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The Shift with Sonia Azad

The Shift with Sonia Azad

Di: Sonia Azad
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Sonia Azad is a two-time Emmy award-winning Health & Wellness journalist and yoga & meditation instructor based in the U.S. These podcast episodes should be considered conversation starters between Sonia and experts, physicians and real people. Her long-format, television interview style discussions explore major shifts in life and healthy ways to navigate them.2023 Disturbo fisico e malattia Igiene e vita sana
Episodi
  • The Painless Mammogram

    The Painless Mammogram
    Oct 2 2026
    Hate getting mammograms because they're painful, uncomfortable or stressful? Here's another option. In this episode of The Shift with Sonia Azad, I sit down with board-certified breast radiologist Dr. Richard Reaven, co-founder of The Painless Mammogram, to talk about a newer approach to breast imaging, and why understanding your options matters. We break down how a traditional mammogram works and how this newer technology differs. We also talk about: • How the painless mammogram works without breast compression • What breast CT is and how it differs from mammography • What "dense breast tissue" actually means and why they can make breast cancer harder to detect on a mammogram • Why breast implants can make traditional mammography more complicated & how the painless mammogram images the breast around and behind implants • The importance of finding breast cancer early • The current challenges around insurance coverage and reimbursement • Where women can currently find this technology • Why having more breast imaging tools may matter for personalized screening ABOUT THE SHIFT WITH SONIA AZAD The Shift is a podcast about navigating the big transitions of life with more intention, curiosity and self-trust. I'm Sonia Azad, a longtime health journalist, yoga and meditation teacher, and retreat leader, and I bring together experts, researchers, physicians and fascinating people to have honest conversations about health, wellness and the major shifts that shape our lives. Subscribe to The Shift for more conversations about healthy ways to navigate major life shifts. If you know someone who avoids mammograms because they're uncomfortable or who has questions about dense breasts, share this episode with them. This episode is for educational purposes and is not a substitute for individualized medical advice. Talk with your healthcare provider about which breast cancer screening approach is appropriate for you. CHAPTERS 00:00 — Meet Dr. Richard Reaven & the painless mammogram 00:57 — What is a painless mammogram? 01:50 — How breast CT differs from a traditional mammogram 03:12 — Why the painless mammogram doesn't require compression 04:07 — Mammogram vs. CT: what's the difference? 05:02 — My personal experience with the painless mammogram 06:28 — Why do women avoid mammograms? 08:06 — Why early breast cancer detection matters 10:34 — Could a more comfortable mammogram change screening rates? 11:22 — Dense breasts: what does that actually mean? 12:50 — Mammogram vs. ultrasound vs. MRI 14:49 — What breast CT can detect 15:48 — What if you have dense breasts? 16:43 — Choosing the right breast imaging for you 18:50 — What the research says about breast CT 19:26 — Breast implants & mammography 20:43 — How the painless mammogram images breast implants 22:08 — Can breast imaging see behind implants? 23:07 — How much does a painless mammogram cost? 24:37 — Will insurance cover it? 26:13 — Where can you get a painless mammogram? 28:40 — Why women need to know their breast imaging options 30:38 — Final thoughts KEY TAKEAWAYS 1. A painless mammogram is a different approach to breast imaging. Instead of compressing the breast between plates, the patient lies on her stomach while the breast is suspended and imaged using dedicated breast CT technology. 2. Dr. Reaven emphasizes that many women may be perfectly comfortable continuing with traditional mammography. The point is to have additional tools available for women for whom it doesn't work well. 3. Breast density matters. Dense breast tissue can make it more difficult to distinguish a small cancer from surrounding tissue on a mammogram. 4. There isn't just one breast-imaging tool. Mammography, ultrasound, MRI and dedicated breast CT each have different characteristics and uses. The appropriate approach depends on the individual patient and clinical situation. 5. Breast implants create additional imaging considerations. Dr. Reaven explains how traditional mammography can require additional implant-displacement views, while the breast CT approach can image around and behind the implant and assess whether an implant is intact or ruptured. 6. Comfort matters because screening only works if people actually participate. 7. Insurance coverage is still evolving.
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    23 min
  • How Perimenopause Changes Your Skin & Hair | A Dermatologist Explains

    How Perimenopause Changes Your Skin & Hair | A Dermatologist Explains
    Sep 11 2026

    What happens to your skin and hair during perimenopause and menopause, and why does it sometimes feel like everything changes overnight? In this episode of The Shift with Sonia Azad, I sit down with integrative dermatologist Dr. Corinne Erickson to talk about the often-overlooked connection between hormonal changes and skin and hair health in midlife. We talk about why estrogen matters to the skin, what can contribute to hair loss in your 40s and 50s, why melasma can suddenly appear, and how GLP-1 medications and rapid weight loss can intersect with hair shedding. Dr. Erickson explains why these changes aren't simply about "getting older" or something you need to fix with Botox, filler or an endless collection of skincare products. Hormonal changes can affect collagen, elastin, hydration, inflammation, skin-cell turnover and the hair-growth cycle—and understanding the biology can change how we approach them.

