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Published by Mimi Deal
The Rever Rundown is your no-nonsense guide to health, wellness, beauty, and aesthetics. Tired of conflicting information and feeling dismissed? We cut through the noise, do the research, and bring in the experts so you get clear, actionable answers to the questions you've been asking all along.
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Today we're getting into something nobody wants to talk about and everybody should: poop. I promise it's one of the most useful conversations we'll have, because your bowel movements are one of the clearest windows into your health, telling you about your hydration, your nutrition, how well you're absorbing nutrients, and how your gut is functioning day to day. I start with the question everyone asks: how often should I actually be going? Then we get into the tool I pull up constantly in the clinic: the Bristol Stool Scale. I walk through all seven types, what they mean, and the range you're actually aiming for. We cover one of the most misunderstood truths in gut health, that you can go every single day and still be constipated, if you're straining, waiting, or never quite feeling emptied, and how that incomplete feeling can point to the pelvic floor. From there I get practical: why stool gets hard in the first place, the different types of fiber and how much you actually need (and why you should build up slowly), what magnesium can and can't do, why movement matters, and why "detox" is the wrong way to think about all of this. I close with the red flags that deserve a workup, and a simple to-do list: look at your poop, and learn your normal. This is educational, not medical advice, but it's the kind of everyday health literacy that genuinely changes outcomes. Follow us Instagram TikTok Youtube Linkedin Website See full show notes Become a Patient: HERE Medical Providers: Join my Clinician Education Platform and use code PATREON10 for 10% off first month Subscribe to our Newsletter: HERE Hume Health - Get $20 off Gramms Protein - Get $20 off Ethlete 15% off code: REVER15 Book a complimentary call with Nexus Point: HERE Learn at Pinnacle to earn FREE CE/CME credit for listening to this episode: HERE Pelvic Floor Podcast Episodes Episode 7 Episode 8 Chapters 00:00 Intro 00:06 Introduction and Personal Struggles 00:25 Understanding Bowel Movements 01:17 Normal Bowel Frequency and Health Indicators 04:40 The Bristol Stool Chart Explained 08:19 Causes of Constipation and Treatment Options 13:38 The Importance of Physical Activity and Detoxification 15:08 When to Seek Medical Attention 17:48 Key Takeaways and Conclusion 19:28 Outro
Ashley Madsen is one of our favorite guests, and after our peptides episode sparked a flood of questions about sex, desire, and libido, we had to bring her back. This one is refreshingly honest. We start by untangling three words that get used interchangeably but mean very different things: libido, desire, and arousal. Then we walk through the stages of a woman's life and how desire shifts through each. We get into the science without shame and why the single most powerful "treatment" is often a shift in relationship dynamics, a partner who lightens the load, offers affection with no agenda, and helps her feel supported rather than managed. A note on this one: it's a clinical conversation, and it's candid. Ashley and Mimi discuss specific medical and hormonal treatments from a provider's perspective. All of that is educational and reflects their clinical experience, it is not medical advice, and every option mentioned is deeply individual and belongs in a conversation with your own qualified provider. Above all, this episode carries one message we care about deeply: your desire and sexual wellbeing are a real part of your health, and you do not have to just take it. There is so much more that can be done than most women realize. More info: Combined oral contraceptives are linked to lower levels of several nutrients, most consistently vitamin B6, along with B2, folate, B12, vitamin C, vitamin E, magnesium, selenium, and zinc; vitamin A tends to rise. A few caveats: the B12 change usually reflects altered transport rather than true deficiency, and symptomatic deficiency is uncommon on today's low-dose pills. Targeted supplementation may help, though it isn't routinely recommended, and diet matters. The gut data are limited and inconsistent. A few small studies found minor shifts, but the largest and most rigorous (160 women) found no effect on gut composition or diversity, though it did find the menstrual cycle affected the vaginal and oral microbiome, just not the gut. There's also a debated idea that because the pill suppresses ovulation, it may blunt the preferences naturally cycling women show, for more masculine faces, or the scent of genetically dissimilar men. The evidence for this is mixed and unresolved. Follow us Instagram TikTok Youtube Linkedin Website See full show notes Become a Patient: HERE Medical Providers: Join my Clinician Education Platform and use code PATREON10 for 10% off first month Subscribe to our Newsletter: HERE Hume Health - Get $20 off Gramms Protein - Get $20 off Ethlete 15% off code: REVER15 Book a complimentary call with Nexus Point: HERE Learn at Pinnacle to earn FREE CE/CME credit for listening to this episode: HERE Ashley Madsen Website Instagram Peptide Course Chapters 00:00 Intro 00:08 Guest Introduction: Ashley Madsen 01:32 Libido vs. Arousal: What's the Difference? 03:49 Why Desire Changes Across Life Stages 06:36 Sexual Health in Your 20s: Birth Control, Desire & Orgasm 13:00 Postpartum Intimacy: Hormones, Exhaustion & Connection 25:12 Perimenopause: Energy, Hormones & Arousal 33:26 Pain, Pelvic Floor Health & Taking Time to Warm Up 37:54 Postmenopausal Sexual Wellness & Vaginal Estrogen 44:16 PT-141: Benefits, Side Effects & Personalized Dosing 49:44 Final Takeaways: Ask Questions and Advocate for Your Health 52:06 Outro
