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Posts by Sara Gottfried MD

PCOS: Natural Solutions for a Common Hormone Imbalance

By Sara Gottfried MD | October 26, 2020
Sara Gottfried MD Women's Health Article |PCOS|PCOS: Natural Solutions for a Common Hormone Imbalance

What is polycystic ovary syndrome (PCOS)? It is a complex endocrine disorder that affects 20 to 30 percent of women. In medicine, we use the term syndrome to describe a…

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Hot Flashes and Night Sweats: New Data That You Need to Know

By Sara Gottfried MD | October 11, 2020
Sara Gottfried MD Women's Health Article | Vasomotor Symptoms | New Data About Hot Flashes and Night Sweats That You Need to Know

The most classic symptoms of low estrogen are hot flashes and night sweats, collectively known as vasomotor symptoms. Vasomotor symptoms are an extreme thermoregulatory response associated with profuse sweating, flushing,…

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Endometriosis: Diet and Lifestyle Changes That Help

By Sara Gottfried MD | October 4, 2020
Endometriosis: Diet and Lifestyle Changes that Work |Women's Health | Sara Gottfried MD

Endometriosis is an often undiagnosed problem that affects 10 to 15% of women.1 What happens with endometriosis is that the cells similar to the endometrium, or uterine lining, implant outside…

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Creamy Greens Soup: A Great Source of Calcium

By Sara Gottfried MD | September 8, 2020
Hormone Reset Diet |Calcium| Sara Gottfried, M.D.

The dairy industry would have us believe that milk is an indispensable source of calcium in our diet as calcium is necessary for healthy bones. What the milk advertisements don’t…

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Bioidentical Hormone Therapy, Part 1: What’s Safe? What’s Smart?

By Sara Gottfried MD | August 26, 2020
Bioidentical Hormone Therapy, Part 1: What’s Safe? What’s Smart? |Hormone Balance|Sara Gottfried MD

I’ve been prescribing bioidentical hormone therapy since 1994. In the 25+ years since that first prescription for bioidentical hormones, we have evidence for and against their use. This has led…

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Hormone Therapy for Women: What Are the Known Risks?

By Sara Gottfried MD | August 2, 2020
Hormone Therapy for Women: What Are the Known Risks? |Hormone Therapy| Sara Gottfried, M.D.

Discussion about hormone therapy for perimenopause and menopause is complex. Questions about safety, timing, and duration typically require a nuanced conversation about a person’s history, diet, lifestyle, risk factors, genetics,…

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How Do We Create Antiracist Healthcare?

By Sara Gottfried MD | July 13, 2020
How Do We Create Antiracist Healthcare?| Racism in Medicine |Sara Gottfried MD

I take respectful care of my patients regardless of skin color, but in the past few years, I’ve realized that is not enough. There are many sources of information and…

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Racism in Medicine: 5 Disparities That Point to Health Inequality

By Sara Gottfried MD | June 10, 2020
Racism in Medicine |Women's Health|Sara Gottfried MD

It’s time to acknowledge the role of racism in medicine in the United States. It’s not just the racism of George Floyd that we witnessed on video at the hands…

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Why Cardiovascular Disease Kills More Women Than Breast Cancer

By Sara Gottfried MD | May 25, 2020
Why Cardiovascular Disease Kills More Women Than Breast Cancer|Women's Health|Sara Gottfried MD

Most women I know, friends and patients, fear breast cancer. It makes sense because one in eight of us will develop breast cancer over our lifetime, which translates to a…

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Hormone Testing: What to Check and Why

By Sara Gottfried MD | May 17, 2020
Hormone Testing: What to Check and Why|Hormone Balance|Sara Gottfried MD

Questions about hormone testing are common among my patients and on social media. Women want to know which hormones they need to check and why. They also want to know…

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PRAISE

“For the first time in my adult life I feel that I have gained control over food. I feel healthier, look better and have gained an interest in making sure that what I am putting into my body is the best it can be. And I lost 10 pounds in all the right places.”

– Janice Lunde, Dr. Sara’s Detox Challenge Participant

“Dr. Sara is the height of excellence! She is incredibly knowledgeable and gives very generously of her time. I feel so blessed to have been able to work with her.”

– Yvonne Varah

“You don’t have to settle for being stressed out, binging on sugar and chocolate, and aging prematurely. Stop blaming yourself and step into sacred action. It’s your birthright. You can have the joyous, mission-driven life you want, and Dr. Sara is here to show us how.”

– Marci Shimoff, New York Times Bestselling Author of Happy for No Reason and Love for No Reason

“Dr. Gottfried offers powerful and effective tools for addressing the most difficult health issues facing women and men today. She is warm and kind and has so much experience to draw upon, it’s inspiring. Thank you Dr. S!”

– Cassandra Mick

“Dr. Sara Gottfried is a modern-day healer goddess if ever there was one, and she also happens to be a Harvard Medical School graduate and rigorous physician-scientist.”

– Christiane Northrup MD, author of Women’s Bodies, Women’s Wisdom

“Dr. Gottfried’s book and detox came at a time when I was ready to give in to old age. Hot flashes, low energy and libido, weight gain, increasing blood pressure and cholesterol levels were unacceptable to me. I now know that hormone levels and what I eat are a huge influence on how I feel and look. To now be able to control something that was out of control is empowering…”

Cheryl V., Dr. Sara’s Detox Challenge Participant

“My health coach told me about your book and I took the [hormone] test, and lo and behold, I found I was a mess, hormonally speaking. Now I’m getting on track and I love your videos and your book. I feel like I’m getting my life back again, when not long ago I truly thought I was losing it!”

