Podcasts about Mariza

Is this perimenopause… or is something else going on? It's one of the most common questions Dr. Mariza hears from women in their late 30s and early 40s, especially when their periods are still regular and they've never experienced a hot flash. In this solo episode, Dr. Mariza breaks down why early perimenopause can be so difficult to recognize and the less obvious signs that often appear first, including exhaustion, anxiety, irritability, brain fog, sleep changes, worsening PMS, migraines, and changes in stress tolerance. She shares three important clues for identifying a possible perimenopause pattern: looking for clusters of symptoms, noticing changes from your normal baseline, and tracking how symptoms change throughout your cycle. But hormones aren't always the entire story. Dr. Mariza also explains why thyroid dysfunction, low iron, metabolic issues, nutrient deficiencies, sleep problems, and other conditions deserve investigation, even when perimenopause is part of the picture. Plus, you'll learn how to track your symptoms and walk into your next healthcare appointment prepared to ask better questions. Listen now to connect the dots, understand what your body is telling you, and get clearer on your next steps. IN THIS EPISODE Why so many women over 35 aren't sure whether they're in perimenopause The early perimenopause symptoms women often mistake for stress or burnout Why you can be in perimenopause while still having regular periods The three clues Dr. Mariza uses to recognize a perimenopause pattern Why tracking changes from your personal baseline matters How your menstrual cycle can reveal patterns in mood, sleep, migraines, and energy What else to investigate, including thyroid, iron, metabolic health, and sleep How to advocate for yourself when your labs look “normal” but you don't feel like yourself QUOTES “Stop looking at the one symptom that proves you're in perimenopause. Start looking at the collection of clues and patterns that your body is exposing.” “Perimenopause doesn't usually show up with a giant flashing sign.” “Hormones may be a huge part of the picture without being the entire picture.” RESOURCES MENTIONED Order my newest book: The Perimenopause Revolution http://drmariza.com/book Comprehensive Perimenopause Lab Guide Stop surviving and start thriving, join Midlife on Fire Collective now https://drmariza.com/trial RELATED EPISODES  768: Why Your Period Gets So Weird in Perimenopause + What Actually Helps with Kaya and Yasmin Purohit 764: Why Your Nervous System Feels Dysregulated (Even When You're Doing Everything Right) with Roseann Capanna-Hodge 750: The Underlying Cellular Cause of Midlife Fatigue, Brain Fog & Low Motivation with Andrew Salzman 650: Unlock Your Health: The Ultimate Biomarker & Lab Blueprint to Thrive in Midlife and Beyond

Has your period suddenly started behaving completely differently? Maybe your cycles are shorter or longer. PMS hits harder. Your breasts are sore, cravings are stronger, your mood changes dramatically, or your libido seems to have disappeared. In this episode, Dr. Mariza sits down with Beeya co-founders Kaya and Yasmin Purohit to explore what your changing cycle may be telling you, especially as you move into your late 30s and 40s. Yasmin shares her experience coming off birth control after 15 years and struggling for two years with anxiety, painful cramps, breast tenderness, and acne. Together, they explore why these symptoms deserve attention and how foundational habits like sleep, movement, whole foods, and blood sugar stability can support hormone health. They also unpack seed cycling, including exactly how it works, the nutrients different seeds provide throughout the menstrual cycle, what the research currently supports, and why women in perimenopause have become an especially important part of Beeya's community. Most importantly, this conversation is a reminder that your changing cycle is information. Listen now to learn how to recognize the clues your body is giving you and support your hormones without making wellness another overwhelming job. KAYA & YASMIN PUROHIT Kaya and Yasmin Purohit are the co-founders of Beeya, a women's wellness brand focused on helping women support their bodies through PMS, perimenopause, irregular cycles, fertility, and beyond. After Yasmin struggled with severe symptoms following 15 years on birth control, she and Kaya discovered seed cycling and set out to make the practice simpler and more accessible for modern women. Their work combines nutrition, education, and practical daily rituals designed to help women better understand and support their cycles. IN THIS EPISODE Why changing periods can be an early clue that you're entering perimenopause Yasmin's experience after coming off birth control following 15 years on the pill How sleep, movement, and whole-food nutrition can affect your cycle The surprising connection between blood sugar, progesterone, PMS, anxiety, and rage What seed cycling is and how to use different seeds throughout your cycle Why women in perimenopause may benefit from additional nutritional support How postpartum and perimenopause can overlap for women having children later Why community, joy, and flexibility belong in the conversation about women's health QUOTES “Your cycle is information. It's always giving you information.” “Not every day is going to be a winner.” “Annoyance is the price you pay for community.” RESOURCES MENTIONED Stop surviving and start thriving, join Midlife on Fire Collective now https://drmariza.com/jumpstart Beeya Wellness Website Beeya Wellness Instagram Beeya Wellness Youtube RELATED EPISODES  767: The Longevity Secret We Rarely Talk About: The Healing Power of Friendship, Joy & Being Fully Expressed with Samantha Hollingsworth 766: The Weight You Lose Isn't Always the Biggest Transformation: The Part of GLP-1s Nobody Talks About with Dr. Alexandra Sowa 764: Why Your Nervous System Feels Dysregulated (Even When You're Doing Everything Right) with Roseann Capanna-Hodge 763: Why So Many High-Functing and Achieving Women Miss the Signs of Hormone Imbalance with Anastasia Sartan

