The DUTCH Podcast

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In this episode, Dr. Tyna Moore and Dr. Jaclyn Smeaton explore the importance of muscle and metabolic health, particularly in relation to GLP-1 use, and tips for preserving bone.

This episode also highlights:

• Muscle mass and strength as an extra vital sign, not just a fitness goal
• The benefits of layering estrogen on top of lifestyle changes for bone protection
• The importance of strength training when using GLP-1s
• Individualized dosing for GLP-1s to avoid rapid weight loss and rapid regains
• Foundational lifestyle tips for preserving muscle and bone

Show Notes

Learn more about Dr. Tyna and follow her on Instagram @drtyna!

Join us at DUTCH Fest 2027 at Omni La Costa Resort & Spa in Carlsbad, CA from March 11-13, 2027. Register today to get early bird ticket pricing!

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In this episode, Dr. Nigma Talib joins host Dr. Jaclyn Smeaton to discuss the connection between gut health and skin aging, including how gut dysbiosis, stress, and hormone metabolism can be reflected on the skin.

This episode also explores:

• How poor digestion can accelerate visible skin aging due to nutrient absorption and mitochondrial support
• The role of stress in leaky gut and gut disruption
• Birth control, particularly synthetic progestins, and how it impacts skin health
• Skin as a dashboard for potential internal imbalances and the importance of testing to determine the root cause
• In-office tools and therapies to motivate patients to sustain lifestyle changes

Show Notes

Learn more about Dr. Nigma Talib and follow her on Instagram @drnigmatalib!

Register for DUTCH Fest 2027 in your Provider Portal, or become a DUTCH Provider to get access!

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In this episode, nutritionist Andrea Donsky joins host Dr. Jaclyn Smeaton to discuss her large-scale research on perimenopause and menopause, the deep connection between gut health and hormone balance, and the value of baseline hormone and metabolic testing.

Andrea and Dr. Jaclyn also discuss:

• Outdated symptom lists for perimenopause and menopause, which commonly cite only 34 symptoms, compared to Andrea’s research, which documented over 100
• Most common symptoms are cognitive, such as mood swings, anxiety, and brain fog, rather than physical symptoms
• How the gut changes in perimenopause and menopause and how hormones are intertwined
• The common experience of provider dismissal for perimenopausal and menopausal patients
• Nutrition and lifestyle as the foundation, not a replacement for hormone therapy

Show Notes

Check out Nourishing Menopause by Andrea Donsky and follow her on Instagram @andreadonsky!

Learn more about easy at-home collection for patients with DUTCH Direct.

Become a DUTCH Provider to get access to peer-reviewed and validated research, comprehensive patient reports, and expert clinical support, as well as our Perimenopause Management educational course.

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In this episode, Sabrina Zohar and host Dr. Jaclyn Smeaton discuss the intersection of psychology, the nervous system, and physiology in relationships. They also explore attachment theory and how it relates to HPA axis function, cortisol, and hormone health.

This conversation also highlights:

• The physiological, not just psychological, nature of attachment styles
• How chronic activation of cortisol can cause downstream regulation, affecting sex hormones, sleep, and mood
• Small, incremental steps to build nervous system safety
• The importance of regulation when it comes to conflict resolution
• Practical tools for nervous system regulation

Show Notes

Learn more about Sabrina, her new book Why Am I Like This?, and follow her on Instagram @sabrina.zohar!

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In this episode, Dr. Jenn Simmons and Dr. LaDeana Jeane join host Dr. Jaclyn Smeaton to discuss breast cancer survivorship, what happens after active treatment ends, and how providers can help patients during this stage.

This episode also covers:

• How post-treatment care is fragmented due to caution from specialists
• The connection between post-treatment symptoms and menopause, and how the shared cause can go unaddressed by providers
• Menopausal hormone therapy after breast cancer, the benefits and risks, and the shifting landscape
• How crucial it is for conventional and naturopathic care to work together
• Dr. Jeane and Dr. Simmons’ guidance on speaking with patients about lowering recurrence risk

Show Notes

Learn more about Dr. LaDeana Jeane’s practice Nolia Naturopathic Medicine!

Check out Dr. Jenn Simmons’ book, The Smart Woman’s Guide to Breast Cancer, and her podcast, Keeping Abreast with Dr. Jenn.

Discover easy at-home collection for patients with DUTCH Direct.

