The DUTCH Podcast

Send us Fan Mail
This conversation between Dr. Sonya Jensen and host Dr. Jaclyn Smeaton covers the science of how stress disrupts female hormone health and the emotions women carry that perpetuate that disruption. They also discuss the physiological mechanisms of chronic stress and how hormone testing can tell patients their stress story. 
This episode also highlights: 
How chronic stress and sustained cortisol production can lead to suppressed progesterone 
The downstream effects of resentment and unexpressed emotion 
How a patient’s emotional history connects to their symptoms 
The cortisol/cortisone ratio and what it can tell practitioners and patients about fatigue, low motivation, anxiety, and burnout 
Using the Cortisol Awakening Response on the DUTCH Plus as a clinical conversation tool
Show Notes 
Learn more about Dr. Sonya Jensen and follow her on Instagram @drsonyajensen! 
Check out Dr. Sonya’s book, Heal Your Hormones, Reclaim Yourself. 
Read the ovarian aging study mentioned in this episode. 
Become a DUTCH Provider to get access to comprehensive patient reports, peer-reviewed and validated research, and expert clinical support.

Send us Fan Mail
In this episode, Dr. Saru Bala and host Dr. Jaclyn Smeaton discuss the connection between hormones, the nervous system, and mood, specifically PMS and PMDD, from an integrative medicine perspective.  
Their discussion also highlights: 
Why hormonal shifts affect mood and the neuroscience behind those shifts 
The distinction between PMS and PMDD and why they are often dismissed as anxiety or depression 
How the luteal phase can reflect baseline health, including nutrition, lifestyle, and stress levels 
The importance of comprehensive testing and how those markers impact mood and cycle symptoms 
Key supplementation and lifestyle recommendations 
Show Notes 
Learn more about Dr. Saru Bala and follow her on Instagram @drsarubala! 
Become a DUTCH Provider to get access to comprehensive patient reports, peer-reviewed and validated research, and expert clinical support.

Send us Fan Mail
In this episode, Dr. Mark Holthouse joins Dr. Jaclyn Smeaton and DUTCH founder Mark Newman to take a closer look at a recent peer-reviewed publication from Precision Analytical, Inc. in Frontiers in Reproductive Health, examining how different testing methods hold up when it comes to monitoring male TRT in clinical practice.
Their discussion also covers:
Common misconceptions about how creams and gels show up in saliva testing and why the numbers can be misleading
What the clinical data actually shows about dosing accuracy across different testing modalities 
When to use serum, urine, and other testing approaches can be leveraged to optimize treatment.
How under or overdosing risks can be reduced by matching the right test to the right clinical question
Why advancing best practices in integrative medicine requires continually revisiting what the evidence supports
Show Notes 
Read our DUTCH Article on the Frontiers study, Mark Newman’s commentary, and the full study here. 
Check out the resources mentioned in this episode: 
The topical progesterone cream study in Fertility and Sterility 
The transdermal progesterone study from Climacteric 
Good Energy mentioned by Dr. Holthouse 
The study on the cardiovascular safety of TRT in the New England Journal of Medicine 
The study on testosterone threshold levels and skeletal muscle strength 
Become a DUTCH Provider to gain access to comprehensive patient reports, peer-reviewed and validated research, and expert clinical support.

Send us Fan Mail
In this episode, Dr. Jaclyn Smeaton discusses Hashimoto’s thyroiditis with Inna Topiler, a board-certified clinical nutritionist who shares her personal experience and health journey with Hashimoto’s. 
Their discussion also covers: 
Why standard thyroid testing is insufficient 
The four main triggers of immune confusion in Hashimoto’s, including stress, infections, toxins, and food sensitivities 
The impact of dysregulated cortisol on thyroid function 
How cortisol patterns on the DUTCH Test can be informative for Hashimoto’s patients 
Practical and accessible stress management tips 
Show Notes 
Learn more about Inna Topiler and follow her on Instagram @innatopiler! 
Become a DUTCH Provider to get access to comprehensive patient reports, peer-reviewed and validated research, and expert clinical support.

Send us Fan Mail
Join us for this episode with Dr. Jenn Simmons, an integrative breast surgeon and oncologist, alongside host Dr. Jaclyn Smeaton and DUTCH founder Mark Newman. This conversation deepens the discussion from a previous episode on hormones and breast cancer risk, challenging widely held clinical assumptions rooted in the Women's Health Initiative (WHI) study. 
This episode also explores: 
The critical distinction between progestins and progesterone 
The role of metabolic dysfunction in cancer development 
Breast cancer as a disease of hormone deficiency, particularly progesterone deficiency, rather than hormone excess 
The impact of estrogen metabolism, especially the 4-hydroxy pathway, and how the DUTCH Test can provide insight into these pathways 
Individualized hormone therapy for breast cancer survivors 
Show Notes 
Listen to our previous episode with Dr. Jenn Simmons! 
Check out the aging human breast study, the study on menopausal hormone therapy after breast cancer, and the transdermal testosterone study mentioned in this episode. 
Learn more about Dr. Jenn Simmons and follow her on Instagram @drjennsimmons! 
Become a DUTCH Provider to get access to comprehensive patient reports, peer-reviewed and validated research, and expert clinical support.