The Dr. Brighten Show

If you feel like your ADHD symptoms exploded in your late 30s or early 40s—your focus vanished, your sleep fell apart, your body started hurting, and your brain felt like it stopped working—you are not imagining it. And you are not failing. This episode explains why perimenopause is worse for women with ADHD, why it often begins years earlier than most doctors recognize, and why ADHD women experience a more severe, full-body symptom burden during this transition. Far from being “just stress” or “just anxiety,” the experience of ADHD and perimenopause is a neuroendocrine brain-body collision that modern medicine is largely unprepared to address. Grounded in a large population-based study and real clinical patterns, this episode reframes perimenopause as a critical neurological and hormonal transition, especially for women with ADHD, and explains why so many women feel blindsided, dismissed, and misdiagnosed during this stage of life. This Episode Is Brought to You By: Dr. Brighten Essentials Radiant Mind—a science-backed formula created to support women’s brain health through every stage of life. If you’ve ever felt the brain fog of perimenopause or noticed how ADHD can amplify challenges with focus, memory, mood, or sleep, you’re not alone. Radiant Mind combines clinically studied saffron extract, Bacognize® Bacopa, Cognizin® Citicoline, and zinc to help nourish your brain chemistry and support clarity, calm, and resilience.  Shop now https://drbrighten.com/radiant/  OneSkin  Founded by an all-woman team of PhD-level scientists, OneSkin is revolutionizing aging with the OS-01™ peptide, the first ingredient proven to reverse skin’s biological age by targeting cellular senescence. The result? Skin that looks, feels, and acts younger. It’s never too early — or too late — to invest in your skin health. Shop now https://oneskin.pxf.io/c/1950532/2885132/31050 👩🏻‍⚕️Follow Dr. Jolene Brighten: 💻 Website:⁠⁠⁠ ⁠⁠⁠https://www.drbrighten.com⁠⁠⁠⁠⁠⁠ 📸  Instagram:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠https://www.instagram.com/drjolenebrighten⁠⁠⁠⁠⁠ 🎥 TikTok: ⁠⁠⁠⁠⁠⁠https://www.tiktok.com/@drjolenebrighten⁠⁠⁠⁠⁠⁠ 🧵Threads: ⁠⁠⁠⁠⁠⁠https://www.threads.net/@drjolenebrighten⁠⁠⁠⁠⁠⁠ 🌟 Grab my free hormone friendly recipes here! ⁠⁠⁠⁠⁠⁠https://drbrighten.com/hormonekit/⁠⁠⁠⁠⁠⁠ 🎧 Subscribe to the Podcast: Apple: ⁠⁠⁠⁠⁠⁠https://podcasts.apple.com/us/podcast/the-dr-brighten-show/id1786362161⁠⁠⁠⁠⁠⁠ Spotify: ⁠⁠⁠⁠⁠⁠https://open.spotify.com/show/5VWcYWJFzi3OnwidT25IXi?si=481df20ef0a6417⁠⁠⁠⁠⁠⁠ YouTube:⁠ ⁠⁠⁠⁠⁠https://www.youtube.com/@drjolenebrighten⁠⁠⁠⁠⁠⁠⁠ 👉 If you found this episode valuable, drop a comment below to tell us what you loved most, and share it with a friend! Let’s spread the knowledge. 💬 Learn more about your ad choices. Visit megaphone.fm/adchoices

For years, dietary fiber has been framed as one thing: something you need “to stay regular.” But in this episode of The Dr. Brighten Show, Dr. Jolene Brighten sits down with registered dietitian Gabrielle Palmeri to unpack why that narrative is dangerously incomplete—especially for women. This conversation reframes fiber as a metabolic, hormonal, and immune regulator, not a digestive afterthought. The episode explores why most people feel worse when they first increase fiber, how diet culture has distorted the conversation, and why avoiding fiber long-term can quietly sabotage gut health, estrogen metabolism, blood sugar, and inflammation. If you’ve ever wondered what is a high fiber diet, whether fiber is really necessary, or why “healthy eating” sometimes makes you feel worse, this episode provides the missing context. This Episode Is