W.O.W. MD - Your Wellness Optimizing Warrior
Our healthcare system is run and dominated by Big Pharma and for-profit health insurance companies. No one is fighting for you! Getting great medical advice is expensive, and not enough professionals spend time educating their clients. Entering the healthcare system for anything can be a struggle. I want to fight for you and be your wellness warrior. Join me in creating a community that educates, empowers, and nourishes optimal wellness. Our healthcare system needs a revolution. We need change; we need better and easier access to a healthcare system that promotes wellness and is not fixated on disease and merely alleviating symptoms. Let’s take back our health and own it!
info_outline
124 - Managing Your Health Expenses: Beyond the Monthly Insurance Premiums
01/30/2026
124 - Managing Your Health Expenses: Beyond the Monthly Insurance Premiums
Today we’re continuing our conversation about health insurance, health expenses, and what to consider when you’re budgeting for your health. We often forget that health insurance is a business. And just like any other business, there’s a lot to know, and it takes a few extra intentional steps to truly understand it. Last episode, we discussed how your health insurance plan is not designed to maintain your health, but rather to treat diagnosed conditions and illnesses. Many people find it difficult to save for their health expenses while also paying for their insurance. So what can normal people who want to stay healthy and keep their insurance do? More than likely, your doctors (and their support staff) are far removed from what is happening with your specific insurance plan. Between their busy schedules and managing their own work environment, they’re not able to keep up with individual patient health insurance plans. The onus is on you to be prepared for your bill after each visit. In an ideal world, insurance plans would be a lot clearer and easier to understand. The financial burden on the patients is real, but so is the financial burden on the clinic. By the time your bills are generated for your medical services, weeks may have gone by. Delayed bills confuse patients and cripple doctors, but this is just how the process goes. Spend the time it takes to become educated on your health insurance plan. You will save yourself a lot of stress at the doctors office if you know what to expect. It’s not fun to talk about it, but it is very important. Don’t renew your plan without doing your due diligence, and be sure to check if your coverage will be the same as it was in previous years. Connect with Dr. Cernaianu
/episode/index/show/cf202bc8-19cc-4414-8f55-935eac8eee71/id/39927025
info_outline
123 - The Real Cost of Staying Healthy (Beyond Having an Insurance Plan)
01/23/2026
123 - The Real Cost of Staying Healthy (Beyond Having an Insurance Plan)
In this episode we’re diving deeper into health expenses to help you gain insight into where your money is best allocated. In the last episode, we explored how your health insurance is designed to treat illness, not to keep you healthy. Often, saving for your health treatments is the best option if you want to stay healthy. Unfortunately, that’s not an option for everybody, especially those who are already paying for expensive health plans. Be aware that most physicians, especially those working for corporations, are removed from the process of healthcare expenses. Their schedule is full and they don’t have time to deeply guide you through your healthcare expenses and options. Educating yourself is so important, especially as you get older. You have to know the basics of your insurance plan and be prepared as to what your bills will look like when you go visit your doctor. The four main numbers you need to know are: copay, coinsurance, deductible, and maximum out-of-pocket cost. Your copay is what you have to pay every time you see your doctor, no matter what the visit is for. Your coinsurance is a percentage of the medical cost for the services you receive, and percentages vary greatly. The deductible is the amount you must pay before your health insurance plan covers any expenses. Lastly, your maximum out-of-pocket cost is the ceiling you have to meet before your insurance will pay 100% your in-network healthcare expenses. Privately-owned, independent practices accepting health insurance are becoming less and less common. This is because their reimbursement is delayed, low, and there is poor coverage. Plus, there is also a rising cost of building a workforce, medical supplies, and more. If you can begin by educating yourself on your health insurance plan, you will make your life and your doctor’s life much easier. Connect with Dr. Cernaianu
/episode/index/show/cf202bc8-19cc-4414-8f55-935eac8eee71/id/39838140
info_outline
122 - 2026 Health Outlook: The Intersection of Insurance and Self-Care
01/16/2026
122 - 2026 Health Outlook: The Intersection of Insurance and Self-Care
Let’s talk about your health goals for this year and beyond. The truth is that basic self-care practices don’t always restore us to the level we desire. That’s where seeking additional support comes in, but in order to use that, we first have to understand insurance plans. The first basic question you can ask yourself is this: What kind of expense can actually bring the greatest value to your health? This can help you uncover where your money is best spent. Dedicating more time, effort, and money to your self-care now is the key to avoiding many of the health issues that some people accept come with aging. Having an insurance plan is vital if you have a serious health condition. Not after it happens, but at the point of diagnosis. The purpose of health insurance is to support treatment of disease, not to help you maintain your health. In fact, coverage often discourages care unless it’s part of an approved treatment plan for a diagnosed disease. Don’t invest in a health insurance plan if your goal is to maintain your health. The majority of people who purchase health insurance with the intention of safeguarding their health end up experiencing a rude awakening at their doctors office. It’s not the best place to put your money, especially considering the other expenses many people face today outside of their health. You may not know this, but your health insurance plan may be charging you triple (if not quadruple) what services used to cost, and here’s the catch: Doctors are being paid less by insurance companies than ever before. When you find out where your money is really going, you may want to take another look at your health insurance plan and what it’s really offering. Connect with Dr. Cernaianu
/episode/index/show/cf202bc8-19cc-4414-8f55-935eac8eee71/id/39760260
info_outline
121 - Why Self-Care is the Key to Achieving Your Health Goals in 2026
01/09/2026
121 - Why Self-Care is the Key to Achieving Your Health Goals in 2026
