The Dr. Hyman Show

You've cleaned up your diet. You're taking the supplements. You're exercising, sleeping more, and doing everything "right." So why do you still feel exhausted, inflamed, anxious, or stuck? In this encore episode—one of the most impactful Office Hours conversations we've shared—I explore a question that could change the way you think about healing: What if your nervous system is the missing piece? When your body doesn't feel safe, it prioritizes survival over repair, affecting everything from your metabolism and hormones to your gut, immune system, and brain.

In today's episode, I break down:

Why chronic stress changes your biology—and how nervous system dysregulation can drive inflammation, hormone imbalance, digestive issues, weight gain, and autoimmune disease

The difference between living in constant "fight-or-flight" versus a regulated nervous system that supports healing, resilience, and recovery

Simple, science-backed strategies to regulate your nervous system, including breathwork, blood sugar balance, strength training, sleep, and daily safety cues

Why you can't out-supplement or out-biohack chronic stress—and how creating physiological safety unlocks your body's natural ability to heal

Healing isn't just about finding the right supplement or following the perfect diet. It's about creating an environment where your body feels safe enough to repair itself. When you begin working with your nervous system instead of against it, everything else—from your energy and metabolism to your mood and resilience—can start to change.

Check out my full conversation with Dr. Scott Sherr HERE.
Track your health with Function Health: https://functionhealth.com/mark (Use code MARK2026 for $50 off your membership.)

Have a question you’d love answered on Office Hours? Submit it here

Resources Mentioned:

Listen to my full conversation with Dr. Scott Sherr on nervous system regulation and mitochondrial health.

As part of our summer series, we're revisiting some of the most important conversations we've had on the topics that matter most to our health. And few are more important than heart disease.

Heart disease remains the number one cause of death worldwide. Yet despite decades of research, millions of prescriptions, and billions of dollars spent on treatment, many people are still confused about what actually causes it—and what we can do to prevent it.

For years, the conversation around heart disease has focused almost entirely on cholesterol. But what if that's only part of the story?

In this special compilation episode, you'll hear from Dr. Cindy Geyer of The UltraWellness Center, Dr. Eric Topol, and Dr. Aseem Malhotra as they explore a different perspective on heart disease—one that goes beyond cholesterol and looks at the deeper drivers of cardiovascular risk, including inflammation, insulin resistance, metabolic dysfunction, lifestyle, and early detection.

You'll hear why many experts now believe heart disease often begins decades before symptoms appear, why traditional testing can miss important warning signs, and how emerging science is giving us new tools to identify risk earlier than ever before.

Most importantly, you'll hear a message that is both practical and hopeful: that many of the factors driving heart disease are within our control, and that prevention remains one of the most powerful tools we have.

Let's dive in.

View Show Notes From This Episode

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(0:00) The persistence of heart disease and the low-fat diet hypothesis

(0:32) Preventing heart disease through diet, lifestyle, and simple behaviors

(2:19) Revisiting key conversations on heart disease

(3:44) Beyond cholesterol: deeper drivers and risk factors

(7:18) Typical workup, treatments, and advances in cholesterol testing

(17:48) Metabolic health, hormonal, and inflammatory factors in heart disease

(29:37) Advances in cardiovascular diagnostics and AI

(31:31) Impact of lifestyle and new pharmacological treatments

(36:55) Statins, side effects, and lipoprotein fractionation

(40:13) The role of AI, new diagnostics, and Dr. Topol's journey

(43:19) Rethinking treatment: diet, industry influence, and the low-fat craze

(45:28) Saturated fat, cholesterol, and revisiting the evidence

(48:00) Cholesterol in heart disease risk and systematic drug review

(52:31) Insulin resistance, cholesterol’s role, and mortality

(58:31) Challenges in changing medical dogma

(1:00:31) Closing remarks and call to action

High cholesterol has been treated as the main cause of heart disease for decades. But over the years, I've changed my mind. Today, I believe cholesterol is only part of the story, and that inflammation, insulin resistance, and metabolic health are often the real drivers of cardiovascular disease. In this encore episode, I'm revisiting one of my most talked-about Office Hours conversations to share how my thinking has evolved and why understanding the root cause of heart disease can completely change the way you approach prevention.

In today's episode, I discuss:

Why cholesterol alone is a poor predictor of heart disease—and the biomarkers I believe matter even more, including ApoB, lipoprotein(a), inflammation, and insulin resistance

The surprising role sugar, refined carbohydrates, and metabolic dysfunction play in driving cardiovascular disease

Why two people with the same cholesterol can have dramatically different heart disease risk—and how a personalized approach changes the conversation

The nutrition, lifestyle, and testing strategies I use to help reduce inflammation, improve metabolic health, and lower cardiovascular risk at its source

Heart disease isn't simply a cholesterol problem—it's often a metabolic and inflammatory problem. When you understand what's really driving your risk, you can stop chasing a single number and start addressing the underlying biology that supports lifelong cardiovascular health.

Track your metabolic and cardiovascular health biomarkers: functionhealth.com/mark for 160+ lab tests at just $365/year. Use code MARK2026 for $50 off.

