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PODCAST

Itchy and Bitchy

Nurse practitioner Karen Nickell discusses the realities of menopause and the female midlife in a way that is both informative and fun.Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

health & fitness sexuality

All Episodes

23:42

Can Heartbreak Physically Break Your Heart?

Itchy and Bitchy ·

2026/04/04

Karen kicks off a new chapter for Itchy and Bitchy by introducing future host Stephen Miller, a cardiology nurse practitioner, for a conversation on Takotsubo cardiomyopathy, or “broken heart syndrome.” Together they explain what this stress-triggered heart condition is, why it so often affects postmenopausal women, and what recovery can look like.Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

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17:10

Vaginal Biofilm: Stranger Than Fiction!

Itchy and Bitchy ·

2026/03/21

Karen answers a listener's question about vaginal biofilms. What are they and why do they make recurrent BV and yeast infections so hard to treat? She explains how these bacterial or fungal communities form protective layers that resist standard treatment, reviews options that may help break the cycle and looks at at-home microbiome testing.Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

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16:45

How to Reset Distress to Peace and Joy (RERUN)

Itchy and Bitchy ·

2026/03/14

Karen shares a collection of grounding techniques to help listeners manage stress, anxiety, and negative emotions. From holding ice, savoring food, and taking mindful walks to laughter, music, anchoring exercises, the 5-4-3-2-1 method, and even the calming power of pets, Karen offers tools to help listeners return to the present moment, ease stress, and reconnect with a sense of safety and calm.Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the

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19:02

AI in Medicine: Friend or Foe?

Itchy and Bitchy ·

2026/02/28

Karen explains how AI is already being used in healthcare, from helping find polyps during colonoscopies to speeding documentation. She also covers the biggest concerns, including the possibility of errors, bias, privacy risks, and over-reliance.Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

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15:12

Digital Health: The New Wild, Wild West

Itchy and Bitchy ·

2026/02/14

Karen unpacks the fast-growing world of digital health, from Apple Watch and smartphone apps to telehealth and new hospital tech that can improve care and streamline recovery at home. She also addresses the downsides, raising concerns around the security of these technologies.Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

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12:46

Healing After Pet Loss: A Personal Tale

Itchy and Bitchy ·

2026/01/31

Karen shares a deeply personal episode on the human-animal bond after the loss of her family’s lovebird, Saki, exploring why pet grief can feel so profound and practical ways to heal. She offers suggestions, from letting yourself feel what you feel to creating memorial rituals, revisiting joyful memories, and caring for your body while you mourn, plus when to seek professional support.Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

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14:39

Grandmothers Rule: Menopausal Mammals Revisited

Itchy and Bitchy ·

2026/01/17

Karen Nickell revisits menopausal mammal, this time with brand new context: new research from Uganda’s Ngogo chimpanzees shows some chimps experience menopause too. She explains what makes humans evolutionary outliers, unpacks the grandmother hypothesis, and explores why certain toothed whales (like orcas) stop reproducing yet continue to live for decades.Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

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13:14

GLP-1: Not Just a Weight Loss Med

Itchy and Bitchy ·

2026/01/03

Karen takes a look at GLP-1 receptor agonists, best known for weight loss and diabetes. She explores the rapidly expanding list of conditions these medications may help treat. From emerging and sometimes conflicting research on Parkinson’s and Alzheimer’s disease to FDA-approved benefits for cardiovascular health, kidney disease, and fatty liver disease, Karen breaks down what the science currently shows and where caution is still needed.Visit our website itchyandbitchy.com to read blog posts on the

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25:59

Countdown of Karen's Top Ten Episodes of 2025

Itchy and Bitchy ·

2025/12/20

Karen counts down her top 10 Itchy & Bitchy moments of 2025, from smarter New Year’s resolutions and promising UTI vaccines on the horizon to updated insights on HRT.Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

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27:34

Oh, Snap! Osteoporosis!

Itchy and Bitchy ·

2025/12/06

Karen shares her personal journey with osteoporosis. What distinguishes it from osteopenia? How are DEXA T-scores interpreted? Why does early screening matter? She covers lifestyle and nutrition, hormone considerations, and medication options.Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

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17:32

Red Light Under My Christmas Tree?

