The Biggest Lie Women Were Told | Casey Stumpf | Ep. 440

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Society & Culture

4.9 • 11.2K Ratings

🗓️ 6 April 2026

⏱️ 135 minutes

🔗️ Recording | iTunes | RSS

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Summary

Casey Stumpf is a nurse practitioner with 18 years of clinical experience spanning emergency medicine, military family health at Camp Pendleton, hospice care, and hormonal optimization. She holds a Menopause Society Certified Provider credential and a bachelor's in dietetics from UC Davis. She now runs a practice in California focused exclusively on perimenopause, menopause, and hormonal health for both men and women.

In 2002, a study got published before the researchers finished reviewing it. The media ran with one conclusion: estrogen causes cancer. For the next two decades, women were stripped of hormone therapy and told to white knuckle through the worst years of their lives. That same study actually showed women on estrogen alone had 18% less breast cancer. Nobody reported that part. Casey walks through exactly what happened, why the data was misread, and what six decades of fear have cost 75 million American women — only 5% of whom are on hormones today.

We get into the real mechanics of what perimenopause does to the brain and body, why testosterone is her favorite hormone for women, the connection between untreated menopause and Alzheimer's, hip fractures, heart disease, and divorce. She talks about sitting bedside through hundreds of hospice deaths and how that shaped everything she does now. We talk about our mom's end-of-life letter, our dad's refusal to age gracefully, and what it means to build your 80-year-old self in midlife.

https://theradiantwelltality.com/

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Transcript

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0:00.0	Okay, got the red smoke.
0:02.5	Gun runs. North and south. West of the smoke. West of the smoke. Okay, copy. West of the smoke. I'm looking at danger close now. Come on winter, baby. Give it to me. I need it. You're cleared hot. Copy, cleared hot. Oh, I get to start it? Yeah, we're already going. Okay. I personally think you should start a little bit of your medical history and bring people up to speed on how you got into this. Yeah. What is this field called? Don't die? Don't die? What do you mean? The opposite of what our father is doing right now, slowly decaying into the oblivion and the abyss
0:38.6	through well he also thought he was going to be here i'm sorry yeah while we were recording this
0:46.7	he thought he would be here yeah because one of the questions was like please talk about your dad
0:50.3	when he was in the hospital and handed you a ton of cash yeah that's when's when he got the BWI. And for people who don't know that that means that's biking while intoxicated, which he didn't tell my mom about, which didn't it translate over to a DUI? If he would have been. The judge didn't hold that up, but yes, it could have. And mom opened the letter on that one, right?
1:10.9	The summons, if you will. I don't know how it went down. But I said, well, why do you think you're going to be there? Well, we have a lot of stories and I can talk about my menopause. I'm like, what? He said, everything you're saying deeply checks out. His menopause? Yeah, I said, now I men go through manopause.
1:29.9	The technical term is andropause, but manopause to me sounds much better. But he's like, yeah, my menopause and my blood flow issues. I'm like, no one wants to hear about your bedroom blood flow issues. No. No, he described it on the show, though, actually. He said there was morning wood and now he has kindling.
1:45.6	Yeah, so he wanted to come on and discuss his experience.
1:49.1	Maybe he was going to give a patient feedback.
1:52.4	Yeah, I'll use my phone because the laptop is an odd experience.
1:55.3	Yeah, whatever.
2:06.6	As discussed this morning, he's decided to enter end of life care he wasn't there for this conversation but it's time for him to make his transition yeah yeah i think you should
2:11.8	start with how you got into this in the first place. What is the field called hormonal optimization?
2:19.3	Well, it could be a lot of things.
2:21.7	So I am a menopause certified provider.
2:25.3	Menopause certified provider.
2:27.2	MCP.
2:28.1	MNNapause Society certified provider.
2:31.2	We got to work on that.
2:32.3	Yeah.
2:32.8	They just changed too.
2:37.4	So 18 years practicing as a nurse practitioner started my career in the ER, actually worked at the hospital where a dad had his
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