Épisodes

  • You Can't Yoga Your Way Out of Burnout with Marla Dziedzic
    Oct 21 2026

    Burnout is unmanaged chronic stress, and you can't yoga your way out of it. Burnout and emotional intelligence coach Marla Dziedzic, owner of Evolve Consulting, explains how to tell burnout from depression and what actually helps you recover.

    Marla has spent more than 25 years in learning and development, including 15 years in healthcare building well-being programs for physicians and advanced practice providers. She is certified to administer the EQ-i 2.0 emotional intelligence assessment. Host Melissa Goodwin asks her about her own burnout story, compassion fatigue, why leaders set the tone for a team's well-being, and why CEOs are telling graduates to build their EQ.

    In this episode
    • How Marla defines burnout, and the three things the American Medical Association says it causes
    • How to tell burnout from depression, and why your primary care provider is the first call
    • The signs of burnout a spouse or colleague notices before you do
    • What compassion fatigue is, and how it differs from burnout
    • Why a vacation or a massage will not fix burnout on its own
    • The free Mini Z self-check from the American Medical Association
    • Why "delegation is not dumping" and how to build a stop-doing list
    • What emotional intelligence is, the five EQ-i 2.0 composites, and why EQ can grow when IQ cannot
    • Why a whole-team meeting rarely fixes a two-person conflict
    • Whether AI brain fry is a new kind of burnout
    Chapters
    • 0:00 What burnout is, in one sentence
    • 1:07 Meet Marla Dziedzic of Evolve Consulting
    • 4:05 What is wrong with pushing through
    • 5:07 Marla's own burnout story
    • 6:32 What burnout actually is
    • 7:00 The candle analogy for burnout
    • 7:45 Burnout vs depression: how to tell
    • 8:55 Signs of burnout in you or a colleague
    • 9:45 Burnout early in a demanding career
    • 11:15 What is compassion fatigue?
    • 13:36 Physical symptoms of burnout
    • 14:45 How leaders should check in
    • 15:52 Why 69% of employees look to their leader
    • 16:34 The Stanford model of well-being
    • 18:05 Leaders model the behavior
    • 19:51 Mini Z: a free burnout self-check
    • 20:42 How to find the right coach
    • 21:58 You can't yoga your way out of burnout
    • 23:49 Coach or therapist? Where the line is
    • 25:38 Small changes that reduce burnout
    • 26:56 Delegation is not dumping
    • 29:01 Organization or individual: who fixes burnout?
    • 30:19 What is emotional intelligence?
    • 31:28 Strategic responder vs reactor
    • 33:45 The EQ-i 2.0 assessment explained
    • 35:31 EQ vs IQ: which one can change
    • 38:25 Where EQ gaps show up by industry
    • 41:31 Reality testing: the skill that changes the most
    • 42:19 DiSC, Myers-Briggs and EQ compared
    • 44:34 How to fix conflict on a team
    • 47:50 Can high EQ people still burn out?
    • 48:54 Why CEOs are talking about EQ
    • 50:03 Is emotional intelligence just a trend?
    • 51:34 AI brain fry and cognitive overload
    • 53:10 Doing the work of three people
    • 55:04 Do moms get burned out?
    • 56:13 Systems that protect your time
    • 58:53 First step for a small team
    • 1:00:00 Working with Evolve Consulting
    • 1:01:26 How to reach Marla
    About Marla Dziedzic

    Marla Dziedzic is the owner of Evolve Consulting, a burnout and emotional intelligence coach who works with leaders, teams and individuals. evolveconsultingsd.com

    Resources
    • Mini Z burnout survey, American Medical Association
    • Emotional Intelligence by Daniel Goleman
    • Watch on YouTube: https://youtu.be/knRrKVvqDoA
    • Episode page, full transcript and FAQ: https://www.dialedin.health/podcast/episode-42-burnout-emotional-intelligence
    • Find a vetted provider: dialedin.health/the-directory

    If this episode helped, follow Dialed In Health and leave a rating and review. It helps other people find the show. Know someone running on empty? Send them this one.