Some of the best connections happen by accident. I met Becca Medvin during a car meditation at a wellness event. I'd climbed into her car to escape the heat and left feeling calmer than I had in ages. So I asked her on the show. Becca is a meditation and yoga teacher rooted in the Himalayan tradition, with a decade of study at the Clairvoyant Center of Hawaii and a passion for breathwork, flower essences, and herbalism. As she puts it, all your answers already exist within you, these practices simply help you see them. We talk about presence, and why most of us are rarely where we actually are. We get candid, empath to empath, about setting energetic boundaries and how sensitive people so often end up carrying everyone else's emotions. And we get practical: Becca walks through a simple breath-and-movement practice anyone can do, how to tone the vagus nerve using your own voice, and why playfulness and self-compassion aren't distractions from healing but part of it. As two recovering perfectionists, we land on her favorite reminder of all, just give yourself a break. A quick note: Becca's tradition includes spiritual and energetic practices, which we share as her perspective and lived experience. This is an educational conversation, not medical advice. If you've been running from one thing to the next without a full breath, consider this your invitation to pause. Follow us Instagram TikTok Youtube Linkedin Website See full show notes Become a Patient: HERE Medical Providers: Join my Clinician Education Platform and use code PATREON10 for 10% off first month Subscribe to our Newsletter: HERE Hume Health - Get $20 off Gramms Protein - Get $20 off Ethlete 15% off code: REVER15 Book a complimentary call with Nexus Point: HERE Learn at Pinnacle to earn FREE CE/CME credit for listening to this episode: HERE Becca Medvin Website Instagram Chapters 00:00 Intro 00:06 Guest Introduction: Becca Medvin 01:33 Becca’s Approach to Meditation, Yoga & Flower Essences 02:07 Clairvoyance and Intuitive Development 04:38 Overcoming Self-Doubt and Sensitivity 06:31 Setting Boundaries as an Empath 09:45 Empowerment Through Self-Awareness 14:47 The Lifelong Journey of Self-Discovery 17:15 Accepting Your Present State 19:23 The Connection Between Yoga and Mindfulness 21:25 Starting Your Yoga Journey: Small Steps Matter 22:09 Integrating Breath with Movement 24:01 The Importance of Breath Awareness 24:29 A Simple Daily Breathing Practice 25:59 Different Styles of Breathwork 27:27 Breathwork for Emotional Release 28:59 Toning the Vagus Nerve Through Voice and Breath 31:06 Rediscovering Playfulness and Joy 32:12 Giving Yourself Permission to Be Free 33:20 Understanding Flower Essences 35:17 Final Thoughts and Takeaways 37:01 Outro
A year ago, Dr. Sarah Avila did my eyelid surgery, and the questions haven't stopped since. So I finally brought her on to answer them. Dr. Sarah Avila is the board-certified oculoplastic surgeon who performed my own upper eyelid surgery, and after all the questions that experience generated, I knew I had to bring her on. An oculoplastic surgeon specializes entirely in the upper face and everything to do with the eyes: the eyelids, brows, the lacrimal (tear) system, and the eye socket. We start with something most people never consider, that the eyes have to function before they can look good. From there we get practical. We get honest about the non-surgical options too: when under-eye filler genuinely helps and when it backfires, what PRP and PRF can and can't do, and her candid, study-informed take on PDGF, the injectable that's everywhere in Miami right now. We talk about the skin pinch trend and why she's seeing complications from it, when surgery is genuinely the better value, and why she'll never give you a "trendy" result. A quick and important note: this is an educational conversation about aesthetic and surgical options, not medical advice, and it reflects our guest's clinical perspective. Every concern discussed is deeply individual, and as Sarah says, there's no substitute for a real, in-person consultation with a qualified provider. Whether you've thought about eye surgery or just want to understand what you see in the mirror, this one is full of clarity. Additional info: A landmark study published in PLOS ONE analyzed data from 16,408 adults to measure the exact mental health impact of dry eyes. The researchers found the following risk metrics: Suicidal Ideation Risk (Diagnosed DED) : Patients with a clinical diagnosis of dry eye disease had a 1.24 times higher risk (an increased odds ratio of 24%) of experiencing suicidal thoughts. Suicidal Ideation Risk (Severe Symptoms): Patients experiencing active, painful dry eye symptoms had a 1.47 times higher risk (an increased odds ratio of 47%) of suicidal thoughts compared to healthy peers. Depression Risk: Those with active dry eye symptoms had a 1.50 times higher risk of developing clinical depression. Follow us Instagram TikTok Youtube Linkedin Website See full show notes Become a Patient: HERE Medical Providers: Join my Clinician Education Platform and use code PATREON10 for 10% off first month Subscribe to our Newsletter: HERE Hume Health - Get $20 off Gramms Protein - Get $20 off Ethlete 15% off code: REVER15 Book a complimentary call with Nexus Point: HERE Learn at Pinnacle to earn FREE CE/CME credit for listening to this episode: HERE Dr. Sarah Avila Website Instagram Chapters 00:00 Intro 00:06 Introduction: Dr. Sarah Avila 01:09 The Importance of Eye Health and Tear Film 01:36 Exploring Non-Surgical Options: Fillers and PRP 08:45 The Controversy of PDGF in Aesthetic Treatments 13:05 Surgical Interventions: When and Why? 13:41 Understanding Brow and Eyelid Aesthetics 17:48 Navigating Eyelid Surgery and Insurance 22:21 Exploring Lower Eyelid Procedures 33:16 The Impact of Prostaglandins on Eyelash Growth 41:41 Outro
