This episode explores the rising trend of teen boys using substances like SARMs, steroids, and peptides to enhance their appearance rapidly. Dr. Waldman discusses where they get these substances, the risks involved, and how parents can recognize warning signs and start important conversations.

00:00The Looksmaxxing Trap: What Teen Boys Are Secretly Taking to Build Muscle, Burn Fat, and Change Their Bodies

02:27Understanding SARMs and Their Effects

05:15The Risks of Steroid Use

07:45The Dangers of Stacking Substances

10:24Peptides: A Growing Trend

12:58Recognizing Red Flags and Starting Conversations

Medical Disclaimer:

The information shared on The Endo Kids Podcast is for educational purposes only and does not constitute medical advice. Listening to this podcast does not establish a doctor-patient relationship. Please consult your child’s healthcare provider for personalized medical guidance.

Dr. Rinku Mehra and Dr. Lindsey Waldman of the Endo Kids Podcast explain congenital adrenal hyperplasia (CAH), focusing on classic CAH due to 21-hydroxylase deficiency. They review how CAH is often detected through an abnormal newborn screen and confirmed with bloodwork (including 17-hydroxyprogesterone) and electrolytes, sometimes with genetic testing. They describe CAH as a genetic condition causing low cortisol (and sometimes low aldosterone) with excess androgens, which can lead to salt-wasting, dehydration, vomiting, and ambiguous genitalia in girls while boys may appear normal. They also discuss non-classic CAH presenting later with early puberty signs, acne, excess hair, or irregular periods. Management includes replacing missing hormones with hydrocortisone, sometimes fludrocortisone and salt supplements, monitoring growth, labs, and bone age, and using stress-dose steroids during significant illness or injury.

00:00 Welcome to Endo Kids

01:06 Episode Topic CAH

01:25 Newborn Screen Call

03:04 What Is CAH

05:02 Why It Happens

06:37 Types and Severity

08:21 Symptoms and Signs

10:13 Testing and Diagnosis

11:42 Treatment Basics

12:49 Follow Up and Monitoring

13:21 Stress Dosing Plan

15:01 Living Well With CAH

16:22 Wrap Up and Resources

Medical Disclaimer:

The information shared on The Endo Kids Podcast is for educational purposes only and does not constitute medical advice. Listening to this podcast does not establish a doctor-patient relationship. Please consult your child’s healthcare provider for personalized medical guidance.

Dr. Rinku Mehra and Dr. Lindsey Waldman of the Endo Kids Podcast explain what growth hormone is, how it works through IGF-1, and why it affects more than height, including bone, muscle, fat metabolism, and energy. They stress that growth is a pattern over time and that “wait and see” can cost valuable time, so families should track accurate measurements, growth velocity, and consider bone age X-rays and labs when concerned. They review FDA-approved indications for treatment, including growth hormone deficiency, Turner syndrome, chronic kidney disease, being small for gestational age without catch-up by age 2, and select cases of idiopathic short stature. They describe daily vs weekly injections, insurance considerations, monitoring with periodic bloodwork and annual bone age, potential side effects (site reactions, headaches, hip/joint pain, increased intracranial pressure, blood sugar changes, rare scoliosis), and note growth hormone is not helpful once growth plates are closed.

00:00 Welcome to Endo Kids

00:55 Today’s Topic Growth Hormone

01:36 Why Timing Matters

02:23 How Growth Hormone Works

04:34 Who Actually Needs It

07:23 Tracking Growth the Right Way

10:28 How Treatment Is Given

12:32 Daily vs Weekly Shots

14:03 Side Effects and Monitoring

19:11 Key Questions Before Starting

20:05 When It’s Too Late to Grow

22:40 Wrap Up and Resources

Medical Disclaimer:The information shared on The Endo Kids Podcast is for educational purposes only and does not constitute medical advice. Listening to this podcast does not establish a doctor-patient relationship. Please consult your child’s healthcare provider for personalized medical guidance.

