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Beyond the Thyroid
Healthy thyroid function is about so much more than the gland. Dana Gibbs, MD will take you into aspects of Thyroid and Hormone management that most doctors miss, so you'll be empowered with up to date science backed facts, hacks, and tips you can use to advocate for your own hormone health, even if you haven't felt well for years.
Beyond the Thyroid
Healing After Loss – Mental Health, Fertility & Thyroid Connection with Dr. Marie Dona
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Episode 39: Healing After Loss – Mental Health, Fertility & Thyroid Connection with Dr. Marie Dona
In this heartfelt episode of Beyond the Thyroid, Dr. Dana Gibbs sits down with Dr. Marie Dona, a triple board-certified reproductive psychiatrist, to discuss the emotional and physiological impact of recurrent pregnancy loss and infertility. Together, they explore the intricate connection between mental health, thyroid balance, and nutrition — and how each plays a critical role in healing and hope.
Dr. Dona shares her compassionate, whole-person approach to care, highlighting how therapy, mindfulness, and medical support can help women navigate loss and rebuild trust in their bodies. The episode also touches on how thyroid dysfunction and hormonal imbalances can silently affect fertility and mental well-being.
🩺 Learn more about Dr. Marie Dona:
Website: Dona Wellness Clinic
Instagram: @donawellnessclinic
Facebook: Dona Wellness Clinic
Youtube: Dona Wellness Clinic
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📲 Follow Dr. Dana Gibbs on the Goodself App!
🩺 Interested in a Discovery Call with Dr. Dana? Click here!
Episode Highlights:
00:00 Introduction to Episode 39
00:15 Meet Dr. Marie Dona: Reproductive Psychiatrist
04:28 Understanding Reproductive Psychiatry
05:34 Mental Health and Recurrent Pregnancy Loss
10:03 Holistic Approaches to Mental Health
11:21 Diet, Nutrition, and Mental Health
16:26 Managing Psychiatric Medications During Pregnancy
19:16 Supporting Women Through Pregnancy Loss
21:09 Where to Find Dr. Marie Dona
21:58 Final Takeaways and Conclusion
Whether you’re a patient, clinician, or supporter, this conversation offers both understanding and empowerment on the path to recovery.
Let's connect! 🔔
Facebook - Consultants In Metabolism
Instagram - @danagibbsms
LinkedIn - Dana Gibbs MD
Tiktok - @dana.gibbs.md
✉️ Email Dr. Gibbs at drgibbs@DanaGibbsMD.com or visit https://www.danagibbsmd.com/ for more information.
Thank you so much for listening! Tune in on the next episode.
The medical information provided in this episode is intended for informational purposes only and should not be construed as medical advice. Always consult a qualified healthcare provider regarding any medical questions or concerns.
Welcome to episode 39. I am so glad you're here for another episode of Beyond the Thyroid. Today we're tackling one of the most heartbreaking challenges that many women face in their lives, which is recurrent pregnancy loss, and it's deep mental health impact. Our guest, Dr. Marie Donna is a reproductive psychiatrist and therapist based in Riverview, Florida. She provides care both in person and virtually across several states, and specializes in perinatal mental health, helping women manage mood disorders, anxiety and depression, through every stage of their reproductive journey. Dr. Donna is triple board certified in adult psychiatry, child and adolescent psychiatry and obesity medicine, and holds perinatal mental health certifications. Dr. Donna is the medical director of the Donna Wellness Clinic in Riverview, Florida. Where they offer telehealth across Florida and beyond. Her practice emphasizes whole person care. She blends lifestyle, medicine, trauma, awareness therapy, medication management, and hormone related mental health support, particularly important for women navigating for fertility, miscarriage, pregnancy loss, and postpartum transitions. In this episode, we'll discuss how pregnancy loss affects mental health and the value of therapy and medication support, and how thyroid health often plays an overlooked role. We'll also discuss the connection between nutrition, mental clarity, emotional balance. So let's get started.