Become a DUTCH Provider to see how the DUTCH Test can profoundly change the lives of your patients.

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Join us for this episode as Dr. Jolene Brighten and host Dr. Jaclyn Smeaton discuss attention-deficit/hyperactivity disorder (ADHD) in women, how hormone levels impact ADHD in childhood and adulthood, and the many systems that estrogen helps regulate.

Dr. Brighten and Dr. Smeaton also cover:

• How ADHD in women is frequently missed until adulthood
• The role of estrogen in brain energy, immune function, and gut microbial diversity
• ADHD’s tendency to overlap with Premenstrual Dysphoric Disorder
• The decline of estrogen during perimenopause and how it can cause ADHD-like symptoms to emerge or intensify
• Dr. Brighten’s hormone therapy considerations for patients with ADHD

Show Notes

Learn more about Dr. Jolene Brighten and follow her on Instagram @drjolenebrighten!

Check out Dr. Brighten’s book, ADHD and Women!

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In this episode, Dr. Christine Maren joins host Dr. Jaclyn Smeaton to discuss bone health in perimenopausal and menopausal women and how bone health is connected to the immune system, gut health, and hormone therapy.

Their conversation also explores:

• Bone as a dynamic tissue that’s constantly rebuilding
• The importance of estrogen, progesterone, and testosterone for slowing bone breakdown and supporting bone building
• Mechanical loading, hormones, gut health, and overall nutrition as higher-impact factors compared to calcium supplementation for bone health
• The benefits of hormone therapy for bone health
• Missed markers on conventional lab panels that could catch potential issues early, like thyroid, ferritin, and insulin

Show Notes

Learn more about Dr. Christine Maren and follow her on Instagram @drchristinemaren!

Check out the study on transdermal estradiol mentioned in this episode.

Learn more about easy at-home collection for patients with DUTCH Direct.

Become a DUTCH Provider today to see how the DUTCH Test can profoundly change the lives of your patients.

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In this episode, Cynthia Thurlow joins host Dr. Jaclyn Smeaton to explore the estrobolome and its role in metabolizing estrogen and progesterone, stress and cortisol as a driver of hormone imbalance, and DUTCH Test patterns that can signal gut dysfunction.

Cynthia and Dr. Jaclyn also discuss:

• How gut health can impact hormone metabolism, not just digestion
• The many roles of progesterone, including GABA signaling, myelin maintenance, and neuroplasticity
• Cyclical symptom tracking to determine hormonal versus non-hormonal anxiety
• The differences between bioidentical hormone therapy, oral contraceptives, and synthetic progestins
• Simple daily habits to support gut and hormone health

Show Notes

Check out Cynthia Thurlow’s book, The Menopause Gut, and follow her on Instagram @cynthia_thurlow_!

Discover easy at-home collection for patients with DUTCH Direct.

Become a DUTCH Provider to see how the DUTCH Test can profoundly change the lives of your patients.

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In this episode, Dr. Tara Scott and Mark Newman join host Dr. Jaclyn Smeaton to explore hormone misinformation, the differences between hormone testing methods, and the hormonal drivers often missed by single-point testing.

Their conversation also covers:

• The benefits and risks of using AI to interpret hormone labs
• What single-point testing can miss when it comes to cortisol testing and cycle mapping
• The importance of baseline and follow-up hormone testing versus the conventional symptom to prescription pipeline
• How common symptoms like fatigue, weight gain, and anxiety can have overlapping hormonal drivers that may not be noticeable in single-marker testing
• The increase in virtual care and how patients in underserved areas are gaining access to specialized hormone care

Show Notes

Learn more about Dr. Tara Scott and personalized hormone care through Forum Health.

Follow Forum Health on Instagram @forum_health and on YouTube.

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In this episode, Phoebe Liebling joins host Dr. Jaclyn Smeaton to discuss bone loss, mixed messaging in fitness and nutrition culture that can damage bone density, and the critical role of estrogen in bone remodeling.

Their conversation also covers:

• The invisible and non-linear nature of bone loss
• Estrogen as a stimulant for osteoblast activity and calcium retention
• Common habits like chronic under fueling, excess cardio, and fasted training and how they can quietly contribute to bone loss
• How typical DXA scans begin at 65, missing the fastest bone-loss window which occurs much earlier during perimenopause
• A practical framework for reversing bone loss through nutrient-dense eating, protein intake, and targeted supplementation

Show Notes

Learn more about Phoebe Liebling and follow her on Instagram @lieblinghealth!

