The Vagina Doctor Podcast w/ Duncan Turner M.D.

The Mystery of the Missing Estrogen Patches: FDA Label Changes, Demand, and HRT AlternativesDuncan Turner, MD and Karen Spaulding discuss the recent shortage of estrogen patches, explaining that it stems from an FDA change in the wording of warnings on prescription estrogen products, which corrected messaging influenced by misinterpretations of the 2002 Women’s Health Initiative study. Although the safety of estrogen hasn’t changed, updated FDA verbiage prompted renewed demand that manufacturers cannot meet. They note many new inquiries are from women in their 70s who were previously told to stop HRT, and they emphasize older patients may need more complete cardiovascular evaluation before restarting. They review potential benefits of HRT for cardiovascular disease, osteoporosis, and possibly dementia, and suggest compounded transdermal estrogen creams as an effective, adjustable alternative when patches are unavailable, though often not covered by insurance.00:00 Welcome and Setup00:08 Why Patches Disappeared00:22 FDA Label Change Fallout01:33 Older Patients Returning01:54 Who Should Restart HRT03:02 Supply Outlook and Options03:24 Compounded Cream Benefits04:06 Dosing Flexibility vs Patches04:37 Wrap Up and Next Steps

Is Vaginal Estrogen Safe? What It Treats, How It Works, and Why It Doesn’t Raise Cancer RiskNurse practitioner Sophie explains why vaginal estrogen is commonly used in pre- and postmenopausal patients to treat vaginal atrophy caused by low estrogen, which leads to dryness, irritation, discomfort, burning, and increased risk of UTIs and vaginal infections. She addresses a common fear that vaginal estrogen raises blood estrogen levels, stating it is applied locally and does not affect blood levels, so it can be used alongside other estrogen forms like patches, creams, or pills. Sophie says vaginal estrogen does not increase cancer risk and is safe. She describes typical dosing as nightly at first, then reducing to two to three nights per week, with an option for nightly use for about two weeks in patients with very sensitive, thin skin before tapering. She encourages viewers to discuss it with their healthcare provider due to its symptom relief benefits.00:00 Is Vaginal Estrogen Safe00:21 What Vaginal Atrophy Is01:08 Symptoms and UTI Risk01:24 Does It Raise Blood Levels02:06 Safety and Cancer Myths02:11 How to Use and Dose02:44 Who Should Consider It02:54 Talk to Your Providerhttps://www.turnermedicalarts.comhttps://www.youtube.com/@thevaginadoctor

Vaginal Rejuvenation After Baby: Non-Surgical Options for Pelvic Floor SupportSophie, Women's Health Lead at Turner Medical Arts, introduces her women’s health channel and explains vaginal rejuvenation, focusing on younger women after their first baby whose anatomy changes can lead to urinary urgency, pressure sensations, and leaking when sneezing. She reviews traditional prolapse approaches like pessaries and surgical mesh, then highlights newer non-surgical devices designed to contract pelvic floor muscles and lift pelvic organs. Sophie describes Vitone as a 30-minute weekly session for six to eight weeks that can deliver up to 30,000 “Kegels” in one treatment. She also discusses tissue changes after childbirth that may cause discomfort and painful intercourse, recommending Form V heat therapy and radio frequency with microneedling to tighten tissue and promote elasticity and collagen.00:00 Welcome to the Channel00:25 What Is Vaginal Rejuvenation00:44 Postpartum Changes and Symptoms01:14 Traditional Prolapse Treatments01:42 New Pelvic Floor Devices02:00 Vitone Kegel Boost02:24 Tissue Changes and Pain02:36 Form V and RF Microneedling03:09 Why This Matters03:23 Closing and Next Stepshttps://www.turnermedicalarts.comhttps://www.youtube.com/@the vaginadoctor

Evidence-Based Hair Loss Treatment Plans: Hormones, Labs, Microneedling, PRF & Growth FactorsDr. Duncan Turner and Sophie Mengele discuss how their practice developed an evidence-based, individualized approach to hair loss after frequent patient requests, focusing on identifying root causes through extensive lab testing and health assessments. They emphasize hormone optimization (especially estrogen in women and awareness that testosterone can accelerate loss), family history, and checking vitamin D, B12, iron/ferritin, insulin resistance, and scalp inflammation, sometimes using antifungals to improve the scalp environment. Non-prescription options include lifestyle and nutrition support, ketoconazole or caffeine shampoos, pumpkin seed oil, saw palmetto, and topicals, with treatment often targeting androgen/DHT effects; minoxidil (topical or oral) is also discussed. In-office options include microneedling with a customized Toscani serum (about $550 per session, typically 6–10 sessions), microneedling plus PDGF growth factors, and PRF (platelet-rich fibrin) from a blood draw for scalp injections, potentially combined with topical finasteride/dutasteride and sermorelin to support growth and overall wellness.00:00 Root Causes of Hair Loss01:56 Hormones & Lab Testing03:23 Supplements & Topical Treatments05:29 In-Office Scalp Treatments10:48 Exosomes & Advanced Add-Onshttps://www.turnermedicalarts.comhttps://www.youtube.com/@thevaginadoctor

Peptides in Practice: Safety, Regulation, and Easier Delivery with PensDr. Duncan Turner and nurse practitioner Sophie Melli discuss how their practice’s use of peptides has evolved, from early interest in longevity and growth-hormone-related benefits before COVID to increased restrictions during the Biden administration that made many peptides impossible to obtain legally, then a return through weight management with GLP-1 peptides treating metabolic disease and supporting weight loss and reduced addictions. They emphasize that peptides generally require injection because oral use is ineffective, and explain how auto-injector/dial pens and compounded pens can reduce dosing confusion and errors seen with multidose vials and syringes. They stress caution due to limited long-term studies, risks related to growth hormone stimulation (especially with active cancer), and the importance of regulated compounding, certificates of analysis, sterility, and ongoing medical oversight with regular visits and labs in individualized, cyclical protocols.00:00 Welcome to the Podcast00:24 Peptides Then and Now01:11 FDA Shifts and Access01:40 Weight Loss Peptide Boom02:58 How Peptides Are Taken04:36 Pens and Dosing Safety06:00 Risks and Medical Oversight08:01 Compounding and Quality Control08:46 What We Offer Now09:14 Your Peptide Program10:39 Costs and What Peptides Are12:04 Safe Wrap Uphttps://www.turnermedicalarts.comhttps://www.youtube.com/@thevaginadoctor

Sarcopenia Wake-Up Call: DEXA Results, Protein Goals, and Lifting Heavy for LongevityDuncan Turner and Karen Spaulding reunite on The Vagina Doctor Podcast to discuss Karen’s recent full-body DEXA and body composition scan at HealthSpan, which revealed sarcopenia despite her lifelong activity with running, walking, Pilates, bands, and calisthenics. Reviewing the color-coded report with a physician, she learned she has strong bones, no visceral fat, but low muscle mass, and was advised to treat it seriously by increasing protein intake to at least 100 grams daily, front-loading protein earlier in the day, and shifting from bands and Pilates to lifting heavy weights. They discuss age-related muscle wasting, the need for adequate protein, vitamin D, creatine, and appropriate hormones (including testosterone), and Karen plans to retest in three months to measure improvement.00:00 Morning Catch Up00:07 Why The Change00:41 Booking The DEXA01:34 What The Scan Shows02:53 Sarcopenia Shock03:29 Protein Wake Up Call03:59 Healthspan Breakdown06:33 Why Muscle Matters07:26 Good News On Results09:22 New Plan Supplements09:50 Lift Heavy Strategy11:18 Bone Score Explained11:46 Retest And Wrap Uphttps://www.turnermedicalarts.com

