Sara Gottfried, MD

Sara Gottfried, MD Sara Gottfried MD helps you return to health even in times of crisis with integrated multiomic care Want guidance? No medical advice.
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Sara Gottfried MD is the three-time New York Times bestselling author of The Hormone Cure, The Hormone Reset Diet, and Younger. Her latest book, Women, Food, and Hormones is available for preorder now. Comments and posts come from Dr. Gottfried and her team.

Hi, I’m Dr. Sara Szal, MD. Alaska raised, science obsessed, and a freshly minted 10K finisher. Physician-researcher. Hos...
10/29/2025

Hi, I’m Dr. Sara Szal, MD. Alaska raised, science obsessed, and a freshly minted 10K finisher. Physician-researcher. Host . Author of forthcoming THE FEMALE EDGE about female hormones and how to age well with female-centric metrics. Yoga teacher who lifts. Mom of two. Here to help you feel informed and never dismissed.

Real life note. My divorce finalized in 2023 and I am simultaneously in perimenopause, cortisol recovery, and HRV rehab! And meta continues to refuse to change my handle back to my maiden name!
Translation: less grind, more breath, earlier lights out, stronger legs, kinder self talk.

What you will find here
• Cycle smart training you can actually follow
• Protein targets that satisfy and support muscle
• Sleep and nervous system resets for resilient HRV
• Female brain upgrades for memory and focus as we get older and wiser
• Perimenopause playbook with Alaska grit

Hormones are not drama. They are data you can use.
Follow for practical protocols, brain and body wins, and a little trail dust.

Questions?

Love,
Dr. Sara

10/26/2025

Here’s your hormonal soft landing ❣

6 simple steps—from sleep and nutrition to strength training and self-compassion—that smooth the ride through perimenopause.

👉 Do you want a copy of my Perimenopause Survival Guide? Download it now.
https://saraszalmd.com/perimenopause/

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Find TREATED WITH DR SARA on your favorite podcast platform 🙏

10/20/2025

says if you think you’re burned out… you probably are. I agree 💯

But here’s the good news: burnout isn’t forever.

I share the early warning signs your body gives you—and the tools to heal and prevent it from happening again.

🎙️ Find the latest episode of TREATED wherever you podcast🎙️

10/20/2025

Let’s talk about Diastasis Recti, a clinical name for what it feels like to come undone.

Diastasis is the separation of the re**us abdominis (your six-pack muscles) down the midline of your belly.

It’s common, normal, and completely treatable.

But it’s also ignored.

1 in 2 women still have it a year postpartum.
And most were never told they had it.

Instead, they’re told:
“You just need to lose the baby weight.”
“Your core is weak.”
“Don’t worry, but new clothes.”

NO.
It’s not just about looks.
It’s about function.
Diastasis can mean:
- Back pain
- Pelvic floor dysfunction
- Hernias

Your fascia stretched to make room for life.
Now it needs gentle re-coordination and encouragement back to the midline, not crunches, not shame, not silence. Here at my retreat with we dive deep into self-diagnosis and how to heal diastasis.

🧘‍♀️ How to heal it (without disappearing):

1. Get assessed by a pelvic floor physical therapist (not your OB in 60 seconds flat). Make sure it’s from stretching, not a tear that may need surgery.
2. Start with breathwork. Diaphragmatic breathing and rib expansion rewire your core system.
3. Reconnect your transverse abdominis: that deep corset muscle is your real postpartum BFF.
4. Skip the crunches. Start with heel slides, bird dogs, and wall sits with breath.
5. Heal the whole system. This includes your nervous system, your story, and your scar tissue.

💬 Final word?
You are not broken.
You are postpartum and healing.
And you deserve care that lasts longer than the positive pregnancy test.

As Schuyler put it:
“We don’t care for women postpartum in our culture. We throw them in the trash. But no more!”

🧠 Save this. Share this. Tag a new mom who needs to know:

You didn’t fail. The system did.

10/20/2025

☕️ Your coffee stopped working? Feel tired, and hard to get going? It might not be the coffee—it could be insulin resistance.

