The Thyroid (and Hormone) Fixer Podcast: Thyropause, Menopause, Metabolism and How to Fix It

What if the weight you're losing on a GLP-1, or from cutting calories, isn't just fat?
In this episode, I'm joined again by Angelo Keely, CEO of Kion, to unpack how to protect your organ of longevity, your muscle, especially in perimenopause, menopause, and beyond. We break down why GLP-1s and calorie restriction can both lead to muscle loss, how essential amino acids (EAAs) differ from the protein in your steak or chicken, and what the research shows about maintaining muscle even when you can't work out.
We also get into how much protein women really need, how aminos may take some of the pressure off hitting your daily protein goal, and why consistency matters more than you think. Angelo also explains what creatine can do for your muscles and your brain, why it won't make you bulky, and why both creatine and EAAs have such a strong safety record.
What you'll learn:
Why GLP-1s and calorie restriction can both put your muscle at risk
How essential amino acids differ from the protein in whole foods
What the NASA bed rest studies showed about maintaining muscle without exercise
How much protein to aim for, and how aminos may help you get there without feeling stuffed
Why losing muscle can set you up for yo-yo dieting and weight regain
Why taking aminos daily matters more than taking them a few days a week
How creatine may support strength, lean muscle, and focus after a bad night's sleep
What creatine won't do, according to Angelo, including making women bulky
Tune in to learn how to protect your muscle, your metabolism, and your longevity at every age.
Thyroid Fixer listeners get 20% off anything in the Kion store, including Kion Aminos and creatine, at https://getkion.com/thyroid
Resources:
Kion (20% off): https://getkion.com/thyroid
Grab your Thyroid Fixer here: https://betterlifedoctor.com/
New here? Use code LISTEN20 for 20% off your first order Returning customers can use code LISTEN10 for 10% off SHOP
DR. AMIE'S FIXXR® SUPPLEMENTS: betterlifedoctor.com
LET'S GET YOUR LIFE BACK...Connect with Dr. Amie Hornaman Book a free thyroid and hormone solution call: https://dramiehornaman.com/pages/book-a-call
CHECK OUT MY FREEBIES... JUST CLICK BELOW
Thyroid Optimization Guide: https://health.dramie.com/thyropause
7 Day Thyroid Healing Kickstarter: https://fixyourthyroid.com/7daykickstarter
Thyroid on Trial: https://health.dramie.com/thyroid-on-trial-optin
RATE, REVIEW AND FOLLOW ON APPLE PODCASTS Show your love for Dr. Amie and The Thyroid Fixer Podcast! If you're enjoying our journey together, I'd be thrilled if you could take a moment to rate and review the show on Apple Podcasts. Your support helps me reach and help more people just like you, guiding them towards their optimal selves! Just click HERE (https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263), scroll all the way down, give us those 5 stars, and share what you enjoy about my episodes in a review.
Haven't subscribed yet? Make sure to follow The Thyroid Fixer Podcast to catch all the new episodes that come out every week. Follow HERE (https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263) and never miss out on a moment of the journey!
CONNECT WITH ME ON SOCIAL MEDIA: Join my exclusive Facebook Group and get questions answered LIVE weekly, Just Fix Your Thyroid, for a Community of HOPE and SUPPORT in your thyroid journey. https://www.facebook.com/groups/dramie/
Like me on Facebook: Amie Hornaman Nutrition and Functional Medicine (https://www.facebook.com/amiehornamannutrition/)
Subscribe on YouTube: Dr. Amie Hornaman (https://www.youtube.com/c/dramiehornaman)
Follow me on Instagram: @dramiehornaman (https://www.instagram.com/dramiehornaman/)
Disclaimer: Information provided on The Thyroid Fixer® podcast is for informational purposes only. This information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional, or any information contained on or in any product. Do not use the information provided in this podcast for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before taking any medication or nutritional, herbal or other supplement, or using any treatment for a health problem.

