Itchy and Bitchy Podcast

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By: Miller-Hnilica

Visit our website itchyandbitchy.com to read or listen to moreVist our Facebook at  I&B PodcastVisit our Principle Sponsor at DocItchy.com.Become a supporter of this podcast: https://www.spreaker.com/podcast/itchy-and-bitchy-podcast--4303608/support.

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237: Stood Up...Almost Died...What the HELL: The POTS - Dysautonomia Episode
237: Stood Up...Almost Died...What the HELL: The POTS - Dysautonomia Episode episode artwork
#237
Today at 9:00 AM

Stand up too fast and your heart rate goes full rave? Welcome to POTS, the autonomic disorder that affects up to 1 in 100 Americans and still gets dismissed as "just anxiety." UK Google searches for POTS roughly tripled after COVID. A new 20-year follow-up found that just under half of patients improve, but most keep symptoms for decades. We unpack dysautonomia, long COVID, salt, compression socks, and new drugs in trials. We also cover how to tell real science from TikTok self-diagnosis. Legit science, zero fluff, maximum sass...
Visit itchyandbitchy.com

Become a supporter of this podcast: https...


236: Heart Brain Axis - Your Heart and Brain Are Toxic Besties, and Science Has Receipts
236: Heart Brain Axis - Your Heart and Brain Are Toxic Besties, and Science Has Receipts episode artwork
#236
10/05/2026

(00:00:00) 236: Heart Brain Axis - Your Heart and Brain Are Toxic Besties, and Science Has Receipts
(00:00:05) Welcome to Itchy and Bitchy Podcast
(00:00:48) Doc Itchy Medical Pet Supplements
(00:01:24) Heart-Brain Axis: A Complex Connection
(00:04:46) The Three Pathways of Heart-Brain Communication
(00:16:00) Stroke-Heart Syndrome: A Deadly Connection
(00:27:13) Therapeutic Targets and Prevention Strategies
(00:39:31) Closing Thoughts and Call to Action
(00:40:21) Doc Itchy Medical Pet Supplements

Think a heart attack is just a plumbing problem? Adorable. New research in Cell shows your heart immediately tattles to your brain through the vagus nerve. Your brain then overreacts and sends...


335:The Dignity Gap: Your Dog Gets a Kinder Death Than You Will" : "Death With Dignity - An Honest Talk
335:The Dignity Gap: Your Dog Gets a Kinder Death Than You Will" : "Death With Dignity - An Honest Talk episode artwork
#335
09/28/2026

(00:00:00) 335:The Dignity Gap: Your Dog Gets a Kinder Death Than You Will" : "Death With Dignity - An Honest Talk
(00:00:05) Welcome to Itchy and Bitchy Podcast
(00:00:48) Doc Itchy Medical Pet Supplements
(00:01:25) New Music and Podcast Updates
(00:02:05) The Veterinarian's Role in Euthanasia
(00:04:36) The Veterinary Euthanasia Process
(00:17:11) Doc Itchy Medical Pet Supplements
(00:17:31) Medical Aid in Dying for Humans
(00:31:05) Doc Itchy Medical Pet Supplements
(00:31:06) Recognizing the Right Time for Euthanasia
(00:37:11) Closing Thoughts and Resources

Here's an uncomfortable truth: when your dog is suffering with no good options, a vet offers a gentle...


234: Denied: How Your Insurance Company Gets Rich Watching You Suffer
234: Denied: How Your Insurance Company Gets Rich Watching You Suffer episode artwork
#234
09/21/2026

(00:00:00) 234: Denied: How Your Insurance Company Gets Rich Watching You Suffer
(00:00:11) Welcome to Itchy and Bitchy
(00:00:42) Doc Itchy Medical Pet Supplements
(00:01:06) Insurance Frustrations and System Failures
(00:02:27) The Broken Lens and Broken System
(00:04:31) Insurance Woes and Personal Experiences
(00:08:19) Pre-Approvals and Administrative Burdens
(00:15:31) The High Cost of a Broken System
(00:20:04) Concierge Care: A Growing Alternative
(00:28:17) The State of Healthcare in the US
(00:31:50) Medical Debt and Systemic Issues

Welcome to American healthcare, where a college dropout in a call center overrides your doctor and an algorithm denies your chemo before lunch. This...