    Educational and informational only. Not medical advice and not a substitute for care from a licensed provider. If you think you may be depressed, talk to your primary care provider. If you are in crisis, call or text 988.

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    1 h et 3 min
  • Healing With Horses: What a Horse Sees in You That You Miss
    Oct 14 2026

    Healing with horses: a horse reads what you are carrying and shows it back to you. Dr. Kimberly Ammerman, pharmacist and founder of Healing Hearts with Horses, explains what horses pick up on that people miss.

    Dr. Kimberly Ammerman is a practicing pharmacist, a lifelong horsewoman and a coach. She keeps 17 horses on 100 acres in the Black Hills near Whitewood, South Dakota. Host Melissa Goodwin asks what really happens in a session, how this is different from equine therapy, and who it is for.

    In this episode
    • Why a horse runs when an anxious person steps into the round pen, and walks right up to a calm one
    • What "the horse mirrors you" means in plain words
    • Why Dr. Kimberly trains horses and will not "break" them
    • What happens in a session, and why grooming a horse can be the whole lesson
    • The man who called it stupid, and what a horse named Oakley did next
    • How equine-assisted coaching is different from equine therapy
    • Whether you need horse experience (you do not), and what if horses scare you
    • How Dr. Kimberly trains other people to do this work, in three levels
    • Her answer to "this sounds a little woo woo"
    Chapters
    • 0:00 What a horse does when an anxious person walks in
    • 0:35 Meet Dr. Kimberly Ammerman: pharmacist, horsewoman, healer
    • 1:12 Why she became a pharmacist
    • 2:46 The drive home from Denver that started it all
    • 4:56 The farrier's girlfriend becomes her first client
    • 7:39 Why she does not use a barn
    • 8:12 Growing up on horseback: Sugar and Tiny
    • 10:15 Training a horse without breaking its spirit
    • 12:03 What "horse whisperer" really means
    • 12:22 Misty and Starfellow: trading horses with her twin brother
    • 14:27 Working cattle and the barbed wire fence
    • 16:35 What do horses pick up on that people miss?
    • 17:59 How a horse mirrors your energy
    • 18:36 What happens in a session: on the ground, no riding
    • 19:36 "I don't think this horse likes me"
    • 21:50 Coach, not therapist: the man who called it stupid
    • 24:17 Who comes to Healing Hearts with Horses?
    • 24:55 What if you are afraid of horses?
    • 26:03 Training others: the three-level program
    • 28:29 Is this too woo woo?
    • 29:45 What to wear and what a retreat is like
    • 30:50 If you feel stuck, start here
    • 31:58 How to find Healing Hearts with Horses
    About the guest

    Dr. Kimberly Ammerman, PharmD, is a Doctor of Pharmacy, a practicing pharmacist, a published author and the founder of Healing Hearts with Horses. She has been riding since she was three. She offers equine-assisted coaching, retreats, private sessions and a three-level training program.

    • Website: healingheartswithhorses.com
    • Retreats: healingheartswithhorses.com/retreats
    • Training: healingheartswithhorses.com/certification
    • Facebook: Healing Hearts with Horses
    • Instagram: @healing.hearts.with.horses
    Watch and read
    • Watch on YouTube: YOUTUBE-LINK-HERE
    • Episode page, transcript and FAQs: dialedin.health/podcast/episode-41-healing-with-horses
    • Find a provider: dialedin.health/the-directory
    Help more people find the show
    • Follow Dialed In Health in your podcast app.
    • Leave a rating and a review. It is how new listeners find us.
    • Send this episode to one person who feels stuck.

    This episode is educational and informational only. It is not medical advice and is not a substitute for evaluation, diagnosis or treatment by a licensed provider. Healing Hearts with Horses offers equine-assisted coaching and personal-development programs. These are coaching services. They are not psychotherapy, counseling or medical care.

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    33 min
  • Tantrum vs Meltdown: What to Do When Your Child Loses It
    Oct 7 2026

    Tantrum vs meltdown: a tantrum can be bargained with. A meltdown is an overwhelmed nervous system, and reasoning will not reach it. Pediatric occupational therapist Kristin Wittmayer explains the difference and what to do in the moment.