Today's guest is someone near and dear to my heart: my brother, Dr. Norman Ruiz-Castaneda, whom I lovingly call Tito. After earning his doctorate of pharmacy from the University of Florida, he spent the last decade specializing in compounding pharmacy and personalized care, and in 2020 he and his wife Christy opened Uptown Chemist, North Naples' first USP 800-compliant compounding pharmacy. We get into the heart of his work: compounding pharmacy and why it matters. We talk about why the same dose doesn't fit everyone, how compounding solves real problems, why a made-to-order medication takes time, and why that's a good thing. If you've ever wondered why compounded care feels so different from the retail pharmacy experience, this explains it. We also explore several medications being used and studied in the functional and longevity space, including methylene blue and low-dose naltrexone, and the broader concept of repurposed drugs, medications with an established use being explored, under a provider's guidance, for new ones. We touch on ivermectin as well, and the complicated, contested history of how it was discussed during the pandemic. A quick and important note: this is one of our more clinical conversations. Everything here is educational, not medical advice, and it reflects our guest's perspective and clinical experience. Some of what's discussed remains genuinely debated in the medical community, and we'd encourage you to weigh it with your own clinician. Follow us Instagram TikTok Youtube Linkedin Website See full show notes Become a Patient: HERE Medical Providers: Join my Clinician Education Platform and use code PATREON10 for 10% off first month Subscribe to our Newsletter: HERE Hume Health - Get $20 off Gramms Protein - Get $20 off Ethlete 15% off code: REVER15 Book a complimentary call with Nexus Point: HERE Learn at Pinnacle to earn FREE CE/CME credit for listening to this episode: HERE Dr. Norman Ruiz-Castaneda Website Instagram Chapters 00:00 Intro 00:06 Introduction to Dr. Norman Ruiz-Castaneda 01:16 Journey into Pharmacy and Personal Health 10:27 Transitioning to Functional Medicine 12:13 Exploring Methylene Blue 24:26 Understanding Low Dose Naltrexone (LDN) 25:51 Understanding Inflammation and Its Management 30:51 Exploring Ivermectin: Uses and Controversies 43:10 The Concept of Repurposed Drugs in Medicine 47:52 Outro
We first met Geri Del Vento when we were hunting for a space to record this very podcast, and hers was so beautifully designed we couldn't stop talking about it. Geri is a Venezuelan-born, Miami-raised creative whose path wound through dance, church environments, and motherhood before landing in interior design, and she brings real warmth and intention to everything she touches. We get into something I care about deeply: the connection between your environment and how you feel. Geri explains why design is more than aesthetics, it's intentionality, and how the spaces we live in speak directly to our nervous system, our sense of calm, and even our sleep. We dig into lighting, talk about color, and why the goal is never to chase a trend but to find what genuinely brings you peace. We get into texture and we talk about which rooms matter most, why the kitchen and family room might be your true sanctuary, and how to treat the bedroom as a place of rest. Whether you want to refresh one room on a budget or rethink how your whole home makes you feel, this one will change how you see the space around you. Follow us Instagram TikTok Youtube Linkedin Website See full show notes Become a Patient: HERE Medical Providers: Join my Clinician Education Platform and use code PATREON10 for 10% off first month Subscribe to our Newsletter: HERE Hume Health - Get $20 off Gramms Protein - Get $20 off Ethlete 15% off code: REVER15 Book a complimentary call with Nexus Point: HERE Learn at Pinnacle to earn FREE CE/CME credit for listening to this episode: HERE Geri Del Vento Website Instagram Chapters 00:00 Intro 00:06 Introduction and Personal Background 00:06 The Impact of Environment on Wellness 02:14 Journey to Interior Design 04:50 Building a Design Career 07:27 The Connection Between Space and Well-Being 10:24 The Impact of Lighting on Mood 12:22 Home Office Trends During COVID 14:01 Creating Sanctuary Spaces in Homes 17:32 The Role of Color in Interior Design 22:54 The Design Process: From Concept to Creation 25:00 Challenges and Comparisons in Entrepreneurship 25:25 The Comparison Trap in Entrepreneurship 28:18 Building Strong Foundations: Systems and Processes 29:29 The Importance of Environment and Textiles 31:45 Designing with Intent: The Impact of Space 35:05 Affordable Design Hacks for Everyone 37:19 Rapid Fire Favorites: Design Preferences 38:54 Outro
I slid into Dr. Alyssa Olenick's DMs because I love her content that much, and this conversation did not disappoint. Alyssa has a PhD in exercise physiology specializing in women's health and metabolism, plus postdoctoral training in menopause, and she has run eighteen ultramarathons, so she brings both the research and the lived experience. We start where so much confusion lives: the sea of fitness misinformation aimed at women.She lays out a genuinely useful blueprint: the three pillars of a complete program, how to actually tell if you're working hard enough, and why two to three quality strength sessions a week is enough. We get into power specifically, and why we lose it even faster than muscle as we age, which matters far more than it sounds. Then we get into the reframe that changed how I train: the truth about your menstrual cycle and exercise. Your body's actual capacity doesn't meaningfully change across your cycle, but how it feels does, and understanding that difference is freeing. We get into why rigid cycle syncing falls apart, and how to work with your body instead of against it. Empowering, honest, and packed with things you can actually use, whether you're a lifelong athlete or someone who's never set foot in a gym. Follow us Instagram TikTok Youtube Linkedin Website See full show notes Become a Patient: HERE Medical Providers: Join my Clinician Education Platform and use code PATREON10 for 10% off first month Subscribe to our Newsletter: HERE Hume Health - Get $20 off Gramms Protein - Get $20 off Ethlete 15% off code: REVER15 Book a complimentary call with Nexus Point: HERE Learn at Pinnacle to earn FREE CE/CME credit for listening to this episode: HERE Dr. Alyssa Olenick Website Instagram Chapters 00:00 Intro 00:06 Introduction to Alyssa Olenick and Her Journey 02:46 Debunking Myths in Women's Training 06:44 Understanding Women's Training Needs 08:00 The Importance of Strength Training for Young Women 15:36 Building a Holistic Training Program 21:37 The Role of Power in Aging and Functionality 30:13 Understanding Bone Health and Gender Differences 33:07 The Impact of Hormones on Bone Density 35:03 Menstrual Cycle and Energy Availability 39:31 Hormonal Influence on Exercise Performance 47:23 Training Through Perimenopause and Beyond 53:11 Outro
