The Advanced Women’s Health Podcast

The Advanced Women’s Health Podcast

Welcome to the Advanced Women’s Health Podcast, your trusted source for guidance and the latest insights in holistic women’s health. Hosted by Dr. Sarah Wilson, ND, this podcast is dedicated to empowering women to thrive at every stage of their lives. Each episode features in-depth discussions with leading health professionals, cutting-edge medical research, and practical wellness tips to help you achieve optimal health and well-being. Tune in to discover how you can take charge of your health and transform your life with the power of naturopathic medicine and holistic wellness.

  1. Episode 85: Histamine, MCAS, POTS & Endo: The Hidden Connections

    18h ago

    Episode 85: Histamine, MCAS, POTS & Endo: The Hidden Connections

    Dizziness. Headaches. Random food reactions. Bloating. Palpitations. Period pain that doesn't make sense. If you've been collecting diagnoses — endometriosis, MCAS, POTS — and seeing a different specialist for each one, this episode is going to connect the dots no one else has. Dr. Michelle and Dr. Karina dive deep into histamine, mast cells, and how conditions that seem completely unrelated are often driven by the same underlying mechanisms. In this episode they cover: What histamine actually is — an inflammatory messenger released by mast cells, and why antihistamines only block one piece of a much bigger puzzleThe gut-histamine connection — how gut bacteria imbalances increase histamine production, and why some people react to foods they were totally fine with yesterdayMast Cell Activation Syndrome (MCAS) — a systemic, more intense version of histamine intolerance, with symptoms ranging from skin flushing and hives to brain fog, palpitations, and breathing issuesPOTS (postural orthostatic tachycardia syndrome) — how histamine creates vascular leakiness, why standing up can trigger dizziness or fainting, and a simple at-home heart rate test you can tryThe EDS connection — how a genetic collagen defect (Ehlers-Danlos Syndrome) compounds the vascular issues seen in POTS and MCASPMDD and hormones — why histamine fluctuates with your cycle, and why PMDD often has a histamine and inflammatory componentThe nervous system's role — both external stress and internal stress (nutrient deficiencies, blood sugar swings) drive mast cell instabilityThe 6 health pillars AWH uses to map it all out — insulin & blood sugar, gut & liver health, nutrient deficiencies, oxidative stress, energy production, and nervous system regulationAlso in this episode: an update on AWH's new patient onboarding system, the Advanced Metabolic Rehab program, and what's coming this summer — fertility deep dives and "the core four" of perimenopause. Resources & Links 🌐 Book with Dr. Michelle, Dr. Karina, or any AWH practitioner: advancedwomenshealth.ca📧 Ask about clinically guided programs (Metabolic Rehab, Fertility & more): info@advancedwomenshealth.ca📲 Follow Dr. Sarah: @drsarah_nd🏥 Advanced Women's Health: @advancedwomenshealth🎙️ Mentioned: Episode 3: Understanding Histamine Intolerance with Dr. Michelle Mussar, ND — Dr. Michelle's original histamine deep dive

