Endocrine Matters

Dr. Arti Thangudu

Endocrine matters empowers women physicians to challenge conventional norms and enhance patient relationships. Through deep discussions, we aim to elevate the specialty and inspire future generations of women physicians, driving meaningful change in hormonal health.

  1. 1D AGO

    Oral Semaglutide for Weight Loss | New NEJM Study Explained

    👉 Come see me in clinic: https://www.sacomplete.com/ 💌 Sign up for my newsletter: https://www.sacomplete.com/complete-medicine-blog 🎧 Listen to the Endocrine Matters podcast: https://www.sacomplete.com/podcast 🎙️ Welcome to the Endocrine Matters podcast. This podcast episode is sponsored by Complete Medicine and HeyHealthy. Welcome back to Endocrine Matters. I’m your host, Dr. Arti Thangudu, board-certified endocrinologist, menopause society certified practitioner, and founder of Complete Medicine, where we care for high-achieving women living with obesity, prediabetes, diabetes, thyroid disease, and metabolic conditions. In today’s episode, we’re doing something a little different—we’re bringing you inside a real endocrinology journal club, but in a way that’s practical, relatable, and meaningful whether you’re a clinician, trainee, or someone living with obesity or metabolic disease. I’m joined by two incredible endocrinologists and colleagues, Dr. Vidhya Illuri and Dr. Munira Mehta, as we break down a major new study published in the New England Journal of Medicine on oral semaglutide for weight loss. Together, we discuss: How this randomized, placebo-controlled trial was designedWhy placebo and blinding matter in clinical researchWhat the results actually show about weight loss outcomesClinically significant weight loss and why even 5% mattersSide effects, tolerability, and real-world prescribing challengesOral vs injectable GLP-1 medicationsAccess, pricing, pharmacy barriers, and why knowledgeable prescribing mattersWhy obesity is a chronic metabolic disease—not a cosmetic issueThe importance of nutrition, muscle preservation, bone health, and long-term follow-upIf you’ve been hearing a lot about GLP-1 medications and wondering what’s real, what’s hype, and how this applies to everyday endocrine practice and patient safety, this episode is for you. Our goal is to help you understand the science, the nuance, and the ethics behind prescribing powerful metabolic medications—so patients can get safe, effective, and compassionate care. If you’d like support navigating weight loss medications, metabolic health, menopause, or complex endocrine care, we’d love to help you at Complete Medicine. 📍 Learn more about becoming a patient: https://www.sacomplete.com/ 📲 Follow along on Instagram: @drartithangudu Thank you so much for listening and for supporting Endocrine Matters.

    45 min
  2. JAN 28

    Alcohol, Well-Being, and Giving Yourself Permission Not to Drink

    Come see me in clinic: https://www.sacomplete.com/ Other ways to stay connected: 🩺 Sign up for my newsletter: https://www.sacomplete.com/complete-medicine-blog 🎙️ Listen to my podcast “Endocrine Matters”: https://www.sacomplete.com/podcast Welcome to Endocrine Matters, where we explore the science, stories, and self-discovery that shape women’s metabolic health. This episode is sponsored by Complete Medicine and HeyHealthy. I’m Dr. Arti Thangudu, a board-certified endocrinologist, diabetes and metabolism specialist, and menopause society certified practitioner. At my practice, Complete Medicine, I help high-achieving women navigate metabolic challenges like prediabetes, diabetes, thyroid disease, menopause, and weight concerns — with compassion, science, and deep respect for the whole person. In today’s episode, we’re diving into something that sits at the intersection of health, hormones, culture, and self-awareness: alcohol. This isn’t about judgment, addiction medicine, or moral choices. It’s about listening to your body, breaking free from cultural expectations, and reclaiming the power to choose what truly supports your energy, hormones, and long-term wellbeing. We’ll talk about: ✨ Why not drinking is a valid and empowered choice 🧠 What the science says about alcohol and women’s health 💛 How to meet your needs for connection, calm, and joy without numbing your body 🌿 How to reconnect with yourself — grounded, present, and fully alive You are allowed not to drink. You are allowed to feel well, to be clear-headed, and to protect your future self. You are not the odd one out — you’re ahead. If this episode resonated with you, please like, subscribe, and share it with another woman who deserves to feel her best. Follow me on Instagram and YouTube @drartithangudu for more conversations on hormones, metabolism, and thriving through every season of womanhood.

