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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

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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37:32

103 - Decoding Hormone Testing: Testosterone Levels...

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

2025/08/22

In today’s episode we’re continuing our conversation about testosterone therapy, including its benefits and the importance of monitoring testosterone levels. Understanding the testosterone levels you should strive for and measuring your physiological responses is key to using it beneficially. Testosterone is the main anabolic hormone in the body. It repairs, restores, and regrows damaged tissue. The problem is that the normal range established by labs—a guide most doctors will use to identify if

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38:59

102 - Decoding Hormone Testing: Testosterone Levels...

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

2025/08/15

This episode is for all the women who have left the doctor disappointed—turned away and told their hormone levels were fine even when they didn’t feel right. Hormone level testing isn’t given much thought by the majority of medical professionals, yet it’s crucial to providing adequate patient health. Right now, there is a complete lack of standardization in this area. A part of this is due to the fact that hormones impact men and women differently, and we don’t know how introductions of hormones

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28:24

101 - Botox for All Ages: Understanding Its Impact...

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

2025/08/08

We’re welcoming Meghan Morrissette, my aesthetics nurse, again today to bring our conversation about Botox and other types of neurotoxin treatments to a close. We’ll be addressing more common questions in this episode. When is the best time to get Botox? Is there a better age to start? Patients in their 20s typically seek neurotoxin treatment for facial balancing, as they haven’t largely experienced the signs of aging. By relaxing some of the facial muscles, you can also reduce the appearance of

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20:48

100 - Botox Uncovered: Essential Knowledge for...

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

2025/08/02

We are continuing our conversation about Botox with Meghan, my aesthetics nurse. Is all Botox the same? Actually, they can vary in some ways. If you don’t feel ecstatic about the results a few weeks later, you can experiment with different types of neuromodulators. For example, instead of the Botox brand name you can try Dysport, Daxxify, Xeomin, and more. If your treatment is going well and you’re happy with it, you don’t need to change anything. Typically, injectors don’t carry all the different

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22:24

099 - The Botox Breakdown with Meghan Morrissette:...

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

2025/07/25

This week’s episode is all about Botox as we welcome my aesthetics nurse Meghan Morrissette. As a holistically-minded person, the idea of injecting myself with a toxic chemical just to look better did not appeal to me for many years. However, now that I have a deeper understanding about what Botox can really do, I think it’s worth exploring, which I recently did myself. I had a great experience trying Botox for the first time with Meghan. She has a soft, delicate touch, and the needles are tiny, so

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26:37

098 - Beyond Insurance: Taking Full Control of Your...

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

2025/07/18

Today we’re concluding our conversation about being independently healthy. This time, we’re focusing on preventative care and maintaining your health. Most patients believe their health insurance plan is there to keep them healthy, but this is not true. The medical insurance industry is designed only to cover catastrophically high expenses in serious health situations. It’s important to remember that your health insurance does not guarantee you access to a wide array of services with your medical

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26:59

097 - Understanding Your Medical Insurance: Beyond...

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

2025/07/11

In this episode we’re continuing our conversation about being independently healthy, focusing on covered medical expenses. Medical insurance premiums have skyrocketed—they are extremely expensive, and therefore unaffordable for many people. If possible, it’s important to prioritize having your deductible on hand in case you ever need it. You may also need a contingency plan for specific medical expenses which are not covered. If it’s a therapy focused on maintaining wellness, balancing hormones, or

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