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Hormones, Metabolism & You!

Hormones, Metabolism & You!

Cassie Smith 120 Episodes Jul 19, 2026

Your hormones control everything—from energy levels to weight, mood, and overall health. But understanding them shouldn’t feel like decoding a medical textbook. Welcome to Hormones, Metabolism & You!, the podcast where board-certified endocrinologist Dr. Cassie Smith breaks down the science behind your body’s most powerful regulators. Each week, Dr. Smith tackles the real questions about metabolism, weight management, thyroid health, menopause, PCOS, insulin resistance, and more—giving you clear, actionable insights to take charge of your health. Whether you’re struggling with stubborn weight, feeling fatigued, or just want to optimize your well-being, this podcast is your go-to resource for evidence-based advice, practical tips, and expert interviews.

Episodes

120: From PCOS to PMOS; Why Hormones Are Not the Only Problem
120: From PCOS to PMOS; Why Hormones Are Not the Only Problem Jul 19, 2026 1980 In this interview with Terri DeNeui, we explore why the conversation around PCOS is shifting toward a broader understanding of metabolic health with the emerging term PMOS. Rather than viewing irregular cycles, infertility, and hormone imbalances as isolated ovarian problems, we discuss how insulin resistance, gut health, inflammation, stress, and lifestyle factors may be driving many of the symp
119: Beyond Sick Care: Why Insurance Isn’t Coming To Save You
119: Beyond Sick Care: Why Insurance Isn’t Coming To Save You Jul 12, 2026 3584 For many people, the healthcare system becomes frustrating long before they receive a diagnosis. Symptoms are dismissed, lab work comes back "normal," and the next step is often another prescription rather than a conversation about why those symptoms developed in the first place.  In this episode, I'm joined by board-certified anesthesiologist and hormone optimization specialist Dr. Mike For
118: Stop Starving, Start Healing: The Real Root Cause of Weight Loss Resistance
118: Stop Starving, Start Healing: The Real Root Cause of Weight Loss Resistance Jul 5, 2026 3276 What if the reason you're struggling with weight, low energy, or hormone symptoms isn't just about eating less and exercising more?  In this episode, I sit down with functional medicine practitioner Dani Conway to talk about the bigger picture of metabolic health. We discuss why so many women are told their lab work is "normal" even when they still feel exhausted, inflamed, or stuck, and why look
117. Perimenopause Is Wild: Symptoms, Support, and What Actually Helps
117. Perimenopause Is Wild: Symptoms, Support, and What Actually Helps Jun 28, 2026 3237 Perimenopause and menopause affect every woman, yet many are still caught off guard by the wide range of symptoms that can come with this stage of life. In this episode, I sit down with nutritionist, menopause researcher, and author Andrea Donsky to discuss what she's learned from studying thousands of women and why so many continue to feel confused, dismissed, or unsupported when seeking answers.
116: What Screen Time Is Really Doing to Your Eyes, Brain, and Stress Levels
116: What Screen Time Is Really Doing to Your Eyes, Brain, and Stress Levels Jun 21, 2026 3460 One of the most overlooked aspects of health may be influencing how you think, learn, focus, perform, and even respond to stress every single day. In this episode, I sit down with neuro-optometrist Dr. Bryce Appelbaum to explore the difference between eyesight and vision, and why seeing 20/20 doesn't necessarily mean your visual system is functioning optimally. We discuss how the eyes and brain wo
115: PCOS Has a New Name: Why It’s More Than an Ovarian Disorder
115: PCOS Has a New Name: Why It’s More Than an Ovarian Disorder Jun 14, 2026 2575 In this episode, I explain why PCOS is now better understood as Polyendocrine Metabolic Syndrome (PMOS). While the traditional name focuses on the ovaries, the reality is that this condition often extends far beyond reproductive health. I discuss why many women with PCOS don't actually have ovarian cysts, how the condition can affect everything from insulin and metabolism to cortisol, inflammatio
114. Why Your Brain Feels Drained... and How to Reset It with Dr. Patrick Porter
114. Why Your Brain Feels Drained... and How to Reset It with Dr. Patrick Porter Jun 7, 2026 4010 In this episode, I sit down with Dr. Patrick Porter, founder of BrainTap and a longtime researcher in brain fitness and human performance, to explore why so many people today are struggling with brain fog, poor focus, low energy, and chronic stress. We discuss the relationship between the brain, gut, and nervous system, and how modern life may be affecting the way we think, feel, and function. Dr.
113: Why Cholesterol Isn’t the Villain and Estrogen Isn’t the Enemy with Dr. Terri DeNeui
113: Why Cholesterol Isn’t the Villain and Estrogen Isn’t the Enemy with Dr. Terri DeNeui May 31, 2026 2682 For years, cholesterol numbers have been treated as one of the primary indicators of heart health, but are we focusing on the right markers? In this episode, I sit down with Dr. Terri DeNeui to discuss the bigger picture behind cardiovascular risk. We talk through the limitations of looking at LDL cholesterol in isolation, the importance of factors like inflammation, insulin resistance, ApoB, lipo
112: The Birth Control Conversation We Need to Have: Helpful Tool or Hidden Problem?
112: The Birth Control Conversation We Need to Have: Helpful Tool or Hidden Problem? May 24, 2026 1554 What if the birth control pill you’ve been told is safe for decades is affecting far more than just pregnancy prevention? In this episode, I sit down with OB-GYN Dr. Johnny Peet for a powerful and nuanced conversation about oral birth control, hormone health, and the risks many women are never fully informed about, especially as they enter their 40s and 50s. We unpack the real differences between
111: Beyond the Labs: The Metabolic Clues Behind Fatigue, Weight Gain & Thyroid Issues
111: Beyond the Labs: The Metabolic Clues Behind Fatigue, Weight Gain & Thyroid Issues May 17, 2026 2333 In this conversation, I sit down with Dr. James LaValle to unpack the deeper metabolic patterns driving symptoms like fatigue, thyroid dysfunction, weight gain, hormone imbalances, brain fog, inflammation, and low energy. We dive into why the body cannot be viewed as isolated systems and how stress hormones, insulin, gut health, thyroid function, sex hormones, and inflammation are all deeply conne
110: Is Your Thyroid the Missing Piece? Dr. Amie Hornaman on Energy, Metabolism & Real Answers
110: Is Your Thyroid the Missing Piece? Dr. Amie Hornaman on Energy, Metabolism & Real Answers May 10, 2026 2774 In this episode, I sit down with Dr. Amie Hornaman, also known as the Thyroid Fixer, to unpack the real reasons so many people struggle with fatigue, weight gain, brain fog, and hormone imbalances without getting clear answers. We dive into her personal journey of being misdiagnosed multiple times, what finally led her to answers, and why so many patients today are still being overlooked in tradit
109: Why Gut Health Changes Everything: Dr. Vincent Pedre on Healing from the Inside Out
109: Why Gut Health Changes Everything: Dr. Vincent Pedre on Healing from the Inside Out May 3, 2026 2799 This conversation completely changed the way I think about healing and I know it’s going to shift things for you too. In this episode, I sit down with Dr. Vincent Pedre to unpack why so many people are stuck dealing with fatigue, hormone imbalances, inflammation, brain fog, and digestive issues and why the real answer almost always comes back to the gut. We dive into his personal health journey, h

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