Caring for both aging parents and growing children can feel like being stuck in a sandwich — squeezed from both sides. In this episode of The Savvy Patient, cohosts Dr. Gillian Goddard and Erin Stein discuss the reality of navigating midlife while stuck in the “sandwich” phase—simultaneously caring for aging parents and raising growing children or adolescents. We explore how this dual responsibility creates intense pressure from both sides, disproportionately placing an invisible load of caregiving, stress, and labor on women. The conversation dives into the emotional and physical toll of this phase, offering validation along with practical strategies to manage responsibilities, alleviate stress, and navigate the emotional strain.

Losing hair? Don't panic—we’ve got you covered! In this episode of The Savvy Patient, cohosts Erin Stein and endocrinologist Dr. Gillian Goddard break down everything you need to know about the hair on your head—focusing on why hair falls out, how to distinguish normal shedding from true scalp hair loss, and what medical treatments actually work. Dr. Goddard explains the biology of the hair growth cycle (Anagen, Catagen, Telogen, and Exogen) and clarifies that shedding every day is completely normal. Temporary hair shedding caused by telogen effluvium is also normal—and you may be surprised by common stressors that trigger it such as pregnancy or anesthesia. We review more serious, non-reversible forms of alopecia before tackling the common androgenic (female and male pattern) hair loss, genetics, and evidence-based treatments, detailing the pros and cons of minoxidil, injections, and red-light therapy. Get the real facts, cut through the marketing noise, and keep your scalp healthy.

In this episode of The Savvy Patient, cohosts Erin Stein and Dr. Gillian Goddard lift the curtain on the side hustles, consulting gigs, and industry ties that many physicians take on behind the scenes. Dr. Goddard breaks down why so many doctors step outside the clinic—from writing books and hosting podcasts to working with pharmaceutical companies as "Key Opinion Leaders" or brand ambassadors. While clinical work isn't always as lucrative as people think, these side endeavors allow doctors to share their expertise on a larger scale. But as we point out, where there’s money involved, there’s always potential for bias. We dive into the subtle line between genuine medical advice and clever marketing and take a close look at the supplement aisle. We discuss why "proprietary blends" are a major red flag, and Gillian shares her own experience serving as a medical advisor. By the end of the episode, you’ll know how to spot financial conflicts of interest, and how to evaluate health recommendations with a healthy dose of smart skepticism.

Is "natural" always better when it comes to your health? In this episode of The Savvy Patient, Erin Stein and Dr. Gillian Goddard unpack what terms like "natural" and "unnatural" mean when it comes to the debate surrounding herbal remedies, pharmaceuticals, and dietary supplements. Tune in to learn about the history of plant medicine, the risks of unregulated supplements, how FDA approvals work, and how to safely evaluate what belongs in your medicine cabinet. Whether you take vitamins, supplements, or stick to prescription medications, tune in to learn how to evaluate efficacy and spot safety risks like a savvy patient!

Are you like Erin, who needs at least eight solid hours of sleep to function? Or are you like Gillian, who secretly wishes humans didn’t have to sleep at all? In this episode of The Savvy Patient, hosts Dr. Gillian Goddard and Erin Stein take a deep dive into one of our body's most crucial daily functions: sleep. We talk all things rest, snooze, and sleep routines—and how two best friends can have totally opposite sleep habits. We discuss the science of what happens in our brains when we turn off the lights, from circadian rhythms and natural sleep preferences to the sneaky ways hormones disrupt women’s rest. Plus, we dive into the dark side of sleep deprivation, its impact on long-term health, and what’s really going on with insomnia and sleep apnea, and the simple sleep hygiene habits that can help you wake up feeling rested.

In this episode of The Savvy Patient, hosts Erin Stein and Dr. Gillian Goddard tackle what it really takes to navigate healthcare as a patient. We dispel the myth of the single "best doctor," emphasizing instead the importance of finding a provider whose style fits your personal health philosophy. We break down how to prepare for your appointments to get the best outcomes and cover how to frame your health goals, collect concrete data on your symptoms, and use reputable medical sources for research rather than falling down the rabbit hole of search engine horrors or extreme Reddit threads. We also address the inescapable reality of navigating health insurance, explaining why understanding your own coverage beforehand is essential. We teach you how to get savvy!

Why is our relationship to our own physical appearance so complicated? In this episode of The Savvy Patient, co-hosts Erin Stein and Gillian Goddard dive into the multi-layered and deeply emotional topic of body image. We break down how societal expectations and objectification distort our relationship with our physical selves from a young age and challenge deep-seated misconceptions appearance. We unpack the true complexities of what it means to be a “healthy” body size versus chasing a manufactured illusion of physical perfection. The conversation addresses the modern pressures of social media and the frustrating realities of navigating weight bias and body image when dealing with medical professionals. Blending clinical insight with candid reflection, this episode provides listeners with a roadmap to understand, question, and ultimately heal their relationship with their bodies and mental health.

