Table Talk

Pharm To Table

In this podcast, our expert functional medicine pharmacists will help you make sense of all of the health and nutrition information out there - from fasting, to toxins, to supplements and more! We’re here to share our knowledge in clear and simple ways through real conversations. Listen in and you’ll find answers to many of the questions you have!

  1. hace 2 días

    The Hidden Drivers of Chronic Illness: Mold Toxicity, Infections & Root-Cause Healing

    Show Notes HOST Melody Hartzler | | Book Appointment In Today's Episode In this episode of Table Talk, Melody sits down with Dr. Liam LaTouche, a naturopathic physician specializing in complex chronic illness, chronic infections, mold toxicity, and post-viral conditions. Dr. Liam shares how his mother's mysterious neurological illness sparked his passion for root-cause medicine and led him to work with patients struggling with chronic fatigue, fibromyalgia, chemical sensitivities, Lyme disease, mold exposure, and other difficult-to-diagnose conditions. Together, they explore why so many patients fall through the cracks of conventional healthcare, the role chronic infections and toxic exposures play in ongoing inflammation, and the foundational strategies that must be addressed before pursuing advanced detoxification or treatment protocols. This conversation offers practical insights for both practitioners and individuals seeking answers to complex chronic health challenges. Key Take Aways Chronic illness is often driven by multiple overlapping factors, including infections, mold exposure, toxic burden, trauma, and nervous system dysregulation. Functional medicine focuses on uncovering the root causes of chronic inflammation rather than simply managing symptoms. Mold exposure and nervous system dysfunction are often priority issues that must be addressed before deeper infection protocols can be effective. Foundational healing practices such as improving lymphatic drainage, bowel function, movement, and stress regulation are critical before advanced interventions. Post-viral illnesses, chronic fatigue, fibromyalgia, and dysautonomia deserve greater awareness, validation, and research support. Topics Discussed 00:00 – Welcome to Table Talk Introduction to today's discussion on chronic infections and complex chronic illness. 00:00:58 – Dr. Liam's Journey into Naturopathic Medicine How his mother's undiagnosed neurological condition inspired his path into functional and root-cause medicine. 00:03:25 – Understanding Complex Chronic Illness Why patients with fibromyalgia, chronic fatigue, and unexplained symptoms often struggle to find answers. 00:08:08 – The Three Drivers of Chronic Disease Exploring trauma, infections, toxic exposures, and the factors that keep inflammation active. 00:09:35 – Chronic Infections, Mold & Environmental Triggers How Dr. Liam evaluates patients for infections, mycotoxins, Lyme disease, and toxic burden. 00:11:32 – Trauma, Limbic System Dysfunction & Healing The connection between nervous system dysregulation, chemical sensitivities, and recovery. 00:14:03 – Treatment Priorities: What Comes First? Why mold exposure, trauma, and chronic immune activation often need to be addressed before deeper detoxification. 00:16:00 – Mold Testing & Mycotoxin Assessment How functional medicine practitioners evaluate mold exposure and determine treatment approaches. 00:20:57 – The Role of Functional Testing When lab testing is helpful and why foundational health still matters most. 00:23:04 – The Foundations of Healing Essential lifestyle and structural interventions that support recovery before advanced protocols. 00:29:37 – Supporting Lymphatic Drainage The importance of movement, lymph flow, and drainage techniques in chronic illness recovery. 00:30:33 – Addressing Digestive Function & Constipation Why healthy bowel function is a critical part of detoxification and healing. 00:42:25 – Dysautonomia, Hypermobility & Connective Tissue Health Exploring overlooked contributors to chronic symptoms and autonomic dysfunction. 00:44:29 – The Future of Post-Viral Research Why long COVID, post-viral fatigue, POTS, and immune dysregulation are finally receiving attention. 00:45:15 – Closing Thoughts & Resources Where to learn more about Dr. Liam's work and upcoming educational opportunities. Resources Mentioned The PharmToTable Team – Functional Medicine Providers Dr. Liam LaTouche – Naturopathic Physician Health Topics Discussed Chronic Infections Lyme Disease Mold Toxicity Chronic Fatigue Syndrome (ME/CFS) Long COVID POTS & Dysautonomia Functional Medicine Approaches Root-Cause Medicine Nervous System Regulation Limbic System Retraining Lymphatic Drainage Support Detoxification Support Testing & Assessments Functional Medicine Lab Testing Mycotoxin Testing Supportive Therapies Tai Chi Qi Gong Yoga Castor Oil Packs Supplement Spotlight Vitamin D / K2 Liquid - 1 fl oz Purchase Today D3 5000 with K2 60 Softgels Purchase Today

