The Starting Gate

Send us Fan MailIn this episode, we sit down with psychiatrist and eating disorder specialist Dr. Erin Knopf for a deeply thoughtful conversation about the realities of eating disorders, diet culture, and our relationship with food.We discuss why you cannot tell by looking at someone whether they have an eating disorder and how these conditions affect people of all genders, body sizes, and backgrounds. Dr. Knopf explains how restriction and a scarcity mindset can drive binge eating behaviors, and why healing often involves rebuilding trust with ourselves around food and letting go of shame.We also explore anorexia, bulimia, and orthorexia — an obsession with the health or purity of food that has become increasingly normalized in today’s culture. The conversation dives into how social media can reinforce disordered behaviors by surrounding people with like-minded messaging that makes harmful habits appear healthy or acceptable.We also discuss GLP-1 medications and concerns about how they may contribute to long-term disordered eating patterns for some individuals. Throughout the episode, we challenge cultural beliefs around weight and health, discussing why true health does not require everyone to look the same or fit into a single body size.Finally, we talk about how parents can help children develop a healthier relationship with food, body image, and movement in a world filled with conflicting messages.This episode may challenge long-held beliefs about weight, food, and health — and encourage listeners to take a closer look at their own relationship with eating and body image.Find Dr. Erin Knopf  and multiple resources At VERY: Virtual Eating Recovery for Youthestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailIn this episode, we sit down with Alison Gustafson, director of the Food as Health Alliance at the University of Kentucky to explore the growing “Food as Medicine” movement—and what the research actually shows so far.We break down the different approaches being studied, including medically tailored meals, produce boxes, grocery prescriptions, and farmers market prescriptions. Alison explains who these interventions work best for, what outcomes we’re seeing in clinical settings, and where the limitations still exist.If you’ve ever wondered whether food could play a more formal role in healthcare—or how close we really are to that becoming a reality—this episode offers a grounded look at both the promise and the gaps that still need to be addressed.Check out the free resources and education:Food As Health Alliancethestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailIn this episode, we sit down with Ashley Hinton, certified wellness coach, owner of 859 WELL, and Director of Health Promotion at Centre College, to explore the unique challenges facing today’s young adults.Ashley works closely with college students, helping them navigate stress, build healthier coping strategies, and develop a more balanced relationship with food through intuitive eating.We discuss how parents can begin encouraging healthy habits early, what’s changing on college campuses—including shifts in substance use—and how social media is impacting mental health. We also dive into practical ways to support your child, including one simple but powerful question: “Do you want help solving this, or do you just need me to listen?”You’ll also hear how mindfulness can look different for everyone, why modeling healthy stress management matters, and how to help your child build a lifelong “toolkit” for resilience.Find Ashley Hinton, MS, MPH at 859 W.E.L.L Coaching & Consultingwww.859wellky.com 859.433.6321 Additional Resources:T-Break Guide: Take a cannabis tolerance break for 21 daysGrok cards Mindfulness Institute for Emerging AdultsIntuitive Eating workbookthestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailWhat can we learn from people who stay active, competitive, and engaged as they age?In this episode, Dustin Jones, DPT, joins us to share powerful lessons from master’s athletes—individuals who don’t just exercise, but stay in the game for life. We talk about how social connection, self-efficacy, and a willingness to adapt—not quit—keep them moving through injuries, life changes, and aging.We also explore why combining different types of movement—from endurance training to sports that challenge balance and agility—can support long-term health and independence.Whether you’re in a busy season of life or feel like it’s too late to start, this episode is a powerful reminder that movement isn’t just about exercise—it’s about staying connected, capable, and engaged in the life you want to live. If you’ve been on the sidelines, consider this your invitation to get back in the game!Find Dustin Jones, DPT at HyphenLinks to stay in the game:National Senior GamesKentucky Senior GamesLink to SAFE : Sustained Athlete Fitness Examthestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailIn this episode, we sit down with precision medicine physician Dr. Meghan Jones to explore how personalized health data can guide lifestyle decisions.Dr. Jones explains what happens during a precision medicine evaluation and the types of data that are analyzed—from genetic testing to metabolic markers and wearable data. We discuss what your genes can reveal about things like insulin sensitivity, optimal eating patterns, cardiovascular risk, and even dementia risk.But perhaps the most interesting takeaway? Even with all of this personalized data, the core recommendations are often the same. The foundational pillars of health—nutrition, movement, sleep, and stress management—remain essential for nearly everyone.Precision medicine doesn’t replace these basics. Instead, it helps fine-tune the final pieces and can be a powerful motivator for people trying to make meaningful lifestyle changes.thestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailExercise isn’t just about burning calories — it’s about building capacity for the decades ahead. In this episode, we sit down with cardiologist Dr. Kelly Waespe to talk about exercise as medicine for the heart — and for longevity. We break down the specific benefits of Zone 2 training, HIIT, and resistance training, and how each one uniquely strengthens