    Kristin Wittmayer, MS, OTR/L, is a pediatric occupational therapist with 20 years of experience and the Director of Move U, a pediatric therapy clinic in Sioux Falls, South Dakota. Host Melissa Goodwin asks how to tell a tantrum from a meltdown, when "just a phase" is worth a phone call, and why Move U builds its sessions on DIR Floortime.

    In this episode
    • How a meltdown differs from a tantrum, and why bartering stops working
    • What to do in the moment: get to their level, stop talking, give space and time
    • The empty threat, and why follow through matters
    • How to tell a phase from something that keeps coming back
    • Why a sticker chart works for behavior and not for sensory overload
    • Picky eating: the sensory side and the oral motor side
    • Engine speeds: too slow, too fast and just right
    • Why parents are the child's safe person, and have to regulate first
    • What DIR Floortime is, and how Kristin compares it with ABA
    • Four myths, answered: boys talk late, therapy needs a diagnosis, tantrums are manipulation, child-led play teaches nothing
    • Insurance, session length and how often kids come to Move U
    Chapters
    • 0:00 Tantrum or meltdown? What this episode covers
    • 0:23 Welcome to Dialed In Health
    • 1:04 Meet Kristin Wittmayer, pediatric occupational therapist
    • 1:48 What is Move U?
    • 3:13 Why would a parent call a pediatric OT?
    • 4:42 What is happening at home before the first call
    • 6:15 Picky eating: sensory or oral motor?
    • 7:11 Why Move U was built in Sioux Falls
    • 9:23 Is it just a phase? How to tell
    • 10:37 Who Move U works with
    • 12:38 Signs it is time to call
    • 13:34 Connection over compliance
    • 14:25 What is DIR Floortime?
    • 15:57 Why Move U chose DIR Floortime
    • 16:49 Neurodiversity affirming play, explained
    • 18:38 Motor planning: why play matters
    • 20:18 DIR Floortime vs ABA therapy
    • 21:29 What the research says about Floortime
    • 22:27 Behavior is communication
    • 24:38 Fidgeting in class: what is typical?
    • 25:47 Tantrum vs meltdown: the difference
    • 28:01 What parents do that makes it worse
    • 28:43 What to do during a meltdown
    • 29:56 How to prevent the next one
    • 31:47 Band-aid strategies vs the root cause
    • 33:01 What a regulated child looks like
    • 34:08 Why parents have to regulate first
    • 35:45 Myth: boys talk late
    • 36:52 Myth: therapy is only for kids with a diagnosis
    • 37:44 Myth: a tantrum is manipulation
    • 38:59 Myth: child-led play teaches nothing
    • 40:16 What parents can stop feeling guilty about
    • 41:21 Insurance, cost and session length
    • 43:27 How often kids come to therapy
    • 44:24 How to find Move U
    • 45:11 Thanks for watching
    About the guest

    Kristin Wittmayer, MS, OTR/L, is a pediatric occupational therapist and the Director of Move U. She is certified in sensory processing and integration and in DIR Floortime. Move U offers pediatric occupational, physical and speech therapy, from infancy through the teen years.

    Move U, 5020 S Tennis Ln Ste 6, Sioux Falls, SD 57108
    (605) 409-9533
    themoveu.com

    Resources
    • Full transcript, chapters and FAQ
    • Watch on YouTube
    • Move U in the Dialed In Health directory
    • Find a vetted provider
    • Newsletter and guest applications

    If this helped, follow the show and leave a rating and review. It is how other parents find it. Then send this episode to one parent who needs it.

    Educational and informational only. Not medical advice, and not a substitute for evaluation, diagnosis or treatment by a licensed provider.

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    46 min
  • Stuck in Survival Mode? How to Make Your Body Feel Safe Again
    Sep 30 2026

    Stuck in survival mode? Your body has to feel safe first. Spiritual director Jada Dobesh shares why, and a 30 second reset you can do anywhere.