I've been a fangirl of Ashley Madsen's work for a while, so getting her on the show was a real treat. Ashley is a double board-certified physician associate, international speaker, and educator in functional medicine, longevity science, and performance optimization. We start with NAD and Ashley explains why the real story is far more nuanced than "we lose it with age, so replace it." We get into why the body degrades NAD in the first place, why testing NAD is so tricky, and why the idea of a weekly NAD drip for everyone doesn't hold up. She also explains the role of methylation support, and why building a foundation matters before layering on the fancy stuff. From there we talk peptides. Ashley breaks down how it works, who it may help, and why the human safety data behind it stands out. We even play a rapid-fire round on peptides. We close on where personalized medicine is going, why "knowledge replaces fear," and Ashley's lovely idea of the lily pad effect, how every pivot and even every failure prepares you for what comes next. A note: this is one of our more clinical conversations, and everything discussed is educational, not medical advice. Any therapy mentioned should be considered only with a qualified clinician. Follow us Instagram TikTok Youtube Linkedin Website See full show notes Become a Patient: HERE Medical Providers: Join my Clinician Education Platform and use code PATREON10 for 10% off first month Subscribe to our Newsletter: HERE Hume Health - Get $20 off Gramms Protein - Get $20 off Ethlete 15% off code: REVER15 Book a complimentary call with Nexus Point: HERE Learn at Pinnacle to earn FREE CE/CME credit for listening to this episode: HERE Purchase Methyl Guard Plus: HERE Ashley Madsen Website Instagram Peptide Course Chapters 00:00 Intro 00:06 Introduction to Ashley Madsen 03:38 Ashley Madsen's Journey in Medicine 08:22 Understanding NAD: The Basics 14:07 NAD in Practice: Personal Experiences and Insights 20:28 Methylation and Personalized Medicine 21:43 Exploring SS-31: A Game-Changing Peptide 23:06 Mitochondrial Health and Peptide Therapy 29:18 Personalized Medicine and the Future of Peptides 35:28 Knowledge and Curiosity in Health Decisions 38:19 The Lily Pad Effect and Life Lessons 38:51 Outro
I met Dr. Teresa Chamorro at our perimenopause premiere, and afterward everyone said the same thing: bring the psychologist back. So here she is. Teresa is a clinical psychologist specializing in sleep and women's reproductive mental health, supporting women through fertility, pregnancy, loss, the postpartum period, and menopause. We start with something that isn't talked about nearly enough: postpartum mental health. We get into why postpartum depression and anxiety carry so much shame, why the six-week checkup gives a false sense of a finish line when this can take many months to move through, and how to know when a hard season has become something worth getting help for. From there we talk about the identity shift of becoming a mother, and how to hold onto yourself inside it. We get into the perimenopause transition and how a whole team, not just hormones, supports you through it, and why tracking your symptoms gives you back a sense of control. We also cover the things I could talk about for hours: why failure is not only survivable but necessary, how to actually set and hold a boundary, the invisible mental load women carry. If you take one thing from this: express how you're feeling, don't be afraid to set boundaries, and give yourself real breaks. You are not alone. Follow us Instagram TikTok Youtube Linkedin Website See full show notes Become a Patient: HERE Medical Providers: Join my Clinician Education Platform and use code PATREON10 for 10% off first month Subscribe to our Newsletter: HERE Hume Health - Get $20 off Gramms Protein - Get $20 off Ethlete 15% off code: REVER15 Book a complimentary call with Nexus Point: HERE Learn at Pinnacle to earn FREE CE/CME credit for listening to this episode: HERE Chapters 00:00 Intro 00:06 Introduction to Women's Health Psychology 04:28 Navigating Postpartum Depression 07:29 Finding Identity in Motherhood 11:05 Communication in Relationships During Transition 15:23 Flexibility and Self-Compassion 19:44 Mindful vs. Mindless Relaxation 20:55 The Role of Movement in Stress Relief 22:27 Breathing Techniques for Stress Management 26:25 The Value of Failure 28:51 Teaching Resilience to Children 31:55 Facing Fear and Embracing Change 32:49 The Journey to Becoming a Psychologist 34:09 The Importance of Social Support 35:19 Perspective Shifting in Therapy 36:15 Expressing Emotions and Overcoming Shame 38:21 Understanding Gender Differences in Emotional Expression 38:43 Setting Boundaries: The Key to Healthy Relationships 42:38 Distinguishing Between Mental Health Professionals 43:54 The Rise of Narcissism in Modern Discourse 45:32 Final Thoughts and Key Takeaways 48:13 Outro