Dr. Rinku Mehra and Dr. Lindsey Waldman discuss pediatric bone health, explaining that bones are metabolically active and shaped by osteoblasts, osteoclasts, and osteocytes, with growth plates driving length until estrogen closes them in puberty. They emphasize peak bone mass, noting 40–60% is built in adolescence and ~90% by late adolescence/early adulthood. Practical guidance includes age-based calcium needs (1–3: 700 mg/day; 4–8: 1,000 mg/day; 9–18: 1,300 mg/day) spread throughout the day, calcium-rich foods (milk, yogurt, cheese, fortified plant milks, calcium-set tofu, leafy greens), and vitamin D (~600 IU/day) from sunlight, fortified foods, fatty fish, or supplements. They highlight weight-bearing/high-impact activity for bone density, key hormones (GH/IGF-1, estrogen, testosterone), risk factors (celiac, IBD, arthritis, kidney disease, long-term steroids, some anti-seizure meds), evaluation considerations (fracture history, growth, DEXA interpreted with pediatric norms), and red flags such as multiple long-bone fractures or vertebral fractures.

00:00 Welcome to Endo Kids

01:40 Bones as Living Tissue

02:54 Growth Plates and Peak Bone

04:25 Calcium Needs and Foods

06:42 Vitamin D and Key Nutrients

08:14 Exercise That Builds Bone

09:34 Hormones and Bone Health

11:26 Risk Factors and Medications

12:18 Testing and Red Flags

14:39 Daily Bone Healthy Habits

17:18 Common Questions and Supplements

20:24 Myth Busting Bone Health

23:23 Talk to Kids and Wrap Up

Medical Disclaimer: The information shared on The Endo Kids Podcast is for educational purposes only and does not constitute medical advice. Listening to this podcast does not establish a doctor-patient relationship. Please consult your child’s healthcare provider for personalized medical guidance.

Pediatric endocrinologist Dr. Lindsey Waldman welcomes registered dietitian nutritionist Shelby Santin, who specializes in eating disorders, to discuss adolescent nutrition, misconceptions, and supportive family strategies. Santin explains her role goes beyond meal plans to address food rules, fears, and barriers to adequate intake, emphasizing that eating disorders can affect anyone and are often missed due to stereotypes about body size. She outlines initial steps after referral: thorough history, assessing nutritional adequacy, coordinating medical evaluation, and building a family-supported plan. They discuss distinguishing eating disorders from picky eating, and how to talk about weight and food using neutral language and avoiding “good/bad” labels, including recommending clinicians discuss weight concerns with parents without the child present. Santin stresses early intervention, notes recovery timelines vary (often 6–12 months or longer), recommends two books, and shares how families can contact her for virtual or in-person care.

00:00 Show Welcome

00:55 Meet Shelby Santin

02:42 What Dietitians Do

03:46 Eating Disorder Myths

04:49 First Appointment Steps

05:44 Picky Eating Or Disorder

07:24 Talking About Weight

10:27 Neutral Food Language

12:16 Treatment Phases

14:04 Recovery Timeline

16:14 Key Takeaways

18:00 Books and Resources

18:47 Contact and Wrap Up

20:08 Final Outro

Medical Disclaimer: The information shared on The Endo Kids Podcast is for educational purposes only and does not constitute medical advice. Listening to this podcast does not establish a doctor-patient relationship. Please consult your child’s healthcare provider for personalized medical guidance.

Dr. Rinku Mehra hosts the Endo Kids Podcast with guest Dr. Jessica Ritch, an OB-GYN with minimally invasive gynecology training, to discuss why adolescent menstrual health is a vital sign and how common conditions like PCOS can begin in the teen years but often go ignored. They address misconceptions that painful, heavy, or irregular periods are “normal,” explain when patterns warrant evaluation (especially if symptoms disrupt school or activities), and describe PCOS using parent-friendly criteria: irregular periods, androgen excess (acne, abnormal hair growth or hair loss), and polycystic-appearing ovaries. Dr. Ritch reviews workup (history, tracking cycles, labs including A1C/CBC/iron, and selective ultrasound), treatment options (lifestyle changes, hormonal contraception, metformin, spironolactone, and some supplements), stigma-free counseling, fertility considerations, and recommended ongoing follow-up into adulthood.