    11 min
  3. JAN 21

    South Asian Women & Midlife Health: Diabetes, Menopause, PCOS, Metabolism & Reclaiming Power

    South Asian women are strong, resilient, and brilliant — yet we carry some of the highest metabolic health risks in the world, often without being told why or what to do about it. In this deeply personal and science-driven episode of Endocrine Matters, endocrinologist Dr. Arti Thangudu speaks directly to South Asian women about midlife health, menopause, diabetes, PCOS, and the generational biology that shapes our bodies. This is a conversation about truth, compassion, and empowerment — not blame or shame. If you’ve ever been told “But you’re not overweight”, “Everyone in our family has diabetes”, or “It’s just age” — this episode is for you. 🎧 In this episode, we discuss: ✔️ Why South Asian women have one of the highest rates of type 2 diabetes globally✔️ The “skinny fat” body composition common in South Asian women✔️ Why BMI often fails South Asian women✔️ Visceral fat, insulin resistance, and fragile beta cells✔️ How multigenerational undernutrition shaped South Asian metabolism✔️ Why diabetes and metabolic disease develop at lower body weights✔️ PCOS in South Asian women: earlier onset, more severe insulin resistance, higher risk✔️ How decades of insulin resistance impact menopause and midlife health✔️ Why South Asian women reach menopause 3–5 years earlier on average✔️ Early menopause and increased lifetime risk of heart disease, diabetes, and bone loss✔️ Why midlife is a critical turning point, not the end of the story 💪 What South Asian women can do to change their health trajectory: ✔️ Why strength training is medicine (especially for the “thin fat” body type)✔️ How muscle protects against diabetes, belly fat, bone loss, and menopause symptoms✔️ Protein goals for South Asian diets (vegetarian & non-vegetarian options)✔️ Why carbs alone accelerate metabolic decline in midlife✔️ Key labs every South Asian woman should know:  • A1C  • Lipids (ApoB, Lp(a))  • Liver enzymes  • Blood pressure  • Vitamin D  • Thyroid function  • Bone density (DEXA)✔️ Why body composition matters more than weight✔️ When medications like metformin, GLP-1s (Ozempic, Mounjaro, Zepbound, Wegovy), statins, blood pressure meds, or menopause hormone therapy can be life-saving — not a failure 🌱 Healing culture, stress & identity: ✔️ Food as love — and pressure✔️ How to modernize South Asian meals without abandoning culture✔️ Refined carbs, protein gaps, and ultra-processed foods✔️ Stress, perfectionism, caregiving, and guilt as metabolic risk factors✔️ Why rest, boundaries, and asking for help are acts of health — not selfishness 💡 The truth every South Asian woman needs to hear: There is nothing wrong with you.Your body is not broken — it is brilliant, shaped by generations of resilience, survival, and adaptation.Midlife isn’t your decline — it can be your most powerful chapter. 👩‍⚕️ About the Host: Dr. Arti Thangudu is a board-certified endocrinologist and founder of Complete Medicine, specializing in women’s hormonal and metabolic health, diabetes, and menopause care outside the broken traditional healthcare model. 📲 Stay Connected: 🔹 Follow Dr. Thangudu on Instagram: @drartithangudu🔹 Subscribe to Endocrine Matters Podcast🔹 Share this episode with a friend, sister, auntie, or cousin — we change outcomes when we change conversations

    14 min
  4. JAN 14

    🔥 Perimenopause & Menopause Explained: Hormones, Myths, Weight Gain & Real Solutions

    Perimenopause and menopause affect every woman, yet most are never taught what’s actually happening in their bodies — or how to navigate this transition with confidence and science-based care. In this powerful solo episode of Endocrine Matters, endocrinologist Dr. Arti Thangudu breaks down what perimenopause and menopause really are, why symptoms go far beyond hot flashes, and how misinformation has harmed women for decades. This episode challenges outdated myths, explains hormone therapy with clarity, and empowers women to take control of their long-term health. 🎧 In this episode, you’ll learn: ✔️ What perimenopause is and why hormone fluctuations cause widespread symptoms✔️ Why menopause affects every organ system, not just reproduction✔️ The many recognized symptoms of perimenopause and menopause✔️ Why symptoms can last 4–14 years (and sometimes longer)✔️ Why every woman’s menopause experience is different✔️ The Top 10 myths about menopause and hormone therapy — debunked✔️ The truth about estrogen, progesterone, heart disease, and breast cancer✔️ FDA-approved bioidentical hormones vs compounded hormones✔️ Non-hormonal treatment options for menopause symptoms✔️ Why early menopause often requires hormone replacement✔️ Weight gain in menopause: hormones, metabolism, and insulin resistance✔️ How GLP-1 medications (like semaglutide and tirzepatide) can help — and when they’re appropriate✔️ Why protein intake + strength training are essential in midlife✔️ How to protect your bones, brain, heart, and metabolic health after menopause 💡 Key Takeaway: Menopause is inevitable. Suffering is not.With the right education, personalized care, and support, menopause can be a powerful and healthy new chapter — not something to “just push through.” 👩‍⚕️ About the Host: Dr. Arti Thangudu is a board-certified endocrinologist and founder of Complete Medicine, specializing in hormonal health, diabetes, and metabolic care outside the broken traditional healthcare model. 📲 Stay Connected: 🔹 Follow Dr. Thangudu on Instagram: @drartithangudu🔹 Subscribe to Endocrine Matters Podcast for science-based, empowering conversations🔹 Share this episode with a woman who needs better menopause education

