Straight Up With Steph

Stephanie Botts

 Your podcast for real tips on healthy posture, healthy habits, and a healthy life! 

  1. 3d ago

    Ep 106: Pilates Isn’t Enough After 40: Why Women Need to Lift Heavier

    If you’re walking, doing yoga, or taking Pilates several times a week, are you doing enough to protect your muscle as you age? In this episode of Straight Up With Steph®, I’m welcoming back Pilates instructor and pelvic floor expert Emma Bromley for a conversation every woman approaching midlife needs to hear. And here’s the surprising part: Emma is a Pilates instructor who says Pilates alone isn’t enough after 40. As muscle mass begins to decline with age, strength training becomes increasingly important for maintaining strength, supporting our bones, and helping us stay independent later in life. Emma explains why progressive overload matters and how women can begin lifting heavier—even if they’ve never considered themselves “weight lifters.” In this episode, we discuss: Why muscle becomes increasingly important as we ageWhy Pilates, yoga, and walking are valuable—but may not provide enough stimulus to build muscleWhat “lifting heavy” actually meansHow progressive overload worksHow many days per week women should strength trainWhy recovery is an important part of building muscleThe fear that lifting weights will make women “bulky”Five foundational movements for women new to strength trainingWhy breathing and pelvic floor function matter when lifting heavierWhy it is never too late to start getting strongerEmma also shares an important reframe: instead of asking whether you’re too old to start, ask yourself what waiting another year could cost you. If you know a woman who thinks walking or Pilates is all she needs to stay strong as she ages, share this episode with her. Topics discussed:  strength training for women over 40, lifting weights after 40, midlife muscle loss, Pilates after 40, progressive overload for women, women and muscle mass, strength training menopause, building muscle in midlife, healthy aging for women About  Emma Connect with Emma: IG: @bromleymethod FB: @bromleymethodofficial Youtube: @bromleymethod  To watch on YouTube, click here Episode on Pelvic Floor Disclaimer: The opinions expressed by guests on this podcast are their own and do not necessarily reflect the views of Polished Posture. The information shared in this podcast is for educational and entertainment purposes only and should not be considered medical advice. Always consult a qualified healthcare professional for any health concerns or before making significant lifestyle changes.  🌟Click For Labor Day Sale (use code LABORDAY for 20% off at checkout, sale ends 9/8/26)  To connect with me:  🦷Polished Posture Club ➡️Instagram 💻My Website 📨Email: stephanie@polishedposture.net 💌Newsletter signup

    Ep 106: Pilates Isn’t Enough After 40: Why Women Need to Lift Heavier
  2. Aug 28

    Ep 105: Relationship Advice for Every Stage: From Dating to Long-Term Love

    Why do some relationships feel easy and secure while others leave us overthinking every text, questioning ourselves, or constantly needing reassurance? In this episode of Straight Up With Steph®, I’m joined by psychotherapist Emma Mead for a conversation about relationships at every stage—from navigating the early days of dating to building healthier, more secure long-term relationships. We talk about dating apps, texting anxiety, ghosting, red and green flags, communication, people-pleasing, self-trust, and how our attachment styles can influence the way we connect with others. Emma also explains why anxious and avoidant people are often drawn to each other, how to recognize unhealthy patterns, and what secure relationships actually look like We talk about: Secure, anxious, avoidant, and disorganized attachmentWhy anxious + avoidant relationships can feel so intenseDating apps, texting anxiety, and ghostingRed flags AND green flags in new relationshipsPeople-pleasing and self-abandonmentLearning how to communicate what you actually needHow to tell avoidance from a lack of interestTrusting your intuition againWhether attachment styles can changeHow attachment patterns can even show up at workEmma also shares practical ways to recognize when old patterns are being activated and how we can begin responding differently instead of automatically reacting. Whether you’re dating, in a relationship, or simply trying to understand yourself better, this conversation is packed with those “ohhh… THAT’S why I do that” moments. About Emma Connect with Emma: Instagram - @perfectly_emmperfect     To watch on YouTube, click here Disclaimer: The opinions expressed by guests on this podcast are their own and do not necessarily reflect the views of Polished Posture. The information shared in this podcast is for educational and entertainment purposes only and should not be considered medical advice. Always consult a qualified healthcare professional for any health concerns or before making significant lifestyle changes.  🌟Click For Labor Day Sale (use code LABORDAY for 20% off at checkout, sale ends 9/8/26) 🌟Cordless polisher: Click here and use code PODCAST150 for $150 off   To connect with me:  🦷Polished Posture Club ➡️Instagram 💻My Website 📨Email: stephanie@polishedposture.net 💌Newsletter signup

    Ep 105: Relationship Advice for Every Stage: From Dating to Long-Term Love
  3. Aug 21

    Ep 104: Want to Leave Clinical Dentistry? Do This First.