Have you ever caught yourself thinking, “I miss me”? Somewhere between taking care of everyone else, keeping life moving, and getting everything done, it's easy to lose touch with the parts of yourself that make you feel creative, connected, joyful, and fully alive. In this deeply personal conversation, Dr. Mariza sits down with one of her best friends, artist, jewelry designer, and Fully Expressed co-host Samantha Hollingsworth, to explore female friendship, creativity, and what it means to become fully expressed. They talk about why women need friendships where they can stop performing and feel completely seen, what makes a relationship feel safe and reciprocal, and why deeper connections become especially meaningful in midlife. Samantha also shares her unconventional journey through multiple careers and creative pursuits, and why women don't have to choose one passion or stay on one path forever. Plus, she and Dr. Mariza dive into their shared love of fiction and how books can reconnect us with imagination, possibility, and joy. If you're craving deeper friendships, more creativity, or simply want to feel more like you again, this episode is for you. Listen now for a heartfelt conversation about friendship, creativity, and finding your way back to yourself. SAMANTHA HOLLINGSWORTH Samantha Hollingsworth is an artist, creative, jewelry designer, Pilates instructor, and co-host of the Fully Expressed podcast and community. After exploring careers in film, movement, voiceover, and other creative fields, Samantha found her way into jewelry design and now creates custom pieces while preparing to launch her own line, Slater by Samantha. At the heart of her work is a passion for storytelling, creativity, deep female friendship, and creating spaces where women feel truly seen. IN THIS EPISODE What it actually means to live a fully expressed life Why you don't have to choose just one passion or path How safe female friendships help us become more ourselves What to look for when building deeper friendships in midlife Why friendship requires vulnerability, discernment, and accountability How books can provide escape, imagination, and connection Why creativity belongs to everyone, not just artists Giving yourself permission to start over and write a new story at any age QUOTES“Women need women. Like, that's how we thrive.” “Friendship is messy.” “You can make whatever life you want.” RESOURCES MENTIONED Find inspiration, connection, and meaningful reads. Join the Book Club now! https://drmariza.com/bookclub Use code DRMARIZA and get 10% off on your Womeness Order https://www.womaness.com/DRMARIZA The Fully Expressed Website The Fully Expressed Community The Fully Expressed Podcast Samantha Hollingsworth Instagram Samantha Hollingsworth Website RELATED EPISODES  766: The Weight You Lose Isn't Always the Biggest Transformation: The Part of GLP-1s Nobody Talks About with Dr. Alexandra Sowa 765: How Do You Hold It Together When You're Falling Apart Inside with Amy Morin 764: Why Your Nervous System Feels Dysregulated (Even When You're Doing Everything Right) with Roseann Capanna-Hodge 761: Finding Your Way Back to Pleasure and Feeling Fully Alive with Gabriella Espinosa

What if the hardest part of living with obesity was never actually the weight? For so many women, it's the years of dieting, judgment, doctor's appointments, body comments, weight stigma, and quietly believing that if they could finally lose the weight, then they could start living. And when the weight finally does come off? The emotional transformation doesn't necessarily happen at the same speed. In this deeply compassionate conversation, Dr. Mariza sits down with double board-certified internal medicine and obesity medicine physician Dr. Alexandra Sowa to explore the side of GLP-1 medications that almost nobody is talking about: what happens after they start working. Dr. Sowa has spent 15 years treating obesity and was one of the earliest physicians using GLP-1 medications for obesity management. She explains why medication can be an extraordinary tool while still being only one piece of a much bigger healing process. Together, they unpack what happens when your body changes faster than your identity, why compliments about weight loss can unexpectedly trigger grief or shame, and how decades of weight stigma and childhood experiences can continue influencing the way you see yourself long after the number on the scale changes. They also explore the surprising ways GLP-1s can change relationships, friendships, food preferences, social routines, and even the amount of mental space women have available when constant food noise begins to quiet. Dr. Sowa shares the foundational practices she uses with her own patients, including logging food and feelings without obsessively tracking calories, prioritizing protein, meeting yourself where you are with movement, preserving muscle, and doing the deeper emotional work when trauma begins to surface. And for women in midlife, they tackle an especially