Explore easy at-home collection for patients with DUTCH Direct.

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In this episode, registered dietician Erin Kenney joins host Dr. Jaclyn Smeaton to explore the connection between gut health, diet, hormones, and the rising rates of colorectal cancer, particularly in younger adults.

This episode also highlights:

• The critical role of fiber and gut microbiome diversity
• The link between ultra-processed food additives and gut inflammation
• How long-term elimination diets can reduce microbiome diversity and end up being harmful
• Tips for packaged food labels and proper digestion
• A practical colon-health checklist, including eating fermented foods daily and staying physically active

Show Notes

Learn more about Erin Kenney and follow her on Instagram @nutritionrewired!

Explore easy at-home collection for patients with DUTCH Direct.

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Join the conversation as Dr. Tori Hudson and host Dr. Jaclyn Smeaton discuss the evolution of menopause hormone therapy through the eras: pre-2002, post-Women’s Health Initiative, and the current state of menopause hormone therapy, with a particular focus on testosterone therapy.

This episode also covers:

• Testosterone usage and dosing and the correlation with libido, mood, energy, and muscle mass
• Dr. Hudson’s dosing protocols and concerns about supraphysiological dosing
• Methods of delivery for estrogen therapy
• Cardiovascular disease as an underappreciated priority in menopause care
• The importance of individualized care over following hormone therapy trends

Show Notes

Check out The American Heart Association’s PREVENTä Online Calculator mentioned in this episode.

Read Dr. Hudson's DUTCH Article on testosterone prescribing in postmenopausal women, and check out the testosterone guidelines discussed in this episode.

Learn more about Dr. Tori Hudson and her practice, A Woman’s Time!

Explore easy at-home collection for patients with DUTCH Direct.

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In this episode, Dr. Mamina Turegano and host Dr. Jaclyn Smeaton examine root causes for skin conditions and discuss how hormone balance, gut health, stress levels, and diet can impact skin health.

This episode also highlights:

• The links between gut dysbiosis and acne, rosacea, and psoriasis
• How the balance of estrogen, progesterone, and testosterone can impact the skin
• Theories on the rise in adult female acne
• The effect of environmental toxins and endocrine disruptors on skin health
• Skin as a systemic signal of gut health, hormone health, stress, and diet

Show Notes

Learn more about Dr. Mamina Turegano and follow her on Instagram @dr.mamina!

Learn about easy at-home collection for patients with DUTCH Direct.

Become a DUTCH Provider to get access to comprehensive patient reports, peer-reviewed and validated research, and expert clinical support.

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In this episode, Dr. Stephanie Dunlop joins host Dr. Jaclyn Smeaton to discuss the gap between “normal” and “optimal” lab reference ranges, commonly missed labs, and the importance of root cause assessment over treating isolated markers.

Dr. Dunlop and Dr. Smeaton also discuss:

• How “normal” does not equate to “optimal” when it comes to standard lab ranges
• Addressing the foundations before testing, like nervous system regulation, gut integrity, and sleep hygiene
• The importance of treating the root cause rather than treating markers in silos
• Other labs worth requesting, such as ferritin, homocysteine, and fasting insulin
• The impact of simple nervous system regulation tools

Show Notes

Learn more about Dr. Stephanie Dunlop and Root Rx, and follow her on Instagram @docstephaniemd!

Become a DUTCH Provider today to see how the DUTCH Test can profoundly change the lives of your patients.

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In this conversation, Dr. Jaime Seeman joins host Dr. Jaclyn Smeaton to discuss muscle as an underappreciated cornerstone of women’s metabolic and hormone health, particularly during perimenopause and menopause, and the importance of resistance training.

This episode also highlights:

• Muscle as a metabolic organ, not just a cosmetic one, and the importance of muscle tissue quality
• How resistance training and cardio affect body composition differently
• The importance of preserving fast-twitch muscle fibers for longevity later in life
• Strategies for protein and carbohydrate intake
• How the DUTCH Test can help identify where hormonal intervention can fill the gaps beyond lifestyle habits, particularly with estrogen, DHEA, and androgen levels post-menopause

Show Notes

Learn more about Dr. Jaime Seeman and follow her on Instagram @doctorfitandfabulous!