    Stop waiting until you feel "ready." In this episode of Straight Up With Steph®, I'm joined by executive coach Thomas Passalacqua to explore one of the biggest obstacles standing between dental professionals and the career they actually want—not lack of talent, but limiting beliefs. If you've ever thought "I'm just a hygienist," "I'm not qualified enough," or "Maybe someday when I'm more confident..." this episode is for you. Together, we unpack the difference between a fixed mindset and a growth mindset, why discomfort is actually a sign of progress, and how taking imperfect action often creates the confidence you're waiting for. In this episode, we discuss: Why so many clinicians feel trapped in the operatoryFixed mindset vs. growth mindset explained simplyThe stories we tell ourselves that quietly hold us backWhy confidence comes after taking actionHow to overcome fear of judgment and social mediaWhy failure is really just feedbackPractical ways to start exploring life beyond clinical dentistryThe importance of curiosity, pausing, and challenging your assumptionsIf this episode encouraged you, share it with another dental professional who needs the reminder that they're capable of more than they realize. Topics Discussed: dental careers, leaving clinical dentistry, growth mindset, executive coaching, limiting beliefs, entrepreneurship, dental hygienist career, professional development About Thomas Connect with Thomas: https://www.linkedin.com/in/thomaspassalacqua/ https://ascendpropathways.com/    To watch on YouTube, click here Disclaimer: The opinions expressed by guests on this podcast are their own and do not necessarily reflect the views of Polished Posture. The information shared in this podcast is for educational and entertainment purposes only and should not be considered medical advice. Always consult a qualified healthcare professional for any health concerns or before making significant lifestyle changes.   🌟Click For Labor Day Sale (use code LABORDAY for 20% off at checkout, sale ends 9/8/26) 🌟Cordless polisher: Click here and use code PODCAST150 for $150 off   To connect with me:  🦷Polished Posture Club ➡️Instagram 💻My Website 📨Email: stephanie@polishedposture.net 💌Newsletter signup

    Ep 104: Want to Leave Clinical Dentistry? Do This First.
  4. Aug 7

    Ep 103: Hormones & Your Mouth: What Everyone Should Know

    Hormones don't just affect your mood—they can completely change your oral health. In this episode of Straight Up With Steph®, Stephanie sits down with returning guest Barbara Tritz, RDH, to discuss one of the most overlooked topics in dentistry: how hormones influence the health of our gums, teeth, saliva, and supporting bone throughout every stage of life.  In this episode: Why hormones affect oral health more than most clinicians realizePuberty, pregnancy and menopause through the dental lensThe surprising connection between pregnancy and oral bacteriaWhy perimenopause often begins years before women expectEstrogen's role in protecting gum tissue, bone and salivaHow dry mouth increases cavity riskWhy Barbara believes salivary testing should become standard of carePractical strategies to protect your mouth during hormonal changesIf you enjoyed this conversation, please subscribe, leave a review, and share this episode with someone who could benefit from it. Topics Discussed: hormones and oral health, pregnancy gingivitis, menopause dental health, perimenopause gums, dry mouth, bleeding gums, dental hygiene, women's health Links mentioned: Fn induces premature and term stillbirths: https://journals.asm.org/doi/full/10.1128/iai.72.4.2272-2279.2004  Dry Mouth Blog: https://queenofdentalhygiene.net/2023/12/defeat-dry-mouth/ Hormone Blog: https://queenofdentalhygiene.net/2026/07/hormones-and-oral-health About Barbara Connect with Barbara: Blog: queenofdentalhygiene.net Facebook: Barbara Tritz RDH LinkedIn: www.linkedin.com/in/barbara-tritz-2021  To watch on YouTube, click here Disclaimer: The opinions expressed by guests on this podcast are their own and do not necessarily reflect the views of Polished Posture. The information shared in this podcast is for educational and entertainment purposes only and should not be considered medical advice. Always consult a qualified healthcare professional for any health concerns or before making significant lifestyle changes.  🌟Click For Labor Day Sale (use code LABORDAY for 20% off at checkout, sale ends 9/8/26) 🌟Cordless polisher: Click here and use code PODCAST150 for $150 off   To connect with me:  🦷Polished Posture Club ➡️Instagram 💻My Website 📨Email: stephanie@polishedposture.net 💌Newsletter signup