important conversation: why changing hormones and metabolic health deserve to be taken seriously instead of dismissed as laziness or lack of willpower. Because losing weight can change your health, your mobility, and your life. But the greatest transformation may be the freedom to finally stop organizing your entire life around your weight. DR. ALEXANDRA SOWA Dr. Alexandra Sowa is a double board-certified physician in internal medicine and obesity medicine, bestselling author of The Ozempic Revolution, and one of the country's leading experts in metabolic health and GLP-1 medications. She has practiced obesity medicine for 15 years and was one of the earliest physicians to incorporate GLP-1 medications into obesity treatment. She is also the founder of SoWell, where she provides education, community, and nutritional support specifically designed for people using GLP-1 medications. Her work goes far beyond weight loss, helping patients build sustainable habits while addressing the emotional, behavioral, and metabolic complexities of obesity. IN THIS EPISODE Why losing weight doesn't automatically heal years of weight stigma and shame What happens when your body changes faster than your identity can catch up Why GLP-1 medications can change friendships, marriages, and social routines How reducing food noise can give women valuable mental space back The connection between childhood trauma, obesity, and chronic disease Dr. Sowa's non-negotiables for protein, logging, movement, and preserving muscle Why exercise doesn't have to mean an intense 45-minute gym workout Why midlife weight changes deserve better care than "eat less and move more" QUOTES “Weight loss doesn't make you happier.” “We have mistaken thinness for health.” “Start where you are. Move as much as you can, and then beyond that, we try to grow our muscles.” “I want you to mom yourself like you mom your kid.” RESOURCES MENTIONED Find inspiration, connection, and meaningful reads. Join the Book Club now! https://drmariza.com/bookclub The Ozempic Revolution by Dr. Alexandra Sowa SoWell Website Alexandra Sowa Website Alexandra Sowa Instagram Alexandra Sowa Tiktok RELATED EPISODES  765: How Do You Hold It Together When You're Falling Apart Inside with Amy Morin 764: Why Your Nervous System Feels Dysregulated (Even When You're Doing Everything Right) with Roseann Capanna-Hodge 763: Why So Many High-Functing and Achieving Women Miss the Signs of Hormone Imbalance with Anastasia Sartan 750: The Underlying Cellular Cause of Midlife Fatigue, Brain Fog & Low Motivation with Andrew Salzman

If you've wondered why moms feel more anxious, overwhelmed, and reactive after 40, you're not alone. Hormonal changes can affect your brain, stress response, and parenting in surprising ways. Dr. Roseann Capanna-Hodge shares how Regulation First Parenting™ helps families navigate emotional dysregulation with confidence and calm.Parenting is already demanding, but when perimenopause enters the picture, many moms suddenly find themselves feeling exhausted, forgetful, short-tempered, and emotionally overwhelmed.In this episode with hormone expert Dr. Mariza, we unpack the science behind these changes and share practical ways to support your brain, hormones, and nervous system. It's not bad parenting—it's a dysregulated brain navigating a major biological transition.Why do moms feel more anxious, overwhelmed, and reactive after 40?Perimenopause is more than changing hormones—it's a major neuroendocrine transition that directly impacts brain function, stress resilience, memory, and emotional regulation.As estrogen fluctuates, the brain has to work harder, making everyday parenting feel much more difficult.A mom who once handled school drop-offs, work meetings, and bedtime with ease may suddenly find herself snapping over spilled milk or forgetting simple words. That doesn't mean she's failing—it means her biology is changing.Key takeaways:Hormones affect the brain—not just reproduction.Irritability is one of the earliest signs of perimenopause.You didn't lose your ability to cope—your brain needs more support.

What if real mental strength isn't about pushing through—but knowing when you no longer have to? So many women become the person everyone depends on. They lead at work, care for their families, keep everything running, and somehow continue smiling while quietly carrying more than anyone realizes. In this deeply validating conversation, Dr. Mariza sits down with psychotherapist, bestselling author, and mental strength expert Amy Morin to redefine what it truly means to be mentally strong. Drawing from her own profound experiences of losing both her mother and her husband unexpectedly, Amy shares how resilience isn't built by suppressing emotions or pretending everything is okay. Instead, it's developed through learning how to manage our thoughts, regulate our emotions, and take intentional actions that move us forward, even during life's hardest seasons. Together, they discuss why high-functioning women are especially vulnerable to burnout, how perfectionism and the inner critic keep us stuck, why "good enough" is often exactly what our families need, and how small daily resets can dramatically improve emotional resilience. Amy also shares practical tools for interrupting rumination, quieting negative self-talk, building self-compassion, reconnecting with your values, and creating simple habits that strengthen your mental health over time. If you've been holding everything together for everyone else while quietly wondering how much longer you can keep going, this