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Podcast Episode

Functional Medicine vs Conventional Medicine: The Future of Hormone Health

The Curious Cardiologist··19 August 2026·1h 1m

About this episode

Millions of people struggle with fatigue, weight gain, thyroid issues, insulin resistance, menopause symptoms, and hormone imbalance—but are we treating the symptoms instead of the root cause?In this episode of The Curious Cardiologist, Dr. Sanjay Bhojraj sits down with functional endocrinologist Dr. Saadia Mian to explore why conventional medicine often overlooks the deeper causes of hormone dysfunction and metabolic disease.Together they discuss: Why insulin resistance starts years before diabetes  The connection between gut health and hormones  Hashimoto's disease and thyroid dysfunction  PCOS and metabolic health  Menopause and hormone replacement therapy (HRT)  GLP-1 medications like Ozempic and Wegovy  Stress, cortisol and the hidden drivers of chronic illness  Functional medicine versus conventional medicine  Practical lifestyle changes that can dramatically improve hormone health Whether you're struggling with fatigue, stubborn weight gain, thyroid disease, menopause symptoms, or simply want to optimize your long-term health, this conversation provides a science-backed roadmap to understanding your body.Time Stamps 00:00 Introduction 01:15 Why Both Doctors Left Conventional Medicine 04:10 Dr. Saadia's Functional Medicine Journey 05:15 What Is Functional Endocrinology? 07:00 Hashimoto's & Autoimmune Thyroid Disease 09:00 Treating Root Causes Instead of Symptoms 10:45 Insulin Resistance & PCOS 13:15 Gut Health and Hormones 15:10 Functional Hormone Testing 18:25 Menopause & Hormone Replacement Therapy 22:45 Why Endocrinologists Aren't Trained in HRT 25:20 Hormone Therapy Safety 26:00 GLP-1 Medications Explained 30:00 Should Everyone Take Ozempic? 33:00 Trauma, Stress & Weight Gain 37:00 Functional Medicine vs Conventional Medicine 40:15 The Earliest Signs of Insulin Resistance 42:30 Three Lifestyle Changes That Improve Hormones 47:45 Artificial Sweeteners vs Sugar 51:00 Finding a Functional Endocrinologist 53:00 Why Insulin Resistance Is the Root Cause 54:30 Early Symptoms You Shouldn't Ignore 57:30 Rapid Fire Questions