 Perimenopause or “Am I Going Crazy?” Understanding Complex Symptoms and Hormone FluctuationsDuncan Turner, MD discusses how perimenopause symptoms can be complex, obscure, and easily confused with other conditions, leading some patients to be prescribed medications like Xanax or antidepressants that may not address the underlying hormonal changes. He explains that perimenopause is marked by unreliable, inconsistent shifts as the ovaries “misfire,” with intermittent ovulation and fluctuating estrogen and progesterone levels that cause symptoms to change over time. Turner emphasizes evaluating the big picture and using lab work to better determine where a patient is in the transition, often starting slowly with small amounts of estrogen and/or progesterone to manage symptoms. He notes this is not a quick fix and typically requires ongoing care and patience over four to ten years as symptoms evolve.https://www.turnermedicalarts.comhttps://www.youtube.com/@thevaginadoctor

Non-Hormonal Options for Menopausal SymptomsOn the Vagina Doctor Podcast, nurse practitioner Sophie Mengele discuss non-hormonal options for managing menopausal symptoms such as hot flashes, night sweats, and mood irregularities. Sophie reviews several medication choices used when hormone therapy isn’t desired or isn’t an option, including SSRIs (noting Lexapro as a preferred option) and SNRIs for anxiety and mood stabilization. She highlights Veozah, which works on brain pathways involved in thermoregulation to reduce hot flashes and night sweats, emphasizing that it should be prescribed with ongoing monitoring and liver enzyme labs. She also mentions gabapentin and pregabalin as additional options that can help with uncomfortable symptoms and encourages listeners to speak with their healthcare provider about which approach may fit.00:00 Non-Hormonal Menopause Treatment Options01:09 SSRIs & SNRIs02:05 Gabapentin & Pregabalin02:33 Talk to Your Providerhttps://www.turnermedicalarts.comhttps://www.youtube.com/@thevaginadoctor

Perimenopause, Sleep Disruption, and Hormone Therapy Options (Estrogen vs Progesterone) | The Vagina Doctor PodcastDuncan Turner MD and Sophie Mengele NP role-play a gynecologist visit with a 45-year-old patient who suspects perimenopause due to irregular heavier periods, mood changes, hot flashes, and especially disrupted sleep. The clinician explains that perimenopause is challenging because ovarian hormone output becomes unpredictable, with fluctuating estrogen and inconsistent progesterone depending on irregular ovulation, making random blood tests less useful; checking FSH early in the cycle can provide a clue. They discuss trying estrogen to address low-estrogen symptoms like hot flashes, night sweats, and insomnia, and consider nightly progesterone for its sedating effect and potential sleep benefits. They cover dosing approaches, the need for progesterone to protect the uterus if estrogen is used due to uterine cancer risk, and suggest baseline labs, an ultrasound, and trial-and-error experimentation.00:00 Role Play Setup00:23 Patient Symptoms Overview01:09 Why Perimenopause Is Tricky02:12 Estrogen Testing and Trial02:55 Progesterone for Sleep03:57 Dosing and Uterus Protection05:20 Next Steps Labs and Ultrasound05:39 Wrap Up and Follow Up