What if vaginal dryness, painful sex, a disappearing libido, and urinary changes aren't just "part of getting older"? In this episode, I'm joined by my dear friend Dr. Anna Cabeca, The Girlfriend Doctor, a triple board-certified OB/GYN and best-selling author of The Hormone Fix, to unpack the symptoms so many women quietly live with through perimenopause and menopause. Dr. Anna explains the vaginal microbiome (yes, your vagina has its own balance of good and bad bacteria), how it connects to your bladder health, and why doing nothing about these symptoms isn't the safe, neutral choice it seems.
We also get into the difference between local, topical hormone support and systemic hormone therapy, and why you may still have vaginal symptoms even if you're already on BHRT. Dr. Anna shares how topical DHEA may support vaginal and urethral tissue, why she's cautious about high-dose hormone pellets, and the everyday products and habits that can disrupt your vaginal health without you realizing it.
What you'll learn:
Why vaginal dryness, painful sex, and incontinence aren't symptoms you just have to accept
What the vaginal microbiome is and why it needs different bacteria than your gut
How your bladder's microbiome, the urobiome, may play a role in urgency and leaking
Why an off-the-shelf probiotic isn't the same as a vaginal and bladder-targeted one
What everyday products and habits can quietly disrupt your vaginal health
How topical DHEA may support vaginal, vulvar, and urethral tissue without raising blood levels
Why you may still need local support even if you're already on BHRT
What Dr. Anna sees with high-dose hormone pellets, and why she's cautious about them
Tune in to learn how to support your vaginal and bladder health so comfort and intimacy don't have to become a thing of the past.
And check out my previous interview with Dr. Anna where we discussed libido, testing, and hormones: https://dramie.com/podcasts/399-libido-testing-hormones/
Listeners of The Thyroid (and Hormone) Fixer Podcast can get 20% off Dr. Anna's products with code DRAMIE at checkout. Look for the Viva V collection under Bundles at https://drannacabeca.com
Connect with Dr. Anna:
Website: https://drannacabeca.com
Podcast: https://drannacabeca.com/blogs/podcast
Instagram: https://www.instagram.com/thegirlfrienddoctor
YouTube: https://www.youtube.com/thegirlfrienddoctor
SHOP DR. AMIE’S FIXXR SUPPLEMENTS: betterlifedoctor.com
Grab your Thyroid Fixer here: https://betterlifedoctor.com/(opens in new tab) (https://betterlifedoctor.com/) New here? Use code LISTEN20 for 20% off your first order
LET’S GET YOUR LIFE BACK…Connect with Dr. Amie Hornaman Book a free thyroid and hormone solution call: https://dramiehornaman.com/pages/book-a-call(opens in new tab)
CHECK OUT MY FREEBIES… JUST CLICK BELOW
Thyroid Optimization Guide: https://health.dramie.com/thyropause(opens in new tab)
7 Day Thyroid Healing Kickstarter: https://fixyourthyroid.com/7daykickstarter(opens in new tab)
RATE, REVIEW AND FOLLOW ON APPLE PODCASTS Enjoying the show? Leave a 5-star rating and review, and hit follow so you never miss an episode: https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263
CONNECT WITH ME ON SOCIAL MEDIA: Join my exclusive Facebook Group and get questions answered LIVE weekly, Just Fix Your Thyroid, for a Community of HOPE and SUPPORT in your thyroid journey. https://www.facebook.com/groups/dramie/
Like me on Facebook: Amie Hornaman Nutrition and Functional Medicine https://www.facebook.com/amiehornamannutrition/
Subscribe on YouTube: Dr. Amie Hornaman https://www.youtube.com/c/dramiehornaman
Follow me on Instagram: @dramiehornaman https://www.instagram.com/dramiehornaman/
Disclaimer: Information provided on The Thyroid Fixer podcast is for informational purposes only. This information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional, or any information contained on or in any product. Do not use the information provided in this podcast for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before taking any medication or nutritional, herbal or other supplement, or using any treatment for a health problem.