    46 min
  2. 19 jun

    Functional Medicine Stories with Mariya and Diane

    Show Notes HOST Melody Hartzler | | Book Appointment AROUND THE TABLE Mariya Farooqi | Book Appointment AROUND THE TABLE Diane Brice | | Book Appoinment In Today's Episode What happens when healthcare providers become patients themselves? In this candid conversation, PharmToTable pharmacists Dr. Mariya and Dr. Diane share the personal health challenges that led them into functional and integrative medicine—from insulin resistance and metabolic dysfunction to autoimmune disease and postpartum health struggles. Their stories reveal the power of looking beyond symptoms, addressing root causes, and becoming your own health advocate. Key Take Aways Personal health challenges often spark the journey into functional medicine, as both Mariya and Diane discovered through their experiences with unexplained symptoms, weight gain, metabolic changes, and autoimmune disease. Insulin resistance is a foundational driver of chronic disease, with blood sugar dysregulation contributing to weight gain, inflammation, autoimmune conditions, cardiovascular disease, and accelerated aging. Healing requires more than symptom management; while medications have an important place in healthcare, lasting improvement often comes from addressing root causes such as nutrition, stress, sleep, gut health, and lifestyle habits. Functional medicine is a journey, not a quick fix, and meaningful health improvements often require consistency, patience, and sustainable lifestyle changes over time. Patients must become active participants in their care by advocating for themselves, asking questions, tracking progress, and partnering with knowledgeable healthcare providers to improve long-term health outcomes.outcomes. Topics Discussed 00:00 – Welcome to Table Talk Melody introduces PharmToTable, the functional medicine team, and the power of sharing personal health stories. 01:28 – Meet Dr. Mariya Mariya shares her background as a pharmacist, nutrition professional, and educator working in lifestyle and functional medicine. 02:29 – Meet Dr. Diane Diane discusses her pharmacy career, medication therapy management experience, and transition toward prevention-focused care. 04:42 – Why Functional Medicine Requires Time The team discusses the limitations of conventional healthcare visits and the importance of deep, individualized patient care. 05:02 – Mariya's Personal Health Journey Navigating motherhood, stress, weight gain, rising A1C levels, and the realization that self-care required more than surface-level solutions. 06:24 – The Continuous Glucose Monitor Wake-Up Call How CGM data revealed hidden blood sugar spikes and transformed Mariya's understanding of nutrition and metabolic health. 08:03 – Why CGMs Can Be Powerful Learning Tools The team discusses how real-time glucose data can motivate meaningful lifestyle changes. 10:00 – Insulin Resistance as a Root Cause Exploring the connection between blood sugar regulation, inflammation, chronic disease, cancer risk, and longevity. 11:10 – Diane's Autoimmune Story Begins A postpartum diagnosis of psoriatic arthritis leads Diane on a search for answers beyond conventional treatment. 13:17 – Receiving a Life-Changing Diagnosis The emotional impact of being told she would need medication for the rest of her life. 14:22 – Discovering Functional and Naturopathic Medicine How acupuncture, nutrition, supplements, elimination diets, and lifestyle changes helped Diane reclaim her health. 16:48 – From Personal Healing to Professional Passion Why Diane became passionate about helping others address chronic disease through lifestyle medicine. 17:14 – The Importance of Self-Advocacy The team discusses navigating the healthcare system and taking ownership of personal health decisions. 18:26 – Why Healing Takes Time Understanding realistic expectations, root-cause healing, and the patience required for lasting change. 20:41 – Tracking Progress Objectively How symptom questionnaires and health metrics help patients recognize improvements they might otherwise overlook. 21:50 – The Role of Family Support Diane shares how support systems can influence long-term health success. 23:00 – Autoimmune Conditions, Food Sensitivities & Gut Health A patient case study illustrates why addressing gut health is critical for long-term autoimmune management. 25:10 – Functional Medicine and Pharmaceuticals Can Coexist The team discusses balancing natural approaches with appropriate medical interventions when necessary. 26:00 – When Medication Is the Right Tool Examples involving ulcerative colitis, eczema, and severe symptoms that require immediate treatment before root-cause work can begin. 28:36 – Conversations Around Statins and Prevention Exploring medication hesitancy, cardiovascular risk, and the importance of individualized decision-making. 30:39 – Mental Health, Medications, and Removing Stigma Why some patients benefit from short-term pharmaceutical support while building sustainable lifestyle foundations. 32:05 – Questions Every Patient Should Ask How to advocate for yourself by discussing treatment goals, timelines, outcomes, and evidence with your healthcare providers. 33:00 – Chronic Disease, Inflammation & Longevity The team reflects on cardiovascular disease, metabolic health, and optimizing long-term wellness. 33:59 – Final Thoughts A closing message on self-advocacy, partnership with healthcare providers, and the value of a functional medicine approach. Resources Mentioned Table Talk Podcast — Resources & Links The PharmToTable Team – Functional Medicine Providers Therapeutic Approaches Discussed Functional Medicine Integrative Medicine Lifestyle Medicine Food as Medicine Mediterranean Diet Elimination Diet Detox Diet Acupuncture Physical Therapy Intermittent Fasting Anti-Inflammatory Nutrition Health Tools & Assessments Continuous Glucose Monitor (CGM) Medical Symptom Questionnaire (MSQ) Food Sensitivity Testing Stool Testing / Gut Microbiome Analysis Organizations & Institutions PharmToTable Long Island University Thomas Jefferson University Hospital Medications Mentioned Prednisone Statins Biologics (general discussion) Antidepressants / Psychiatric Medications (general discussion) Supplement Spotlight Vitamin D / K2 Liquid - 1 fl oz Purchase Today D3 5000 with K2 60 Softgels Purchase Today