You're listening to the Beyond the Thyroid podcast. I'm your host, Dr. Dana Gibbs. I'm an ENT surgeon and hormone specialist. For years, I struggled with my own unrecognized thyroid problems before and even after I was regularly performing thyroid surgeries. Then, one day, I learned something that turned my health around and opened my eyes to the limits of mainstream medicine in treating more subtle thyroid abnormalities. I spent the next 20 years fine tuning my hormone expertise in disorders like Hashimoto's disease, perimenopause, and stress related illness. Come join me as I share this new approach to hormones that empowers you to take control of your own thyroid and hormone imbalances. Let's dive in.
dana-gibbs-md--she-_1_07-31-2024_111353Hi, Dr. Dona. It's so nice to have you on the podcast. I'm very excited to see you today.
marie-dona--md--she-her-_1_07-31-2024_121353Oh, thank you so much for having me on. I'm excited to be here as well.
dana-gibbs-md--she-_1_07-31-2024_111353Great. So I'm gonna have you introduce yourself. I know I already introduced you in the prologue a little bit, but I'm gonna have you introduce yourself to the audience and kind of give us a, how did you get where you are today?
marie-dona--md--she-her-_1_07-31-2024_121353Sure. So my name is Dr. Marie Donna. I'm a child, youth, adult perinatal psychiatrist. I, have always been interested in mental health and, and wellness from a young age. And then during my, so obviously went to medical school and then, you know, did my clinical rotations and then on my psychiatry rotation in general, I just realized I really loved spending extra time with the patients, getting to know their backstory and their history. And I just kind of felt like it fit for me. And that's just kind of how I knew I was gonna pursue psychiatry long term after that. So I went into psychiatry residency at Albert Einstein in Philadelphia. Then I did additional subspecialty training in child adolescent fellowship at Thomas Jefferson in Philadelphia. And then was still interested in, i'm always interested in pursuing longer, more, more education essentially. Right. So I did more subspecialty training and got my certificate in perinatal psychiatry after that, and obesity medicine training.
dana-gibbs-md--she-_1_07-31-2024_111353Oh wow. That's a lot. How.
marie-dona--md--she-her-_1_07-31-2024_121353Well, it, it was kind of spread out, so, of residency, you can fast track. So I did three years of adult psychiatry, then two years of child adolescent fellowship. And then the the certificates, they did take some time to complete the CME, but those were over the course of like a year for each one. But it was kind of
dana-gibbs-md--she-_1_07-31-2024_111353Oh my goodness.
marie-dona--md--she-her-_1_07-31-2024_121353Yeah.
dana-gibbs-md--she-_1_07-31-2024_111353Wow. That's, that's a lot of, that's a lot of training. Okay, so tell us what a reproductive psychiatrist does and what kind of, what kind of clients you see.
marie-dona--md--she-her-_1_07-31-2024_121353Okay. So, well, for a general psychiatrist, these are people, medical doctors who will manage mental health issues, you know, depression, anxiety, et cetera. But when it comes to reproductive psychiatry, this is more specialized in that they're doctors who are specializing in treating, diagnosing all mental health issues, mood disorders, depression, anxiety and this can happen at any time during a woman's reproductive years. So either pre-planning for conception, actual during pregnancy itself and postpartum, and then say if there are issues like infertility. So this is where reproductive psychiatrist comes along with helping women of reproductive age manage mental health issues.
dana-gibbs-md--she-_1_07-31-2024_111353Okay. Awesome. That's,
marie-dona--md--she-her-_1_07-31-2024_121353I forgot,
dana-gibbs-md--she-_1_07-31-2024_111353that helps a lot.
marie-dona--md--she-her-_1_07-31-2024_121353ask like, so people would come to see me if they are trying to manage mental health issues when they are within any stage of that, like reproductive planning difficulties with conceiving during pregnancy itself, et cetera.
