The Savvy Patient

09 Breast Cancer (Erin's Version) Part 2

We continue our candid conversation about breast cancer, though much of what we discuss applies to anyone facing a major diagnosis or hospital stay. Erin shares practical advice on telling family and friends about a diagnosis, and managing the emotional challenges that come with being both a patient and a supporter. We dive deeper into breast cancer screening and risk assessment tools, reconstruction decisions, scar care, and recovery after surgery. Plus, Erin shares her top hospital stay tips—from what to pack to what to expect. Filled with personal experience, expert insights, and plenty of practical takeaways, this episode offers support and guidance for patients and loved ones alike.
We take a moment to remind you that while this is a medical discussion, it is not providing a diagnosis or treatment or any medical advice. The only way to get a diagnosis, treatment or medical advice for your particular condition is through a discussion with your doctor.
Please subscribe savvypatient.substack.comVisit www.thesavvypatient.com/podcast for episode transcripts.Watch full podcast episodes @TheSavvyPatient on Youtube.com.Get your copy of The Hormone Loop by Dr. Gillian Goddard wherever books are sold.
This episode was produced and edited by Erin Stein. Music: “All We Live For (instrumental)” by Wolfclub licensed through Audiio.com. Intro and outro edited, and video created, by Ian Mayer. The Savvy Patient logo by Amanda Spielman.
References:
Information about different Breast Cancer Risk Calculators: https://www.breastcancer.org/risk/breast-cancer-risk-calculators
The Tyrer-Cuzick Risk Assessment Calculator:https://magview.com/ibis-risk-calculator/
Olivia Munn’s story:https://www.instagram.com/p/C4dXfrULDdJ/?img_index=3

08 EDCs Explained: The Data on Toxicity and the Endocrine System

What are Endocrine Disrupting Chemicals (EDCs), and how concerned should we be about toxicity? We dive into the science behind things such as BPAs and phthalates, exploring what the data actually says about their effects on hormonal health and the endocrine system. We discuss where EDCs come from, working toward a non-toxic home, and understanding what you can and can’t control.
 
In this episode, Erin mentions The Plastic Detox, a documentary series streaming on Netflix; and the nonfiction book Murderland: Crime and Bloodlust in the Time of Serial Killers by Caroline Fraser.
 
We take a moment to remind you that while this is a medical discussion, it is not providing a diagnosis or treatment or any medical advice. The only way to get a diagnosis, treatment or medical advice for your particular condition is through a discussion with your doctor.
 
Please subscribe savvypatient.substack.com
Visit www.thesavvypatient.com/podcast for episode transcripts.
Watch full podcast episodes @TheSavvyPatient on Youtube.com.
Get your copy of The Hormone Loop by Dr. Gillian Goddard wherever books are sold.
 
This episode was produced and edited by Erin Stein. Music: “All We Live For (instrumental)” by Wolfclub licensed through Audiio.com. Intro and outro edited, and video created, by Ian Mayer. The Savvy Patient logo by Amanda Spielman.

07 What is a GLP1-RA?

You’ve heard about Ozempic and Zepbound, but what are these GLP-1 receptor agonists designed for? We go beyond the celebrity weight loss hype to explain the discovery of the GLP-1 hormone, the development of these medications for diabetes, the role of BMI, side effects, and much more.
 
We take a moment to remind you that while this is a medical discussion, it is not providing a diagnosis or treatment or any medical advice. The only way to get a diagnosis, treatment or medical advice for your particular condition is through a discussion with your doctor.
 
Please subscribe savvypatient.substack.com
Visit www.thesavvypatient.com/podcast for episode transcripts.
Watch full podcast episodes @TheSavvyPatient on Youtube.com.
Get your copy of The Hormone Loop by Dr. Gillian Goddard wherever books are sold.
 
This episode was produced and edited by Erin Stein. Music: “All We Live For (instrumental)” by Wolfclub licensed through Audiio.com. Intro and outro edited, and video created, by Ian Mayer. The Savvy Patient logo by Amanda Spielman.

06 Breast Cancer (Erin's Version) Part 1

Last year, co-host Erin Stein went through diagnosis and treatment for pre-menopausal breast cancer. She intimately details her patient experience from mammogram to MRI, from cancer surgery and breast reconstruction to Tamoxifen. Erin shares insights from her journey with her boobs so other women will know what to expect.
 
We take a moment to remind you that while this is a medical discussion, it is not providing a diagnosis or treatment or any medical advice. The only way to get a diagnosis, treatment or medical advice for your particular condition is through a discussion with your doctor.
 
Please subscribe savvypatient.substack.com
Visit www.thesavvypatient.com/podcast for episode transcripts.
Watch full podcast episodes @TheSavvyPatient on Youtube.com.
Get your copy of The Hormone Loop by Dr. Gillian Goddard wherever books are sold.
 
This episode was produced and edited by Erin Stein. Music: “All We Live For (instrumental)” by Wolfclub licensed through Audiio.com. Intro and outro edited, and video created, by Ian Mayer. The Savvy Patient logo by Amanda Spielman.

05 PCOS Basics: This Syndrome is More Common Than You Think

Polycystic Ovary Syndrome (now PMOS) is a wildly common endocrine condition among women. We explain why, and cover PCOS symptoms, diagnosis, its impact on ovulation and fertility, and break down the process of getting treatment.
 
We take a moment to remind you that while this is a medical discussion, it is not providing a diagnosis or treatment or any medical advice. The only way to get a diagnosis, treatment or medical advice for your particular condition is through a discussion with your doctor.
 
Please subscribe savvypatient.substack.com
Visit www.thesavvypatient.com/podcast for episode transcripts.
Watch full podcast episodes @TheSavvyPatient on Youtube.com.
Get your copy of The Hormone Loop by Dr. Gillian Goddard wherever books are sold.
 