    Jada Dobesh is a certified spiritual director and the owner of Selah Space, a holistic wellness cooperative for women in Sioux Falls, South Dakota. Host Melissa Goodwin asks what a spiritual healer actually does, why so many high functioning women live in survival mode, and how somatic healing helps the body come back online.

    In this episode
    • What a spiritual director does, and how it differs from therapy
    • Why Jada says the root is a lack of safety in the body
    • Why stress management is not enough, and what stress elimination means
    • Where unfelt emotions tend to show up: neck, shoulders, belly
    • Why so many women are afraid to let their emotions out
    • What fragmentation feels like when you only feel your chest
    • How her Reiki sessions work, with touch or without
    • How she answers Christians who ask if Reiki fits their faith
    • What The Body Keeps the Score gets right, and where she goes further
    • Freeze and fawn: the stress responses women fall into most
    • Why repair matters more than perfect parenting
    • The 30 second hug that helps reset your nervous system
    • Why emotions are tourists, not residents
    Chapters
    • 0:00 Your body is not supposed to hurt every day
    • 0:39 Welcome to Dialed In Health
    • 1:22 Meet Jada Dobesh of Selah Space
    • 1:55 What is a spiritual healer?
    • 2:58 What happens in a spiritual direction session
    • 4:06 Parts work: how old is the version of you in charge?
    • 4:30 Reiki and Brainspotting, explained
    • 4:56 How she became a spiritual director
    • 6:40 Why she added Reiki
    • 7:39 The Catholic roots of spiritual direction
    • 8:10 Companionship, not teacher and student
    • 8:55 The daughter wound and your relationship with God
    • 9:53 Why she works with women
    • 10:54 Carrying the weight of the world
    • 12:01 You are not supposed to have headaches every day
    • 12:52 The root: no safety in the body
    • 13:42 Stress management vs stress elimination
    • 14:02 Being held and witnessed in your pain
    • 15:20 Opening Selah Space in 2020
    • 16:57 The belief that it has to be your fault
    • 18:31 The client who had no neck
    • 19:36 Where unfelt emotions show up in the body
    • 20:47 Why women are afraid to let emotions out
    • 22:11 That energy has to go somewhere
    • 22:46 Fragmentation: when your body goes quiet
    • 23:54 How Reiki helps women reconnect
    • 24:46 Melissa's first Reiki session
    • 25:11 Touch, oxytocin and relaxation
    • 26:26 Types of Reiki, including Holy Fire Reiki
    • 26:58 How to choose a spiritual director or Reiki practitioner
    • 28:33 Is Reiki Christian? How she answers
    • 30:48 The Body Keeps the Score: what it gets right
    • 31:42 The goal is to become unbothered
    • 32:52 The little girl in charge of your nervous system
    • 34:22 Flipping your lid
    • 34:46 Freeze and fawn, explained
    • 35:51 Fight turned inward
    • 36:22 Parenting: repair over perfection
    • 38:34 A Gen X mom asks about teen mental health
    • 40:18 Grit vs emotional resilience
    • 42:11 Emotions are tourists
    • 43:30 Done with shoulds
    • 43:56 The 30 second hug that resets your nervous system
    • 45:14 The mom sway
    • 45:43 Find connection
    • 45:56 Jada Dobesh Healing, Selah Space and Circles of Care
    • 48:25 How to find Jada
    • 49:07 Thanks for watching
    About the guest

    Jada Dobesh, Spiritual Director and Owner, Selah Space. 117 W 39th St, Sioux Falls, SD 57105. selahspacesd.com and jadadobeshhealing.com

    Listen and watch

    Watch on YouTube. Full transcript, chapters and FAQ at dialedin.health. Find a vetted provider at the directory.

    Follow

    Follow Dialed In Health so you never miss an episode, and please rate and review. It is the biggest thing that helps someone else find this one.

    Educational and informational only. Not medical advice and not a substitute for evaluation, diagnosis or treatment by a licensed provider. If you are in crisis, call or text 988.