My Operations and Brand Manager Alex is back, and this time we didn't stick to one topic. We talked about circadian rhythm and why morning people and night owls are both just wired differently, how we each build habits around our own energy instead of against it, and how to use tools like the Oura ring without letting them override what your body's already telling you. We got into stress, mindfulness, parenting, and the ongoing search for purpose. And we closed on the theme of the week in the clinic: blood sugar, and why steady beats high every time when it comes to hormones, mood, sleep, and skin. Follow us Instagram TikTok Youtube Linkedin Website See full show notes Become a Patient: HERE Medical Providers: Join my Clinician Education Platform and use code PATREON10 for 10% off first month Subscribe to our Newsletter: HERE Hume Health - Get $20 off Gramms Protein - Get $20 off Ethlete 15% off code: REVER15 Book a complimentary call with Nexus Point: HERE Learn at Pinnacle to earn FREE CE/CME credit for listening to this episode: HERE Chapters 00:00 Intro 00:06 Opening and Understanding The Circadian Rhythm 00:31 Your Body's Natural Rhythm 02:07 Working With Your Rhythm Instead of Against It 03:02 Building Sustainable Routines 04:23 Small Lifestyle Shifts That Create Big Change 05:12 Tracking Health Without Getting Overwhelmed 07:52 Managing Stress in Real Life 08:39 Letting Stress Out in Healthy Ways 09:52 Parenting, Emotions, and Self-Regulation 11:32 Mindfulness as a Practice 12:25 Confidence, Stress, and Changing With Age 13:46 Romanticizing Everyday Life 15:03 Purpose, Healing, and Perspective 16:46 Blood Sugar Dysregulation and Wellness Foundations 18:19 Wellness: Becoming a Lifestyle 19:25 Finding Joy in the Journey 20:13 Closing Thoughts 20:41 Outro
I've read all the habit books and stumbled my way toward what works, so sitting down with someone who studies behavior for a living was a gift. Sarah Welsh is a board-certified behavior analyst, and this conversation reframed how I think about change entirely. Here's some of what we get into: Why willpower isn't the answer, and what actually is and how to start a habit when you hate the very thing you're trying to do. Sarah walks through exactly how, starting far smaller than you'd think and rewarding yourself far more often. Why ending a behavior is harder than starting one, and why adding a healthier replacement beats forcing yourself to quit. Most especially, what to do when you fall off track, because you will. Sarah teaches us how to plan for it, drop the shame, and get back on quickly instead of giving up entirely. And the reframes that stuck with me most: why you act your way into an identity rather than waiting to feel it, and how your environment quietly shapes your behavior more than your intentions ever will. If lasting change has always felt just out of reach, this one will change how you see it. Follow us Instagram TikTok Youtube Linkedin Website See full show notes Become a Patient: HERE Medical Providers: Join my Clinician Education Platform and use code PATREON10 for 10% off first month Subscribe to our Newsletter: HERE Hume Health - Get $20 off Gramms Protein - Get $20 off Ethlete 15% off code: REVER15 Book a complimentary call with Nexus Point: HERE Learn at Pinnacle to earn FREE CE/CME credit for listening to this episode: HERE Sarah Welsh Website Instagram Chapters 00:00 Intro 00:06 Instagram, Connection, and Introducing Sarah Welsh 01:33 What Behavior Analysis Is 02:25 Behavior As A Three-Part Formula 04:10 Applying Behavior Science to Fitness and Self-change 08:48 How To Approach Stopping A Behavior 13:31 Why Self-awareness Matters 14:14 Small Steps For Changing Behavior 17:22 Becoming Someone Who Goes to The Gym 18:34 Starting Movement When You Hate The Gym 22:27 Parenting, Identity, and Who Our Kids See Us As 24:28 How Our Behavior Becomes Identity 25:57 How To Start Without Motivation 30:36 Falling Off-track and Bouncing Back 32:16 Reframing A Skipped Workout 35:31 The AMMI Framework 39:07 How Long Behavior Change Takes 42:07 Social Media and Instant Gratification 46:51 Final Takeaway and Closing Thoughts 49:43 Outro
So many questions have been coming in lately about perimenopause, HRT, what to do, and when to do it from patients that I have yet to answer. This episode is dedicated to answering every single one of them. When should you consider starting hormone therapy, and how do you actually raise it with your provider? Often the first sign that brings a woman in is simply not feeling like herself: disrupted sleep, new anxiety, feeling on edge. That early shift frequently traces back to declining progesterone. Is it ever too late to start? I walk through the timing hypothesis, why the delivery method matters, and why feeling symptomatic is always worth a conversation, regardless of age. Why are so many of us afraid of hormones? I unpack where that fear came from, what the Women's Health Initiative reanalysis actually showed, and why the distinction between estrogen and the synthetic progestin used in the trial matters so much. I also answer the everyday questions: whether food and supplements can support your hormones, how to tell if what you're feeling is perimenopause or just life, when in your cycle to test your hormones, whether at-home gut tests are worth it, and how conditions like PMOS and endometriosis fit into the picture. If you've been wondering where to even begin, this one is for you. Follow us Instagram TikTok Youtube Linkedin Website See full show notes Become a Patient: HERE Medical Providers: Join my Clinician Education Platform and use code PATREON10 for 10% off first month Subscribe to our Newsletter: HERE Hume Health - Get $20 off Gramms Protein - Get $20 off Ethlete 15% off code: REVER15 Book a complimentary call with Nexus Point: HERE Learn at Pinnacle to earn FREE CE/CME credit for listening to this episode: HERE Femm App: HERE Link to purchase Oura Ring: HERE The New Menopause by Mary Claire Haver Estrogen Matters by Dr. Avram Bluming Chapters 00:00 Intro 00:22 Introduction to Hormone Therapy and Q&A Session 02:39 Understanding Hormone Therapy Risks and Benefits 06:19 Nutrition and Supplements for Hormonal Health 09:00 Identifying Symptoms: Stress vs. Perimenopause 11:56 Overcoming Fear of Hormone Therapy 15:29 Practical Tips for Hormonal Health and Testing 19:11 Outro
