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PODCAST

W.O.W. MD - Your Wellness Optimizing Warrior

Dr. Mirela Cernaianu

Our healthcare system is run and dominated by Big Pharma and for-profit health insurance companies. No one is fighting for you! Getting great medical advice is expensive, and not enough professionals spend time educating their clients. Entering the healthcare system for anything can be a struggle. I want to fight for you and be your wellness warrior. Join me in creating a community that educates, empowers, and nourishes optimal wellness. Our healthcare system needs a revolution. We need change; we

health & fitness

All Episodes

25:41

123 - The Real Cost of Staying Healthy (Beyond Having...

W.O.W. MD - Your Wellness Optimizing Warrior ·

2026/01/23

In this episode we're diving deeper into health expenses to help you gain insight into where your money is best allocated. In the last episode, we explored how your health insurance is designed to treat illness, not to keep you healthy. Often, saving for your health treatments is the best option if you want to stay healthy. Unfortunately, that's not an option for everybody, especially those who are already paying for expensive health plans. Be aware that most physicians, especially those working

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24:40

122 - 2026 Health Outlook: The Intersection of...

W.O.W. MD - Your Wellness Optimizing Warrior ·

2026/01/16

Let's talk about your health goals for this year and beyond. The truth is that basic self-care practices don't always restore us to the level we desire. That's where seeking additional support comes in, but in order to use that, we first have to understand insurance plans. The first basic question you can ask yourself is this: What kind of expense can actually bring the greatest value to your health? This can help you uncover where your money is best spent. Dedicating more time, effort, and money

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25:57

121 - Why Self-Care is the Key to Achieving Your...

W.O.W. MD - Your Wellness Optimizing Warrior ·

2026/01/09

How you can achieve your health goals in 2026 and in all the years to come? Life can (and does) get busy, and time can move by quickly. Self-care doesn't always feel easy, but prioritizing self-care is so important if you want to achieve a truly optimal state of health Many people struggle to intentionally dedicate time to their selfcare. Why? It's often due to putting other people's health and wellness before our own, and this is especially true for women. For me, rest is going to be at the top of

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25:50

120 - Estrogen's Role in Urinary Health for Aging...

W.O.W. MD - Your Wellness Optimizing Warrior ·

2025/12/26

Today we are continuing our conversation on women's urinary health and the issues that arise during and after menopause such as loss of elasticity, vaginal discomfort, and urinary incontinence. These changes are all related to the loss of estrogen over time. Other conditions can impact estrogen production too, for example PCOS, certain medications, and eating disorders. Understanding the core issue of estrogen loss, regardless of the woman's age, is extremely important. Estrogen therapy can make a

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23:29

119 - Estrogen's Role in Urinary Health for Aging...

W.O.W. MD - Your Wellness Optimizing Warrior ·

2025/12/19

In today's episode I'm talking about urinary health and the problems that can arise during and after menopause. These urinary problems can become an ongoing or worsening problem as time goes on. So what's happening to the urinary tract as we age? The problems start in perimenopause, primarily beginning with an increase in urgency. Sometimes this change is subtle; an increase in getting up during the night to empty your bladder. It's disturbing to your sleep, but it may not necessarily stand out at

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28:52

118 - Painful Sex: The Story of Lichen Sclerosus, a...

W.O.W. MD - Your Wellness Optimizing Warrior ·

2025/12/12

This week, let's wrap up our series on lichen sclerosus by discussing more of the therapies available for treatment. If diagnosed and treated early, the condition can be greatly improved—especially if you're using a hormone replacement therapy approach that's been optimized. Aside from steroid medication, tacrolimus, estrogen therapy, and testosterone therapy (which were all options discussed in a previous episode), there are other treatment options like platelet-rich plasma, which can be injected

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26:43

117 - Painful Sex: The Story of Lichen Sclerosus, a...

W.O.W. MD - Your Wellness Optimizing Warrior ·

2025/12/05

Let's continue our conversation about lichen sclerosus, specifically focusing on treatment options this time. The treatments and therapies I'm discussing in this episode can actually be quite useful for many vaginal conditions and are something all women should know about. The first line of approved care for lichen sclerosus is a local application of a steroid medication, usually in an ointment form. Prolonged use of a steroid medication can lead to thinning of the skin, but it is particularly

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30:49

116 - Painful Sex: The Story of Lichen Sclerosus, a...

W.O.W. MD - Your Wellness Optimizing Warrior ·

2025/11/28

Let's talk about a surprisingly common skin condition that impacts women after menopause: Lichen sclerosus. It's a chronic inflammation of the skin which creates a pathological change at the vaginal entrance. These skin changes are often underdiagnosed and even misdiagnosed, sometimes even for years. This debilitating skin condition can cause persistent and uncomfortable itching, white patches on the skin, and may also result in thinning of the skin. It can cause a disappearance of sensitive skin

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28:46

115 - Holistic Non-Hormonal Approaches to Menopausal...

W.O.W. MD - Your Wellness Optimizing Warrior ·

2025/11/21

Today we're continuing our conversation about natural solutions for vaginal wellness after menopause. There are various issues that can arise after menopause due to a drop in estrogen, and vaginal lubrication is one of the main ones that women seek to address. The tissues in the vaginal canal and opening are very sensitive, and after menopause, the area can be dry and the skin begins thinning. One of my favorite solutions is DHEA (dehydroepiandrosterone)—a hormone typically made by the adrenal

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30:03

114 - Holistic Non-Hormonal Approaches to Menopausal...