How you can achieve your health goals in 2026 and in all the years to come? Life can (and does) get busy, and time can move by quickly. Self-care doesn’t always feel easy, but prioritizing self-care is so important if you want to achieve a truly optimal state of health Many people struggle to intentionally dedicate time to their selfcare. Why? It’s often due to putting other people's health and wellness before our own, and this is especially true for women. For me, rest is going to be at the top of my priority list this year. I have a lot of obligations, responsibilities, and goals, and if I want to do all those things well I need to maintain a feeling of restoration and balance. Our culture of achievement has its upsides. It pushes us to do more and pursue our goals, but if you want to be at your best to accomplish those things, you have to be at the top of your game. And being at the top of your game requires the best, most cared-of version of yourself. When you take care of yourself, you’re better able to deal with stress. You don’t have to fight through fatigue or brain fog while working towards your goals. Self-care looks different for everybody, but for me it includes doing activities I enjoy (like pickleball and reading) and getting lots of sleep. For you, self-care activities could include balanced hormones and hormone therapy. It may also mean eating well and getting outside. You can also include what you love to do, whether that’s yoga, a community activity, or somewhere else you feel your best. I hope you’ll go into each week this year remembering to put yourself first. Connect with Dr. Cernaianu
/episode/index/show/cf202bc8-19cc-4414-8f55-935eac8eee71/id/39659210
info_outline
120 - Estrogen’s Role in Urinary Health for Aging Women: An Eye-Opening Discussion, Part 2
12/26/2025
120 - Estrogen’s Role in Urinary Health for Aging Women: An Eye-Opening Discussion, Part 2
Today we are continuing our conversation on women’s urinary health and the issues that arise during and after menopause such as loss of elasticity, vaginal discomfort, and urinary incontinence. These changes are all related to the loss of estrogen over time. Other conditions can impact estrogen production too, for example PCOS, certain medications, and eating disorders. Understanding the core issue of estrogen loss, regardless of the woman’s age, is extremely important. Estrogen therapy can make a significant difference for women struggling with urinary issues. Estrogen promotes healthy skin elasticity, which can support the bladder as it typically holds around 300-500ml of urine. Estrogen therapy doesn’t just increase estrogen in the body, but pellet therapy, for instance, can offer more stable levels of estrogen over time. More consistent levels of estrogen can help manage weight gain, which is another issue many women struggle with during and after menopause. It also promotes a healthier sleep, and quality of sleep heavily impacts a woman’s quality of life. It’s crucial that you don’t ignore these urinary issues once they begin to develop. A loss of elasticity is difficult to reverse the longer it goes on. The sooner you start hormone therapy, the more effective it will be in reducing the impact of menopause. Early intervention can keep some of the most difficult urinary challenges from becoming permanent struggles. As a woman, incontinence is something that’s likely to happen, especially if you don’t address it quickly. You deserve to age with dignity and a high quality of life and not with fear about tools like estrogen therapy which can actually support you later in life. Connect with Dr. Cernaianu
/episode/index/show/cf202bc8-19cc-4414-8f55-935eac8eee71/id/39473530
info_outline
119 - Estrogen’s Role in Urinary Health for Aging Women: An Eye-Opening Discussion, Part 1
12/19/2025
119 - Estrogen’s Role in Urinary Health for Aging Women: An Eye-Opening Discussion, Part 1
In today’s episode I’m talking about urinary health and the problems that can arise during and after menopause. These urinary problems can become an ongoing or worsening problem as time goes on. So what’s happening to the urinary tract as we age? The problems start in perimenopause, primarily beginning with an increase in urgency. Sometimes this change is subtle; an increase in getting up during the night to empty your bladder. It’s disturbing to your sleep, but it may not necessarily stand out at first. Increased urgency, frequency, and discomfort can also be a typical presentation of interstitial cystitis. These are also the same signs of a urinary tract infection (UTI). However, with a UTI, there tends to be more discomfort and pain at the end of voiding. Another urinary issue is urinary incontinence, such as urge incontinence, stress incontinence, or both. Involuntary leakage can vary depending on the woman experiencing it. These types of incidents can be extremely debilitating. Even though many women in their 8th decade of life experience incontinence, they tend not to bring it up with their doctor. As a result, they may not know the different treatments available, including lasers, PRP injections, hormone injections, and more. Most of the options for treatment are also affordable and can actually save you money on incontinence pads and diapers moving forward. Untreated urinary incontinence comes with health consequences like chronic UTIs, skin irritation, and an increase in falling and injuries. It can also lead to stress, anxiety, and depression. These issues naturally arise as estrogen declines, making it a normal part of the aging process for women. However, that doesn’t mean women shouldn’t explore the support that’s available for them, especially if it can increase their quality of life. Connect with Dr. Cernaianu
/episode/index/show/cf202bc8-19cc-4414-8f55-935eac8eee71/id/39453305
info_outline
118 - Painful Sex: The Story of Lichen Sclerosus, a Shockingly Under-Diagnosed Post-Menopause Skin Condition, Part 3
12/12/2025
118 - Painful Sex: The Story of Lichen Sclerosus, a Shockingly Under-Diagnosed Post-Menopause Skin Condition, Part 3
This week, let’s wrap up our series on lichen sclerosus by discussing more of the therapies available for treatment. If diagnosed and treated early, the condition can be greatly improved—especially if you’re using a hormone replacement therapy approach that’s been optimized. Aside from steroid medication, tacrolimus, estrogen therapy, and testosterone therapy (which were all options discussed in a previous episode), there are other treatment options like platelet-rich plasma, which can be injected to improve vaginal and sexual wellness. PRP is gaining in popularity because it’s considered to be minimally invasive. It’s done under topical anesthesia, and although the vaginal tissues may be sensitive after, there are very few side effects. PRP treatment can improve itching and burning, and may even support regeneration of healthier skin. However, it does need to be injected in the area that is impacted the most to be effective. The major downside to PRP therapy is cost. It is considered experimental, so no insurance plan will cover it. It’s also important to know that results may vary. While some patients experience great success, others see little effect. The success depends greatly on the overall regenerative capacity of the individual. Exosomes are a useful alternative to PRP and may even work better in women of an older age (or younger women with autoimmune issues or nutrient deficiencies). Exosomes are transport molecules that facilitate communication between the cells. Injecting exosomes locally or applying topically may reduce symptoms associated with lichen sclerosus or potentially eliminate them completely. Just like PRP, exosomes are considered experimental and not covered by insurance. Connect with Dr. Cernaianu