Pap Smears Don’t Screen for Ovarian Cancer—So What Does?This episode explains that Pap smears do not screen for ovarian cancer and that there is no particularly good routine screening test, which contributes to ovarian cancer often being diagnosed at an advanced stage. The ovaries are best evaluated with ultrasound, which the office performs annually to assess appearance. A blood test can sometimes detect very early ovarian cancer, but it has not been found to be tremendously effective. A newer test, Galleri, measures methylated DNA to suggest cancer presence and help identify its source, but it is expensive and usually done for people over 50. Manual pelvic examination can sometimes detect enlarged ovaries, advanced ovarian cancer, or ovarian cysts, and annual exams remain the main routine approach in the U.S.00:00 Pap Smears and Ovarian Cancer00:18 Why Screening Is Hard00:31 Ultrasound Yearly Checks00:49 Blood Tests and Limits01:00 Galleri DNA Test01:16 Pelvic Exam Detection01:42 What We Do RoutinelySubscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Body Composition Scans: What They Show, Who Should Get One, and Why It Matters on GLP-1sNurse Practitioner Sophie at TMA explains how body composition scans provide more useful information than a scale by showing where weight loss is coming from, including lean muscle mass, visceral fat around the organs, and total body fat. She describes using scans to track changes over time, especially for patients on GLP-1 medications, with the goal of losing fat without losing muscle. Sophie shares a patient example of a fit middle-aged woman on Ozempic with a low BMI whose scan revealed very low muscle mass despite normal body fat, which she notes is a red flag and raises concerns about overall health, bone health, and fall risk as people age. She recommends getting a baseline scan before starting treatment and repeating it every three months, and mentions using Health Span for scans at $150 with a discount code.00:00 Intro to Body Scans00:33 Why Scans Matter01:07 Key Metrics Explained01:40 Using Scans on GLP-1s02:40 Patient Case Study03:51 Risks of Low Muscle04:11 Where to Get Scanned04:26 Timing and Follow UpsSubscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Dr. Naz on Foot Pain Misdiagnoses, Orthotics, and Building a Concierge Podiatry Practice in Santa BarbaraNurse Sophie Mengele interviews her friend Dr. Naz, a board-certified podiatrist with surgical residency training in Kansas City and a minimally invasive surgery and limb reconstruction fellowship at Emory, now running a small concierge podiatry practice in Santa Barbara and working for a local nonprofit. Dr. Naz explains she is currently nonsurgical and often provides second opinions, post-surgery guidance, and alternatives for active patients who want to avoid downtime. They discuss common misdiagnoses, including heel pain labeled as plantar fasciitis that may be posterior tibial tendonitis, suspected nail fungus that often requires biopsy and testing, and “warts” that can be painful porokeratosis related to pressure and biomechanics. Dr. Naz shares pedicure safety considerations, benefits and candidacy for custom orthotics, and her COVID-era move to Santa Barbara, including the sacrifices made to start and grow her practice.00:00 Meet Dr Naz01:29 Her Podiatry Journey02:53 Residency And Fellowship03:59 Santa Barbara Practice04:33 Second Opinions Not Surgery07:35 Common Misdiagnosis Heel Pain11:25 Nail Fungus Or Not13:07 Pedicure Safety Tips15:37 Nail Salon UV Talk15:58 Warts Or Callus16:57 Spotting The Difference17:27 Pressure And Biomechanics17:52 Custom Orthotics Explained19:51 Moving To Santa Barbara21:04 Starting From Scratch23:25 Living In The Office27:00 Making It In SB28:44 Foot Red Flags30:03 How To Reach HerSubscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Avoiding Contaminated Hormone Lab Results: Timing, Application Sites, and Common MistakesNurse Sophie Mengele and Duncan Turner, MD discuss how topical hormone replacement therapy can contaminate blood test results, leading to unrealistically high lab values that don’t match other markers like FSH. Using a recent patient example, they explain that contamination can occur when hormone cream is applied too close to a blood draw or transfers to the draw site, making results hard to interpret and requiring repeat testing. They recommend patients continue medications as usual but time labs about four hours after application, or if needed, hold only the morning dose so the last dose is about 12 hours prior rather than 24. They also advise consistent application in the same area to create a stable “reservoir,” using one hormone per area (often separate thighs), avoiding mixing multiple hormones in one syringe, and not applying right before showering or exercising.00:00 Contamination Explained00:17 Karen’s Lab Surprise01:07 Timing Your Dose02:06 Spotting Bad Results03:34 Preventing Cream Transfer04:04 Apply Consistently05:05 One Hormone One Area06:00 Showering and Exercise06:39 Wrap UpLinks To All Platforms: https://www.thevaginadoctorpodcast.com/Subscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Why Your Labs Look “Normal” but You Still Feel Awful in Perimenopause & MenopauseNurse Sophie Mengele and Duncan Turner, MD discuss why patients—especially those in perimenopause or menopause—can have debilitating symptoms despite being told their lab work is “normal.” They emphasize that many “full panels” may not include hormone testing at all, and that when hormones are tested (progesterone, testosterone, estrogen, FSH), results must be interpreted in context, including timing within a 28‑day cycle because levels can vary dramatically. They also note that patients on hormone replacement therapy may not have key hormones like estrogen monitored, and that clinical circumstances such as age and life situation matter. They highlight how oral contraceptives can mask menopausal status and suggest considering recent birth control use and waiting at least six weeks off it before rechecking FSH.00:00 Why Labs Look Normal00:51 Are Hormones Included01:17 Cycle Timing Matters02:04 HRT Without Estrogen Checks02:40 Which Labs Were Run03:00 Birth Control Masks Menopause03:29 Recheck FSH After Stopping03:38 Patient Frustration Wrap UpLinks To All Platforms: https://www.thevaginadoctorpodcast.com/Subscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Nurse Practitioner Sophie Mengele at TMA discusses Lexapro (escitalopram) for women’s health, explaining it as an SSRI that increases serotonin to help stabilize mood and reduce anxiety. She describes using Lexapro for younger patients and for premenopausal/menopausal patients, either continuously through the menstrual cycle or only during the luteal phase (after ovulation, about 12–14 days before a period) for recurring premenstrual symptoms like mood fluctuations, anxiety, depression, and sleeplessness. She notes standard dosing is 10–20 mg but often starts at 5 mg to see if a lower dose helps. She also uses Lexapro in menopause for similar symptoms and says it can help with hot flashes, offering an option for those not ready for or not candidates for hormone therapy.00:00 Lexapro Overview00:26 How SSRIs Work00:51 Cycle Based Dosing01:17 PMDD Like Symptoms01:32 Starting Dose Tips01:43 Menopause Benefits02:08 Who It Helps MostEpisode ResourcesLinks To All Platforms: https://www.thevaginadoctorpodcast.com/Subscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Oculoplastic Surgeon Linden Doss on PDRN, Microneedling, Lasers, Exosomes, and the Future of SurgeryDuncan Turner, MD interviews Santa Barbara oculoplastic surgeon Dr. Linden Doss about modern shifts from traditional cutting-and-lifting surgery toward regenerative approaches, including injectable PDRN (“salmon sperm”), placenta extract, microneedling, and selective laser resurfacing. Doss explains causes and treatment differences for under-eye dark circles, emphasizing thin skin and the roles of collagen versus elastin, and contrasts cold microneedling and pico lasers with heat-based devices that can damage elastin and promote scarring. They discuss scar-minimizing protocols after brow lifts, surgical precision in blepharoplasty, and why laser blepharoplasty is inferior to blades and needle-tip cautery. The conversation covers skepticism about fillers and “biostimulators,” evolving canthoplasty techniques, concerns and possibilities for robotic surgery, fat grafting challenges and nano-fat, the regulatory uncertainty around exosomes, and longevity/skin topics including rapamycin and antioxidants.00:00 Welcome and Introductions01:06 Why Eyes Matter in Menopause01:48 Regenerative Shift in Surgery04:15 Surgeon Culture and Cutting07:57 PDRN for Dark Circles13:20 Microneedling and Scar Blending16:21 Elastin Versus Heat Devices19:05 Pico Lasers and Resurfacing21:46 Placenta Extract Aftercare22:52 Robots and Surgical Tactile Skill31:24 Laser Bleph Limits34:00 Filler Fatigue and Healing37:41 Biostimulators and Muscle Devices41:56 Collagen and Elastin Supplements42:47 Marine Collagen Night Routine43:15 Elastin Supplements and Sourcing43:45 Heavy Metals in Supplements44:32 Peptides Versus Proteins44:53 EGF Myths and Wound Healing49:08 Placenta Extract for Healing50:28 Exosomes Basics and FDA Issues53:33 Exosomes in Real World Healing54:51 Fat Grafting Challenges and Cysts01:02:44 Nano Fat and Stem Cell Boost01:04:19 Measuring Eye Rejuvenation Outcomes01:05:45 Canthopexy and Fox Eye Surgery01:10:19 Rapamycin for Skin Longevity01:13:36 Eye Aging and Facial Hollowing01:15:39 Antioxidants for Retinal Health01:17:11 IV NAD and Glutathione Skepticism01:18:13 Closing Thoughts and Thanks

Painful Intercourse Across the Lifespan: Estrogen, Vaginal Atrophy, and Rejuvenation OptionsDr. Duncan Turner and nurse practitioner Sophie Mengele discuss painful intercourse across life stages and how low estrogen affects vaginal tissues. They note symptoms can be multifaceted and occur in teens through geriatrics, including patients on oral birth control who may have suppressed estrogen peaks and benefit from vaginal estrogen or vaginal rejuvenation treatments, which may also help reduce recurrent vaginal infections. They cover postpartum discomfort related to lactation, low estrogen, and healing after lacerations, describing gentle laser options like MonaLisa and Forna V and the use of estriol or weak estradiol cream. For perimenopausal and menopausal patients, they explain that systemic HRT may not fully address pelvic needs and encourage local vaginal estriol/estradiol and DHEA. They describe low-estrogen changes (thinner mucosa, reduced blood supply, collagen, and elasticity) and how fractional CO2 laser and radiofrequency create micro-injury to stimulate healing and potentially improve symptoms including urinary issues.00:00 Podcast Welcome00:21 Infections Can Overlap00:41 Painful Intercourse Overview01:04 Young Patients on Birth Control02:06 Postpartum Low Estrogen02:48 Perimenopause and Menopause Care03:53 How Low Estrogen Changes Tissue04:46 Laser and Radiofrequency Explained05:52 Real Life Impact and Options06:56 Atrophy Analogy and Wrap Uphttps://www.turnermedicalarts.com/https://www.youtube.com/@thevaginadoctor