your cardiovascular system. We talk about:The powerful link between VO₂ max and longevityHeart rate variability and what it reveals about stress and recoveryHow cardiovascular risk shifts for women during menopauseWhen hormone therapy may be helpfulHow objective testing can help you train smarter — not just harder Most importantly, we remind you: you don’t have to overhaul your life overnight. One intentional change today can build the heart health you’ll rely on tomorrow. Calculate your own cardiac risk here: ASCVD risk calculatorFind Dr. Waespe at Baptist HealthFind Revive Longevity:on instagram: @revivelongevityon facebook: Revive Longevity Centeremail: [email protected] coming soon: revivelongevitycenter.comthestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailHeart disease is largely preventable — so why aren’t we preventing it?Dr. Kim Williams, Chair of Medicine at UofL and former President of the American College of Cardiology, joins us to discuss why lifestyle must be the foundation of cardiovascular care. From nutrition and plant-based eating to exercise, sleep, and stress, he explains how daily habits shape long-term outcomes.Dr. Williams explains why:Nutrition isn’t optional in heart prevention — it’s centralA plant-forward diet can rival medications in effectivenessMedications and lifestyle together can be even more powerfulHis concerns about the newest dietary guidelinesWhy prevention deserves more attention in modern medicineIf you’ve ever wondered what a prevention-focused cardiologist really thinks, this conversation is both eye-opening and practical.Find Dr. Kim Williams, MDCooking For Your Heart and Soul cookbookStudy by Dr.  Esselstyn on disease reversal with plant based dietLife's Essential 8 from the American Heart Associationthestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailIf you’ve ever picked up your phone without knowing why—or felt more drained after “relaxing” with a screen—this episode is for you.We live in a world of constant pings, scrolling, and screens—but what is that doing to our brains, our emotions, and our sense of control? In this episode of The Starting Gate, we’re joined by digital wellness specialist Dr. Mary Donohue to explore how nonstop screen exposure is reshaping the way we think, feel, and cope.We talk about how digital overload dulls creativity, trains us to numb uncomfortable emotions, and pulls us away from the present moment. Dr. Donohue shares why even brief “micro breaks” can make a meaningful difference, how to build healthy guardrails around things like social media, gaming, and online gambling, and why awareness—not perfection—is the key to digital wellness. If you’ve been feeling overstimulated, unfocused, or uneasy about your family’s screen habits, this episode will help you rethink your relationship with technology—without guilt or extremes. Find Dr. Mary Donohue:Dr. Mary Donohue on Linked in@drmarydonohueemail: [email protected] out more about the Digital Wellness Centerthedigitalwellnesscdenter.com@thedigitalwellnesscenterthestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan Mail What does it look like when lifestyle medicine works in real life?In this episode, Dr. Sarah Schuetz interviews her patient, Kam, whose journey through lifestyle medicine led to a 50-pound weight loss, fewer medications, and a life filled with more energy, movement, and confidence.Kam shares how she learned to truly understand nutrition, not just follow a guide, how she gradually built physical activity into her life through Pilates and weight training, and how she learned to navigate real-world challenges like large family gatherings without falling off track.Dr. Schuetz reflects on how lifestyle medicine shifts the power back to the patient — providing tools instead of temporary fixes — and why this model creates lasting change.This conversation is honest, hopeful, and deeply motivating for anyone who wants to believe that change is still possible.thestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailIn this episode, we talk with a physician whose frustration with the health of Kentuckians — and the way our healthcare system responds to it — became the catalyst for real change. Instead of accepting a system that often waits until patients are critically ill, she began searching for solutions that focus on prevention and early intervention.That journey led to the creation of Prevent Scripts, an innovative app designed to identify disease risk and support true behavior change through personalized, practical strategies. We discuss why upstream care matters, how small habit changes can lead to meaningful health improvements, and how technology can finally support — not replace — human-centered medicine.This conversation is about moving from complaint to action, and about empowering patients to take control of their health one small step at a time.Find out more about Prevent Scripts at www.preventscripts.comand find Dr. Natalie Davis at NatalieDavismd.comthestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailIn this episode, Dr. Kitty Dotson and Dr. Sarah Schuetz pause to reflect on the past year of The Starting Gate—and the clear themes that came up again and again, no matter the guest or topic.From nutrition to mental health, menopause to dementia prevention, one message stood out: sustainable health is built through small, realistic habit changes—not massive life overhauls. Our guests consistently emphasized working changes into your existing routine to support long-term success.We talk about what we learned about sleep (and why fearing a bad night may do more harm than good), the profound impact of exercise on brain health and quality of life, and the value of simple, whole-food nutrition—where B+ meals and a little prep go a long way.We also reflect on stress, mood, and inflammation, the role of social connection, and how lifestyle medicine supported Sarah through a major life stressor this year. We discuss menopause, hormones, supplements, and why critical thinking matters more than chasing the latest trend on social media.This episode is a reminder to stop collecting information—and start making small changes today.thestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailThe holiday season can make healthy habits feel overwhelming. In this episode, we share 12 realistic, low-pressure habits designed to help you get through the holidays without striving for perfection. From prioritizing protein and fiber, staying hydrated, protecting sleep, and moving your body—even for 10 minutes—to navigating social events and holiday treats with less stress, these habits focus on consistency, flexibility, and sustainability.  