/episode/index/show/cf202bc8-19cc-4414-8f55-935eac8eee71/id/39265230
info_outline
117 - Painful Sex: The Story of Lichen Sclerosus, a Shockingly Under-Diagnosed Post-Menopause Skin Condition, Part 2
12/05/2025
117 - Painful Sex: The Story of Lichen Sclerosus, a Shockingly Under-Diagnosed Post-Menopause Skin Condition, Part 2
Let’s continue our conversation about lichen sclerosus, specifically focusing on treatment options this time. The treatments and therapies I’m discussing in this episode can actually be quite useful for many vaginal conditions and are something all women should know about. The first line of approved care for lichen sclerosus is a local application of a steroid medication, usually in an ointment form. Prolonged use of a steroid medication can lead to thinning of the skin, but it is particularly useful for women dealing with significant itching and plaque formation. Keep in mind that treatment does not mean reversing the course of the disease. Another treatment option—one I rarely use due to side effects and cost—is a topical tacrolimus. Tacrolimus is a potent immune system suppressant, and it can decrease the inflammation associated with this skin condition (as well as some others). It is only intended for short-term use, and can be compounded for application. There are also some unconventional options for care, including topical estrogen. It can improve dryness, reduce pain during sex, and support elasticity. Estrogen can also be used as treatment in the form of pellet therapy. This treatment option can help women return to more comfortable intimacy in as little as 4-6 weeks. Nothing is perfect, but estrogen pellets offer more consistent exposure than other options. Testosterone is another hormone that can be used in the treatment of lichen sclerosus. This hormone plays an important role in skin quality, and it has been demonstrated in improving skin elasticity and strength. Side effects and an adjustment of dose can reduce the risk of unwanted side effects. Connect with Dr. Cernaianu
/episode/index/show/cf202bc8-19cc-4414-8f55-935eac8eee71/id/39265205
info_outline
116 - Painful Sex: The Story of Lichen Sclerosus, a Shockingly Under-Diagnosed Post-Menopause Skin Condition, Part 1
11/28/2025
116 - Painful Sex: The Story of Lichen Sclerosus, a Shockingly Under-Diagnosed Post-Menopause Skin Condition, Part 1
Let’s talk about a surprisingly common skin condition that impacts women after menopause: Lichen sclerosus. It’s a chronic inflammation of the skin which creates a pathological change at the vaginal entrance. These skin changes are often underdiagnosed and even misdiagnosed, sometimes even for years. This debilitating skin condition can cause persistent and uncomfortable itching, white patches on the skin, and may also result in thinning of the skin. It can cause a disappearance of sensitive skin areas where certain tissue areas fuse. The skin can also crack, resulting in irritation and pain. Many women, after visiting their gynecologist, are shocked to find out their doctor missed their lichen sclerosus diagnosis. Often this means they’ve suffered with the symptoms for years without knowing the root cause of their issues. Unfortunately, the reality is many doctors mistake this condition for atrophy during menopause. If you’re experiencing painful sex, this skin condition is something worth investigating—especially if the initial stages of intimacy and penetration is where the discomfort happens. This condition is diagnosed through a skin biopsy. For accurate results, you’ll have to ask your doctor specifically to rule out lichen sclerosus. There are many skin disorders that can create inflammation and skin changes of the vaginal area. Many are accompanied by dryness and hinder the act of sexual penetration. Telling a woman to simply use a lubricant is subpar medical care, as it’s an important part of a woman’s wellness and life. Connect with Dr. Cernaianu
/episode/index/show/cf202bc8-19cc-4414-8f55-935eac8eee71/id/39193070
info_outline
115 - Holistic Non-Hormonal Approaches to Menopausal Urinary and Vaginal Health, Part 2
11/21/2025
115 - Holistic Non-Hormonal Approaches to Menopausal Urinary and Vaginal Health, Part 2
Today we’re continuing our conversation about natural solutions for vaginal wellness after menopause. There are various issues that can arise after menopause due to a drop in estrogen, and vaginal lubrication is one of the main ones that women seek to address. The tissues in the vaginal canal and opening are very sensitive, and after menopause, the area can be dry and the skin begins thinning. One of my favorite solutions is DHEA (dehydroepiandrosterone)—a hormone typically made by the adrenal gland but that can also be obtained through supplementation. For purposes of vaginal wellness, DHEA has to be applied directly to the tissue to be effective. Maintaining vaginal wellness isn’t just for women who have a partner, it’s also for women who are single too. When you find a man who you want to be intimate with, taking care of your vaginal health now will ensure that you’re ready. That’s where the specific devices designed to support the health of vaginal tissues can come in. I carry a device in my office to help with this particular issue. It’s a home use, red-light therapy device used purely for medical issues like vaginal atrophy. There is an 80-90% chance of improvement when used as recommended: three times a week for a maximum of ten minutes. When the desired outcome is achieved, it can be used just once a week. Women entering menopause, or going through it, should have an exam with an experienced gynecological doctor to assess tissue changes and to get support as quickly as possible. If your annual exam is already uncomfortable, it’s a sign that vaginal intercourse will also be uncomfortable. The sooner you address these changes, the less you will have to deal with difficult symptoms. Connect with Dr. Cernaianu
/episode/index/show/cf202bc8-19cc-4414-8f55-935eac8eee71/id/39109440
info_outline
114 - Holistic Non-Hormonal Approaches to Menopausal Urinary and Vaginal Health, Part 1
11/14/2025
114 - Holistic Non-Hormonal Approaches to Menopausal Urinary and Vaginal Health, Part 1
There has been very little research done in the area of urinary and vaginal wellness for menopausal and perimenopausal women, despite the number of women experiencing these issues increasing. This week, I’m starting a series of episodes about non-hormonal options available to women to overcome these concerns. Urinary tract infections (UTIs) tend to increase as women age, and staying hydrated is one thing that can help flush bacteria from the bladder wall, reducing the instance of infection. Cranberry juice can also protect the bladder from bacteria, but it has to be unsweetened (or you can take cranberry in supplement form). Our digestive health is interconnected with our vaginal health. Probiotics help maintain a healthy gut microbiome, and they can also support a healthy vaginal microbiome. There are even specific probiotic brands available for vaginal health. Good hygiene is also key to a woman’s urinary and vaginal health. Avoiding douching, holding in urine, and getting dehydrated can help. Women should also change their underwear after a workout. Some women may need to take antibiotics to protect themselves during times of sexual activity. Uva ursi (also known as bearberry) and goldenseal are herbs that can support urinary wellness, thanks to their anti-microbial elements. During menopause, many women experience vaginal dryness and irritation. Vaginal moisturizers can be used to reduce tears in the urethra and vaginal opening, which also supports a reduction in urinary tract infections. Coconut oil is an all-natural, safe vaginal lubricant that is widely available. Connect with Dr. Cernaianu
