Integrative health expert &amp; naturopathic physician Dr. Robert Kachko shares his powerful framework for better understanding our biology, our ecology and our biography. His holistic approach helps patients navigate PTSD, trauma, and chronic conditions.
His work centers on some really powerful questions: Why does a body get sick? What are our symptoms trying to tell us? And how can that information be reverse engineered into a treatment plan?
Links to resources mentioned in this episode:
<a href="https://naturopathic.org/">American Association of Naturopathic Physicians</a>
<a href="https://traumahealing.org/">Somatic Experiencing</a>
<a href="https://www.samhsa.gov/mental-health/trauma-violence">Trauma and Violence</a>
<a href="https://www.ptsd.va.gov/understand/common/common_adults.asp">Veterans Administration National Center for PTSD</a>
<a href="https://pubmed.ncbi.nlm.nih.gov/22166813/">Remission from post-traumatic stress disorder in the general population </a>
<a href="https://www.cambridge.org/core/journals/psychological-medicine/article/abs/remission-from-posttraumatic-stress-disorder-in-the-general-population/2A389D6AB903349910C8FFE0D31A5AC8">Remission from post-traumatic stress disorder in the general population</a>
<a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC5758426/">Recovery from DSM-IV post-traumatic stress disorder in the WHO World Mental Health surveys</a>
<a href="https://journals.sagepub.com/doi/full/10.1177/21501327211023871">Assessing Primary Care Contributions to Behavioral Health: A Cross-sectional Study Using Medical Expenditure Panel Survey</a>
<a href="https://www.ptsd.va.gov/professional/treat/txessentials/clinician_guide_meds.asp">Clinician&#8217;s Guide to Medications for PTSD</a>
<a href="https://www.hhs.gov/sites/default/files/surgeon-general-social-connection-advisory.pdf">2023 U.S. Surgeon General &#8211; Our Epidemic of Loneliness and Isolation</a>
<a href="https://royalsocietypublishing.org/rsbl/article/17/5/20210158/62916/Dunbar-s-number-deconstructed-Dunbar-s-number">‘Dunbar&#8217;s number’ deconstructed</a>
<a href="https://nyaspubs.onlinelibrary.wiley.com/doi/10.1111/nyas.15309?af=R">Why friendship and loneliness affect our health</a>
Note: In this show, we use “women” as shorthand for people with XX chromosomes. We understand sex and gender are more complex, and acknowledge the experiences we describe reach beyond that word.
See <a href="https://omnystudio.com/listener">omnystudio.com/listener</a> for privacy information.

Decoding Trauma Healing with Dr. Robert Kachko

We’re tackling your questions about midlife hormone support. We’ll debunk common myths, unpack the research, and break down the basics of hormone support. We’ll also discuss some of the systemic benefits that may come with taking hormones, as well as important considerations for people with a history of health conditions, like cancer or stroke. Joining Dr. Elizabeth Poynor for this discussion is Atria Health Institute’s Chief Content Officer Siobhan O’Connor.
Links to resources mentioned in this episode:
(00:25:29) <a href="https://podcasts.apple.com/us/podcast/decoding-happiness-in-midlife-with-dr-laurie-santos/id1839991627?i=1000743140356">&#8211; Decoding Happiness in Midlife with Dr. Laurie Santos</a>
(00:27:27) <a href="https://podcasts.apple.com/us/podcast/decoding-brain-fog-with-dr-caroline-gurvich/id1839991627?i=1000730519458">&#8211; Decoding Brain Fog with Dr. Caroline Gurvich</a>
(00:48:00) <a href="https://podcasts.apple.com/us/podcast/decoding-partnership-in-midlife-with-dr-richard-shapiro/id1839991627?i=1000749021960">&#8211; Decoding Partnership in Midlife with Dr. Richard Shapiro</a>
<a href="https://pubmed.ncbi.nlm.nih.gov/39521301/">Vaginal estrogen use in breast cancer survivors: a systematic review and meta-analysis of recurrence and mortality risks</a>
<a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC10241804/">Oral micronized progesterone for perimenopausal night sweats and hot flushes a Phase III Canada-wide randomized placebo-controlled 4 month trial</a>
<a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC10625913/">Systematic review and meta-analysis of the effects of menopause hormone therapy on risk of Alzheimer’s disease and dementia</a>
<a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC3775978/">Menopausal Hormone Therapy and Risk of Endometrial Cancer</a>
<a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6594874/">Allopregnanolone and Reproductive Psychiatry: An Overview</a>
<a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC9258798/">Adverse Changes in Body Composition During the Menopausal Transition and Relation to Cardiovascular Risk: A Contemporary Review</a>
<a href="https://pubmed.ncbi.nlm.nih.gov/40937901/">The role of lifestyle medicine in menopausal health: a review of non-pharmacologic interventions</a>
<a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC4657151/">Skeletal muscle as an endocrine organ: PGC-1α, myokines and exercise</a>
<a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC12145478/">ADHD and Sex Hormones in Females: A Systematic Review</a>
<a href="https://journals.lww.com/menopausejournal/fulltext/2025/02000/the_range_and_variation_in_serum_estradiol.2.aspx">The range and variation in serum estradiol concentration in perimenopausal and postmenopausal women treated with transdermal estradiol in a real-world setting: a cross-sectional study</a>
<a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC12669395/">The use of HRT containing transdermal estradiol in women with a personal history of venous or arterial thromboembolism: A consecutive series of 115 cases</a>
<a href="https://www.auanet.org/guidelines-and-quality/guidelines/recurrent-uti">Recurrent Uncomplicated Urinary Tract Infections in Women: AUA/CUA/SUFU Guideline (2025)</a>
Note: In this show, we use “women” as shorthand for people with XX chromosomes. We understand sex and gender are more complex, and acknowledge the experiences we describe reach beyond that word.
See <a href="https://omnystudio.com/listener">omnystudio.com/listener</a> for privacy information.