Designed for busy days, social events, and real people. Download our free 12 Holiday Healthy Habits Guidethestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailIn this episode, integrative sports medicine physician Dr. Srikanth Nithyanandam reminds us that injuries don’t just happen to a body part — they happen to a whole person. He shares how healing accelerates when we address mindset, sleep, nutrition, and the fears that hold us back.   We also dig into integrative modalities, including the theory behind energy medicine and acupuncture and how it compares to dry needling.   Most importantly, he shows how staying connected to the movement we love is the key to getting back to ourselves.   This is a powerful, practical episode for anyone recovering from injury or supporting someone on that journey. Learn more from Dr. Sri here and see the videos he has created to help patients.Follow on instagram @drsrikanth_sportsmedmdYou tube: Dr. Srikanth Nithyanandam (Family & Sports MD)You can schedule an appoint at UK healthcarethestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailChronic pain can feel isolating, frustrating, and exhausting — especially when no one can see what you’re going through.  In this episode of The Starting Gate, we sit down with physical therapist Andrea Moore, an expert in helping people who feel stuck in long-term pain. Whether your pain began with an old injury that never fully resolved, or you’ve lived with pain for years without a clear diagnosis, Andrea explains why this happens — and what you can do about it.We break down the science of chronic pain, including peripheral and central sensitization, how stress and past experiences shape pain, and why two people with the same injury can have completely different outcomes.Andrea shares realistic strategies, from mind-body practices to movement, nutrition, and finding the right provider. Most importantly, she wants listeners to know that even if you’ve tried “everything,” there are ways to improve your pain and reclaim your quality of life. Find Andrea Moore, DPT: At Move + Smart Physical TherapyDr. Andrea MooreListen to more from Andrea on her podcast Unweaving Chronic Painthestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailIn this episode, we sit down with Jessica Jackson of Jacked Nutrition to talk about  the mindset shifts that make healthy habits stick. Jessica shares her journey into nutrition and coaching and we discuss why an all-or-nothing approach often leads to burnout.We explore how reframing failure as an opportunity to learn can keep you motivated and moving forward, even during busy seasons. Jessica also explains the power of creating your daily “base camp”—simple, consistent habits that help you build confidence and stay on track.We discuss why true transformation doesn’t come from a supplement, a short-term challenge, or an 8-week meal plan. It requires self-reflection, understanding your personal motivations, and creating routines that fit your life and actually last.If you’re searching for motivation to stay on track with your nutrition during the holidays or you want practical strategies for setting achievable New Year health goals, this episode offers the inspiration and tools you need to take the next step.Find Jessica at Jacked NutritionFollow Jessica @jackednutritionlexthestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailObesity is complex—and it’s not a willpower problem. Bariatric surgeon Dr. Eric Smith joins us to break down what really drives the obesity epidemic. We discuss the modern food environment, food addiction, food noise, stress, GLP-1 medications, and how surgery fits into the modern obesity treatment landscape.  We'll unpack why body composition—not just pounds lost—matters, explore how to choose the right tools, and why long-term success always comes back to lifestyle and habit change.Find Dr. Eric SmithKentucky Bariatric Institute@doctorericsmith_tik tok: doctorericsmiththestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailMovement is one of the most powerful ways to thrive through menopause—but it’s not just about finding the “right” workout. It’s about defining what you want your life to look like in the years ahead and making choices that support that vision. In this episode, we talk with two experts who help women reconnect with themselves, stay true to their goals, and bring more movement into everyday life in ways that feel realistic and energizing. Whether it’s lifting weights, yoga, or sneaking in short bursts of activity, this episode will inspire you to see movement as a way to create the life you want—one step at a time. Find Lisa King:email her directly:  [email protected]. Lisa King YogaFind her on Facebook-Lisa King YogaFind her on Instagram- Lisa King the Menopause YogiFind Laura Coombs:LauraPCoombs.comFind her book: Of Course Your Knees Hurtthestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailMidlife can be a confusing time for many women when it comes to sexual identity, desire, and connection. In this episode, we talk with Dr. Juliana Hauser, PhD—sex therapist and author of A New Position on Sex: A Guide to Greater Sexual Confidence, Pleasure, and Authenticity.Dr. Hauser shares how to enact and activate agency—not just in your sex life, but in every aspect of your life. We explore her “sexercises,” designed to help women self-reflect, self-audit, and reconnect with their bodies and desires in powerful new ways.We also talk about cultivating body compassion, shifting your mind away from the endless to-do list to make space for connection, and understanding the physical changes that occur with hormones in midlife. Plus, we cover the benefits of tools like vaginal estrogen and pelvic floor physical therapy to support sexual wellness and comfort.This conversation is an invitation to reclaim