-Tracy, Registered Nurse

“You don’t have to accept the hormonal hell of being tired, stressed, overweight, and never in the mood for sex as you grow older. In her fabulous new book, the brilliant Dr. Gottfried gives you an effective, easy-to-follow plan to balance your hormones and become lean, energetic, and loving life again. Stop settling and reclaim your sexy!”

–JJ Virgin, Author of Six Weeks to Sleeveless and Sexy and The Virgin Diet

“I lost 10 lbs., reset my hormones and metabolism and eliminated my sugar cravings! I have also found that I respond to stress much differently, I feel it, notice it and move on from it. Stress no longer has a grip on me. Dr. Sara’s conference calls and detox information was invaluable. I am so grateful for this program. Thank you Dr. Sara!”

–Sophia, Dr. Sara’s Detox Challenge Participant

“The Hormone Cure is the playbook for your mojo, your mind, and your bootie. With every chapter I thought, ‘So THAT’s how that works.’ I wanted to call every girlfriend and give them the goods on how to glow… now and always.”

-Danielle LaPorte, Author of The Fire Starter Sessions and The Desire Map

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Sara (Gottfried) Szal M.D.

saragottfriedmd

Author of 4 NYT bestsellers 📚
@hubermanlab asked me what's the best combination @hubermanlab asked me what's the best combination of exercise for the general population. Based on my synthesis of the literature I recommend: Two-thirds resistance to one-third cardio. The minimal effective dose is about 150 minutes a week. BUT I think most of us need more than that. In my case, I need a lot more than 150 minutes a week. I have a phenotype that produces a lot of insulin and depending on how I am on top of my game, my blood glucose levels can be on the higher end of the range. This means I have to exercise a lot more to dispose of that glucose. It’s time to move from medicine for the population to personalized medicine for the individual. P.S. If you want my FREE guide on how to track your blood sugar, comment GLUCOSE1 below and the link to download it will be sent to your DMs.
Prediabetes is a precursor to diabetes, and most p Prediabetes is a precursor to diabetes, and most people have no signs or symptoms yet their glucose is trending upward in an unhealthy way. Are you one of them? I was, but I’ve been able to put my prediabetes in remission with a continuous glucose monitor and lifestyle medicine. I practice Medicine 3.0 which is personalized, preventive, and participatory. In our country, Medicine 2.0 led to a metabolic crisis where 88-93% of Americans have metabolic dysfunction but don’t know it. Medicine 2.0 uses fasting glucose to diagnose you with prediabetes, but by the time you get diagnosed (IF you get diagnosed by your busy, distracted doctor), you’ve had the problem brewing for about 7-14 years. And it may be harder to reverse with lifestyle approaches. Now you can see the problem in your glucose years before a doctor bothers to check you for prediabetes. In a study from Stanford, even among people with normal fasting glucose, 15% had prediabetes. Hall H, et al. Glucotypes reveal new patterns of glucose dysregulation. PLoS Biol. 2018 Jul 24;16(7):e2005143. Not surprisingly, women show more damage to their blood vessels n prediabetes than men. Our mitochondria start to falter when estrogen declines in perimenopause around age 40-55. Alvarez S, et al. Prediabetes. 2023 Jul 17. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. PMID: 29083606. Test, don’t guess. Share with a friend and family. Have a conversation to see if the people you love have had their fasting glucose checked, or better yet fasting insulin, hemoglobin A1C, insulin resistance score, and 2-hour glucose challenge test with both insulin and glucose at 30-minute intervals. #prediabetes #diabetes #metabolicdysfunction #women #womenshealth #mitochondria #metabolism #perimenopause #menopause #hormones #bioidentical hormones #estrogen #progesterone #testosterone #insulin
Been to Topanga? That's the gorgeous teaching and Been to Topanga? That's the gorgeous teaching and back of my co-conspirator @schuylergrantyoga — two hours of practice twice a day made everything function again in my body 🧘‍♀️ Thank you to our soldout crew of women who joined us. Thank you to our magnificent Chef @healthysexystrong for the enlivening and anti-inflammatory nourishment! #yoga #nature #regulation #hormones #hotforhormones #women
Anxiety and anger are normal emotional responses t Anxiety and anger are normal emotional responses to the events we experienced this week. These emotions could be a very sane reaction to insane events. What’s helpful to know is how to distinguish healthy fear and anger from potentially harmful reactions. If you’re feeling fear this week and perhaps frozen or numb, that’s the stress response. If you are trying to figure out how to maintain harmony in your circle of friends and family, that’s a healthy stress response—if you don’t shift to people pleasing and lose your authenticity and voice. Ideally, we experience emotions such as anxiety and anger and then find ways to resolve them. They are part of the stress response of fight-or-flight, which helps you mobilize large muscle groups and move the stress through the system of your body. However, emotions and stress start to impact our health when the body doesn’t respond well to external factors, and we have difficulty modulating our emotional responses. Read more on how chronic stress can show up in your body in my interview for @mariashriver’s @thesundaypaper - link in bio
Tried contrast bathing? Tried contrast bathing?
I don’t always clear stress well. It loiters in I don’t always clear stress well. It loiters in my body like a juvenile delinquent, poking holes in my gut wall, ruining digestion, truncating my timekeeping telomeres, and smacking around my poor defenseless brain. Even everyday stress can make me feel ridiculously vulnerable, traumatized, and tense. It’s as if the factory forgot to install my shock absorbers, so I’ve had to come up with my own. Stress management is common knowledge but it’s not the same as common practice. Our collective need to self-soothe is growing. You’d think by now we’d understand how stress gets under the skin, but the truth is that we’ve only recently figured it out. I’m going to share some ways to soothe emotional tension and ride the stress wave. Do you need new shock absorbers?
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