What does it really mean to lead with authenticity, and how do you build influence without losing yourself in the process In this episode of The Rever Rundown, I sit down with Kimeran Johnson, COO and partner at Nexus Point and one of the most thoughtful leaders I've had the privilege of working with. We talk about what it means to lead with purpose rather than ego, and why building people up is, in her words, the most important currency she has. Kimeran shares the moment she received a hatbox full of handwritten letters from colleagues when she resigned, and how that single gift became the touchstone she returns to on her hardest days. We also get honest about the things women in leadership rarely say out loud. Imposter syndrome that doesn't disappear with experience.And we explore what it actually looks like to delegate, build a team, and stop performing leadership. Toward the end, Kimeran shares the work Nexus Point is doing for entrepreneurs, including the partnership that's brought her team into the operational side of Rêver Wellness, and what it means to support founders who understand that doing everything yourself is a myth. It's a conversation about presence, purpose, and the quiet, persistent practice of becoming someone others want to be around. Follow us Instagram TikTok Youtube Linkedin Website See full show notes Become a Patient: HERE Medical Providers: Join my Clinician Education Platform and use code PATREON10 for 10% off first month Subscribe to our Newsletter: HERE Hume Health - Get $20 off Gramms Protein - Get $20 off Ethlete 15% off code: REVER15 Book a complimentary call with Nexus Point: HERE Learn at Pinnacle to earn FREE CE/CME credit for listening to this episode: HERE Kimeran Johnson Website Instagram Chapters 00:00 Intro 00:06 Introduction to Kimeran and Nexus Point 01:39 Kimeran's Journey and Leadership Philosophy 04:14 The Impact of Mentorship and Personal Growth 07:34 Struggles with Imposter Syndrome 09:49 Resources for Overcoming Self-Doubt 11:55 The Importance of Open-Mindedness 13:32 Navigating Challenges in Entrepreneurship 16:41 Building Resilience in Children 17:29 Cultivating Meaningful Relationships 20:33 Self-Care and Personal Well-Being 24:16 The Myth of Doing It All 27:21 Purpose-Driven Leadership 28:51 Faith and Personal Growth 30:29 Final Thoughts and Key Takeaways 31:58 Outro
This episode is close to my heart in more ways than one. Bestselling author, speaker, and the creator of the Soul-Led Living podcast Nikki Novo and I go back to childhood, so sitting down with her in Miami felt less like an interview and more like a long-overdue conversation between two women who took very different paths to the same place: helping people listen to themselves. We talk about what intuition really is, why so many of us are afraid to hear it, and how to tell the difference between your inner voice and your anxiety. Spoiler: they don't sound the same, and Nikki has a beautiful way of explaining how to listen for the calmer one. We also get into the parts of this that show up in my own practice every day. The mind, body, and spirit are not separate systems. Stress lives in the body. We touch on the gut and the nervous system, on slowing down in a city that rewards the opposite, and on the deeper honesty that tends to arrive in our forties whether we invite it or not. If you have ever talked yourself out of a feeling you couldn't quite explain, this one is for you. Follow us Instagram TikTok Youtube Linkedin Website See full show notes Become a Patient: HERE Medical Providers: Join my Clinician Education Platform and use code PATREON10 for 10% off first month Subscribe to our Newsletter: HERE Hume Health - Get $20 off Gramms Protein - Get $20 off Ethlete 15% off code: REVER15 Book a complimentary call with Nexus Point: HERE Learn at Pinnacle to earn FREE CE/CME credit for listening to this episode: HERE Nikki Novo Website Instagram Podcast Chapters 00:00 Intro 00:18 Guest Introduction: Nikki Novo 01:12 Understanding Intuition: The Voice of the Soul 03:25 From Media to Spirituality: Nikki's Journey 07:11 The Power of Manifestation and Desires 10:23 Intuition in Practice: Helping Others 17:31 Aligning Purpose with Intuition 23:00 Energetic Influences on Health 26:27 Integrating Traditional and Energetic Medicine 29:32 Distinguishing Intuition from Fear 33:39 Finding Purpose and Intuition 37:41 Empowering Women to Speak Their Truth 40:54 The Importance of Listening to Intuition 46:57 Outro
Most of us feel it: the slow, heavy drop in energy and focus that arrives in the early afternoon. In this episode, I break down what is actually behind the post-lunch dip and why it lands for almost everyone around the same time of day. I explain the two systems that overlap in the early afternoon. The first is your circadian rhythm, the internal clock that has not yet reached its peak wake signal at midday. The second is sleep pressure, the steady buildup of adenosine that makes you drowsier the longer you are awake. When the two meet, you feel the slump. From there, I look at how food and meal timing can deepen the dip, why the body handles blood sugar less efficiently later in the day, and how a poor night of sleep raises the stakes. The second half turns practical. I walk through the tools I have tested myself: short naps, daylight and bright light, strategic caffeine and the coffee nap, moderate movement, steady blood sugar, and non-sleep deep rest. I am honest about what works for me and what does not, and I keep the focus on small, realistic adjustments rather than a full overhaul. The throughline is reassuring. The afternoon slump is biology, not a personal failing, and it responds to a few well-placed changes. Follow us Instagram TikTok Youtube Linkedin Website See full show notes Become a Patient: HERE Medical Providers: Join my Clinician Education Platform and use code PATREON10 for 10% off first month Subscribe to our Newsletter: HERE Hume Health - Get $20 off Gramms Protein - Get $20 off Ethlete 15% off code: REVER15 Book a complimentary call with Nexus Point: HERE List of low glycemic foods: Vegetables: leafy greens, broccoli, cauliflower, zucchini, asparagus, green beans, peppers, tomatoes, cucumber, mushrooms, eggplant, cabbage, Brussels sprouts, raw carrots Fruit: berries, cherries, apples, pears, plums, peaches, apricots, oranges, grapefruit, kiwi Legumes: lentils, chickpeas, black beans, kidney beans, edamame Intact whole grains: steel-cut and rolled oats, barley, quinoa, bulgur, farro, sourdough or dense whole grain bread, whole wheat pasta cooked al dente Nuts and seeds: almonds, walnuts, pistachios, pumpkin seeds, sunflower seeds, chia, flax Dairy and alternatives: plain yogurt, Greek yogurt, milk, cheese, unsweetened plant milks Pair with protein and healthy fat: eggs, fish, poultry, lean meat, tofu, olive oil, avocado Amazon links for light to use for afternoon alertness: https://a.co/d/09Alcscw https://a.co/d/0c9FCpIF https://a.co/d/0jfFL0N8 Chapters 00:00 Intro 00:06 Understanding the Post Lunch Dip 02:08 Circadian Rhythms and Their Impact 05:17 Sleep Pressure and Homeostasis 07:41 The Role of Diet in Energy Levels 10:34 Blood Sugar and Its Effects 12:40 Timing of Meals and Metabolism 15:03 Unique Biology and Individual Differences 17:57 Strategies to Combat the Afternoon Slump 20:49 Napping and Light Exposure 23:38 Caffeine and Exercise as Solutions 26:15 Recap and Final Thoughts 30:04 Outro