your pleasure, confidence, and connection—both with yourself and with those you love. Find Dr. Juliana Hauser:website: dr-juliana.com@drjulianahauserGet her new book on Amazon: A New Position on Sex: A Guide to Greater Sexual Confidence, Pleasure, and Authenticitythestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailBreast cancer rates are rising, especially among younger women—but why is this happening, and what can you do to protect your health? In this episode, breast cancer surgeon Dr. Veronica Jones answers the most common questions women have about breast cancer. We talk through risk factors, genetic testing, and what dense breast tissue really means. Dr. Jones also explains what happens when a mammogram comes back abnormal, how breast cancer is diagnosed, and what treatment looks like today. If you’ve ever felt confused or anxious about breast cancer screening, this episode will give you clarity and confidence.Find Dr. Veronica Jones at the UK Markey Cancer CenterEstimate your Breast Cancer Risk with the Tyrer-Cuzick risk assessment modelLearn more with these Breast Cancer Resources:National Comprehensive Cancer NetworkMemorial Sloan Kettering Cancer CenterSusan G. Komenthestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailPerimenopause is often the most confusing stage of the menopause transition, with shifting hormones, irregular cycles, and a mix of symptoms that can feel unpredictable. In this episode, board-certified OBGYN and Menopause Society–certified physician Dr. Elizabeth Elkinson breaks down what really happens during perimenopause. We discuss the most common symptoms, how oral contraceptives and IUDs can change your experience, and who may benefit from starting hormone therapy early.This episode really goes into the details of what’s happening with your hormones—and why those changes cause the symptoms so many women experience. Dr. Elkinson also explains the different routes of hormone administration, the role of testosterone, and clears up common hormone misconceptions.If you want to truly understand what’s happening in your body and feel more confident advocating for yourself with your healthcare providers, this is a must-listen episode.Find Dr. Elkinson:Bluegrass Gynecology and WellnessFor more information on Menopause:The Menopause Society and MenoNotesthestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailIn this episode, psychologist Dr. Jennifer Degler helps us unravel the complicated relationship between hormones, mood, and life stress during perimenopause and menopause. Many women wonder: is my anxiety or irritability a result of overscheduling and constant demands, or is it a hormonal shift? Dr. Degler explains how to recognize the difference, and we discuss the role of hormone therapy and antidepressants in managing these symptoms. Together, we explore how to build strong support systems, lean on humor, and shift your mindset to see menopause not as an ending, but as a new chapter full of possibilities.Find Dr. Degler:JenniferDegler.comResources from Dr. Degler:Take the MENO-D questionnaire to screen for perimenopausal depression.Link to the FEMM app for tracking symptoms.CBT and Mindfulness-Based Interventions for the Treatment of Anxiety and Depression in Perimenopausal Women3 Free Mindfulness ToolsArticles:Perimenopausal depression – an under-recognised entity - PMCDevelopment and validation of a new rating scale for perimenopausal depression—the Meno-D  SSRIs vs HT in treating perimenopausal depression JOIN Dr. Degler at Empower Your 'Pause:-Live in-person event at Tates Creek Presbyterian Church on Saturday, Nov 1, 2025 -Also available as live webinar on Nov 1, 2025 with option to watch replay video at your convenience. -Also available as online video course on Thinkific.com Helthestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailIn this episode, we sit down with registered dietitian Amanda Nighbert to unpack the connection between hormones, metabolism, and nutrition in perimenopause and menopause. We explore why your body can feel so stubborn during this stage of life—why the same diet and exercise you’ve always done may suddenly stop working, or even lead to weight gain. Amanda explains how hormonal changes drive insulin resistance and increase risk for metabolic syndrome, what nutrients are most important to support bone and muscle health, and why overcomplicating nutrition is the biggest trap midlife women fall into. We also tackle common social media myths and the key mindset shift: stop collecting information and start putting change into action.Find Amanda Nighbert:Learn more about Amanda and her LEAN programFollow on Instagram: @amandanighbertrdAmanda's You Tube Channelthestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailDementia can be a devastating diagnosis for patients and families, and treatment options remain limited. But there is good news—prevention is possible. In this episode of The Starting Gate, we explore how lifestyle choices in midlife can significantly reduce the risk of dementia and delay cognitive decline. From nutrition and exercise to sleep and social connection, the evidence is clear: these habits are far more powerful than any supplement on the market.  Dementia may not show symptoms until later life, but the groundwork is laid decades earlier. Join us as we uncover why lifestyle medicine offers the strongest defense against cognitive decline, and how the steps you take today can help you enjoy a sharper, healthier mind for years to come.    Midlife habits lay the foundation for lifelong brain health !Alzheimer's Association- Brain Healththestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan Mail In this episode, stroke neurologist Dr. Theresa Sevilis joins us to break down what really happens in the brain during a stroke, who is at risk, and how recovery can unfold.  Dr. Sevilis also emphasizes the importance of addressing chronic conditions like hypertension that raise stroke risk, and how everyday choices—like choosing vegetables over fast food or staying active—can lower your chances of having a stroke.  We explore the crucial role lifestyle plays in healing—why sleep, nutrition, exercise, and stress management matter as much as medications for creating the environment the brain needs to rewire and form new connections.  