What if the reason you keep ending up in the kitchen at night, eating when you're not even hungry, has nothing to do with willpower?
In this episode, I'm joined by Amber Romaniuk, who works with women on emotional eating, binge eating, digestion, and hormones, to unpack why food becomes the way so many of us cope with stress, quiet our thoughts, and take care of everyone but ourselves. Amber shares her own journey through binge eating, food addiction, and bulimia, and I open up about the disordered eating I went through during my bodybuilding years.
We also get into the differences between emotional eating, binge eating, bulimia, and food addiction, how cortisol, poor sleep, low progesterone, and thyroid issues can turn up the volume on cravings, and why the shame spiral after a binge can keep the whole cycle going. Amber shares what to do after a binge instead of restricting or over-exercising, what real progress looks like beyond the scale, and her honest take on fasting and GLP-1s when you're healing your relationship with food.
What you'll learn:
Why emotional eating is rarely about willpower, and what may be driving it instead
How repeating the same eating patterns can wire a habit pathway in your brain
What separates emotional eating, binge eating, bulimia, and food addiction
How high cortisol, poor sleep, and low progesterone can amplify cravings
Why skipping meals with low thyroid function can set you up for nighttime overeating
What to do after a binge instead of restricting, fasting, or over-exercising
What progress looks like beyond the number on the scale
Why Amber believes fasting and GLP-1s aren't the answer for healing your relationship with food
Tune in to learn how to break the emotional eating cycle and build a relationship with food that isn't driven by shame.
Resources from Amber:
Take the Emotional Eating Quiz: https://amberapproved.ca
Listen to The No Sugarcoating Podcast: https://apple.co/2pnDaZw
Follow Amber on Instagram: @amberromaniuk (https://www.instagram.com/amberromaniuk/)
Grab your Thyroid Fixer here: https://betterlifedoctor.com/
New here? Use code LISTEN20 for 20% off your first order
Returning customers can use code LISTEN10 for 10% off
SHOP DR. AMIE'S FIXXR® SUPPLEMENTS: betterlifedoctor.com
LET'S GET YOUR LIFE BACK...Connect with Dr. Amie Hornaman
Book a free thyroid and hormone solution call: https://dramiehornaman.com/pages/book-a-call
CHECK OUT MY FREEBIES... JUST CLICK BELOW
Thyroid Optimization Guide: https://health.dramie.com/thyropause
7 Day Thyroid Healing Kickstarter: https://fixyourthyroid.com/7daykickstarter
Thyroid on Trial: https://health.dramie.com/thyroid-on-trial-optin
RATE, REVIEW AND FOLLOW ON APPLE PODCASTS
Show your love for Dr. Amie and The Thyroid Fixer Podcast! If you're enjoying our journey together, I'd be thrilled if you could take a moment to rate and review the show on Apple Podcasts. Your support helps me reach and help more people just like you, guiding them towards their optimal selves! Just click HERE (https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263), scroll all the way down, give us those 5 stars, and share what you enjoy about my episodes in a review.
Haven't subscribed yet? Make sure to follow The Thyroid Fixer Podcast to catch all the new episodes that come out every week. Follow HERE (https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263) and never miss out on a moment of the journey!
CONNECT WITH ME ON SOCIAL MEDIA:
Join my exclusive Facebook Group and get questions answered LIVE weekly, Just Fix Your Thyroid, for a Community of HOPE and SUPPORT in your thyroid journey. https://www.facebook.com/groups/dramie/
Like me on Facebook: Amie Hornaman Nutrition and Functional Medicine (https://www.facebook.com/amiehornamannutrition/)
Subscribe on YouTube: Dr. Amie Hornaman (https://www.youtube.com/c/dramiehornaman)
Follow me on Instagram: @dramiehornaman (https://www.instagram.com/dramiehornaman/)
Disclaimer: Information provided on The Thyroid (And Hormone) Fixer® podcast is for informational purposes only. This information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional, or any information contained on or in any product. Do not use the information provided in this podcast for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before taking any medication or nutritional, herbal or other supplement, or using any treatment for a health problem.

