Fasting for Women with PCOS, Estrogen Dominance & Thyroid Symptoms with Dr. Stephanie Estima


This week on the Better Show we are pleased to present Dr. Stephanie Estima’s second solo episode on Fasting for Women. Dr. Stephanie thought she would share part of her presentation that she showed at Oxford University, who are currently working in the Oxford Longevity Project. Today’s episode is a continuation from PT1 which covered some of the differentials we have to consider when fasting as a woman. We continue our discussion on fasting for women with PCOS, what the symptoms are and what tweaks we can make to better your well-being. If you are an Estrogen Dominant woman, be sure to listen to this as your typical fasting instructional might be leading you in the wrong direction and you should consider a caloric-fast…and no that is not an oxymoron. Next Dr. Stephanie Estima educates us about chronic inflammation and stress, and how the majority of all humans have these symptoms. We discuss how fasting can benefit and sometimes rectify these symptoms like weight loss resistance, lack of energy, insomnia and difficulties staying asleep. The next topic is Leptin, the good old hormone that signals to your brain that you are full and to stop eating. Fasting can be more difficult for women compared to men, as a baseline women have 3-4 times more leptin than their male counterparts. We round out this episode of the Better show by talking about the negative effects of fasting on the thyroid. This impacts women that have been fasting for a long time, so be sure to test and look out for your thyroid as you incorporate fasting into your lifestyle long term, We hope this episode helped shed some light on fasting as a woman, be sure to go back and check out our previous episode on the topic, and we hope to catch you next week for our AMA!

Episode Overview:

  • 0:00 Introduction
  • 2:00 PCOS
  • 12:30 Fasting with PCOS
  • 20:45 Fasting with Estrogen Dominance
  • 29:00 Chronic Inflammation & Stress
  • 33:50 Leptin
  • 40:20 Fasting’s Impact on the Thyroid
  • 50:00 Conclusion


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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!