We also discuss the importance of family and social support, the effects of alcohol and marijuana on stroke risk, and why strokes are increasingly being seen in younger patients. This is a must-listen for anyone who wants to understand stroke prevention and recovery more deeply. Find Dr. Sevilis at TeleSpecialistsResourcesAmerican Stroke AssociationCanadian Stroke Best Practicesthestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailMigraines aren’t “just bad headaches” — they’re a disease that can be life-altering.  In this episode, we sit down with headache neurologist Dr. Jaclyn Duvall to explore the world of tension headaches and migraines.  We discuss what causes them, common triggers like food, sleep, and posture, and how to know when over-the-counter medications are enough — and when it’s time to see a doctor.  We also cover social media myths, supplements that may help, and the importance of getting proper treatment.  We also clear up common misconceptions — like why so-called “sinus headaches” often turn out to be migraines.  Don’t miss this episode — understanding your headaches is the first step to taking back control.Find Dr. Jacyln Duvall:Headache Specialists of OklahomaLink to Dr. Duvall's book: The Basics of MigraineGuided meditation/ Relaxation resources recommended by Dr. Duvallthestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailEver feel bloated, itchy, or just “off” after eating certain foods—and wonder if it’s an allergy? In this episode, allergist Dr. Shaunah Ritter helps us sort fact from confusion when it comes to food reactions. We dig into the difference between milk allergy and lactose intolerance (they’re not the same!), why food diaries matter, and how to use them to figure out what’s really bothering you.We also talk about the pros and cons of at-home allergy tests, how skin testing works in the office, and why cutting out too many foods can actually hurt your gut health. Plus, Dr. Ritter explains celiac disease, wheat allergy, gluten sensitivity, and what you need to know about peanut exposure in kids. If you’ve ever wondered whether your symptoms are from an allergy, intolerance, or something else entirely—this episode will give you clarity and practical steps forward.For more information on food allergies:FARE: Food Allergy Research and Educationthestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailIn this episode, gastroenterologist Dr. Sunana Sohi takes us on a deep dive into the gut microbiome—what it is, how it forms, and why it matters for your health. We explore the gut–brain axis, dysbiosis vs. eubiosis, and the role of prebiotics, probiotics, and postbiotics. Dr. Sohi also shares practical strategies for common digestive issues like IBS, constipation, and acid reflux, plus her expert tips for preparing for a colonoscopy.  Dr. Sohi reminds us that even small shifts toward eating more plants can make a big difference.  Small choices for your gut can mean big changes for your health!Find Dr. Sunana Sohi at Gastroenterology Health Partners.thestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailFatty liver disease is one of the fastest-growing liver conditions worldwide, often linked with obesity, diabetes, and other metabolic health issues. Many people don’t realize they have it until it progresses to more serious complications like cirrhosis. In this episode, we sit down with gastroenterology nurse practitioner Kyle Bloomfield to uncover the risks, warning signs, and connections between fatty liver disease and metabolic syndrome. We also dive into lifestyle strategies, supplements, and treatment options that can help prevent progression and even reverse fatty liver disease—empowering you to take control of your liver and overall health.Your liver health matters: we cover the steps you can take to reverse this hidden epidemic.For More Resources:American Liver FoundationAmerican Gastroenterology Association - GI Patient Centerthestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailColon cancer rates are rising in younger adults—and it’s a trend we can’t ignore. In this episode, we sit down with oncologist Dr. Reema Patel to discuss why this is happening, which lifestyle and genetic factors increase risk, and what you can do to protect yourself. We also talk through screening tests, why they matter, and how catching colon cancer early changes everything. This is an important conversation you won’t want to miss.Colon cancer is no longer just a disease of older adults—protect yourself by knowing the risks and taking action early!Resources to learn more about colon cancer:American Cancer SocietyPatient Resources at Fight Colorectal CancerCommunity support resources for colon cancer:ColonTownFIGHT Colorectal CancerThe Colon ClubColorectal Cancer Alliancethestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailEver wondered what’s actually living in your gut—and how to keep it healthy? Registered dietitian and owner of LexStart nutrition Emily McGlone joins us to unpack everything you need to know about your gut microbiome.  We explore what probiotics and prebiotics really are, how to get them in your diet, and why fiber and plant diversity are essential for gut health.  We cover practical ways to reduce bloating, support digestion, and use targeted diets like low FODMAP to find your food triggers. Whether you struggle with constipation, diarrhea, or just want better gut health, this episode is packed with simple, doable tips. Better digestion starts here—because a healthy gut means a healthier you!Find Emily McGlone:LexStart Nutrition@lexstart_nutritionthestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailIt’s that time again—back to school! Whether you’re sending a kindergartner or a senior, we’ve got you covered. We’re joined by three principals from elementary, middle, and high school who share what they wish every parent knew. Tune in for tips on how to motivate (but not micromanage) your kids, how to talk with teachers, and why getting involved matters. We also chat about the new no-phone policy in schools and how AI is already changing the game in education. It’s not often you get three principals dishing out advice—think of it as your