dana-gibbs-md--she-_1_07-31-2024_111353Right. Okay. Well, so the reason I was so excited to talk to you is because most of my patients have Hashimoto's disease or various thyroid problems. And one of the huge issues that folks who, who have those troubles, even if they have quote unquote normal thyroid is recurrent pregnancy loss. And you know, even one pregnancy loss is a devastating event for a woman. But when it's one after the other, after the other, and the doctors have not figured out what's wrong, that's really a huge mental health glow. And I actually wanted to ask you what your approach might end up being with somebody who's facing that kind of a devastating life event or, you know, it's not just a day, it's a prolonged cycle of,"I'm trying, I'm going through infertility treatments. I haven't succeeded, I've lost pregnancy again." So just gimme kind of an overview of what mental health aspects there are with that and how you would help that person.
marie-dona--md--she-her-_1_07-31-2024_121353Yeah, so definitely, and I, I think you described it pretty well, like when it's coming to either infertility or recurrent pregnancy loss, there can be so many things involved, like, as you can imagine, incredibly stressful time period for someone who has been wanting a baby, or even if it was initially unplanned, like still actually trying to have a baby. So anxiety is a huge thing. The unknown. So anxiety is, is essentially unknown, unexpected, like about what's to come. So not knowing."Is this going to, are we ever gonna be able to conceive?" So definitely one thing that can come up a lot with recurrent pregnancy loss, depression. So a lot of feelings of sadness, guilt, shame, like surrounding the repeated miscarriages. And so as a reproductive psychiatrist myself, I'm, you know, a huge advocate for trying to destigmatize miscarriage and recurrent pregnancy loss in general. Just because it's really not a super calm or people aren't as aware as they should be that miscarriage in itself can actually be very common, as low as, as high as like one out five, like 20 to 25% of pregnancies in general can result in miscarriage. So but I feel like unless someone has actually experienced it themselves or has repeated miscarriage, they actually are not aware of that fact. So that's a huge thing I try to emphasize in that it's so unfortunate for when someone actually undergoes a miscarriage that, while it's so unfortunate and so terrible that, they're not alone because it can be really isolating too. When someone goes through a really difficult time such as
dana-gibbs-md--she-_1_07-31-2024_111353Sure. Yeah, I would say that's, you know, huge because it's like you said, you feel shame. You don't talk about it and you don't feel like that,"well, it's not just me." So I'm, I'm sure, you know, I think Facebook maybe has helped because I think there are now actually communities for, for women who have lost pregnancies on the internet, so that's better. But but wow. Yeah. It didn't, it didn't occur to me how alone those ladies might feel. How do you get referred a woman who needs you, and then how do you start with them? How do you start with a workup? And what do you offer them?
marie-dona--md--she-her-_1_07-31-2024_121353So usually referrals will either come from reproductive endocrinologists in the area, obs, so that's where some referral sources would come from. But otherwise, you know, people if they have worked with other psychiatrists that might not specialize in reproductive psychiatry, they might send them my way or, you know, just by searching just because for my information I got on my website or in general I am listed as having specializations in perinatal and reproductive psychiatry. So that's how they would typically end up finding me. And then in terms of assessment. So I like to do very thorough assessments. So, and this is not just with a reproductive psychiatry just because I see patients of all specialty, like adults, children, et cetera. But I am a huge believer in that it's not just you know. Oh, I'm going to prescribe medicines right away. It's just all like general overview of a person, like, you know, their upbringing, kind of what led them into seeing me. You know, if there are medical, like a comorbid, medical issues, ongoing trauma stressors that they've experienced, and then take all of this into account. When it's coming to, okay, what is the best way to treat it from here? And then, so as a psychiatrist, like obviously am specialized in an expert in treating with psychiatric medicines, but I am also a huge believer in like more holistic things like you know, issues with sleep. Like, okay, what are ways to navigate that issues with diet? What are ways to navigate that? Are there stressors in their life that can be mitigated in any sort of way?
