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    <fireside:genDate>Tue, 14 Apr 2026 16:34:22 -0500</fireside:genDate>
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    <title>Breast Implants, Explant Surgery, and Breast Implant Illness with Robert Whitfield MD - Episodes Tagged with “Perimeperimenopause”</title>
    <link>https://breast-implant-illness.fireside.fm/tags/perimeperimenopause</link>
    <pubDate>Thu, 20 Mar 2025 03:00:00 -0400</pubDate>
    <description>Welcome to the Breast Implants, Explant Surgery, and Breast Implant Illness  Podcast, where we dive deep into the world of breast implant illness and explant surgery with expert plastic surgeon Dr. Robert Whitfield. As a board-certified plastic surgeon with 1000's of breast explant surgeries under his belt, Dr. Whitfield brings a wealth of knowledge and experience to the conversation.
Through candid interviews with patients, fellow surgeons, and other experts in the field, Dr. Whitfield explores the many facets of breast implant illness, including its symptoms, diagnosis, and treatment options. He also delves into the controversial topic of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) and what patients need to know about the risks associated with breast implants.
If you're considering breast explant surgery, struggling with breast implant illness symptoms, or simply looking for more information about this important topic, then the Breast Implant Illness Podcast is the perfect resource for you. Join us for thought-provoking discussions and expert insights that will help you make informed decisions about your health and well-being.
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    <itunes:subtitle>Breast Implants, Explant, Explant Recovery, Explant and Lift Recovery, SHARP Method</itunes:subtitle>
    <itunes:author>Robert Whitfield MD</itunes:author>
    <itunes:summary>Welcome to the Breast Implants, Explant Surgery, and Breast Implant Illness  Podcast, where we dive deep into the world of breast implant illness and explant surgery with expert plastic surgeon Dr. Robert Whitfield. As a board-certified plastic surgeon with 1000's of breast explant surgeries under his belt, Dr. Whitfield brings a wealth of knowledge and experience to the conversation.
Through candid interviews with patients, fellow surgeons, and other experts in the field, Dr. Whitfield explores the many facets of breast implant illness, including its symptoms, diagnosis, and treatment options. He also delves into the controversial topic of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) and what patients need to know about the risks associated with breast implants.
If you're considering breast explant surgery, struggling with breast implant illness symptoms, or simply looking for more information about this important topic, then the Breast Implant Illness Podcast is the perfect resource for you. Join us for thought-provoking discussions and expert insights that will help you make informed decisions about your health and well-being.
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    <itunes:explicit>no</itunes:explicit>
    <itunes:keywords>breast implants, explant, enbloc, explant recovery, breast implant removal, breast explant, explant and lift recovery, fat transfer, explant and fat transfer, explant lift and fat transfer, BII, breast implant illness, inflammation, capsular contraction, painful implant, silicone implant, silicone rupture, implant leak, breast cancer, mold, Lyme, joint and muscle pain, chronic fatigue, memory, concentration problems, breathing problems, sleep disturbance, rashes, skin problems, dry mouth, dry eyes, anxiety, depression, headaches, hair loss, gastrointestinal problems, gut issues</itunes:keywords>
    <itunes:owner>
      <itunes:name>Robert Whitfield MD</itunes:name>
      <itunes:email>robwhitfieldmd@mac.com</itunes:email>
    </itunes:owner>
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  <itunes:category text="Personal Journals"/>
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  <title>Episode 109: Navigating Menopause and Hormonal Health with Dr. Shilpa Sayana</title>
  <link>https://breast-implant-illness.fireside.fm/109</link>
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  <pubDate>Thu, 20 Mar 2025 03:00:00 -0400</pubDate>
  <author>Robert Whitfield MD</author>
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  <itunes:episodeType>full</itunes:episodeType>
  <itunes:author>Robert Whitfield MD</itunes:author>
  <itunes:subtitle>In this episode of the podcast, the host chats with Dr. Shilpa Sayana, who's a triple board-certified MD. She's got a wealth of experience in internal medicine, obesity, and functional medicine. Based in Los Angeles, Dr. Sayjana has spent over ten years helping women navigate the challenges of perimenopause and menopause, focusing on optimizing hormones, energy, and weight. They dive into why it's crucial to really understand a patient's health history, including any implants they might have, and how things like chronic inflammation and genetics can play a big role in overall health. 