    Ep 103: Hormones & Your Mouth: What Everyone Should Know
  5. Jul 31

    The Legal Reality of OPAs, Dental Hygiene Autonomy & The Future of Dentistry

    Could the solution to the hygiene shortage actually create new legal problems for dental practices? In this episode of Straight Up With Steph®, I'm joined by Dr. Derik Sven for one of the most thought-provoking conversations we've had on the podcast.  We dive into the legal, ethical, and regulatory issues surrounding Oral Preventive Assistants (OPAs), but the conversation quickly expands into something much bigger—the future of dental hygiene and why autonomy matters. One of my biggest takeaways from this episode was learning how differently hygienists are viewed across the country. Dr. Sven has practiced in states with highly restrictive practice acts as well as Colorado, where hygienists have long enjoyed autonomy and independent practice. It completely changed how I think about the cultural differences that shape our profession. In this episode, we discuss: • The legal risks dentists should understand before implementing the OPA model • Why "supragingival scaling" isn't as simple as it sounds • Potential liability and False Claims Act concerns • What autonomy actually means—and what it doesn't • Why Colorado's collaborative model looks so different from many other states • How regional culture influences the way hygienists are viewed, utilized, and even how they view themselves • Antitrust, self-governance, and the future of the profession • Why insurance reimbursement may be the biggest issue dentistry should be tackling together If you've been following the conversations surrounding the hygiene shortage, OPAs, or autonomy, this episode offers a perspective you probably haven't heard before. If you enjoyed this episode, please leave a review and share it with another dental professional Topics Discussed: OPA dentistry, Oral Preventive Assistant, dental hygiene autonomy, dental hygiene shortage, dental law, False Claims Act dentistry, dental practice ownership, independent dental hygiene practice, dental reimbursement, Straight Up With Steph podcast. About Dr Derik Connect with Dr Derik: @drderikrdh (Facebook, Instagram, TikTok and YouTube)   Website: https://www.drderikrdh.com To watch on YouTube, click here Disclaimer: The opinions expressed by guests on this podcast are their own and do not necessarily reflect the views of Polished Posture. The information shared in this podcast is for educational and entertainment purposes only and should not be considered medical advice. Always consult a qualified healthcare professional for any health concerns or before making significant lifestyle changes.  🌟Click For Labor Day Sale (use code LABORDAY for 20% off at checkout, sale ends 9/8/26) 🌟Cordless polisher: Click here and use code PODCAST150 for $150 off   To connect with me:  🦷Polished Posture Club ➡️Instagram 💻My Website 📨Email: stephanie@polishedposture.net 💌Newsletter signup

    The Legal Reality of OPAs, Dental Hygiene Autonomy & The Future of Dentistry
  6. Jul 24

    Ep 101: The Truth About Assisted Hygiene

    Assisted hygiene - could it actually be one of the best solutions to today's hygiene shortage? In this episode of Straight Up With Steph®, I sit down with hygienist and practice consultant Courtney Wager, RDH, to break down one of dentistry's most controversial topics. After practicing assisted hygiene for over 20 years, Courtney shares why she believes the model has been misunderstood—and how, when done correctly, it can improve patient care, reduce scheduling bottlenecks, increase practice efficiency, and even create greater career flexibility for hygienists. We also tackle the biggest criticisms surrounding assisted hygiene, including burnout, ethics, production-based pay, patient experience, and whether quality of care truly suffers. In this episode we discuss: • What assisted hygiene actually is (and what it isn't) • The difference between assisted hygiene and accelerated hygiene • How to delegate appropriately without sacrificing patient care • Compensation models: hourly vs. production vs. bonuses • Why assisted hygiene doesn't have to lead to burnout • Common implementation mistakes practices make • How patients actually respond to assisted hygiene Topics Discussed: assisted hygiene, accelerated hygiene, dental hygiene shortage, dental practice management, production pay, hygiene efficiency, dental assistants, hygiene workflow, dental practice systems About Courtney Connect with Courtney: https://www.wagerpracticesystems.com/ Linkedin: www.linkedin.com/in/courtney-wager-8992ba381 Instagram: https://www.instagram.com/wagerpracticesystems/    To watch on YouTube, click here Disclaimer: The opinions expressed by guests on this podcast are their own and do not necessarily reflect the views of Polished Posture. The information shared in this podcast is for educational and entertainment purposes only and should not be considered medical advice. Always consult a qualified healthcare professional for any health concerns or before making significant lifestyle changes.  🌟Click For Labor Day Sale (use code LABORDAY for 20% off at checkout, sale ends 9/8/26) 🌟Cordless polisher: Click here and use code PODCAST150 for $150 off   To connect with me:  🦷Polished Posture Club ➡️Instagram 💻My Website 📨Email: stephanie@polishedposture.net 💌Newsletter signup

