Why Women Over 40 Burn Out: The Biomarkers No One Is Testing with Cynthia Thurlow

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Treated with Dr. Sara Szal

Dear Media

37 episodes

5 days ago

This is Treated, a new podcast with Dr. Sara Szal (formerly Gottfried): Real talk. Real science. Real solutions. Each week you will leave with the tools you need to heal your mind, body, and soul so you can take your health into your own hands. Most people are trying to optimize, it’s in our nature. But we can’t “to-do-list” our way out of taking care of ourselves. This means health needs a perspective shift. On Treated, Dr. Sara Szal sits down with experts in their fields and patients who have found holistic solutions to their health questions and created lasting transformation.

Join us every Wednesday for new episodes. If you have a question, leave a voice message at speakpipe.com/treated.

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Join us every Wednesday for new episodes. If you have a question, leave a voice message at speakpipe.com/treated.

Medicine

Health & Fitness,

Alternative Health

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Why Women Over 40 Burn Out: The Biomarkers No One Is Testing with Cynthia Thurlow

Treated with Dr. Sara Szal

51 minutes 42 seconds

1 month ago

Why Women Over 40 Burn Out: The Biomarkers No One Is Testing with Cynthia Thurlow

What if your symptoms like fatigue and burnout aren’t just about stress or overwork, but your hormones waving a white flag? In this episode of Treated, Dr. Sara sits down with nurse practitioner and nutritionist expert Cynthia Thurlow to unpack the hidden drivers of midlife burnout, fatigue, and brain fog. Cynthia shares her own journey from practicing traditional cardiology medicine to navigating a full burnout in her early 40s – a turning point that reshaped not only her personal health but also her entire career. Together, they explore why so many women feel dismissed by conventional lab work, the role of hormones like progesterone and cortisol, and why biomarkers such as fasting insulin, HRV, and thyroid function can reveal what’s really going on beneath the surface. Cynthia and Dr. Sara highlight the science of metabolic flexibility, cardiovascular risk markers like lipoprotein(a), and the connection between stress, trauma, and hormones. They also touch on the importance of alignment, meaning, and boundaries in preventing burnout – reminding us that midlife can be a time of initiation and transformation rather than decline. If you’ve ever wondered whether your fatigue is “just stress” or something deeper, this episode offers the tools and insights to measure what truly matters. // REFERENCES // Dr. Sara’s Lab References Ranges in Healthy Adults Cynthia Thurlow's TEDx Talk: On intermittent fasting. Christina Maslach Burnout Inventory: Mentioned as a tool for assessing burnout. World Health Organization (WHO): Mentioned for their classification of burnout in ICD-11. The Women's Health Initiative (WHI) study: A 2002 study that led a generation of women to be taken off their hormone replacement therapy. – Rossouw, Jacques E.,et al. “Risks and Benefits of Estrogen Plus Progestin in Healthy Postmenopausal Women: Principal Results from the Women’s Health Initiative Randomized Controlled Trial.” JAMA 288, no. 3 (July 17, 2002): 321–33. doi:10.1001/jama.288.3.321. Oral vs. Transdermal Estradiol Study: A paper suggesting that oral estradiol is superior to transdermal estradiol for lowering Lp(a) levels.--- Hemelaar, Marjolein, et al. “Oral, More than Transdermal, Estrogen Therapy Improves Lipids and Lipoprotein(a) in Postmenopausal Women: A Randomized, Placebo-Controlled Study.” Menopause 10, no. 6 (November-December 2003): 550–58. doi:10.1097/01.GME.0000064866.58809.E5. // LEARN MORE FROM CYNTHIA THURLOW // Visit Cynthia Thurlow’s website, cynthiathurlow.com Follow her on Instagram, @cynthia_thurlow_ Listen to her podcast, Everyday Medicine. // KEEP IN TOUCH WITH DR. SARA // If you have a question, leave a voicemail at speakpipe.com/treated Follow on IG: @saragottfriedmd @treatedwithdrsara Watch 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.