Women's Wellness With Dr. Robinson

12/15/2025

Holiday glow, unlocked ✨
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12/15/2025

Q&A: ACLM launches free online resources to address gap in nutrition education

DALLAS — The American College of Lifestyle Medicine recently unveiled two open-source resources to educate health care professionals and patients about healthy eating and cooking techniques.These resources — the Culinary Medicine Program and updated second edition of the Culinary Medicin...

12/14/2025

12/14/2025

I interviewed a psychiatrist who calls Alzheimer's disease "Type 3 Diabetes."

Dr. Muhamad Aly Rifai joined me to discuss the metabolic roots of cognitive decline. While we used to think Alzheimer's was purely genetic, research over the past decade suggests a massive metabolic component. In fact, Dr. Rifai noted that patients with metabolic syndrome or diabetes may have a three to five times higher risk of developing Alzheimer's.

The mechanism is all about insulin. We know insulin unlocks cells to let glucose in. But the hippocampus, the brain's memory center, is densely populated with insulin receptors. When the brain becomes insulin resistant, those cells starve.

This starvation disrupts dopamine and serotonin receptors, leading to the amyloid plaques we associate with the disease.

Dr. Rifai's message is urgent but hopeful. If we view Alzheimer's as a metabolic disorder, we can take action decades before memory loss begins.

He envisions a future where a 40-year-old patient gets a risk assessment based on their genetics and insulin resistance. Instead of waiting for decline at age 70, they start aggressive lifestyle interventions immediately. Diet, exercise, and staying cognitively active are currently more effective at delaying progression than many traditional medications.

Newer FDA-cleared blood tests can now predict Alzheimer's risk by looking at amyloid protein ratios. This data empowers patients to make life-changing decisions about their health long before symptoms appear.

Alzheimer's does not have to be inevitable. By prioritizing metabolic health today, we can protect our memories for tomorrow.

🎙️ Listen to "Alzheimer's link with insulin resistance" on The Podcast by KevinMD.

(Link in the comments ⬇️)

12/14/2025

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Why We Do What We Do

11/06/2025

Microplastics may increase oir risk for heart attack and stroke among other concerns. Using bottled watter is the most common reason we encounter microplastics .
Whenever possible, aboid plastic containers and plan ahead to bring water containers that are refillable.

Using it regularly introduces tens of thousands of microplastic and nanoplastic particles into the body each year. The tropical beauty of Thailand’s Phi Phi islands is not the kind of place where most PhD journeys begin. For Sarah Sajedi, however, it was not the beaches themselves but what lay be

11/04/2025

Happy to announce that I have Certified through the Menopause Society.
While I have always loved helping women navigating these tumultuous times and have lived my own story ( through COVID WITH A 40 lb weight gain!!) , testing and certifying made it official. If you have concerns about hormone replacement safety or effectiveness or alternatives, I would be happy to consult with you to help you live your best life. This is a time where hormone imbalance is not reflected in lab tests but more in symptomatology and experience has led me to practice evidence based medicine through the menopause society guidelines. With a board certification in lifestyle medicine and obesity medicine, together we can move towards reducing chronic disease and keeping you healthy, vital, and ultimately out of the nursing home at 90.

10/19/2025

October is also Domestic Violence Awareness Month (in addition to Breast Cancer Awareness Month). Intimate partner violence affects 30% of women in the US. IPV is not always physical, but may also be psychological violence, such as emotional abuse, belittling, humiliating and threatening the partner, Controlling behaviors, restricting access to finances, social isolation, maltreatment of children and other family members including pets. In its physical form, it can present as actual or threatened physical assault, sexual violence and ultimately assault resulting in loss of life.
If you know someone or suspect someone in your life is affected by IPV, you may just be the lifeline they are waiting for. Reach out and let them know you care and are there as a resource. If you cannot help, there are domestic violence programs in the community and these women need a plan.
1-866-VOICEDV

10/09/2025

Perimenopause and Estrogen therapy…
Trust me. It’s not always your best option. Perimenopause is a time of estrogen dominance and progesterone deficiency. Giving a woman estrogen at this time is often like throwing fire on a flame. To make matters worse… you might end up with a complication such as a breast mass, breast cancer, stroke, heart attack or blood clot because of excess estrogen. This would result in you not being able to use estrogen when true deficiency arises. Be sure to know your best options and see a women’s health expert with expertise in menopause medicine.

10/08/2025

Chronic stress and grief can biologically alter the body's weight regulation mechanisms, making weight loss difficult despite lifestyle changes, and should be approached with medical understanding and compassion rather than judgment.

10/08/2025

Antibiotic resistance is not just about poor antibiotic stewardship. So many other factors impact the microbiome .

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I recently posted a study suggesting that non-antibiotic drugs may have an unexpected disruptive effect on gut flora. Now a study from Australia has generated findings suggesting that certain drugs might also contribute to the development of antimicrobial resistance (AMR). While antibiotic overuse is a primary driver, emerging evidence suggests that non-antibiotic medications (NAMs) may also play a role. The authors note that this concern is particularly relevant in residential aged care facilities (RACFs), where both NAMs and antibiotics are frequently used.

They investigated nine NAMs commonly used in RACFs, including ibuprofen, diclofenac, paracetamol (acetaminophen), furosemide, metformin, atorvastatin, tramadol, temazepam and pseudoephedrine at gut-relevant concentrations in a test tube model of ciprofloxacin-induced mutagenesis in Escherichia coli.

Findings showed that ibuprofen and paracetamol significantly increased mutation frequency and conferred high-level ciprofloxacin resistance. Whole-genome sequencing identified mutations in the regulatory genes GyrA, MarR, and AcrR, with the latter two correlated with overexpression of a key drug efflux pump (a bacterial defense mechanism). Co-exposure to two NAMs further elevated mutation rates and ciprofloxacin resistance levels. Mutants showed ≥4 fold increased resistance, not only for ciprofloxacin but also for other antibiotic classes such as β lactams, levofloxacin and minocycline. Notably, ciprofloxacin resistance rose by up to 32 fold.

The authors suggested their findings underscored the overlooked role of NAMs in driving AMR and highlighted the need to reassess polypharmacy risks in aged care settings.

The University of South Australia’s official media release (dated 26 August 2025) emphasised that common painkillers "quietly fuel one of the world’s biggest health threats: antibiotic resistance" by increasing bacterial mutations and resistance.
However, it should be noted that this work needs to be repeated, and the findings were laboratory-generated and may not reflect the real-world situation.

For more information see: https://pubmed.ncbi.nlm.nih.gov/40855113/

09/28/2025

This is a tool to help you estimate tour calcium intake.
If you get enough Calcium in your diet, you do not need supplements . You should be getting 1500 mg of Calcium after menopause and 1200 mg/ d prior to menopaue. If you dont meet thise requirements , add a supplement at bedtime ~ that is when bones remodel or build up and breakdown ao the calcium is available during this time. Don’t forget about 5000 IU daily of vitamin D daily to help your body move the calcium into bones.

Your Guide to a Bone Healthy Diet Estimate Your Calcium Intake Follow the simple steps below to help determine how much calcium you are consuming on a daily basis and if you are meeting the recommended daily allowance or need to supplement your calcium intake. Step 1 Estimate the number of servings....