W.O.W. MD - Your Wellness Optimizing Warrior

This podcast episode marks the one-year anniversary of launching this podcast. Today we're going off-script and talking about what our healthcare landscape looks like today. Our medical system today is quite changed from what it once was—especially since the Affordable Care Act was enacted. Most people pay the equivalent of a monthly mortgage for an insurance plan, and unfortunately, this plan doesn't provide the same amount of coverage as it once did. If you do have insurance, you will definitely need to know your deductible. This is the most important and relevant number to know for your healthcare costs. Many doctors go private and stop accepting insurance because of the benefits it has for their business. Setting their own prices and accepting cash can make it easier to run their business. A $300 blood test could be billed to your insurance for thousands. When you do the math—and take your potentially high deductible into account—sometimes it works out better for the patient too. A patient's autonomy goes out the window when they aren't fully informed of their possible options. Yet, many doctors don't have time to spend an hour going over all those options because their time is limited. They also likely do not know the details of your insurance plan, so they can't get into details. In the end, this is not in the best interest of the patient. Most patients have to consider cost when weighing their options for treatment. When cost is an issue, you're no longer choosing the best treatment for you—you're choosing the treatment you can afford. So, what should you do? The answer is to do your best to stay healthy and avoid treatment altogether. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

For couples looking to conceive, it may be helpful to know the various ways they can maximize their fertility—especially if these couples have already been trying to get pregnant for some time. In this episode, we're discussing how women specifically can support their fertility, including using restorative therapies. Modern medicine doesn't always account for the body's natural healing process. Your body can, on its own, resume normal function. There are also procedures that can reverse things that inhibit pregnancy. For example, tubal ligation. However, it's important to note that reversing tubal ligation does come with its own set of risks. There's a pelvic therapy called the Wurn Technique, which is designed to detach adhesions to the tubes and ovaries. This form of alternative medicine has shown dramatic improvements in some women, reducing obstructions, spasms, and decreasing pain. There are also treatments for a diseased uterus that can help it become a more hospitable environment for childbearing. An ultrasound can help you identify issues in your uterus, ovaries, and more so you can move forward with treatment options. Getting surgery on your pelvic organs is a huge decision, and it's also not guaranteed to restore your fertility. It can also be quite expensive to pursue. Costs can go as high as over $100,000 in an effort to get pregnant. This is why it's so important to know what options you have, what they entail, and what the risks are so you can invest your time, energy, and money wisely. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

In today's episode we're talking about the factors you can control to improve your ability to conceive. The best first step in your fertility journey is a consultation with a doctor or fertility specialist. Seek help if within six months of regular periods you have been unable to get pregnant. If you're trying to successfully conceive, having regular periods is a good sign. It should also last between 3 and 7 days. If you're suffering from severe pain during your periods, you'll want to get this checked out—you could have endometriosis. which affects almost half of couples who are trying to conceive. Men concerned about their fertility health should get a sperm analysis. There's no way to tell how healthy the sperm is without this analysis. You can also rule out other issues with additional tests, like hormone testing. Lifestyle changes like limiting consumption of alcohol, avoiding hot tubs and saunas, and taking specific vitamins and supplements can support sperm quality. Women who want to get pregnant should consider taking folate, vitamin D, inositol (vitamin B8), and arginine. Minerals like selenium and magnesium are also fertility supportive. Taking a multivitamin or prenatal vitamin isn't enough if you're already struggling to get pregnant—you need nutrients capable of supporting your body's mitochondrial function. Just because you take these vitamins, it doesn't guarantee that they will work. Your best option is to use IV vitamin therapy, which is a laser-focused delivery that rejuvenates and revives your mitochondria, at least in the short term. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

The fertility process is so extraordinarily unique and so important. Yet many young men and women are unaware that we are also currently experiencing a fertility epidemic. When you're ready to have a kid, it's becoming less easy to conceive, and many people only realize they have a problem by the time it takes a lot of money and effort to fix. If you plan on having children, don't be afraid to discuss this with your doctor—even if you're currently unattached. A simple test, like a blood test or an ultrasound, can uncover potential problems. Ask for a fertility consultation if you want to catch any conception roadblocks sooner rather than later. How are men experiencing this fertility crisis? Sperm counts have declined by almost 60% over the past few decades. If this rate of decline continues, men in significantly impacted areas will be completely infertile by 2060. Environmental pollutants and endocrine disruptors are the most likely culprit. Men today also have lower than optimal testosterone levels. A sedentary lifestyle, a poor diet, chronic stress, and use of substances like alcohol are all contributing factors to this. Cortisol, the major stress hormone, can disrupt your body in ways that significantly impact a man or woman's ability to conceive. A savvy fertility doctor might look into your mitochondria. Your mitochondria are responsible for using cholesterol to make testosterone. There are quite a few viral illnesses that impact your mitochondria including mononucleosis, Lyme disease, and COVID-19. If you're experiencing infertility, have your doctor check your mitochondria for answers. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Endometriosis is a condition that is underdiagnosed by many physicians, and it's also underappreciated by many patients. Endometriosis exists in approximately 50% of women who struggle with infertility. This condition can result in adhesions, scarring, and inflammation—all things that greatly impact the function of your fertility. This condition happens when the endometrial cells (the cells that line the uterus) spread outside of the uterus and develop endometrial lesions across all pelvic organs. It typically affects the ovaries most significantly, as well as the uterosacral ligaments. Once a woman develops endometriotic lesions, the inflammatory process that occurs often damages the fallopian tubes. There is a significant amount of research that shows women who have endometriosis experience altered immunological responses. This can make the conditions for conception less than perfect. It can also have a direct impact on a woman's ovarian reserve, and it influences a woman's egg quality too. The symptoms associated with endometriosis can also negatively influence a woman's fertility. Many women with this condition experience painful sex. They may also experience serious pain, bloating, and cramping between periods, which can also make a woman feel less inclined towards intimacy. What should women with endometriosis do to support their fertility? Surgery is an option for temporary relief. Cysts and lesions can be carefully removed to reduce symptoms and improve fertility. Addressing hormonal issues with progesterone, or in some cases progesterone blockers, are other options. If you have endometriosis, visit your doctor and discuss your options—you do have some available to you. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

If you're experiencing fertility challenges, you should be aware of the different factors that have a significant influence on your fertility health. In this episode we're covering two of those factors: the cervical factor and the vaginal factor. There are various health aspects to consider for each factor, and this information is valuable to all women. The cervix is a structure that guards the uterus. The size, shape, and appearance of the cervix differs greatly depending on a woman's age, medical background, and whether or not she's had children in the past. The interaction between the sperm and the cervical mucus is very important to fertility. A woman's body has built-in systems to protect it, and in some cases—typically an overactive response—sperm will be deemed as a "foreign invader" and killed. This will have an effect on how baby-friendly your body is. Removal of abnormal cells on the cervix can also impact mucus production, which can in turn have a negative impact on fertility. There are various aspects of vaginal health to consider for fertility as well. First, women who experience pain during sex will have a difficult time conceiving, for the obvious reason that intercourse may be difficult or less common. There are topical therapies and other types of therapies that can help mitigate this pain. Vaginal dryness and recurrent vaginal infections can also reduce the likelihood of sperm survival. Vaginal health issues should not be ignored, so don't delay going to a medical professional. The best doctor to see is a gynecologist—especially if you are trying to get pregnant. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Our human reproductive system is delicate, so if you're planning to have a baby, you'll want to know the things to look out for to give yourself the best chance of a successful pregnancy. In this episode, we'll be discussing the various tubal factors and uterine factors that could impact your pregnancy and lead to loss. Poor egg quality is a crucial factor too, as is sperm quality. These can lead to embryos with genetic problems, and therefore a non-viable pregnancy. Healthy sperm should be able to travel into the fallopian tube to meet the egg there. The fallopian tube needs to be able to grab the egg for this meeting to take place. The uterus has to be ready to not just receive the fertilized egg, but also be ready for implantation so the fetus can begin to grow. It's important to have a "baby friendly" uterus–this is when the thickness of the uterine lining really matters. Uterine deformities can occur in women and impact her ability to grow a healthy child. Uterine polyps, uterine fibroids, and scar tissues are the main uterine factors that negatively influence fertility. Fibroids specifically can disrupt or deform the uterine cavity, and they may even interfere with the fallopian tubes. These can also cause bloating, distention, and pain. Many women with fibroids get pregnant easily, but a small percentage will have resulting difficulties. Implantation requires a very specific molecular attachment process, and many chemical pregnancy losses are due to an issue with this process. This is just one of many things that has to go right for a healthy pregnancy, which truly serves as a reminder of what a miracle it is for women to be able to get pregnant and have a baby in the first place. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