dana-gibbs-md--she-_1_07-31-2024_111353Mm-hmm.
marie-dona--md--she-her-_1_07-31-2024_121353also that they have appropriate supports. In place, like whether they're engaging in therapy or open to that and
dana-gibbs-md--she-_1_07-31-2024_111353Mm-hmm.
marie-dona--md--she-her-_1_07-31-2024_121353then having the discussion about medicines.
dana-gibbs-md--she-_1_07-31-2024_111353Do you do any extra thyroid testing on your patients that come? I.
marie-dona--md--she-her-_1_07-31-2024_121353Yeah. So thyroid testing, as you are obviously
dana-gibbs-md--she-_1_07-31-2024_111353You know, for, for the recurrent.
marie-dona--md--she-her-_1_07-31-2024_121353Yeah, it, it's something that they check regularly, you know, not only in recurrent pregnancy loss and, and miscarriages, but then during pregnancy itself, just because it's so vital in, in terms of managing mom or, or baby. So I will say I don't do any specific extra testing, but usually I would obviously advise them to check their thyroid and then, you know, checking in with OB or, you know, if they need to see another specialist for that.
dana-gibbs-md--she-_1_07-31-2024_111353Mm-hmm.
marie-dona--md--she-her-_1_07-31-2024_121353of specifically, but it is
dana-gibbs-md--she-_1_07-31-2024_111353Got it.
marie-dona--md--she-her-_1_07-31-2024_121353where thyroid is definitely an issue. Or something to keep in mind when someone is either having miscarriages or reproductive pregnancy loss in general.
dana-gibbs-md--she-_1_07-31-2024_111353Yeah. Okay. So I know you told me before we were on camera that you also got an obesity medicine certification. And you know, that got me thinking about how connected what you eat and your mood are. And I wonder if you could speak to that just a little bit as far as, you know, and it doesn't just have to do with when you're wanting to have a baby, it's all the time. But can we talk a little bit about mood issues with, with certain diet, new deficiencies or excesses of. Whatever. What, what do you see and what do you recommend?
marie-dona--md--she-her-_1_07-31-2024_121353Yeah, definitely. So again, I like to really go down to the basics when I'm evaluating someone. So I'll usually ask about diet and, and sleep and then, you know, making sure proper support, shelter, like these are basic human necessities and fundamentals. And if one of these fundamentals is out of place or out of whack, it's gonna crumble the entire system, right? So when it
dana-gibbs-md--she-_1_07-31-2024_111353Sure.
marie-dona--md--she-her-_1_07-31-2024_121353to diet, I always recommend. So you know, there are a lot of different recommendations out there in terms of best diet, but whatever is going to be feasible and sustainable for someone to maintain. Just because, you know, diet is something that if people are thinking,"oh, I can do this for two weeks or a month. And this is going to make long lasting changes!" That's not how it works. Like something that is going to work for a person that they're able to incorporate for the rest of their life. So a balanced diet. So there is actually some evidence that more Mediterranean based diets can actually be effective or helpful with the anxiety and depression. And if that works for someone, great, but then, you know, the whole emphasis is more just long, whole foods, unprocessed foods, like, healthy fats, more plant-based. And then I would say, you know, while that's more Mediterranean based, if someone is able to incorporate any of those things and, and, you know, change is hard, so I'll usually tell people, okay, one change at a time just because one change is a lot more easy and, and feasible for someone to accomplish versus multiple, but instead of eating out every single meal. Let's try to eat out once or twice a week, and then trying to manage diet from there, just because, yeah, there's a lot of evidence, like really high saturated, like fatty foods, like greasy foods you know, can make you feel sluggish, feel bloated. All of these things that in turn are just gonna make you not feel good in general. So this is where like healthy, you know, whole foods, unprocessed foods can be helpful. Vitamin D and Vitamin B12 are actual deficiencies that contribute to mental health issues, depression,
dana-gibbs-md--she-_1_07-31-2024_111353about that. You're right.
