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Oral Contraceptives: The Benefits, the 7 Potential Risks, and the Unasked Questions

Introduction For over sixty years, oral contraceptives (OCPs) have been prescribed to hundreds of millions of women — celebrated as a liberation technology, a cultural inflection point, a way to reclaim autonomy over reproduction. But we rarely ask the more radical, more intimate question: What do they do to us?The truth is less settled than…

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Mitochondrial Health: Lifestyle First, Smart Adjuncts Second, and What We Know in Women

If you want better energy, metabolic flexibility, and healthy aging, improving mitochondrial function is one of the highest-leverage moves you can make. Based on my medical practice for the past 30 years combined with a review of the scientific literature, there are two broad levers: Below is a practical sequence, with the core molecular players decoded…

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Demystifying Total Plasma Exchange: What You Need to Know

Total plasma exchange (TPE)—also known as therapeutic plasma exchange or plasmapheresis—is an advanced medical procedure that replaces a person’s plasma to remove harmful substances from their blood. Once largely confined to critical care units and autoimmune disease treatment, TPE is gaining renewed attention in areas like neurology, transplant medicine, and more recently, aging and longevity…

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Today Show Appearances

Dr. Sara (Gottfried) Szal MD