Brought to You By Dr. Brighten Essentials Women’s Probiotic https://drbrightenessentials.com/products/womens-probiotic?selling_plan=995917858 is formulated to support healthy digestion, vaginal microbiome balance, and everyday immune function—simple, daily care for women.A balanced microbiome is foundational for feeling your best—from digestion to confidence. Quality you can trust: third-party tested; manufactured in a cGMP facility Exclusive for podcast listeners: use the code POD15 for 15% offf your order Shop now https://drbrightenessentials.com/ Sunlighten Saunas Want a gentle, science-forward way to sweat, recover, and unwind?  At Sunlighten, infrared saunas deliver soothing heat that supports relaxation, muscle recovery, and deep, comfortable sweating—without the stifling temps of traditional saunas. With low-EMF tech and options for near, mid, and far infrared, you get a calm, restorative session tailored to your goals. Exclusive for podcast listeners: use the code DRBRIGHTEN to save up to $1,400 on your sauna Shop now https://get.sunlighten.com/drbrighten Fygg — a dentist-developed oral care brand on a mission to “Feed Your Good Guys.” Fygg makes science-backed, microbiome-friendly oral care products — like fluoride-free toothpaste and remineralizing varnish — that support a balanced oral microbiome without harsh chemicals, foam, or unnecessary ingredients. Developed by dentists and grounded in research, Fygg helps strengthen enamel, maintain oral health, and promote a healthier mouth for the whole family. Use code DRBRIGHTEN for 15% off of their products (both one-time and subscription) Shop now https://fygg.sjv.io/ragbBv Connect with Gabrielle Website (with Fiber Guide & Private Community): https://stan.store/dietitiangabrielle Instagram: https://www.instagram.com/dietitian.gabrielle/?hl=en Tiktok: https://www.tiktok.com/@dietitian.gabrielle?lang=en YouTube: https://www.youtube.com/channel/UC89lIEaRwW9dL8BftTzK2Tg Threads: https://www.threads.com/@dietitian.gabrielle 👩🏻‍⚕️Follow Dr. Jolene Brighten: 💻 Website:⁠⁠⁠ ⁠⁠https://www.drbrighten.com⁠⁠⁠⁠⁠ 📸  Instagram:⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠https://www.instagram.com/drjolenebrighten⁠⁠⁠⁠ 🎥 TikTok: ⁠⁠⁠⁠⁠https://www.tiktok.com/@drjolenebrighten⁠⁠⁠⁠⁠ 🧵Threads: ⁠⁠⁠⁠⁠https://www.threads.net/@drjolenebrighten⁠⁠⁠⁠⁠ 🌟 Grab my free hormone friendly recipes here! ⁠⁠⁠⁠⁠https://drbrighten.com/hormonekit/⁠⁠⁠⁠⁠ 🎧 Subscribe to the Podcast: Apple: ⁠⁠⁠⁠⁠https://podcasts.apple.com/us/podcast/the-dr-brighten-show/id1786362161⁠⁠⁠⁠⁠ Spotify: ⁠⁠⁠⁠⁠https://open.spotify.com/show/5VWcYWJFzi3OnwidT25IXi?si=481df20ef0a6417⁠⁠⁠⁠⁠ YouTube:⁠ ⁠⁠⁠⁠https://www.youtube.com/@drjolenebrighten⁠⁠⁠⁠⁠⁠ 👉 If you found this episode valuable, drop a comment below to tell us what you loved most, and share it with a friend! Let’s spread the knowledge. 💬 Learn more about your ad choices. Visit megaphone.fm/adchoices

If you’re experiencing weight gain that feels sudden, unexplained, and resistant to everything that used to work—especially after age 35—you are not alone. For many women, weight gain in perimenopause begins years before menopause is ever mentioned in a doctor’s office. Alongside changes in weight, sleep often deteriorates, anxiety increases, cravings feel harder to control, and energy becomes unpredictable. In this episode of The Dr. Brighten Show, Dr. Jolene Brighten breaks down the real hormonal mechanisms behind weight gain in perimenopause over 35—and why this phase of life requires an entirely different approach than “eat less and move more.” This conversation focuses on the biological changes happening beneath the surface, how hormones like