Couch Talk W/ Dr. Anna Cabeca

Hormonal shifts in perimenopause and menopause can do more than throw off your cycle—they can actually stir up inflammation, spark strange symptoms, and even trigger immune responses that leave you wondering, what is going on with my body? If you've ever felt like your symptoms don’t quite “fit in a box,” this conversation is for you. I sit down with Dr. Tania Dempsey—a brilliant MD and expert in complex, multi-system diseases—to talk about Mast Cell Activation Syndrome (MCAS), why it’s often missed in women, and how hormones can play a huge role in triggering it. This episode connects the dots between your immune system, your hormones, and all those mystery symptoms no one’s been able to explain. Dr. Tania breaks it down—how mast cells work, what happens when they go rogue, and why midlife women are seeing a rise in things like histamine intolerance, inflammation, and post-viral flare-ups (yes, COVID included). She shares what to look out for, what testing often misses, and how therapies like low-dose naltre