Treated with Dr. Sara Szal

• Start Here: The Hormone Series with Dr. Sara

  Welcome to Hormones 101—the first episode in Dr. Sara’s deep-dive hormone series. In this foundational solo, Dr. Sara breaks down what hormones are, why they matter, and how imbalances can impact everything from mood and metabolism to sleep, libido, and energy. She introduces the “Big Five” hormones—cortisol, estrogen, progesterone, testosterone, and thyroid—explaining their distinct roles, how they interact, and why cortisol calls the shots. Dr. Sara also unpacks underdiagnosed conditions like endometriosis and PCOS, and reveals how modern life, chronic stress, environmental toxins, and medical gaslighting contribute to widespread hormonal dysfunction. You’ll walk away with practical steps for testing and balancing your hormones through lifestyle changes. This episode is all about understanding your biochemistry and learning how to advocate for better care.// REFERENCES // Get Dr. Sara’s Lab Reference Ranges Guide in Healthy Adults Here. Listen to her episode with Andrew Huberman. Read her book, The Hormone Cure. JAMA study from 2023 (regarding subclinical hypothyroidism and cognitive decline): Papaleontiou, M., and J. P. Brito. "Disentangling the Association Between Excess Thyroid Hormone and Cognition in Older Adults." JAMA Internal Medicine 183, no. 12 (2023): 1332–1333. doi:10.1001/jamainternmed.2023.5618.Fertility in Sterility in 2023 review (regarding luteal phase progesterone deficiency and infertility): Raperport, C., E. Chronopoulou, R. Homburg, et al. "Endogenous Progesterone in Unexplained Infertility: A Systematic Review and Meta-Analysis." Journal of Assisted Reproduction and Genetics 40 (2023): 509–524.2024 study (regarding men with low progesterone, estradiol/testosterone ratios, and visceral adiposity): Mauvais-Jarvis, F., and S. H. Lindsey. "Metabolic Benefits Afforded by Estradiol and Testosterone in Both Sexes: Clinical Considerations." Journal of Clinical Investigation 134, no. 17 (September 3, 2024): e180073. doi:10.1172/JCI180073.2023 meta-analysis published in JAMA Psychiatry (regarding mindfulness and salivary cortisol)Vargas-Uricoechea, H., A. Castellanos-Pinedo, K. Urrego-Noguera, H. D. Vargas-Sierra, M. V. Pinzón-Fernández, E. Barceló-Martínez, and A. F. Ramírez-Giraldo. "Mindfulness-Based Interventions and the Hypothalamic-Pituitary-Adrenal Axis: A Systematic Review." Neurology International 16, no. 6 (November 20, 2024): 1552–1584. doi:10.3390/neurolint16060115.Sanada, K., J. Montero-Marin, M. Alda Díez, M. Salas-Valero, M. C. Pérez-Yus, H. Morillo, M. M. Demarzo, M. García-Toro, and J. García-Campayo. "Effects of Mindfulness-Based Interventions on Salivary Cortisol in Healthy Adults: A Meta-Analytical Review." Frontiers in Physiology 7 (October 19, 2016): 471. doi:10.3389/fphys.2016.00471. // KEEP IN TOUCH WITH DR. SARA //If you have a question, leave a voicemail at speakpipe.com/treated Follow on IG: @saragottfriedmd @treatedwithdrsaraWatch Treated on YouTube Produced by Dear Media. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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• Surviving the United States of Dysregulation with Dr. Nicole LePera (The Holistic Psychologist)

  Do you always feel a sense of urgency—like you’re on edge, reactive to everything around you? Or, on the other hand, shut down and withdrawn? Then you may be experiencing dysregulation. Dysregulation occurs when the body and mind fall out of balance and struggle to return to a neutral state. Today, clinical psychologist Dr. Nicole LePera (@theholisticpsychologist) joins Treated to explore how and why so many of us live in a constant state of dysregulation. Dr. Sara and Dr. Nicole discuss how our early environments shape the way we respond to stress as adults, what a healthy stress response looks like versus a chronically dysregulated one, and why women are more susceptible to dysregulation. Then they dive into the importance of taking a “bottom-up” approach to healing and explore the role cortisol plays in keeping us stuck in survival mode.Throughout the episode, Dr. Nicole shares personal stories from her own healing journey—from the impact of her mother’s emotional withdrawal during childhood, to using substances to self-regulate in high school, and even how her mother’s stress during pregnancy contributed to her chronic anxiety. To close, Dr. Sara and Dr. Nicole offer practical tools for regulating the nervous system– from setting boundaries to improving sleep.// LEARN MORE FROM DR. NICOLE LEPERA // Visit his website theholisticpsychologist.comFollow her on Instagram @theholisticpsychologist. Purchase all of her books through her website, How To Be The Love You Seek, How To Meet Yourself, How To Do The Work. // KEEP IN TOUCH WITH DR. SARA //If you have a question, leave a voicemail at speakpipe.com/treated Follow on IG: @saragottfriedmd @treatedwithdrsaraWatch Treated on YouTube Produced by Dear Media. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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• How to Heal: From Surfing to Psychedelics