/episode/index/show/cf202bc8-19cc-4414-8f55-935eac8eee71/id/39024210
info_outline
113 - Restoring Comfort and Confidence in Menopause with Vaginal Estrogen, Part 2
11/07/2025
113 - Restoring Comfort and Confidence in Menopause with Vaginal Estrogen, Part 2
We’re getting intro part 2 of our conversation about vaginal estrogen and its usefulness for treating GSM (genital urinary syndrome of menopause) symptoms in this episode. Last time, we began discussing the importance of timing for hormone replacement therapy, including estrogen therapy. When you act early—before your symptoms get worse—it can make a big difference. The vaginal walls and vaginal lining will lose lubrication and architectural support over time without estrogen. This is also called vaginal atrophy. The loss of moisture, which is the main symptom, is directly linked to a decrease in estrogen. Exposing your body to increased estrogen, like through vaginal estrogen for example, won’t lead to a quick fix. It can take months of treatment before you start to notice a decrease in uncomfortable symptoms. Bringing your body back to a place where you feel a desire, or even a comfortability, with increased intimacy requires patience. Women have a right to know how valuable estrogen is to their intimacy. Portraying this hormone as the enemy when it’s actually a vital hormone leads to a lot of suffering. There are safe products available on the market for women, and everyone should know about them. This includes vaginal suppositories and estrogen creams. The differing options of vaginal estrogen each come with their own benefits and potential side effects. When exploring your options, remember that, in large part, the fear behind estrogen is generally unfounded. After menopause, women should be getting an annual pelvic ultrasound and discuss estrogen treatment options with their doctor if desired. Connect with Dr. Cernaianu
/episode/index/show/cf202bc8-19cc-4414-8f55-935eac8eee71/id/38937345
info_outline
112 - Restoring Comfort and Confidence in Menopause with Vaginal Estrogen, Part 1
10/31/2025
112 - Restoring Comfort and Confidence in Menopause with Vaginal Estrogen, Part 1
Today we’re talking about GSM: genitourinary syndrome of menopause. This new term encompasses the vaginal and urinary changes that happen during menopause. These changes don’t just impact women during menopause—they have long-lasting implications post-menopause as well. Some of these changes include increased urinary frequency and urgency, plus recurrent vaginal infections. Menopausal women may also experience urinary tract infections differently: they aren’t as painful. While this could be seen as a positive, it also makes it much more difficult to identify when the woman is experiencing a UTI. Many of the symptoms associated with GSM can be prevented when treated with vaginal estrogen. Vaginal estrogen is safe for women who have been diagnosed and treated for breast cancer, for women who have clotting disorders, and for women who have suffered heart attacks and strokes. Contrary to prior beliefs, the purpose of estrogen in a woman’s body is not limited to reproduction. Estrogen plays a significant role in making us feel good. So why shouldn’t we replace it when it’s lost? Vaginal estrogen can be used for specific, local effects, targeting the actual area it’s being administered too. Vaginal estrogen can be used by women who are also using other forms of hormone replacement therapy. Whether you’re already taking another type of estrogen, or you haven’t been but you want to explore vaginal estrogen to help manage your GSM, the sooner you talk to your health professional about it, the better. There is relief for your vaginal, sexual, and urinary wellness symptoms caused by a lack of estrogen. Connect with Dr. Cernaianu
/episode/index/show/cf202bc8-19cc-4414-8f55-935eac8eee71/id/38864275
info_outline
111 - Understanding Hormone Therapy Timing: The Secret to Post-Menopausal Optimal Health
10/24/2025
111 - Understanding Hormone Therapy Timing: The Secret to Post-Menopausal Optimal Health
Get ready to learn all about the timing for estrogen therapy and exactly when you should start hormone therapy for menopause. Timing is crucial because many women don’t know when the best time to use it is, often realized when there have been irreversible changes and it’s too late to undo them. Previous studies done on estrogen have scared women away from taking advantage of its benefits as a therapy earlier on. Yet, one of the main studies that led to widespread misinformation used oral synthetic estrogens. Keep in mind this hormone was one of the main ones available at the time. As soon as transdermal estrogen became available, the benefits it had over oral estrogen were clear. It works well and is associated with less risks than oral synthetic options. The median average age of the women in this study was 63 years old, which means these women had been in menopause for at least the last decade. At this stage, the benefits of estrogen therapy have been limited. Based on the issues contained in this study, the outcomes are skewed. What you have been told about the dangers of estrogen is simply not true. They have led to a lot of harmful myths about estrogen, even in cases where hormone replacement therapy with estrogen could actually be helpful. Using synthetic progestin should also be avoided. Instead, ask your doctor for bioidentical progesterone, which is highly available since its approval decades ago. The timing of your hormone replacement therapy is critical to the outcome. The earlier the better, especially if you want to proactively protect your health. Connect with Dr. Cernaianu
/episode/index/show/cf202bc8-19cc-4414-8f55-935eac8eee71/id/38766430
info_outline
110 - The Truth About Estrogen and Breast Cancer: What You Should Know - Part 3
10/17/2025
110 - The Truth About Estrogen and Breast Cancer: What You Should Know - Part 3