233: Docs Answer Listener Questions: Global Edition III
233: Docs Answer Listener Questions: Global Edition III episode artwork
#233
09/14/2026

(00:00:00) 233: Docs Answer Listener Questions: Global Edition III
(00:00:11) Welcome to Itchy and Bitchy
(00:00:42) Doc Itchy Medical Pet Supplements
(00:01:05) Global Reach of Itchy and Bitchy
(00:03:14) Addressing Listener Questions
(00:06:26) Cyclospora and Food Safety
(00:09:51) Tick-Borne Illnesses and Prevention
(00:12:35) Break Announcement
(00:12:53) Creatine Supplements: Benefits and Risks
(00:15:51) Raw Diets and Food Safety for Pets
(00:17:57) Break Announcement

Listeners from around the globe send in questions for the Docs to give their best answers: most common countries for listenership, dog skin cancer, lumps and bumps, cardiac questions, diets and food science, cyclospora, toxins, vital monitoring and...


232: Bald & Bougie: Why Your Hairline Is Ghosting You. HAIR-LOSS TRUTHS AND TREATMENTS
232: Bald & Bougie: Why Your Hairline Is Ghosting You. HAIR-LOSS TRUTHS AND TREATMENTS episode artwork
#232
09/07/2026

(00:00:00) 232: Bald & Bougie: Why Your Hairline Is Ghosting You. HAIR-LOSS TRUTHS AND TREATMENTS
(00:00:06) Welcome to Itchy and Bitchy
(00:00:28) Hair Loss Statistics: A Growing Concern
(00:05:34) Medical Treatments: Hormone Manipulation
(00:14:40) Blood Flow Therapies: Minoxidil and Beyond
(00:18:46) Surgical Solutions: Hair Transplants and More
(00:21:57) Platelet-Rich Plasma: A Natural Approach
(00:26:28) Over-the-Counter Options: Microneedling and More
(00:36:52) The Bullshit Bin: Unproven Hair Growth Claims
(00:38:30) Doc Itchy Pet Supplements

Your part is widening, your ponytail is now a pony-tail, and TikTok swears rosemary oil and a $200 derma roller will fix it. Spoiler: they won't. This episode drags age-related...


231b: "I am Allergic to EVERYTHING: Really?" Docs Discuss Allergy Immunology
231b: "I am Allergic to EVERYTHING: Really?" Docs Discuss Allergy Immunology episode artwork
#231
09/02/2026

(00:00:00) 231b: "I am Allergic to EVERYTHING: Really?" Docs Discuss Allergy Immunology
(00:00:11) Welcome to Itchy and Bitchy
(00:00:42) Doc Itchy Medical Pet Supplements
(00:01:06) The Allergy Enigma
(00:03:03) Genetic Predisposition to Allergies
(00:05:49) The Complexities of Allergic Reactions
(00:08:41) Immunological Mechanisms of Allergies
(00:18:40) The Allergy Epidemic
(00:23:48) Treatment Options for Allergies
(00:31:12) Monoclonal Antibodies: A Breakthrough in Allergy Treatment
(00:34:45) The Final Frontier: Steroids and Other Powerful Medications

Your immune system is a bouncer with a hair trigger. This episode breaks down the actual allergy cascade, T helper cells barking orders, mast cells detonating, histamine flooding the...


231: I'M Allergic to EVERYTHING: Really?? Docs Discuss Allergy Immunology
231: I'M Allergic to EVERYTHING: Really?? Docs Discuss Allergy Immunology episode artwork
#231
08/31/2026

(00:00:00) 231: I'M Allergic to EVERYTHING: Really?? Docs Discuss Allergy Immunology
(00:00:11) Welcome to the Itchy and Bitchy Podcast
(00:00:42) Doc Itchy Medical Pets Supplements
(00:01:02) The Complexity of Allergies
(00:03:03) Genetic Predisposition to Allergies
(00:10:54) The Allergy Mechanism Explained
(00:18:42) Increasing Prevalence of Allergies
(00:23:51) Treatment Options for Allergies
(00:31:14) Monoclonal Antibody Therapies
(00:39:16) Dealing with Medication Sensitivities
(00:39:46) Distinguishing Between Allergies and Sensitivities

Meet the patient who's allergic to everything: gluten, dairy, dogs, dust, perfume, Mondays. Her elimination diet has eliminated food. Here's the inconvenient data — roughly 17% of people claim a food allergy, while challenge-proven allergy lands closer to...