Today, The conversation touches on detoxification, the environmental hurdles we face, and why hydration, nutrition, and fiber are so important for staying healthy. Dr. Sayana is all about a holistic, personalized approach to women's health, and she shares some great insights on that front. Tune in!
</itunes:subtitle>
  <itunes:duration>30:20</itunes:duration>
  <itunes:explicit>no</itunes:explicit>
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  <description>In this episode of the podcast, the host chats with Dr. Shilpa Sayana, who's a triple board-certified MD. She's got a wealth of experience in internal medicine, obesity, and functional medicine. Based in Los Angeles, Dr. Sayjana has spent over ten years helping women navigate the challenges of perimenopause and menopause, focusing on optimizing hormones, energy, and weight. They dive into why it's crucial to really understand a patient's health history, including any implants they might have, and how things like chronic inflammation and genetics can play a big role in overall health. 
Today, The conversation touches on detoxification, the environmental hurdles we face, and why hydration, nutrition, and fiber are so important for staying healthy. Dr. Sayana is all about a holistic, personalized approach to women's health, and she shares some great insights on that front. Tune in!
Book a call with Dr. Sayana - https://www.sayanamedical.com/free-discovery-call/
Show Highlights:
Chronic Inflammation and Hormonal Balance (00:05:23)
Chronic inflammation and its role in hormonal balance, especially for those with implants
Bacterial Contamination in Implants (00:06:35)
Prevalence of bacterial contamination in explanted specimens and its health implications
Challenges in Patient Diagnosis (00:08:22)
Difficulties providers face in diagnosing issues related to implants and chronic inflammation
Holistic Hormonal Support (00:10:57)
Supporting hormonal balance through natural methods and bioidentical hormones
Mold Exposure and Hormones (00:16:17)
Impact of mold exposure on hormone levels and overall health, particularly in urban environments
Detoxification Strategies (00:22:11)
Improving detoxification through gut health, sweating, and hydration
Protein Intake Challenges (00:24:26)
The need for adequate protein, especially for vegan and vegetarian patients post-surgery
Bio: Dr. Sayana
Dr. Sayana is a triple board-certified MD in Internal, Obesity, and Functional medicine.  She has been in private practice for over a decade serving the greater Los Angeles community.  She is an expert in treating women dealing with perimenopause and menopause, optimizing their hormones, energy, and weight, especially if they have been told that their labs are normal.  She helps them reclaim their balance and feel like themselves again, by using the Sayana Medical Road Map.  She has been recognized by her peers by being nominated for the Most Humanistic Intern/Resident award in all three years of her medical residency and by her patients by receiving the Best Doctors Women's Choice Award in 2023.
Connect with Dr. Sayana
Website  (https://www.sayanamedical.com/?srsltid=AfmBOorKh9yPPKZlv4Gs02wdUZ4osurApagN50CfM1ryJ33uTXrC9xXy)
Book a call with Dr. Sayana  (https://www.sayanamedical.com/free-discovery-call/)
Facebook (https://www.facebook.com/SayanaMedical)
YouTube (https://www.youtube.com/@Sayanamedical)
Instagram (https://www.instagram.com/sayanamedical/)
Links and Resources
Podcast: https://podcasts.apple.com/gb/podcast/breast-implant-illness/id1678143554
Spotify: https://open.spotify.com/show/1SPDripbluZKYsC0rwrBdb?si=23ea2cd9f6734667
TikTok: https://www.tiktok.com/@drrobertwhitfield?t=8oQyjO25X5i&amp;amp;r=1
IG: https://www.instagram.com/breastimplantillnessexpert/
FB: https://www.facebook.com/DrRobertWhitfield
Linkedin: https://www.linkedin.com/in/dr-robert-whitfield-md-50775b10/
X: https://x.com/rob_whitfieldmd
Read this article  - https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/implant-reconstruction/illness/breast-implant-illness
Shop: https://drrobssolutions.com
SHARP:  https://www.harp.health
NVISN Labs -  https://nvisnlabs.com/
Get access to Dr. Rob's Favorite Products below:
Danger Coffee - Use our link for mold free coffee - https://dangercoffee.com/pages/mold-free-coffee?ref=ztvhyjg
JASPR Air Purifier - Use code DRROB for the Jaspr Air Purifier - https://jaspr.co/
Echo Water - Get high quality water with our code DRROB10 - https://echowater.com/
BallancerPro - Use code DRROBVIP for the world's leader in lymphatic drainage technology - https://ballancerpro.com
Ultrahuman - Use code WHITFIELD10 for the most accurate wearable - https://www.ultrahuman.com/ring/buy/us/?affiliateCode=drwhitfield
</description>
  <itunes:keywords>perimenopause, menopause, health topics, Dr. Shilpa Sayana,Dr. Robert Whitfield,Breast Implant Illness, hormone optimization, chronic inflammation, hormone balance</itunes:keywords>
  <content:encoded>
    <![CDATA[<p>In this episode of the podcast, the host chats with Dr. Shilpa Sayana, who&#39;s a triple board-certified MD. She&#39;s got a wealth of experience in internal medicine, obesity, and functional medicine. Based in Los Angeles, Dr. Sayjana has spent over ten years helping women navigate the challenges of perimenopause and menopause, focusing on optimizing hormones, energy, and weight. They dive into why it&#39;s crucial to really understand a patient&#39;s health history, including any implants they might have, and how things like chronic inflammation and genetics can play a big role in overall health. </p>