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    50 min
  • Your "High Protein" Food Probably Isn't, with Nutrition Coach Sydney St Clair
    Sep 22 2026
    Is your high protein food really high protein? Certified nutrition coach Sydney St Clair shares a 10 second label test: drop the last digit off the calories. If the grams of protein match or beat it, it is high protein. Sydney owns Let's Reach New Heights Nutrition (LRNH Nutrition) in Wagner, South Dakota. Host Melissa Goodwin asks what she sees in her clients every week: women under eating, protein on every package, GLP-1 users with no hunger cues, and food noise. Then Sydney tests snacks from Melissa's pantry live. In this episode The high protein label test, and why peanut butter and whole eggs fall shortThe most common mistake: under eating whole food carbsWhy a little under half of her women clients need to eat more, and how to add 100 calories a weekWhat to focus on when you start a GLP-1: protein, fiber, strength training, stepsWhat food noise is and what quiets itHow much fiber you need, and which fiber countsProtein bars, collagen and protein powder: where they fit Chapters 0:00 Why food has so many layers 1:04 Meet Sydney St Clair, Let's Reach New Heights Nutrition 2:02 From teacher to certified nutrition coach 3:12 Why she tracks a full week before changing anything 3:46 Keto, Whole30, carnivore: sorting fact from fiction 4:19 Start with the basics: protein, produce, fewer supplements 5:06 What a 5th and 6th grade teacher sees kids eating 6:29 The most common mistake: under eating whole food carbs 7:59 Three types of clients: under eaters, on track, over eaters 9:03 The high protein craze and protein Doritos 9:41 Is skinny back? Body positivity and the pendulum 12:25 Eating on a GLP-1: protein goals and muscle 13:24 What to know when you start a GLP-1 14:39 Strength training and steps on a GLP-1 15:45 What is food noise? 16:59 Night cravings and habit snacking 18:40 Do men and women need different calories? 19:40 Eating 1,100 calories with no energy 20:31 How to eat more without gaining weight 21:27 How many women are under eating 21:46 Blue Zones and learning to like healthy food 22:46 Meal prep that does not get boring 24:08 Grocery pickup to save money and skip the junk 25:01 Protein on everything: marketing or health? 26:12 The high protein test: grams vs calories 27:19 Is peanut butter high protein? 28:51 Are eggs high protein? The fat math 29:52 High protein, low fat foods that are not boring 31:43 Sauces and swaps: G Hughes, ranch, balsamic 33:02 How to build a plate 34:27 Potatoes, Greek yogurt and portion sizes 35:13 Vegetarian and plant protein 36:28 Protein needs as you age 37:23 Snack test: protein granola 38:26 Grape Nuts and how much fiber you need 39:42 Triscuits and cheese 41:04 Kids cereal: make it better with yogurt 42:00 Applesauce pouches and added gums 43:28 Soda, diet soda and fancy coffee sugar 44:49 Afternoon energy without the jitters 46:33 The first change: know what you are eating 47:32 The one product she would zap off the shelf 48:15 Are there any good protein bars? 48:53 Collagen and protein powder 49:47 Whey vs bone broth protein 50:32 What to count, and in what order 51:03 Where the name Let's Reach New Heights comes from 52:12 How to work with Sydney 52:48 Nutrition is like chemistry 53:38 That's our show About the guest Sydney St Clair, Certified Nutrition Coach Owner, Let's Reach New Heights Nutrition Wagner, SD, virtual and in person lrnhnutrition.com | sydney@lrnhnutrition.com Facebook and Instagram: Let's Reach New Heights Nutrition Resources Full transcript, FAQ and chapters: https://dialedin.health/podcast/episode-38-high-protein-foodsWatch on YouTube: youtube.com/@dialedinhealthFind a vetted provider: dialedin.health/the-directoryBe a guest: apply hereNewsletter: get new episodes If this helped, follow the show and leave a rating and review. It helps other people find it. Know someone who needs this one? Send it to them. If food or eating feels out of control, the ANAD eating disorders helpline is 1-888-375-7767, Monday to Friday, 9 AM to 9 PM Central. This episode is educational and informational only. It is not medical advice and it is not a substitute for evaluation, diagnosis, or treatment by a licensed provider. Sydney St Clair is a certified nutrition coach, not a prescriber.
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    55 min
  • 5 Things You Can Do Today to Heal Neuropathy At Home
    Sep 16 2026

    Peripheral neuropathy: here are the five things Dr. Jordan Stenzel, DC tells people to do at home every day. Movement, food, e-stem, PEMF and red light therapy, in that order.

