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Sara Gottfried MD
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Sara Gottfried MD
  • Home
  • About Dr Sara
    • Media
    • Contact
  • Books
    • Women, Food, and Hormones
    • Younger
    • Brain Body Diet
    • Hormone Reset Diet
    • The Hormone Cure
  • Upcoming Events
  • Blog
    • Recipes
    • Women’s Health
    • Hormones
    • Weight Loss
    • Cleanse
    • Stress Management

Functional Medicine

Personalized Lifestyle Medicine

By Sara Gottfried, MD | November 27, 2018
Sara Gottfried MD Women's Health Article |Personalized Lifestyle Medicine|

We are experiencing a profound change in the type of disease that affects the general population, and it is the main reason why I believe we need a paradigm shift…

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How Oxalates Affect Your Gut, Urinary Tract, and Risk of Autoimmune Conditions

By Sara Gottfried, MD | August 20, 2018

In personalized lifestyle medicine, sometimes one person’s superfood is another person’s poison. Such is the case with oxalates, which are found in high concentrations in many presumed health foods. Once…

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Two Questions to Ask Your Doctor Before You Agree to a Medication

By Sara Gottfried, MD | August 9, 2018
Sara Gottfried MD Women's Health Article |Medication|Two Questions to Ask Your Doctor Before You Agree to a Medication

Twelve years ago when I still worked in the trenches of conventional medicine (before I spun off to start my own integrative and functional medicine practice), I figured there had…

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‎5 Secrets to Turn Back the Clock

By Sara Gottfried, MD | March 6, 2017

Jennifer was a forty-four-year-old patient who arrived in my office feeling defeated, worn out, and “older than her years” as she put it. As a third-shift nurse who worked grueling…

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How My Great-Grandmother Influenced My Functional Medicine Practice

By Sara Gottfried, MD | January 1, 2017

My great-grandmother embodied healthy living. She was a whole foodist and yoga practitioner—way before these things were trendy. When she visited us, she came armed not with candies and gum…

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PRAISE

“For the first time in my adult life I feel that I have gained control over food. I feel healthier, look better and have gained an interest in making sure that what I am putting into my body is the best it can be. And I lost 10 pounds in all the right places.”

– Janice Lunde, Dr. Sara’s Detox Challenge Participant

“Dr. Sara is the height of excellence! She is incredibly knowledgeable and gives very generously of her time. I feel so blessed to have been able to work with her.”

– Yvonne Varah

“You don’t have to settle for being stressed out, binging on sugar and chocolate, and aging prematurely. Stop blaming yourself and step into sacred action. It’s your birthright. You can have the joyous, mission-driven life you want, and Dr. Sara is here to show us how.”

– Marci Shimoff, New York Times Bestselling Author of Happy for No Reason and Love for No Reason

“Dr. Gottfried offers powerful and effective tools for addressing the most difficult health issues facing women and men today. She is warm and kind and has so much experience to draw upon, it’s inspiring. Thank you Dr. S!”

– Cassandra Mick

“Dr. Sara Gottfried is a modern-day healer goddess if ever there was one, and she also happens to be a Harvard Medical School graduate and rigorous physician-scientist.”

– Christiane Northrup MD, author of Women’s Bodies, Women’s Wisdom

“Dr. Gottfried’s book and detox came at a time when I was ready to give in to old age. Hot flashes, low energy and libido, weight gain, increasing blood pressure and cholesterol levels were unacceptable to me. I now know that hormone levels and what I eat are a huge influence on how I feel and look. To now be able to control something that was out of control is empowering…”

Cheryl V., Dr. Sara’s Detox Challenge Participant

“My health coach told me about your book and I took the [hormone] test, and lo and behold, I found I was a mess, hormonally speaking. Now I’m getting on track and I love your videos and your book. I feel like I’m getting my life back again, when not long ago I truly thought I was losing it!”

-Tracy, Registered Nurse

“You don’t have to accept the hormonal hell of being tired, stressed, overweight, and never in the mood for sex as you grow older. In her fabulous new book, the brilliant Dr. Gottfried gives you an effective, easy-to-follow plan to balance your hormones and become lean, energetic, and loving life again. Stop settling and reclaim your sexy!”

–JJ Virgin, Author of Six Weeks to Sleeveless and Sexy and The Virgin Diet

“I lost 10 lbs., reset my hormones and metabolism and eliminated my sugar cravings! I have also found that I respond to stress much differently, I feel it, notice it and move on from it. Stress no longer has a grip on me. Dr. Sara’s conference calls and detox information was invaluable. I am so grateful for this program. Thank you Dr. Sara!”

–Sophia, Dr. Sara’s Detox Challenge Participant

“The Hormone Cure is the playbook for your mojo, your mind, and your bootie. With every chapter I thought, ‘So THAT’s how that works.’ I wanted to call every girlfriend and give them the goods on how to glow… now and always.”