<p>Today, The conversation touches on detoxification, the environmental hurdles we face, and why hydration, nutrition, and fiber are so important for staying healthy. Dr. Sayana is all about a holistic, personalized approach to women&#39;s health, and she shares some great insights on that front. Tune in!</p>

<p>Book a call with Dr. Sayana - <a href="https://www.sayanamedical.com/free-discovery-call/" rel="nofollow">https://www.sayanamedical.com/free-discovery-call/</a></p>

<h3>Show Highlights:</h3>

<p><strong>Chronic Inflammation and Hormonal Balance (00:05:23)</strong><br>
Chronic inflammation and its role in hormonal balance, especially for those with implants<br>
<strong>Bacterial Contamination in Implants (00:06:35)</strong><br>
Prevalence of bacterial contamination in explanted specimens and its health implications<br>
<strong>Challenges in Patient Diagnosis (00:08:22)</strong><br>
Difficulties providers face in diagnosing issues related to implants and chronic inflammation<br>
<strong>Holistic Hormonal Support (00:10:57)</strong><br>
Supporting hormonal balance through natural methods and bioidentical hormones<br>
<strong>Mold Exposure and Hormones (00:16:17)</strong><br>
Impact of mold exposure on hormone levels and overall health, particularly in urban environments<br>
<strong>Detoxification Strategies (00:22:11)</strong><br>
Improving detoxification through gut health, sweating, and hydration<br>
<strong>Protein Intake Challenges (00:24:26)</strong><br>
The need for adequate protein, especially for vegan and vegetarian patients post-surgery</p>

<h3>Bio: Dr. Sayana</h3>

<p>Dr. Sayana is a triple board-certified MD in Internal, Obesity, and Functional medicine.  She has been in private practice for over a decade serving the greater Los Angeles community.  She is an expert in treating women dealing with perimenopause and menopause, optimizing their hormones, energy, and weight, especially if they have been told that their labs are normal.  She helps them reclaim their balance and feel like themselves again, by using the Sayana Medical Road Map.  She has been recognized by her peers by being nominated for the Most Humanistic Intern/Resident award in all three years of her medical residency and by her patients by receiving the Best Doctors Women&#39;s Choice Award in 2023.</p>

<h3>Connect with Dr. Sayana</h3>

<p><a href="https://www.sayanamedical.com/?srsltid=AfmBOorKh9yPPKZlv4Gs02wdUZ4osurApagN50CfM1ryJ33uTXrC9xXy" rel="nofollow">Website </a><br>
<a href="https://www.sayanamedical.com/free-discovery-call/" rel="nofollow">Book a call with Dr. Sayana </a><br>
<a href="https://www.facebook.com/SayanaMedical" rel="nofollow">Facebook</a><br>
<a href="https://www.youtube.com/@Sayanamedical" rel="nofollow">YouTube</a><br>
<a href="https://www.instagram.com/sayanamedical/" rel="nofollow">Instagram</a></p>