For more than twenty years, "hormones cause cancer" has shaped how women are counseled, and how often they're left to suffer through symptoms dismissed as inevitable. In this episode, we sit down with Nico Misleh, FNP, founder of HRT University and the virtual clinic Apollo Health Optimization, for a clear-eyed look at where that fear came from and what the science actually supports. Nico shares his unconventional path into hormone medicine, shaped by a physician grandfather and mentors who championed integrative approaches long before they were mainstream. We talk through what later re-analysis clarified, and why type, dose, timing, and delivery change the picture considerably. Throughout, Nico returns to a single theme: education is empowerment. The more you understand your own physiology, the better you can advocate for care that fits you. A grounded, hopeful conversation for anyone who's been told their symptoms are "normal" and left without answers. Follow us Instagram TikTok Youtube Linkedin Website See full show notes Become a Patient: HERE Medical Providers: Join my Clinician Education Platform and use code PATREON10 for 10% off first month Subscribe to our Newsletter: HERE Hume Health - Get $20 off Gramms Protein - Get $20 off Ethlete 15% off code: REVER15 Book a complimentary call with Nexus Point: HERE Nico Misleh, NP Website Newsletter Instagram Chapters 00:00 Intro 00:06 Introduction to Nico Misleh and HRT 04:46 Nico's Journey into Hormone Medicine 09:48 The Women's Health Initiative: A Turning Point 14:43 Understanding Hormone Therapy Risks and Benefits 19:46 Patient Education and Empowerment in Hormone Therapy 21:19 The Efficacy of Desiccated Thyroid 23:55 Standard of Care vs. Best Practice in Medicine 27:17 The Role of Compounding Pharmacies 29:27 Understanding Progesterone and Its Benefits 34:03 Testosterone's Importance for Women 37:56 Managing Testosterone Side Effects 41:44 Finding the Right Care and Resources 43:56 Outro
GHK-Cu, the copper peptide currently positioned across social media as a near-miraculous anti-aging compound, has actually been studied for more than four decades. In this episode, we take an honest look at GHK-Cu as an anti-aging cure-all. We cover what 40+ years of research actually shows, the difference between GHK and GHK-Cu, the human topical studies that support its use, the gaps in the data on injectable use, the labs to monitor (especially copper and zinc), and how it compares to free alternatives like exercise, vitamin C, and retinol. We also slow down and look at what the research truly supports, what remains speculative, and how to evaluate this peptide with the same clinical rigor we would apply to any therapeutic decision. We close with the lab work to consider before starting, the patient profiles most likely to benefit, and a reminder that one of the most powerful interventions for the same gene-expression benefits is something far more accessible: thirty minutes of exercise, three times per week, which has been shown to reset mitochondrial gene expression to that of a younger person. If you have been wondering whether GHK-Cu lives up to the hype and how to use it thoughtfully if you choose to, this episode is for you. Follow us Instagram TikTok Youtube Linkedin Website See full show notes Become a Patient: HERE Medical Providers: Join my Clinician Education Platform and use code PATREON10 for 10% off first month Subscribe to our Newsletter: HERE Hume Health - Get $20 off Gramms Protein - Get $20 off Ethlete 15% off code: REVER15 Book a complimentary call with Nexus Point: HERE Chapters 00:00 Intro 00:06 Introduction to GHK-CU: The Skin Peptide Phenomenon 01:21 Understanding GHK and GHK-CU: The Science Behind the Peptide 03:47 Mechanisms of Action: How GHK-CU Works 06:49 Research and Studies: Evidence Supporting GHK-CU 13:18 Potential Benefits: Wound Healing and Anti-Aging Effects 15:59 Risks and Contraindications: What to Consider Before Use 17:15 Dosing and Administration: Guidelines for Safe Use 19:17 Conclusion: The Future of GHK-CU and Alternatives 22:17 Outro
Some of my favorite conversations start in the DMs, and this one is no exception. For this episode of The Rever Rundown, I sat down with Dr. Jason Pencek. He’s a chiropractor, nurse practitioner, and founder of Fountain Wellness in Chicago. He's one of the most generous voices I've come across in the peptide and functional medicine space, and the conversation that unfolded was one of the most candid and clinically rich I've had on the show so far. We talked about Dr. Pencek's path from nursing to nurse practitioner, and the frustration with symptom-based medicine that shaped his approach. We went deep on peptides and why he still describes them as a sprinkle on the cake, never the cake itself. Labs first. Hormones, iron, gut, inflammation. Then peptides. Then the more advanced tools. We also talked about IV therapy in real clinical practice, the hormone and thyroid conversations so many women are still being denied, the gut work that has to underpin Hashimoto's care, and the responsibility providers carry as patients increasingly arrive with AI-generated recommendations in hand. If there's a single takeaway, it's the one Dr. Pencek offered at the end, and the one that underpins how we practice at Rever: do the lab work, and work with a practitioner who actually knows you. Whether you're a patient or a provider, this