South Asian women are strong, resilient, and brilliant — yet we carry some of the highest metabolic health risks in the world, often without being told why or what to do about it.

In this deeply personal and science-driven episode of Endocrine Matters, endocrinologist Dr. Arti Thangudu speaks directly to South Asian women about midlife health, menopause, diabetes, PCOS, and the generational biology that shapes our bodies. This is a conversation about truth, compassion, and empowerment — not blame or shame.

If you’ve ever been told “But you’re not overweight”, “Everyone in our family has diabetes”, or “It’s just age” — this episode is for you.

🎧 In this episode, we discuss:

✔️ Why South Asian women have one of the highest rates of type 2 diabetes globally
✔️ The “skinny fat” body composition common in South Asian women
✔️ Why BMI often fails South Asian women
✔️ Visceral fat, insulin resistance, and fragile beta cells
✔️ How multigenerational undernutrition shaped South Asian metabolism
✔️ Why diabetes and metabolic disease develop at lower body weights
✔️ PCOS in South Asian women: earlier onset, more severe insulin resistance, higher risk
✔️ How decades of insulin resistance impact menopause and midlife health
✔️ Why South Asian women reach menopause 3–5 years earlier on average
✔️ Early menopause and increased lifetime risk of heart disease, diabetes, and bone loss
✔️ Why midlife is a critical turning point, not the end of the story

💪 What South Asian women can do to change their health trajectory:

✔️ Why strength training is medicine (especially for the “thin fat” body type)
✔️ How muscle protects against diabetes, belly fat, bone loss, and menopause symptoms
✔️ Protein goals for South Asian diets (vegetarian & non-vegetarian options)
✔️ Why carbs alone accelerate metabolic decline in midlife
✔️ Key labs every South Asian woman should know:
• A1C
• Lipids (ApoB, Lp(a))
• Liver enzymes
• Blood pressure
• Vitamin D
• Thyroid function
• Bone density (DEXA)
✔️ Why body composition matters more than weight
✔️ When medications like metformin, GLP-1s (Ozempic, Mounjaro, Zepbound, Wegovy), statins, blood pressure meds, or menopause hormone therapy can be life-saving — not a failure

🌱 Healing culture, stress & identity:

✔️ Food as love — and pressure
✔️ How to modernize South Asian meals without abandoning culture
✔️ Refined carbs, protein gaps, and ultra-processed foods
✔️ Stress, perfectionism, caregiving, and guilt as metabolic risk factors
✔️ Why rest, boundaries, and asking for help are acts of health — not selfishness

💡 The truth every South Asian woman needs to hear:

There is nothing wrong with you.
Your body is not broken — it is brilliant, shaped by generations of resilience, survival, and adaptation.
Midlife isn’t your decline — it can be your most powerful chapter.

👩‍⚕️ About the Host:

Dr. Arti Thangudu is a board-certified endocrinologist and founder of Complete Medicine, specializing in women’s hormonal and metabolic health, diabetes, and menopause care outside the broken traditional healthcare model.

📲 Stay Connected:

🔹 Follow Dr. Thangudu on Instagram: @drartithangudu
🔹 Subscribe to Endocrine Matters Podcast
🔹 Share this episode with a friend, sister, auntie, or cousin — we change outcomes when we change conversations

Perimenopause and menopause affect every woman, yet most are never taught what’s actually happening in their bodies — or how to navigate this transition with confidence and science-based care.

In this powerful solo episode of Endocrine Matters, endocrinologist Dr. Arti Thangudu breaks down what perimenopause and menopause really are, why symptoms go far beyond hot flashes, and how misinformation has harmed women for decades. This episode challenges outdated myths, explains hormone therapy with clarity, and empowers women to take control of their long-term health.

🎧 In this episode, you’ll learn:

✔️ What perimenopause is and why hormone fluctuations cause widespread symptoms
✔️ Why menopause affects every organ system, not just reproduction
✔️ The many recognized symptoms of perimenopause and menopause
✔️ Why symptoms can last 4–14 years (and sometimes longer)
✔️ Why every woman’s menopause experience is different
✔️ The Top 10 myths about menopause and hormone therapy — debunked
✔️ The truth about estrogen, progesterone, heart disease, and breast cancer
✔️ FDA-approved bioidentical hormones vs compounded hormones
✔️ Non-hormonal treatment options for menopause symptoms
✔️ Why early menopause often requires hormone replacement
✔️ Weight gain in menopause: hormones, metabolism, and insulin resistance
✔️ How GLP-1 medications (like semaglutide and tirzepatide) can help — and when they’re appropriate
✔️ Why protein intake + strength training are essential in midlife
✔️ How to protect your bones, brain, heart, and metabolic health after menopause

💡 Key Takeaway:

Menopause is inevitable. Suffering is not.
With the right education, personalized care, and support, menopause can be a powerful and healthy new chapter — not something to “just push through.”