    The first neuropathy episode passed 74,000 views and drew more than 200 comments. Almost all of them said the same thing. Slower. Simpler. Tell me what to do, what to take and how. Dr. Stenzel came back to Dialed In Health with host Melissa Goodwin and did exactly that.

    Dr. Jordan Stenzel, DC is a chiropractic physician at Stenzel Chiropractic Clinic in Mankato and Mapleton, Minnesota. He built his peripheral neuropathy protocol over five to seven years around six things a nerve needs to live, grow and thrive. He wrote Healing the Hidden Nerves and he trains other providers to run the protocol.

    In this episode
    • The five things to do at home every day, in the order he gives them
    • How to buy a red light that reaches the tissue: the wavelength ranges and the power he looks for
    • Why NAD+ in a bottle cannot cross into the cell, and what a precursor does instead
    • Whether it is too late if you have had neuropathy for years
    • Why "it is not diabetes so this does not apply to me" is false
    • What he says about coming off gabapentin, and the one mistake he sees most
    • What to do about metformin
    • What to do before a first chemotherapy infusion
    • Where people waste the most money
    • Who this protocol is not for
    Chapters

    PASTE THE CHAPTER LIST FROM THE YOUTUBE DESCRIPTION SECTION ABOVE, UNCHANGED.

    About the guest

    Dr. Jordan Stenzel, DC, chiropractic physician, Stenzel Chiropractic Clinic, Mankato and Mapleton, Minnesota. Author of Healing the Hidden Nerves. Runs the Healing the Hidden Nerves community and a provider training program. stenzelchiropractic.com

    About Dialed In Health

    Dialed In Health is hosted by Melissa Goodwin. Every episode brings in the people who actually do the work: providers, practitioners and the experts who see clients every day. We ask the questions you would ask if you were sitting across from them.

    Resources mentioned
    • Healing the Hidden Nerves, the book, on Amazon
    • Healing the Hidden Nerves, the community on Skool
    • The Neuropathy Project
    • Stenzel Chiropractic Clinic, Mankato and Mapleton MN
    • Episode 1 with Dr. Stenzel: Reverse Peripheral Neuropathy, 6 Things Your Nerves Need to Heal
    Also on

    Watch on YouTube at @dialedinhealth. Full episode page, chapters and transcript at dialedin.health. Find a vetted provider at dialedin.health/the-directory.

    If this was useful, follow the show and leave a rating and review. Reviews are a real ranking factor and they are how the next person with burning feet at 2am finds this. Then send this episode to the one person you thought of while you were listening.

    Transcript

    FULL TRANSCRIPT APPENDED HERE. Use the cleaned transcript, not the raw SRT.

    This episode is educational and informational only. It is not medical advice and not a substitute for evaluation, diagnosis or treatment by a licensed provider. Do not start or stop any prescription based on anything in this episode.

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    48 min
  • The Most Common Pelvic Floor Fix Is Making It Worse
    Sep 9 2026

    A tight pelvic floor is not a weak one. If yours is already tight, a hundred more Kegels can make your symptoms worse.

    Ember Smith, PT, DPT of Well Balanced Physical Therapy in Sioux Falls, South Dakota was a gymnast who leaked through high school and never told anyone. She now treats the problem she had. Host Melissa Goodwin asks what the pelvic floor is, whether Kegels work, how to tell tight from weak, what diastasis recti really means, and whether a weighted vest builds bone.

    No referral needed in South Dakota. Direct access.