    35 min
  3. 12 jun

    Beyond Prescriptions: Empowering Patients to Thrive

    Show Notes HOST Melody Hartzler | | Book Appointment Dustin to fill in the guest block for now. AROUND THE TABLE Sarah Jastram | | Book Appointment In Today's Episode In this episode of Table Talk’s Journey to Thriving series, Melody sits down with Dr. Sarah Jastram, a functional medicine pharmacist based in the Twin Cities, to explore her unique path into integrative healthcare. Sarah shares how her experiences with pregnancy, gut health, and pharmacy school led her to discover functional medicine, and why empowering patients through education, community, and lifestyle changes remains at the heart of her work. Through inspiring patient stories, she highlights how small, sustainable changes can create meaningful improvements in health and quality of life. Key Take Aways Functional medicine helps connect the dots between nutrition, lifestyle, supplements, and conventional healthcare. Patients often have more power to influence their health outcomes than they realize. Education and understanding how the body works can help people make informed healthcare decisions. Community and social connection are foundational components of long-term wellness. Sustainable health improvements often come from small, consistent lifestyle changes rather than quick fixes. Topics Discussed 00:00 – Welcome to Table Talk Introduction to Pharm to Table’s mission and the Journey to Thriving series. 00:28 – Meet Dr. Sarah Jastram Sarah shares her background, passion for serving others, and how she became involved with Pharm to Table. 01:13 – Discovering Functional Medicine How pregnancy, natural childbirth, and an interest in gut health sparked Sarah’s journey into a root-cause approach to healthcare. 04:00 – Pharmacy School with a Different Perspective Why Sarah entered pharmacy school hoping to help people reduce their reliance on medications through lifestyle interventions. 05:25 – Exploring Nutrition, Gut Health, and Supplements Lessons learned from dietary changes, gut-healing approaches, and discovering integrative therapies. 06:53 – Finding Functional Medicine Sarah reflects on attending her first functional medicine continuing education event and realizing all the pieces finally fit together. 08:00 – The Missing Lifestyle Conversation in Healthcare A discussion on diet, movement, and why lifestyle interventions are often overlooked in conventional care. 10:47 – Helping Patients Reclaim Their Health How pharmacists can educate and empower patients to participate actively in their healing journey. 13:14 – A Constipation and Gut Health Success Story A patient’s transformation through magnesium, gut health support, lifestyle changes, and personalized care. 16:07 – Why Community Matters in Healthcare The unique role pharmacists play in providing accessible, relationship-centered healthcare. 18:29 – Teaching Patients to Understand Their Bodies How education helps patients make informed decisions and advocate for their health. 20:29 – Small Changes Create Big Results Real-life examples of patients building healthier habits through movement, nutrition, and accountability. 22:33 – The Coffee Shop Pharmacist Sarah shares the story behind her “Coffee Shop Pharmacist” concept and creating community around health conversations. 27:35 – Living with Purpose and Connection The importance of building relationships and fostering community in everyday life. 28:11 – Meeting Patients Where They Are Why successful health transformations begin by understanding a patient’s readiness for change. 31:17 – Empowerment, Advocacy, and Long-Term Healing Helping patients gain confidence, ask questions, and take ownership of their healthcare decisions. 32:42 – Final Thoughts and Resources Closing reflections and information about Pharm to Table’s Foundations of Health course. Resources Mentioned Table Talk Podcast — Resources & Links The PharmToTable Team – Functional Medicine Providers Therapies & Approaches Discussed: Functional Medicine & Root-Cause Care Lifestyle Medicine Gut Health Restoration Nutrition & Dietary Interventions Patient Education & Health Empowerment Community-Based Healthcare Tools & Testing Discussed: Continuous Glucose Monitoring (CGM) Organizations & Resources Mentioned: PharmToTable Institute for Functional Medicine (IFM) Foundations of Health Course Supplements Discussed: D-Hist® Magnesium Probiotics CoQ10 Supplement Spotlight Vitamin D / K2 Liquid - 1 fl oz Purchase Today D3 5000 with K2 60 Softgels Purchase Today