Addressing the Gender Gap in Medicine: A Deep DiveIn this episode, we discuss the gender gap in medicine with insights from Duncan Turner MD. We explore how women's symptoms are often inadequately addressed compared to men's, the under recognized biases in medical practice, and the impact of wearables on patient care. The conversation delves into personal experiences with patients, historical studies on heart health, and how better self-awareness and tracking can improve medical outcomes for women.00:00 Introduction and Greetings00:10 Discussing Podcast Content Ideas00:16 Gender Gap in Medicine01:02 Patient Experiences and Gender Bias02:46 Heart Health and Gender Differences05:02 Wearables and Patient Self-Monitoring06:31 Conclusion and Final Thoughts

The Vagina Doctor Podcast with Duncan Turner MDShould Ovaries Be Removed During Gynecologic Surgery? Menopause, Risks, and Hormone TherapyThis episode explains how the decision to remove ovaries during gynecologic surgery depends on whether a patient is premenopausal, perimenopausal, or postmenopausal. Postmenopausally, ovaries produce little measurable estrogen or progesterone, so removal during pelvic surgery can reduce future risks like cysts or malignancy, regardless of hormone replacement therapy. For younger or perimenopausal patients, the choice is more individualized: if menopause is more than five years away, keeping functioning ovaries may preserve hormonal benefits, while removing active ovaries can cause sudden, symptomatic surgical menopause requiring hormone replacement. The script also addresses concerns about faster aging, noting symptoms are largely estrogen-related (vaginal dryness, atrophic vaginitis, urinary frequency/incontinence, pelvic floor issues) and may be mitigated with hormone therapy.00:00 Ovary Decisions in Surgery00:35 Postmenopause Remove Ovaries01:45 Perimenopause Weigh Options02:13 Keeping Ovaries Benefits02:28 Surgical Menopause and HRT02:47 Aging Concerns Explained03:51 Estrogen Loss Symptoms04:28 Personalized Summaryhttps://www.youtube.com/@thevaginadoctorhttps://[email protected]

Sleep Specialist Explains Sleep Apnea, Wearables, Ferritin, REM Behavior Disorder & Why Pills Aren’t Real SleepA sleep-medicine and neurology specialist joins the podcast to discuss his path from art school to medicine, his own sleep apnea diagnosis, and how sleep medicine overlaps with neurology. He explains common sleep disorders he treats, why women are often underdiagnosed for sleep apnea, and the limitations and risks of over-relying on wearables, emphasizing trend tracking and age-appropriate interpretation. The episode compares sleep-testing options, outlining polysomnography as the gold standard and home sleep testing as a practical first step, and highlights restless leg syndrome and ferritin targets as potentially life-changing when addressed. They cover REM behavior disorder, its causes, safety strategies, and treatments like melatonin and clonazepam. The conversation reviews sleep apnea risk factors, CPAP alternatives, hormone effects on sleep, and argues that sleep reflects overall mental and physical health, warning against long-term use of sedative “sleeping pills.”00:00 Meet Dr Shien Young00:43 From Art to Medicine03:50 Neurology and Sleep Apnea06:05 How Patients Get Diagnosed08:34 Wearables and Sleep Data14:42 Best Sleep Testing Options17:43 Beyond Apnea Restless Legs19:23 Micro Arousals and Mindset21:42 REM Behavior Disorder Explained28:02 Treating REM Behavior Disorder30:04 Sleep Apnea Risk Factors32:24 Anatomy Behind Apnea33:51 Women Underdiagnosed34:24 Hormones And Sleep38:10 Ferritin And Dopamine39:43 Who Needs Testing40:37 Home Study Basics42:46 Beyond CPAP Options44:20 CPAP Comfort Mindset47:53 Wellness Simplified53:24 Pill Mill Medicine55:24 Cialis And Off Label58:15 Sedatives Not Sleep01:01:42 Two Week Rulehttps://www.dryoungsleephealth.com/Links To All Platforms:https://www.thevaginadoctorpodcast.com/Subscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctorFollow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

GLP-1 Weight Loss, Muscle Loss & Bone Health in Menopause: What Women Need to KnowDr. Duncan Turner and nurse practitioner Sophie Mengele discuss the impact of GLP-1 weight loss medications on muscle mass and bone health, especially for women undergoing hormonal changes and menopause. They note that while weight management and exercise are proven to support longevity, weight loss commonly leads to reduced muscle strength, and diminished appetite on medication may worsen inadequate protein intake and low activity. They emphasize that muscle mass and physical strength are associated with longevity, while visceral fat is tied to metabolic disease, and thinning can be particularly risky for osteoporosis. The episode highlights monitoring tools such as DEXA scans, bone scores, and body composition assessments, plus the importance of strength training, supplements, and considering hormones such as estrogen and possibly testosterone under medical oversight.00:00 Podcast Welcome00:24 Today’s Topic Overview00:45 GLP One Risks01:09 Protein and Diet Reality02:09 Muscle Loss Matters02:33 Longevity Metrics02:49 Testing and Hormones03:47 Osteoporosis in Midlife04:26 Monitoring and Safety04:44 Wrap Up ThanksEpisode ResourcesLinks To All Platforms: https://www.thevaginadoctorpodcast.com/Subscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

HPV, Stigma, and Abnormal Pap Smears: What Patients Need to KnowDuncan Turner, MD discusses how stigma often becomes the lasting burden of HPV (human papillomavirus) infection, a common sexually transmitted virus linked to increased risk of cervical, vaginal, and vulvar cancers. He explains why immunization is recommended for children of both sexes and shares a patient story involving an abnormal Pap smear, HPV DNA detection, and cervical surgery for a precancerous lesion, followed by inappropriate judgment from a physician. He emphasizes reassurance: most HPV-related abnormal Pap findings can be treated and the vast majority of patients can be cured and ultimately be free of disease. He also outlines testing practices, noting HPV is typically not tested for before age 30 unless the Pap is abnormal because many younger patients clear it naturally, while older patients may need both Pap cytology and HPV DNA screening.00:00 HPV Stigma and Risk00:35 Vaccination for Everyone00:54 Patient Story After Divorce01:38 Reassurance and Treatment02:05 Why Doctors Don't Test Early02:28 Pap Smear Plus HPV DNALinks To All Platforms: https://www.thevaginadoctorpodcast.com/Subscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