    11 min
  5. JAN 7

    When Your Premium Jumps 500%- Why Insurance Is Exploding — and the Alternatives No One Is Telling You About

    Come see me in clinic: https://www.sacomplete.com/ Stay connected & explore more: Sign up for my newsletter: https://www.sacomplete.com/complete-medicine-blog Listen to my podcast Endocrine Matters: https://www.sacomplete.com/podcast When Your Premium Jumps 500%: Why Insurance Is Exploding — and the Alternatives No One Is Telling You About Welcome back to Endocrine Matters. I’m Dr. Arti Thangudu, a board-certified endocrinologist, diabetes and metabolism specialist, lifestyle medicine physician, and founder of Complete Medicine — where I help high-achieving women take control of their metabolic health through personalized, compassionate, and evidence-based care. In this episode, I’m speaking not just as a physician — but as a small-business owner, employer, and patient — about something that’s terrifying so many right now: skyrocketing health insurance premiums. Many Americans are seeing their premiums jump 40%, 50%, even 500% as enhanced ACA subsidies expire — leaving individuals and small business owners facing impossible choices. In this episode, we’ll unpack: Why premiums are exploding and who’s being hit hardestWhere your premium dollars actually go — and why so little reaches real careWhat alternatives exist that can help you protect yourself, your family, and your employees, including:• Medical cost sharing (like Sedera) for catastrophic events• Direct care and transparent cash pricing for day-to-day healthcare• Self-funding strategies for employers that put money back into care — not profitsMy goal isn’t to make you an insurance expert — it’s to help you see that you are not powerless. There are real, practical alternatives to the traditional insurance system, and with a little knowledge and courage, you can make them work for you. Topics Covered: Introduction: Why insurance costs are exploding Where your premium dollars really go How this crisis impacts small businesses and the self-employed Alternatives: cost sharing, direct care, and self-funding Becoming a better steward of your healthcare dollars If you’ve ever opened your renewal and felt your stomach drop — this episode is for you. You are not crazy. You are not alone. And this is not your fault. About Dr. Arti Thangudu Dr. Arti Thangudu is a triple board-certified endocrinologist, diabetes and metabolism specialist, lifestyle medicine physician, and North American Menopause Society Certified Practitioner. She’s the founder of Complete Medicine, a direct specialty care clinic in San Antonio, Texas, where she helps women thrive with metabolic health, hormonal balance, and personalized, compassionate care.

