Guides
Women's Health Guides
In-depth, sourced guides on the topics women ask Dr. McCully about most.
The Complete Guide to Each Service
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Complete guide
Bioidentical Hormone Therapy: The Complete Guide
Bioidentical hormone therapy explained: estradiol, progesterone, FDA-approved vs compounded, the 2025 FDA label change, risks and timing.
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Complete guide
Chronic Fatigue: The Complete Guide
Chronic fatigue explained: why women feel exhausted, the patterns that point to a cause, the tests that find it, and how ME/CFS differs.
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Complete guide
Chronic Inflammation and Pain: The Complete Guide
Chronic pain and inflammation explained: the drivers behind joint, nerve and back pain, the blood tests that find them and treatments that work.
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Complete guide
Hypothyroidism: The Complete Guide
Hypothyroidism explained: symptoms in women, Hashimoto's, why a normal TSH misses some cases, the full thyroid panel, and treatment options.
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Complete guide
MCG Heart Scan: The Complete Guide
The MCG heart scan explained: what the 10-minute resting test measures, who it suits, how it compares with EKG and calcium scoring, and its evidence.
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Complete guide
Natural Fertility Support: The Complete Guide
Natural fertility support explained: when to seek help, PCOS, thyroid and blood sugar, male factor, fertility tests and preparing to conceive.
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Complete guide
Perimenopause and Menopause: The Complete Guide
Perimenopause and menopause explained: stages, symptoms, why normal labs miss the picture, testing, hormone therapy timing, and long-term health.
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Complete guide
Weight Loss Resistance: The Complete Guide
Weight loss resistance explained: insulin resistance, metabolic adaptation, thyroid, sleep and food quality, the tests that find them and what works.
Getting Started
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Getting Started
Naturopathic Doctors
What a licensed naturopathic doctor is: training, board exams, California scope, how NDs differ from other practitioners, and how to choose one.
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Getting Started
Normal Labs but Still Feel Sick
Why blood work comes back normal when symptoms persist: how reference ranges work, what standard panels leave out, and what a fuller evaluation adds.
Menopause and Hormones
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Menopause and Hormones
Brain Fog in Perimenopause and Menopause
Perimenopause and menopause brain fog explained: what changes in memory, how it differs from dementia, the conditions that mimic it, and what helps.
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Menopause and Hormones
Hot Flashes and Night Sweats
Hot flashes and night sweats explained: why they happen, how long they last, what triggers them, heart-health links, and treatments rated by evidence.
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Menopause and Hormones
Menopause and Sleep
Why sleep breaks down in perimenopause and menopause: night sweats, blood sugar, sleep apnea and 3 a.m. waking, and how each cause is treated.
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Menopause and Hormones
Menopause Weight Gain
Why weight and belly fat change in perimenopause and menopause: body composition, insulin resistance, muscle loss and sleep, and what changes them.
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Menopause and Hormones
Perimenopause Lab Testing
Which blood tests matter in perimenopause: what FSH and AMH show and miss, and the thyroid, insulin, iron and lipid markers that explain symptoms.
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Menopause and Hormones
Stress, Cortisol and Menopause
How cortisol and stress interact with perimenopause and menopause, what the evidence says about adrenal fatigue and cortisol tests, and what helps.
Thyroid
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Thyroid
Subclinical Hypothyroidism
Subclinical hypothyroidism explained: borderline TSH, hidden symptoms, conditions that mimic low thyroid, progression risk and when treatment helps.
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Thyroid
Thyroid Medication
Thyroid medication compared: levothyroxine, liothyronine, combination therapy and desiccated thyroid, plus absorption, dosing and FDA status.
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Thyroid
Thyroid Panel
What a complete thyroid panel measures: TSH, free and total T4 and T3, reverse T3, T3 uptake and antibodies, plus test-day pitfalls like biotin.
Energy and Fatigue
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Energy and Fatigue
Emotional Fatigue
Emotional fatigue explained: burnout, depression, people-pleasing, decision load and vigilance, how they drain energy, and what restores it.
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Energy and Fatigue
Nutrient Deficiencies and Fatigue
The deficiencies behind fatigue: low iron before anemia, B12, vitamin D and dehydration, who is at risk, how each is tested and how long it takes.
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Energy and Fatigue
Sleep and Energy
How sleep drives daytime energy: sleep need, sleep debt, body clock timing, caffeine, alcohol, sleep apnea and insomnia, and what restores sleep.
Metabolism and Weight
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Metabolism and Weight
Blood Sugar and Energy
How blood sugar swings drive energy crashes, cravings and night waking, what a CGM reveals, and the meal patterns that keep glucose steady.
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Metabolism and Weight
GLP-1 Medications
GLP-1 medications explained: how semaglutide and tirzepatide work, trial results, side effects, muscle loss and what happens after stopping.
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Metabolism and Weight
Hunger and Mindful Eating
Hunger and mindful eating explained: the six kinds of hunger, why cravings hit, emotional eating, eating speed and how awareness replaces willpower.
Gut, Immunity and Environment
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Gut, Immunity and Environment
Everyday Toxins: Mold, Plastics, Water and Detox, The Complete Guide
Everyday toxins explained: indoor air and mold, microplastics, endocrine disruptors, PFAS in water, how the body clears toxins and what detox misses.
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Gut, Immunity and Environment
Gut Health, Bloating and Food Sensitivities
Gut health explained: causes of bloating, food allergy vs intolerance vs sensitivity, celiac and stool testing, red flags and what helps the gut heal.
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Gut, Immunity and Environment
Immune Health: Colds, Flu and Allergies, The Complete Guide
Immune health explained: why some people catch every cold, how sleep, vitamin D and stress shape defenses, and why allergy seasons keep getting worse.