The Vagina Doctor Podcast with Duncan Turner MDEstrogen & Progesterone in Menopause: Safety, Symptoms, and Treatment OptionsDr. Duncan Turner and nurse practitioner Sophie Mengel discuss how estrogen drops sharply in menopause and how estrogen replacement can relieve significant symptoms, while progesterone is often added for safety to protect the uterine lining and reduce the increased risk of uterine cancer from estrogen alone. They clarify that progesterone isn’t needed without a uterus, address daily vs cyclical progesterone use and patient preferences, and emphasize individualized plans and follow-up. They compare transdermal versus oral hormones, noting oral estrogen’s liver pathway can increase clot and stroke risk, and explain monitoring with annual pelvic ultrasound to assess endometrial thickness. They discuss limitations of patches, the role of compounding pharmacies for dose customization, preference for bioidentical options, and selective use of a progesterone IUD to control bleeding, protect the endometrium, and provide contraception in perimenopause amid fluctuating hormones and misleading public information.00:00 Welcome to the Podcast00:21 Why Estrogen Matters01:15 Progesterone for Safety02:12 Myths and Progesterone Only03:39 Who Needs Progesterone04:17 Daily vs Cyclical Dosing05:49 HRT Benefits and Timing07:28 Patches and Their Limits08:18 Compounding and Delivery Options09:17 Transdermal vs Oral Risks10:09 Progesterone Absorption and Monitoring11:59 Bioidentical vs Synthetic and IUDs13:44 Perimenopause Bleeding and Insurance16:21 Perimenopause Hormone Testing Confusion17:58 Education and Closing ThoughtsLinks To All Platforms: https://www.thevaginadoctorpodcast.com/Subscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Bladder Infection Symptoms vs Menopause Irritation: When to Treat and When to TestDuncan Turner MD The Vagina Doctor PodcastBladder infection symptoms are a common urgent call, with pelvic discomfort, frequent urination, burning, and sometimes blood in the urine, and patients often want immediate treatment. Because confirming infection via urinalysis and waiting for culture and sensitivity results can take time, the episode emphasizes listening closely to symptoms, obtaining a urine specimen before starting antibiotics, and using urinalysis for accurate initial assessment while the culture guides antibiotic choice within 48 hours. It also explains that many patients begin having bladder-infection-like symptoms around perimenopause or menopause due to low estrogen, which weakens tissues and can cause irritation and inflammation, sometimes after sexual intercourse, even when urinalysis is normal and cultures are negative. The approach recommended is thorough, patient, and focused on accurate diagnosis and appropriate treatment.00:00 Why UTIs Prompt Calls00:11 Classic UTI Symptoms01:02 Menopause and Estrogen Link01:25 When to Start Antibiotics01:46 Urinalysis and Culture Plan02:30 When Tests Are Negative03:03 Be Thorough and Patienthttps://www.turnermedicalarts.comhttps://www.youtube.com/@thevaginadoctorpodcast

The Vagina Doctor Podcast with Duncan Turner MDSophie, a nurse practitioner at Turner Medical Arts, explains two main GLP-1 medications—semaglutide and tirzepatide—and how they differ. She describes semaglutide (Ozempic) as a GLP-1–only medication that slows gastric emptying to help people feel full faster, can cause constipation and nausea, and improves metabolic function by lowering blood sugars gradually, making it helpful for people with diabetes and weight to lose. She then outlines why tirzepatide (Zepbound) is her preferred option: it combines GLP-1 and GIP, with GIP receptors on fat cells that help target abdominal and visceral fat, leading to better weight loss and improved blood-sugar management, and it is better tolerated with fewer side effects.00:00 Welcome to the Channel00:30 GLP-1s Overview00:58 Semaglutide Basics01:31 Side Effects and Tolerance01:44 Blood Sugar Benefits02:26 Why Tirzepatide Wins02:43 GIP and Fat Loss03:19 Final Takeaways

The Vagina Doctor Podcast with Duncan Turner MDVaginal Rejuvenation Explained: Estrogen, Lasers, Radiofrequency, and Why You Should See a GynecologistThis episode explains that “vaginal rejuvenation” generally refers to stimulating the vaginal mucosa to improve collagen, blood supply, and sensation, which can reduce painful intercourse and urinary incontinence often linked to low estrogen during menopause, perimenopause, or after childbirth. Low-dose vaginal estrogen can help repair tissues, and newer technologies such as lasers and radiofrequency can also promote a healing response through controlled micro-damage that increases blood flow and collagen, strengthening tissue and sometimes improving sexual satisfaction and vaginal tightness. Dr. Turner cautions that these treatments are increasingly offered in med spas and should ideally remain in the hands of gynecologists or women’s health practitioners to rule out more serious causes and avoid unnecessary or inappropriate procedures, noting over a decade of use and patient reports of significant symptom relief.00:00 What Vaginal Rejuvenation Means00:26 Why Symptoms Happen00:47 Estrogen and Tissue Repair01:18 Lasers and Radiofrequency Options01:47 Med Spa Hype and Safety02:20 Why a Gynecologist Matters02:41 Real Patient Results Over Time03:20 Final Takeaway

The Vagina Doctor Podcast with Duncan Turner MDHysterectomy Options: Open vs Vaginal vs Laparoscopic vs Robotic SurgeryThis episode discusses hysterectomy approaches and how gynecologic surgery has shifted over time. It explains that before 1990 most hysterectomies were done through a large abdominal incision (often like a C-section, and sometimes vertical to the belly button for larger uteri) or vaginally, with the vaginal approach offering quicker recovery but being technically harder and less commonly performed as surgical volumes changed. The conversation covers the rise of laparoscopic surgery in the late 1980s and 1990s using video laparoscopy and several small (under half-inch) incisions, with the uterus (often including cervix) removed through the vagina, and highlights benefits such as less blood loss, less pain, faster recovery, fewer infections, and fewer adhesions—while noting the training difficulty of “straight stick” laparoscopy and suturing/knot-tying. The guest describes early robotic assistance development in Santa Barbara (including scope-holding arms and the Zeus system), the later dominance of the Da Vinci robot after company and patent disputes, and its 2006 clearance for benign gynecology. They argue that for straightforward benign cases (fibroids, endometriosis), robotic surgery offered no proven outcome benefit over conventional laparoscopy, involved higher and larger/more incisions, longer setup, and contributed to loss of straight-stick laparoscopic skills, sometimes leading to use for non-indicated reasons to maintain privileges. The episode also raises safety and control concerns about robotic force/movement, notes that patients are often not offered much choice in approach, and emphasizes the importance of maintaining foundational surgical skills alongside evolving technology.00:00 Hysterectomy Options Intro01:14 Old School Open Surgery02:31 Laparoscopy Breakthrough04:12 Learning Curve and Skills05:09 Robots Enter the OR06:21 Da Vinci Takes Over09:27 Pros Cons and Controversy11:47 Patient Choice and Advocacy13:39 Closing TakeawaysLinks To All Platforms:https://www.thevaginadoctorpodcast.com/Subscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctorFollow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Duncan Turner MD/The Vagina Doctor Podcast discusses how labs being "normal" does not mean they are in fact telling the whole story. Timing on labs plays an important role in getting the right information, treatment and proper diagnosis. https://www.turnermedicalarts.com

The Vagina Doctor Podcast with Duncan Turner MDUnderstanding Urinary Incontinence and Vaginal Health with Vitone TherapyIn this episode, the 'Vagina Doctor' discusses urinary incontinence and vaginal laxity, addressing common concerns such as stress urinary incontinence, urgency incontinence, and overactive bladders. The conversation covers the factors contributing to these conditions like weight gain, pelvic floor weakness, and estrogen deficiency. Traditional treatments like Kegel exercises and surgery are evaluated alongside new innovative therapies like the Vitone, a non-invasive intravaginal device using bipolar radio frequency for muscle stimulation. The benefits and implementation of the Vitone are explored, emphasizing its effectiveness and safety in improving urinary incontinence and overall vaginal health.00:00 Introduction and Overview00:32 Understanding Urinary Incontinence01:08 Types and Causes of Incontinence02:05 Impact of Physical Activity and Childbirth04:20 Traditional Treatments: Kegels and Surgery05:43 Innovative Treatments: Vitone and Technology07:20 Patient Experience and Monitoring10:02 The Role of Estrogen in Treatment10:52 Conclusion and Final Thoughts