    25 min
  6. 12/31/2025

    My Journey, The System, The Mission 
By: Dr. Arti Thangudu

    ✨ Come see me in clinic:https://www.sacomplete.com/ 💌 Sign up for our newsletter:https://www.sacomplete.com/complete-medicine-blog 🎧 Listen to our podcast:https://www.sacomplete.com/podcast 🎙️ Endocrine Matters – Solo Episode: My Journey, The System, The Mission By: Dr. Arti Thangudu Hi friends — welcome back to Endocrine Matters. In this episode, I’m doing something a little different. I’m telling my own story — how I went from a little girl watching her dad survive a heart attack to becoming an endocrinologist and founder of Complete Medicine, a direct-care endocrinology practice changing how metabolic care is delivered. You’ll hear how I: 💡 Found my passion for people’s stories long before I found medicine 💪 Chose endocrinology for the patients, not the prestige 🔥 Burned out in the traditional system that rewards volume over value 🌱 Built my own practice to restore integrity, time, and compassion in medicine 💻 Discovered that telemedicine isn’t the future of diabetes care — it’s the present 💔 Learned how the system broke (and who it really serves) 💖 And why I believe Direct Care and telemedicine can rebuild trust, access, and outcomes in endocrinology This is a deeply personal episode — about purpose, moral injury, transformation, and the movement to bring heart and humanity back to medicine. If you’ve ever felt like the system is broken — or wondered if better care is possible — this one’s for you. ⏱️ CHAPTERS Intro: My Journey, The System, The Mission How It All Began (Age 3 and My Family’s Story) Journalism Major Turned Doctor?! Why I Walked Away from Surgery The Traditional Practice That Broke Me Why Direct Care Saves Medicine Telemedicine: Not the Future. The Present. Why Diabetes Care in America Is Failing The Employer Story That Changed My Life What Broke the System Why Direct Care + Telemedicine Are the Future Closing Thoughts 👩🏽‍⚕️ About Me I’m Dr. Arti Thangudu — a triple board-certified endocrinologist in diabetes, metabolism, and lifestyle medicine, and a certified menopause practitioner. I founded Complete Medicine to help high-achieving women overcome metabolic challenges like prediabetes, diabetes, thyroid disease, obesity, and menopause through compassionate, evidence-based, and patient-centered care. If this episode resonated, please like, comment, and share it with someone who needs hope that better care is possible. Together, we can disrupt what’s broken — and build a healthier, more humane future in medicine. 💫 #EndocrineMatters #DrArtiThangudu #DirectCare #Endocrinology #DiabetesCare #Telemedicine #MetabolicHealth #WomenInMedicine #LifestyleMedicine

    35 min
  7. 12/24/2025

    GLP-1 Price Cuts: What Lower Costs, Transparent Pricing, and Big Pharma Deals Mean for Patients

    In this solo episode, Dr. Arti Thangudu breaks down the sweeping changes in GLP-1 medication pricing—and what these shifts truly mean for patients, clinicians, and the future of metabolic health. With new deals struck between the Trump administration, Eli Lilly, and Novo Nordisk, millions of Americans will soon gain access to medications like Zepbound and Wegovy at significantly lower prices. But behind the headlines lies a complex story of political strategy, pharmaceutical incentives, patient safety, and the ongoing dysfunction of the U.S. drug pricing system. Arti offers a clear, compassionate, and candid look at how transparent cash pricing could finally bring competition—and lower costs—to the GLP-1 market, why patients must still be cautious about compounded versions, and why safe prescribing is more important than ever as access expands. This episode is a must-listen for anyone navigating metabolic health, obesity treatment, diabetes care, or the realities of a healthcare system undergoing rapid change. Key Topics Covered The details behind the newly announced GLP-1 price reductionsWhat $245 Medicare pricing and $299–$499 cash-pay options mean for real patientsWhy pharmaceutical companies benefit from transparent pricing—and why that still benefits patientsHow transparent pricing may finally introduce price competition and drive costs downThe risks of compounded GLP-1s and why they’re not equivalent to brand-name medicationsHow the GLP-1 craze exposed the inner workings of PBMs, inflated list prices, and drug pricing dysfunctionWhy safe, expert prescribing is essential as these drugs become widely accessibleThe impact of social media, aesthetics-driven prescribing, and misuse of GLP-1sThe political strategy behind pharma–White House dealsThe future of metabolic care as oral GLP-1s and broader access enter the marketWho This Episode Is For Patients using or considering GLP-1 medicationsIndividuals with obesity, diabetes, prediabetes, PCOS, fatty liver disease, or metabolic syndromeClinicians aiming to understand the evolving GLP-1 landscapeEmployers and health plan leaders evaluating future coverageAnyone interested in drug pricing, PBMs, or healthcare policyKey Takeaways Lower GLP-1 prices are significant progress—but still highTransparent cash pricing opens the door to true competitionSafer, regulated brand-name medications should be prioritized over compounded alternativesExpanded access must be paired with clinician expertiseThe GLP-1 moment is exposing—and reshaping—the drug pricing systemPatients deserve care that is safe, evidence-based, and rooted in long-term health Connect with Dr. Arti Thangudu Website: https://www.sacomplete.com/HeyHealthy https://www.heyhealthy.comInstagram: https://www.instagram.com/drartithanguduEndocrine Matters Podcast

    15 min
5
out of 5
32 Ratings

About

Endocrine matters empowers women physicians to challenge conventional norms and enhance patient relationships. Through deep discussions, we aim to elevate the specialty and inspire future generations of women physicians, driving meaningful change in hormonal health.

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