What if the reason you still feel exhausted, foggy, and stuck isn't your thyroid or your hormones on their own, but the fact that no one is treating them together? In this episode, I'm breaking down why your thyroid and your sex hormones (estrogen, progesterone, and testosterone) play in the same sandbox, and why splitting them between two providers who never talk to each other can leave you coordinating your own care. Consider this my public service announcement on hormones-in-a-box clinics, algorithm-based dosing, and what improperly managed hormones can mean for your health and longevity.
We also get into why you can't supplement your way to optimal sex hormone levels, why "within normal limits" isn't the same as optimal, and how oral estrogen can raise binding proteins like SHBG (sex hormone binding globulin) and TBG (thyroid binding globulin), which may leave you feeling worse. I also share the exact questions to ask before you start hormone therapy, the red flags to watch for, and the training I look for in a hormone provider.
What you'll learn:
Why your thyroid and sex hormones need to be treated together, not by two separate providers
Why supplements and over-the-counter creams can only take you so far in perimenopause and menopause
What "within normal limits" misses, and why a total testosterone of 40 may still be below optimal for women
How oral estrogen can raise SHBG and TBG and affect your thyroid and testosterone
Why estrone matters and why it's worth testing alongside estradiol
Which questions to ask a provider before you hand over your money
What red flags to watch for in hormones-in-a-box and pop-up hormone clinics
Why you may still benefit from progesterone even if you don't have a uterus
Tune in to learn how to find a provider who knows which lever to pull when your body doesn't follow the textbook.
Grab your Thyroid Fixer here: https://betterlifedoctor.com/ New here? Use code LISTEN20 for 20% off your first order
Returning customers can use code LISTEN10 for 10% off
SHOP DR. AMIE'S FIXXR® SUPPLEMENTS: betterlifedoctor.com
LET'S GET YOUR LIFE BACK...Connect with Dr. Amie Hornaman Book a free thyroid and hormone solution call: https://dramiehornaman.com/pages/book-a-call
CHECK OUT MY FREEBIES... JUST CLICK BELOW
Thyroid Optimization Guide: https://health.dramie.com/thyropause
7 Day Thyroid Healing Kickstarter: https://fixyourthyroid.com/7daykickstarter
Thyroid on Trial: https://health.dramie.com/thyroid-on-trial-optin
RATE, REVIEW AND FOLLOW ON APPLE PODCASTS Show your love for Dr. Amie and The Thyroid Fixer Podcast! If you're enjoying our journey together, I'd be thrilled if you could take a moment to rate and review the show on Apple Podcasts. Your support helps me reach and help more people just like you, guiding them towards their optimal selves! Just click HERE (https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263), scroll all the way down, give us those 5 stars, and share what you enjoy about my episodes in a review.
Haven't subscribed yet? Make sure to follow The Thyroid Fixer Podcast to catch all the new episodes that come out every week. Follow HERE (https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263) and never miss out on a moment of the journey!
CONNECT WITH ME ON SOCIAL MEDIA: Join my exclusive Facebook Group and get questions answered LIVE weekly, Just Fix Your Thyroid, for a Community of HOPE and SUPPORT in your thyroid journey. https://www.facebook.com/groups/dramie/
Like me on Facebook: Amie Hornaman Nutrition and Functional Medicine (https://www.facebook.com/amiehornamannutrition/)
Subscribe on YouTube: Dr. Amie Hornaman (https://www.youtube.com/c/dramiehornaman)
Follow me on Instagram: @dramiehornaman (https://www.instagram.com/dramiehornaman/)
Disclaimer: Information provided on The Thyroid Fixer® podcast is for informational purposes only. This information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional, or any information contained on or in any product. Do not use the information provided in this podcast for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before taking any medication or nutritional, herbal or other supplement, or using any treatment for a health problem.