In this episode we’re bringing our conversation about the WHI study about estrogen to a close. This study scared many health care professionals (and their patients) out of using estrogen therapy. Today, we’re focusing on the reality of the risks associated with estrogen replacement therapy, especially whether or not there are actually any cancer-related risks. The breast cancer incidence in the women who took part in this study but did not receive hormone therapy (the placebo group) was almost identical to the women who received hormone treatment. The results, percentage wise, presented in this study were misleading. Another part of the study not explored was that women who took part who also had a hysterectomy showed a decrease in the incidence of cancer. Another idea not explored is the benefit of using estrogen and progesterone together, as it’s critical to balance these hormones in women. Long term birth control use can increase a woman’s risk for cancer, yet birth control is widely prescribed. Further to this point, when a woman who has used birth control most of her life and hormone replacement therapy after menopause gets cancer, no one will talk about the birth control. The people around her will likely point to the estrogen therapy as the culprit, even if she has been on it a very short amount of time. It takes courage to move even a single step towards what you feel is right for you. Don’t let the misconceptions about estrogen (and misleading public opinion) stop you from taking action and improving your life. I hope the takeaway for you today is that estrogen is not what some people would have you believe! Connect with Dr. Cernaianu
/episode/index/show/cf202bc8-19cc-4414-8f55-935eac8eee71/id/38494235
info_outline
109 - The Truth About Estrogen and Breast Cancer: What You Should Know - Part 2
10/10/2025
109 - The Truth About Estrogen and Breast Cancer: What You Should Know - Part 2
Today we’re continuing our conversation about the WHI study that led to some serious misconceptions about estrogen therapy. This study involved oral estrogen, synthetically made from pregnant horse urine, given to women 10+ years past menopause. It’s important to remember that by this time, these women had experienced irreversible changes due to how far into menopause they had been. This study looked specifically at the effect of estrogen in cardiovascular health in women. Estrogen therapy can help improve various unwanted symptoms in women, even past menopause. However, once you have plaque in your arteries, it’s nearly impossible to reverse it. The options for estrogen administration have also expanded since this study. At the time this research was conducted, transdermal patches hadn’t been embraced on the scale they would be. Many hormone specialists have criticized how this research was done and point out the many things they would have done differently at the time the study was done and today. I, and many doctors like me, do not use oral estrogen therapy with clients. Transdermal estrogen bypasses the liver, which is just one reason why it’s superior to oral estrogen. It therefore also has a much different risk profile than oral estrogen. Many women who are prescribed this potentially life-changing therapy feel dissuaded by FDA warnings and labels. It’s been designated as a warning for all estrogen products indiscriminately, when it should have been applied to oral estrogen products only. As a result of these labels, so many women are missing out on this life saving treatment. Connect with Dr. Cernaianu
/episode/index/show/cf202bc8-19cc-4414-8f55-935eac8eee71/id/38494200
info_outline
108 - The Truth About Estrogen and Breast Cancer: What You Should Know - Part 1
10/03/2025
108 - The Truth About Estrogen and Breast Cancer: What You Should Know - Part 1
For the next few episodes, I’m going to be focusing on the misconceptions around the relationship between estrogen and breast cancer. Many women are surrounded by people (even healthcare professionals) who tell them that estrogen is dangerous after menopause. However, this simply isn’t true. Recently, I have had a few women come to me with similar issues related to menopause. These patients spent years suffering as opposed to seeking options for support. But if we can prevent significant loss of function, why not try it? That’s where hormone replacement therapy comes in. Most women I see who decide to start hormone replacement therapy after menopause are so happy that they did. Instead of following their social conditioning to wait, or even suffer in silence, they decide to set themselves and their health as a priority. The mental shift I’d like to highlight here is instead of thinking “it’s not broken, let’s not fix it”, the thinking should be “it’s not broken, let’s maintain it.” Many women, including those who are already on hormone therapy, are afraid of taking estrogen due to the misconceptions about its role in breast cancer. For decades, estrogen therapy was recommended as a treatment for women during menopause. But in the early 2000s, a study was released that misled the public on how estrogen impacts women. It’s important to keep in mind this study was also run by cardiologists, not hormone specialists. In the next few episodes, I’ll be shedding more light on this topic, including how this study was done on the wrong women using the wrong medication and method of administration. Connect with Dr. Cernaianu
/episode/index/show/cf202bc8-19cc-4414-8f55-935eac8eee71/id/38446140
info_outline
107 - Why Women Aren't Told the Whole Truth About Estrogen
09/26/2025
107 - Why Women Aren't Told the Whole Truth About Estrogen
In this episode we’ll continue to explore the true value of estrogen and why it’s so important for women. It’s important to recognize that there are limiting factors as to why more women don’t invest in hormone replacement therapy treatments like estrogen. One of those factors is the cost, especially for women who put their wallet over their wellness. The health issues caused by menopause can be quite significant, and I believe hormone therapy should be much more accessible for women. It is the responsibility of health care professionals everywhere to convey why estrogen therapy is so valuable and how it can make a difference in their patient’s lives. The problem is most doctors aren’t trained in hormone replacement therapy (although this doesn’t necessarily stop them from talking badly about it). The idea that estrogen replacement could be harmful is illogical. Think about it: You have it in your body for decades before it’s lost during menopause. Of course, there are other drugs you can take to help you manage the various symptoms of menopause. Keep in mind that these drugs come with side effects, but estrogen replacement can come with a lot of benefits. The slanderous campaign against estrogen is unfounded. Without exposure to estrogen, a young girl would never become a young woman. She would have no secondary sex characteristics or puberty. Without estrogen, she’ll experience early cardiovascular issues and events. Estrogen doesn’t increase the risk of cancer—but the lack of it does increase the risk of various health issues. Connect with Dr. Cernaianu
/episode/index/show/cf202bc8-19cc-4414-8f55-935eac8eee71/id/38354125
info_outline
106 - Blind Leading the Blind: What Your Doctor Doesn’t Know About Estrogen
09/19/2025
106 - Blind Leading the Blind: What Your Doctor Doesn’t Know About Estrogen