If you're a couple looking to start or grow your family, this episode will have lots of valuable information for you: we're discussing fertility factors you should consider when planning for a child. If you've been trying for six months or longer and you and your partner are over 30 years old, don't wait to seek support sooner rather than later. The biggest thing you should consider as a couple trying to conceive is the male factor, and doing a sperm analysis is simple. Your medical professionals will look for motility, morphology, and sperm count. This issue is estimated to be the problem in about 20% of all fertility cases, but it can also be easily ruled out. As far as female factors, a woman's ovaries and hormones need to be considered. Issues with ovaries are the underlying cause for about 40% of infertility cases. Lab tests, like an ultrasound or ovarian reserve test, can help rule out any issues with your ovaries. If for any reason you want or need to freeze your eggs, the best time to do it is in your mid-20s. Your 30s is not too late, either. However, in many cases, women don't consider this until much later, like in their 40s. Take time to weigh your life goals and aspirations, including having children, when the time is optimal if you can. Brain issues, like pituitary tumors, can also have an impact on fertility. Benign tumors that develop and grow can have a negative influence on your fertility too. Up to 50% of women could have PCOS, and the estrogen dominance associated with this condition can also lead to fertility issues for couples. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Many women have a unique story regarding their experiences and choices with their fertility. For those women looking to preserve their fertility for the right time, this episode is for you. First, peak fertility for a woman is in her early-to-mid 20s. All women are born with the number of eggs they will have for their life. The number of eggs you have is far less important than the quality of eggs you have. When you are young, you are likely to be more resilient. This leads to better egg quality, but it also provides you with the resources you need to raise a child. The later in life you decide to become a mother, the less likely you are to have help available from your parents as well. In every cycle, somewhere between 20 and 50 eggs are recruited for one mature egg. Women also lose about 1000 eggs each month, mostly as they get older. So, in spite of being born with a large amount of eggs, our ovarian reserve goes down quite drastically over time. Certain conditions, like endometriosis or tumors, can impact your fertility. Young women who go through psychological stress or abuse also have very little ovarian reserve. Negative emotions and chronic stress influences endorphin output and can lead to poor nutrient flow to the ovaries. Lack of sleep can impact your ovarian function too. A positive, non-stressful environment, moderate exercise, and quality sleep are all very important factors that affect your fertility. Certain foods can also expose you to hormone disruptors, which can also negatively impact your fertility. Lastly, it's important to avoid smoking and drinking alcohol if you want to prioritize the health of your eggs. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

The fallopian tubes are an essential part of the female reproductive system. They are soft tubes that play a crucial role in the process of transferring eggs from the ovaries to the uterus. These tubes also provide a nourishing environment for the egg while it travels on this important journey. The fallopian tubes are also where the egg could potentially be fertilized by sperm, becoming an embryo. For this reason, and many others, it's important to be aware of possible issues with the fallopian tubes. This includes inflammation, tubal obstruction, ectopic pregnancy, tubal adhesions, and endometriosis—just to name a few. Some of these conditions, like an ectopic pregnancy, are considered emergencies due to the risk of fallopian tube rupture. Tubal ligation failures can also lead to ectopic pregnancies. Pelvic inflammatory disease can also cause scarring, damage, and blockage. Some women are born with abnormalities, like extra-long tubes. Healthy fallopian tubes are important for women looking to conceive. For a woman without fallopian tubes, or tubes with extensive damage, IVF is an option for getting pregnant. Catching issues early can also help manage potential issues before they cause irreversible damage. There is one more condition that's very important to be aware of called hydrosalpinx. This is when fluid blocks your fallopian tubes, making it difficult to get pregnant. There are often no symptoms, but it can be seen on ultrasound. Some women will have mild discomfort, but pelvic pain is rare. The number-one cause is pelvic infection, which can be caused by STDs like chlamydia. It's important for women to prioritize the health of their fallopian tubes, especially if having children is important to them. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Hysterectomies are one of the commonly performed surgeries in the United States, with half a million being performed every year. More than 40% of women will end up having a hysterectomy in their lifetime. Having this procedure may mean the end of carrying a child, however if you still have your ovaries, you may be able to have biological children via a surrogate. Your period is a sign of how your hormones are working. Being without a uterus may make it more difficult to uncover any possible problems. For some women, their uterus is associated with their womanly spirit or essence—which means the loss of their uterus can lead to feelings of loss. Sexual function is another potential downside following a hysterectomy. The degree to which your sex life may be impacted depends on your age, the reason your uterus was removed, and whether your cervix and/or ovaries were removed. It's important to know there are potential traumas that can happen due to having this type of surgery. Other organs like your kidneys and bladder could be affected. For example, a significant percentage of women experience increased feelings of urgency to urinate and frequency of urination after a hysterectomy. Before you decide to get a hysterectomy, it's important to consider your personal circumstances. Ask your health professionals about your options, and don't be afraid to get a second opinion. Depending on your age, the state of your uterus, and your personal preferences, you may be better off choosing surgical or non-surgical options that allow you to keep your uterus. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Hysterectomies are one of the commonly performed surgeries in the United States, with half a million being performed every year. More than 40% of women will end up having a hysterectomy in their lifetime. Having this procedure may mean the end of carrying a child, however if you still have your ovaries, you may be able to have biological children via a surrogate. Your period is a sign of how your hormones are working. Being without a uterus may make it more difficult to uncover any possible problems. For some women, their uterus is associated with their womanly spirit or essence—which means the loss of their uterus can lead to feelings of loss. Sexual function is another potential downside following a hysterectomy. The degree to which your sex life may be impacted depends on your age, the reason your uterus was removed, and whether your cervix and/or ovaries were removed. It's important to know there are potential traumas that can happen due to having this type of surgery. Other organs like your kidneys and bladder could be affected. For example, a significant percentage of women experience increased feelings of urgency to urinate and frequency of urination after a hysterectomy. Before you decide to get a hysterectomy, it's important to consider your personal circumstances. Ask your health professionals about your options, and don't be afraid to get a second opinion. Depending on your age, the state of your uterus, and your personal preferences, you may be better off choosing surgical or non-surgical options that allow you to keep your uterus. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Does a perfect diet exist? Some of the most popular diets to follow today include paleo, keto, and carnivore. While any one of these diets might make you feel good for a few weeks or months, variety is the key to eating in a way that fully supports a well-functioning body. Being on any specific diet for a long time has the potential to help you lose weight. Many lead to a natural reduction in calories by emphasizing whole foods. Stable and improved blood sugar levels are also a common outcome from reducing processed carbs. Reduced inflammation is another benefit of following a specific diet. Genetic individuality can also influence how any one diet impacts you specifically. One negative outcome, specifically those with an emphasis on high protein, can put a strain on your kidneys. Another downside might be inadequate fiber intake from excluding foods like grains and legumes. Knowing there are pros and cons to each diet, how do you choose which one is best? The truth is there's no such thing as a perfect diet—but there may be a perfect diet for you. While you're exploring your options, here are a few things to look for: adequate nutrients, a focus on whole foods, balanced macronutrients, and controlled portions. Even the perfect diet should allow for the occasional treat. Balance is the key to maintaining a strong diet long-term. Whatever diet you choose, it should be sustainable and support your health goals, whether that's weight loss, autoimmune disease, or blood sugar balance. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Food is medicine, and what you eat has a significant impact on your health. While it's good to be conscious and intentional with what you eat, an intense focus on your diet can easily turn into an obsession. This is in part due to the fact that awareness around how what we eat affects our bodies has increased recently. Different types of diets and eating styles have also been popularized online. Dietary advice is just about everywhere you look, pressuring you to eat a specific way to lose weight. Some of the most well-known diets include Mediterranean, carnivore, Atkins, Whole30 diet, and paleo. Alongside types of diets, there are also different types of eating patterns or eating styles. One such example is intermittent fasting. This pattern narrows your eating window to between 6 and 8 hours. This style of eating has been documented to support cellular repair. However, if not done properly, this can instigate erratic eating habits for some people or lead to nutrient deficiencies. Intermittent fasting may also lead to an increase in cortisol. However, this varies greatly from person to person. Some people experience a temporary rise, while others adapt without any fluctuation at all. If you're going to try this eating style, make sure you also prioritize sleep so you can manage stress and reduce any negative outcomes from this eating pattern. Repeated exposure to intermittent fasting protocols may change the way you interpret hunger signals (hunger hormones) from your body. This, along with other hormones like norepinephrine and melatonin, can also be impacted by fasting cycles. If you decide to try intermittent fasting, be sure to monitor your body's response and modify the pattern (or try another style) if needed. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Let's talk about the reality of food addiction. Whether you realize it or not, many of us are addicted to the foods we eat, at least to some degree. Our addiction to food affects us every day. What we eat plays a significant role in allowing our bodies to maintain homeostasis and can either help us reduce our toxic burden or increase it. Once we can no longer manage our toxic burden, we become symptomatic. These symptoms can vary widely from person to person, making it difficult to identify detoxification as a possible issue. If you're eating food that you know is bad for you and you're doing it anyway, it's another sign that this could be causing issues for you. Awareness is one thing, but you also need to have a willingness to change. This is as true for food addiction as it is for any other. On top of that, processed foods are designed to be highly palatable. These foods fire up your brain's reward centers and induce feelings of pleasure, encouraging you to go back for more. Food addiction can have very negative emotional and psychological effects. It can lead to feelings of guilt, shame, and an unhealthy relationship or unhealthy cycles with food. How do we fix it? Recognizing the problem comes first, and the decision to fix it comes next. Connecting with someone who understands, like a health professional or support group, can help. You may also need to identify your trigger foods. Keeping a food journal to track your habits can help, as well as planning and preparing your meals. Focusing on your intake of nutrient dense foods can help you satisfy your body's needs and reduce cravings for addictive processed foods. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