    33 min
  4. 7 jun

    Rethinking Heart Health: A Functional Medicine Perspective

    Show Notes HOST Melody Hartzler | | Book Appointment AROUND THE TABLE Joel Kahn | | Visit Website In Today's Episode Preventive cardiologist Dr. Joel Kahn joins Melody Hartzler on this episode of Table Talk to break down how lifestyle changes, nutrition, and advanced diagnostic testing can protect your heart. Dr. Kahn shares his journey from traditional interventional cardiology to preventive care and explains how inflammation, diet, hormone changes, and personalized risk assessments can help identify cardiovascular issues before they become serious. Key Take Aways Heart disease prevention starts with understanding individual risk factors, including inflammation, family history, metabolic health, and lifestyle habits. Advanced testing such as coronary artery calcium scans, carotid ultrasounds, and inflammatory markers can provide a more complete picture of cardiovascular risk. Whole-food, plant-based nutrition remains one of the most powerful tools for preventing and even reversing heart disease. Lipoprotein(a) is an often-overlooked genetic risk factor that can significantly impact cardiovascular health, especially in women. Lifestyle changes—including nutrition, exercise, stress management, sleep, and weight management—should be the foundation of any heart health plan before considering more aggressive interventions. Topics Discussed 00:00 – Welcome to Table Talk Melody Hartzler introduces today's guest, preventive cardiologist Dr. Joel Kahn, and previews the discussion on heart disease prevention and functional medicine. 01:06 – Dr. Kahn's Journey to Preventive Cardiology Dr. Kahn shares how his experience in traditional cardiology led him to focus on preventing heart disease through lifestyle and nutrition. 03:00 – The Impact of Plant-Based Nutrition How nutrition transformed Dr. Kahn's approach to patient care and cardiovascular health. 04:15 – A Common Patient Scenario Discussing women approaching menopause and the cardiovascular changes that often emerge during this stage of life. 05:27 – Looking Beyond Standard Labs The importance of comprehensive cardiovascular assessments, lifestyle factors, and personalized risk evaluation. 06:00 – Understanding Inflammation and Heart Disease Key inflammatory markers and why inflammation plays a central role in cardiovascular health. 07:24 – Omega-3 Testing and Nutritional Strategies How omega-3 levels and targeted nutrition can support heart health and reduce risk. 07:41 – Measuring Arterial Health Using carotid ultrasounds and artery age assessments to detect cardiovascular issues early. 08:39 – Coronary Artery Calcium Scans Explained Who should consider a calcium scan and how it helps identify hidden heart disease risk. 09:51 – Interpreting Calcium Scores What different calcium scores mean and when intervention may be necessary. 11:37 – Advanced Cardiovascular Testing Exploring inflammatory markers, metabolic indicators, and additional tools for risk assessment. 12:38 – The Importance of Lipoprotein(a) Understanding this genetic risk factor and its role in cardiovascular disease. 14:00 – Supplements for Heart Health A discussion on red yeast rice, omega-3s, berberine, and other commonly used supplements. 15:31 – Niacin and Cholesterol Management When niacin may be helpful and how it fits into a cardiovascular prevention plan. 17:02 – Choosing Quality Supplements What to look for when selecting supplements and why quality matters. 19:00 – Red Yeast Rice vs. Statins Comparing natural and pharmaceutical approaches to cholesterol management. 20:00 – Statins, Side Effects, and CoQ10 Addressing common concerns and discussing strategies to support patients using statins. 24:00 – Is a Plant-Based Diet Necessary? Dr. Kahn shares his perspective on nutrition and individualized approaches to heart health. 26:00 – AGEs and Cooking Methods How advanced glycation end products affect cardiovascular health and practical ways to reduce exposure. 27:49 – Resources and Where to Find Dr. Kahn Dr. Kahn shares where listeners can learn more about his work and access additional resources. 28:18 – Final Thoughts and Closing Remarks Key takeaways from the conversation and a wrap-up of the episode. Resources Mentioned Table Talk Podcast — Resources & Links The PharmToTable Team – Functional Medicine Providers Therapies & Approaches Discussed: Preventive Cardiology Functional Medicine Plant-Based Nutrition Lifestyle Medicine Inflammation Reduction Hormone Replacement Therapy (HRT) Tests & Biomarkers Discussed: Coronary Artery Calcium (CAC) Scan Carotid Artery Ultrasound Lipoprotein(a) [Lp(a)] High-Sensitivity C-Reactive Protein (hs-CRP) Omega-3 Testing Supplements Discussed: Berberine Niacin (Vitamin B3) Endur-Acin® CoQ10 (Coenzyme Q10) Supplement Spotlight Vitamin D / K2 Liquid - 1 fl oz Purchase Today D3 5000 with K2 60 Softgels Purchase Today

