SHE MD

What if tinnitus, migraines, vertigo, brain fog, and even digestive symptoms all stem from the same underlying issue? In this episode, Dr. Hamid Djalilian, one of the world's leading experts in tinnitus and sensory disorders, explains the concept of brain sensitivity and how neuroinflammation may be driving symptoms many people have been told they simply have to live with.
Dr. Djalilian breaks down his treatment approach, including the powerful role of sleep, stress management, hydration, nutrition, and lifestyle changes in reducing symptoms. He also shares the latest research on tinnitus treatments, migraine prevention, supplements, medications, and why finding your personal triggers can be the key to lasting relief.
Subscribe to SHE MD Podcast for expert tips on PMOS, endometriosis, fertility, hormonal balance, mental health, and more. Share with friends and visit SHE MD website and Ovii for research-backed resources, holistic health strategies, and expert guidance on women’s health and well-being.

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What You’ll Learn
Why tinnitus, migraines, vertigo, brain fog, and other symptoms may share a common root cause in brain sensitivity and neuroinflammation
How stress, illness, hormonal changes, and sensory overload can trigger symptoms
The three pillars of Dr. Djalilian's protocol: sleep, diet, and stress management
Why hydration and consistent meal timing may be more important than you think
Common food and beverage triggers, including alcohol, caffeine, processed foods, and fermented products
The supplements most commonly used for migraine-related symptoms, including magnesium, riboflavin, and CoQ10
How cognitive behavioral therapy, meditation, and exercise can help calm an overactive nervous system
The latest developments in tinnitus research and future treatment options

Key Timestamps
00:00 Why You Should Never Check The Clock At Night
02:01 Meet The Doctor Rethinking Tinnitus Treatment
03:00 The Link Between Anxiety, Tinnitus And Brain Health
04:12 Why Tinnitus, Vertigo And Migraines Are Connected
06:48 Understanding Brain Sensitivity Syndrome
08:45 Why Some Brains React More Strongly Than Others
12:30 Everyday Habits Making Symptoms Worse
16:47 The Biggest Mistake In Chronic Symptom Recovery
20:08 Why Your Brain Can Get Stuck In Survival Mode
23:00 The Brain Sensitivity Protocol Explained
26:04 How Recovery Really Happens
28:30 Sleep Strategies For Calming An Overactive Brain
29:23 Migraines Are More Than Just Headaches
30:19 How Stress, Diet And Sleep Affect Symptoms
34:18 Foods And Triggers You Should Watch For
38:25 The Most Effective Supplements For Relief
47:07 When Medication May Be Necessary
49:58 Finding Your Personal Triggers
58:51 Can Surgery Actually Fix Migraines
1:00:07 Why Surgery Often Just Shifts The Problem
1:01:09 What A Migraine Actually Is
1:02:52 Vertigo, Brain Fog And Hidden Symptoms
1:05:27 How Hormones Trigger Tinnitus And Migraines
1:07:41 Should You Consider Hormone Replacement Therapy
1:10:18 What To Do When A Migraine Hits

Key Takeaways
Tinnitus is not always an ear problem; it may be a manifestation of a broader brain sensitivity disorder.
Many conditions, including migraines, vertigo, IBS, fibromyalgia, and tinnitus, may be connected through the same neurological pathways.
Consistent, uninterrupted sleep is one of the most important tools for reducing symptoms.
Lifestyle changes work best when combined with a personalized understanding of your triggers.
Stress management is not optional; it's a critical part of symptom control.
Small daily habits can have a major impact on brain health, inflammation, and quality of life.