We are exposed to a lot of unhealthy chemicals through our lifestyle and diet. In fact, ingestion is one of the main ways we are exposed to toxic compounds. In this sense, a clean diet isn't just one that's healthy or home cooked—it's also one that limits exposure to these chemicals. One of the main issues most people run into is being too busy or overwhelmed to prioritize our diet and looking to foods of convenience. In our haste to be efficient and satisfy our taste buds, we develop habits that work temporarily but might hurt us in the long run. The way our food is produced matters. Opting for products in a container, box, can, or bag may increase your exposure to chemicals. Processed foods contain additives, artificial flavors, colors, sweeteners, and other synthetic compounds. A focus on eating whole, unprocessed foods can help reduce your toxic burden. Cancer rates have been rising over the last few decades. For those born after 1960, the risk of cancer is 1 in 2 in your lifetime. Most experts agree that diet and lifestyle is one of the most significant factors in these increasing rates. The way we farm our food is also hurting our health. By consuming genetically modified foods and foods that are sprayed heavily with chemicals, we are increasing our chances of negative health outcomes. Your body is capable of eliminating many of these chemicals and potentially harmful compounds, unless you are taking them in to the point that your body becomes overwhelmed. PFAS, more specifically, have greater longevity and can take years to be eliminated from the body. In many ways, we haven't yet scratched the surface as to how these toxic compounds are affecting us in the long term. Endocrine disruption and obesity: A current review on environmental obesogens https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7326440/ PFAS Exposure and Risk of Cancer https://dceg.cancer.gov/research/what-we-study/pfas Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

When it comes to women's health, many are concerned about how hormones might put them at a higher risk for cancer. At the same time, so few women are not as concerned with the toxins they come into contact with every day, which definitely do put them at a higher risk for cancer. Thousands of chemicals have been introduced into our daily modern lives: walking barefoot on your carpet, breathing in car exhaust, and washing your clothes with detergent to name a few. Even the skincare you use exposes you to toxins. This increases the toxic burden on your body. Complete avoidance of exposure isn't the goal, but rather to lower the burden enough for our own detoxification system to keep up. So, what are the symptoms of an overwhelmed detoxification system? Autoimmune diseases, chemical sensitivity, digestive issues, skin issues, mental illness, fatigue, stubborn weight loss, migraines, and menstrual issues are all signs of this issue. Your liver is your primary detox organ and plays a significant role in processing and eliminating toxins. Normal bowel function is also critical for eliminating toxins. Those with declining kidney function or kidney disease can also struggle to flush out toxins. There are some types of genetic conditions (mutations) that can influence detoxification processes via the body's various detox pathways. Genetic testing can give you insight into your body's ability to deal with these compounds. Each hepatic cell has about 1,000-2,000 mitochondria, so the liver needs a lot of energy to work efficiently. The liver needs crucial trace minerals and vitamins for the intense process of detoxification. This is why a medical grade detox program usually contains pre-packaged pills and supplements designed to enhance the different phases of detox and support each step along the way. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Have you been exposed to estrogen receptor disruptors like phthalates, BPA, pesticides, and other chemicals? These substances can mimic, block, or alter the effects of estrogen on our cells, leading to significant potential health risks. These disruptors interfere with your hormones, but there are strategies you can use to detoxify from them and reduce your risk of related issues. Endocrine disruptors were defined as exogenous compounds that interfere with pathways of endogenous hormones at the level of synthesis, storage, metabolism, elimination, and binding. Exposure is associated with hormone-related cancers like uterine cancer, breast cancer, and ovarian cancers. Estrogen is not the cause of cancer, but estrogen disrupting substances are associated with cancer. In order to reduce this risk, it's critical to minimize exposure to these substances. A few ways of doing this include opting for organic food, using natural cleaning products, and using natural personal care products. By raising awareness and addressing these risk factors, you can make informed choices to support your health and hormonal balance. What are the top ten signs you've been exposed to estrogen receptor disruptors? Changes in menstrual cycles is one, including abnormal bleeding patterns. Infertility is another big sign that estrogen disrupting chemicals (EDCs) are having an impact on you. Changes in breast tissue may also occur due to exposure. Weight gain is another sign, as persistent exposure can influence your metabolism. Mood swings and fatigue can also be signs that EDCs are having an effect on you. Thyroid issues and endometriosis are further signs that you've been exposed to these chemicals. Lastly, breast cancer and various reproductive disorders are red flags that exposure to xenoestrogens may be causing issues for you. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Our estrogen receptors play a significant role in our health as women. Knowing what they are, what they do, and how they work really matters, especially if you want to feel informed and empowered about your health. While estrogen is not the enemy, estrogen receptors play a role in all female cancers, including uterine cancer, and many other health related issues. Estrogen has hundreds of functions in the female body. There are actually different types of estrogens our body can make: Estradiol (made by the ovaries), estriol (made in pregnancy), and estrone (produced during menopause). These estrogens bind to proteins, called estrogen receptors, which are found throughout a woman's body. Both alpha estrogen receptors and beta estrogen receptors are expressed in our cardiovascular and central nervous system. Our cellular growth is greatly influenced by these receptor interactions too. While alpha is associated with hypergrowth and proliferation, beta is associated with balance and safety. When estrogen acts on its own unchecked and unbalanced by progesterone—or when your system is hijacked by disruptors— issues related to estrogen proliferation can occur. Estrogen receptors can be influenced by chemicals as well, and these can act as a sort of virus on the receptors, causing dysfunction. Estrogen is found in so many organs and systems in the female body, so the health of these receptors is crucial to healthy, functioning hormones. Molecules that can bind to these receptors include phthalates, BPA, pesticides, and more. These exogenous substances can bind to our receptors and lead to adverse health outcomes like infertility, various types of cancer, obesity, immune function problems, and more. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