What if one of the most useful health trackers you could own wasn't on your wrist, but on your toilet? In this episode, I'm joined by Scott Hickle, engineer and founder of Throne, a camera that clips onto your toilet and tracks your gut health, hydration, and bathroom habits every time you go. We get into what your poop and pee can reveal about your health and what the Bristol Stool Scale (a 1-to-7 chart of stool form) actually tells you. We also cover why your memory of your own bathroom habits is far worse than you think.
We also talk about how Throne's AI helps you connect gut changes to stress, travel, food, supplements, or new medications like GLP-1s. Scott walks through what can throw off the readings, from blue toilet cleaner to vitamin B and methylene blue. He explains why embarrassment can keep people from getting checked for things like colon cancer. He also shares a surprising link between under-hydration, vasopressin (the hormone that helps your body hold onto water), and your blood sugar response, which I connect back to thyroid function and weight.
What you'll learn:
What your stool form, color, and frequency can reveal about your gut health
How Throne tracks hydration, bathroom habits, and urinary flow automatically
Why your memory of your own bathroom habits is so unreliable
How to run your own experiments with diet, supplements, probiotics, and GLP-1s
What can throw off hydration readings, from vitamin B to methylene blue
Why Scott believes embarrassment is a real risk factor for delayed diagnosis - How under-hydration may affect your blood sugar, thyroid, and weight
What Scott says to look for in the toilet tomorrow, with or without a device If you've ever ignored what's happening in the toilet, this episode will show you why it's worth paying attention.
Tune in to learn what your poop and pee may be telling you about your health, and why it's worth paying attention to what's happening in the toilet.
———
Thyroid Fixer listeners can save on Throne at https://thronescience.com/discount/DRAMIE or use code DRAMIE at checkout.
Grab your Thyroid Fixer here: https://betterlifedoctor.com/ New here? Use code LISTEN20 for 20% off your first order
Returning customers can use code LISTEN10 for 10% off SHOP DR. AMIE'S FIXXR®
SUPPLEMENTS: betterlifedoctor.com
LET'S GET YOUR LIFE BACK...Connect with Dr. Amie Hornaman Book a free thyroid and hormone solution call: https://dramiehornaman.com/pages/book-a-call
CHECK OUT MY FREEBIES... JUST CLICK BELOW
Thyroid Optimization Guide: https://health.dramie.com/thyropause
7 Day Thyroid Healing Kickstarter: https://fixyourthyroid.com/7daykickstarter
Thyroid on Trial: https://health.dramie.com/thyroid-on-trial-optin
RATE, REVIEW AND FOLLOW ON APPLE PODCASTS
Show your love for Dr. Amie and The Thyroid Fixer Podcast! If you're enjoying our journey together, I'd be thrilled if you could take a moment to rate and review the show on Apple Podcasts. Your support helps me reach and help more people just like you, guiding them towards their optimal selves!
Just click HERE (https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263), scroll all the way down, give us those 5 stars, and share what you enjoy about my episodes in a review. Haven't subscribed yet? Make sure to follow The Thyroid Fixer Podcast to catch all the new episodes that come out every week.
Follow HERE (https://podcasts.apple.com/us/podcast/the-thyroid-fixer/id1529800263) and never miss out on a moment of the journey!
CONNECT WITH ME ON SOCIAL MEDIA:
Join my exclusive Facebook Group and get questions answered LIVE weekly, Just Fix Your Thyroid, for a Community of HOPE and SUPPORT in your thyroid journey. https://www.facebook.com/groups/dramie/
Like me on Facebook: Amie Hornaman Nutrition and Functional Medicine (https://www.facebook.com/amiehornamannutrition/)
Subscribe on YouTube: Dr. Amie Hornaman (https://www.youtube.com/c/dramiehornaman)
Follow me on Instagram: @dramiehornaman (https://www.instagram.com/dramiehornaman/)
Disclaimer: Information provided on The Thyroid Fixer® podcast is for informational purposes only. This information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional, or any information contained on or in any product. Do not use the information provided in this podcast for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before taking any medication or nutritional, herbal or other supplement, or using any treatment for a health problem.