230: Medical Mayhem: Sh*t They Don't Tell You! Impactions; Necrosis; GLP1A; Testosterone-Fat; & more
230: Medical Mayhem: Sh*t They Don't Tell You! Impactions; Necrosis; GLP1A; Testosterone-Fat; & more episode artwork
#230
08/24/2026

(00:00:00) 230: Medical Mayhem: Sh*t They Don't Tell You! Impactions; Necrosis; GLP1A; Testosterone-Fat; & more
(00:00:11) Welcome to Itchy and Bitchy
(00:00:42) Doc Itchy Medical Pets Supplements
(00:01:02) Introducing Medical Mayhem
(00:03:50) GLP-1 Agonists and Testosterone
(00:08:26) Impactions and Constipation in Older Adults
(00:13:57) Perineal Necrosis: A Serious Complication
(00:19:01) Coronary Calcium Score: A New Heart Health Indicator
(00:24:59) IV Drips and Health Risks
(00:27:35) Sex Education and the Horny Health Index
(00:33:13) Closing Thoughts and New Listeners

Docs are trying out a new segment that will explore and explain weird and crazy medical problems that everyone wants to...


229: Doctor W.H.O. on Lubes - A World Health Issue!
229: Doctor W.H.O. on Lubes - A World Health Issue! episode artwork
#229
08/17/2026

(00:00:00) 229: Doctor W.H.O. on Lubes - A World Health Issue!
(00:00:11) Welcome to Itchy and Bitchy
(00:01:32) The Surprising Variety of Sex Lubricants
(00:04:51) What Makes a Good Lubricant
(00:09:51) Personal Preferences in Lubricant Selection
(00:15:25) Types of Lubricants Explained
(00:21:20) The Importance of Provider-Patient Communication
(00:22:32) Legit or Bullshit: Sexual Health Quirks
(00:28:19) Closing Remarks and Call to Action

The Art of the Perfect Lube: Because Your Vagina Deserves a Craft Cocktail
Nobody talks about personal lubricants the way they talk about a perfectly balanced Old Fashioned, and honestly that's a crime. Both require the...


228: Foods That Can Kill You; and What You Can't Do About IT!
228: Foods That Can Kill You; and What You Can't Do About IT! episode artwork
#228
08/10/2026

(00:00:00) 228: Foods That Can Kill You; and What You Can't Do About IT!
(00:00:11) Welcome to the Itchy and Bitchy Podcast
(00:00:42) Doc Itchy Medical Pets Supplements
(00:01:02) The Dirty Dozen: Pesticide Contaminated Produce
(00:07:07) The Pathogen Problem: Foodborne Illnesses on the Rise
(00:15:28) The Controversy: What to Do About Contaminated Food
(00:25:56) Practical Steps to Reduce Food Contamination Risk
(00:31:32) Closing Remarks and Future Episode Preview
(00:31:39) Doc Itchy Medical Pets Supplements (Repeat)

Cyclospora and Cyclosporosis is infection tens of thousands of AMERICANS causing some deaths. More and More food pathogens are affecting us through contaminated...


227: The Spreading Years with More of Me to Love: Geriatric Weight-Gain
227: The Spreading Years with More of Me to Love: Geriatric Weight-Gain episode artwork
#227
08/03/2026

(00:00:00) 227: The Spreading Years with More of Me to Love: Geriatric Weight-Gain
(00:00:11) Welcome to the Itchy and Bitchy Podcast
(00:00:42) Doc Itchy Medical Pets Supplements
(00:01:02) The Complexities of Midlife Weight Gain
(00:04:18) The Four Key Factors Contributing to Weight Gain After 40
(00:09:12) Hormonal Changes and Their Impact on Weight
(00:14:13) The Importance of Sleep and Behavioral Factors
(00:18:11) Sarcopenia, Body Composition, and Inflammation
(00:22:51) Legit or Bullshit: Muscle-Skin Communication and Fecal Microbiota Transplant
(00:28:17) Closing Remarks and Call to Action

Thanks Hormones, Very Cool: Why Your Body Decided Middle Age Was the Perfect Time to Expand
...