Perimenopause is trending on social media, but how do you separate the viral “hot takes” from clinical reality? This week on The Savvy Patient, co-hosts Dr. Gillian Goddard and Erin Stein deliver a fun, fluff-free masterclass on what is actually happening to your body. From the difference between perimenopause and menopause, to the metabolic shifts people rarely talk about. Plus, we dare to discuss the mood swings, brain fog, sex function and vaginal atrophy. This episode offers a no-nonsense guide to decoding your body and getting the right treatment. Hit play to skip the algorithm myths and get the medical truth.

We unpack the science of cortisol—the hormone often blamed for everything from weight gain to burnout—and explain why it’s essential for survival. Cortisol isn't just your stress hormone—it’s your wake-up call, your emergency response system, and the reason you’re ready for a nap at 3 p.m. From saber-toothed tigers to modern-day deadlines, our stress response hasn’t changed much, even if our stressors have. We explore the difference between healthy stress and chronic stress, how cortisol affects mood, sleep, immunity, and metabolism, and why “adrenal fatigue” isn’t something to worry about. We share practical, evidence-based ways to manage stress—from prioritizing sleep and social connection to spending time in nature (and yes, petting a cat). Dr. Gillian Goddard also explains the rare condition Addison’s disease and what happens when the body can't produce enough cortisol. The Savvy Short: you don't need to “fix” your cortisol—you need tools to help your body and mind navigate life’s inevitable stressors.

Heart disease is the leading cause of death in women—yet many women don't realize they're at risk. We all know we should take care of our hearts, but what does that actually mean? In this episode, we break down essential heart-health facts every woman should know, from how cholesterol really works and why family history matters to the role menopause plays in cardiovascular risk. You'll learn why heart disease often develops later in women, how heart attack symptoms can look different, when statins or aspirin may be helpful, and which risk factors deserve the most attention. We also cover practical steps for screening, prevention, and the everyday habits that can help protect your heart for years to come. Are you at higher risk? What should you know about blood pressure? When is it time to see a cardiologist? We answer these questions and more, giving you the information you need to take charge of your heart health before problems develop.

Turning 40 is a great time to take charge of your health—and in this episode of The Savvy Patient, Erin and Gillian walk through the ultimate midlife health checklist, from tracking down your family medical history and finding a good primary care doctor to staying on top of mammograms, colonoscopies, and all the other glamorous milestones of adulthood. They also talk about sleep, diet, exercise, hydration, mental health, and the supplements you probably don't need despite what social media keeps trying to sell you. Packed with practical tips, relatable and expert advice, this episode is a roadmap for preventive healthcare, healthy aging, and advocating for yourself.

We continue our candid conversation about breast cancer, though much of what we discuss applies to anyone facing a major diagnosis or hospital stay. Erin shares practical advice on telling family and friends about a cancer diagnosis, and managing the emotional challenges that come with being both a patient and a supporter. We dive deeper into breast cancer screening and risk assessment tools, reconstruction decisions, scar care, and recovery after surgery. Plus, Erin shares her top hospital stay tips—from what to pack to what to expect. Filled with personal experience, expert insights, and plenty of practical takeaways, this episode offers support and guidance for patients and loved ones alike.

What are Endocrine Disrupting Chemicals (EDCs), and how concerned should we be about toxicity? We dive into the science behind things such as BPAs and phthalates, exploring what the data actually says about their effects on hormonal health and the endocrine system. We discuss where EDCs come from, working toward a non-toxic home, and understanding what you can and can’t control.

You’ve heard about Ozempic and Zepbound, but what are these GLP-1 receptor agonists designed for? We go beyond the celebrity weight loss hype to explain the discovery of the GLP-1 hormone, the development of these medications for diabetes, the role of BMI, side effects, and much more.

Last year, co-host Erin Stein went through diagnosis and treatment for pre-menopausal breast cancer. She intimately details her patient experience from mammogram to MRI, from cancer surgery and breast reconstruction to Tamoxifen. Erin shares insights from her journey with her boobs so other women will know what to expect.

Polycystic Ovary Syndrome (now PMOS) is a wildly common endocrine condition among women. We explain why, and cover PCOS symptoms, diagnosis, its impact on ovulation and fertility, and break down the process of getting treatment.

Cut through the confusion over Perimenopause and Menopause. We talk through all the stages of the female reproductive Hormone Loop--and there are way more than we've been told. A true understanding of women's health starts here!

In this episode we lay down all the basics of what hormones are and what they do. Co-host and endocrinologist Dr. Gillian Goddard walks us through the different feedback loops in our bodies, and how hormones are the instruction manuals for all our major systems. This episode includes fun facts about organs and glands, the placenta, your brain, how Tamoxifen works, diabetes, perimenopause, and the myth of the hormonal imbalance! will be all about.

Recent headlines suggested the totally free home treatment known as masturbation could alleviate menopause symptoms. We examine and discuss the study that sparked all the excitement.

Dr. Gillian Goddard and Erin Stein introduce themselves and explain what this podcast will be all about.