-Danielle LaPorte, Author of The Fire Starter Sessions and The Desire Map

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Let’s talk about reverse T3. Reverse T3 (rT3) i Let’s talk about reverse T3. Reverse T3 (rT3) is an inactive metabolite of T4, and provides a mechanism to slow down metabolism in order to save energy. Generally, if you are healthy, T4 gets made into T3, and a small portion of T4 gets converted into reverse T3. Put another way, reverse T3 provides a feedback system to keep you in balance under normal conditions. But occasionally this plan backfires, and what was designed to be adaptive for your body becomes disadvantageous. Here’s why: if your body is stressed or on a calorie-restricted diet, a signal is sent to change the ratio, and you produce more reverse T3. One of the common issues in patients on a ketogenic diet is that they may have increased reverse T3. This is one of the things I check with patients who tell me they have tried keto and it didn’t work for them. Part of the reason I wrote my book WOMEN, FOOD, AND HORMONES (link in bio @saragottfriedmd) was to find a better-formulated plan for these patients, where we still work with ketosis for weight loss or whatever their health goal is but we modify the plan. One element of this modified ketogenic diet plan is adding back prebiotic carbohydrates and exploring what their carbohydrate tolerance is as a way of helping with their thyroid function. Aside from stress, and a low carb diet, other factors that can increase the conversion of T4 to RT3 include: ▪Trauma ▪Inflammation ▪Infections ▪Kidney/liver dysfunction ▪Toxins The toxins that I see the most in my patients who have high reverse T3 are bromide and fluoride. This could be in the toothpaste or mouthwash they are using, or in their water supply. Have you had your reverse T3 checked? #womenfoodhormones #thehormonecure #thyroidhealth #thyropause #hormonebalance #hormoneimbalance
We know that hypothyroidism is the second most com We know that hypothyroidism is the second most common endocrine disorder affecting women of reproductive age. (PCOS is #1) 60-70% of people with thyroid disease are unaware of their condition. Now, this is one of those things that makes me slightly crazy because what I find routinely in my practice is that many of my patients who've been talking to their well-meaning primary care doctor about their symptoms of hypothyroidism often get dismissed. Occasionally, they'll get a TSH but often they don't get more than that. In fact, I'll tell you a quick story about what first got me motivated to learn more about thyroid dysregulation and dysfunction. When I finished residency in 1998, I went to work at a large health maintenance organization and I was trying to be careful about stepping on other doctors' toes. However, I had a patient who came to see me for a Pap smear who had classic symptoms of hypothyroidism. She had constipation, cold intolerance, hair loss, weight gain. She also had fatigue that lasted all day, which in my mind is one of those cardinal signs of hypothyroidism. I checked her TSH (4.2) and she had a low free T4. She had TPO antibodies that no one bothered to check in the past. I thought she should be treated so I called her primary care doctor to discuss it—he refused to offer her treatment. I remember him saying, “Here at the HMO, we don't treat TSH until it's greater than 5 and in some cases, we don't treat until it's greater than 10 depending on other circumstances.” I disagreed completely. So I checked her micronutrients, recommended an elimination diet, and wrote her a prescription for thyroid medication. This experience made me realize very early in my career that there are so many patients, especially women, who are not getting adequately screened and treated for their symptoms of hypothyroidism. I’ve been on a mission to change this ever since. Btw, this clip is from my lecture for Integrative Psychiatry Institute If you purchased my book Women, Food, and Hormones, this thyroid lecture is part of the BONUS content that you can access through the link in my bio. Enter your purchase details to gain immediate access to the content.
Another breakfast scramble #nutrition #health #hor Another breakfast scramble #nutrition #health #hormones #farmtotable
You may think your sluggishness or poor memory is You may think your sluggishness or poor memory is simply a sign of getting older. But what about a puffy face, high cholesterol, or excessive menstrual bleeding? Can these be due to age? These are just a few symptoms of low thyroid function. Common symptoms that women struggle with as they enter their forties include fatigue, weight gain, and depression. This can be due to what has been termed thyropause. It’s when a decline in reproductive hormones may trigger hypothyroidism and cause or contribute to these common symptoms of fatigue, depression, abnormal cholesterol, and weight gain. It’s estimated that about 60 million Americans, both men and women, struggle with thyroid problems. Most don’t even know it. Given the depth of suffering, we can no longer ignore that so many people are burned out, confused, and underfunctioning. Conventional physicians often respond with skepticism, derision, and even hostility to those who earnestly ask for thyroid help. They think that “doctors like me” are prescribing thyroid treatment indiscriminately and under the false pretense that it will help with weight problems and fatigue. While I won’t disagree that some providers may overdiagnose and overtreat patients, the best practice is to apply rigorous science. I am going to do a short thyroid series this week so stop back for more😍 #thehormonecure #thyroidhealth #thyropause #hormonebalance #hormoneimbalance
Farm to fork. Recent writing retreat for my new bo Farm to fork. Recent writing retreat for my new book on trauma + autoimmunity. A friend sent me to get fresh eggs at a local farm stand. Best scramble ever with local eggs, purple kale, and thyme, cooked in avocado oil. Do you eat fresh eggs?
Perimenopause is a call to a different way of bein Perimenopause is a call to a different way of being. It's a call away from ▪busyness ▪pushing the rock up the hill ▪climbing the career ladder It's a time to take stock. It's a time to reflect on whether your values are aligned with your purpose and mission in life. It's a liminal space where you really want to explore ▪if you are heading in the right direction ▪whether your relationships are as satisfying as they could be ▪what else you could do to take care of your mental health ▪ how you can do more self-care I think that some of the symptoms of perimenopause are really challenging us to look at the way we have architected our life. Join me in navigating perimenopause and menopause. Follow the link in my bio to purchase my @onecommune course And I welcome you to join my Free Live Call on February 14th at 10 am PT During this FREE 1-hour live call (hosted on Zoom), I will spend 20 minutes sharing my tips for hormones, connection, love, and sex for those of us older than 35, before answering questions from attendees. Follow the link to RSVP. Did you sign up yet? #womenfoodhormones #menopause #perimenopause #hormonebalance #hormoneimbalance
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DR. SARA'S Guide to Tracking Your Blood Sugar

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