Guest Bio
Dr. Hamid Djalilian is a board-certified otolaryngologist, professor of otolaryngology and biomedical engineering at the University of California, Irvine, and one of the world's leading experts in tinnitus, migraine-related disorders, vertigo, and sensory conditions. He serves as Director of Otology, Neurotology, and Skull Base Surgery at UCI and is President of the Migraine and Otolaryngology Society.
Through decades of clinical practice and research, Dr. Djalilian has pioneered a brain-based approach to understanding tinnitus, dizziness, migraine, and other sensory disorders. His work focuses on the connection between neuroinflammation, central sensitization, and chronic symptoms that are often misunderstood or misdiagnosed.
He also serves as Chief Medical Advisor for the NeuroMed Tinnitus Clinic, where he helps patients around the world manage tinnitus and related conditions through evidence-based treatment protocols that combine lifestyle interventions, behavioral therapies, supplements, and medical management.
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Urinary tract infections are one of the most common health issues women experience, yet there's still so much confusion about what they are, why they happen, and how they're different from yeast infections and other vaginal conditions. In this episode of Ask Dr. A, Dr. Aliabadi breaks down the anatomy behind UTIs, explains the difference between bladder infections and kidney infections, and shares the symptoms every woman should know.
Dr. Aliabadi also dives into why some women seem to get recurrent UTIs while others never experience them, covering the roles of hydration, sex, genetics, hormones, menopause, and the vaginal microbiome. She explains how bacteria causes infection, why urine cultures are essential for an accurate diagnosis, and the common mistakes that can lead to repeated infections.
Plus, you'll learn evidence-based prevention strategies, including the truth about cranberry supplements, D-mannose, vaginal estrogen, probiotics, and whether peeing after sex actually helps. If you've ever wondered why UTIs keep coming back, or how to lower your risk, this episode is packed with practical information every woman should know.
Subscribe to SHE MD Podcast for expert tips on PMOS, endometriosis, fertility, hormonal balance, mental health, and more. Share with friends and visit SHE MD website and Ovii for research-backed resources, holistic health strategies, and expert guidance on women’s health and well-being.

Sponsors
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What You’ll Learn
The difference between UTIs, bladder infections, kidney infections, and yeast infections
How bacteria enters the urinary tract and causes infection
Common UTI symptoms and warning signs you shouldn't ignore
Why some women are more prone to recurring infections
The role of hydration, sex, and vaginal health in UTI prevention
How menopause and declining estrogen affect urinary tract health
When a urine culture is necessary and why it matters
The truth about cranberry supplements, D-mannose, and other prevention strategies
Why recurrent UTIs may require a deeper investigation

Key Timestamps
00:00 Welcome to She MD Podcast
00:46 UTI, Yeast infection, Bladder infection, and Kidney infection
07:12 E.coli and how you get them in the urethra
13:09 How is the test called?
19:45 What can a woman do for these infections?
29:13 What kind of treatment will help with the infection?
37:15 Vaginal Estrogen Treatment
45:18 How do you address the bacteria?
50:20 How much is too much?
51:40 Let's address some myths
53:33 Final Words

Key Takeaways
UTIs and yeast infections are completely different conditions that affect different parts of the body.
Most UTIs begin as bladder infections caused by bacteria entering the urethra.
Early diagnosis and treatment can help prevent serious kidney infections.
Hydration, urinating after sex, and avoiding prolonged urine retention can reduce risk.
Vaginal microbiome health plays a major role in preventing recurrent UTIs.
Menopause-related estrogen loss can increase susceptibility to urinary tract infections.
A urine culture is the best way to confirm whether symptoms are truly caused by a UTI.
Cranberry extract and D-mannose may help prevent recurrent infections but are not treatments for active UTIs.
Recurrent infections should prompt an evaluation of underlying causes rather than repeated rounds of antibiotics.
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Joint pain, hip injuries, and mobility issues are often dismissed as an inevitable part of aging, especially for women. But according to renowned orthopedic surgeon Dr. Jason Snibbe, many of the musculoskeletal challenges women face are closely tied to hormonal changes, lifestyle habits, and the way we care for our bodies over time.
In this episode of SHE MD, Mary Alice Haney and Dr. Thaïs Aliabadi sit down with Dr. Snibbe to discuss the critical connection between estrogen, bone health, muscle mass, and joint function. They explore why women become more vulnerable to injuries during menopause, how to recognize early warning signs of joint degeneration, and what can be done to stay active and pain-free for decades to come.
Dr. Snibbe also shares his insights on hip replacements, the latest advances in orthopedic surgery, and the practical habits that can help women protect their mobility and maintain strength throughout every stage of life.
Subscribe to SHE MD Podcast for expert tips on PMOS, endometriosis, fertility, hormonal balance, mental health, and more. Share with friends and visit SHE MD website and Ovii for research-backed resources, holistic health strategies, and expert guidance on women’s health and well-being.