👩‍⚕️ About the Host:

Dr. Arti Thangudu is a board-certified endocrinologist and founder of Complete Medicine, specializing in hormonal health, diabetes, and metabolic care outside the broken traditional healthcare model.

📲 Stay Connected:

🔹 Follow Dr. Thangudu on Instagram: @drartithangudu
🔹 Subscribe to Endocrine Matters Podcast for science-based, empowering conversations
🔹 Share this episode with a woman who needs better menopause education

Come see me in clinic: https://www.sacomplete.com/

Stay connected & explore more:

Sign up for my newsletter: https://www.sacomplete.com/complete-medicine-blog

Listen to my podcast Endocrine Matters: https://www.sacomplete.com/podcast

When Your Premium Jumps 500%: Why Insurance Is Exploding — and the Alternatives No One Is Telling You About

Welcome back to Endocrine Matters. I’m Dr. Arti Thangudu, a board-certified endocrinologist, diabetes and metabolism specialist, lifestyle medicine physician, and founder of Complete Medicine — where I help high-achieving women take control of their metabolic health through personalized, compassionate, and evidence-based care.

In this episode, I’m speaking not just as a physician — but as a small-business owner, employer, and patient — about something that’s terrifying so many right now: skyrocketing health insurance premiums.

Many Americans are seeing their premiums jump 40%, 50%, even 500% as enhanced ACA subsidies expire — leaving individuals and small business owners facing impossible choices.

In this episode, we’ll unpack:

• Why premiums are exploding and who’s being hit hardest
• Where your premium dollars actually go — and why so little reaches real care
• What alternatives exist that can help you protect yourself, your family, and your employees, including:
• • Medical cost sharing (like Sedera) for catastrophic events
• • Direct care and transparent cash pricing for day-to-day healthcare
• • Self-funding strategies for employers that put money back into care — not profits

My goal isn’t to make you an insurance expert — it’s to help you see that you are not powerless. There are real, practical alternatives to the traditional insurance system, and with a little knowledge and courage, you can make them work for you.

Topics Covered:

Introduction: Why insurance costs are exploding

Where your premium dollars really go

How this crisis impacts small businesses and the self-employed

Alternatives: cost sharing, direct care, and self-funding

Becoming a better steward of your healthcare dollars

If you’ve ever opened your renewal and felt your stomach drop — this episode is for you.

You are not crazy. You are not alone. And this is not your fault.

About Dr. Arti Thangudu

Dr. Arti Thangudu is a triple board-certified endocrinologist, diabetes and metabolism specialist, lifestyle medicine physician, and North American Menopause Society Certified Practitioner. She’s the founder of Complete Medicine, a direct specialty care clinic in San Antonio, Texas, where she helps women thrive with metabolic health, hormonal balance, and personalized, compassionate care.

✨ Come see me in clinic:https://www.sacomplete.com/

💌 Sign up for our newsletter:https://www.sacomplete.com/complete-medicine-blog
🎧 Listen to our podcast:https://www.sacomplete.com/podcast

🎙️ Endocrine Matters – Solo Episode: My Journey, The System, The Mission
By: Dr. Arti Thangudu

Hi friends — welcome back to Endocrine Matters.
In this episode, I’m doing something a little different. I’m telling my own story — how I went from a little girl watching her dad survive a heart attack to becoming an endocrinologist and founder of Complete Medicine, a direct-care endocrinology practice changing how metabolic care is delivered.

You’ll hear how I:
💡 Found my passion for people’s stories long before I found medicine
💪 Chose endocrinology for the patients, not the prestige
🔥 Burned out in the traditional system that rewards volume over value
🌱 Built my own practice to restore integrity, time, and compassion in medicine
💻 Discovered that telemedicine isn’t the future of diabetes care — it’s the present
💔 Learned how the system broke (and who it really serves)
💖 And why I believe Direct Care and telemedicine can rebuild trust, access, and outcomes in endocrinology

This is a deeply personal episode — about purpose, moral injury, transformation, and the movement to bring heart and humanity back to medicine.

If you’ve ever felt like the system is broken — or wondered if better care is possible — this one’s for you.

⏱️ CHAPTERS
Intro: My Journey, The System, The Mission
How It All Began (Age 3 and My Family’s Story)
Journalism Major Turned Doctor?!
Why I Walked Away from Surgery
The Traditional Practice That Broke Me
Why Direct Care Saves Medicine
Telemedicine: Not the Future. The Present.
Why Diabetes Care in America Is Failing
The Employer Story That Changed My Life
What Broke the System
Why Direct Care + Telemedicine Are the Future
Closing Thoughts

👩🏽‍⚕️ About Me
I’m Dr. Arti Thangudu — a triple board-certified endocrinologist in diabetes, metabolism, and lifestyle medicine, and a certified menopause practitioner. I founded Complete Medicine to help high-achieving women overcome metabolic challenges like prediabetes, diabetes, thyroid disease, obesity, and menopause through compassionate, evidence-based, and patient-centered care.