By understanding the risk factors, you can reduce the risk factors not only for uterine cancer, but for all cancers. As women, there are steps we can take early on to avoid having uterine cancer later in life. The American Cancer Society estimates that 1 in 37 women will develop uterine cancer in their lifetime. Uterine cancer is more common in women who are postmenopausal or over the age of 50. After 50, women have little or no estrogen. Hormonal imbalances like estrogen dominance can also increase the risk of uterine cancer. Other conditions, like PCOS, are also correlated with higher instances of uterine cancer. Obesity is one of the most significant risk factors for this type of cancer, especially endometrial cancer. This is because an excess of fat tissue leads to higher levels of estrogen in the body, leading to estrogen dominance, increasing the risk of uterine cancer development. In particular, fat distribution along the midsection adds to the risk. Regular screening for risk factors can play a key role in uterine cancer prevention. If you've experienced early onset menstruation, late menopause, and/or a history of infertility, you may also be at a higher risk. Women with diabetes also have an elevated risk. Genetics also play a role. There are gene mutations that increase the risk for developing uterine cancer. If you notice symptoms like pain, discomfort, or abnormal uterine bleeding, it's important to talk to your health professional about it right away. Discuss birth control options with your doctor, as some may offer protection from uterine cancer. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Even though uterine cancer isn't common, it's crucial to diagnose and treat it as soon as possible. Because this type of cancer presents with very clear signs and symptoms, it's possible to detect it early, and early detection supports more positive treatment outcomes. Abnormal vaginal bleeding is an early sign of uterine cancer. This includes prolonged or heavy periods, bleeding after menopause, or bleeding in between your periods. If your period is heavy month after month or if you're bleeding twelve months after you've finished the time in your life where you've menstruated naturally, this needs to be investigated. Pelvic pain and pelvic pressure may also be a sign of uterine cancer, and so is abnormal vaginal discharge. Women with uterine cancer may also experience pain or discomfort during intercourse. If you're ever not sure if what you're feeling is normal or not, it's worth discussing with your healthcare provider. Significant unexplained weight loss may be a sign of an underlying health issue, including uterine cancer. This typically looks like a lot of weight loss that happens without any additional exercise or dieting measures. Another symptom is a feeling of fullness or bloating in the pelvic area. Persistent chronic fatigue is a possible symptom too. Uterine cancer can also lead to chronic blood loss and anemia. If you're feeling any of these symptoms, don't dismiss them. Don't be so busy taking care of everyone else that you forget to make yourself a priority. Regular screenings can also help detect uterine cancer too. Remember to advocate for yourself and request a pelvic ultrasound on your annual checkup after the age of 50. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Many women who develop uterine polyps have no idea they have this condition, yet these abnormal growths are very common. They develop on the endometrium and can be the size of a sesame seed—or they can develop to be the size of a golf ball. While this condition is often asymptomatic, you could also experience heavy bleeding, bleeding between periods, and infertility. So, what's the difference between fibroids and uterine polyps? Fibroids grow from fibromuscular tissue, whereas polyps grow inside the uterine cavity from the endometrium. Fibroids are hard, whereas polyps are soft. Polyps are often benign, whereas fibroids are almost always benign. However, both conditions share a common risk factor: high estrogen levels. An ultrasound is usually the first step for diagnosis. You may also undergo a hysteroscopy, a procedure in which a tiny camera visually examines the uterus and performs an endometrial biopsy. This is an in-office procedure, so it helps you avoid something more invasive, as well as a hospital visit. Asymptomatic polyps may not require any treatment, especially for women who have already gone through menopause. For women experiencing symptoms, including those struggling with infertility, they may want to have them removed. Addressing excess estrogen is the best way to address the underlying cause of polyps. Progesterone can stabilize the uterine lining and stop it from growing further, thereby limiting the influence of excess estrogen. If you have abnormal bleeding, like especially long periods, short periods, very heavy flow, or very light flow, talk to your healthcare provider and find out if uterine polyps are affecting you. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Uterine fibroids are benign tumors, and they are a very common uterine disease. Fibroids may also be called nodules or cysts, and may vary in size and appearance. However, they are always solid because they are made of fibromuscular tissue, and they can cause a host of symptoms. Fibroids can develop inside the uterus or even outside the uterus into the abdomen. So what makes fibroids develop in the first place? While there is no decisive answer, there are specific factors that contribute to the formation of fibroids including: race, obesity, and estrogen levels. Women with a higher body mass, as well as women with estrogen dominance, are more likely to develop fibroids. Sometimes fibroids are big enough to feel simply by floating on your lower belly. They can be painless, even when they're quite large. But most of the time, they create pelvic pressure and other potential issues, for example pressure on your bladder leading to feelings of urgency. You can have fibroids removed surgically, but you will have to give birth by C-section if you have children. This solution also doesn't take into account the underlying issue, so the fibroids could come back. But, primarily, the treatment for fibroids addresses the symptoms such as pain and bleeding using over-the-counter medications and birth control. If you have fibroids, you should know your options for treatments. One is a uterine artery embolization, a procedure that can significantly reduce symptoms as well as fibroid size. Other treatments include a laparoscopic radiofrequency ablation or a high intensity focused ultrasound (HIFU), both of which are minimally invasive. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Do you have painful, heavy periods? Adenomyosis and uterine fibroids are common uterine conditions, yet so many women go through their reproductive years not knowing that they have such a condition. Listen to this episode to learn the signs and symptoms to look out for, as well as the solutions that are available. Many women will write off occasional uterine pain as a weird cycle, however this can delay diagnosis and treatment of a possibly serious medical condition. The female reproductive system is intricately designed, and the uterus plays a significant role. The uterus is a muscular organ and has a mucosal lining called endometrium. Some of the issues that can affect the uterus include adenomyosis (endometriosis of the uterus), uterine fibroids, uterine tumors, endometrial polyps, and uterine prolapse. It's estimated that 25-35% of women of reproductive age suffer with endometriosis, which can be very painful. Chronic pelvic pain that increases during menstruation, as well as bloating and bowel dysfunction, are signs of adenomyosis. A diagnosis is made through a gynecological exam and imaging, like MRIs or ultrasounds. Hormonal therapies can be effective in controlling the symptoms. If medical treatment fails, surgery is an option. You can get a procedure that destroys the lining of the uterus. This procedure can delay the need for a hysterectomy. There is recent research being done to explore new procedures to help with this condition too. Menopause can be challenging for women with this condition, so they should be well informed of their options and solutions. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Hormone replacement therapy can promote vaginal bleeding after menopause. So, is progesterone necessary as a part of HRT? It is essential to take progesterone to balance levels of estrogen, much like the way our bodies naturally would. So how often and how long is progesterone required? For some patients, they will need to take it every day—especially those with a medical reason to avoid getting their period. Studies have shown that it is safe to use daily. But in all other cases, it's best to mimic the way nature intended it, taking progesterone 12-14 days a month. However, doing it this way means you will get a period. If you use progesterone without estrogen, you will not get a period. Estrogen is required to create the uterine lining. Are there cons to having a period after menopause? Having a regular period can be inconvenient and/or physically distressing, or even cause anemia. There are also pros to having a period after menopause too. For one, it can promote heart health by helping to naturally thin out your blood. It also protects your lining by promoting shedding. You're also less likely to develop polyps or hyperplasia. Having a period is also useful data for your doctor, especially if you're on HRT. Bleeding monthly can also help to prevent breakthrough bleeding. This can happen multiple times a year and always needs to be evaluated, which can be costly and uncomfortable. Ultimately, the decision to take it daily or not is a personal one, but knowing the pros and cons can help you make an informed decision. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