    In this episode
    • What the pelvic floor is, and why the hips, core and abdominals share its wall
    • Why some women doing Kegels push down and out, the exact opposite of the movement
    • Why a tight muscle is not a strong one, and why more contractions make it worse
    • That her own trimester handout from a large health system told her to do Kegels
    • What EMG studies show: squats and glute bridges can recruit the pelvic floor harder than a Kegel
    • The two and a half finger rule for diastasis recti, and the depth nobody measures
    • Why the old advice to avoid crunches after pregnancy was backwards
    • Pressure management, and the pop can model of your core
    • Whether a weighted vest builds bone density
    • Why common is not the same as normal, and why it is never too late
    Chapters
    • 0:00 Kegels are not the answer
    • 0:55 Welcome to Dialed In Health
    • 1:32 Why she went into pelvic health
    • 2:27 Her two pelvic health certifications
    • 3:14 Why she evaluates women standing up
    • 3:51 Leaking as a high school gymnast
    • 5:22 What is the pelvic floor?
    • 6:33 The townhouse: why it is never just the pelvic floor
    • 7:56 Who walks through her door
    • 8:55 Hormones or pelvic floor? How to tell
    • 9:28 The Kegel chairs and machines
    • 10:09 What a Kegel is, and who it was named after
    • 10:50 Doing it backwards: pushing down and out
    • 11:30 A tight pelvic floor needs lengthening, not squeezing
    • 11:51 The trimester handout that is still wrong
    • 12:13 No symptoms? Then you do not need Kegels
    • 13:05 Stay active, and find the right stimulus
    • 13:59 What women are most embarrassed to say out loud
    • 14:27 What changes at each stage of life
    • 15:27 Liner to pads to UTIs to falls: how it compounds
    • 16:25 Diastasis recti, explained properly
    • 17:41 The two and a half finger rule
    • 18:17 The depth measurement nobody talks about
    • 18:54 How diastasis connects to the pelvic floor
    • 19:59 Crunches narrow the gap. The old advice was backwards
    • 20:49 Pressure management
    • 21:10 The pop can model of your core
    • 22:01 What men run into
    • 22:45 Weight gain, beer belly, and diastasis
    • 23:19 GLP-1 weight loss and the gap underneath
    • 24:47 Why she rarely starts with a Kegel
    • 25:05 What EMG studies actually show
    • 26:22 The weighted vest craze
    • 26:50 Weighted vests do not build bone. Impact and lifting do
    • 27:49 Zone two, walking, and running
    • 28:47 Strength or cardio, if you had to pick one
    • 30:07 Sweating is not the measure of a workout
    • 31:08 What to do in your 20s and 30s
    • 31:44 The worst advice on social media
    • 32:28 No referral needed in South Dakota
    • 32:46 What an evaluation looks like
    • 33:42 The longevity clinic
    • 34:31 The billboard answer
    • 35:30 Where to find Well Balanced
    About the guest

    Ember Smith, PT, DPT, Well Balanced Physical Therapy, 7000 S Lyncrest Place, Floor 1, Sioux Falls, SD 57108. Call or text 605-610-8220. wellbalancedphysicaltherapy.com

    Listen and watch

    Watch on YouTube. Full transcript and chapters at dialedin.health. Find a vetted provider at the directory.

    Follow

    Follow Dialed In Health so you do not miss an episode, and please rate and review. It is the single biggest thing that helps another woman find this one.

    Educational and informational only. Not medical advice and not a substitute for evaluation, diagnosis or treatment by a licensed provider.