If this episode resonated, please like, comment, and share it with someone who needs hope that better care is possible.
Together, we can disrupt what’s broken — and build a healthier, more humane future in medicine. 💫

#EndocrineMatters #DrArtiThangudu #DirectCare #Endocrinology #DiabetesCare #Telemedicine #MetabolicHealth #WomenInMedicine #LifestyleMedicine

In this solo episode, Dr. Arti Thangudu breaks down the sweeping changes in GLP-1 medication pricing—and what these shifts truly mean for patients, clinicians, and the future of metabolic health. With new deals struck between the Trump administration, Eli Lilly, and Novo Nordisk, millions of Americans will soon gain access to medications like Zepbound and Wegovy at significantly lower prices. But behind the headlines lies a complex story of political strategy, pharmaceutical incentives, patient safety, and the ongoing dysfunction of the U.S. drug pricing system.

Arti offers a clear, compassionate, and candid look at how transparent cash pricing could finally bring competition—and lower costs—to the GLP-1 market, why patients must still be cautious about compounded versions, and why safe prescribing is more important than ever as access expands. This episode is a must-listen for anyone navigating metabolic health, obesity treatment, diabetes care, or the realities of a healthcare system undergoing rapid change.

Key Topics Covered

• The details behind the newly announced GLP-1 price reductions
• What $245 Medicare pricing and $299–$499 cash-pay options mean for real patients
• Why pharmaceutical companies benefit from transparent pricing—and why that still benefits patients
• How transparent pricing may finally introduce price competition and drive costs down
• The risks of compounded GLP-1s and why they’re not equivalent to brand-name medications
• How the GLP-1 craze exposed the inner workings of PBMs, inflated list prices, and drug pricing dysfunction
• Why safe, expert prescribing is essential as these drugs become widely accessible
• The impact of social media, aesthetics-driven prescribing, and misuse of GLP-1s
• The political strategy behind pharma–White House deals
• The future of metabolic care as oral GLP-1s and broader access enter the market

Who This Episode Is For

• Patients using or considering GLP-1 medications
• Individuals with obesity, diabetes, prediabetes, PCOS, fatty liver disease, or metabolic syndrome
• Clinicians aiming to understand the evolving GLP-1 landscape
• Employers and health plan leaders evaluating future coverage
• Anyone interested in drug pricing, PBMs, or healthcare policy

Key Takeaways

• Lower GLP-1 prices are significant progress—but still high
• Transparent cash pricing opens the door to true competition
• Safer, regulated brand-name medications should be prioritized over compounded alternatives
• Expanded access must be paired with clinician expertise
• The GLP-1 moment is exposing—and reshaping—the drug pricing system
• Patients deserve care that is safe, evidence-based, and rooted in long-term health

Connect with Dr. Arti Thangudu

• Website: https://www.sacomplete.com/
• HeyHealthy https://www.heyhealthy.com
• Instagram: https://www.instagram.com/drartithangudu
• Endocrine Matters Podcast

Welcome back to Endocrine Matters, the show where we tell the truth about hormonal health, call out the broken systems that keep women from getting the care they deserve, and build a new model of medicine rooted in evidence, empowerment, and human connection.

I’m your host, Dr. Arti Thangudu—endocrinologist, disruptor, and believer that women’s health should never be an afterthought in any exam room, policy discussion, or scientific study.

Today, we’re diving into a topic that deserves every woman’s attention: Alzheimer’s prevention. I’m joined by Barbie Boules, RDN—also known as The Cognition Dietitian—a registered dietitian, speaker, and writer with over 20 years of experience and 1,800 clients served.

Barbie blends rigorous, evidence-based science with deeply practical lifestyle strategies that help women actually change their lives—not just their intentions. She’s developed corporate wellness programs for more than 200 organizations worldwide, mentors future dietitians at Loyola University Chicago, and connects with a thriving global community through her bestselling Substack The Synapse and her influential Instagram platform.

Her mission aligns perfectly with ours at Endocrine Matters: empowering women to protect their brain health through nutrition, movement, sleep, stress mastery, meaningful connection, and purpose-driven living.

In this conversation, we explore:

• What women aren’t being told about Alzheimer’s prevention
• Why the standard care model is failing us
• How midlife creates a “window of opportunity” for brain health
• The link between metabolic resilience, muscle, and cognitive longevity
• Actionable steps women can take now—long before symptoms arise—to safeguard their most vital organ

This is the conversation every woman deserves.