Itchy and Bitchy ·

2025/11/22

Karen breaks down red light therapy (photobiomodulation) and where it actually helps: smoothing signs of aging, supporting hair regrowth, calming acne (especially paired with blue light), easing chronic pain and inflammation, and even emerging research for cognition in dementia.Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

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9:45

Holiday Heart Doesn't Mean a Happy Heart (RERUN)

Itchy and Bitchy ·

2025/11/08

Family nurse practitioner Karen re-airs a timely episode on “holiday heart syndrome,” the spike in alcohol-triggered arrhythmias (often AFib) that can strike otherwise healthy people during festive gatherings. She explains what binge drinking looks like, key symptoms to watch for (from palpitations and chest pressure to shortness of breath), why it raises stroke risk, and simple prevention steps.Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the

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16:21

Surprising Update on Healthcare Self Advocacy!

Itchy and Bitchy ·

2025/10/25

After listening to an episode of Itchy and Bitchy, a woman pushed for further testing and caught grade 1A ovarian cancer early—requiring only surgery. Karen revisits why self-advocacy saves lives, translating expert definitions into everyday guidance and offering practical steps: build a true partnership with your provider, keep detailed symptom and medication notes, ask clear questions about tests, risks, and costs, use reliable resources (not “Dr. Google”), consult your pharmacist, and keep your

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16:27

Estradiol and Skin: The Perfect Match!

Itchy and Bitchy ·

2025/10/11

Karen tackles a common menopause question: oral vs. topical estradiol. She explains first-pass metabolism and why transdermal options can lower clot, gallstone, and side-effect risks for many, then compares real-world choices.Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

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16:41

Redefining Lithium with Low Dosing

Itchy and Bitchy ·

2025/09/27

Karen tackles a listener question about low-dose lithium. She reviews micro- vs. low-dose ranges, discusses forms like lithium orotate/aspartate and third-party-tested supplement options, and flags safety essentials such as toxicity symptoms, thyroid/kidney considerations, and when to loop in your clinician.Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

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26:08

Blood Tests for Multiple Cancers + Whole Body Scan Info

Itchy and Bitchy ·

2025/09/13

In this update to the August 2024 episode, Karen explains the surge of direct-to-consumer “whole-body” MRI/CT screenings and how to decide with your provider whether they’re a good fit. In the re-aired episode, Karen explores the Galleri test, a multi-cancer early detection (MCED) blood test that can identify over 50 types of cancer. She explains how the test works, its potential benefits, and the risks associated with its use. She also shares personal stories from individuals who benefited from the

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16:59

BPC-157: What Are You Really Buying?

Itchy and Bitchy ·

2025/08/30

Karen takes a look at BPC-157, the buzzy peptide touted for faster healing and joint relief, explaining what animal studies actually show, the lack of human clinical trials, and its regulatory reality.Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

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21:56

Getting to the Point: Microneedling Reviewed

Itchy and Bitchy ·

2025/08/16

Karen demystifies the popular skincare treatment known as microneedling. She explores how this minimally invasive procedure stimulates collagen and elastin production to improve skin texture, reduce wrinkles, and help with scars and stretch marks. She compares professional treatments with at-home devices, explains the pros and cons of each, and provides detailed guidance on safe at-home use.Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

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17:36

Unpacking Your Eye Bags

Itchy and Bitchy ·

2025/08/02

Karen tackles the puffy eye predicament that's turning well-rested people into walking advertisements for concealer. From the cruel reality of aging to your body's dramatic reaction to that late-night pizza binge, Karen breaks down the reasons your under-eyes are staging their own little rebellion.Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

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18:21

GLP-1 Meds & Hair Loss: Skinny and Bald Not the Look...

Itchy and Bitchy ·

2025/07/19

Karen tackles the surprising link between GLP-1 medication (like Ozempic and Wegovy) and hair loss. As more people turn to these drugs for diabetes and weight management, some are left wondering: is the price of shedding pounds also shedding your hair? Karen explores possible causes behind this side effect, including rapid weight loss, nutritional deficiencies, and hormonal changes, and shares science-backed strategies to help prevent or reduce hair thinning while on these medications.Visit our

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