The Vagina Doctor Podcast with Duncan Turner MDUnderstanding the OShot: Benefits, Procedure, and Patient SatisfactionIn this episode, we explore the OShot, a procedure aimed at boosting sexual satisfaction, sensitivity, and climax ability in patients. Developed about a decade ago, the OShot involves injecting platelet-rich plasma or more potent growth factors into the clitoris and G-spot. Despite initial reservations about its painful-sounding nature, it's a safe and well-tolerated procedure carried out under local anesthesia in around 15 minutes. The discussion also highlights the effectiveness of combining the OShot with other rejuvenation treatments, like lasers for vaginal dryness and urinary incontinence, especially in menopausal patients suffering from genital urinary syndrome. These combination of treatments have successfully relieved symptoms and allowed patients to resume their sexual activities comfortably.00:00 Introduction to the OShot00:18 Procedure and Patient Motivation00:48 Combination Treatments for Better Results01:10 Addressing Menopausal Symptoms01:45 Conclusion and Patient Tolerance

Understanding Osteoporosis: Prevention, Testing & New InnovationsDuncan Turner MD and Sophie Mengele NPIn this episode, we delve into the critical topic of osteoporosis and osteopenia, exploring their severe health impacts, especially for postmenopausal women and those with certain genetic predispositions. We discuss alarming statistics, preventive measures, and the various tests available to evaluate bone health. Notably, we highlight the advancements in bone density testing with the FDA-approved bone score test, which promises more sensitive and quicker results than traditional DEXA scans. We also touch upon ongoing studies and new, cost-free testing opportunities aimed at improving patient outcomes.00:00 Introduction to Osteoporosis and Osteopenia00:22 Shocking Statistics on Bone Health01:37 Risk Factors and Genetic Predispositions02:35 The Importance of DEXA Scans03:52 New Advances in Bone Health Testing04:51 The Bone Score: A Game Changer06:39 Practical Applications and Patient Experiences08:13 The Future of Bone Health Testing13:15 Who Should Get Tested?15:32 Conclusion and Final ThoughtsEpisode ResourcesLinks To All Platforms: https://www.thevaginadoctorpodcast.com/Subscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Duncan Turner MD: The Vagina Doctor PodcastDebunking Myths About Vaginal Estrogen: Safe and Effective Treatments ExplainedIn this episode, we explore the topic of vaginal estrogen and dispel common myths and fears associated with its use. We discuss the two different methods of hormone replacement: systemic full-body estrogen and progesterone, and localized vaginal estrogen treatment. The focus is on the benefits and safety of using low-dose vaginal estrogen for treating symptoms like vaginal dryness, painful intercourse, and urinary incontinence. We also address the misinformation that has contributed to the fear surrounding vaginal estrogen and highlight its effectiveness and safety when used correctly.00:00 Introduction to Vaginal Estrogen00:14 Methods of Estrogen Replacement01:16 Vaginal Estrogen: Uses and Benefits02:03 Safety and Misconceptions02:27 Vaginal Rejuvenation Procedures03:01 Conclusion on Vaginal EstrogenLinks To All Platforms: https://www.thevaginadoctorpodcast.com/Subscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

The Vagina Doctor Podcast with Duncan Turner MD & Sophie Mengele Women's Health Nurse PractitionerUnderstanding Compounded Medications: Safety, Quality, and Personalized Care at TMA Explore the world of weight management medications, particularly focusing on the role of compounding pharmacies, with Turner Medical Arts (TMA). We delve into the differences between standard and compounded medications, the importance of sourcing from reputable pharmacies, and the personalized care TMA offers to ensure safe and effective treatments. Learn about the benefits of generic medications, the history and functionality of compounding pharmacies, and safety protocols that mitigate common concerns such as dosing errors and medication quality. If you’re considering weight management options, this episode is a must-watch to understand how TMA can help you achieve your goals with a trustworthy and individualized approach.00:00 Introduction to Weight Management Medications00:24 Understanding Compounding Pharmacies01:43 Quality and Regulation of Compounding Pharmacies04:30 Generic Medications vs. Brand Names10:25 Safety Concerns with Compounded Medications14:45 Conclusion and Services at Turner Medical ArtsEpisode ResourcesLinks To All Platforms: https://www.thevaginadoctorpodcast.com/Subscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Kicking Off the New Year: Reflections and Future Plans In this Happy New Year episode, the hosts reflect on the challenges and health issues they faced in the past two months, including surgeries and sickness. They discuss exciting developments and future plans for their practice, focusing on gynecology, women's healthcare, and longevity. The episode highlights new podcast segments featuring Sophie, and touches on the benefits of weight loss and regenerative medicine for their patients. They also acknowledge the contributions of their colleagues and look forward to refocusing their practice in the coming year.00:00 Introduction and New Year Greetings00:07 Reflecting on Recent Challenges00:33 Podcast Updates and Future Plans01:43 Focus on Women's Healthcare and Longevity02:17 Exciting Developments in Weight Loss and Regenerative Medicine02:56 Engagement and Feedback from Patients03:09 Looking Forward: Practice Direction and Gratitude04:06 Conclusion and New Year Wishes

In this episode of 'This Might Sting A Little, Dr. Duncan Turner, Dr. Dennis Hughes, and Dr. Orel Swenson discuss the intricacies of modern medication, the cumulative side effects of treatments, and the growing mistrust in the healthcare system. They explore the practice of treating one condition while potentially causing another, the impact of the COVID-19 pandemic on public trust, and the challenges healthcare providers face in balancing treatment benefits and risks with patients. The conversation touches on specific medications and the broader implications of the loss of trust in medical institutions and practices.00:00 Introduction: The Future of Medicine00:23 Debating Modern Medications01:13 Side Effects and Overmedication01:45 The Vyleesi Discussion03:30 Patient Perception and Medication Trust11:04 The COVID-19 Vaccine Controversy16:14 Personal Experiences with COVID-1923:14 Conclusion: Reflecting on Trust in MedicineEpisode ResourcesLinks To All Platforms: https://www.thevaginadoctorpodcast.com/Subscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠cavalry.healthdennisghughesmd.com

Addressing the Gender Gap in Medicine: A Deep DiveIn this episode, we discuss the gender gap in medicine with insights from Duncan Turner MD. We explore how women's symptoms are often inadequately addressed compared to men's, the underrecognized biases in medical practice, and the impact of wearables on patient care. The conversation delves into personal experiences with patients, historical studies on heart health, and how better self-awareness and tracking can improve medical outcomes for women.00:00 Introduction and Greetings00:10 Discussing Podcast Content Ideas00:16 Gender Gap in Medicine01:02 Patient Experiences and Gender Bias02:46 Heart Health and Gender Differences05:02 Wearables and Patient Self-Monitoring06:31 Conclusion and Final Thoughts