Today we’re talking about the value of estrogen, and this episode may introduce you to a whole new perspective on the value of it in your life and body. I recently met a patient who kept herself in good physical health. However, she started to notice signs of aging that felt incongruent with her self-image. She was also struggling to desire intimacy with her husband of many years. Until she listened to some podcasts that specifically focused on hormone replacement therapy, she never connected the dots between her symptoms and the loss of estrogen she was experiencing. I’m highlighting this because it isn’t just her story; it’s the story of so many women who have experienced a significant loss of estrogen. After meeting her, I reflected on a situation I went through which had some similarities to hers; a health issue that I waited to address. Thankfully, I didn’t wait too long, and I had a dental issue taken care of before it caused more damage. However, this patient I saw waited a long time and went through so much before seeking support. Many women choose to wait until they experience the loss of something dear to them, like the loss of intimacy with their partner, before they do something about it. Why? Because they don’t yet understand what they are facing. Women don’t yet know the value of what they lose during menopause, which is why this needs to be talked about. A woman’s body changes irreversibly without estrogen. While I don’t consider myself a hormone specialist, I am very well-versed in hormone therapy and have taken a lot of advanced training on this subject. I use this knowledge to help my patients, like the one I’ve discussed here, feel more like themselves again. Connect with Dr. Cernaianu
/episode/index/show/cf202bc8-19cc-4414-8f55-935eac8eee71/id/38267215
info_outline
105 - Beyond the Numbers: Understanding the Complexities of Hormone Therapy Surveillance
09/05/2025
105 - Beyond the Numbers: Understanding the Complexities of Hormone Therapy Surveillance
Most women don’t really understand how hormones like estrogen fluctuate during their cycle. If you were to test a woman’s estrogen, the level you would get would vary greatly depending on which part of her cycle she was in. Ovulation marks the peak of estrogen levels during the entire cycle. At the same time, the level of estrogen at ovulation is dependent on the quality of egg that is released during her cycle. Further to this, normal levels of estrogen don’t always reflect the optimal levels. This highlights the importance of data interpretation when your levels are being tested, especially if you don’t feel well. The lower your estrogen is, the higher your FSH (follicle-stimulating hormone) will be. Put plainly, FSH is stimulated by the brain and helps your ovaries make estrogen. If FSH is low, this indicates normal ovarian function. FSH and estrogen should always be tested together because it gives you and your health provider a more panoramic view of overall hormone levels. After the age of 50, FSH can be used as a reliable menopause indicator. When you’re taking estrogen therapy during menopause, symptoms like hot flashes and fatigue can be drastically reduced. But other issues, like vaginal dryness and urinary tract infections, may persist at those moments when your estrogen is low. Pellet administration of estrogen therapy offers a more consistent release of estrogen, which helps you avoid other symptoms. Even in this case, your FSH levels should still be tested alongside your estrogen levels. Gathering this information will allow you and your doctor to figure out your optimal estrogen exposure. Connect with Dr. Cernaianu
/episode/index/show/cf202bc8-19cc-4414-8f55-935eac8eee71/id/38099525
info_outline
104 - Unveiling the Overlooked: Testosterone's Role in Women's Health
09/01/2025
104 - Unveiling the Overlooked: Testosterone's Role in Women's Health
Why don’t we know more about optimal testosterone levels, especially since it can be so beneficial for women? Part of the problem is that research into women’s health is significantly underfunded. Testosterone is an estrogen antagonist, so it could help with estrogen-dominant conditions like endometriosis. Yet, it isn’t put forth as a possible treatment. Many women have excellent tolerance levels for the right amount of testosterone so long as their health professionals consider their physiology and reason for treatment. Menopause is another hormone-related issue many women struggle with, yet we put very little resources towards researching how hormone replacement therapy can help. No study has been aimed at figuring out the optimal dose of testosterone for women and how those levels can improve bone mass, but this would be a critical health issue to explore. Due to the drug dose gender gap, women also experience a higher degree of side effects due to the fact that women are dosed medications based on research done on male bodies. Women would have happier lives, marriages, and families if their testosterone levels were tested before they were sent off to therapy or given medications for depression. Testosterone isn’t just important for motivation and energy, but it’s also a mood stabilizer. So, what is the optimal testosterone level for women, especially considering their specific goals and conditions? There isn’t enough data yet to know. Our sex hormones aren’t just about continuing the human race—we should call them anabolic youth hormones because that better describes what they actually do. Connect with Dr. Cernaianu
/episode/index/show/cf202bc8-19cc-4414-8f55-935eac8eee71/id/38049840
info_outline
103 - Decoding Hormone Testing: Testosterone Levels for Women: Myths Versus Science Part 2
08/22/2025
103 - Decoding Hormone Testing: Testosterone Levels for Women: Myths Versus Science Part 2
In today’s episode we’re continuing our conversation about testosterone therapy, including its benefits and the importance of monitoring testosterone levels. Understanding the testosterone levels you should strive for and measuring your physiological responses is key to using it beneficially. Testosterone is the main anabolic hormone in the body. It repairs, restores, and regrows damaged tissue. The problem is that the normal range established by labs—a guide most doctors will use to identify if your testosterone is low—is not always the best baseline to use. In an ideal world, people would have their testosterone levels measured in their early twenties and every year after. When using hormone replacement therapy, an optimal level of testosterone would be the amount that allows you to see improvements in stamina, endurance, motivation, and athletic performance. At the right amount, you would also notice a better mood, an increase in sexual desire, and a higher metabolic rate. That said, there’s no perfect amount for testosterone replacement for women; only the amount that works for them as an individual. There are different options for testosterone administration, including injections and creams. Injectable testosterone is administered about once a week. Testosterone creams are usually applied daily, and this method usually increases testosterone levels right after administration (usually in the morning) with the levels tapering down throughout the day. Creams are the easiest to administer, so they are also a popular choice among women. If you’re wondering if testosterone could improve your health, reach out to a medical professional trained in this type of therapy. Connect with Dr. Cernaianu
/episode/index/show/cf202bc8-19cc-4414-8f55-935eac8eee71/id/37905805
info_outline
102 - Decoding Hormone Testing: Testosterone Levels for Women: Myths Versus Science Part 1
08/15/2025
102 - Decoding Hormone Testing: Testosterone Levels for Women: Myths Versus Science Part 1