Sponsors
Snibbs: Use promo code “sheMD” for 20% off at Snibbs.co

What You’ll Learn
How menopause and declining estrogen levels affect joints, muscles, and bones
Why women face unique orthopedic challenges as they age
The early signs of joint damage and degeneration to watch for
How strength training supports long-term mobility and injury prevention
What causes hip pain and when it's time to seek medical evaluation
The truth about hip replacement surgery and who may benefit from it
How maintaining muscle mass can improve overall health and longevity
Practical strategies for protecting your joints and staying active for life

Key Timestamps
00:00 PMOS, Muscle Loss & Why This Matters
00:56 Meet The Orthopedic Surgeon Trusted By Hollywood
02:12 Why Women Need To Care About Joint Health Earlier
06:26 Why Women Start Experiencing Joint Pain In Midlife
07:14 What Actually Happens Inside Your Joints
08:48 How Estrogen Protects Your Joints
10:49 Frozen Shoulder Explained
12:30 The Growing Obsession With Peptides
18:16 Do Peptides Increase Cancer Risk?
21:13 Stem Cells, Exosomes & Regenerative Medicine
27:00 Prevention 101: Protecting Your Joints As You Age
31:37 Should Women Stop Running After 40?
32:29 EMS, Creatine & Building Muscle After 40
37:04 When Is It Actually Time For Surgery?
42:31 GLP-1s, Weight Loss & Saving Muscle Mass
45:38 Can GLP-1s Help Protect Your Brain?
47:34 Why Inflammation Makes Recovery Harder
48:47 When Joint Pain Becomes A Serious Problem
52:29 Why Orthopedic Surgeons Aren’t Just Surgeons
53:21 How Robotic Surgery Is Changing Joint Replacements
58:18 Why Some People Need Joint Replacements Earlier
01:00:17 Biggest Myths About Joint Replacement
01:04:19 Building A Hospital Designed Around Recovery

Key Takeaways
Joint health is deeply connected to hormonal health
Estrogen plays an important role in protecting bones, muscles, and connective tissue
Strength training is one of the most effective tools for preserving mobility as we age
Pain should not automatically be accepted as a normal part of aging
Early intervention can help prevent more serious orthopedic problems later in life
Maintaining muscle mass supports balance, strength, and long-term independence
Modern joint replacement procedures can dramatically improve quality of life for the right candidates
Investing in mobility today can have a lasting impact on overall health and longevity

Guest Bio: Dr. Jason Snibbe
Dr. Jason Snibbe is a board-certified orthopedic surgeon specializing in hip and knee replacement, sports medicine, and advanced joint preservation techniques. Widely recognized as one of the leading orthopedic surgeons in the country, Dr. Snibbe has treated elite athletes, entertainers, and patients from around the world seeking innovative solutions for joint pain and mobility challenges. A graduate of the University of Southern California School of Medicine, Dr. Snibbe completed his orthopedic surgery residency at the Cedars-Sinai Medical Center and has built a reputation for combining cutting-edge surgical expertise with a patient-centered approach to care.Through his practice, research, and public advocacy, he continues to help patients understand how to protect their joints and preserve quality of life for years to come.
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Addiction affects millions of people, yet it remains one of the most misunderstood and stigmatized medical conditions. This week on SHE MD, Mary Alice Haney sits down with Dr. Sarah Wakeman, a nationally recognized addiction medicine specialist, Harvard Medical School faculty member, and leading advocate for evidence-based addiction treatment.
Dr. Wakeman shares how her experiences treating patients revealed a troubling reality: people struggling with addiction are often treated very differently than those with other chronic illnesses. Together, they explore why addiction is a medical condition, not a moral failing, and what needs to change in healthcare, policy, and public perception.
The conversation also dives into alcohol use, women's unique health risks, pregnancy, breast cancer, and the growing body of research on how alcohol impacts long-term health. This episode is an eye-opening discussion about stigma, recovery, compassion, and the power of treating addiction with science instead of judgment.
Subscribe to SHE MD Podcast for expert tips on PMOS, endometriosis, fertility, hormonal balance, mental health, and more. Share with friends and visit SHE MD website and Ovii for research-backed resources, holistic health strategies, and expert guidance on women’s health and well-being.