226: Itchy & Bitchy ClinicCrawl: Plastic in Your Penis and Herpes Contagion
226: Itchy & Bitchy ClinicCrawl: Plastic in Your Penis and Herpes Contagion episode artwork
#226
07/27/2026

(00:00:00) 226: Itchy & Bitchy ClinicCrawl: Plastic in Your Penis and Herpes Contagion
(00:00:11) Welcome to Itchy and BITCHI
(00:00:42) Doc Itchy Medical Pets Supplements
(00:01:02) Microplastics in the Human Body
(00:04:38) Shingles and Canine Quarantine
(00:08:00) Closing Remarks and Contact Information
(00:08:23) Follow and Contact Information

Scientists have confirmed microplastics are now showing up in human penile tissue, with four out of five samples from men with erectile dysfunction containing seven different types of microplastics. Microplastics have also been detected in human brain, placenta, and testes .... because apparently your body is now a landfill.
Meanwhile, everyone's favorite lurking virus...


225: GLP-1 the Magic Miracle Medicine (update) Should EVERYONE take IT?
225: GLP-1 the Magic Miracle Medicine (update) Should EVERYONE take IT? episode artwork
#225
07/20/2026

GLP-1 was completely under estimated by the medical community and has turned out to be ALMOST a MIRACLE therapy for ALMOST everything.
We review how we got this SO wrong and missed the potential of this therapy and ALL of the NEW and POTENTIAAL benefits.
We also review the down side and potential Adverse Effects - Mild to Deadly ....

From gut health and hormone health to autoimmune disease and chronic pain, we investigate what science actually says. We examine functional medicine, holistic health, and alternative medicine with the same skeptical If it’s pseudoscience, we’ll call...


224: DOCs Itchy&Bitchy Answer YOUR Questions - Global Edition!
224: DOCs  Itchy&Bitchy Answer YOUR Questions - Global Edition! episode artwork
#224
07/13/2026

(00:00:00) 224: DOCs Itchy&Bitchy Answer YOUR Questions - Global Edition!
(00:00:11) Welcome to Itchy and Bitchy
(00:00:42) Doc Itchy Medical Pets Supplements
(00:02:32) Hormone Replacement and GLP-1: Navigating Medical Decisions
(00:08:06) Brain Fog and Alzheimer's: When to Worry
(00:11:11) Menopause in Dogs: A Misunderstanding
(00:16:48) The Truth About Alcohol Consumption
(00:22:10) GLP-1 and Addiction: A Complex Discussion
(00:27:41) Probiotics: The Unknown Frontier
(00:32:05) Closing Thoughts on Supplements and Health

Ask Docs Itchy&Bitchy:
Your Questions on Weight, Hormones, and the GLP-1 additction ...
You're writing in from everywhere, and your questions don't hold back, so neither will we...


223: Menopause Explained so Even a Husband can Understand
223: Menopause Explained so Even a Husband can Understand episode artwork
#223
07/06/2026

(00:00:00) 223: Menopause Explained so Even a Husband can Understand
(00:00:12) Welcome to the Itchy and Bitchy Podcast
(00:00:43) Doc Itchy Medical Pets Supplements
(00:01:03) Explaining Menopause in Simple Terms
(00:03:39) The Pituitary-Hormone Axis: A Toilet Analogy
(00:07:12) Menopause as a Hormone "Dumpster Fire"
(00:08:22) Break Announcement
(00:08:35) Four Hormone-Chaos Events in Life
(00:13:22) Break Announcement
(00:14:04) Sleep Disorders and Aging
(00:24:10) Break Announcement

Here's the deal.
Think of your hormonal system like a toilet. Your ovaries are the water tank. When they're full of estrogen, the pituitary gland, your body's master control panel,  sees a full tank and r...


222: A Tick Just Stole Your Steak. Here's How to Get Revenge
222: A Tick Just Stole Your Steak. Here's How to Get Revenge episode artwork
#222
06/29/2026

(00:00:00) 222: A Tick Just Stole Your Steak. Here's How to Get Revenge
(00:00:11) Welcome to the Itchy and Bitchy Podcast
(00:00:42) Doc Itchy Medical Pet Supplements
(00:01:13) Introducing Alpha-Gal Syndrome
(00:04:51) The Tick's Deadly Spit
(00:06:32) Symptoms and Diagnosis of Alpha-Gal
(00:07:47) Dietary Avoidance and Prevention
(00:12:56) Tick-Borne Diseases: The Scary Truth
(00:15:09) Accurate Diagnosis and Treatment Challenges
(00:21:39) Tick Prevention and Safety Tips
(00:23:33) Isoxazolines: A New Era in Tick Prevention

Ticked Off,The Tiny Bug That Could End Your BBQ ForeverTopic: Alpha-Gal Syndrome (AGS) | Tick-Borne Food Allergy | Red Meat AllergyHost:
What Is Alpha-Gal Syndrome?Alpha-gal syndrome...