This episode was produced and edited by Erin Stein. Music: “All We Live For (instrumental)” by Wolfclub licensed through Audiio.com. Intro and outro edited, and video created, by Ian Mayer. The Savvy Patient logo by Amanda Spielman.

04 Lady Cycles

Cut through the confusion over Perimenopause and Menopause. We talk through all the stages of the female reproductive Hormone Loop--and there are way more than we've been told. A true understanding of women's health starts here!
 
We take a moment to remind you that while this is a medical discussion, it is not providing a diagnosis or treatment or any medical advice. The only way to get a diagnosis, treatment or medical advice for your particular condition is through a discussion with your doctor.
 
Please subscribe savvypatient.substack.com
Visit www.thesavvypatient.com/podcast for episode transcripts.
Watch full podcast episodes @TheSavvyPatient on Youtube.com.
Get your copy of The Hormone Loop by Dr. Gillian Goddard wherever books are sold.
 
This episode was produced and edited by Erin Stein. Music: “All We Live For (instrumental)” by Wolfclub licensed through Audiio.com. Intro and outro edited, and video created, by Ian Mayer. The Savvy Patient logo by Amanda Spielman.

03 Hormones 101

In this episode we lay down all the basics of what hormones are and what they do. Co-host and endocrinologist Dr. Gillian Goddard walks us through the different feedback loops in our bodies, and how hormones are the instruction manuals for all our major systems. This episode includes fun facts about organs and glands, the placenta, your brain, how Tamoxifen works, diabetes, perimenopause, and the myth of the hormonal imbalance!
 
For a lot more on your hormones and women’s hormonal health from birth to menopause, check out Gillian’s forthcoming book, The Hormone Loop! www.thesavvypatient.com/book
 
We take a moment to remind you that while this is a medical discussion, it is not providing a diagnosis or treatment or any medical advice. The only way to get a diagnosis, treatment or medical advice for your particular condition is through a discussion with your doctor.
 
Please subscribe savvypatient.substack.com
Visit www.thesavvypatient.com/podcast for episode transcripts.
Watch full podcast episodes @TheSavvyPatient on Youtube.com.
Get your copy of The Hormone Loop by Dr. Gillian Goddard wherever books are sold.
This episode was produced and edited by Erin Stein. Music: “All We Live For (instrumental)” by Wolfclub licensed through Audiio.com. Intro and outro edited, and video created, by Ian Mayer. The Savvy Patient logo by Amanda Spielman.

02 (Pilot) Is Masturbation a Menopause Hack?

Recent headlines suggested the totally free home treatment known as masturbation could alleviate menopause symptoms. We examine and discuss the study that sparked all the excitement.
We take a moment to remind you that while this is a medical discussion, it is not providing a diagnosis or treatment or any medical advice. The only way to get a diagnosis, treatment or medical advice for your particular condition is through a discussion with your doctor.
Please subscribe savvypatient.substack.com
Visit www.thesavvypatient.com/podcast for episode transcripts.
Watch full podcast episodes @TheSavvyPatient on Youtube.com.
Get your copy of The Hormone Loop by Dr. Gillian Goddard wherever books are sold.
 
This episode was produced and edited by Erin Stein. Music: “All We Live For (instrumental)” by Wolfclub licensed through Audiio.com. Intro and outro edited, and video created, by Ian Mayer. The Savvy Patient logo by Amanda Spielman.
References:
Lehmiller, Justin J. PhD; Graham, Cynthia A. PhD; Ferrall, Louise BS; Mendelson, Emily A. MA; Prine, Merissa S. MS. The role of masturbation in relieving symptoms associated with menopause. Menopause 33(4):p 384-394, April 2026. DOI: 10.1097/GME.0000000000002675 https://journals.lww.com/menopausejournal/fulltext/2026/04000/the_role_of_masturbation_in_relieving_symptoms.4.aspx
Heinemann K, Ruebig A, Potthoff P, Schneider HP, Strelow F, Heinemann LA, Do MT. The Menopause Rating Scale (MRS) scale: a methodological review. Health Qual Life Outcomes. 2004 Sep 2;2:45. DOI: 10.1186/1477-7525-2-45. https://pmc.ncbi.nlm.nih.gov/articles/PMC516787/

01 An Introduction to The Savvy Patient

Dr. Gillian Goddard and Erin Stein introduce themselves and explain what this podcast will be all about.
The Savvy Patient podcast makes medicine make sense, giving you simple, usable insights for smarter conversations with your doctor. Two best friends crack each other up as they bust medical myths and break down the latest research.
Dr. Gillian Goddard and Erin Stein performed high school theater together, and then one of them became a doctor. Gillian—endocrinologist, author of The Hormone Loop, and the popular newsletter The Savvy Patient—wants everyone to become a confident self advocate for their health. Erin asks the awkward questions, calls out jargon, and keeps it real. Together, they use fresh research and evidence to navigate the so-called “prime of their lives” and all the weird, wild shit no one warns you about.
We take a moment to remind you that while this is a medical discussion, it is not providing a diagnosis or treatment or any medical advice. The only way to get a diagnosis, treatment or medical advice for your particular condition is through a discussion with your doctor.
 
Please subscribe savvypatient.substack.com
Visit www.thesavvypatient.com/podcast for episode transcripts.
Watch full podcast episodes @TheSavvyPatient on Youtube.com.
Get your copy of The Hormone Loop by Dr. Gillian Goddard wherever books are sold.
This episode was produced and edited by Erin Stein. Music: “All We Live For (instrumental)” by Wolfclub licensed through Audiio.com. Intro and outro edited, and video created, by Ian Mayer. The Savvy Patient logo by Amanda Spielman.