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. -12 Ч

    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 Par and Kristen 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 мин.
  2. 27 ФЕВР.

    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 мин.
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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!