    29 min
  5. 30 may

    Take Back Your Power: The Functional Medicine Wake-Up Call

    Show Notes HOST Melody Hartzler | | Book Appointment AROUND THE TABLE Cori Durall | Book Appointment In Today's Episode In this episode of Table Talk, Melody sits down with Dr. Cori Durall, a pharmacist and functional medicine practitioner, to discuss her journey from conventional pharmacy to root-cause healing. Dr. Cori shares how her personal health struggles, professional burnout, and experience with post-viral recovery led her to embrace functional medicine and advocate for taking ownership of your health through foundational lifestyle changes. Key Take Aways Functional medicine focuses on identifying and addressing the root causes of symptoms rather than masking them with medications. Chronic stress can significantly impact hormones, nutrient status, adrenal health, and overall recovery. Foundational health habits—sleep, movement, nutrition, sunlight, and stress management—are often the most powerful tools for healing. Post-viral syndromes, including long COVID, can uncover deeper issues like inflammation and gut dysfunction. Taking responsibility for your health empowers long-term wellness and reduces dependence on reactive healthcare solutions. Topics Discussed 00:00 – Welcome to Table Talk Introduction to Pharm to Table’s mission and today’s guest, Dr. Cori Durall. 00:32 – Meet Dr. Cori Durall Cori shares her background as a pharmacist in Salina, Kansas, and her experience in community pharmacy. 02:13 – Discovering Functional Medicine How compounding pharmacy and hormone health sparked her interest in integrative care. 05:29 – Why Women’s Hormone Health Matters The often-overlooked symptoms of perimenopause and menopause. 07:24 – Realizing the Limits of Conventional Pharmacy Why filling prescriptions no longer felt like true healing work. 09:57 – Cori’s Personal Health Journey Begins Experiencing unexplained neurological symptoms, fatigue, and frustration with “normal” labs. 12:00 – Healing Through Lifestyle Changes How sleep, nutrition, movement, and gut health became key to recovery. 14:00 – Nutrient Deficiencies and Supplement Support Vitamin D, magnesium, adaptogens, and rebuilding foundational health. 16:00 – Stress, Burnout, and Choosing Health First Why stepping down from leadership was essential for healing. 19:42 – Long COVID and Post-Viral Recovery Navigating lingering symptoms and discovering deeper root causes. 24:32 – The Role of Circadian Rhythm and Recovery Why sleep timing and nervous system regulation matter. 29:23 – Taking Responsibility for Your Health Dr. Cori’s encouragement to prioritize lifestyle foundations. 30:10 – Tools for Taking Back Your Power How health tracking and functional testing can guide healing. 32:00 – Foundations of Wellness Program Resources available through Pharm to Table for getting started. Resources Mentioned Table Talk Podcast — Resources & Links The PharmToTable Team – Functional Medicine Providers Therapies & Approaches Discussed: Functional Medicine & Root-Cause Analysis Environmental Detoxification (Mold & Mycotoxins) Comprehensive Gut Health Restoration Metabolic Awareness via Biometric Tracking (Continuous Glucose Monitoring / CGM) Nervous System Regulation & Stress Adaptation (Somatic & Vagal Toning) Foundations of Wellness Framework (Sleep, Stress, Movement, Community)