one is for you. Follow us Instagram TikTok Youtube Linkedin Website See full show notes Become a Patient: HERE Medical Providers: Join my Clinician Education Platform and use code PATREON10 for 10% off first month Subscribe to our Newsletter: HERE Hume Health - Get $20 off Gramms Protein - Get $20 off Ethlete 15% off code: REVER15 Book a complimentary call with Nexus Point: HERE Dr. Jason Pencek Website Instagram Chapters 00:00 Intro 00:06 Guest Introduction: Dr. Jason Pencek 02:43 The Journey into Functional Medicine 05:35 Peptides and Their Role in Health 08:30 Navigating AI in Healthcare 11:48 The Importance of Provider Guidance 15:32 Traveling with Peptides: What to Bring 18:18 FDA Approval and Melanotan Studies 19:08 Melanotan-1 vs. Melanotan-2: A Comparative Analysis 20:10 The Role of Data in Peptide Efficacy 22:14 The Placebo Effect vs. Real Results 24:30 Challenges in Peptide Research and Funding 26:11 The Failings of Modern Medicine and Insurance 26:58 The Shift from Symptom-Based Care to Holistic Treatment 27:58 Exploring IV Therapy and Nutrient Infusions 31:23 The Importance of Hormone Testing and Treatment 35:09 Understanding Thyroid Health and Reverse T3 36:53 Utilizing LDN and Gut Health in Autoimmune Conditions 44:39 Outro
In this episode, we break down peptides. What they are, how they work in the body, and which categories are most relevant in modern medicine. Peptides are everywhere; across social media, wellness clinics, and patient questions in nearly every functional and integrative medicine practice. They are also one of the most misunderstood categories in modern medicine. We cover GLP-1s, growth hormone-releasing peptides, healing peptides like BPC-157 and TB-500, skin and cosmetic peptides, and immune-modulating peptides, along with the safety questions every patient should ask before starting one. For each category, we cover the proposed mechanism, the available human data, what is FDA approved and what is not, the theoretical risks worth understanding, and the patient profiles most likely to benefit. We also walk through the critical safety questions every patient should ask before starting sourcing peptides, third-party testing, certificates of analysis, compounding pharmacy regulation, and the meaningful differences between compounded medications, investigational compounds, and research chemicals. This episode is meant to do what social media cannot: give you the framework to make a thoughtful, informed decision about whether peptides belong in your protocol, and how to use them safely if they do. Follow us Instagram TikTok Youtube Linkedin Website See full show notes Become a Patient: HERE Medical Providers: Join my Clinician Education Platform and use code PATREON10 for 10% off first month Subscribe to our Newsletter: HERE Hume Health - Get $20 off Gramms Protein - Get $20 off Ethlete 15% off code: REVER15 Book a complimentary call with Nexus Point: HERE Chapters 00:00 Intro 00:06 Introduction to Peptides 00:38 Understanding Peptides: Basics and Functions 01:58 Peptides in Medicine: Applications and Limitations 02:50 Categories of Peptides: Metabolic and Growth Hormone 05:07 Healing and Regeneration Peptides 07:04 Cosmetic and Skin Peptides 08:24 Immune Modulating Peptides 08:49 Safety and Regulation of Peptides 11:14 Conclusion: Making Informed Decisions about Peptides 12:46 Outro
In this episode of The Rever Rundown, I'm joined by my uncle and one of the most thoughtful pharmacists I know, Luis Delgado, owner of Village Pharmacy and Compounding in Miami. We have the kind of unfiltered conversation about pharmacy, personalized medicine, and hormone therapy that most patients have never been invited into. Luis walks us through what a compounding pharmacy actually is, how compounded medications are sourced, tested, and regulated, and why the lingering cultural skepticism around compounding pharmacies often does not reflect modern clinical reality. We also dig into the gap in FDA-approved testosterone dosing for women, why so much of the most clinically meaningful hormone therapy falls outside conventional protocols, and how providers can begin to think about partnering with reputable compounding pharmacies rather than working around them. Beyond the clinical content, Luis shares his entrepreneurial journey, from working in a federally qualified health center to opening Village Pharmacy with his wife, trading in his car to fund the business, and standing outside a restaurant in his early days introducing himself to potential patients. If you have ever been told compounding pharmacies are unsafe, wondered whether your hormone therapy could be more precisely tailored, or simply needed permission to keep advocating for the care you deserve, this episode is for you. Follow us Instagram TikTok Youtube Linkedin Website See full show notes Become a Patient: HERE Medical Providers: Join my Clinician Education Platform and use code PATREON10 for 10% off first month Subscribe to our Newsletter: HERE Hume Health - Get $20 off Gramms Protein - Get $20 off Ethlete 15% off code: REVER15 Book a complimentary call with Nexus Point: HERE Dr. Luis Delgado Website Instagram Location 9408 SW 87 AVE, Suite 105, Miami, Florida 33176 00:00 Intro 01:05 Introduction to Compounding Pharmacy and Personal Connections 02:10 Luis’ Journey to Pharmacy and Entrepreneurship 07:19 Transitioning from Employment to Entrepreneurship 12:18 The Growth of Village Pharmacy and Its Impact 13:52 Understanding Compounding Pharmacies and Their Importance 19:28 The Role of Testosterone Therapy in Personalized Medicine 25:00 Understanding Drug Absorption Variability 27:06 The Importance of Integrity in Healthcare 27:53 Differentiating Pharmacy Types 29:43 The Art of Hormone Replacement Therapy 31:28 Challenges in Compounding Pharmacy Utilization 33:14 Regulatory Landscape of Compounding Pharmacies 35:21 Safety and Regulation in Compounding Medications 38:19 Addressing Misconceptions About Compounding Pharmacies 40:11 The Future of Individualized Medicine 45:13 Empowerment Through Knowledge and Mindset 47:11 Outro
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