Navigating Midlife: Insights from Kayla Johnson/Kayla Johnson Fitness on the Vagina Doctor PodcastJoin us on the Vagina Doctor Podcast for an enlightening conversation with Kayla Johnson, a fitness expert and women's wellness advocate. Kayla shares her personal journey of navigating midlife fitness, hormonal changes, and the impact of perimenopause on women's health. She discusses her approach to fitness, including the importance of weight training, the pitfalls of overtraining, and the role of hormone replacement therapy. Kayla also opens up about her experience with GLP-1 peptides and their effect on her body composition. Tune in for valuable insights and practical advice on embracing a balanced, sustainable lifestyle during midlife.00:00 Introduction and Guest Announcement00:06 Technical Difficulties and Guest Praise00:58 Kayla Johnson's Background and Fitness Journey01:48 Challenges of Midlife and Fitness02:41 COVID-19 Impact and Personal Struggles04:44 Discovering Hormone Replacement Therapy06:20 Transition to New Fitness Regimen16:26 The Role of GLP-1 Peptides25:09 Exploring Peptides and Their Benefits25:22 The Importance of Injection for Peptides25:45 Personal Experiences with Peptide Cycles26:09 Peptides in Biohacking and Anti-Aging26:41 Regenerative Medicine and New Practices27:04 Social Media and Public Interest in Peptides27:19 A Personal Story: The Treehouse Incident27:42 The Role of Peptides in Healing27:54 Challenges and Misconceptions in Peptide Use28:58 Creating a 90-Day Accountability Program29:15 The Importance of Foundational Work for Women30:42 Hormonal Optimization and Its Challenges43:18 The Struggles of Perimenopausal Women47:33 The Benefits of Being Naked49:08 Conclusion and Final ThoughtsEpisode ResourcesLinks To All Platforms: https://www.kaylajohnsonfitness.com/@kaylajohnsonfitnesshttps://www.thevaginadoctorpodcast.com/Subscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

The Vagina Doctor PodcastHosted by Duncan Turner MD & Karen SpauldingIn this episode of The Vagina Doctor Podcast, repeat guest Buck Joffrey delves into his new podcast ventures, 'Longevity Roadmap' and 'Longevity Junkie'. He discusses the complex nature of fasting, the evolving views on diet, the debates surrounding protein intake, and the controversial nature of Metformin and Rapamycin in longevity. The conversation also touches on the role of erectile dysfunction as an early indicator of cardiovascular issues and the potential benefits of Tadalafil for general cardiovascular health. Buck shares valuable insights and recent studies, providing a comprehensive view of the latest thinking in longevity science.Episode ResourcesLinks To All Platforms: https://www.thevaginadoctorpodcast.com/Subscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

In this episode of 'This Might Sting A Little,' Dr. Duncan Turner, Dr. Dennis Hughes, and Dr. Orel Swenson discuss the challenges posed by the growing trend of people considering themselves healthcare experts based on AI, social media, and limited research. They delve into how AI tools and online influencers create false confidence among patients, making self-diagnosis more common. They also explore the impact of consumer-driven healthcare and emphasize the critical role of experienced physicians in providing comprehensive and accurate medical care.00:00 Introduction to the Podcast00:19 The Death of Expertise: Everyone's a Doctor Online01:54 AI in Medicine: A Double-Edged Sword02:34 Confirmation Bias and Patient Self-Diagnosis05:09 The Human Element in Medical Diagnosis12:28 Consumer-Driven Healthcare and Its Pitfalls17:14 The Temptation of Easy Solutions19:33 Conclusion: Trust Your PhysicianEpisode ResourcesLinks To All Platforms: https://www.thevaginadoctorpodcast.com/Subscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

The Vagina Doctor Podcast with Duncan Turner MD & Karen SpauldingIn this detailed discussion, the Duncan Turner MD and Karen Spaulding talk about her upcoming hysterectomy and compares different procedures and recovery experiences of friends and family. Key topics include laparoscopic hysterectomy using the da Vinci robot, traditional transabdominal procedures, the advantages of keeping the cervix, and varying incision techniques. The conversation also emphasizes the importance of minimizing incision size for faster recovery and addresses concerns such as pain management and post-operative care. Duncan Turner MD elaborates on the differences between using smaller incisions versus larger ones and offers insights into why surgical decisions are made, focusing on the best approach for this specific situation.00:00 Introduction and Greetings00:09 Preparing for the Hysterectomy00:39 Different Hysterectomy Experiences03:14 Surgical Methods and Decisions09:36 Recovery Insights11:41 Conclusion and Well WishesLinks To All Platforms: https://www.thevaginadoctorpodcast.com/Subscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Understanding Bloating: Causes, Diagnoses, and Treatments with Dr. Dennis Hughes In this episode, Dr. Dennis Hughes and Nurse Practitioner Sophie Mengele & Karen Spaulding discuss the various causes, diagnostic methods, and treatments for bloating. The conversation includes insights into symptoms and potential underlying conditions such as celiac disease, SIBO, and pancreatic exocrine insufficiency. Dr. Hughes also explains diagnostic approaches, including the importance of ruling out severe conditions and details about specific tests like the breath test for bacterial overgrowth and stool tests for enzyme deficiencies. The episode emphasizes the significance of a comprehensive workup and the potential life-changing impact of proper diagnosis and treatment for persistent bloating and related gastrointestinal issues.00:00 Introduction and Episode Overview01:00 Meet the Guests: Dr. Dennis Hughes and Sophie Mengel01:22 Understanding Bloating: Symptoms and Causes03:00 Diagnostic Approaches to Bloating05:08 The Role of Diet in Bloating07:04 Celiac Disease vs. Gluten Sensitivity15:58 Small Intestinal Bacterial Overgrowth (SIBO)20:09 Understanding Pancreatic Exocrine Insufficiency (PEI)21:48 Functional Dyspepsia and IBS: Emotional Connections23:11 The Brain-Gut Connection23:48 Testing for Bacterial Overgrowth26:08 H. Pylori: Symptoms and Treatment31:59 Constipation and Colon Health35:35 Hydration and Constipation in Older Adults38:17 Conclusion: Addressing Digestive Issues

The Vagina Doctor Podcast with Duncan Turner MD & Karen SpauldingIn this episode, we delve into the increasing trend of couples attending medical consultations together. The discussion highlights various reasons behind this shift, such as extended consultation times, support from partners, and the validation it provides. The conversation also touches on the differences in how male and female patients respond to medical advice and the benefits and challenges of having partners present during appointments. Tune in to understand the evolving dynamics in medical consultations and the implications for patient care.00:00 Introduction and Greetings00:16 Observations on Couples' Appointments00:40 Discussion on Couples' Dynamics in Consultations02:13 Validation and Support in Couples' Consultations03:55 Challenges with Male Patients04:39 Increase in Male Patients05:40 Conclusion and Final ThoughtsLinks To All Platforms: https://www.thevaginadoctorpodcast.com/Subscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

The Vagina Doctor Podcast with Duncan Turner MD & Karen SpauldingUnderstanding the Symptoms and Feelings Associated with CystoceleThis episode discusses the sensations and symptoms experienced by individuals with cystocele. Patients may feel a sense of pressure, heaviness, or a general feeling that something is awry. In more severe cases, there can be a noticeable bulging through the vaginal opening, leading patients to describe a sensation of 'everything falling out.'Links To All Platforms: https://www.thevaginadoctorpodcast.com/Subscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