This episode is for all the women who have left the doctor disappointed—turned away and told their hormone levels were fine even when they didn’t feel right. Hormone level testing isn’t given much thought by the majority of medical professionals, yet it’s crucial to providing adequate patient health. Right now, there is a complete lack of standardization in this area. A part of this is due to the fact that hormones impact men and women differently, and we don’t know how introductions of hormones will impact any specific individual. There is also a difference between testing for normal levels of hormones and optimal levels. Ranges for hormones like progesterone and estrogen can also vary in women depending on their age. The time of the day in which hormones are tested can also change the interpretation of the results. How much testosterone should a woman have, regardless of age? The normal range is considered 2 units above zero. While this is considered “normal,” in reality this is quite low. It’s important for energy and mood, and no other hormone has the capacity to stimulate muscle formation and muscle repair. Given how it impacts women’s health, it’s clear to see how accepting low levels as normal in testing can impact a woman’s health greatly. I believe that the key to helping patients maintain optimal hormone levels is to establish a baseline early on. Man or woman, the patient should be tested when they are at their peak health level. No one goes to the doctor when they feel great, and therefore they aren’t getting tested when they’re feeling their best, but you may want to advocate for this if you’re looking forward to how you’ll feel down the road. Connect with Dr. Cernaianu
/episode/index/show/cf202bc8-19cc-4414-8f55-935eac8eee71/id/37759695
info_outline
101 - Botox for All Ages: Understanding Its Impact and Benefits with Meghan Morrissette
08/08/2025
101 - Botox for All Ages: Understanding Its Impact and Benefits with Meghan Morrissette
We’re welcoming Meghan Morrissette, my aesthetics nurse, again today to bring our conversation about Botox and other types of neurotoxin treatments to a close. We’ll be addressing more common questions in this episode. When is the best time to get Botox? Is there a better age to start? Patients in their 20s typically seek neurotoxin treatment for facial balancing, as they haven’t largely experienced the signs of aging. By relaxing some of the facial muscles, you can also reduce the appearance of static wrinkles later in life, which are caused by repetitive muscle movements. Social media has played a significant role in attracting younger people towards neurotoxin treatment and other preventative aging measures. This is, in part, due to the fact that Gen Z is much more aware of their appearance. If you’re in your 20s, simply wearing sunscreen is one of the best things you can do for your skin. For patients who are more advanced in age, it’s important to be clear and transparent when discussing expectations for results. For example, Botox can’t lift sagging skin. This should be made clear to clients who come in with sagging skin as their primary concern. No matter what stage of life you’re in, your aesthetics nurse should always conduct an individual assessment so they can customize a treatment plan for you based on your skin type, face shape, and outcome desires. You should also know the potential side effects, which can include bruising, headaches, or more serious side effects like the spreading of the toxin itself. Connect with Dr. Cernaianu
/episode/index/show/cf202bc8-19cc-4414-8f55-935eac8eee71/id/37737355
info_outline
100 - Botox Uncovered: Essential Knowledge for Aesthetic Treatments with Meghan Morrissette
08/02/2025
100 - Botox Uncovered: Essential Knowledge for Aesthetic Treatments with Meghan Morrissette
We are continuing our conversation about Botox with Meghan, my aesthetics nurse. Is all Botox the same? Actually, they can vary in some ways. If you don’t feel ecstatic about the results a few weeks later, you can experiment with different types of neuromodulators. For example, instead of the Botox brand name you can try Dysport, Daxxify, Xeomin, and more. If your treatment is going well and you’re happy with it, you don’t need to change anything. Typically, injectors don’t carry all the different brands. The dosing discussion can be challenging for patients and injectors, so it’s important to take into account the person’s response and their risk for sensitivity. Younger women and men are seeking Botox, and it’s important to note the frequency of their treatments. Patients who are injected more often (usually with smaller doses) are more likely to build up antibodies to the treatment. Those who want to use Botox with longevity should focus on getting treatments less often at the dose required to see results. All patients should be educated on what overtreating with Botox looks like. The goal is not for you to feel or look frozen; it’s to smooth wrinkles and add lift and balance. You always want to preserve some facial expression. If you’re looking to address static wrinkles, that’s where lasers and peels come in. Resurfacing layers can help smooth wrinkles that appear at rest. Botox doesn’t address pigmentation, pore size, or hydration—but these are all things layers and/or peels can help with. Connect with Dr. Cernaianu
/episode/index/show/cf202bc8-19cc-4414-8f55-935eac8eee71/id/37645030
info_outline
099 - The Botox Breakdown with Meghan Morrissette: Science, Art, and Results
07/25/2025
099 - The Botox Breakdown with Meghan Morrissette: Science, Art, and Results
This week’s episode is all about Botox as we welcome my aesthetics nurse Meghan Morrissette. As a holistically-minded person, the idea of injecting myself with a toxic chemical just to look better did not appeal to me for many years. However, now that I have a deeper understanding about what Botox can really do, I think it’s worth exploring, which I recently did myself. I had a great experience trying Botox for the first time with Meghan. She has a soft, delicate touch, and the needles are tiny, so I felt no pain at all. She’s passionate about giving natural results and long-lasting outcomes. Meghan sees the art in what she does, while also understanding the science behind it. Neurotoxins like Botox are substances that impact the nervous system. They block the signal between the nerves and muscles, leading to smoother looking skin. It can address existing wrinkles and ones that haven’t formed yet. Interestingly, Botox was actually developed for medical use, specifically to help with chronic migraines, excessive sweating, an overactive bladder, and eye spasms. It takes a certain set of skills to be a great injector. For example, it’s crucial to have an eye for anatomy, especially for natural-looking results. It’s also important to understand how the neurotoxin works to properly customize the dose and the placement. The personal anatomy and goals of the patient should be taken into account too. If you have concerns about trying Botox, there are a few things you should know. First, Botox should not freeze your face. Botox is intended to relax specific areas and overall bring greater balance to your face. It’s perfectly safe and very effective. Connect with Dr. Cernaianu
/episode/index/show/cf202bc8-19cc-4414-8f55-935eac8eee71/id/37505230
info_outline
098 - Beyond Insurance: Taking Full Control of Your Health
07/18/2025