W.O.W. MD - Your Wellness Optimizing Warrior ·

2025/11/14

There has been very little research done in the area of urinary and vaginal wellness for menopausal and perimenopausal women, despite the number of women experiencing these issues increasing. This week, I'm starting a series of episodes about non-hormonal options available to women to overcome these concerns. Urinary tract infections (UTIs) tend to increase as women age, and staying hydrated is one thing that can help flush bacteria from the bladder wall, reducing the instance of infection

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36:50

113. Restoring Comfort and Confidence in Menopause...

W.O.W. MD - Your Wellness Optimizing Warrior ·

2025/11/07

We're getting intro part 2 of our conversation about vaginal estrogen and its usefulness for treating GSM (genital urinary syndrome of menopause) symptoms in this episode. Last time, we began discussing the importance of timing for hormone replacement therapy, including estrogen therapy. When you act early—before your symptoms get worse—it can make a big difference. The vaginal walls and vaginal lining will lose lubrication and architectural support over time without estrogen. This is also called

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31:04

112. Restoring Comfort and Confidence in Menopause...

W.O.W. MD - Your Wellness Optimizing Warrior ·

2025/10/31

Today we're talking about GSM: genitourinary syndrome of menopause. This new term encompasses the vaginal and urinary changes that happen during menopause. These changes don't just impact women during menopause—they have long-lasting implications post-menopause as well. Some of these changes include increased urinary frequency and urgency, plus recurrent vaginal infections. Menopausal women may also experience urinary tract infections differently: they aren't as painful. While this could be seen as

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33:54

111 - Understanding Hormone Therapy Timing: The...

W.O.W. MD - Your Wellness Optimizing Warrior ·

2025/10/24

Get ready to learn all about the timing for estrogen therapy and exactly when you should start hormone therapy for menopause. Timing is crucial because many women don’t know when the best time to use it is, often realized when there have been irreversible changes and it’s too late to undo them. Previous studies done on estrogen have scared women away from taking advantage of its benefits as a therapy earlier on. Yet, one of the main studies that led to widespread misinformation used oral synthetic

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26:30

110 - The Truth About Estrogen and Breast Cancer:...

W.O.W. MD - Your Wellness Optimizing Warrior ·

2025/10/17

In this episode we’re bringing our conversation about the WHI study about estrogen to a close. This study scared many health care professionals (and their patients) out of using estrogen therapy. Today, we’re focusing on the reality of the risks associated with estrogen replacement therapy, especially whether or not there are actually any cancer-related risks. The breast cancer incidence in the women who took part in this study but did not receive hormone therapy (the placebo group) was almost

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33:21

109 - The Truth About Estrogen and Breast Cancer:...

W.O.W. MD - Your Wellness Optimizing Warrior ·

2025/10/10

Today we’re continuing our conversation about the WHI study that led to some serious misconceptions about estrogen therapy. This study involved oral estrogen, synthetically made from pregnant horse urine, given to women 10+ years past menopause. It’s important to remember that by this time, these women had experienced irreversible changes due to how far into menopause they had been. This study looked specifically at the effect of estrogen in cardiovascular health in women. Estrogen therapy can help

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28:57

108 - The Truth About Estrogen and Breast Cancer:...

W.O.W. MD - Your Wellness Optimizing Warrior ·

2025/10/03

For the next few episodes, I’m going to be focusing on the misconceptions around the relationship between estrogen and breast cancer. Many women are surrounded by people (even healthcare professionals) who tell them that estrogen is dangerous after menopause. However, this simply isn’t true. Recently, I have had a few women come to me with similar issues related to menopause. These patients spent years suffering as opposed to seeking options for support. But if we can prevent significant loss of

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32:42

107 - Why Women Aren't Told the Whole Truth About...

W.O.W. MD - Your Wellness Optimizing Warrior ·

2025/09/26

In this episode we’ll continue to explore the true value of estrogen and why it’s so important for women. It’s important to recognize that there are limiting factors as to why more women don’t invest in hormone replacement therapy treatments like estrogen. One of those factors is the cost, especially for women who put their wallet over their wellness. The health issues caused by menopause can be quite significant, and I believe hormone therapy should be much more accessible for women. It is the

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25:06

106 - Blind Leading the Blind: What Your Doctor...

W.O.W. MD - Your Wellness Optimizing Warrior ·

2025/09/19

Today we’re talking about the value of estrogen, and this episode may introduce you to a whole new perspective on the value of it in your life and body. I recently met a patient who kept herself in good physical health. However, she started to notice signs of aging that felt incongruent with her self-image. She was also struggling to desire intimacy with her husband of many years. Until she listened to some podcasts that specifically focused on hormone replacement therapy, she never connected the

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26:34

105 - Beyond the Numbers: Understanding the...

W.O.W. MD - Your Wellness Optimizing Warrior ·

2025/09/05

Most women don’t really understand how hormones like estrogen fluctuate during their cycle. If you were to test a woman’s estrogen, the level you would get would vary greatly depending on which part of her cycle she was in. Ovulation marks the peak of estrogen levels during the entire cycle. At the same time, the level of estrogen at ovulation is dependent on the quality of egg that is released during her cycle. Further to this, normal levels of estrogen don’t always reflect the optimal levels. This

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40:48

104 - Unveiling the Overlooked: Testosterone's Role...

W.O.W. MD - Your Wellness Optimizing Warrior ·

2025/09/01

Why don’t we know more about optimal testosterone levels, especially since it can be so beneficial for women? Part of the problem is that research into women’s health is significantly underfunded. Testosterone is an estrogen antagonist, so it could help with estrogen-dominant conditions like endometriosis. Yet, it isn’t put forth as a possible treatment. Many women have excellent tolerance levels for the right amount of testosterone so long as their health professionals consider their physiology and

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