In this episode of 'This Might Sting a Little,' Dr. Orel Swenson, Dr. Dennis Hughes, and Dr. Duncan Turner dive into the realities of the emergency department (ER) from both patient and physician perspectives. They discuss why ER visits often take so long, the communication challenges between primary care doctors and ER staff, and the unique pressures ER doctors face. They also explore the emergency severity index (ESI) system that determines patient prioritization and the role of ERs as a societal safety net. Tune in for an in-depth look at the intricacies of emergency medical care, filled with professional insights and a healthy dose of humor.00:00 Introduction to the Podcast00:08 Meet the Hosts00:42 Emergency Department Insights01:10 Patient Experiences and Challenges02:47 Communication and Coordination03:58 Efficiency and Trust in ER Visits05:05 Case Studies and Real-Life Scenarios11:06 ER Protocols and Procedures12:12 Challenges in ER Communication15:22 The Role of ER in Healthcare15:46 Challenges in ER Patient Management16:45 Over-Evaluation in the ER17:24 Malpractice Considerations18:16 Communication Between Offices and ER19:12 Cultural Expectations and Wait Times20:28 Changes in Hospital Practices22:10 The Role of Hospitalists25:56 Recap and Takeawayshttps://cavalry.health/https://dennishughesmd.com/Episode ResourcesLinks To All Platforms: https://www.thevaginadoctorpodcast.com/Subscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Understanding Perimenopause: Symptoms, Challenges, and TreatmentsIn this consult-style episode, Dr. Turner delves into the complexities of perimenopause, highlighting its growing awareness due to social media and the symptoms women experience, such as sleep disturbances, weight gain, mood swings, and depression. The discussion includes the importance of listening to patients, the variability of hormone levels, and the trial-and-error approach to treatment. Dr. Turner also addresses the misinformation and criticism women face and underscores the importance of seeking medical guidance. Whether a women-facing perimenopause or a healthcare professional, this episode provides valuable insights into managing this stage of life effectively.00:00 Introduction and Episode Overview00:17 Understanding Perimenopause00:26 Social Media and Awareness01:28 Symptoms and Patient Experiences04:23 Challenges in Diagnosis and Treatment07:47 Hormonal Testing and Treatment Approaches12:01 Conclusion and Final ThoughtsEpisode ResourcesLinks To All Platforms: https://www.thevaginadoctorpodcast.com/Subscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

The Vagina Doctor Podcast with Duncan Turner MD & Karen SpauldingUnderstanding Rectocele: Causes, Symptoms, and TreatmentsIn this episode, we delve into the topic of rectocele, a type of pelvic floor disorder. We explain what rectocele is, common causes such as childbirth and menopause, and how it affects patients. The video covers symptoms, diagnostic methods, and treatment options including surgery and the use of pessaries. Additionally, we discuss related conditions like uterine prolapse and cystocele. This comprehensive overview is aimed at educating patients on recognizing and managing rectocele effectively.00:00 Introduction and Recap00:25 Understanding Rectocele01:58 Causes and Symptoms of Rectocele04:44 Treatment Options for Rectocele05:11 Pessaries and Surgical Considerations07:19 Conclusion and Future TopicsEpisode ResourcesLinks To All Platforms: https://www.thevaginadoctorpodcast.com/Subscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

The Vagina Doctor PodcastWith Duncan Turner MD & Karen SpauldingRevolutionizing Women's Health: V02 Max and The Future of FemTech | Vagina Doctor Podcast feat. Eric SanchezIn this episode of the Vagina Doctor Podcast, hosts interview Eric Sanchez, founder and CEO of X2L Bio, a software and biotechnology company focusing on wearable technology for health and fitness. Eric shares his journey from working with a Dutch sports tech company and Duke University to launching his own company aimed at democratizing VO2 Max assessments. He emphasizes the importance of VO2 Max as a key biomarker for longevity and overall health. Eric also announces the launch of X2L's FemTech division, aimed at understanding VO2 Max for women across various life stages and building a comprehensive data set tailored to women's specific health needs. Tune in to learn more about how Eric and his team are using technology to make health and fitness assessments more accessible and impactful.00:00 Introduction and Guest Welcome00:33 Founding the Software Company01:16 Innovating VO2 Max Testing02:48 Challenges and Developments in Wearable Tech03:49 Journey Across the Country06:42 Launching X2L Bio in Las Vegas09:47 Understanding VO2 Max for Athletes and General Public18:17 Fem Tech Division and VO2 Data for Women25:16 Starting an Exercise Routine25:30 Transforming Your Body25:47 The Importance of Consistency27:29 Finding What Works for You32:20 The Role of Technology in Health35:08 Dealing with Dyslexia40:35 Launching the FemTech Mixer40:59 Focusing on Women's Health45:46 Building a Community48:09 Conclusion and Future PlansEpisode ResourcesLinks To All Platforms: https://www.thevaginadoctorpodcast.com/Subscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

The Vagina Doctor Podcast with Duncan Turner MD & Karen Spaulding. CWM: Urinary symptoms can be helped and often times fixed. When is it time though to go to the next step? Surgery. Episode ResourcesLinks To All Platforms: https://www.thevaginadoctorpodcast.com/Subscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

In Episode 2 of This Might Sting a Little, Duncan Turner, Orel Swenson and Dennis Hughes break down what we know and don't know about GLP-1. In this episode, we dive deep into GLP-1 agonists, commonly known as semaglutide, a popular weight-loss and diabetes medication. We discuss its natural production, effects on the body, and its impact on insulin production, stomach emptying, and brain receptors. The conversation covers the challenges of processed food, addiction-like behaviors, and the broad effects of GLP-1, including potential benefits for conditions like endometriosis and cancer. We explore the downsides of long-term use, such as muscle loss and desensitization, and the importance of lifestyle changes for sustained weight loss. The discussion also touches on different forms of GLP-1 administration, the growing obesity epidemic, and the critical role of early dietary habits. Join us for a comprehensive look at the pros and cons of GLP-1 agonists and their place in modern healthcare.00:00 Introduction to GLP-1 Agonists00:19 Understanding GLP-1 and Its Effects00:50 The Brain's Role in Appetite and Addiction02:01 Exploring Broader Effects of GLP-1 Agonists03:07 Potential Negative Effects and Concerns03:49 Challenges of Long-Term Use and Dependency05:11 Lifestyle Changes and Weight Management11:43 Historical and Societal Factors in Obesity13:51 Brand Names and Bioavailability of Medications16:44 Muscle Mass and Weight Loss18:45 Patient Compliance and Injection Concerns21:28 Conclusion and Final ThoughtsThis isn’t a whine fest—it’s about to get clinical with a twist.Expect sharp insight, a little rebellion, and honest conversation from three doctors who aren’t afraid to challenge the status quo. Whether you're a curious patient or a health-savvy skeptic, this episode will make you think twice about the rules we blindly follow in medicine.https://cavalry.health/https://dennishughesmd.com/Episode ResourcesLinks To All Platforms: https://www.thevaginadoctorpodcast.com/Subscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

The Vagina Doctor Podcast with Duncan Turner MD & Karen Spaulding. On this short consult with me episode we go over 4 weeks on micro- dosing GLP-1 Semaglutide. If you have been curious about these drugs for treatment of inflammation this is a great episode to listen to!Enjoy!Episode ResourcesLinks To All Platforms: https://www.thevaginadoctorpodcast.com/Subscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