098 - Beyond Insurance: Taking Full Control of Your Health
Today we’re concluding our conversation about being independently healthy. This time, we’re focusing on preventative care and maintaining your health. Most patients believe their health insurance plan is there to keep them healthy, but this is not true. The medical insurance industry is designed only to cover catastrophically high expenses in serious health situations. It’s important to remember that your health insurance does not guarantee you access to a wide array of services with your medical care provider. If you want services outside of what’s covered by your insurance, you may have to start budgeting and saving for those services. As you advance in age, this becomes even more important. If you require pellet hormone therapy, IV vitamin therapy, hyperbaric oxygen, or vitamins on a regular basis, you’ll need to consider these costs in advance. Access to weight loss support can also be expensive. Plan in advance for these times so that if anything happens to you or someone you love, you’re prepared. Some of the best doctors are going with a concierge service, and this is a good thing. It means they can take time to get to know you and truly care for your needs, while also taking your insurance as well. Doctors are not paid their true worth by medical insurance plans, which can also make a concierge fee necessary. The support staff in your doctor’s office need to be paid, and medical insurance doesn’t cover that. There are so many things your insurance plan doesn’t cover, and doctors are adding a fee to support the administrative work and staff to provide you with better experience in their care. Connect with Dr. Cernaianu
/episode/index/show/cf202bc8-19cc-4414-8f55-935eac8eee71/id/37430935
info_outline
097 - Understanding Your Medical Insurance: Beyond the Basics
07/11/2025
097 - Understanding Your Medical Insurance: Beyond the Basics
In this episode we’re continuing our conversation about being independently healthy, focusing on covered medical expenses. Medical insurance premiums have skyrocketed—they are extremely expensive, and therefore unaffordable for many people. If possible, it’s important to prioritize having your deductible on hand in case you ever need it. You may also need a contingency plan for specific medical expenses which are not covered. If it’s a therapy focused on maintaining wellness, balancing hormones, or anti-aging, it will likely not be a covered expense. The medical insurance business is indeed a business, so they want to make a profit. But remember, this has nothing to do with your doctor making profit. Your doctor simply made the decision to allow access to more people by accepting insurance plans. If any issues come up with your medical insurance, you will need to handle it with the insurance company directly. Here’s the truth about private practice: your doctor gets paid last. He or she pays everyone else before they pay themselves, and they would actually make more if they worked for an entity that paid them annually (plus for billing). That’s corporate medicine, and it helps doctors avoid dealing with customer service, managing teams, billing, and more. For doctors, independence comes at a cost. Most doctors today have to implement fees to support their admin, and this is often wrapped up in a concierge fee. When it comes to affordability as a patient, there’s also a lot to consider, like where you’re at in life and who you’re providing for. Perhaps you can’t afford to not invest in proactive, maintenance-focused care. Connect with Dr. Cernaianu
/episode/index/show/cf202bc8-19cc-4414-8f55-935eac8eee71/id/37379855
info_outline
096 - Independence Day Special: Becoming Independently Healthy
07/04/2025
096 - Independence Day Special: Becoming Independently Healthy
Many of us are familiar with the idea of being independently wealthy, but what does it mean to be independently healthy? Health independence is the ability to maintain your physical and mental wellbeing without relying on external support. If you want to be independently healthy, you need to eat well, exercise often, sleep soundly, and manage your stress. Having this knowledge is one thing, but using it is another. The reality is that 40% of Americans suffer from two or more chronic illnesses, and 3 out of 4 Americans are overweight or obese. It’s also much easier to be independently healthy when you’re young, whereas when we’re older we need more support. Your medical insurance company does not exist to help you be independently healthy. For many, an expensive plan can mean throwing money into a black hole, never to be seen again. You could instead invest in a less expensive plan and save extra on the side so that you have that additional cost if and when you need it. Your insurance likely won’t cover a lot of the preventative and proactive measures that keep you healthy like vitamins, hormone replacement therapy, and more. Your insurance will probably cover you for a significant medical event—like a heart attack—but waiting for the worst case scenario isn’t an ideal use for insurance money. The medical insurance industry tends to over promise and under deliver. I’m not saying to forgo any medical coverage at all, but I am highlighting the importance of considering your health costs and encouraging you to think about budgeting for your health care differently. Connect with Dr. Cernaianu
/episode/index/show/cf202bc8-19cc-4414-8f55-935eac8eee71/id/37277935
info_outline
095 - Beyond Statins: Holistic Cholesterol Management
06/27/2025
095 - Beyond Statins: Holistic Cholesterol Management
Today we’re continuing our conversation about cholesterol and debunking the myths around it. In their 50s, approximately 40-50% of men have some degree of coronary artery disease. This risk only increases as age advances. Poor food choices, sedentary lifestyle, and exposure to toxins also increases this risk. Half of men who experience a heart attack don’t even have any symptoms prior to this event. For the men who don’t make it through the heart attack, they will never get the chance to do anything about it. This highlights the importance of early detection of heart disease, especially in men. So, low cholesterol isn’t healthy, but neither is excessively high cholesterol. It’s time to start seeking support and get evaluated by your doctor. If you have high cholesterol, you will need to change your diet (low in saturated fats and high in vegetables, fiber, and protein). You also need to engage in regular activity. Statins are widely used to help manage cholesterol levels, however they come with a fair amount of side effects. The most commonly reported side effect is muscle pain and weakness. It can also lead to constipation, bloating, and liver damage. Statins may also cause dizziness and could increase the risk of rhabdomyolysis. If you want to improve your nutrition and lower your cholesterol, include more soluble fiber in your diet. Omega 3 fatty acids (found commonly in fish) offer heart-protective benefits. Vitamin B3 increases good cholesterol while lowering bad cholesterol, but this should be taken with supervision. COQ10 supports heart health and is especially helpful if you’re taking a statin. Connect with Dr. Cernaianu
/episode/index/show/cf202bc8-19cc-4414-8f55-935eac8eee71/id/37160850