backstage pass to a better school year. Meet our Fayette County principal guests:Jill Angelucci- Principal Squires ElementaryEric Thornsbury- Principal Winburn MiddleScott Loscheider- Principal Dunbar High Schoolthestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailIn this episode, we dive into the messy, beautiful truth: medicine isn’t black and white—it lives in the gray. While bold, oversimplified health claims often go viral on social media, real patient care is far more nuanced. We explore why individualized care matters and how no two patients are exactly alike. From lifestyle medicine to functional and integrative approaches, we discuss how social media has changed the conversation—and why a flexible, compassionate, and personalized approach to health is more important than ever.We also talk about the frustration many doctors feel—caught between a desire to provide deeper care and the very real constraints of time, insurance, and a system that isn’t built for individualized healing. Burnout is real, and it often stems from knowing what patients need but not being able to deliver it in a rushed, volume-driven model. There’s no one right way—and that’s okay. But in today’s healthcare landscape, it’s more important than ever to take ownership of your health and become your own best advocate.thestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailWhat is metabolic health, and why does it matter for your energy, weight, and long-term wellness? In this episode, we’re joined by Dr. Meredith Sweeney, a former bariatric surgeon now practicing longevity medicine, to unpack what’s happening under the surface.We dive into insulin resistance—how it develops, why it's so common, and what it means for your overall health. Dr. Sweeney explains how continuous glucose monitors (CGMs) can help you better understand how your body responds to food, exercise, sleep, and stress—without getting too caught up in chasing perfect numbers.We also explore VO₂ max and metabolic  testing, and how they relate to your fitness and longevity. Dr. Sweeney shares the science behind zone 2 training, HIIT, resistance training, protein needs, and fasting—helping you build sustainable habits that support metabolic resilience and long-term health.Find Dr. Meredith Sweeney:Sano Longevity Follow on Instagram:@sano_longevitythestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailIs your thyroid holding you back? Endocrinologist Dr. Kyle Rosenstein joins us to explain the signs of hypothyroidism, what Hashimoto’s really means, and why thyroid lab testing isn’t one-size-fits-all. We also dive into how and when to take thyroid medications  (hint: don’t take it with your morning coffee) and what to know if you’re dealing with multiple autoimmune conditions. If you’ve been wondering whether your symptoms are thyroid-related, this episode is for you. thestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailIn this episode, we sit down with clinical and cosmetic dermatologist Dr. Brooke Jeffy to talk all things skin health. From teen breakouts to aging skin, we cover what changes as we age, what your skincare routine really needs (hint: it’s probably simpler than you think), and how to choose the right cleanser and moisturizer.We dive deep into sunscreen—how much, how often, and what kind. Plus, we explore how lifestyle habits like diet, stress, and sleep show up on your skin, and which trendy treatments are worth the hype (and your money), and which ones aren’t. If you’ve got skin (and we’re guessing you do), this one’s for you. Find Dr. Jeffy:Brooke Jeffy, MD@brookejeffymdCheck out her skin care line for teens and tweensthestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailConfused by health insurance? You’re not alone. In this episode, we sit down with personal benefits manager Whitney Kline  to unpack the key terms and choices that matter most—high vs. low deductibles, tax credits, coinsurance, and out-of-pocket maximums, plus how to make the most of HSAs and FSAs. We also explore the world of health shares and how they differ from traditional insurance. We simplify the terms, options, and strategies to help you choose wisely. A must-listen for anyone making decisions about coverage!Find Whitney Kline:Whitney Kline at HSA for AmericaHSA for AmericaText Whitney at 720-741-1566@hsaforamerica on XHSA for America on Facebook: https://www.facebook.com/HSAforAmericathestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailYour brain is hard at work while you rest—and Dr. Lauren Whitehurst is here to explain how. From sleep cycles and memory consolidation to the impact of naps, nicotine, and hormones, we explore the surprising ways sleep shapes your cognitive health. If you’ve ever wondered how to make your sleep work better for you, this conversation is a must-listen. Are you interested in participating in research with Dr. Whitehurst?- Research Study about effects of Alcohol and Hormones on Sleep:  email [email protected] Research on Sleep in Black Americans:  email [email protected] us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailInsomnia is more than just a bad night’s sleep—it’s a frustrating and emotional experience for millions. In this powerful episode, sleep psychologist Dr. Ryan Wetzler helps us understand the science behind sleep timing and chronotypes, the very real fear of not sleeping, and why Cognitive Behavioral Therapy for Insomnia (CBT-I) is such a life-changing tool. Whether you’re just starting to struggle or have relied on sleep meds for years, this conversation offers hope—and a clear path forward. Find Dr. Ryan Wetzler:Sleep Health CenterFind Behavioral Sleep Specialists:Board of Behavioral Sleep MedicineAmerican Board of Sleep Medicine: List of Behavioral Sleep Medicine SpecialistsSociety of Behavioral Sleep Medicinethestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailWe all know sleep is important—but do you know just how far its benefits go? In this kickoff episode of our sleep series, we dive into the surprising ways sleep supports your brain, heart, metabolism, immune system, and more. Plus, we break down how daily habits—from evening workouts to that afternoon latte—can help or hurt your ability to get quality rest.Tune in to fully understand the true