conversation is the reminder that true strength isn't about carrying more. It's about knowing when it's safe to put some of it down. AMY MORIN Amy Morin is a licensed psychotherapist, bestselling author, keynote speaker, and host of the Mentally Stronger podcast. She is one of the world's leading experts on mental strength, and her TEDx Talk has been viewed millions of times. Her books, including 13 Things Mentally Strong People Don't Do and The Mental Strength Playbook, have been translated into more than 50 languages. Through her work, Amy helps people build resilience, manage emotions, and develop healthier habits for navigating life's biggest challenges. IN THIS EPISODE What mental strength really is—and what it isn't Why high-functioning women are especially vulnerable to burnout How to quiet your inner critic with self-compassion Practical ways to interrupt rumination and negative thought loops Why your values should guide your decisions, not your to-do list The truth about mom guilt and "good enough" parenting Simple daily resets that strengthen emotional resilience Practical tools to build mental strength one small step at a time QUOTES“Real strength is being able to experience your emotions and express them.” “You don't have to believe everything you think.” “Being the strong one doesn't mean carrying everything by yourself.” “Sometimes mental strength is about what you don't do.” RESOURCES MENTIONEDUse code DRMARIZA and get 10% off on your Womeness Order The Mental Strength Playbook by Amy Morin Amy Morin Website Amy Morin Instagram Amy Morin on X Amy Morin Spotify Podcast Amy Moring Apple Podcast RELATED EPISODES  764: Why Your Nervous System Feels Dysregulated (Even When You're Doing Everything Right) with Roseann Capanna-Hodge 760: The Mindset Shift That Helps You Stop Feeling Stuck with Dr. Rachel Goldman 758: Why Your Body Can't Heal Until It Feels Safe: The Nervous System Shift That Changes Everything with Dr. Dave Rabin 754: How to Find Joy When Life Doesn't Go According to Plan with Amberly Lago

Fondateur de Sixième Son, Michaël Boumendil a inventé, en 1995, un métier qui n'existait pas encore : celui de l'identité sonore des entreprises. Trente ans après ses débuts, son agence installée à Paris, New York et Singapour, travaille pour près de 350 marques dans le monde. Il revient sur son parcours, la genèse du jingle SNCF et sa vision de l'intelligence artificielle appliquée à la musique. L'histoire de Sixième son Pour Michaël Boumendil, la musique n'a jamais été un simple loisir mais un mode d'expression pour un enfant qu'il décrit comme timide et complexé. Face à l'inquiétude de ses parents, qui le poussent vers une grande école, il trouve un compromis : concilier musique et logique business. C'est ainsi qu'à 19 ans, avant même ses études, il pose les bases du concept d'identité sonore. Diplômé de l'EDHEC, il en retient une leçon simple : il ne savait rien faire de concret, mais savait désormais vers qui se tourner. En 1994, à 23 ans, il se lance alors que ce secteur n'existe pas encore : les musiciens font de l'illustration sonore, les marketeurs ne s'intéressent qu'à l'image et aux mots. Sa conviction, qu'il défend toujours aujourd'hui : « la musique, c'est le seul langage universel qui existe ». Sixième Son a fourni des centaines de clients depuis sa création, dont 300 à 350 marques actives, dans des secteurs aussi variés que l'alimentaire, le luxe, l'assurance ou le transport. L'agence revendique une philosophie claire : « on ne cherche pas à faire du beau, on ne cherche pas à plaire, on cherche à être performant ». Le jingle SNCF, une prise de risque assumée Le projet le plus emblématique reste le jingle SNCF, créé en 2004. L'entreprise ferroviaire, mal comprise du public, cherchait à incarner « un leader de la mobilité à visage humain pour tous ». Après un mois d'observation de terrain, l'équipe de Sixième Son rompt avec les codes du secteur : une voix féminine là où régnaient les carillons métalliques, et une mélodie réduite à quatre notes, en écho aux quatre lettres du sigle. Choix contre-intuitif supplémentaire : une résolution en mineur plutôt qu'en majeur, jugé trop « arrogant », pour installer douceur et bienveillance. Présenté à la direction de la SNCF, le projet déconcerte d'abord : « c'est exceptionnel, mais c'est impossible ». Michaël Boumendil propose quinze jours de réflexion avant une nouvelle présentation, à l'issue desquels le projet est validé. Sa conclusion sur cet épisode : « le génie, c'est celui de la SNCF qui a pris le risque de dire banco ». Le jingle a depuis inspiré une centaine de reprises musicales, dont la plus célèbre reste celle de David Gilmour (Pink Floyd), qui a donné lieu à un contentieux juridique. L'IA : un outil, pas un remplaçant Interrogé sur les craintes des musiciens face à l'intelligence artificielle, Michaël Boumendil se veut mesuré : « le métier d'un musicien, c'est de dépasser l'outil ». Le véritable enjeu, selon lui, reste la construction d'un modèle économique équitable pour les créateurs, à l'image de l'évolution passée des plateformes de streaming. « C'est une mise en danger qui doit amener les musiciens à aller plus loin ». France, États-Unis, Asie : des cultures opposées Basé à New York, Michaël Boumendil observe que la France privilégie le souci du détail quand les États-Unis assument un rythme plus rapide, quitte à perdre en finition. En Asie, les logiques de décision varient fortement d'un pays à l'autre. Être implanté simultanément sur ces trois continents permet, selon lui, de faire circuler les bonnes idées d'un marché à l'autre. L'agence a également travaillé sur des marques en Angola, où se mêlent héritage lusophone et influences cubaines, ainsi qu'au Maroc, en Argentine et au Mexique — autant de terrains qui nourrissent, selon Michaël Boumendil, une compréhension fine des enjeux culturels indispensable à son métier. Les réponses à notre quiz introductif 

