions Memorable Quotes "What looks like anger is almost always fear based." — Tressa Yonekawa "Talking to somebody else's trigger creates harm." — Tressa Yonekawa "There's always hope, healing, and a body you love to live in." — Dr. Anna Cabeca Connect With Guest Website: https://tressayonekawa.com/ Facebook: https://www.facebook.com/tressa.yonekawa/ YouTube: https://www.youtube.com/@TressaYonekawa LinkedIn: https://www.linkedin.com/in/tressayonekawa Instagram: https://www.instagram.com/tressayonekawa/ Connect With Dr. Anna Website: Dranna.com Instagram: https://www.instagram.com/thegirlfrienddoctor/ YouTube: https://www.youtube.com/@thegirlfrienddoctor TikTok: https://www.tiktok.com/@drannacabeca Facebook: https://www.facebook.com/thegirlfrienddoctor
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About The Girlfriend Doctor w/ Dr. Anna Cabeca
Dr. Anna Cabeca is America's top menopause doctor. Known most widely as The Girlfriend Doctor, Dr. Anna is the first call for the woman who has questions she would only ask her best girlfriend if her girlfriend were a triple-board-certified OB-GYN. This top health podcast is all about helping women live better lives — before, during, and after menopause.
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