As you approach menopause, you may be considering hormone replacement therapy. Knowing what to expect can help you make the most informed decision possible. For example, if you are on HRT and are taking progesterone, you may experience vaginal bleeding. Generally, there is a lack of options for exactly how you can take progesterone as a patient. If you go to a Naturopathic doctor, they may only give you the option to take progesterone therapy daily. However, you should be given the option to cycle your progesterone replacement to mimic how it would fluctuate during your cycle. The standard of care in this area is lacking, despite how important it is to continue to balance progesterone as you approach and enter menopause. So, is it bad to bleed while you are taking progesterone? Some women feel like having a cycle is inconvenient and annoying, whereas other women feel better physically and psychologically when they have a period. As a medical professional with over a decade of experience supporting progesterone HRT, I recommend cycling progesterone. Daily progesterone may feel easier, but it doesn't take into account the inner workings of hormonal balance. Having an in-depth knowledge of the inner workings of a woman's delicate hormone balance is crucial to ensure her mental and physical health while on progesterone replacement. That's why it's so important to work with a doctor who is an expert in HRT. Using hormones with the most effective methods and the right doctor can help you avoid undesirable symptoms while still gaining positive outcomes. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Why do doctors recommend birth control pills for hormonal imbalance in women? This is one of the many questions I hear from my female patients over and over again. To answer this question, it helps to understand why women bleed monthly. The answer comes down to estrogen and progesterone. Estrogen promotes growth of the uterine lining. Then, around day 14, you ovulate, and progesterone fortifies this lining. Without estrogen, your period would be light. With a little bit of estrogen, you may have light but more frequent cycles. If you have erratic periods, it's a sign your hormones are not functioning properly. Your cycle should be reliable and predictable. When it's not, many physicians will recommend birth control. Why? Because they believe the birth control pill is designed to help you regulate your period. But in reality, this can often act as nothing more than a band-aid. Using birth control to regulate your period masks your underlying issues without addressing them. Birth control is not the answer for managing perimenopause symptoms, and it can actually worsen your mood, mental clarity, and metabolism. If you're looking for support during perimenopause, you should seek testing first with your physician. At that time, you could explore taking progesterone. Balanced hormones are crucial for a normal period, and our bodies need to be healthy for this harmony to exist. Doctors tend to get fixated on the function of your organs, like the uterus and ovaries. Focusing on balancing hormones, even adrenal and thyroid hormones, may reveal the root of the problem. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Our current healthcare system in America is leading to serious burnout among physicians. Why? Because demand is high and the pay is very little. Respect and satisfaction among doctors is low—even for those who perform crucial surgeries. As a patient, you will pay more to replace your car transmission than what your doctor gets paid for a bypass surgery. This is an indicator of where the values in our society lie. Doctors spend years on their education and work grueling hours, racking up debt, but they are no longer compensated accordingly. Considering the sacrifice they have gone through, they are greatly underpaid. For these reasons and many more, doctors are deciding to go with a concierge service, including charging membership and other associated fees. Before you pass judgement about doctors for going this route, you have to understand the reasons why so many physicians would choose to. We need our doctors, and we need to start acting like it. The way the healthcare system is designed doesn't protect doctors and their businesses. They support the insurance companies who fleece you, the patient, and your medical professionals. Doctors want to help and heal people. Ideally not only those who can afford them. But at the same time, physicians have to put a value on the time they spend serving your needs outside of a face-to-face visit. Spending the minimum amount on your healthcare costs will get you the minimum amount of care. The business of medicine is the same as any other: You get what you pay for. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

We're continuing our conversation about the American healthcare system in this week's episode. It's important to recognize that the Affordable Healthcare Act advertised simplicity in our system, but in reality, the changes made fueled a huge rise in premium costs. This act was intended to lower the number of uninsured Americans. Yet 10 years later, affordability has tanked for most people. So, what is the answer, and how do we address this? We have to trim the fat: Get rid of the bureaucracy that doesn't enhance the system in any way, shape, or form. Private doctors are a dying breed, leaving room for only those associated with groups and corporations. This has made healthcare much less accessible overall. When you do seek care, you may also find yourself confronted with long wait times to see the doctor in person, but also with customer service over the phone. If you find a skilled doctor who takes your insurance, hold on to them. It isn't likely that we'll see a change in this system anytime soon. We are facing a physician shortage. The Great Resignation is still impacting medical support personnel in clinics and hospitals, making it hard to find good candidates to fill these roles. At the same time, the cost of overhead and labor has been weighing heavily on doctors, influencing many to decide to close their practice or retire from their practice early. Experienced, well-trained doctors want to be paid fairly–and rightly so. As a result, the people who need it the most are missing out on quality care. The Congressional Joint Economic Committee created this flowchart to map Obamacare Physician Suicide: A Call to Action Will the doctor see you now? Maybe not amid the changing health care landscape in the US. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Have you ever thought about how the healthcare system in the USA operates? The American healthcare system isn't designed to cover you or support you. At the end of the day, these healthcare entities are a business, and therefore they exist to be profitable, not to put your best interests first. When you buy insurance, you're signing a contract that will only cover certain aspects of your care. Insurance plans can vary greatly, so don't be surprised when your doctors and other health professionals don't know what your plan covers. Being savvy and in-the-know about your insurance plan is really important and will pay off for you. Your deductible is the amount you have to pay out of pocket before your plan will cover medical services. Some services are subject to deductibles while others are not. Deductible costs vary and could be as high as $10,000. If this is the case for you, you're more than likely paying for your care out of pocket. Once you agree to a plan, you are also limited to medical services from the doctors you have access to and the services they provide. Waiting in line for an opening can delay your services, which is something you need to know upfront. A PPO plan is always preferable over an HMO or EPO plan. When you sign up for a plan, the number one thing you need to know is your maximum out-of-pocket costs. When you have a serious medical condition that requires hospitalization, you may end up spending an astronomical amount in bills without being aware of or even prepared for it. If you don't know the details of your plan yet, be sure to check them out sooner rather than later. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Having a great wellness provider matters, and that includes the medical team that works at the practice you choose. Recently on the podcast we've covered what to look for in a doctor, which includes a willingness to give you, the patient, a lot of time and patience while actively listening to your concerns. They should also have a great depth of knowledge that they also know how to apply. Your doctor and their medical team should never see you or treat you like just another number. Access to prompt, quality medical care is important for patients to have—however, it is increasingly difficult to find. Doctors are overwhelmed, and the consequences fall on the patients. Members of the medical team are usually the first point of contact with patients and will support quite a significant degree of your care. While their job is to support the doctor, each team member plays an important role in the outcome of your care. Yet, the way most medical teams are set up is flawed. Doctors aren't necessarily trained on how to be effective leaders, but this is crucial if you want to create a strong team. The medical team is truly an extension of the physician, so they need to be exceptional in their interactions and their knowledge to provide the best quality care. Doctors cannot run their office alone. A great physician will need a great team to work alongside them. In fact, they are the most valuable asset a doctor can have. Working well as a unit with minimal supervision and being able to handle difficult situations on their own allows the doctor to focus on what they do best. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

How important is it to have wellness doctors, and what does that even really mean? One way to think of this is a doctor who focuses on being well as opposed to combating symptoms and illness. This is really the art of keeping someone healthy versus the art of fighting disease, which are actually quite distinct. A wealth of knowledge is required to help one maintain harmony in a patient's health. That's why it would be difficult to be both a doctor who treats illnesses as well as an expert in wellness. There are also certain characteristics it can be helpful to have depending on your focus with patients. For example, surgeons need to have mental stamina and great attention to detail. There are many different specialties within medicine today. Does this make every type of doctor an expert in their own way? Not necessarily. Narrowing a field of knowledge doesn't necessarily make you an expert in the medical world. With all of the advances in medicine today, combined with the information available, no medical professional can know it all. That considered, wellness experts would need to be able to take in the big picture. They have to be able to look at multiple body systems and make informed decisions based on this overarching view. This professional would also need to take into account lifestyle factors like stress, diet, and exercise to help their patients avoid disease before it even begins. Going to the doctor once a year for a routine checkup isn't enough to prevent disease. It won't keep you away from serious illness because it doesn't focus on wellness. Wellness medicine should be a specialty in and of itself—and it already exists under another name: hormone optimization. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

The time your medical provider is willing to spend with you is one of the most valuable things to look for when searching for wellness support. It's also important that your provider has a strong knowledge base and versatile treatment options. But what about when you have an issue you can't identify the cause of? How can you choose the best wellness doctor for you? With various different types of providers to choose from, it's not always clear where to start. That said, in many cases, investigating hormone imbalances as the underlying cause can be helpful. Yet, when the option of hormone replacement therapy comes up, many patients shy away due to beliefs based on outdated information. Hormone replacement therapy is safe and effective, but keep in mind that there are effects and consequences you should be aware of. Therefore, your doctor will need to be specifically trained in this area in order to offer it to you. Some physicians are resistant and close-minded when it comes to expanding their knowledge. The truth is that many women consider going to a nurse practitioner or a naturopathic doctor rather than an OBGYN for this reason. An OBGYN may be in the best position to help guide you through hormone replacement (and potential consequences), especially those intimately related to hormone issues. Your wellness doctor should be equipped to not only see the big picture, but also understand the importance of looking into all hormones and how they may be impacting you. Search for a wellness doctor who can look ahead, support your optimal wellness, and keep your best interests at heart. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