I’m with who’s dealt with insulin resistance himself and is tracking the climb back to metabolic flexibility.

Red flags to notice:
• You need more coffee for the same buzz
• Big afternoon crash or brain fog
• Sleep and HRV trending the wrong way

What to try:

1️⃣Track it. A continuous glucose monitor (CGM) shows how your caffeine + meals actually land in your body. Watch fasting glucose, post-meal spikes, and time in range.

2️⃣Test it. Run n-of-1 experiments and measure the change: earlier protein-forward breakfast, post-meal walks, zone 2 training, resistance work, better sleep timing.

3️⃣Consider advanced options. Under medical supervision only, some people explore research peptides like MOTS-c as part of a larger metabolic plan. It’s experimental. Data first, hype last.

Save this if your latte lost its magic. Share with a friend who “needs a third espresso” by noon.

Educational only, not medical advice. Talk with your clinician before using a CGM or trying peptides.


10/17/2025

Sleepy girl mocktails are good for you?
“Cortisol face” is a real thing?
Microdosing psychedelics rewires your brain overnight?

Let’s decode the wellness gossip:
✅ Some sleepy blends help—if they actually raise magnesium and GABA.
🚫 “Cortisol face” isn’t a medical term (but chronic stress does reshape your glow).
🤔 Microdosing? Promising in theory, mixed in data, illegal in most states, but may improve sleep and raise your HRV.

Your biology deserves truth, not rumors.

10/16/2025

Breast cancer prevention starts in your teens.

Eating 5 colors a day beginning early in life can change the arc you’re on and could reduce your breast cancer risk.

But how do you get your teens to eat more vegetables?

I like smoothies with steamed broccoli that’s been frozen as it doesn’t have much taste. Add in some fresh greens or a green powder into a chocolate or vanilla smoothie. Dose 3x/week.

That can go a long way if you don’t like vegetables.

What are your tips? Share them below! 🤍

Thank you

10/13/2025

Microdosing isn’t about tripping. It’s about tuning.

The goal isn’t escape, it’s presence.

Tiny doses. Big shifts in focus, mood, creativity, and physiology.

We’re not talking Silicon Valley hacks—we’re talking nervous system re-regulation.

The future of longevity?
Sub-perceptual, cyclical, and intentional recalibration. N-of-1 experiments.

🍄 Let’s talk what science and your serotonin actually say.

Credits:

*d

10/12/2025

Today’s workout by 💨
Downhill run for ski-ready quads
Brutal steep climb for VO₂ max
Finish in Zone 2 (mitochondria say thank you)

How many Zone 2 minutes do you bank each week?

10/12/2025

When a woman says she’s exhausted, foggy, gaining weight, losing hair, and feeling off—she’s often told, “Your thyroid is fine.”

Translation: “We ran TSH. It’s in range. You’re on your own.”

But in range isn’t the same as in balance.
And
You deserve the whole story:

TSH, the brain’s whisper to thyroid
Free T4, what your thyroid makes
Free T3, what your cells actually use
Thyroid antibodies, because ~13% of people are now quietly attacking their own thyroid

If you have symptoms, you deserve a full panel—not a pat on the head.

Because optimal thyroid health isn’t a luxury. It’s your metabolic permission slip to feel like yourself again.

10/07/2025

If a man doubled over in pain every month, we wouldn’t hand him ibuprofen and birth control pills. We’d run the labs, book the scans, schedule a diagnostic laparoscopy, and get him real answers.

Period pain is not normal, it’s data. Stop the gaslighting. Women deserve compassion, solutions, endo expertise, and treatment that doesn’t just mute the symptoms, but solves the problem.

✨ Share if you’ve ever been told “it’s just part of being a woman.”

✨ Tag a friend who needs to hear: you’re not crazy, you’re not weak, you’re not alone.

10/01/2025

Doctor: “Your labs are normal.”

Me: “So… average?” I’m not aiming for average—I’m aiming for optimal.

And most docs won’t even check your hormones unless you’re trying to get pregnant. Let us know if you d been dismissed in this way ⬇️

📈 Save this for your next appointment.

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Moraga, CA

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