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/

Today's Sponsors:

Montana Knife Company:

https://www.montanaknifecompany.com

Brunt:

For a limited time, our listeners get $10 off at BRUNT when you use code "clearedhot" at checkout. Just head to https://www.bruntworkwear.com

The Army just raised their max enlistment age to 42. I don't know exactly why, but I'd like to. I'm hearing from a lot of people who were considering joining and are now hesitating — and when the rest of the world's allies are saying they don't want to get involved, that tells you something about the moment we're in. This isn't post-9/11. The lines around the block at recruiting stations aren't there right now.

We also dig into the big one this week — what's the purpose of life when it's full of struggle and sacrifice? A listener lost his dad at 61. Never made it to retirement. I don't pretend to have the answer locked down, but I'll tell you this: my dad is retired and bored out of his mind. And my sister sat with hundreds of dying people in hospice — none of them wished for more stuff. Every single one wished for more time.

Then we close on negative self-talk and why "if a pro can make the shot, why can't I" is one of the worst things you can say to yourself. Not everybody is created equal. That's not pessimism — it's the truth. And the sooner you stop measuring yourself against the best in the world and start measuring against your former self, the sooner you'll actually enjoy what you're doing.

Enjoy

Today's Sponsors:

Ridge:

For a limited time, our listeners get 10% off at Ridge by using code "clearedhot" at checkout. Just head to https://www.Ridge.com and use code "clearedhot" and you're all set.

Helix:

Go to https://www.helixsleep.com/CLEAREDHOT for 20% off sitewide!

Travis Pastrana is a 17-time X Games gold medalist, multi-discipline motorsport champion, and the founder of Nitro Circus. He grew up in a Maryland construction family steeped in military service and contact sports, won his first outdoor national championship at 16, bought a house the same year, and has spent the decades since competing in everything from supercross to rally to NASCAR to base jumping. He has had two knee replacements, a hip replacement, over 30 concussions, and once turned 40 fractures across seven bones in his foot into dust on an X Games landing.

We got into what it actually means to make decisions at speed — treating cliffs and trees like traffic cones when everyone else backs off. His Daytona 500 run. The NASCAR race where every teammate crashed out and his daughter read him the riot act for finishing 15th. What happened when a group from a certain Army unit showed up at his place and every single one of them landed a backflip on a dirt bike within two tries. The concussion research that found his brain operates differently than most. His seven-year-old daughter telling him she doesn't want to be the best at anything because the people chasing greatness don't seem happy. And the massive open-air wind tunnel he bought from a Mission Impossible set that he can't afford to power.

Join the Cleared Hot Mailing List: https://www.clearedhotpodcast.com

Pick up a copy of Drownproof: https://www.clearedhotpodcast.com/book

Today's Sponsors:

Black Rifle Coffee:

https://www.blackriflecoffee.com

Firecracker Farm:

https://www.firecracker.farm