Fondateur de Sixième Son, Michaël Boumendil a inventé, en 1995, un métier qui n'existait pas encore : celui de l'identité sonore des entreprises. Trente ans après ses débuts, son agence installée à Paris, New York et Singapour, travaille pour près de 350 marques dans le monde. Il revient sur son parcours, la genèse du jingle SNCF et sa vision de l'intelligence artificielle appliquée à la musique. L'histoire de Sixième son Pour Michaël Boumendil, la musique n'a jamais été un simple loisir mais un mode d'expression pour un enfant qu'il décrit comme timide et complexé. Face à l'inquiétude de ses parents, qui le poussent vers une grande école, il trouve un compromis : concilier musique et logique business. C'est ainsi qu'à 19 ans, avant même ses études, il pose les bases du concept d'identité sonore. Diplômé de l'EDHEC, il en retient une leçon simple : il ne savait rien faire de concret, mais savait désormais vers qui se tourner. En 1994, à 23 ans, il se lance alors que ce secteur n'existe pas encore : les musiciens font de l'illustration sonore, les marketeurs ne s'intéressent qu'à l'image et aux mots. Sa conviction, qu'il défend toujours aujourd'hui : « la musique, c'est le seul langage universel qui existe ». Sixième Son a fourni des centaines de clients depuis sa création, dont 300 à 350 marques actives, dans des secteurs aussi variés que l'alimentaire, le luxe, l'assurance ou le transport. L'agence revendique une philosophie claire : « on ne cherche pas à faire du beau, on ne cherche pas à plaire, on cherche à être performant ». Le jingle SNCF, une prise de risque assumée Le projet le plus emblématique reste le jingle SNCF, créé en 2004. L'entreprise ferroviaire, mal comprise du public, cherchait à incarner « un leader de la mobilité à visage humain pour tous ». Après un mois d'observation de terrain, l'équipe de Sixième Son rompt avec les codes du secteur : une voix féminine là où régnaient les carillons métalliques, et une mélodie réduite à quatre notes, en écho aux quatre lettres du sigle. Choix contre-intuitif supplémentaire : une résolution en mineur plutôt qu'en majeur, jugé trop « arrogant », pour installer douceur et bienveillance. Présenté à la direction de la SNCF, le projet déconcerte d'abord : « c'est exceptionnel, mais c'est impossible ». Michaël Boumendil propose quinze jours de réflexion avant une nouvelle présentation, à l'issue desquels le projet est validé. Sa conclusion sur cet épisode : « le génie, c'est celui de la SNCF qui a pris le risque de dire banco ». Le jingle a depuis inspiré une centaine de reprises musicales, dont la plus célèbre reste celle de David Gilmour (Pink Floyd), qui a donné lieu à un contentieux juridique. L'IA : un outil, pas un remplaçant Interrogé sur les craintes des musiciens face à l'intelligence artificielle, Michaël Boumendil se veut mesuré : « le métier d'un musicien, c'est de dépasser l'outil ». Le véritable enjeu, selon lui, reste la construction d'un modèle économique équitable pour les créateurs, à l'image de l'évolution passée des plateformes de streaming. « C'est une mise en danger qui doit amener les musiciens à aller plus loin ». France, États-Unis, Asie : des cultures opposées Basé à New York, Michaël Boumendil observe que la France privilégie le souci du détail quand les États-Unis assument un rythme plus rapide, quitte à perdre en finition. En Asie, les logiques de décision varient fortement d'un pays à l'autre. Être implanté simultanément sur ces trois continents permet, selon lui, de faire circuler les bonnes idées d'un marché à l'autre. L'agence a également travaillé sur des marques en Angola, où se mêlent héritage lusophone et influences cubaines, ainsi qu'au Maroc, en Argentine et au Mexique — autant de terrains qui nourrissent, selon Michaël Boumendil, une compréhension fine des enjeux culturels indispensable à son métier. Les réponses à notre quiz introductif 

Why is it so hard to relax… even when everything is finally done? You finish work. The dishes are clean. The kids are asleep. The house is quiet. Yet your shoulders are still tight, your jaw is clenched, and your mind is already scanning for the next thing that needs your attention. In this insightful conversation, Dr. Mariza sits down with clinical psychologist and nervous system expert Dr. Roseann Capanna-Hodge to unpack why so many high-performing women feel trapped in survival mode, even when there's no immediate crisis. Together, they explore how years of chronic stress, caregiving, perfectionism, trauma, and constantly being "the one who holds everything together" can leave the nervous system stuck in a state of protection. The result? Irritability, anxiety, poor sleep, overwhelm, brain fog, and the feeling that you can never truly switch off. Dr. Roseann explains the difference between everyday stress and nervous system dysregulation, why being highly productive doesn't necessarily mean you're regulated, and how your "stress cup" gradually fills until even small challenges feel overwhelming. Most importantly, she shares practical, science-backed techniques that help retrain the nervous system to recognize safety again, from diaphragmatic breathing and somatic exercises to micro-moments of regulation throughout the day. If you've