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episode #493

Dr. Mike Fortunato – Your Labs Are ‘Normal’ — But You Feel Terrible

September 24, 2026 in Podcast

Intro

Board-certified anesthesiologist Dr. Mike Fortunato spent nearly two decades in conventional medicine before walking away from the "sick care" system to found OptimizeMD, a hormone optimization practice serving patients nationwide via telemedicine.

In this episode, Dr. Fortunato shares his own health crisis story — feeling exhausted and run down in his mid-30s while being told his labs were "normal" — and how that experience led him to specialize in bioidentical hormone replacement therapy. He breaks down why endocrine disruptors in our food, water, and environment are causing hormone dysfunction in patients as young as their teens, why "normal" lab ranges may not mean optimal health, and the critical differences between synthetic and bioidentical hormones.

We also dig into:
  • Why most hormone clinics get treatment wrong
  • The truth about testosterone, estrogen, and progesterone therapy
  • How endocrine disruption is fueling a rise in PCOS and fertility issues
  • What to look for in a hormone specialist
  • Why he believes modern medicine wasn't built to make you thrive — just function
If you've ever been told your labs are fine but you still don't feel like yourself, this conversation will change how you think about your health.

Dr. Mike Fortunato

Dr. Michael Fortunato is a board-certified physician specializing in anesthesiology and hormone optimization therapy. With his unique academic background combining philosophy and medicine, Dr. Fortunato brings a holistic perspective to his medical practice and research. Dr. Fortunato’s expertise in peptide therapies and hormone optimization protocols stems from years of clinical practice and specialized training. His approach integrates evidence-based medicine with personalized treatment strategies aimed at improving patient outcomes and quality of life.

https://www.optimizemd.health/

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