Itchy and Bitchy

Itchy and Bitchy

Nurse practitioner Karen Nickell discusses the realities of menopause and the female midlife in a way that is both informative and fun. Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

Episodes

July 5, 2025 24 mins
Karen shares potentially life-saving advice for staying safe in extreme heat as record-breaking temperatures sweep across the country. She explains how heat exhaustion and heat stroke develop, how to recognize early warning signs, and what to do if you or someone else is affected.

Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.
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Karen unpacks the hype surrounding methylene blue, a vivid cobalt dye that's gained popularity as a trendy wellness supplement. From its historical use as a textile dye and medical treatment to modern claims about boosting brain power, energy, and longevity, Karen breaks down what the science actually says—and what it doesn’t. With potential risks ranging from drug interactions to serotonin toxicity, she urges listeners to think tw...
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Karen breaks down the growing trend of face taping as a non-invasive approach to reducing wrinkles and lifting sagging skin. She explains the difference between aesthetic taping for red carpet-ready lift and overnight wrinkle patches like Frownies that aim to retrain facial muscles. Karen walks listeners through product options, techniques, and safety tips—while sharing her own experiences (and her mom’s timeless advice) about figh...
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May 24, 2025 18 mins
Karen breaks down the benefits of precursor hormones—specifically pregnenolone and DHEA—for those who struggle with traditional hormone replacement therapy. She explains how these naturally occurring compounds support the production of estrogen, progesterone, and testosterone, and how they may offer relief from symptoms like brain fog, fatigue, sleep disturbances, and low libido.

Visit our website itchyandbitchy.com to read blog pos...
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Karen addresses the troubling rise in early-onset cancers among adults under 50, particularly women. Drawing on the latest research, she discusses contributing factors—from delayed screenings and family history to gut health, environmental exposures, and systemic inflammation. Karen also highlights how current healthcare gaps, lifestyle factors, and even prenatal influences may be playing a role in this growing health crisis.

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April 26, 2025 41 mins
Karen welcomes Donna White, a leading expert in bioidentical hormone replacement therapy (BHRT) with over 30 years of experience. They discuss the myths and truths about hormone therapy, the critical role of proper testing and individualized treatment plans, and how BHRT can drastically improve quality of life for women in menopause and beyond. Donna shares her personal journey with hormonal imbalance, her mission to train provider...
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April 12, 2025 31 mins
Karen unpacks the surprising connection between hormones and the human voice—especially for singers. Drawing from her dual background in opera and medicine, she explains how hormonal shifts throughout the menstrual cycle can impact vocal quality, flexibility, and range.

Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.
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Karen shares how a friend's breast cancer diagnosis became a powerful example of self-advocacy in action. From discovering she didn’t need chemotherapy after requesting additional testing, to researching scalp cooling treatments and skin protection during radiation, this story highlights how knowledge and persistence can lead to better care. 

Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered ...
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March 15, 2025 20 mins
Karen shares a powerful listener story about self-advocacy in healthcare and how trusting your instincts can be lifesaving. After experiencing persistent symptoms that were initially dismissed by a doctor, this listener took charge of her health, sought a second opinion, and ultimately discovered a serious diagnosis.

Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.
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March 1, 2025 15 mins
Karen continues her discussion on HPV, focusing on the types of cancers it can cause and the best prevention methods. She breaks down the staggering statistics on HPV-related cancers, explains why the virus can remain dormant for decades, and highlights the importance of screening and early detection.

Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.
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February 22, 2025 15 mins
Karen unpacks the risks of HPV for women in their perimenopausal and menopausal years. She explains how the virus spreads, why it can re-emerge decades after initial exposure, and how hormonal and immune system changes impact its persistence.

Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.
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February 15, 2025 18 mins
Karen explores the importance of iodine and how its deficiency can impact overall health. She discusses the essential role iodine plays in thyroid function, metabolism, and cognitive development, particularly in pregnant women. Karen explains why iodine deficiency is on the rise, how to test for it, and the best ways to ensure adequate intake through diet and supplements.

Visit our website itchyandbitchy.com to read blog posts on th...
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February 1, 2025 12 mins
Karen explores the potential of UTI vaccines as an alternative to antibiotics for treating recurrent urinary tract infections. She explains how UTIs develop, why traditional antibiotic treatments often fail, and how vaccines work to boost the body's immune response.

Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.
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Karen examines the use of kava supplements, exploring their potential benefits for anxiety and their serious risks, including liver toxicity. She highlights key studies on kava's effectiveness, explains its traditional use, and warns of its interactions with medications. She also shares a list of alternative supplements that have been shown to help with anxiety and depression without the significant risks associated with kava. 

Visi...
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January 4, 2025 13 mins
Karen kicks off 2025 by examining the science behind New Year's resolutions. She explores why we make them, who is most likely to set goals for the new year, and the reasons resolutions often fail. She also shares practical tips for improving success rates, such as setting small, meaningful goals, using habit trackers, and practicing self-compassion after setbacks.

Visit our website itchyandbitchy.com to read blog posts on the many ...
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December 21, 2024 10 mins
Karen settles the great debate: should you sleep with or without underwear? She explores the health benefits and potential drawbacks of both choices. From reducing the risk of infections to promoting vaginal health, she provides research-backed insights to help you make the best decision for your body.

Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.
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Karen discusses the dangers of cold-related illnesses and how to stay safe during the winter months. She explains the causes, symptoms, and prevention strategies for conditions such as hypothermia, frostbite, chillblains, and trench foot. Learn practical tips for dressing warmly, avoiding prolonged exposure to cold, and recognizing early warning signs of these conditions to prevent severe complications.

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November 23, 2024 19 mins
Karen addresses bacterial vaginosis (BV), a common vaginal infection that affects many women. She explains its symptoms, causes, and risk factors, while offering practical solutions for both treatment and prevention. From prescription antibiotics to boric acid suppositories and probiotics, Karen shares a comprehensive approach to managing recurrent BV.

Visit our website itchyandbitchy.com to read blog posts on the many topics we hav...
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November 9, 2024 17 mins
Karen shares a collection of grounding techniques to help listeners manage stress, anxiety, and negative emotions.

Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.
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Karen sheds light on iron deficiency anemia, covering its causes, symptoms, and treatment options. She explains the stages of anemia development, common risk factors, and how to recognize signs like fatigue, pale skin, and brittle nails.

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