ever wondered why you can't seem to relax, even when life is technically under control, this conversation will help you understand what's happening inside your body and how to begin creating more calm, resilience, and joy. Roseann Capanna-Hodge Dr. Roseann Capanna-Hodge is a licensed clinical psychologist, mental health educator, author, and expert in nervous system regulation. With more than three decades of clinical experience, she specializes in helping children and adults overcome anxiety, ADHD, trauma, OCD, emotional dysregulation, and chronic stress using evidence-based neuroscience and holistic approaches. She is the author of The Dysregulated Kid and founder of DrRoseann.com. IN THIS EPISODE Why high-performing women often live in chronic survival mode The difference between stress and true nervous system dysregulation How perfectionism, trauma, and caregiving overload your "stress cup" Why your body struggles to relax, even when life feels under control Simple nervous system resets you can practice throughout the day How micro-moments of regulation build long-term resilience Why awareness alone isn't enough to create lasting change The "Love Pause" technique for reducing reactivity and improving relationships QUOTES “Just because you're high-performing doesn't mean your nervous system is regulated.” “You can't heal when you don't feel safe.” “We're leaving our kids emotional wealth, not just financial wealth.” RESOURCES MENTIONED Stop surviving and start thriving, join Midlife on Fire Collective now https://drmariza.com/jumpstart The Dysregulated Kid by Dr. Roseann Capanna-Hodge The Power Struggle Reset Plan Dr Roseann Website Dr. Roseann Instagram Dr. Roseann Youtube Dr. Roseann Facebook RELATED EPISODES  763: Why So Many High-Functing and Achieving Women Miss the Signs of Hormone Imbalance with Anastasia Sartan 758: Why Your Body Can't Heal Until It Feels Safe: The Nervous System Shift That Changes Everything with Dr. Dave Rabin 760: The Mindset Shift That Helps You Stop Feeling Stuck with Dr. Rachel Goldman 754: How to Find Joy When Life Doesn't Go According to Plan with Amberly Lago

Have you ever felt like you become a completely different person during the second half of your cycle? One week you're energized, focused, and confident. The next, you're battling brain fog, irritability, anxiety, exhaustion, and wondering what happened to the version of yourself from just a few days ago. In this live conversation, Dr. Mariza sits down with entrepreneur, former Snapchat executive, and founder of The Cycle, Anastasia Sartan, to explore the overlooked realities of PMDD, hormone fluctuations, and why women's changing biology has been largely ignored by the wellness industry. After struggling with debilitating PMDD while working in the high-pressure tech world, Anastasia set out to create the first functional beverage specifically designed to support women through every stage of their hormonal journey—from the luteal phase and menstruation to perimenopause and menopause. Together, they discuss how chronic stress, motherhood, the invisible mental load, nervous system dysregulation, and modern work culture amplify hormonal symptoms, leaving many women feeling like they're constantly pushing through instead of truly thriving. This conversation is a powerful reminder that your changing hormones aren't a personal failure. They are an invitation to better understand your body, prioritize rest, and finally embrace products, habits, and support systems that were designed with women in mind. ANASTASIA SARTAN Anastasia Sartan is an entrepreneur, former Snapchat executive, data scientist, and founder of The Cycle, the first functional beverage brand created to support women throughout every phase of their hormonal cycle. Inspired by her personal journey with PMDD, she is on a mission to close the gap in women's wellness by creating innovative products that help women feel supported, understood, and empowered. IN THIS EPISODE What PMDD really is and why so many women are misdiagnosed Why hormone fluctuations dramatically impact mood, energy, and resilience The hidden connection between chronic stress, motherhood, and hormonal symptoms How nervous system regulation supports women's hormonal health Why women's wellness products have historically overlooked hormonal cycles The inspiration behind creating The Cycle functional beverage Why rest may be one of the most powerful tools for hormone health How honoring your body's changing needs helps you thrive through every season QUOTES“Periods are a lifestyle, not a medical condition.” “We had the hormones to scaffold us... until we didn't.” “Women deserve products that are designed for women's biology.” RESOURCES MENTIONED Use code DRMARIZA and get 5% off on The Cycle Functional Drinks https://onthecycle.com/s/312c05 Use code ENERGIZED and get 10% off on your MitoQ Order https://www.mitoq.com/energized Use code ENERGIZED and get 10% off on your Troscription Order http://troscriptions.com/ENERGIZED The Cycle Website Anastasia Sartan Instagram RELATED EPISODES  762: Why Women Need to Stop Being “Good Patients” and Start Advocating for Better Healthcare with Dr. Mariza 761: Finding Your Way Back to Pleasure and Feeling Fully Alive with Gabriella Espinosa 760: The Mindset Shift That Helps You Stop Feeling Stuck with Dr. Rachel Goldman 717: “I Don't Feel Like Myself Anymore”: The Mental & Emotional Reality of Perimenopause