    38 min
  2. Episode 84: The Real Reasons Behind Women's Fatigue

    Jun 11

    Episode 84: The Real Reasons Behind Women's Fatigue

    You're exhausted. You've been told your labs are normal. And you still feel terrible. Dr. Michelle and Dr. Steph are breaking down the real reasons behind chronic fatigue in women — and why it is almost never just one thing. In this episode, they cover: Nutrient deficiencies — B12, iron, vitamin D, and why being "in range" isn't the same as being optimal. Plus: why ferritin can actually be falsely elevated during inflammation and mask an iron deficiencyInsulin resistance and blood sugar dysregulation — the energy crashes, brain fog, and cravings that come from riding the blood sugar rollercoaster all day. And why fixing the gut is half the equation (40–60% of insulin signaling is determined by gut bacteria)Sleep dysfunction and cortisol — why blood sugar drops at 3 AM trigger a cortisol surge that wakes you up, and what's really happening hormonally in perimenopause and menopauseThyroid dysfunction — why a TSH alone isn't enough, what Hashimoto's has to do with fatigue, and why the autoimmune piece goes underinvestigatedImmunological fatigue — what happens when your immune system is constantly fighting something (infections, autoimmune activity, endometriosis) and why that by itself creates deep, unrelenting exhaustionChronic infections — recurrent UTIs, strep, cold sores, mono, shingles. When infections keep coming back, the immune system needs investigation — not just antibioticsOxidative stress and mitochondrial dysfunction — the cellular rusting that happens when the body can't keep up with its own cleanup, and why this is especially common post-viral illness📍 Resources & Links 🌐 Book with Dr. Michelle, Dr. Steph, or any AWH practitioner: advancedwomenshealth.ca📲 Follow Dr. Sarah on Instagram: @drsarah_nd🏥 Advanced Women's Health: @advancedwomenshealth

    33 min
  3. Episode 83: Hidradenitis Suppurativa (HS): The Skin Condition Nobody Is Talking About

    Jun 4

    Episode 83: Hidradenitis Suppurativa (HS): The Skin Condition Nobody Is Talking About

    If you've ever had a recurring boil in your armpit, groin, or under your breast and been told it's just ingrown hair or a sign of poor hygiene, this episode is for you. Dr. Sarah and Dr. Dasha are diving into hidradenitis suppurativa (HS): a chronic inflammatory skin condition that is far more common than most people realize, deeply connected to insulin resistance and immune dysfunction, and almost always misdiagnosed or dismissed. Here's what they cover: What HS actually is — a chronic inflammatory disease of the hair follicle, not an infection, not caused by poor hygiene, and absolutely not your faultThe three Hurley stages — from a single boil to interconnected tunnels and scarring, and why catching it early mattersWhere HS shows up — armpits, groin, under the breasts, buttocks — and why it's so often mistaken for ingrown hairs or shaving irritationThe root causes — immune dysregulation, insulin resistance, genetics, gut dysbiosis, and a significant metabolic component (Dr. Sarah has never seen a single case without underlying metabolic dysfunction)Food and lifestyle triggers — high insulin-demand foods, histamine-rich foods (bread, vinegar, fermented products, alcohol), smoking, and sedentary behaviorWhy exercise actually helps — and why the "sweating makes it worse" myth is causing real harmWhat treatment actually looks like — from dietary shifts and targeted supplements (zinc, vitamin D, doxycycline at low doses) to biologics and surgery for severe casesThe hormonal piece — androgens, the cycle connection, and why "estrogen dominance" is not the right explanationWhat an AWH visit looks like — from assessment and staging through to a flare plan and a maintenance planTakeaways from this episode: HS is not caused by poor hygiene — it's an immune and metabolic conditionIf you have recurring boils in classic locations AND PCOS/PMOS or insulin resistance, get screened A fasting insulin test isn't enough — a 2-hour glucose challenge reveals the real pictureLow insulin demand eating and managing metabolic health are foundational to managing HS Sweating does not make HS worse — exercise actually improves outcomes If a provider just gives you one thing and sends you home, that's a red flag — this condition requires a comprehensive plan There is hope — this condition can be brought under control with the right team📍 Resources & Links Book with Dr. Dasha or the AWH team: advancedwomenshealth.caFollow Dr. Sarah: @drsarah_ndFollow Dr. Dasha: @dr.dashalenevaAdvanced Women's Health: @advancedwomenshealth

    40 min
  4. Episode 81: PCOS Is Now PMOS: What Does It Mean for You?

    May 21

    Episode 81: PCOS Is Now PMOS: What Does It Mean for You?