Become a DUTCH Provider to discover how the DUTCH Test can profoundly change the lives of your patients.

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In this episode, registered dietician and celiac disease specialist Erin Kenny joins host Dr. Jaclyn Smeaton to discuss the differences between celiac disease and gluten sensitivity, the social and emotional toll of diagnosis, and common myths and misinformation.

Their conversation also covers:

• The underestimated social and emotional burden of the disease
• How less symptoms do not equate to less intestinal damage
• Hidden drivers behind symptoms, including dysbiosis, hormonal issues, thyroid dysfunction, and nervous system dysregulation
• The physiological effects of stress
• How DUTCH testing can help identify HPA axis dysregulation

Show Notes

Learn more about Erin Kenny and follow her on Instagram @the_celiac_space!

Become a DUTCH Provider to get access to comprehensive patient reports, peer-reviewed and validated research, and expert clinical support.

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In this episode, Dr. Rubaina Dang and host Dr. Jaclyn Smeaton explore the root causes of hair loss in women, particularly the information that standard labs can miss. Dr. Dang and Dr. Smeaton also dive into the hormones driving hair loss, optimal versus “normal” lab levels, and the gut-skin-hair axis.

Their conversation also highlights:

• Dr. Dang’s recommended panels for anyone presenting with hair loss
• The key differences between “normal” and optimal lab ranges when it comes to hair health
• Stressors that can cause telogen effluvium, including illness, rapid weight loss, postpartum, or a major life event
• How gut dysbiosis and inflammation can affect hair follicles
• Dr. Dang’s rankings for popular hair-growth products and ingredients

Show Notes

Learn more about Dr. Rubaina Dang and follow her on Instagram @healwithdrdang!

Check out our white paper on 5a-androstanediol.

Become a DUTCH Provider to see how the DUTCH Test can profoundly change the lives of your patients.

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In this episode, Dr. Margaret Beeson joins host Dr. Jaclyn Smeaton to discuss bone health, estrogen decline during perimenopause, and the importance of family history as a predictor of bone health and risk of osteoporosis.

Dr. Beeson and Dr. Smeaton also discuss:

• How estrogen decline contributes to bone loss
• Genetics and family history as the strongest predictors of risk
• The need for DEXA scans to occur earlier and establish a baseline of bone density
• The impact of estrogen and progesterone therapy on bone health and how DUTCH testing captures those hormone levels
• Systemic issues in primary care that can make proactive screening difficult

Show Notes

Learn more about Dr. Margaret Beeson and her practice, Yellowstone Naturopathic Clinic.

Become a DUTCH Provider to get access to comprehensive patient reports, peer-reviewed and validated research, and expert clinical support.

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In this episode, Dr. Felice Gersh joins host Dr. Jaclyn Smeaton and DUTCH founder Mark Newman for a deep-dive on progesterone: its physiological roles, concerns around standard-of-care prescribing practices, and more.

Their conversation also explores:

• Progesterone’s role as more than an endometrial protectant
• Supraphysiologic allopregnanolone created by oral micronized progesterone
• The physiological benefits of cyclic dosing versus continuous dosing
• How the gut microbiome impacts progesterone metabolism
• The need for more research on oral micronized progesterone and dosing methods

Show Notes

Learn more about Dr. Gersh’s practice Integrative Medical Group of Irvine and check out her books!

Read Dr. Smeaton’s article on oral micronized progesterone in menopause.

Become a DUTCH Provider to get access to comprehensive patient reports, peer-reviewed and validated research, and expert clinical support.

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In this episode, Dr. Bindiya Gandhi joins host Dr. Jaclyn Smeaton to explore GLP-1 receptor agonists through a whole-person, root-cause lens with a particular focus on women’s health.

Their discussion also covers:

• How GLP-1s work, who benefits most, and how to cease therapy successfully
• The role of leptin resistance in weight struggles
• The risk of muscle loss and bone health during GLP-1 therapy
• Using GLP-1s as part of a comprehensive protocol, including optimizing gut health, strength training, and managing cortisol and sex hormones
• Considerations for menopausal women using hormone therapy in addition to GLP-1s

Show Notes

Learn more about Dr. Bindiya Gandhi and follow her on Instagram @drbindiyamd!

Check out our DUTCH Article on GLP-1s and perimenopause.

Become a DUTCH Provider to get access to peer-reviewed and validated research, comprehensive patient reports, and expert clinical support.