How to Tell If You Have a Pelvic Floor Problem Fatigue, hormone balance, perimenopause, menopause, gut health, constipation, stress, and pelvic floor symptoms can all connect in ways many women never realize. Have you ever leaked when you laughed, coughed, sneezed, jumped, or worked out? Or felt pelvic heaviness, pressure, painful sex, constipation, or low back pain that no one can explain? These symptoms are common, but they are not something you have to live with. In this episode, I'm talking about how to recognize pelvic floor dysfunction, why it often shows up or gets worse during perimenopause and menopause, and why kegels are not always the answer. Your pelvic floor needs to be strong, flexible, and able to relax — and if it is too tight, more kegels can actually make things worse. I'll also explain how pregnancy, childbirth, estrogen decline, constipation, chronic stress, shallow breathing, and years of downward pressure can all affect pelvic floor health over time. Key Points From This Episode • The five signs of a pelvic floor problem — leaking, pressure, painful sex, constipation, and unexplained hip or low back pain. • Why perimenopause and menopause can make pelvic floor symptoms show up years after having children. • The surprising reason kegels may make symptoms worse if your pelvic floor is too tight. • How breathing, stress, constipation, and hormone balance all play a role. • Why pelvic floor physical therapy can be one of the most helpful, underused tools for women. The Bigger Takeaway Pelvic floor symptoms are not just an inconvenience. They can affect your bladder, bowels, sex life, exercise, confidence, digestion, and quality of life. If you've been leaking, avoiding workouts, crossing your legs when you sneeze, or wondering why things feel different in perimenopause or menopause, this episode will help you understand what may really be going on — and why there are real solutions. Hit play and listen in, because your pelvic floor may be the missing piece in your hormone balance, gut health, stress, and long-term wellness. WOMEN'S FUNCTIONAL HEALTH COACH CERTIFICATION PROGRAM- IS OPEN! OUR NEXT COHORT STARTS ON SEPTEMBER 29TH. If some part of you has been quietly wondering whether this could be your path, come find out. Learn more at: womensfunctionalhealth.org Browse the course catalog: https://go.megmill.com/wfhicoursecatalog Schedule a call with me: https://go.megmill.com/wfhicoursecatalog Women deserve more, and you can be the one to make real change, starting with your own life. Let's connect on Instagram for daily health tips at @drmegmill. This content is for educational purposes only and should not be taken as medical advice. Always consult with a healthcare professional before starting any new diet or exercise program. This podcast is for women entering perimenopause and beyond who are struggling with fatigue, brain fog, bloating, weight loss resistance, and unpredictable hormones. If you're dealing with exhaustion, low energy, brain fog, bloating, IBS, constipation, digestive discomfort, histamine issues, migraines, anxiety or hormone imbalances, this show is for you.  You'll learn how to support your metabolism, balance hormones naturally, beat IBS and bloating, and finally break through stubborn weight gain. Discover science-backed strategies to optimize digestion, improve gut health, and manage perimenopause symptoms and other hormonal imbalances—without restrictive diets or endless supplements. Whether it's addressing estrogen dominance, blood sugar balance, or adrenal fatigue, this podcast gives you the tools to take control of your health and feel vibrant again.  If you are enjoying the show, please subscribe and leave a review or share it with a friend.  If you listen to any of the following shows, we're sure you'll like ours too!  Pursuit of Wellness with Mari Llewellyn, Everyday Wellness with Cynthia Thurlow, Just Ingredients Podcast, Longevity with Nathalie Niddam, Wellness Mama, The Dr. Josh Axe Show, Ancient Health Podcast, The Model Health Show, Grounded Wellness By Primally Pure, Be Well By Kelly Leveque, The Hormone Solution with Karen Martel, The Dr. Hyman Show, The Thyroid Fixer with Dr. Amie Hornaman, Treated with Dr. Sara, Well Beyond 40 with JJ Virgin, Better! with Dr. Stephanie, Energized with Dr. Mariza

How many times have you been told, "Your labs are normal," even though you know something doesn't feel right? In this empowering solo episode, Dr. Mariza challenges one of the biggest beliefs women have been conditioned to accept: that being a "good patient" means staying quiet, pushing through symptoms, and trusting a healthcare system that has historically overlooked women's biology. She explores how decades of research gaps, delayed recognition of perimenopause, and outdated medical training have left millions of women feeling dismissed, unheard, and convinced that exhaustion, brain fog, anxiety, poor sleep, weight gain, and hormone changes are simply part of getting older. Dr. Mariza explains why perimenopause is far more than a reproductive transition. It's a neurological, metabolic, cardiovascular, and whole-body transition that deserves proactive care—not years of unnecessary suffering. Most importantly, she shares practical strategies for becoming an active partner in your healthcare, including how to prepare for appointments, ask better questions, understand your symptoms, and advocate for the care you deserve. If you've ever left a doctor's appointment feeling unheard or wondering if it's "all in your head," this episode will remind you that your symptoms matter, your intuition matters, and you deserve answers. IN THIS EPISODE Why women have been conditioned to become "good patients" The