Sponsors
Ka'Chava: Treat yourself to the flavor and nutrition your body craves. Go to kachava.com and use code SKINNY for 15% off your first order. Use code SHE MD at checkout
Osea: Get 10% off your first order sitewide with code SHEMD at oseamalibu.com.
Myriad: Go to GetMyRisk.com to learn more about hereditary cancer testing and how you can use Myriad’s virtual care option for fast, at-home testing - no office visit required.
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What You’ll Learn
Why addiction is a chronic medical condition
How stigma impacts addiction treatment
Why women experience alcohol differently
The link between alcohol and breast cancer
Alcohol's effects during pregnancy
Common myths about addiction recovery
What evidence-based addiction care looks like
Why compassion improves outcomes
The role of trauma in substance use disorders
How to support someone struggling with addiction

Key Timestamps
00:00 Why Alcohol Is More Dangerous Than Most People Think
03:02 What Alcohol Actually Does To Your Brain
06:48 Why Some People Become Addicted Faster Than Others
10:42 The Science Behind Alcohol Cravings
14:56 When Drinking Becomes A Real Problem
18:37 Why Addiction Changes Your Brain
22:14 Women & Why Alcohol Affects Them Differently
26:03 Alcohol, Anxiety & The Sleep Problem
30:21 Signs You May Need To Cut Back Drinking
37:05 The Best Treatments For Alcohol Use Disorder
41:36 New Medications That Reduce Alcohol Cravings
44:43 Why Menopause Makes Alcohol Harder To Tolerate
45:37 Teens, Alcohol & Parenting Conversations
46:42 The Biggest Protective Factors Against Addiction
53:05 Why Scare Tactics Fail Teenagers
57:39 How To Help Someone With Alcohol Problems
58:35 Why Tough Love Usually Doesn't Work
01:01:17 Supporting Loved Ones Without Enabling
01:07:58 Questions To Ask Yourself About Drinking

Key Takeaways
Addiction should be treated like any other chronic illness, with evidence-based medical care and long-term support.
Stigma and judgment often prevent people from getting the treatment they need.
Many people with addiction have histories of trauma, adversity, or significant life challenges.
Alcohol carries real health risks, including an increased risk of breast cancer, even at lower levels of consumption.
Women metabolize alcohol differently and may experience greater health impacts than men.
Recovery is possible, especially when treatment is rooted in science, compassion, and individualized care.
Language matters; how we talk about addiction can either reinforce stigma or support healing.
Understanding addiction as a medical condition is essential to improving care and saving lives.

Guest Bio
Dr. Sarah Wakeman is a nationally recognized leader in addiction medicine, a graduate of Brown University, and a faculty member at Harvard Medical School. She is double board-certified in Internal Medicine and Addiction Medicine and serves as the Program Director of the Massachusetts General Hospital Addiction Medicine Fellowship.
Throughout her career, Dr. Wakeman has been at the forefront of transforming how substance use disorders are treated, advocating for evidence-based, compassionate care that replaces stigma with science. She has helped develop innovative treatment programs, mentored the next generation of addiction medicine specialists, and worked to expand access to life-saving care for patients across the healthcare system.
As a physician, educator, and national thought leader, Dr. Wakeman is passionate about changing the conversation around addiction; helping people understand that substance use disorder is a medical condition, not a moral failing, and that recovery is possible with the right support and treatment.
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On this deeply personal episode of SHE MD, co-host Mary Alice Haney sits down with her lifelong best friend, Stacey Hunt, to share the story of how listening to the podcast led Stacey to advocate for herself, and ultimately, catch her breast cancer early enough to save her life.
After hearing the Olivia Munn episode and learning about lifetime breast cancer risk assessments, dense breast tissue, and the importance of MRIs for high-risk women, Stacey decided to take action. Despite having a recent “clear” mammogram and no symptoms, she pushed for additional testing after learning her lifetime risk score was 28%. That MRI revealed a tiny invasive lobular breast cancer hidden beneath extremely dense breast tissue; something her mammogram missed entirely.
Together, Stacey, Mary Alice, and Thais Aliabadi have an emotional and eye-opening conversation about self-advocacy, early detection, dense breasts, genetic testing, the realities of a breast cancer diagnosis, treatment decisions, reconstruction options, menopause after cancer, and the emotional toll that comes with survivorship. This episode is both a powerful reminder that early detection saves lives and a call for every woman to know her lifetime risk of breast cancer.
Subscribe to SHE MD Podcast for expert tips on PCOS, endometriosis, fertility, hormonal balance, mental health, and more. Share with friends and visit SHE MD website and Ovii for research-backed resources, holistic health strategies, and expert guidance on women’s health and well-being.