Let’s get into it. 💫

🧠 Conversation Highlights

• The personal story behind Barbie’s mission to protect women’s cognitive health
• The science behind midlife as a pivotal stage for brain resilience
• How nutrition, movement, and lifestyle choices reshape women’s cognitive outcomes
• Rethinking menopause care and prevention through a female-focused lens

👩‍⚕️ About Dr. Arti Thangudu

Dr. Arti Thangudu is a triple board-certified endocrinologist, lifestyle medicine physician, and menopause society certified practitioner. She’s the founder of Complete Medicine, a patient-centered practice empowering high-achieving women to reverse metabolic disease and thrive in midlife and beyond.

Follow her for honest conversations on hormonal health, longevity, and the future of women’s medicine:

Instagram: @drartithangudu

Podcast: Endocrine Matters

✨ Come see me in clinic: SacompleteComplete Medicine | Endocrinology Care and Education

💌 Stay connected:

Sign up for our newsletter → SacompleteBlog | Complete Medicine

Thyroid disease should not be a battlefield — but for millions of people, that’s exactly what it has become.

Patients are exhausted, discouraged, and searching for answers in places they never imagined. And somewhere along the way, endocrinology lost their trust.

I’m Dr. Arti Thangudu, board-certified in Endocrinology, Diabetes & Metabolism, Lifestyle Medicine, and Menopause Society Certified. Today I’m joined by my extraordinary colleagues Dr. Vidhya Illuri and Dr. Munira Mehta, all of us board-certified endocrinologists, to talk openly—and honestly—about why so many thyroid patients are walking away from mainstream medicine, and what it will take to earn their trust back.

We’re diving into:

💔 Why thyroid patients often feel dismissed or unheard

⚖️ How 15-minute, insurance-driven visits shape care (and trust)

🌿 Why alternative and functional medicine feel more validating—even when not evidence-based

💡 The role of social media in shaping who patients see as “experts”

🩺 The dangerous realities we see as endocrinologists: thyrotoxicosis, heart failure, and strokes

🤝 And what collaboration, curiosity, and compassion could look like moving forward

This is not a debate about who’s right.

It’s a conversation about what patients deserve—care that is evidence-based, empathetic, and truly complete.

If you’ve ever felt unheard in your thyroid journey, this episode is for you.

🔔 Subscribe to learn how we’re reimagining thyroid, metabolic, and hormonal health with compassion and science.

Follow me on Instagram → @drartithangudu

🎥 About this episode:
Have you ever seen someone wearing a little sensor on their arm and wondered — should I be using a continuous glucose monitor (CGM) too?

In this episode of Endocrine Matters, Dr. Arti Thangudu, endocrinologist and founder of Complete Medicine, breaks down everything you need to know about CGMs — what they are, who they help, and when they might not be right for you.

You’ll learn:

• What CGMs are and how they work (Dexcom, Freestyle Libre, and new OTC options)
• Why CGMs can be life-changing for people with diabetes and prediabetes
• The biggest pitfalls of using CGMs without proper medical guidance
• What’s normal for glucose patterns after meals, exercise, and sleep
• How to interpret your data wisely — without anxiety or obsession

Dr. Thangudu also discusses the rise of “wellness” companies promoting CGMs to the general public and why this can sometimes backfire — leading to confusion, fear, or even metabolic harm.

If you’re curious about glucose monitoring, data-driven health, or simply want to understand your body better, this episode will empower you with knowledge and balance — not fear.

👩‍⚕️ About Dr. Arti Thangudu:
Dr. Arti Thangudu is a board-certified endocrinologist, diabetes and metabolism specialist, and lifestyle medicine physician. She’s also a Menopause Society Certified Practitioner and founder of Complete Medicine, a direct care practice in San Antonio, Texas.

Dr. Thangudu helps high-achieving women and professionals thrive through personalized, expert-led care for conditions likediabetes, thyroid disease, obesity, and menopause.

Follow her for compassionate, science-based insights on Instagram @drartithangudu, or tune into her podcast Endocrine Matters for real conversations about hormones, metabolism, and modern healthcare.

📚 Chapters:
Intro: Should you be using a CGM?
What is a Continuous Glucose Monitor?
Why I love CGMs for my patients
The pitfalls and common misconceptions
Understanding normal glucose patterns
The current CGM technology landscape
The misuse and misunderstanding trend
Practical advice for CGM users
The bottom line: How to use CGMs wisely

💡 Learn more:

• Complete Medicine: https://www.sacomplete.com/
• Newsletter: https://www.sacomplete.com/complete-medicine-blog
• Podcast: https://www.sacomplete.com/podcast
• Instagram: https://www.instagram.com/drartithangudu

👍 If you found this video helpful, please like, comment, and subscribe — it helps more people find real, expert-led conversations about endocrine and metabolic health.

Because technology is powerful — but only when guided by wisdom. 💙

#CGM #DiabetesCare #MetabolicHealth #Endocrinology

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