00:00 Welcome to Endo Kids

00:55 Meet the Guest

02:00 Why Periods Matter

04:14 Parent Period Myths

05:39 When to Get Checked

08:34 PCOS Explained Simply

12:13 Risks and Complications

13:42 Testing and Diagnosis

16:32 Treatment Options

21:10 Reducing PCOS Stigma

23:55 Fertility and PCOS

26:40 Long Term Follow Up

29:31 Key Takeaways and Resources

31:10 Google and Final Wrap

33:04 Podcast Outro

Medical Disclaimer:

The information shared on The Endo Kids Podcast is for educational purposes only and does not constitute medical advice. Listening to this podcast does not establish a doctor-patient relationship. Please consult your child’s healthcare provider for personalized medical guidance.

Dr. Lindsey Waldman hosts pediatric gastroenterologist Dr. Natalie Sikka to discuss where gastroenterology and endocrinology overlap in children, especially around growth and nutrition. They explain that “normal” weight gain means tracking along an individual child’s growth curve, with concern raised by rapid increases or decreases, plateaus, or drops in weight or height percentiles, while considering genetics and dietary intake. Dr. Sikka outlines an evaluation for poor weight gain, including detailed diet history and assessing for vomiting, diarrhea, constipation, pain, swallowing issues, or malabsorption, with stepwise testing such as blood work, stool studies, imaging, and endoscopy/colonoscopy when indicated. They cover picky eating strategies emphasizing nutritious foods modeled by parents, the gut-brain connection and anxiety-related symptoms, practical constipation guidance, moderating sweets, and red flags warranting GI referral (night pain, persistent vomiting/diarrhea, blood in stool, anemia, unexplained weight loss, and growth changes).

00:00 Welcome and Introductions

01:32 Why Pediatric GI

03:34 What Normal Growth Means

05:09 Genetics Weight and Nutrition

06:52 Workup for Poor Weight Gain

09:03 Picky Eating Red Flags

10:27 Healthy Habits for Selective Eaters

13:22 Gut Brain Connection

14:30 Testing and Stepwise Evaluation

16:39 Constipation Practical Advice

19:10 Sweets and Junk Food Rules

21:01 When to See a GI

21:59 Myths Communication and Wrap Up

23:30 How to Book and Closing

Medical Disclaimer:

The information shared on The Endo Kids Podcast is for educational purposes only and does not constitute medical advice. Listening to this podcast does not establish a doctor-patient relationship. Please consult your child’s healthcare provider for personalized medical guidance.

In this episode of Endo Kids Podcast, Dr. Rinku Mehra interviews Kelsie Lewis, founder of Balanced Diabetes Wellness, about her personal journey with type 1 diabetes and her innovative approach to diabetes management. They discuss practical strategies, technology, misconceptions, and the importance of compassionate care for athletes and all individuals living with diabetes.

00:00 Introduction to Diabetes Care

00:49 Kelsey's Personal Journey with Diabetes

02:57 Navigating Life with Type 1 Diabetes

06:14 Transitioning to College and Managing Diabetes

09:00 Kelsey's Approach to Diabetes Education

11:08 Common Misconceptions in Diabetes Management

13:32 Exercise Myths and Blood Sugar Management

15:31 Strategies for Stabilizing Blood Sugar

17:27 Meal Planning for Different Types of Diabetes

18:48 Balancing Weight Management and Insulin Use

20:51 Understanding Continuous Glucose Monitors

23:23 Technology in Diabetes Management

27:23 Addressing Parental Concerns about Exercise

28:58 The Role of Athletics in Diabetes Management

29:50 Managing Tough Days with Diabetes

31:36 Supporting Clients through Diabetes Burnout

32:45 Recommended Tools and Apps for Diabetes Management

34:24 Final Thoughts and Resources

Medical Disclaimer:The information shared on The Endo Kids Podcast is for educational purposes only and does not constitute medical advice. Listening to this podcast does not establish a doctor-patient relationship. Please consult your child’s healthcare provider for personalized medical guidance.