healing power of sleep.And stay tuned for Episode 2, where we’re joined by sleep psychologist, Dr. Ryan Wetzler to talk about what to do when sleep doesn’t come easily.Then in Episode 3, we speak with a sleep researcher and psychologist about what your brain is really doing while you sleep—and how to use that knowledge to boost learning, memory, and even make the most of your naps.thestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailFrom bored kids to bedtime battles, summer can be a wild ride for families. Luckily, pediatrician Dr. Sarah O’Leary is here to help. In this episode, we talk about water safety, helmets, sunscreen, screen time, and how to set up a summer routine that keeps kids safe, healthy, and (mostly) happy. You’ll also hear how the principles of lifestyle medicine—like sleep, movement, nutrition, and social connection—can make this summer your best one yet. Prescription for healthy families: 5-2-1-0​​​Five: Eat five or more servings of fruits and vegetables each day.Two: Limit screen time to no more than two hours a day.One: Be physically active at least one hour a day.Zero: Don't drink sweetened beverages.Ideas for kids in Lexington, KY.  If you are somewhere else you likely have these same resources so check it out!Lex Fun 4 KidsMacaroni Kid - Lexington, KYLexington Public Library Events CalendarLexARTSthestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailIf you've ever wondered whether your fatigue, joint pain, or brain fog could be more than "just stress," this episode is for you.  We sit down with rheumatologist Dr. Olga Pinkston to demystify inflammatory arthritis and fibromyalgia- how they show up, how they’re diagnosed, and why lifestyle choices matter.   Learn how food, movement, rest, and stress management aren’t just supportive—they’re essential in managing autoimmune conditions. Whether you’ve been recently diagnosed or are seeking answers to persistent joint pain, this episode provides a clear, compassionate path to better understanding and managing chronic inflammation.  Find Dr. Olga PinkstonWhole Health RheumatologyMind Your Fibro PodcastResources recommended by Dr. Pinkston:Insight Timer App- free resource for meditation, yoga nidra, mindfulnessAmerican College of Rheumatology patient resourcesArthritis Foundation Healthy LivingDr. Andrew Weil's Anti-inflammatory DietAcademy of Nutrition and Dieteticsthestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailIn this episode, we’re joined by Dr. Selena Raines, a board-certified family physician and Doctor of Osteopathic Medicine, for a refreshing look at how healthcare can work differently for patients. We explore Direct Primary Care (DPC): what it is, how it’s changing the patient-doctor relationship, and why more doctors are moving away from traditional insurance-based models. Dr. Raines also explains the difference in training between DOs (Doctors of Osteopathic Medicine) and MDs, helping listeners understand what makes osteopathic medicine unique. We dive into osteopathic manipulation—a hands-on treatment approach used for conditions like back pain, headaches, and even chronic medical issues—and how it differs from chiropractic care. Tune in to gain a better understanding of your options—and how to take charge of your healthcare Find Dr. Raines at:Body Mind Spirit DPCcatch her on facebook or Instagramthestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan Mail In this wide-ranging conversation with pain specialist Dr. Shawn Milburn, we break down what really causes back pain and how to treat it effectively. From physical therapy and lifestyle changes to medications and surgical options, we walk through a full toolbox of strategies. We also confront one of the most debated issues in pain management: opioids for chronic back pain—when they're helpful, when they’re harmful, and what patients need to know. Finally, we dig into injection therapies—what kinds of pain they work for, how they’re used, and why they aren’t a cure-all. Find Dr. Shawn Milburn at Commonwealth Pain & SpineFind him on Facebookthestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailIn this episode, we sit down with orthopedic surgeon Dr. Kevin Denehy to  break down everything you need to know about knee osteoarthritis.   We explore why osteoarthritis happens, how to help prevent and slow the damage, and lifestyle modifications that can make a real difference.   We also cover pain management options, from supplements and medications to various types of injections, and take a deep dive into knee replacement surgery—what to expect, how to prepare, and how to achieve the best possible recovery.  Whether you're managing knee pain or seeking to protect your joint health, this episode is packed with expert advice to keep you moving.You can find Dr. Kevin Denehy at Bluegrass OrthopaedicsSchedule an appointment: https://www.bluegrassortho.com/request-an-appointmentLearn More about Dr. Denehy & his team: https://www.bluegrassortho.com/team-members/kevin-m-denehy-m-d Twitter Facebook Helpful links:Knees Over Toes on [email protected] us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailIn this powerful episode, Dr. Sarah Schuetz shares her personal experience of losing her home in a devastating fire—and the lessons she learned the hard way about home insurance, emotional resilience, and the importance of community.We’re joined by Hays Featherston, Sarah’s home insurance agent, who helps break down the details of what is and isn’t covered in most policies, what to look for when choosing insurance, and how to better protect your assets before disaster strikes.  We also talk about what it’s like to need support from others and how you can be there for someone going through a crisis. Don’t wait for a crisis to realize what you didn’t know—tune in and take away tips that could make all the difference.If you would like to contact Hays Featherston for your insurance needs please see the links below:Follow AssuredPartners on social media for more insurance insights and tips, or sign up for their newsletter!InstagramFacebookLinkedInNewsletterSchedule time with Hays.  Hays is available over the phone and/or in person. Let him know your availability and meeting preference and he will reach out to coordinate.  