progesterone, estrogen, cortisol, insulin, and thyroid hormones interact, and what women can do to support their metabolism, sleep, and overall health during this transition. This is not about willpower. It’s about physiology. This Episode Is Brought to You By Dr. Brighten Essentials Radiant Mind — a science-backed formula created to support women’s brain health through every stage of life. If you’ve ever felt the brain fog of perimenopause or noticed how ADHD can amplify challenges with focus, memory, mood, or sleep, you’re not alone. Radiant Mind combines clinically studied saffron extract, Bacognize® Bacopa, Cognizin® Citicoline, and zinc to help nourish your brain chemistry and support clarity, calm, and resilience.  Shop now https://drbrightenessentials.com/products/radiant-mind Sunlighten Saunas — Want a gentle, science-forward way to sweat, recover, and unwind?  At Sunlighten, infrared saunas deliver soothing heat that supports relaxation, muscle recovery, and deep, comfortable sweating—without the stifling temps of traditional saunas. With low-EMF tech and options for near, mid, and far infrared, you get a calm, restorative session tailored to your goals. Exclusive for podcast listeners: use the code DRBRIGHTEN to save up to $1,400 on your sauna Shop now https://get.sunlighten.com/drbrighten LUMEBOX Ready to take your skincare results to the next level—right from home? 💡 LUME Box delivers professional-grade LED light therapy in a sleek, easy-to-use device that targets fine lines, pigmentation, and dullness at the cellular level. Just minutes a day can help boost collagen, calm inflammation, and reveal that lit-from-within glow. It’s the same science trusted in top dermatology clinics, now in your hands. Shop now → https://drbrighten.com/lumebox use code drbrighten for our exclusive community discount on your purchase. 👩🏻‍⚕️Follow Dr. Jolene Brighten: 💻 Website:⁠⁠⁠ ⁠https://www.drbrighten.com⁠⁠⁠⁠ 📸  Instagram:⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠https://www.instagram.com/drjolenebrighten⁠⁠⁠ 🎥 TikTok: ⁠⁠⁠⁠https://www.tiktok.com/@drjolenebrighten⁠⁠⁠⁠ 🧵Threads: ⁠⁠⁠⁠https://www.threads.net/@drjolenebrighten⁠⁠⁠⁠ 🌟 Grab my free hormone friendly recipes here! ⁠⁠⁠⁠https://drbrighten.com/hormonekit/⁠⁠⁠⁠ 🎧 Subscribe to the Podcast: Apple: ⁠⁠⁠⁠https://podcasts.apple.com/us/podcast/the-dr-brighten-show/id1786362161⁠⁠⁠⁠ Spotify: ⁠⁠⁠⁠https://open.spotify.com/show/5VWcYWJFzi3OnwidT25IXi?si=481df20ef0a6417⁠⁠⁠⁠ YouTube:⁠ ⁠⁠⁠https://www.youtube.com/@drjolenebrighten⁠⁠⁠⁠⁠ 👉 If you found this episode valuable, drop a comment below to tell us what you loved most, and share it with a friend! Let’s spread the knowledge. 💬 Learn more about your ad choices. Visit megaphone.fm/adchoices

Weight loss has always been a loaded topic, but in the era of Ozempic, it has become even more polarized. For some, GLP-1 medications feel like a long-overdue breakthrough. For others, they trigger fear, shame, or moral judgment. And for many women, they come with unexpected side effects, confusing outcomes, and the unsettling realization that losing weight doesn’t always mean feeling better. In this episode of The Dr. Brighten Show, Dr. Jolene Brighten sits down with registered dietitian and nutrition expert Ashley Koff for a nuanced, science-forward conversation about weight loss and Ozempic—one that goes far beyond the scale. Together, they explore why weight loss alone is a flawed goal, what GLP-1 medications actually reveal about human physiology, and why women are being disproportionately affected by oversimplified approaches to metabolic health. If you’ve ever wondered why weight loss feels harder than it “should,” why Ozempic works for some people but not others, or why your labs can look normal while your body feels anything but—this episode offers clarity. Learn more about your ad choices. Visit megaphone.fm/adchoices