    ABOUT THE SHIFT WITH SONIA AZAD

    The Shift is a podcast about navigating the big transitions of life with more intention, curiosity and self-trust. I'm Sonia Azad, a longtime TV health journalist, yoga and meditation teacher, and global wellness retreat leader, and I have spent more than two decades talking to experts and asking questions about how we can live healthier, more meaningful lives. If you're navigating a major life shift, whether it's midlife, a career change, a relationship transition, a health journey or simply realizing that the life you've been living no longer fits, you're in the right place.

    Subscribe to The Shift for more honest, expert-informed conversations about healthy ways to navigate major life shifts. If this conversation helped you understand your own skin or hair changes a little differently, share it with a woman in your life who needs to hear it.

    This conversation is for educational purposes and is not a substitute for individualized medical advice. Talk with your own healthcare professional about your symptoms, medications and treatment options.

    TAKEAWAYS

    1. Hormonal changes can dramatically affect your skin and hair. Estrogen interacts with skin cells and plays a role in collagen, elastin, hydration, inflammation, blood flow and skin-cell turnover. As estrogen fluctuates and eventually declines, women can notice significant changes.

    2. Midlife hair loss is often multifactorial. Hormones may be part of the picture, but iron/ferritin, thyroid function, vitamin D, nutrition, rapid weight loss and other factors can also contribute.

    3. Rapid weight loss associated with GLP-1s can trigger telogen effluvium, but nutritional changes and previously underlying female-pattern hair loss may also play a role.

    4. Melasma isn't just sun damage. Sun exposure, visible light, heat, hormones, inflammation and genetics can all contribute.

    5. Your healthcare team may need to evolve with you. The doctor who was right for one season of your life may not be the right person for another.

    6. Skin health deserves medical attention, not just cosmetic attention. A dermatologist can distinguish normal changes from conditions that deserve treatment.

    7. Midlife skincare doesn't have to mean doing more. Dr. Erickson's philosophy is simple: protect what you have and replace what you've lost.

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    35 min
  • Fertility Preservation Explained: Egg Freezing vs Embryos (What to Know)

    Fertility Preservation Explained: Egg Freezing vs Embryos (What to Know)
    Apr 23 2026

    Fertility preservation is changing how we think about family planning.

    In this episode, Sonia Azad sits down with fertility specialist Dr. Katie Doody to explore the evolving world of reproductive health and the options available today. We break down egg freezing vs embryo freezing— what it means, how it works, and what to consider.

    You'll learn:

    • The difference between egg freezing and embryo freezing

    • How age impacts fertility and outcomes

    • What the process actually looks like (timeline, injections, retrieval)

    • Common myths about fertility preservation

    • How technology is changing success rates

    • What to consider when planning for your future family

    Subscribe for more conversations on health, wellness, and life transitions.

    Chapters:

    00:00 Introduction

    01:00 Meet Dr. Katie Doody

    02:30 Fertility vs Infertility (Why language matters)

    04:00 Who seeks fertility treatment today?

    06:00 Age, health, and fertility factors

    09:20 How fertility technology has evolved

    11:50 Egg Freezing vs Embryo Freezing

    14:20 What the egg freezing process is really like

    17:30 How many eggs do you actually need?

    20:00 Success rates explained

    21:30 Choosing between eggs vs embryos

    24:00 GLP-1s, weight, and fertility

    28:00 Future of fertility technology

    30:00 Common myths about egg freezing

    32:00 Different paths to building a family

    34:00 Final thoughts

    Key Takeaways:

    Fertility preservation is not a guarantee, but it increases options

    Egg freezing and embryo freezing follow the same initial process

    Age impacts egg quality more than quantity

    You don't need a partner to start planning your future family

    Technology is improving success rates, but expectations matter

    There are multiple paths to building a family

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    36 min
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