Call: (859) 338-4985Email: [email protected] current insurance policies.  Upload your current insurance documents quickly and securely through a platform called Canopy Connect. Hays will send back additional questions to ensure everything is up to date and accurate.Upload documents hereShop for solutions.  Explore and inquire about the coverage you’re interested in, and Hays will shop the best solutions available for your needs. He will review these with you, provide recommendations and answer any questions you may have.Start shopping solutions herethestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailHouse fires are more common than you think—and few people are truly prepared.  In this powerful episode, we step away from our usual health topics to share a deeply personal story. Sarah recounts the night her home went up in flames—and how she and her family escaped. Joined by guest Lexington Fire Chief Jason Wells, we unpack essential fire safety knowledge every household should have: how to prevent common house fires, why fire extinguishers are a must, the importance of smoke detectors, and how to create a fire escape plan. This is an episode you truly can’t afford to miss. US Fire Administration- Prevent Home FiresNational Fire Protection Association- https://www.nfpa.org/education-and-research/home-fire-safetyVideo showing the dramatic difference in fire with a closed door:   Close before you doze Lexington Fire webpage for scheduling smoke alarm installations or home safety inspections- https://www.lexingtonky.gov/government/departments-programs/public-safety/fire-emergency-servicesLexington Fraternal Order of Firefighters link to donate to the purchase of smoke detectors and other great projectsABC Fire ExtinguishersTing - electrical fire safety productthestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailOsteoporosis is more common than you might think—and often preventable. In this episode, we’re joined by Dr. Nick Trubee, an expert in exercise physiology, who specializes in using resistance training to improve bone strength. We explore the key lifestyle factors that affect bone health, including nutrition (think calcium, vitamin D, and protein), common risk factors, and why early screening matters. Dr. Trubee also shares how resistance training can be a powerful tool to not only prevent bone loss, but to build stronger bones at any age.  Find Nick at Trubee [email protected] Health and Osteoporosis Foundationthestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailYour menstrual cycle is more than just a period—it’s a vital sign of your overall health. In this episode, we sit down with APRN Alexis McAnally, a FEMM-certified specialist, to dive into the science of cycle tracking. Alexis explains how biomarkers can give you insight into your hormones, what’s normal (and what’s not), and how fluctuations affect everything from mood and sleep to digestion and skin. This episode will help you understand your cycle and how everything is interconnected. We want you to feel knowledgeable about your reproductive health, know how to identify a problem and when to see your doctor.   Alexis makes tracking simple and approachable, so you can take control of your health with confidence. Find Alexis McAnally, APRN at Cultivate Flourishing@cultivateflourishingFEMM free appthestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailTired of crossing your legs when you sneeze? Struggling with constipation, back pain, or discomfort during intercourse or exercise?  Your pelvic floor could be the problem—and the solution.  In this episode, we sit down with pelvic floor physical therapist Kelsey Karnes to break down what happens when the pelvic floor is too weak or too tight, how these issues affect daily life, and most importantly—what you can do about it. Pelvic floor therapy is not just for postpartum moms; it’s for anyone who wants to move, exercise, and live without discomfort.  Tune in to learn how to strengthen and support this crucial part of your body! Find a Pelvic Rehab Practitioner Near YouFind Kelsey Karnes, DPT at Move Smart@movesmartkyMove Smart Pelvic Health blog     blog post on benefits of strength training for the pelvic floor     blog post on constipation and the pelvic floor     blog post on mentally connecting with the pelvic floorCheck to see if you have Pelvic Floor Dysfunction- Cozean Screening toolSquatty PottyUpcoming workshops at Move Smart.  Follow on Social media for more details:-April 21st Perimenopause workshop -May 7th Pre and Post natal workshop thestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.

Send us Fan MailThis week, we’re joined by OBGYN Dr. Elizabeth Elkinson for an in-depth discussion on polycystic ovary syndrome (PCOS). We break down why PCOS occurs, the wide range of symptoms women may experience, and the long-term health effects of this condition. We also explore its strong connection to metabolic health and dive into lifestyle strategies that can make a difference. Plus, we touch on medical treatment options and how to effectively communicate with your doctor about your symptoms and treatment goals. If you or someone you know is navigating PCOS, this episode is packed with valuable insights. Find Elizabeth Elkinson, MD at Bluegrass GYNAmerican College of Obstetrics and Gynecology (ACOG) resources for PCOSthestartinggatepodcast.comEmail us with questions and topics you want us to cover at [email protected] us on social media @thestartinggatepodcastThe content in this podcast is for general reference and educational purposes only.  It is not meant to be complete or exhaustive, or to be applicable to anyspecific individual’s medical condition.   No information provided in this podcast constitutes medical advice and is not an attempt to practice medicine or to provide specific medical advice, diagnosis or treatment.  This podcast does not create a physician- patient relationship and is not a substitute for professional medical advice, diagnosis or treatment.  Please do not rely on this podcast for emergency medical treatment.  Remember that everyone is different so make sure you consult your own healthcare professional before seeking any new treatment and before you alter, suspend, or initiate a new change in your routine.