Sponsors
Myriad: Go to GetMyRisk.com to learn more about hereditary cancer testing and how you can use Myriad’s virtual care option for fast, at-home testing - no office visit required.

What You’ll Learn
Why every woman should know her lifetime breast cancer risk score
The difference between 2D and 3D mammograms
Why women with dense breasts may need ultrasounds and MRIs
What the Myriad genetic test measures
The difference between ductal and lobular breast cancer
Why invasive lobular cancer can be harder to detect
How to advocate for yourself when a doctor dismisses your concerns
The emotional reality of receiving a breast cancer diagnosis
The connection between menopause, breast cancer, and hormone replacement therapy
Non-hormonal options for managing menopause symptoms after breast cancer
Why repetition and education empower women to take control of their health

Key Timestamps
00:00 Why You’re Tired Even When You’re Doing Everything Right
01:40 The Random Phone Call That Changed Everything
02:30 This Story Honestly Scared Me
03:29 The Podcast Episode That Literally Saved Her Life
04:14 The Breast Cancer Test Nobody Told Her About
05:42 She Got Her Results Back… And Freaked Out
09:16 Her Doctor Basically Said “You’re Fine”
11:58 When Your Doctor Makes You Feel Dramatic
13:26 The MRI That Found What Everyone Missed
14:11 The Type Of Breast Cancer That Hides
16:49 The Call Nobody Ever Wants To Get
19:18 What Having Cancer Actually Feels Like
22:50 Why She Removed Both Breasts
30:44 The Hormone Question Everyone is Asking
41:58 How Cancer Completely Changed Her Perspective
43:49 The Advice Every Woman Needs To Hear

Key Takeaways
Early detection can dramatically improve breast cancer outcomes, especially for aggressive or hard-to-detect cancers.
Dense breast tissue can make mammograms less effective, which is why additional imaging may be necessary.
A normal mammogram does not always mean you are cancer-free.
Knowing your lifetime risk of breast cancer can help determine the right screening protocol for you.
Self-advocacy can save your life, even when medical professionals initially dismiss your concerns.
Invasive lobular breast cancer is often more difficult to detect than ductal breast cancer.
Every woman’s treatment journey is personal, and mental health and peace of mind matter when making decisions.
There are non-hormonal ways to manage menopause symptoms after breast cancer.
Community, education, and shared experiences can empower women to take action for their health.
The “SHE MD effect” is real: informed women help save other women’s lives.

Guest Bio
Stacey Hunt is a breast cancer survivor, mother, and longtime friend of Mary Alice Haney whose life was changed after listening to SHE MD. Inspired by the podcast’s conversations around breast cancer risk assessments and early detection, Stacey advocated for additional screening despite having a recent negative mammogram and no symptoms. Her persistence led to the discovery of an early-stage invasive lobular breast cancer hidden beneath extremely dense breast tissue; a diagnosis that may have otherwise gone undetected for years.
In this powerful episode, Stacey shares her deeply personal journey through diagnosis, self-advocacy, treatment, and recovery, offering an inspiring reminder of the importance of knowing your risk, trusting your instincts, and speaking up for your health.

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