    You may have heard the news — PCOS is being renamed. But if you're sitting there thinking, "Okay, what does that actually mean for me?" — this episode is exactly what you need. Dr. Sarah breaks it all down. In this episode, Dr. Sarah covers: 1. Why the name had to changeThose "cysts" on your ovaries? They were never actually cysts. They're immature follicles — the result of your brain and ovaries not communicating efficiently. Not everyone with PCOS even has them. The old name was creating missed diagnoses and dismissed women. That ends now. 2. What birth control actually does — and what it doesn'tThe pill suppresses ovulation, manages estrogen, and protects the uterine lining from thickening. Dr. Sarah is clear: she recommends medications when her patients need them. But the pill doesn't touch insulin resistance. It doesn't fix metabolic risk. And it doesn't protect your cardiovascular health long-term. That's the gap we need to talk about. 3. PMOS doesn't "graduate" at menopauseOne of the most damaging things Dr. Sarah hears: women being told they no longer have PCOS once they stop having periods. That is not how this works. The insulin resistance doesn't disappear. The cardiovascular risk doesn't disappear. The thyroid and adrenal connections don't disappear. The condition changes — but it doesn't end. 4. The test that changes everything: the 2-hour insulin glucose challengeA fasting blood test can only tell you what happened overnight. It cannot tell you what happens when you eat — and in PCOS/PMOS, that's where most of the dysfunction lives. Dr. Sarah explains why she runs this test on every single patient with this diagnosis, and what it allows her to do: build a meal plan that is specific to your insulin response. How many carbs. When to eat. Whether fasting is right for you. Protein types and timing. Information most women have never been given. 5. What real PMOS management looks like at AWHAt Advanced Women's Health, nothing is changing — because the AWH approach has always treated this as a multi-system condition. That means assessing the brain (FSH, LH, prolactin), the thyroid, the ovaries, the adrenals, and the pancreas/insulin system. On an ongoing basis. Because this condition requires monitoring through every phase of life, including perimenopause and menopause. Takeaways from this episode:✅ You don't need cysts on your ovaries to have PCOS/PMOS — irregular cycles and androgenic signs (acne, hair growth, high testosterone or DHEAS) are the key markers✅ The birth control pill manages symptoms — it does not treat the underlying metabolic condition✅ If you've only ever had a fasting insulin test, you're missing most of the picture — ask about the 2-hour insulin glucose challenge✅ PMOS is a lifelong condition requiring ongoing monitoring — not just until you start ovulating or until menopause✅ Up to 30% of women with PMOS also have hypothyroidism — thyroid and adrenal health must be assessed alongside ovarian function✅ Metabolic health can be achieved with this condition. You don't need hundreds of dollars of supplements for life — you need the right strategic approach, customized to your body Go back and listen to Episodes 8 and 9 for Dr. Sarah's deep dives on hormones, insulin, and insulin resistance — they're essential companions to this one. 📍 Resources & Links Book a visit or reach out: advancedwomenshealth.caNot sure who to work with? AWH onboarding coordinators offer free 15-minute calls to match you with the right practitioner📲 Follow Dr. Sarah on Instagram: @drsarah_nd🏥 Advanced Women's Health on Instagram: @advancedwomenshealthIf you've been told you don't have PCOS, or that you've "outgrown" it, or if you've never had a full insulin workup — reach out. This is exactly what we're here for.

    29 min
  5. Episode 80: Why You're Still Exhausted Even When You're Doing Everything Right