221: Itchy & Bitchy ClinicCrawl: Your Dog Brought a Killer Into Your House; Skipping Your Meds could Kill You
221: Itchy & Bitchy ClinicCrawl: Your Dog Brought a Killer Into Your House; Skipping Your Meds could Kill You episode artwork
#222
06/22/2026

(00:00:00) 221: Itchy & Bitchy ClinicCrawl: Your Dog Brought a Killer Into Your House; Skipping Your Meds could Kill You
(00:00:11) Welcome to the Itchy and Bitchy Podcast
(00:00:42) Doc Itchy Medical Pets Supplements
(00:01:34) Hypertension and Medication Compliance
(00:03:52) The Importance of Taking Medications as Prescribed
(00:07:40) Ticks and Tick Prevention
(00:11:34) Closing Remarks and Call to Action

Two Silent Threats: What's Hiding on Your Dog and in Your Medicine Cabinet
Itchy & Bitchy is the podcast for anyone who has ever felt dismissed, misdiagnosed, or gaslit by a broken medical system. 
From gut health and hormone h...


218.2: Itchy & Bitchy ClinicCrawl: CPR and Cats Coughing up LungWorms (remix)
218.2: Itchy & Bitchy ClinicCrawl: CPR and Cats Coughing up LungWorms (remix) episode artwork
#218
06/20/2026

(00:00:00) 218.2: Itchy & Bitchy ClinicCrawl: CPR and Cats Coughing up LungWorms (remix)
(00:00:11) Welcome to The Itchy and Bitchy Podcast
(00:04:55) The Importance of CPR Training
(00:07:05) Closing Remarks and Next Episode
(00:07:07) Doc Itchy Pet Supplements

Your Cat Isn't Allergic — She Has WORMS in Her Lungs.
Also, Do You Know CPR? Because You Might Need It After Reading This.

Itchy & Bitchy is the podcast for anyone who has ever felt dismissed, misdiagnosed, or gaslit by a broken medical system. 
From gut health and hormone health to autoimmune disease and chronic pain, we investigate wha...


220: From TikTok to Doctor's Office: The Truth About 'Cortisol Moon Face'
220: From TikTok to Doctor's Office: The Truth About 'Cortisol Moon Face' episode artwork
#221
06/15/2026

(00:00:00) 220: From TikTok to Doctor's Office: The Truth About 'Cortisol Moon Face'
(00:00:11) Welcome to the Itchy and Bitchy Podcast
(00:00:42) Doc Itchy Medical Pets Supplements
(00:01:05) Revisiting Cortisol Face Controversy
(00:04:21) The Importance of Sleep in Young Adults
(00:09:02) Melatonin's Benefits for Dogs and Humans
(00:12:45) Brief Intermission
(00:13:01) Hormones and Growth During Sleep
(00:19:17) Second Intermission
(00:19:45) Melatonin's Wide-Ranging Benefits
(00:21:52) Melatonin Safety and Dosage

Scroll through TikTok for five minutes and you'll find thousands of teenagers diagnosing themselves with "cortisol face"  puffy cheeks, a rounded jawline, swelling they swear is proof their stress hormones are out o...


219: A Perfect Birth… Then a Deadly Heart Attack
219: A Perfect Birth… Then a Deadly Heart Attack episode artwork
#219
06/06/2026

(00:00:00) 219: A Perfect Birth… Then a Deadly Heart Attack
(00:00:11) Welcome to the Itchy and Bitchy Podcast
(00:00:42) Doc Itchy Medical Pets Supplements
(00:01:04) A Tragic Case of Postpartum Cardiomyopathy
(00:02:31) Understanding Postpartum Cardiomyopathy
(00:06:43) Risk Factors and Statistics
(00:08:36) Treatment and Recovery for Mothers and Babies
(00:14:39) Quick Break Announcement
(00:15:06) Legit or Bullshit: Trend Analysis
(00:15:53) Cortisol Face: Myth or Reality?
(00:19:04) The Parasite Cleanse Deception

She was only 26.
She had just delivered a healthy baby.
Then, without warning, her heart stopped.
In this episode, we uncover the terrifying reality of postpartum cardiac death—the...