marie-dona--md--she-her-_1_07-31-2024_121353Yeah. So you know, while there's always supplementation, you know, vitamin D and like other B vitamin they can come from nutrition source. So vitamin D, you know, going outside, but then also in some fish supplements, fortified foods, milk. Right, obviously. So like these, these are things that, and then so many women actually don't recognize that they are vitamin D deficient until they actually get testing done and they're like, oh, I didn't even know. But then, yeah, this is just one of those things that really can contribute to depression, fatigue, et cetera. Not even aware of that can easily be mitigated by taking a supplement or incorporating more of it into their food. So these are things I I ask about specifically.
dana-gibbs-md--she-_1_07-31-2024_111353Fantastic. And you had mentioned that there are some other mental health problems that seem to respond more to a very low carb or almost ketogenic diet. Can you talk about those just a little bit?
marie-dona--md--she-her-_1_07-31-2024_121353Yeah, so there is actually some evidence that ketogenic diets in in particular can help with ADHD and in terms of like improving cognitive functions and, and
dana-gibbs-md--she-_1_07-31-2024_111353Wow.
marie-dona--md--she-her-_1_07-31-2024_121353yeah. So, that, that is one thing. So this is where it, not sure if it would necessarily be recommended, like if someone is already eating a certain way during pregnancy, I wouldn't recommend to completely overhaul their diet. But like, you know potentially incorporating some of the things outside of pregnancy or like in general, if someone is having trouble focusing and they're making all these changes in their life, but taking medicines. But you know, I, I think that this is where it could be potentially worth it to try a ketogenic diet and see if it's something that helps actually improve focus, mental clarity, just because that is something, so there's some evidence about it, but I've even seen it within some of my patients as well too, that they just feel like they have better ability in terms of focusing and mental clarity when they're actually reducing some of the higher carbohydrate, dense foods within their diet. Oh, and like a
dana-gibbs-md--she-_1_07-31-2024_111353Interesting.
marie-dona--md--she-her-_1_07-31-2024_121353For ADHD in itself, like, the red dye, like a red
dana-gibbs-md--she-_1_07-31-2024_111353red dye. Yeah.
marie-dona--md--she-her-_1_07-31-2024_121353like gelatin, like so many, it's like a additive that's added to so many foods that so many people aren't aware of. But
dana-gibbs-md--she-_1_07-31-2024_111353Right.
marie-dona--md--she-her-_1_07-31-2024_121353there, there's like a, a whole lot of evidence about red dye being contributing to ADHD or, or problems with distract
dana-gibbs-md--she-_1_07-31-2024_111353Wow.
marie-dona--md--she-her-_1_07-31-2024_121353in itself. So that's something that I would tell people to be aware of as to.
dana-gibbs-md--she-_1_07-31-2024_111353Yeah. I've had patients who had red dye in medications and the medication was actually perpetuating their mental health issues because it was bothering them so much. So that's very interesting. What about, okay, so say a person has a psychiatric diagnosis. Say they have depression already and they wanna get pregnant, or they find out they are pregnant and they come to you because they've been told that they have to stop all their medicines. How do you help that person?
marie-dona--md--she-her-_1_07-31-2024_121353Yeah, so that is something that someone would come to me pretty commonly, like having specialization in reproductive and perinatal psychiatry just because there are a you know, a decent amount of psychiatrists or, or PCPs that, you know, aren't feeling as comfortable with these medicines when it's coming to actual someone being pregnant or trying to conceive. But with that said, there is a lot of evidence that when someone is stable on a medicine. So this is, you know, take keeping into consideration there are teratogenic medicines. So when I say teratogenic medicines, you know, ones that are actually known to cause birth defects. Like,
dana-gibbs-md--she-_1_07-31-2024_111353Mm-hmm.