Hormone replacement therapy for menopause has been one of the most misunderstood and fear-driven topics in women’s health. For years, women were warned away from hormone therapy based on a black box warning that failed to reflect how hormones are prescribed today, who benefits most, and when therapy is most effective. The recent decision by the FDA to remove the black box warning from certain menopausal hormone therapies has reignited questions, confusion, and concern. This episode of The Dr. Brighten Show—Hormone Replacement Therapy for Menopause: What the FDA’s Black Box Removal Really Means for Women—explains what hormone replacement therapy for menopause actually is, why the warning existed in the first place, what changed, what didn’t, and how women can make evidence-based decisions grounded in modern science rather than outdated fear. This Episode Is Brought to You By Dr. Brighten Essentials Radiant Mind—a science-backed formula created to support women’s brain health through every stage of life. If you’ve ever felt the brain fog of perimenopause or noticed how ADHD can amplify challenges with focus, memory, mood, or sleep, you’re not alone. Radiant Mind combines clinically studied saffron extract, Bacognize® Bacopa, Cognizin® Citicoline, and zinc to help nourish your brain chemistry and support clarity, calm, and resilience. And for a limited time, when you order Radiant Mind, you’ll also receive a free bottle of our best-selling Magnesium Plus—the perfect partner for restorative sleep and steady mood. Learn more at http://drbrighten.com/radiant. Sunlighten Saunas Want a gentle, science-forward way to sweat, recover, and unwind?  At Sunlighten, infrared saunas deliver soothing heat that supports relaxation, muscle recovery, and deep, comfortable sweating—without the stifling temps of traditional saunas. With low-EMF tech and options for near, mid, and far infrared, you get a calm, restorative session tailored to your goals. Exclusive for podcast listeners: use the code DRBRIGHTEN to save up to $1,400 on your sauna Shop now https://get.sunlighten.com/drbrighten LUMEBOX Ready to take your skincare results to the next level—right from home? 💡 LUME Box delivers professional-grade LED light therapy in a sleek, easy-to-use device that targets fine lines, pigmentation, and dullness at the cellular level. Just minutes a day can help boost collagen, calm inflammation, and reveal that lit-from-within glow. It’s the same science trusted in top dermatology clinics, now in your hands. Shop now → https://drbrighten.com/lumebox use code drbrighten for our exclusive community discount on your purchase. 👩🏻‍⚕️Follow Dr. Jolene Brighten: 💻 Website:⁠⁠⁠ https://www.drbrighten.com⁠⁠⁠ 📸  Instagram:⁠⁠⁠⁠⁠ ⁠⁠https://www.instagram.com/drjolenebrighten⁠⁠ 🎥 TikTok: ⁠⁠⁠https://www.tiktok.com/@drjolenebrighten⁠⁠⁠ 🧵Threads: ⁠⁠⁠https://www.threads.net/@drjolenebrighten⁠⁠⁠ 🌟 Grab my free hormone friendly recipes here! ⁠⁠⁠https://drbrighten.com/hormonekit/⁠⁠⁠ 🎧 Subscribe to the Podcast: Apple: ⁠⁠⁠https://podcasts.apple.com/us/podcast/the-dr-brighten-show/id1786362161⁠⁠⁠ Spotify: ⁠⁠⁠https://open.spotify.com/show/5VWcYWJFzi3OnwidT25IXi?si=481df20ef0a6417⁠⁠⁠ YouTube:⁠ ⁠⁠https://www.youtube.com/@drjolenebrighten⁠⁠⁠⁠ 👉 If you found this episode valuable, drop a comment below to tell us what you loved most, and share it with a friend! Let’s spread the knowledge. 💬 Learn more about your ad choices. Visit megaphone.fm/adchoices