episode #18

Dr. Stephanie – AMA#2 – Hormones



In this special Ask Me Anything episode of Better! With Dr. Stephanie, Dr. Stephanie fields audience questions on the topics of hormones, cortisol, stress and inflammation. Dr. Stephanie and her co-host Stephanie Major talk about normal cortisol patterns, adrenal fatigue, mitochondrial energy and function, and three main contributors to energetic production. Dr. Stephanie provides strategies and tips for developing healthy sleep patterns, harnessing the power of your menstrual cycle and managing your emotions. Finally, Dr. Stephanie breaks down the menstrual cycle and shares her thoughts on why the pill poses a dangerous risk for woman’s health and wellness.



  • 00:56 – Introducing today’s second AMA episode
  • 03:31 – Dr. Stephanie introduces her co-host for today’s episode, Stephanie Major
  • 04:38 – Dr. Stephanie and Stephanie Major share their words for 2020
  • 08:58 – The importance of understanding the nomenclature
  • 10:37 – Adrenal fatigue, explained
  • 12:17 – The circadian flow of cortisol levels
  • 19:04 – Strategies for fasting and TRE with a difficult work schedule
  • 22:21 – Advice on managing cortisol levels, specifically eustress and distress
  • 26:14 – Dr. Stephanie’s preferred method for hormone testing
  • 28:37 – Strategies for identifying and lowering high cortisol
  • 32:17 – The relationship between sleep optimization and hormone optimization
  • 35:36 – Developing healthy sleep patterns
  • 38:41 – The relationship between HIIT (high intensity interval training) and cortisol
  • 43:36 – Harnessing the power of your menstrual cycle
  • 45:17 – Breaking down the menstrual cycle
  • 55:53 – Managing your emotions
  • 1:00:03 – Supplements that Dr. Stephanie uses in her daily life
  • 1:02:59 – Stephanie Major asks Dr. Stephanie her own questions about birth control for teenagers
  • 1:15:10 – How to prioritize fixing our hormones
  • 1:20:51 – Dr. Stephanie announces another upcoming AMA episode
  • 1:21:50 – Where listeners can follow Dr. Stephanie and subscribe to her newsletter


“I’m doubling down on the [cortisol] slope because it’s predictive of longevity. The slope, in and of itself, is predictive of your life span, so how long you’re gonna live, cardiovascular disease and Alzheimer’s, among other things.” (14:34)

“You want your cortisol to be at its highest point, at its peak zenith, in the morning and then you want it to come down after that.” (22:58)

“One of the things you have to be really, really, really mindful of when you’re doing any type of testing is the timing cause cortisol changes all day long.” (31:50)

“I really, really want to drive this point home where I want women to really learn how to harness the power of their menstrual cycle, because there are ebbs and flows in terms of hormonal fluctuations and energetic capacity.” (43:53)

“Symptoms are your body’s way of talking to you.” (57:15)

“I would actually life to start a little bit earlier and get teenagers really in tuned or at tuned with their cycle.” (1:11:39)

“If we are anything, we are houses for our bacteria. We are houses for our microbiota. And if we cannot protect our bacterial lineage because we are destroying it with the pill, we are endangering our future daughters and our future women. That is why I say the pill is anti-woman.” (1:14:50)


Better! Website

Dr. Stephanie’s Website

Dr. Stephanie’s Twitter – @dr_stephanie

Dr. Stephanie’s Instagram – @dr.stephanie.estima

Dr. Stephanie on LinkedIn

Dr. Stephanie’s Article on Sleep

Danielle LaPorte’s Desire Map Collection

Link to Daysy (Fertility Awareness Tracking)


Chronic Fatigue, Burnout, are a cluster of symptoms including:

  • Needing to eat or snack frequently to avoid fatigue, irritation
  • Salt craving
  • Low blood pressure
  • Being wired and tired at night, with difficulty falling asleep and frequent awakening
  • Heart pounding and palpitations for no reason
  • Multiple food sensitivities
  • Weight gain, especially around the waist
  • Reduced sex drive and libido,
  • Fatigue after intercourse
  • Brain fog, with difficulty concentrating and remembering things
  • Lack of energy in the mornings and mid-afternoon
  • Migrating pain for no reason
  • Inability to handle stressful situations
  • Anxiety, panic attacks, dizziness, easily startled
  • Inability to tolerate heat or temperature fluctuation
  • Reduce exercise capacity and breathlessness on exertion like going up a flight of steps

True Dark Glasses

Use ‘drstephanie’ for 10% off – Chilipad

Zinc & Magnesium Supplement Dr. Stephanie takes



Dr. Stephanie’s conversations with Dr. Jolene and here

Denmark Study: Hormonal Contraception & Depression

Dr. Stephanie’s Estima Diet

Dr. Stephanie’s Articles On Sleep


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  • Dr. Stephanie Estima

I’m Dr. Stephanie

Part geek, part magic, and all the way passionate about being a well-lived woman.

I want to throw my grandkids in the air in my 70’s. I want to be squatting even more weight than I am now, and putting my OWN luggage in the overhead bin. Sound like weird goals? For me these are just some of the little things that represent a life well-lived.

My health is MY job – I’ll be damned if I rely on luck, ‘good genes’ or a cocktail of drugs that over promise and under deliver.

The Betty Body is my first book-baby, and a collection of what I’ve learned after thousands of clinical hours, hundreds of conversations with the world’s top experts, and most importantly…

This book is an outline of what took ME from “rock-bottom health” at 38, to being my own version of a Betty in my perimenopausal mid 40’s. A woman who is physically strong, full of energy, enjoys mental clarity, great sex and a joyful family life. Is it all roses? Of course not. But I have the stamina and tools to deal with the push and pull of life so that it doesn’t turn into chronic stress.

I want this for you too. Let’s go Bettys!