marie-dona--md--she-her-_1_07-31-2024_121353some examples Depakote with VePro acid. You know, there are medicines that we know for sure if someone is trying to get pregnant or actually pregnant, we should stop. So those
dana-gibbs-md--she-_1_07-31-2024_111353Okay.
marie-dona--md--she-her-_1_07-31-2024_121353in general, most psychiatric
dana-gibbs-md--she-_1_07-31-2024_111353So that list is,
marie-dona--md--she-her-_1_07-31-2024_121353Oh,
dana-gibbs-md--she-_1_07-31-2024_111353that list is pretty small though, right? That list of, of the actual teratogens? Pretty small.
marie-dona--md--she-her-_1_07-31-2024_121353yeah. Yeah, so they're kind of fewer and farther in between,
dana-gibbs-md--she-_1_07-31-2024_111353Mm-hmm.
marie-dona--md--she-her-_1_07-31-2024_121353those medicines aside specifically, like if someone has been maintained and relatively stable on a psychiatric medicine from a perinatal psychiatry perspective, our go-to would be to continue that
dana-gibbs-md--she-_1_07-31-2024_111353Mm. Okay.
marie-dona--md--she-her-_1_07-31-2024_121353it has maintained stability. Because while there, there might be a little bit more mixed bag in terms of evidence for, okay, we know for sure that this is something that happens during pregnancy. There is a ton more evidence that unstable mood anxiety, depression, et cetera during pregnancy and postpartum is going to have way more of a detrimental effect on a mom and a baby versus just continuing the medicine like the SSRI or whatever
dana-gibbs-md--she-_1_07-31-2024_111353Right. Well, I mean, pregnancy is mentally hard enough. I mean, I'm just, you know, it's been a while for me, but I'm remembering back to, you know, just crying for no reason and all the things. And it's just like, you know, and I was not diagnosed with a psychiatric diagnosis while I was pregnant, but I sure did feel unstable. I can remember that pretty well. So.
marie-dona--md--she-her-_1_07-31-2024_121353And it can also be scary too, like so because of increased blood volume distribution, a lot of times we might actually have to increase some of these medicines, especially in the third trimester, but this is where when someone is pregnant and taking these medications, it's really important for them to be checking in regularly with their psychiatrist or reproductive psychiatrist, just
dana-gibbs-md--she-_1_07-31-2024_111353Yeah.
marie-dona--md--she-her-_1_07-31-2024_121353on track. Okay.
dana-gibbs-md--she-_1_07-31-2024_111353Okay. So we are getting close to the end, but talk to me a little bit specifically about how you would support someone who has lost multiple pregnancies.
marie-dona--md--she-her-_1_07-31-2024_121353Yeah. Okay. So recurrent pregnancy loss is extraordinarily difficult. But for how I would you know, advise someone to manage that is, you know, multifold. So you know, if they're needing more support, like seeing the psychiatrist for medicines, you know, that's obviously something I would recommend. But then also, you know, so I'm a psychiatrist prescribing medicines, but I'm also a huge advocate for behavioral interventions therapy, like being able to talk with someone about what they're going through to be able to manage it regardless of medicines or not. Because I'll say, you know, while I do prescribe medicines, there are, you know, some patients, women, who are still more cautious about taking medicines in general, and that's completely fine too, but okay, you're struggling through something incredibly difficult. You should try to support yourself as best as you can by talking with someone and making sure that they do have adequate supports outside of, you know, potential therapy, friends, family, board, and also knowing that they are not alone in, in their difficulties. And that know, there, there's nothing wrong with reaching out for support if they need it.
dana-gibbs-md--she-_1_07-31-2024_111353Yeah. Are there particular therapist that you work with, or do you do some of the therapy yourself? Talk to me about that. Just.