    May 7

    Episode 80: Why You're Still Exhausted Even When You're Doing Everything Right

    You're sleeping more. You've slowed down. You've taken a break. And you're still exhausted. Not just tired — foggy, heavy, unmotivated, running on empty no matter what you do. And every explanation you've been given sounds like some version of "it's just stress, rest more, you'll feel better." But what if something deeper is going on? What if burnout isn't just a mental health issue or a scheduling problem — but a cellular one? That's exactly what Dr. Sasha and Dr. Bianca are unpacking in this episode. And once you understand it, you will never see your fatigue the same way again. Here's what they cover: What mitochondria actually are — and why they matter for everythingYour mitochondria are the batteries inside every single one of your cells. They produce ATP — measurable, biochemical energy that powers every thought, heartbeat, hormone, immune response, and muscle contraction in your body. When they're struggling, you feel it everywhere.The iPhone battery analogy that makes it all clickYour body isn't lazy. It's not unmotivated. It's running on low power mode — and the battery needs attention, not willpower.Signs your mitochondria might be strugglingYou crash after exercise and take days to recoverYou wake up after a full night of sleep still feeling unrestedBrain fog, word searching, and feeling mentally slowEnergy dips after meals, relying on snacks and caffeine to functionMood that feels flat or harder to regulateBasic tasks that feel like they take way more out of you than they shouldWhat damages mitochondria over time Chronic stress and elevated cortisolBlood sugar spikes and insulin dysregulation — the cycle that keeps you stuckPoor sleep reducing mitochondrial repairSedentary lifestyle decreasing mitochondrial densityOver-training without adequate recoveryEnvironmental toxins and endocrine disruptorsNutritional deficiencies in key co-factorsWhat you can actually do about it — 4 key areas: Stabilize blood sugar — eat at consistent times, balance every meal with protein + fat + fiber, and stop skipping mealsMove in a way that builds mitochondria — resistance training and short bursts of higher intensity movement signal the body to make new mitochondria (but match it to your current stress load — over-training damages them)Lower the oxidative burden — colorful plants, berries, antioxidant-rich foods, short walks after meals, slow deep breathing, and reducing unnecessary stressorsRebuild the raw materials — CoQ10, L-carnitine, magnesium, B vitamins, NAD, alpha lipoic acid (ALA), and glutathione — not as energy stimulants, but as the specific building blocks your cells need to produce ATPSupplements work best on top of a solid lifestyle foundation — not instead of it. If you've been told your labs are normal but you still don't feel right, this episode might be the missing piece you've been looking for. 📍 Resources & Links 🌐 Book a visit with Dr. Sasha, Dr. Bianca, or any AWH doctor: advancedwomenshealth.ca📲 Follow Dr. Sarah on Instagram: @drsarah_nd🏥 Advanced Women's Health on Instagram: @advancedwomenshealth💬 Does this sound like you? Book with the AWH team — we'd love to help you get back to feeling like yourself.

    26 min
  6. Episode 78: Everything You Were Never Told About Your Pelvic Floor with Amanda Pereira, MScPT

    Apr 23

    Episode 78: Everything You Were Never Told About Your Pelvic Floor with Amanda Pereira, MScPT

    If you have ever been told to just do your Kegels and left wondering if there is actually more to it than that, this episode is going to be a really good one. Dr. Alessandra Autieri, ND, sits down with Amanda Pereira, our new pelvic health physiotherapist at AWH Port Credit, to break open everything about pelvic health that most women have never been told. We cover why leaking, heaviness, pelvic pain, and urgency are incredibly common but not normal, and what you can actually do about them. We get into why Kegels are not always the answer, and for a lot of women, they are the last thing your body needs right now. Amanda walks through what a first appointment actually looks like, how virtual pelvic physio works and who it can help, and she shares a simple exercise you can do tonight to start calming your pelvic floor down. This is the episode we wish someone had given every woman before she ever Googled pelvic floor. What We Want You to Walk Away With Leaking, pelvic pressure, and urgency are very common but they are not normal. There is help available and you do not have to just live with it. A pelvic health assessment is not just an internal exam. It is a full conversation about who you are, what you carry, and what your body needs. No physical touch required. Kegels are not the default answer for every pelvic floor concern. If your pelvic floor is already holding too much tension, more contraction will make things worse, not better. Calves on the couch is the most downregulating position for your pelvic floor. One to two minutes at the end of your day can calm tension, pain, and that heaviness feeling.

    40 min

Trailer

About

Welcome to the Advanced Women’s Health Podcast, your trusted source for guidance and the latest insights in holistic women’s health. Hosted by Dr. Sarah Wilson, ND, this podcast is dedicated to empowering women to thrive at every stage of their lives. Each episode features in-depth discussions with leading health professionals, cutting-edge medical research, and practical wellness tips to help you achieve optimal health and well-being. Tune in to discover how you can take charge of your health and transform your life with the power of naturopathic medicine and holistic wellness.

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