    Ep 101: The Truth About Assisted Hygiene
  7. Jul 10

    Ep 100: Why Your Dental Stool Is Killing Your Back

    Your stool might be costing you more than you realize. Most dental professionals spend more than 1,500 hours per year sitting, yet very few of us think about whether our stool is helping or hurting us. In this solo episode of Straight Up With Steph®, I share my personal journey with chronic low back pain, the ergonomic mistakes I made early in my career, and the one equipment change that completely transformed the way I practice dentistry. We'll discuss the science behind sitting posture, why traditional operator stools may be contributing to pain and injury, and how proper stool selection and adjustment can support career longevity. In this episode, we discuss: • Why I ignored my stool for years—and paid the price  • How chronic low back pain nearly changed my career path  • The hidden emotional toll of persistent pain  • The biomechanics of sitting and spinal loading  • Why hip angle matters more than most clinicians realize  • Traditional stools vs saddle stools: key differences  • How to properly adjust your stool for better posture and positioning  • Why practice owners should view ergonomic equipment as a retention strategy  • The true financial cost of pain, injury, and missed work  • Simple ways to incorporate more standing into your clinical day Whether you're a dentist, hygienist, assistant, student, office manager, or practice owner, this episode will help you rethink one of the most important pieces of equipment in your operatory. If you found value in this episode, please share it with a colleague, office manager, or practice owner who could benefit from learning more about ergonomics and career longevity. If you’ll be at RDH UOR 2026, please come by Hager booth 513 7/18/2026 so we can meet in person! I’ll also be presenting my course “Are You A Slouch Potato” 7/18/26 from 10:30-12:30 and I’d love you to be there 😊 Topic Discussed: dental ergonomics, saddle stool dentistry, dental back pain, dental hygienist pain, low back pain dentistry, ergonomic dental stool, dental posture, career longevity in dentistry To watch on YouTube, click here Click here for stool adjustment video Click here for Bambach stool (use code POSTURE15 FOR 15% discount) Disclaimer: The opinions expressed by guests on this podcast are their own and do not necessarily reflect the views of Polished Posture. The information shared in this podcast is for educational and entertainment purposes only and should not be considered medical advice. Always consult a qualified healthcare professional for any health concerns or before making significant lifestyle changes.   To connect with me:  🦷Polished Posture Club ➡️Instagram 💻My Website 📨Email: stephanie@polishedposture.net 💌Newsletter signup

    Ep 100: Why Your Dental Stool Is Killing Your Back
  8. Jul 3

    Ep 99: The Future of Dental Hygiene, Practice Ownership & Where Dentistry Is Headed

    Dentistry is changing—and whether you love it or hate it, the conversation needs to happen. In this episode of Straight Up With Steph®, I welcome back former ADA President Dr. Brett Kessler for an honest discussion about the future of dental hygiene, practice ownership, and the profession as a whole. From the hygiene shortage and assisted hygiene to insurance reform, burnout, leadership, and medical-dental integration, we tackle some of the most controversial topics in dentistry today with the goal of encouraging thoughtful conversation—not creating more division. In this episode: • Is there really a dental hygiene shortage? • Why hiring hygienists has become so difficult • Foreign-trained dentists and dental students in hygiene • Oral Preventive Assistants (OPAs)—pros, cons, and concerns • Assisted hygiene as a possible solution • Why hygienists create value far beyond production numbers • Leadership lessons every practice owner should hear • Insurance reimbursement and why it may be the biggest issue facing dentistry • The future of dentistry and oral healthcare If this episode challenged your perspective or gave you something new to think about, I’d love it if you shared with someone who would benefit from this conversation. Topics discussed: dental hygiene shortage, assisted hygiene, dental practice ownership, dental leadership, insurance reform, oral preventive assistant, OPA, medical dental integration, dentistry podcast, dental hygienist, future of dentistry About Dr Brett Kessler Connect with Dr Brett: Email: bikodds@gmail.com  Instagram To watch on YouTube, click here Disclaimer: The opinions expressed by guests on this podcast are their own and do not necessarily reflect the views of Polished Posture. The information shared in this podcast is for educational and entertainment purposes only and should not be considered medical advice. Always consult a qualified healthcare professional for any health concerns or before making significant lifestyle changes.   🌟Click For Labor Day Sale (use code LABORDAY for 20% off at checkout, sale ends 9/8/26) 🌟Cordless polisher: Click here and use code PODCAST150 for $150 off   To connect with me:  🦷Polished Posture Club ➡️Instagram 💻My Website 📨Email: stephanie@polishedposture.net 💌Newsletter signup

    Ep 99: The Future of Dental Hygiene, Practice Ownership & Where Dentistry Is Headed
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 Your podcast for real tips on healthy posture, healthy habits, and a healthy life! 

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