What's the secret to choosing the right doctor or medical practice? If you're not sure what to look for, you're not alone. The answers can be nebulous, and it's not always clear what's valuable and what's not when seeking the right fit. There is no shortage of options, but a great place to start is considering the reason you are looking for a health provider. Having a full understanding of your problem can enable you to align with the right person to help you find a solution. If you need support getting there, your family doctor may be able to point you in the right direction. If you don't have a specific problem and you want a comprehensive wellness check, they can help with that too. As a patient, it's important you look for a provider that can give you the amount of time you need to resolve your problem effectively. You also want to look for a provider who listens and allows you to explain your needs patiently. This includes being able to ask the right probing questions so they can gather all the information they need. The last thing you want as a patient is to feel rushed. Understanding and empathy are really important characteristics to have as a medical professional, especially when it comes to discussing sensitive issues. Our medical system is designed to be efficient, but the more people doctors see, the less time they are able to spend with them. But as a patient, you need time to tell your story. Versatility is another quality you want to look for. Providers who have an abundance of knowledge and seek additional training and certifications have more to offer you as a patient. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Let's talk about personalized thyroid dysfunction treatment. We're going to explore the various medication options available for those with hypothyroidism, and how customization of treatment can lead to significantly better health outcomes. Whether you have no functioning thyroid tissue or some residual function, we're here to discuss the importance of vigilant medication management tailored to your unique needs. The default treatment that doctors provide is T4-only therapy, but that might not be sufficient for everyone. Understanding the need for T3 inclusion in your treatment can be a game changer for many. It's essential to have open conversations with your healthcare providers about the best personalized treatment options for you. Don't settle for anything less than feeling your absolute best. There are plenty of potential benefits of adding T3 to improve patient well-being. It's crucial to recognize the role of compounded medications in providing tailored dosages, and why some patients may fare better with a combination of T4 and T3. Be sure to find a physician who is willing to adjust your treatment plan to achieve optimal wellness. A single type of therapy is not optimal for everyone. There's a minority of patients that are treated only with T3 therapy. Those people are rare cases, as they are only able to tolerate T3 therapy. T4 does not work for them at all, and it can make them feel terrible, despite being fine on T3. Coming back to the question of which therapy for thyroid is the best, you'll hear in the episode that the answer is very simple. Of course, figuring it out might take a little trial and error at the beginning. If you have been taking medication that you feel is not useful, and your doctor is not willing to change it, then it's time to change physicians. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

This week we're diving deep into the intricacies of thyroid health. As we navigate the complexities of thyroid function, we'll uncover the thyroid tests that actually matter and give you a clear picture of your thyroid health. Throughout our conversation today, you'll see why testing both T3 and T4 hormones is necessary. Understanding the balance between bound and free thyroid hormones is key to decoding our body's hormonal harmony. It's a common issue that patients will suffer symptoms due to low free hormone levels, despite normal bound hormone levels. This explains why you might feel dismissed by healthcare professionals when their lab results come back "normal," yet you continue to experience symptoms like chronic fatigue and digestive issues. Furthermore, thyroid antibodies are often overlooked regarding their role in autoimmune diseases such as Hashimoto's. Genetic factors, environmental triggers, and gut health contribute to these conditions. An imbalance in the immune system can turn into a relentless assault on thyroid tissue. Remember that knowledge is power, especially when it comes to personal health. Adopt a proactive stance in managing your thyroid health, with a focus on whole-body treatment strategies that go beyond dietary changes. It's a holistic approach that not only treats the symptoms, but also targets the underlying causes, paving the way for lasting wellness. It's not just about understanding our bodies, but also about advocating for ourselves in a healthcare system that can sometimes overlook the nuances of conditions like thyroid dysfunction. To join the WOW MD Facebook Group please request access here https://www.facebook.com/groups/wellness.optimizing.warrior To get more information about the practice please visit website Thousand Oaks Holistic OBGYN Women's Doctor | Medical Spa Westlake Village To sign up for our email list please click https://www.herabeautyandwellness.com/contact/ To follow us on instagram https://www.instagram.com/herabeautywellness/ To follow us on facebook https://m.facebook.com/p/Hera-Healthcare-Mirela-Cernaianu-MD-100063462643162

Today we're addressing the complicated path of navigating functional testing for thyroid health. Specifically, we'll be looking at why TSH, which is the most commonly used thyroid test, is not as accurate as you might think. Remember, there is a big difference between your thyroid just functioning, and functioning optimally. We delve into the intricate pathways of thyroid functions and hormone conversion, a topic that's closely linked to fertility and general well-being. A so-called 'normal' TSH level doesn't necessarily point to a well-functioning thyroid, but aiming for a TSH level between 0.5 and 2 can be beneficial for fertility, for example. The enzyme DI flips the switch from inactive T4 hormones to active T3 hormones, and an imbalance in this process can cause thyroid dysfunction. This is so important to know because many doctors do not. We also discuss five common scenarios—inflammation, broken hormone receptors, leaky gut, acute illness, and restrictive diets—that can disrupt this T4 to T3 conversion. Various bodily functions such as metabolism, body temperature, growth, heart rate, digestion, reproductive health, mood, energy levels, muscle function, and skin health can all be affected by your thyroid health. We'll break down the myths surrounding thyroid testing, explaining further why a TSH test may not provide the full picture of your thyroid health. Finding a doctor who has extensive thyroid knowledge might not be easy, but it can give you much better results on your optimal health quest. This episode will give you enough tools to know more, educate your doctor, ask the right questions to prompt for the right test. To join the WOW MD Facebook Group please request access here https://www.facebook.com/groups/wellness.optimizing.warrior To get more information about the practice please visit website Thousand Oaks Holistic OBGYN Women's Doctor | Medical Spa Westlake Village To sign up for our email list please click https://www.herabeautyandwellness.com/contact/ To follow us on instagram https://www.instagram.com/herabeautywellness/ To follow us on facebook https://m.facebook.com/p/Hera-Healthcare-Mirela-Cernaianu-MD-100063462643162

The thyroid's intricate role in maintaining our body's delicate balance often goes unnoticed. This small gland acts as a silent symphony conductor, an architect of growth and development, a metabolic mastermind, and a guardian of vital functions. Today we'll discuss various thyroid disorders along with their symptoms and causes. There are various thyroid pathologies including autoimmune thyroiditis, goiter, nodules, thyroiditis, and even cancer. T4 and T3 hormones play a critical role in the thyroid because of the conversion process between them. I'll highlight the need for optimal levels of iodine, iron, selenium, magnesium, and B vitamins for efficient conversion, as well as the importance of checking T4, T3, and reverse T3 levels for proper treatment. If you're feeling fatigued, experiencing unexplained weight gain, or suffering from other symptoms, you might be dealing with hypothyroidism. These symptoms can often be subtle and easy to misinterpret, but it's crucial to be aware of them. It's best to have the knowledge to challenge the broken healthcare system and make informed choices concerning your health. This episode is not just about understanding thyroid disorders, it's about managing them. Being aware of the intricacies of thyroid health is crucial in maintaining overall health. Remember, the thyroid gland, albeit small in size, is colossal in its operational scale. Acknowledging the subtle and overt signs of hypothyroidism not only enhances our overall understanding of this organ, but also emphasizes the importance of detecting and addressing thyroid imbalances. To join the WOW MD Facebook Group please request access here https://www.facebook.com/groups/wellness.optimizing.warrior To get more information about the practice please visit website Thousand Oaks Holistic OBGYN Women's Doctor | Medical Spa Westlake Village To sign up for our email list please click https://www.herabeautyandwellness.com/contact/ To follow us on instagram https://www.instagram.com/herabeautywellness/ To follow us on facebook https://m.facebook.com/p/Hera-Healthcare-Mirela-Cernaianu-MD-100063462643162