  The common prescription to heal our psyche today is to take an SSRI and go to talk therapy. But as we’ve learned through the past few episodes, this only works for 30% of people. That means we need to explore other ways to heal our consciousness. Today on Treated, Dr. Sara sits down with Dr. Brad Jacobs to learn about the alternative ways he has healed his consciousness. From taking MDMA for the first time in college, to surfing and skiing, doing Ayahuasca in ceremony, and both experiencing and prescribing Ketamine therapy—Dr. Brad Jacobs walks us through how to use the present moment as a tool for mental healing.// LEARN MORE FROM DR. BRAD JACOBS // Visit his website drbradjacobs.com Follow him on Instagram @bradjacobsmd. Listen to our first conversation here and second one here. // KEEP IN TOUCH WITH DR. SARA //If you have a question, leave a voicemail at speakpipe.com/treated Follow on IG: @saragottfriedmd @treatedwithdrsaraWatch Treated on YouTube Produced by Dear Media. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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• Sisterhood as Medicine (with Dr. Sara’s Sister, Anna Reed)

  Join Dr. Sara and her sister, Anna Reed, for an honest, funny, and sincere conversation around navigating the healthcare system in the United States as a woman and learning how to regulate your nervous system with age. Anna is a fourth grade teacher and was diagnosed with endometriosis earlier on in life–-a condition that runs in their family. Today, she’s had three surgeries to remove it and underwent a hysterectomy last year. Anna shares the advice she got from Dr. Sara while going through that period and the health protocols she now follows. Then, Anna opens up about the joys and struggles of being a teacher, the importance of cultivating female friendships, and how she found herself after divorce. They close with practical tips to optimize your health for any stage of life. // KEEP IN TOUCH WITH DR. SARA //If you have a question, leave a voicemail at speakpipe.com/treated Follow on IG: @saragottfriedmd @treatedwithdrsaraWatch Treated on YouTube Produced by Dear Media. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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• Loosening the Knot: Rob Fisher on the Power of Therapeutic Relationships

  Rob Fisher is a marriage and family therapist (MFT), Hakomi trainer, professor, and author. After working in the entertainment industry, he began studying for his master’s degree in psychology. About a decade later, he discovered Hakomi—a body- and mindfulness-centered approach to psychotherapy that emphasizes experiential healing and the importance of the therapeutic relationship. Today, Rob has taught many therapists this practice and is developing “The Compassion Companion,” an AI tool powered by ChatGPT, for patients to use.Rob joins Dr. Sara on Treated to discuss what led him to switch careers, how he found Hakomi, why it’s such an important form of therapy, and what he’s learned about human nature through it. They also explore the power of writing and what inspired him to write both nonfiction and fiction books. Later, Rob shares his hopes and fears about AI and what the impact will be on human connection and in-person therapy. Dr. Sara tests out “The Compassion Companion,” Rob’s AI therapy tool, and they engage in a real-time Hakomi experience. To close, he shares a memory of one of his favorite clients and reflects on how he hopes to be remembered.// LEARN MORE FROM ROB FISHER // Visit his website robfishermft.com Check out the Compassion Companion and use it here. Purchase his book, The Weeping Buddha and Experiential Psychotherapy With Couples, A Guide for the Creative Pragmatist. // OTHER REFERENCES // Research studies on AI and psychotherapy: Kuhail, Mohammad Amin, Mohamed Bahja, Ons Al-shamaileh, Justin Thomas, Amina Alkazemi, and Joao Negreiros. "Assessing the Impact of Chatbot-Human Personality Congruence on User Behavior: A Chatbot-Based Advising System Case." IEEE Access PP (2024): 1-1. doi:10.1109/ACCESS.2024.3402977. // KEEP IN TOUCH WITH DR. SARA //If you have a question, leave a voicemail at speakpipe.com/treated Follow on IG: @saragottfriedmd @treatedwithdrsaraWatch Treated on YouTube Produced by Dear Media. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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