    33 min
  6. 22 may

    From Postpartum to Performance: Rethinking Women’s Physical Therapy

    Show Notes HOST Melody Hartzler | | Book Appointment AROUND THE TABLE Becky Parr | | Visit Website AROUND THE TABLE Kristen Schulte | Visit Website In Today's Episode In this episode of Table Talk, Melody sits down with physical therapists Becky Parr and Kristen Schulte to explore the evolving role of physical therapy in women’s health, athletic performance, and whole-person wellness. They discuss everything from pelvic floor dysfunction and postpartum recovery to inflammation, injury prevention, and why physical therapy should be viewed as proactive healthcare—not just rehab after surgery or injury. Key Take Aways Physical therapy is preventative care, not just rehab. Annual PT check-ins can identify movement dysfunctions before they become injuries. Pelvic floor dysfunction is common—but not normal. Symptoms like urinary leakage, pelvic heaviness, constipation, and postpartum pain are treatable. Women’s health challenges are often multifactorial. Stress, inflammation, nutrient depletion, hormones, and caregiving demands all impact healing and performance. Cash-based PT models allow for individualized, holistic care. Longer visits create space for root-cause problem solving and collaboration across healthcare disciplines. Female athletes need specialized movement support. Proper pressure management, biomechanics, and strength coordination can prevent issues like leakage and injury during training. Topics Discussed 00:00 – Welcome + Guest Introductions Melody introduces Becky and Kristen and sets the stage for a conversation on women’s health physical therapy. 00:43 – Becky’s Journey into Pelvic Health PT From orthopedic sports medicine to specializing in pregnancy, postpartum care, and pelvic floor rehabilitation. 06:39 – Kristen’s Athletic Background + Founding PT 212 How her own injury and frustrating rehab experience shaped her patient-centered PT philosophy. 11:00 – Why Traditional PT Models Fall Short Insurance limitations, protocol-driven care, and why both guests built cash-based practices. 16:30 – The Hidden Health Burden Women Carry Stress, caregiving, inflammation, nutrient depletion, and why women often delay their own care. 24:05 – Pelvic Floor Dysfunction Explained Common symptoms, postpartum recovery, menopause-related pelvic changes, and available treatments. 31:48 – What is a Pessary? How pessaries support pelvic organ prolapse and help women return to exercise safely. 35:39 – Menstrual Cups + Pelvic Floor Health Addressing common concerns and proper usage considerations. 37:42 – Female Athletes: Injury Prevention + Performance Optimization Why PT assessments can improve efficiency, strength, and movement quality. 41:00 – Why Leaking During Exercise Isn’t “Normal” Pressure management, movement corrections, and simple fixes for common issues. 45:29 – How to Find the Right Physical Therapist What to look for in a PT: individualized care, athletic understanding, and treatment philosophy. 51:28 – Final Thoughts + Resources Why PT belongs in every woman’s long-term wellness plan. Resources Mentioned Table Talk Podcast — Resources & Links Our Guests' Practices Dr. Becky Parr, PT, DPT — Resilience Physical Therapy (Dayton, OH; orthopedic & pelvic/women's health, in-person, mobile & telehealth): https://resiliencept.net Dr. Kristen Schulte Adkins, PT, DPT — Physical Therapy 212 (Troy, OH; sports/orthopedic PT, Classical Pilates, growing pelvic health): https://www.physicaltherapy212.com The PharmToTable Team - Functional Medicine Providers Website: https://pharmtotable.life/provider Find a PT in Your Area APTA "Find a PT" directory: https://www.choosept.com/find-a-pt APTA Pelvic Health PT locator (for pelvic/women's health specialists): https://www.aptapelvichealth.org/ptlocator-womens-health Becky's tip for vetting a PT: Use the locator to find someone in your area, then call the clinic and ask to speak with the therapist. Ask about their treatment philosophy and their specific experience treating athletes like you — the biomechanics of each sport differ, so a great runner's PT isn't automatically a great fit for a volleyball player. Read the therapist's bio first, and look for a provider who'll meet you where you're at and get on board with your goals. Therapies & Approaches Discussed Pelvic floor physical therapy Pelvic floor muscle training Biofeedback therapy Real-time ultrasound (transabdominal/transperineal imaging) Pessary support devices Functional movement screening Running gait analysis Manual therapy (hands-on treatment) Hormone replacement therapy (HRT) Nutrition and hydration support