Have a question you'd love answered on Office Hours? Submit it here'

(0:00) The cholesterol and heart disease paradox; introduction and overview of cholesterol, inflammation, and metabolic health

(1:11) Sponsor: Function Health

(1:41) Traditional views vs. new science on cholesterol, inflammation, and heart disease

(4:52) Inflammation and sugar as key factors in heart disease

(8:41) Advanced markers: ApoB, lipoprotein fractionation, and comprehensive testing

(13:57) Causes of inflammation and holistic heart disease prevention

(19:35) Metabolic health risks, new technologies, and personalized interventions

(22:35) Diet, exercise, lifestyle, and supplements for heart and metabolic health

(25:03) Understanding heart disease beyond cholesterol

(25:37) Sponsor: Brain Shaping Academy

(26:33) Community engagement, sharing, and final thoughts

(28:07) Sponsor acknowledgments and closing remarks

Most health issues don't appear overnight. Long before a diagnosis is made, the body often provides subtle clues that something needs closer attention.

On this episode of The Dr. Hyman Show, I talk with double board-certified fertility physician Dr. Natalie Crawford about her new book, The Fertility Formula, and why fertility and hormone health can reveal far more about your health than many people realize.

We discuss:


Why the menstrual cycle may be one of the clearest indicators of overall health


How sleep, stress, and insulin resistance may be affecting your hormones


The overlooked symptoms that may signal deeper dysfunction


What many women get wrong about PCOS and hormone health


Practical strategies to support fertility, reduce inflammation, and improve long-term health

Health challenges don't begin when symptoms become impossible to ignore. They often start years earlier. Being able to recognize those signals is one of the most effective ways to take a proactive approach to your health.

Looking for a place to start? My 10-Day Detox is designed to help reduce inflammation, reset your metabolism, and build a stronger foundation for long-term health.

View Show Notes From This Episode

Sign up for Dr. Hyman’s Brainshaping Academy to learn how to nourish the biological systems that support your mental, emotional, and cognitive health - https://drhyman.com/products/brainshaping?utm_source=dr_hyman_show&utm_medium=newsletter&utm_campaign=may_27&utm_content=link

Get Free Weekly Health Tips from Dr. Hyman

https://drhyman.com/pages/picks?utm_campaign=shownotes&utm_medium=banner&utm_source=podcast

Sign Up for Dr. Hyman’s Weekly Longevity Journal

https://drhyman.com/pages/longevity?utm_campaign=shownotes&utm_medium=banner&utm_source=podcast

Join the 10-Day Detox to Reset Your Health

https://drhyman.com/pages/10-day-detox

Join the Hyman Hive for Expert Support and Real Results https://drhyman.com/pages/hyman-hive

This episode is brought to you by BIOptimizers, Paleovalley, Perfect Amino, Rho, Sunlighten, and Pique.

Head to bioptimizers.com/hyman and use promo code HYMAN at checkout to save 15%.

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(0:00) Infertility and fertility as indicators of overall health

(3:10) Welcome Natalie Crawford and reframing fertility as health optimization

(5:21) Access to fertility data, proactive health, and reproductive well-being

(7:25) Menstrual cycle, hormonal communication, and ovulatory dysfunction

(14:39) Inflammation's role in reproductive health

(19:11) Reproductive health relevance beyond fertility and early warning signs

(21:13) Medical training, coping mechanisms, and personal journey with celiac disease

(23:48) Self-advocacy and higher infertility rates among female physicians

(25:03) Personal experience with recurrent pregnancy loss

(27:09) Inflammation, genetics, family history, and patient-centric care

(35:38) Reducing inflammation, mitochondrial health, and top health recommendations

(38:28) Sleep, stress, and their effects on fertility

(47:25) Insulin resistance, diet optimization, and fertility

(55:37) Environmental toxins, plastics, and hormone health

(1:00:09) Unscented vs. fragrance-free products and toxin reduction

(1:01:18) Fertility, aging, ovarian health, and AMH testing

(1:07:38) Male fertility, sperm health, and testosterone

(1:09:10) Resources for reproductive health and personalized care

(1:10:16) Outro and sponsor acknowledgment

Bloating, brain fog, fatigue, skin issues, food sensitivities, autoimmune symptoms—most people treat these as separate problems. But often, they can all trace back to the same place: the gut. And the surprising part is that you don't need digestive symptoms to have gut dysfunction. Because your gut isn't just responsible for digestion—it's deeply connected to your immune system, hormones, metabolism, brain health, and inflammation throughout the body.

In today's episode, I dive into:

Why gut dysfunction can show up as fatigue, brain fog, skin issues, hormone imbalances, anxiety, and autoimmune symptoms—not just digestive problems

The biggest modern-day gut disruptors

The Functional Medicine 5R Framework for healing the gut

The simple daily habits that help build a healthier microbiome, reduce inflammation, strengthen digestion, and support long-term resilience

Healing your gut isn't about perfection, restrictive diets, or endless supplements. It's about creating the conditions your body needs to repair itself. When you support your gut, you're often supporting your immune system, your brain, your hormones, your energy, and your overall health at the same time.

Resources Mentioned:

Learn more about the 10-Day Detox: https://bit.ly/3PIUoxf

Track your metabolic and cardiovascular health biomarkers: functionhealth.com/mark for 160+ lab tests at just $365/year. Use code MARK2026 for $50 off.

Have a question you'd love answered on Office Hours? Submit it here

(0:11) Introduction and overview of gut health

(2:10) Understanding, healing, and factors disrupting gut health

(7:45) Modern lifestyle's impact and the five r's of gut healing

(17:06) Dietary diversity, mindful eating, sleep, and stress reduction

(20:53) Supplements and Q&A on probiotics, diet, and leaky gut

(23:06) Empowering listeners through functional medicine and community engagement

(24:23) Dr. Hyman's platforms, disclaimer, and gratitude to sponsors