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    37 min
  • MTHFR: Your Methylated B Vitamin Could Be Making You Worse
    Sep 8 2026
    MTHFR is not a disease. It is a gene variant that slows your methylation cycle, and 40 to 50 percent of people carry a copy of it. Kristine Cassar, owner of BeeWell Functional Wellness in The Woodlands, Texas, carries two copies. So does her daughter. Host Melissa Goodwin asks the questions people actually search: what MTHFR stands for, what the variant does to folate and B12, whether it explains anxiety and brain fog, whether you should get tested, and what to look for on a supplement label. Kristine also takes on the hardest question in her field head on, that the American College of Medical Genetics recommends against routine MTHFR testing, and says plainly where she thinks they are right and where she thinks conventional care does not test enough. In this episode What MTHFR stands for and what the enzyme does in your bodyWhy 40 to 50 percent of people carry one copy and 10 to 12 percent carry two, per the 1000 Genomes Project data Kristine citesHow much a variant slows methylation: roughly 30 percent with one copy, up to 70 percent with twoThe symptoms she sees most: brain fog, tiredness, irritability, anxiety, panic attacks, stress hormones that stay highWhy she says MTHFR does not cause disease, and what she says it can do insteadThe two SNPs she looks at: C677T and A1298CWhy grabbing a methylated B vitamin off the shelf can backfire, and what over-methylation feels likeFolic acid vs folate vs methylfolate, and why she does not recommend folic acidThe two things to look for on a label: L-5-MTHF and methylcobalamin, and why folate without B12 does not workWhat homocysteine is, what most labs call normal, and the number she wants to seeWhat testing costs, and when her answer is to do nothing at all Chapters 0:00 The symptoms people never connect to MTHFR 1:07 Why this episode exists 2:32 What BeeWell Functional Wellness does 3:44 What MTHFR stands for and what the enzyme does 5:18 Is it a mutation? 40 to 50 percent carry one copy 6:14 One copy vs two copies: 30 percent vs 70 percent slower 6:51 Brain fog, irritability, anxiety, panic attacks 7:41 What methylation is and why you should care 9:13 You have the variant and you feel fine. Now what? 10:21 C677T, A1298C, and how common they really are 11:45 Does MTHFR cause disease? The honest answer 14:18 Her daughter, 1997, and the test that changed everything 16:09 The methylated B vitamin mistake and over-methylation 18:12 Why people actually walk into her practice 18:58 The genetics guideline says the evidence is not there 21:52 What MTHFR testing costs 23:02 Pregnancy, folic acid, and what she recommends instead 24:51 Folic acid vs folate vs methylfolate 25:29 What to look for on a supplement label 27:24 Homocysteine and the number she wants to see 28:40 Liposomal vs pill vs sublingual 30:01 The biggest mistake after a positive test 31:08 What the internet gets wrong about MTHFR 32:02 Is any of this pseudoscience? 32:58 What working with her actually looks like 36:43 Why this work matters to her 37:44 Her own daily routine 39:52 The billboard answer 40:54 Where to find BeeWell Functional Wellness About the guest Kristine Cassar is the owner and operator of BeeWell Functional Wellness in The Woodlands, Texas, with a brick and mortar clinic and a virtual practice. She came to this work in 1997 when her two year old daughter had health issues conventional care was not resolving. Testing showed her daughter was a homozygous carrier of the MTHFR variant. Kristine was later tested and found she carries two copies as well. Website: beewellwoodlands.com Facebook and Instagram: BeeWell Functional Wellness Kristine offers something useful to listeners: photograph the front and back of your supplement bottle, send it to her by direct message on Instagram or Facebook, and she will tell you whether that supplement is doing what you think it is doing. Resources mentioned American College of Medical Genetics practice guideline on MTHFR polymorphism testing1000 Genomes Project carrier frequency dataStandard lab testing through LabCorp or Quest, roughly 50 to 200 dollarsFood sources of folate named on the show: dark leafy greens, asparagus, eggs, beef liver Watch and read Watch this episode on YouTube: @dialedinhealth Full transcript and episode page: dialedin.health Find a vetted provider: dialedin.health/the-directory If this helped Follow Dialed In Health wherever you listen, and leave a rating and a review. Reviews are how the next person searching for a straight answer finds this show. Then do one more thing: send this episode to the person who came to mind while you were listening. Are you a health or wellness provider who wants to be on the show? The application link is on dialedin.health. This episode is educational and informational only. It is not medical advice and it is not a substitute for evaluation, diagnosis, or treatment by a licensed provider. Talk to your own provider before starting, stopping, or changing any supplement, especially if you are ...
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    43 min