    52 min
  7. 27 feb

    Perimenopause, the Microbiome, and the Hidden Drivers of Metabolic & Hormonal Change

    Show Notes HOST Melody Hartzler | | Book Appointment AROUND THE TABLE Kara Siedman | ResBiotic In Today's Episode In this episode of the Tables Talk Podcast, Dr. Melody Hartzler sits down with Kara Siedman, RD, CDCES, Director of Partnerships at ResBiotic, to examine how microbiome-driven physiology intersects with hormonal transitions during perimenopause and menopause. As estrogen and progesterone fluctuate and decline, women experience predictable shifts in metabolic regulation, immune signaling, and inflammatory burden. Increasing evidence suggests these changes are tightly linked to alterations in gut microbial diversity, intestinal barrier integrity, and microbial metabolite production. This conversation explores the gut–hormone axis through a mechanistic lens, highlighting how microbiome dysfunction may amplify symptoms such as blood sugar instability, weight gain, estrogen dominance, gastrointestinal distress, and genitourinary changes. Kara draws on clinical experience and emerging research to clarify why many hormonally driven symptoms occur in the absence of overt disease on conventional testing. The episode emphasizes perimenopause as a critical intervention window—one in which targeted dietary, lifestyle, and microbiome-supportive strategies may meaningfully influence long-term cardiometabolic and immune health. Key Takeaways Hormonal decline during perimenopause is closely linked to reduced microbiome diversity and resilience Estrogen loss impacts intestinal barrier function, inflammation, and metabolic regulation The estrobolome plays a central role in estrogen metabolism and symptom expression Microbiome-targeted interventions may reduce cardiometabolic risk during menopause Diet, fiber diversity, and precision biotics are foundational tools for supporting this transition Episode Highlights Hormonal Transitions & the Gut–Hormone Axis Estrogen and progesterone fluctuations in perimenopause Bidirectional signaling between endocrine function and the microbiome Declining microbial diversity and reduced short-chain fatty acid production Inflammation, Metabolism, and Insulin Resistance Metabolic endotoxemia and LPS-driven inflammation Microbiome contributions to blood sugar dysregulation and weight gain Links between dysbiosis, immune activation, and chronic disease risk The Estrobolome & Estrogen Metabolism Beta-glucuronidase activity and estrogen deconjugation Microbial reactivation of estrogen and clinical implications Estrogen dominance, elimination pathways, and gut health Vaginal Microbiome & Genitourinary Health Estrogen-dependent Lactobacillus depletion Increased risk of UTIs and yeast infections Gut–vaginal microbiome crosstalk and clinical considerations Clinical Interventions to Support Microbiome Resilience Mediterranean-style dietary patterns and plant diversity Fiber intake, resistant starch, prebiotics, probiotics, and postbiotics Stress, sleep disruption, medications, and microbiome vulnerability Precision supplementation during the menopausal transition

    41 min
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In this podcast, our expert functional medicine pharmacists will help you make sense of all of the health and nutrition information out there - from fasting, to toxins, to supplements and more! We’re here to share our knowledge in clear and simple ways through real conversations. Listen in and you’ll find answers to many of the questions you have!

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