The First Podcast

Send us a text with a question or thought on this episode Dr. Zachary Spiritos demystifies SIBO treatment for patients with complex conditions like endometriosis and mast cell activation syndrome. He cuts through the noise with a straightforward approach to this commonly misunderstood digestive condition, explaining why it’s often simpler to treat than many functional […]

Send us a text with a question or thought on this episode Kate Downey shares her 22-year journey through debilitating period pain and her quest for answers that ultimately led to creating her podcast “Cramped.” Through extensive research and interviews with experts, Kate uncovers why period pain remains so misunderstood despite affecting hundreds of millions

Send us a text with a question or thought on this episode Registered dietitian Sarah Rae shares evidence-based nutrition strategies for those managing both endometriosis and PCOS simultaneously. She explains why balanced blood sugar is crucial for both conditions and how protein intake, fiber, and healthy fats support hormone regulation. • Similar nutrition approaches work

Send us a text with a question or thought on this episode Certified sex therapist Mallory Oxendine provides practical strategies for communicating with partners about pain during intimacy while maintaining connection and avoiding shame. She addresses the fear of rejection that often prevents these crucial conversations and introduces a framework that transforms vague concerns into

Send us a text with a question or thought on this episode Endometriosis impacts every aspect of life—physical health, relationships, mental wellbeing, career, and finances—not just the reproductive system. Research validates what patients experience: this disease is systemic, serious, and requires comprehensive care approaches beyond dismissive “solutions” like yoga or positive thinking. • Medical gaslighting

Send us a text with a question or thought on this episode Dr. Abhishek Mangeshikar shares critical insights on evaluating surgeon skill and the importance of comprehensive treatment for endometriosis. His expertise reveals that clean, meticulous surgical technique with respect for tissue significantly improves outcomes and reduces post-operative adhesions. • Red flag if surgeon plans

Send us a text with a question or thought on this episode Dr. Zac Spiritos, a neurogastroenterologist, shares his expertise on the complex connections between endometriosis and gastrointestinal symptoms. We explore the critical role of the nervous system in gut function and discuss practical approaches to managing painful bowel movements, bloating, and food sensitivities. •

Send us a text with a question or thought on this episode Dr. Jeff Arrington, a renowned excision specialist and patient advocate, shares his expert perspective on when ablation might be appropriate in endometriosis treatment. He discusses the nuanced decision-making process that balances complete disease removal against fertility preservation, challenging the notion that excision is

Send us a text with a question or thought on this episode Dr. Zac Spiritos shares key insights about gastroenterology red flags and specialized dietary approaches for digestive disorders. We explore the concerning situation when doctors label symptoms as “just IBS” without proper explanation and the important distinctions between histamine intolerance and mast cell activation