<h3>Links and Resources</h3>

<p>Podcast: <a href="https://podcasts.apple.com/gb/podcast/breast-implant-illness/id1678143554" rel="nofollow">https://podcasts.apple.com/gb/podcast/breast-implant-illness/id1678143554</a><br>
Spotify: <a href="https://open.spotify.com/show/1SPDripbluZKYsC0rwrBdb?si=23ea2cd9f6734667" rel="nofollow">https://open.spotify.com/show/1SPDripbluZKYsC0rwrBdb?si=23ea2cd9f6734667</a><br>
TikTok: <a href="https://www.tiktok.com/@drrobertwhitfield?_t=8oQyjO25X5i&_r=1" rel="nofollow">https://www.tiktok.com/@drrobertwhitfield?_t=8oQyjO25X5i&amp;_r=1</a><br>
IG: <a href="https://www.instagram.com/breastimplantillnessexpert/" rel="nofollow">https://www.instagram.com/breastimplantillnessexpert/</a><br>
FB: <a href="https://www.facebook.com/DrRobertWhitfield" rel="nofollow">https://www.facebook.com/DrRobertWhitfield</a><br>
Linkedin: <a href="https://www.linkedin.com/in/dr-robert-whitfield-md-50775b10/" rel="nofollow">https://www.linkedin.com/in/dr-robert-whitfield-md-50775b10/</a><br>
X: <a href="https://x.com/rob_whitfieldmd" rel="nofollow">https://x.com/rob_whitfieldmd</a><br>
Read this article  - <a href="https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/implant-reconstruction/illness/breast-implant-illness" rel="nofollow">https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/implant-reconstruction/illness/breast-implant-illness</a><br>
Shop: <a href="https://drrobssolutions.com" rel="nofollow">https://drrobssolutions.com</a><br>
SHARP:  <a href="https://www.harp.health" rel="nofollow">https://www.harp.health</a><br>
NVISN Labs -  <a href="https://nvisnlabs.com/" rel="nofollow">https://nvisnlabs.com/</a></p>

<h3>Get access to Dr. Rob&#39;s Favorite Products below:</h3>

<p>Danger Coffee - Use our link for mold free coffee - <a href="https://dangercoffee.com/pages/mold-free-coffee?ref=ztvhyjg" rel="nofollow">https://dangercoffee.com/pages/mold-free-coffee?ref=ztvhyjg</a><br>
JASPR Air Purifier - Use code DRROB for the Jaspr Air Purifier - <a href="https://jaspr.co/" rel="nofollow">https://jaspr.co/</a><br>
Echo Water - Get high quality water with our code DRROB10 - <a href="https://echowater.com/" rel="nofollow">https://echowater.com/</a><br>
BallancerPro - Use code DRROBVIP for the world&#39;s leader in lymphatic drainage technology - <a href="https://ballancerpro.com" rel="nofollow">https://ballancerpro.com</a><br>
Ultrahuman - Use code WHITFIELD10 for the most accurate wearable - <a href="https://www.ultrahuman.com/ring/buy/us/?affiliateCode=drwhitfield" rel="nofollow">https://www.ultrahuman.com/ring/buy/us/?affiliateCode=drwhitfield</a></p>]]>
  </content:encoded>
  <itunes:summary>
    <![CDATA[<p>In this episode of the podcast, the host chats with Dr. Shilpa Sayana, who&#39;s a triple board-certified MD. She&#39;s got a wealth of experience in internal medicine, obesity, and functional medicine. Based in Los Angeles, Dr. Sayjana has spent over ten years helping women navigate the challenges of perimenopause and menopause, focusing on optimizing hormones, energy, and weight. They dive into why it&#39;s crucial to really understand a patient&#39;s health history, including any implants they might have, and how things like chronic inflammation and genetics can play a big role in overall health. </p>

<p>Today, The conversation touches on detoxification, the environmental hurdles we face, and why hydration, nutrition, and fiber are so important for staying healthy. Dr. Sayana is all about a holistic, personalized approach to women&#39;s health, and she shares some great insights on that front. Tune in!</p>

<p>Book a call with Dr. Sayana - <a href="https://www.sayanamedical.com/free-discovery-call/" rel="nofollow">https://www.sayanamedical.com/free-discovery-call/</a></p>

<h3>Show Highlights:</h3>

<p><strong>Chronic Inflammation and Hormonal Balance (00:05:23)</strong><br>
Chronic inflammation and its role in hormonal balance, especially for those with implants<br>
<strong>Bacterial Contamination in Implants (00:06:35)</strong><br>
Prevalence of bacterial contamination in explanted specimens and its health implications<br>
<strong>Challenges in Patient Diagnosis (00:08:22)</strong><br>
Difficulties providers face in diagnosing issues related to implants and chronic inflammation<br>
<strong>Holistic Hormonal Support (00:10:57)</strong><br>
Supporting hormonal balance through natural methods and bioidentical hormones<br>
<strong>Mold Exposure and Hormones (00:16:17)</strong><br>
Impact of mold exposure on hormone levels and overall health, particularly in urban environments<br>
<strong>Detoxification Strategies (00:22:11)</strong><br>
Improving detoxification through gut health, sweating, and hydration<br>
<strong>Protein Intake Challenges (00:24:26)</strong><br>
The need for adequate protein, especially for vegan and vegetarian patients post-surgery</p>