With age comes wisdom, experience, and unfortunately, the inevitability of our bodies changing. The quest for maintaining vitality and health as we age has become a topic of paramount importance in the medical field. Today, we're talking about the world of anti-aging, health preservation, and the pivotal role of hormone optimization. The brain, eyesight, musculoskeletal system, and heart and cardiovascular system are subject to the natural process of aging, so they need care and attention as we mature. The importance of our immune system cannot be overstated as it plays an integral role in our health, inevitably weakening as we age. An often-overlooked aspect of health is hormone optimization, and there are some common myths about the safety of it. In reality, hormone optimization plays a critical role in recuperating from adrenal fatigue, a condition that transcends age boundaries. It's best to counteract hormone deficiencies before they significantly impact our lives. Hormone optimization goes beyond hormone replacement. While hormone replacement is a commonly known method of anti-aging, hormone optimization goes a step further, ensuring that our hormone levels are not just replaced, but optimized. This approach can be a game-changer in managing and slowing down the aging process. It's never too late to prioritize your health. Whether you're in your 30s, 40s, or beyond, there's always a path to better health, vitality, and wellness. It's best to kickstart an anti-aging regimen as early as our 30s, and to seek advanced knowledge to sustain functional capacity. To join the WOW MD Facebook Group please request access here https://www.facebook.com/groups/wellness.optimizing.warrior To get more information about the practice please visit website Thousand Oaks Holistic OBGYN Women's Doctor | Medical Spa Westlake Village To sign up for our email list please click https://www.herabeautyandwellness.com/contact/ To follow us on instagram https://www.instagram.com/herabeautywellness/ To follow us on facebook https://m.facebook.com/p/Hera-Healthcare-Mirela-Cernaianu-MD-100063462643162

Anti-aging has a few definitions, but what is it really? Anti-aging is actually about creating a lifestyle that revolves around maintaining functional capacity and making aging a more enjoyable process. It's about preserving key parts of our body, especially the ones that play a crucial role in supporting a high quality of life for as long as possible. The first important thing we need to preserve for effective anti-aging is our brain. It doesn't matter how pretty we age on the outside if we lose who we are or our sense of mental clarity. Without a healthy brain, you will need someone to take care of you—which is not ideal for aging. There is a significant role that preventative care plays when it comes to maintaining optimal eyesight. This includes eye protection, sunglasses, supplements, and regular eye exams. We also need to keep healthy mobility so we can get ourselves wherever we need to be. Moving and exercising regularly, as well as taking advantage of helpful hormones, can support you in keeping the mobility you have—which is much easier than starting from scratch. Maintaining healthy muscle tone spans beyond mobility. It also includes supporting a strong pelvic floor and promoting back health in an effort to reduce chronic back pain. The good news is that if you want to support healthy muscles, you have options. Lastly, you need a strong engine to power your body: a healthy heart. This will help with adequate blood flow to your brain, eyes, and muscles, thereby supporting the other systems crucial for anti-aging. An ounce of prevention is worth a pound of cure. This couldn't be more true than when it comes to our aging process. To join the WOW MD Facebook Group please request access here https://www.facebook.com/groups/wellness.optimizing.warrior To get more information about the practice please visit website Thousand Oaks Holistic OBGYN Women's Doctor | Medical Spa Westlake Village To sign up for our email list please click https://www.herabeautyandwellness.com/contact/ To follow us on instagram https://www.instagram.com/herabeautywellness/ To follow us on facebook https://m.facebook.com/p/Hera-Healthcare-Mirela-Cernaianu-MD-100063462643162

Last time, we talked about autoimmunity, specifically focusing on the role stress plays in immune dysfunction. We also discussed leaky gut and how this condition can impact your immunity. In this second part, we're going to continue the conversation and explore conventional methods for autoimmunity and why you may want to consider addressing it more holistically. An immune response can be a cellular response; a reaction initiated by foreign antigens. This kind of immune response is non-specific, which means we can't necessarily narrow down where the issue is coming from. Testing your blood and/or measuring your T-cells can provide more information on this type of activation. There is also another kind of response called a humoral response, which is more easily identifiable through testing as it's mediated by antibody molecules secreted by plasma cells. There are five types of antibodies: IgA, IgM, IgD, IgG, and IgE. The presence of these antibodies can help you figure out the underlying cause of your autoimmune issues. Conventional medicine approaches autoimmune conditions by focusing on controlling your symptoms first. This is typically done through non-steroidal anti-inflammatory drugs. If the inflammation is severe, you may be prescribed prednisone—a steroid with various unfavorable side effects. It is estimated that one in fifteen people in the US have an autoimmune disease, and 80% of those individuals are women. While drugs are effective in reducing or eliminating clinical signs and symptoms, they do not address the underlying cause. By focusing on the leading causes (a compromised gut barrier and chronic stress), we can allow holistic healing to take place. To join the WOW MD Facebook Group please request access here https://www.facebook.com/groups/wellness.optimizing.warrior To get more information about the practice please visit website Thousand Oaks Holistic OBGYN Women's Doctor | Medical Spa Westlake Village To sign up for our email list please click https://www.herabeautyandwellness.com/contact/ To follow us on instagram https://www.instagram.com/herabeautywellness/ To follow us on facebook https://m.facebook.com/p/Hera-Healthcare-Mirela-Cernaianu-MD-100063462643162

We really need to talk about autoimmunity, as it could be considered one of the scariest epidemics we're facing. When you're diagnosed with an autoimmune disease, it means you have signs and symptoms of a problem caused by antibodies attacking your own cells and tissues. In some cases, these signs may not be considered clinically significant, and therefore would not lead to a clinical diagnosis. In fact, the presence of these antibodies is higher in our modern world than ever before. Autoimmune disease is a serious problem, and we can think of autoimmunity as a precursor for this problem. Most autoimmune illnesses attack connective tissue like joints, tissue, skin, and muscles. These illnesses are also more common in women than in men. Common symptoms include pain, fatigue, and digestive issues. While conventional medicine doesn't accept a widespread explanation for autoimmune issues, functional medical doctors agree that autoimmunity starts with a damaged intestinal layer. In your intestines, there is a unique single-cell barrier. The integrity of this barrier relies on the junctions between the cells. Numerous studies have shown that this layer is seriously damaged by stress. When this lining is damaged, large molecules can gain entry into our bloodstream, which can lead to the many issues we see with autoimmunity. Women are significantly more likely to experience autoimmune issues, and this is due to higher levels of stress. Not only do women have a lot to manage, but we're also more likely to need more time for emotional processing than men. The answer? Testosterone can help balance mood and ultimately help women cope better with stress. Testosterone replacement therapy may significantly reduce the instance of these issues.

In this episode we're talking about how you can harness nature to revitalize your inner feminine strength which, ultimately, is our natural testosterone. You can holistically increase your testosterone by nourishing and supporting two organs that play a significant role in testosterone production. Why do some women need to support the production of testosterone? A high, chronic level of stress, a lack of sleep, hormone disruptors, and lifestyle factors can all impact your testosterone levels. That said, there are shifts you can make in each of these areas to naturally boost your testosterone. Your diet influences your hormones too. Foods high in zinc, vitamin D, and healthy fats promote healthy hormone levels, including testosterone. Engaging in resistance training creates mechanical stress that stimulates the production of testosterone. Compound exercises like squats, deadlifts, and bench press boost testosterone naturally in the short term. Short bursts of intense activity, like those performed during HIIT workouts, can also increase testosterone levels in men and women. Half of the testosterone produced in your body comes from the adrenal glands. Therefore, having healthy functioning adrenals is crucial for naturally increasing your testosterone. Stress management and staying out of fight-or-flight mode also supports healthy adrenal function. The higher your stress, the lower your sex hormones. This is true for both men and women. If you want to increase testosterone, you should do your best to avoid hormone disruptors. These come in the form of chemicals found in furniture, cans, plastic containers, and more. Avoiding drugs, alcohol, and certain types of medications (opioids and antidepressants) can also support naturally balanced testosterone levels.

This week we're talking about a magic solution you may not have heard of for turning the shifts of perimenopause in your favor. This solution can effectively help you navigate the ups and downs (fatigue, anxiety, weight gain, etc) of the hormonal storm for many years. Fatigue is a major complaint among perimenopausal women, and it shouldn't be ignored. You may also notice mood changes at this time—feeling a general lack of motivation and increased anxiety. Your appetite may change, and weight loss can become increasingly difficult if not seemingly impossible. Lastly, it's common for perimenopausal women to notice a significant decrease in their desire for sex. When all of these symptoms seem to come up at once, it can be very overwhelming. This can also have consequences for your self-esteem and your relationship. The hormone shifts responsible for this are a decline in estrogen, progesterone, and testosterone. There's also a marked difference in the balance between these hormones. If you're looking for a fast and easy solution, it can be found in testosterone replacement. There are actually many benefits of testosterone in women, including its usefulness in reducing symptoms associated with perimenopause. It also promotes increased confidence, stamina, and sense of wellbeing. Testosterone therapy is safe for women, and despite what you may have heard, it does not cause cancer. In any case, it's always best to start with a low dose. It's also important you work with a qualified professional who will monitor your hormones closely while you're on testosterone therapy. It's a great option if you want fast results and to quickly start feeling more like yourself.