marie-dona--md--she-her-_1_07-31-2024_121353Yeah, so I, I'm a somewhat of anomaly. Some psychiatrists do therapy, but a lot of them don't. But I'm just someone who enjoys doing both medicine and therapeutic behavior, the therapeutic management. But if my caseload is too big or it's not kind of aligning with their schedule, then there are specific therapists that I could refer to for someone who is pregnant or within the reproductive or perinatal stage.
dana-gibbs-md--she-_1_07-31-2024_111353Okay, so you have specific folks. All right, so just as we're gonna fold, first of all, talk to me about where people can find you.
marie-dona--md--she-her-_1_07-31-2024_121353Okay. So I do have a physical location in Riverview, Florida, which is right outside of Tampa, but I am licensed throughout the whole state of Florida, Pennsylvania, New York, and Washington, DC. So I'm able to see people virtually throughout all of those districts and states.
dana-gibbs-md--she-_1_07-31-2024_111353Mm-hmm. And are you on the socials or do you have a website? Tell.
marie-dona--md--she-her-_1_07-31-2024_121353Yeah, so on a few socials, but my website is Donna Wellness Clinic, D-O-N-A-W-E-L-L-N-E-S-S clinic.com. And then my Facebook is Donna Wellness Clinic, and then Instagram is Donna Wellness Clinic too. So all the, my clinic name.
dana-gibbs-md--she-_1_07-31-2024_111353Awesome. That is great. Okay, so do you have, if you could say just one final takeaway to my folks with their hypothyroidism and their potentially difficulty getting pregnant or get difficulty staying pregnant. What's kind of one overarching takeaway that you could say for those folks before we sign off?
marie-dona--md--she-her-_1_07-31-2024_121353Got it. Okay. Yeah, so I would definitely say, you know, recurrent pregnancy loss and miscarriages are, you know, definitely something difficult for someone to experience, but understanding that you are not alone, that there are people out there who are willing and able to help you, like such as yourself, able to, you know, do different types of testing just because Yeah, thyroid. So there are a few causes for recurrent pregnancy loss that are currently being explored. A lot of them are genetic chromosomal, but kind of right after that is potentially thyroid issues. And then, yeah, while testing might come back normal, I think with what you're doing, you know, just kind of making sure that everything is covered within that thyroid basis would be helpful for that too. But also knowing, exploring that there are options out there to try to uncover if there is a cause too, why they're
dana-gibbs-md--she-_1_07-31-2024_111353Mm-hmm.
marie-dona--md--she-her-_1_07-31-2024_121353miscarriages.
dana-gibbs-md--she-_1_07-31-2024_111353Mm-hmm.
marie-dona--md--she-her-_1_07-31-2024_121353and that there's always gonna be a support, whether it is medical wise or if they're needing health from the mental health perspective to help them go through like such an incredibly difficult time.
dana-gibbs-md--she-_1_07-31-2024_111353Okay. All right. Well thank you very, very much for being here. I've enjoyed it a lot. And I can't wait for us to talk again really soon.
marie-dona--md--she-her-_1_07-31-2024_121353Hi. Great. Thank you so much for having me.
dana-gibbs-md--she-_1_07-31-2024_111353You're welcome. Take care.
Thank you for listening to this episode of Beyond the Thyroid. If you found this information valuable, it would mean so much to me to take a few seconds and give the podcast a five star review. It helps other people who need this information find the show and it's really easy. Just search and click on the name of the show, Beyond the Thyroid, and scroll to the bottom to ratings and reviews. I truly do read and appreciate. Remember, when it comes to hormones, there will always be more to discover, so follow the show so you get the next episode as soon as it's released. And if you or someone you care about needs a caring doctor to help figure out how to heal hormone problems that other doctors have dismissed, check out my website at www. danagibbsmd. com. And if you're not a physician, please keep in mind, while I'm a doctor, I'm not your doctor. The content of this podcast is my opinion and it's for educational and entertainment purposes only. This is not meant to be individual medical advice and you should consult your own physician for any medical issues or diagnoses that you may have. I look forward to continuing this journey with you beyond the thyroid.