Decoding Your Hormone Support Questions with Siobhan O’Connor

Leading preventive neurologist Dr. David Dodick joins the show to unpack what alcohol is really doing inside the body. We dive into how it affects the brain, why it’s linked to an increased cancer risk, how it influences the immune system, and what makes alcohol especially impactful for women navigating perimenopause and menopause.
If you’ve ever wondered what alcohol use might mean for your long-term health, this conversation is for you.
Special thanks to <a href="https://profiles.auckland.ac.nz/antonia-lyons">Antonia Lyons</a>
Links to resources mentioned in this episode:
<a href="https://www.hhs.gov/surgeongeneral/reports-and-publications/alcohol-cancer/index.html">Office of the Surgeon General: Alcohol and Cancer Risk</a>
<a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)01296-0/abstract">Dementia prevention, intervention, and care: 2024 report of the Lancet standing Commission</a>
<a href="https://pubmed.ncbi.nlm.nih.gov/41059530/">Women&#8217;s alcohol use in mid-life: Identifying associations between menopause symptoms, drinking behavior, and mental health</a>
Note: In this show, we use “women” as shorthand for people with XX chromosomes. We understand sex and gender are more complex, and acknowledge the experiences we describe reach beyond that word.
See <a href="https://omnystudio.com/listener">omnystudio.com/listener</a> for privacy information.

Decoding Alcohol with Dr. David Dodick

We’ve talked a lot on this show about health issues midlife women face. But what about the other people who often have a front-row seat to these changes, and can play a key supporting role? This week, a conversation about supporting a partner who’s going through menopause—with none other than Elizabeth’s own partner: Dr. Richard Shapiro (who also happens to be a pioneering breast cancer and melanoma researcher and surgeon). They talk about the ways they’ve navigated midlife changes in their relationship, common misconceptions about taking hormones, and impacts menopause can have on relationships, as well as give advice for how both partners and clinicians can better support women experiencing menopause.
Links to resources mentioned in this episode:
(00:01:38) <a href="https://podcasts.apple.com/us/podcast/decoding-womens-health-dr-elizabeth-poynor-on-midlife/id582272991?i=1000746675611">Dr. Elizabeth Poynor on Rich Roll’s podcast</a>
<a href="https://www.abstractsonline.com/pp8/#!/21392/presentation/112">Menopausal Hormone Therapy and the Risk of Breast Cancer in Women with a Pathogenic Variant in BRCA1 or BRCA2</a>
<a href="https://portal.menopause.org/NAMS/NAMS/Directory/Menopause-Practitioner.aspx">The Menopause Society</a>
<a href="https://www.pewresearch.org/short-reads/2025/10/16/8-facts-about-divorce-in-the-united-states/">8 facts about divorce in the United States</a>
Note: In this show, we use “women” as shorthand for people with XX chromosomes. We understand sex and gender are more complex, and acknowledge the experiences we describe reach beyond that word.
See <a href="https://omnystudio.com/listener">omnystudio.com/listener</a> for privacy information.

Decoding Partnership in Midlife with Dr. Richard Shapiro

Atria

Why is it still so hard for women to find reliable, modern health information about their own bodies? On Decoding Women's Health, Dr. Elizabeth Poynor, chair of women’s health &amp; gynecology at the Atria Health Institute, shares expert insights on women’s health, hormones, and longevity science to help you thrive at any stage of midlife and beyond. Dr. Poynor, a world-renowned gynecologic oncologist and advanced pelvic surgeon, speaks with leading physicians, researchers, and educators to share the latest science on women’s wellness, disease prevention, and what it really means to age on your own terms. Each episode explores a different aspect of how to improve your health during midlife—from heart disease and genetic risks to metabolism, hormones nutrition, cognitive health, and beyond. Whether you're in perimenopause, postmenopause, or simply looking for tools to prepare for the next chapter, take charge of your health—now and for the future—with expert guidance and practical advice to help you thrive.

Decoding Women's Health with Dr. Elizabeth Poynor

Why is it still so hard for women to find reliable, modern health information about their own bodies? On Decoding Women's Health, Dr. Elizabeth Poynor, chair of women’s health & gynecology at the Atria Health Institute, shares expert insights on women’s health, hormones, and longevity science to help you thrive at any stage of midlife and beyond. Dr. Poynor, a world-renowned gynecologic oncologist and advanced pelvic surgeon, speaks with leading physicians, researchers, and educators to share the latest science on women’s wellness, disease prevention, and what it really means to age on your own terms. Each episode explores a different aspect of how to improve your health during midlife—from heart disease and genetic risks to metabolism, hormones nutrition, cognitive health, and beyond. Whether you're in perimenopause, postmenopause, or simply looking for tools to prepare for the next chapter, take charge of your health—now and for the future—with expert guidance and practical advice to help you thrive.

Podcasts

Recent Episodes

Decoding Trauma Healing with Dr. Robert Kachko

Decoding Your Hormone Support Questions with Siobhan O’Connor

Decoding Alcohol with Dr. David Dodick

Decoding Partnership in Midlife with Dr. Richard Shapiro