In this episode, we're picking back up where we left off last, exploring the different options for hormone replacement therapy. One method not covered yet is injectable therapies, which really do not exist for estrogen. However, injectable testosterone is available for women. But remember: Testosterone given via injection is not bioidentical, and there is no established approved dose for women. Injectable testosterone has high bioavailability, but it's only in your system for a few days. Furthermore, typically with this type of administration you're hit with a "hormone bomb"—a dose that floods your system with a high amount of hormones right away. An alternative yet similar solution to traditional injectables is pellet hormone therapy. Pellet hormone therapy comes in the form of small, compounded beads. These are inserted into the body through injection using a large needle, but local anesthesia ensures you don't feel anything. It's not a widely available option, but they usually last between two and a half to four months. The unique benefit of this option is an internal regulatory mechanism: Your heart rate. Of all the methods you can choose from, pellet therapy is the most reliable. For a few weeks, you can expect steady hormone levels, and nothing else on the market for hormone replacement therapy can match that. Pellet hormone therapy also offers convenience and guaranteed compliance. There are some concerns regarding accumulation of estradiol with long-term pellet implantation, which is something that should be monitored by your health care professionals. Typically, this is seen in women who have been estrogen dominant (and therefore prone to high estrogen) throughout their life. While not approved by the FDA as a medication, pellets can be sourced from compounding pharmacies offering custom products.

What are the safest and most effective solutions for menopause? That's exactly what we're covering in this episode of Wellness Optimizing Warrior MD. When it comes to exploring your options for hormone replacement therapy, transdermal options tend to be the most bioavailable and safe to detoxify, which means you can avoid secondary risks. One therapy to consider is the estradiol patch, which delivers estrogen. It's an acrylic adhesive that's applied directly to the skin, and you change it weekly or bi-weekly. You receive a gradual release, and it's much more bioavailable than oral alternatives because it's not subject to the first pass liver effect. On the flipside, it's not super reliable. The delivery can be impacted by your hydration, and other factors as well. It has a slightly different chemical structure than non-synthetic estrogen. Plus, the highest levels you can attain are not full replacement levels, which means you may not get the results you're aiming for. While you can replace estrogen with a patch, it's also important to keep in mind that other replacement therapies provide options to include the other crucial hormones as well, which are progesterone and testosterone. It's less convenient to get all three in different forms because you have to take them separately. Another option for hormone replacement is in a cream, which is usually applied daily. But like the patch, it only applies bioavailable levels for a few hours. In many ways like the patch, this method has pros and cons. Ideally, the hormone replacement therapy you choose will fit your personality and lifestyle. It will fit your goals, budget, and medical needs. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Let's talk about oral estrogen, which is a form of hormone replacement therapy many doctors still recommend—even though sometimes perhaps they shouldn't. In addition to that, many women use synthetic oral estrogens, like birth control pills, for decades. The more information you have regarding your choices for estrogen replacement, the better decision you can make for yourself. Whatever form you choose, it should be able to enter your body, circulate, reach the proper receptors, and be eliminated effectively. Essentially, it needs to be bioavailable and activate receptors on the target cells to achieve desired results. Oral estrogens have minimal systemic bioavailability—between 2% and 10%. This is due to the first pass effect and demonstrates how a huge amount of this dose does not make it into the circulatory system. Despite this, they are still often prescribed by doctors who are making recommendations based on outdated or biased information. There is no established ideal hormone level at menopause, which can make it more difficult for women on hormone replacement therapy to figure out their most effective dose. It really comes down to weighing the benefits being experienced against the potential side effects or risks. Often, these risks are there regardless due to age, so many women feel the positive effects are worth it. Synthetic hormone use comes with its share of things to consider. To keep this in perspective, we have to remember that many women are exposed to synthetic hormones via birth control measures. That means we have to account for this too when looking at the data. If you're taking or considering taking oral estrogen, it's best to understand the upsides along with the dangers that could be lurking. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Are you interested in hormone replacement therapy? We're shedding light on hormone replacement in this episode, and exploring how you should go about it. Here's the thing: There is no general "best" way to approach hormone replacement therapy—only the way that works best for you. So where should you start? Begin by connecting with a doctor who is well-versed in all the methods of hormone replacement therapy. They should be able to explain the pros, cons, and differences between them to guide you as you choose the most ideal method for you. It's even better if they can provide you with additional resources and educational material. One thing you'll want to be aware of when making a decision is the difference between bioidentical and non-bioidentical hormones. Keep in mind this isn't the same as synthetic versus non-synthetic, which is another aspect to take into consideration. Lastly, the method by which you receive replacement therapy matters too. Typical options include gels, creams, and injectables. Synthetic estrogens, like ethinyl estradiol, are commonly used in birth control. However, this is one type of estrogen you want to stay away from, especially in menopause. Premarin is another estrogen derived from horse urine, which you may want to stay away from. That said, whether you feel more comfortable with big pharma produced, FDA-approved drugs or natural, more "non-GMO" type products, you have options. Transdermal use of estrogen has been proved safer for long-term use than oral alternatives. If you're considering being on hormone replacement therapy for more than a few years, stay away from oral options. Compounded estrogens are a great option because they are customizable based on your unique needs, whereas gels come in predetermined doses. Understanding the options available to you is crucial for making an informed decision. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Testosterone has different functions in male and female bodies. In this episode, we're focusing on the role testosterone plays for women specifically and why this hormone is so important. Estrogen and testosterone are usually seen as opposites, but the truth is they actually work together to maintain an equilibrium in the woman's body. Though present in much lower quantities in women than in men, it contributes to a woman's bone strength, mood, mental clarity, and ambition. Testosterone influences physical features and aspects of personality like muscle mass, motivation, and the desire to succeed. In women, it subtly compliments estrogen to create a complete portrait of a woman's health. Testosterone is an androgenic hormone—the king of all androgens. It's produced in the ovaries, adrenal glands, and some tissues. Testosterone is important for sexual desire in women. Various methods of birth control can impact the product of testosterone, thereby lowering your sex drive. If you feel tired, depressed, and seem to be gaining weight, low testosterone could be the underlying cause. Testosterone declines with age in women, and this is because the ovaries and adrenal glands naturally lower their production over time. In an ideal world, women would have their testosterone levels tested early to establish a baseline to distinguish if their levels have dropped later on. Overall, there is more to be uncovered and understood about testosterone in women. For example, we have defined an optimal level for women, but there is no "normal" amount defined. The level target for replacing your testosterone, if you go this route, will likely be more than your natural baseline. Your health professional will likely recommend 10% of what's healthy in a male, and some will aim for more. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Are you having trouble losing weight? This is one of the most bothersome and common health issues patients have. During this episode, we explore various possible reasons why this could be happening to you. The valuable insights shared here will, at the very least, help point you in the right direction. First and foremost, there is no such thing as a "perfect" diet. That said, people tend to eat the same foods with consistency—something that can actually contribute to food sensitivities. If you're stuck and you can't lose weight, you might consider changing your diet and exercise routine. When it comes to exercise, there is such a thing as too much—even if your goal is weight loss. Not only that, but the type of exercise you're doing matters too. A functional doctor can help provide you with feedback on your specific routine. Don't get trapped trying the same thing over and over again if it's not working. If you suffer from inflammation and it's not being addressed, this could be the culprit to your struggle with weight loss. The solution is figuring out the cause of inflammation in your body, fixing it, and promoting the body's natural healing processes. Getting to the bottom of your issue may involve measuring levels of insulin and cortisol, which are two hormones that play major roles in weight loss. Mitochondrial dysfunction is another reason some people have difficulty losing weight. When mitochondrial damage occurs, it can trigger an inflammatory response. This leads to stress on various body systems and tissues which disrupts receptor function that is essential for your body's ability to lose weight. If you want to achieve meaningful weight loss, you have to be willing to dive deep. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/