<h3>Bio: Dr. Sayana</h3>

<p>Dr. Sayana is a triple board-certified MD in Internal, Obesity, and Functional medicine.  She has been in private practice for over a decade serving the greater Los Angeles community.  She is an expert in treating women dealing with perimenopause and menopause, optimizing their hormones, energy, and weight, especially if they have been told that their labs are normal.  She helps them reclaim their balance and feel like themselves again, by using the Sayana Medical Road Map.  She has been recognized by her peers by being nominated for the Most Humanistic Intern/Resident award in all three years of her medical residency and by her patients by receiving the Best Doctors Women&#39;s Choice Award in 2023.</p>

<h3>Connect with Dr. Sayana</h3>

<p><a href="https://www.sayanamedical.com/?srsltid=AfmBOorKh9yPPKZlv4Gs02wdUZ4osurApagN50CfM1ryJ33uTXrC9xXy" rel="nofollow">Website </a><br>
<a href="https://www.sayanamedical.com/free-discovery-call/" rel="nofollow">Book a call with Dr. Sayana </a><br>
<a href="https://www.facebook.com/SayanaMedical" rel="nofollow">Facebook</a><br>
<a href="https://www.youtube.com/@Sayanamedical" rel="nofollow">YouTube</a><br>
<a href="https://www.instagram.com/sayanamedical/" rel="nofollow">Instagram</a></p>

<h3>Links and Resources</h3>

<p>Podcast: <a href="https://podcasts.apple.com/gb/podcast/breast-implant-illness/id1678143554" rel="nofollow">https://podcasts.apple.com/gb/podcast/breast-implant-illness/id1678143554</a><br>
Spotify: <a href="https://open.spotify.com/show/1SPDripbluZKYsC0rwrBdb?si=23ea2cd9f6734667" rel="nofollow">https://open.spotify.com/show/1SPDripbluZKYsC0rwrBdb?si=23ea2cd9f6734667</a><br>
TikTok: <a href="https://www.tiktok.com/@drrobertwhitfield?_t=8oQyjO25X5i&_r=1" rel="nofollow">https://www.tiktok.com/@drrobertwhitfield?_t=8oQyjO25X5i&amp;_r=1</a><br>
IG: <a href="https://www.instagram.com/breastimplantillnessexpert/" rel="nofollow">https://www.instagram.com/breastimplantillnessexpert/</a><br>
FB: <a href="https://www.facebook.com/DrRobertWhitfield" rel="nofollow">https://www.facebook.com/DrRobertWhitfield</a><br>
Linkedin: <a href="https://www.linkedin.com/in/dr-robert-whitfield-md-50775b10/" rel="nofollow">https://www.linkedin.com/in/dr-robert-whitfield-md-50775b10/</a><br>
X: <a href="https://x.com/rob_whitfieldmd" rel="nofollow">https://x.com/rob_whitfieldmd</a><br>
Read this article  - <a href="https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/implant-reconstruction/illness/breast-implant-illness" rel="nofollow">https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/implant-reconstruction/illness/breast-implant-illness</a><br>
Shop: <a href="https://drrobssolutions.com" rel="nofollow">https://drrobssolutions.com</a><br>
SHARP:  <a href="https://www.harp.health" rel="nofollow">https://www.harp.health</a><br>
NVISN Labs -  <a href="https://nvisnlabs.com/" rel="nofollow">https://nvisnlabs.com/</a></p>

<h3>Get access to Dr. Rob&#39;s Favorite Products below:</h3>

<p>Danger Coffee - Use our link for mold free coffee - <a href="https://dangercoffee.com/pages/mold-free-coffee?ref=ztvhyjg" rel="nofollow">https://dangercoffee.com/pages/mold-free-coffee?ref=ztvhyjg</a><br>
JASPR Air Purifier - Use code DRROB for the Jaspr Air Purifier - <a href="https://jaspr.co/" rel="nofollow">https://jaspr.co/</a><br>
Echo Water - Get high quality water with our code DRROB10 - <a href="https://echowater.com/" rel="nofollow">https://echowater.com/</a><br>
BallancerPro - Use code DRROBVIP for the world&#39;s leader in lymphatic drainage technology - <a href="https://ballancerpro.com" rel="nofollow">https://ballancerpro.com</a><br>
Ultrahuman - Use code WHITFIELD10 for the most accurate wearable - <a href="https://www.ultrahuman.com/ring/buy/us/?affiliateCode=drwhitfield" rel="nofollow">https://www.ultrahuman.com/ring/buy/us/?affiliateCode=drwhitfield</a></p>]]>
  </itunes:summary>
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