The Savvy Patient

Are you like Erin, who needs at least eight solid hours of sleep to function? Or are you like Gillian, who secretly wishes humans didn’t have to sleep at all? In this episode of The Savvy Patient, hosts Dr. Gillian Goddard and Erin Stein take a deep dive into one of our body's most crucial daily functions: sleep. We talk all things rest, snooze, and sleep routines—and how two best friends can have totally opposite sleep habits. We discuss the science of what happens in our brains when we turn off the lights, from circadian rhythms and natural sleep preferences to the sneaky ways hormones disrupt women’s rest. Plus, we dive into the dark side of sleep deprivation, its impact on long-term health, and what’s really going on with insomnia and sleep apnea, and the simple sleep hygiene habits that can help you wake up feeling rested.
 
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.

In this episode of The Savvy Patient, hosts Erin Stein and Dr. Gillian Goddard tackle what it really takes to navigate healthcare as a patient. We dispel the myth of the single "best doctor," emphasizing instead the importance of finding a provider whose style fits your personal health philosophy. We break down how to prepare for your appointments to get the best outcomes and cover how to frame your health goals, collect concrete data on your symptoms, and use reputable medical sources for research rather than falling down the rabbit hole of search engine horrors or extreme Reddit threads. We also address the inescapable reality of navigating health insurance, explaining why understanding your own coverage beforehand is essential. We teach you how to get savvy!
Resources:
Dr. Gillian Goddard mentioned mayoclinic.org/symptoms and mayoclinic.org/drugs-supplements for research. She also mentioned beyondtype1.org/ as a resource for those living with Type 1 diabetes.
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.

Why is our relationship to our own physical appearance so complicated? In this episode of The Savvy Patient, co-hosts Erin Stein and Gillian Goddard dive into the multi-layered and deeply emotional topic of body image. We break down how societal expectations and objectification distort our relationship with our physical selves from a young age and challenge deep-seated misconceptions appearance. We unpack the true complexities of what it means to be a “healthy” body size versus chasing a manufactured illusion of physical perfection. The conversation addresses the modern pressures of social media and the frustrating realities of navigating weight bias and body image when dealing with medical professionals. Blending clinical insight with candid reflection, this episode provides listeners with a roadmap to understand, question, and ultimately heal their relationship with their bodies and mental health.
Resources:
If you are struggling with mental health, call or text 988 for free, confidential mental health and suicide prevention support.
For bullying help, text 741741 or visit www.crisistextline.org/topics/bullying/
For an eating disorders helpline call 1-888-375-7767 or visit anad.org
Notes:
 
Erin mentions the book I’m Glad My Mom Died by Jennette McCurdy, and the documentary film Super Size Me, directed by Morgan Spurlock.
 
She also recommends the journal review “Body Perceptions and Psychological Well-Being: A Review of the Impact of Social Media and Physical Measurements on Self-Esteem and Mental Health with a Focus on Body Image Satisfaction and Its Relationship with Cultural and Gender Factors” by Merino et al. (2024), published in Healthcare (Basel). https://pmc.ncbi.nlm.nih.gov/articles/PMC11276240/#sec11-healthcare-12-01396
 
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.

Perimenopause is trending on social media, but how do you separate the viral “hot takes” from clinical reality? This week on The Savvy Patient, co-hosts Dr. Gillian Goddard and Erin Stein deliver a fun, fluff-free masterclass on what is actually happening to your body. From the difference between perimenopause and menopause, to the metabolic shifts people rarely talk about. Plus, we dare to discuss the mood swings, brain fog, sex function and vaginal atrophy. This episode offers a no-nonsense guide to decoding your body and getting the right treatment. Hit play to skip the algorithm myths and get the medical truth.
 
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.

We unpack the science of cortisol—the hormone often blamed for everything from weight gain to burnout—and explain why it’s essential for survival. Cortisol isn't just your stress hormone—it’s your wake-up call, your emergency response system, and the reason you’re ready for a nap at 3 p.m. From saber-toothed tigers to modern-day deadlines, our stress response hasn’t changed much, even if our stressors have. We explore the difference between healthy stress and chronic stress, how cortisol affects mood, sleep, immunity, and metabolism, and why “adrenal fatigue” isn’t something to worry about. We share practical, evidence-based ways to manage stress—from prioritizing sleep and social connection to spending time in nature (and yes, petting a cat). Dr. Gillian Goddard also explains the rare condition Addison’s disease and what happens when the body can't produce enough cortisol. The Savvy Short: you don't need to “fix” your cortisol—you need tools to help your body and mind navigate life’s inevitable stressors.
In this episode, Dr. Gillian Goddard mentions The Human Connectome Project. Learn more at humanconnectome.org.
 
Note that Addison's disease is also known as primary adrenal insufficiency.
 
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.

Heart disease is the leading cause of death in women—yet many women don't realize they're at risk. We all know we should take care of our hearts, but what does that actually mean? In this episode, we break down essential heart-health facts every woman should know, from how cholesterol really works and why family history matters to the role menopause plays in cardiovascular risk. You'll learn why heart disease often develops later in women, how heart attack symptoms can look different, when statins or aspirin may be helpful, and which risk factors deserve the most attention. We also cover practical steps for screening, prevention, and the everyday habits that can help protect your heart for years to come. Are you at higher risk? What should you know about blood pressure? When is it time to see a cardiologist? We answer these questions and more, giving you the information you need to take charge of your heart health before problems develop.
 
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.

Turning 40 is a great time to take charge of your health. In this episode Erin and Gillian walk through the ultimate midlife health checklist, from tracking down your family medical history and finding a good primary care doctor to staying on top of mammograms, colonoscopies, and all the other glamorous milestones of adulthood. They also talk about sleep, diet, exercise, hydration, mental health, and the supplements you probably don't need despite what social media keeps trying to sell you. Packed with practical tips, relatable and expert advice, this episode is roadmap for preventive healthcare, healthy aging, and advocating for yourself.
 
References:
This is the book Erin mentions about mental health is Your Brain Needs a Hug: Life, Love, Mental Health, and Sandwiches by Rae Earl.
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.

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

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.

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.