218: Itchy and Bitchy ClinicCrawl - Give the medicine, Respect the worms; Vomiting LungWorms
218: Itchy and Bitchy ClinicCrawl - Give the medicine, Respect the worms; Vomiting LungWorms episode artwork
#218
06/01/2026

(00:00:00) 218: Itchy and Bitchy ClinicCrawl - Give the medicine, Respect the worms; Vomiting LungWorms
(00:00:06) Welcome to Itchy and Bitchy
(00:00:10) The Itchy and Bitchy Podcast Introduction
(00:00:40) Introducing the Hosts and Disclaimer
(00:00:52) Clinic Crawl: The Wormy Cat
(00:04:58) Dock Itchy Nutrisugical Supplements for Pets
(00:05:24) CPR Training for Cardiac Emergencies
(00:07:48) Closing Remarks and Sign-off

You skipped the medicine… and now the parasite apocalypse has entered your life.
In this absolutely disgusting, can’t-look-away episode of Itchy & Bitchy, we crawl straight into the nightmare fuel of cats vomiting lungworms; yes, actual lung parasites because somebody decided prev...


217: Healthcare Is a Dumpster Fire with Better Branding but the System Still Sucks!
217: Healthcare Is a Dumpster Fire with Better Branding but the System Still Sucks! episode artwork
#217
05/25/2026

(00:00:00) 217: Healthcare Is a Dumpster Fire with Better Branding but the System Still Sucks!
(00:00:03) Welcome to Itchy and Bitchy
(00:00:19) Meet the Doctors
(00:00:42) Doc Itchy Medical Pets Supplements
(00:01:05) DocItchy.com Sponsor
(00:03:40) The System is Broken
(00:06:49) Provider Burnout and Workload
(00:10:34) Break Announcement
(00:10:50) The EMR Dilemma
(00:19:00) Break Announcement
(00:19:20) The Social Media Dilemma
(00:25:02) Insurance think they are the Doctor

In this brutally honest relaunch episode of the Itchy & Bitchy Podcast with 2 new hosts. 
The new hosts say the quiet part out loud: the medical system is broken, abusive, exhausting, wildly expensive, a...


Estrogen Has Been Let Out of Jail!- Itchy and Bitchy
Estrogen Has Been Let Out of Jail!- Itchy and Bitchy episode artwork
05/16/2026

Karen marks a major transition for Itchy and Bitchy as future hosts Stephen Miller and Dr. Keith Hnilica turn the tables and interview her about major life changes. Together, they reflect on significant transitions in life—from parenthood and changing careers to the handoff of the podcast itself.

Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

Become a supporter of this podcast: https://www.spreaker.com/podcast/itchy-and-bitchy-podcast--4303608/support.

Itchy & Bitchy: Have you felt dismissed, misdiagnosed, or gaslit by a br...


Estrogen Has Been Let Out of Jail! - Itchy and Bitchy
Estrogen Has Been Let Out of Jail! - Itchy and Bitchy episode artwork
05/02/2026

Karen is joined by future Itchy and Bitchy hosts Stephen Miller, an acute care nurse practitioner specializing in cardiovascular disease, and Dr. Keith Hnilica, a veterinary dermatologist, for a wide-ranging conversation about estradiol and hormone replacement therapy. They discuss the recent removal of the FDA black box warning from most menopausal hormone therapy products and the long shadow of the Women’s Health Initiative study.

Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

Become a supporter of this podcast: https://www.spreaker.com/podcast/itchy-and-bitchy-podcast--4303608/sup...


Dining with Your Dog: No Kibble Needed - Itchy and Bitchy
Dining with Your Dog: No Kibble Needed - Itchy and Bitchy episode artwork
04/18/2026

Family nurse practitioner Karen Nickell introduces future Itchy and Bitchy host Dr. Keith Hnilica, a veterinary dermatologist, for a lively conversation about pet food and what animals can teach us about wellness. They dig into GLP-1 drugs for pet obesity, the links between processed kibble, gut inflammation, and skin issues, why fresh or Mediterranean-style diets may be better for dogs.

Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

Become a supporter of this podcast: https://www.spreaker.com/podcast/itchy-and-bitchy-podcast--4303608/support.

Itchy & B...


Can Heartbreak Physically Break Your Heart? - Itchy and Bitchy
Can Heartbreak Physically Break Your Heart? - Itchy and Bitchy episode artwork
04/04/2026

Karen kicks off a new chapter for Itchy and Bitchy by introducing future host Stephen Miller, a cardiology nurse practitioner, for a conversation on Takotsubo cardiomyopathy, or “broken heart syndrome.” Together they explain what this stress-triggered heart condition is, why it so often affects postmenopausal women, and what recovery can look like.

Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

Become a supporter of this podcast: https://www.spreaker.com/podcast/itchy-and-bitchy-podcast--4303608/support.

Itchy & Bitchy: Have you felt dismissed, misdiagnosed, or gas...


Vaginal Biofilm: Stranger Than Fiction! - Itchy and Bitchy
Vaginal Biofilm: Stranger Than Fiction! - Itchy and Bitchy episode artwork
03/21/2026

Karen answers a listener's question about vaginal biofilms. What are they and why do they make recurrent BV and yeast infections so hard to treat? She explains how these bacterial or fungal communities form protective layers that resist standard treatment, reviews options that may help break the cycle and looks at at-home microbiome testing.

Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

Become a supporter of this podcast: https://www.spreaker.com/podcast/itchy-and-bitchy-podcast--4303608/support.

Itchy & Bitchy: Have you felt di...


How to Reset Distress to Peace and Joy (RERUN) - Itchy and Bitchy
How to Reset Distress to Peace and Joy (RERUN) - Itchy and Bitchy episode artwork
03/14/2026

Karen shares a collection of grounding techniques to help listeners manage stress, anxiety, and negative emotions. From holding ice, savoring food, and taking mindful walks to laughter, music, anchoring exercises, the 5-4-3-2-1 method, and even the calming power of pets, Karen offers tools to help listeners return to the present moment, ease stress, and reconnect with a sense of safety and calm.

Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

Become a supporter of this podcast: https://www.spreaker.com/podcast/itchy-and-bitchy-podcast--4303608/s...


AI in Medicine: Friend or Foe? - Itchy and Bitchy
AI in Medicine: Friend or Foe? - Itchy and Bitchy episode artwork
02/28/2026

Karen explains how AI is already being used in healthcare, from helping find polyps during colonoscopies to speeding documentation. She also covers the biggest concerns, including the possibility of errors, bias, privacy risks, and over-reliance.

Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

Become a supporter of this podcast: https://www.spreaker.com/podcast/itchy-and-bitchy-podcast--4303608/support.

Itchy & Bitchy: Have you felt dismissed, misdiagnosed, or gaslit by a broken medical system. 
From gut health, hormones, autoimmune disease, chronic pa...


Digital Health: The New Wild, Wild West - Itchy and Bitchy
Digital Health: The New Wild, Wild West - Itchy and Bitchy episode artwork
02/14/2026

Karen unpacks the fast-growing world of digital health, from Apple Watch and smartphone apps to telehealth and new hospital tech that can improve care and streamline recovery at home. She also addresses the downsides, raising concerns around the security of these technologies.

Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

Become a supporter of this podcast: https://www.spreaker.com/podcast/itchy-and-bitchy-podcast--4303608/support.

Itchy & Bitchy: Have you felt dismissed, misdiagnosed, or gaslit by a broken medical system. 
From ...


Healing After Pet Loss: A Personal Tale - Itchy and Bitchy
Healing After Pet Loss: A Personal Tale - Itchy and Bitchy episode artwork
01/31/2026

Karen shares a deeply personal episode on the human-animal bond after the loss of her family’s lovebird, Saki, exploring why pet grief can feel so profound and practical ways to heal. She offers suggestions, from letting yourself feel what you feel to creating memorial rituals, revisiting joyful memories, and caring for your body while you mourn, plus when to seek professional support.

Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

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Grandmothers Rule: Menopausal Mammals Revisited - Itchy and Bitchy
Grandmothers Rule: Menopausal Mammals Revisited - Itchy and Bitchy episode artwork
01/17/2026

Karen Nickell revisits menopausal mammal, this time with brand new context: new research from Uganda’s Ngogo chimpanzees shows some chimps experience menopause too. She explains what makes humans evolutionary outliers, unpacks the grandmother hypothesis, and explores why certain toothed whales (like orcas) stop reproducing yet continue to live for decades.

Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

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Itchy & Bitchy: Have you felt dismissed, misdiagnosed, or gas...


GLP-1: Not Just a Weight Loss Med - Itchy and Bitchy
GLP-1: Not Just a Weight Loss Med - Itchy and Bitchy episode artwork
01/03/2026

Karen takes a look at GLP-1 receptor agonists, best known for weight loss and diabetes. She explores the rapidly expanding list of conditions these medications may help treat. From emerging and sometimes conflicting research on Parkinson’s and Alzheimer’s disease to FDA-approved benefits for cardiovascular health, kidney disease, and fatty liver disease, Karen breaks down what the science currently shows and where caution is still needed.

Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

Become a supporter of this podcast: https://www.spreaker.com/podca...


Countdown of Karen's Top Ten Episodes of 2025 - Itchy and Bitchy
Countdown of Karen's Top Ten Episodes of 2025 - Itchy and Bitchy episode artwork
12/20/2025

Karen counts down her top 10 Itchy & Bitchy moments of 2025, from smarter New Year’s resolutions and promising UTI vaccines on the horizon to updated insights on HRT.

Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

Become a supporter of this podcast: https://www.spreaker.com/podcast/itchy-and-bitchy-podcast--4303608/support.

Itchy & Bitchy: Have you felt dismissed, misdiagnosed, or gaslit by a broken medical system. 
From gut health, hormones, autoimmune disease, chronic pain, holistic health, and alternative medicine ... medica...


Oh, Snap! Osteoporosis! - Itchy and Bitchy
Oh, Snap! Osteoporosis! - Itchy and Bitchy episode artwork
12/06/2025

Karen shares her personal journey with osteoporosis. What distinguishes it from osteopenia? How are DEXA T-scores interpreted? Why does early screening matter? She covers lifestyle and nutrition, hormone considerations, and medication options.

Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.


Become a supporter of this podcast: https://www.spreaker.com/podcast/itchy-and-bitchy-podcast--4303608/support.

Itchy & Bitchy: Have you felt dismissed, misdiagnosed, or gaslit by a broken medical system. 
From gut health, hormones, autoimmune disease, chronic pain, holistic hea...


Red Light Under My Christmas Tree? - Itchy and Bitchy
Red Light Under My Christmas Tree? - Itchy and Bitchy episode artwork
11/22/2025

Karen breaks down red light therapy (photobiomodulation) and where it actually helps: smoothing signs of aging, supporting hair regrowth, calming acne (especially paired with blue light), easing chronic pain and inflammation, and even emerging research for cognition in dementia.

Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

Become a supporter of this podcast: https://www.spreaker.com/podcast/itchy-and-bitchy-podcast--4303608/support.

Itchy & Bitchy: Have you felt dismissed, misdiagnosed, or gaslit by a broken medical system. 
From gut health, hor...


Holiday Heart Doesn't Mean a Happy Heart (RERUN) - Itchy and Bitchy
Holiday Heart Doesn't Mean a Happy Heart (RERUN) - Itchy and Bitchy episode artwork
11/08/2025

Family nurse practitioner Karen re-airs a timely episode on “holiday heart syndrome,” the spike in alcohol-triggered arrhythmias (often AFib) that can strike otherwise healthy people during festive gatherings. She explains what binge drinking looks like, key symptoms to watch for (from palpitations and chest pressure to shortness of breath), why it raises stroke risk, and simple prevention steps.

Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

Become a supporter of this podcast: https://www.spreaker.com/podcast/itchy-and-bitchy-podcast--4303608/support.

Itchy & Bitchy: Have...


Surprising Update on Healthcare Self Advocacy! - Itchy and Bitchy
Surprising Update on Healthcare Self Advocacy! - Itchy and Bitchy episode artwork
10/25/2025

After listening to an episode of Itchy and Bitchy, a woman pushed for further testing and caught grade 1A ovarian cancer early—requiring only surgery. Karen revisits why self-advocacy saves lives, translating expert definitions into everyday guidance and offering practical steps: build a true partnership with your provider, keep detailed symptom and medication notes, ask clear questions about tests, risks, and costs, use reliable resources (not “Dr. Google”), consult your pharmacist, and keep your advance care planning up to date.

Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.


Estradiol and Skin: The Perfect Match! - Itchy and Bitchy
Estradiol and Skin: The Perfect Match! - Itchy and Bitchy episode artwork
10/11/2025

Karen tackles a common menopause question: oral vs. topical estradiol. She explains first-pass metabolism and why transdermal options can lower clot, gallstone, and side-effect risks for many, then compares real-world choices.

Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

Become a supporter of this podcast: https://www.spreaker.com/podcast/itchy-and-bitchy-podcast--4303608/support.

Itchy & Bitchy: Have you felt dismissed, misdiagnosed, or gaslit by a broken medical system. 
From gut health, hormones, autoimmune disease, chronic pain, holistic health, and...