hidden impact of research gaps in women's healthcare Why "your labs are normal" isn't always the full story How perimenopause affects the brain, metabolism, heart, and hormones The questions every woman should ask at her medical appointments How to prepare for appointments so you become an active partner in your care The difference between normal lab ranges and optimal health Why you deserve evidence-based care that prioritizes your long-term health QUOTES “You are the CEO of your health.” “Symptoms are not inconveniences to silence. They are signals to understand.” “Normal isn't always the same as optimal.” RESOURCES MENTIONED Stop surviving and start thriving: join the free 5-day challenge beginning July 27, 2026: https://drmariza.com/jumpstart Use code ENERGIZED and get 10% off on your MitoQ Order http://www.mitoq.com/energized%C2%A0 Order my newest book: The Perimenopause Revolution Thriving in Perimenopause Survival Guide Joy & Blokes Lab Testing RELATED EPISODES  761: Finding Your Way Back to Pleasure and Feeling Fully Alive with Gabriella Espinosa 759: Tired, Wired & Inflamed? The Sleep Fix Most Women Are Missing with Dr. Michael Breus 756: What Low-Grade Inflammation Is Really Doing to Your Hormones, Brain & Metabolism with Dr. Mariza 650: Unlock Your Health: The Ultimate Biomarker & Lab Blueprint to Thrive in Midlife and Beyond

Have you ever looked around at your life and wondered: "When did I stop feeling like myself?" Maybe you're checking all the boxes, taking care of everyone else, managing your career, your family, your home, and your health—but somewhere along the way, joy, curiosity, desire, and pleasure started to disappear. In this powerful conversation, Dr. Mariza sits down with Gabriella Espinosa, women's wellness expert, host of the Pleasure in the Pause podcast, and advocate for redefining pleasure and connection in midlife. Gabriella shares her own journey through perimenopause, where anxiety, overwhelm, brain fog, low libido, and feeling disconnected from herself led her to explore the missing conversation around pleasure, body awareness, intimacy, and nervous system safety. Together, they discuss why so many women lose connection with their bodies after years of caregiving, striving, and putting everyone else first—and why pleasure isn't a luxury, but an essential part of feeling alive, energized, and connected. They also explore how changing hormones, stress, and survival mode impact desire, why intimacy can be rebuilt at any age, and how simple daily moments of joy and sensation can help women reconnect with themselves. If you've been feeling like the version of you who felt vibrant, playful, confident, or deeply connected has disappeared, this conversation will remind you that she isn't gone—and it's never too late to rediscover her. GABRIELLA ESPINOSA Gabriella Espinosa is a women's wellness and pleasure advocate, yoga and breathwork teacher, host of the Pleasure in the Pause podcast, and executive producer of the upcoming documentary Hot. Through her work, she helps women reconnect with their bodies, redefine pleasure, and navigate midlife with greater confidence, connection, and vitality. IN THIS EPISODE Why so many women feel disconnected from themselves during midlife How perimenopause can impact desire, intimacy, and confidence Why pleasure is an important signal of safety, vitality, and wellbeing How chronic stress and survival mode affect connection with your body The importance of learning the language of your own needs and desires Why intimacy and pleasure can be rebuilt at any age Simple practices to reconnect with your body through sensation How to advocate for your pleasure, health, and relationships QUOTES “Pleasure has no age limit or expiration date.” “Pleasure is actually information.” “Perimenopause doesn't mean the end of pleasure. It can be the beginning of a new exciting chapter.” “What feels good in my body?” RESOURCES MENTIONED Use code DRMARIZA and get 10% off on your Womeness Order https://www.womaness.com/DRMARIZA Stop surviving and start thriving, join Midlife on Fire Collective now https://drmariza.com/firecollective Pleasure in the Pause Podcast Get the 7-Day Pleasure Body Journal Pleasure in the Pause Website Gabriella Espinosa Website  Gabriella Espinosa Instagram Gabriella Espinosa Youtube RELATED EPISODES  760: The Mindset Shift That Helps You Stop Feeling Stuck with Dr. Rachel Goldman 759: Tired, Wired & Inflamed? The Sleep Fix Most Women Are Missing with Dr. Michael Breus 758: Why Your Body Can't Heal Until It Feels Safe: The Nervous System Shift That Changes Everything with Dr. Dave Rabin 717: “I Don't Feel Like Myself Anymore”: The Mental & Emotional Reality of Perimenopause

Why do so many women reach midlife and suddenly feel like everything is harder than it used to be? In this powerful conversation, Dr. Mariza sits down with nationally recognized clinical psychologist, behavioral change expert, and author Dr. Rachel Goldman to explore why so many women feel overwhelmed, disconnected from themselves, and stuck during major life transitions. Dr. Rachel explains how stress, changing responsibilities, shifting identities, motherhood, career demands, and body changes can create a sense of losing yourself—and why the answer isn't pushing harder, but learning how to respond differently. Together, they discuss the mindset shifts that help women navigate change with more self-compassion, flexibility, and resilience. They also explore the connection between thoughts, emotions, and behaviors, and how simple tools from cognitive behavioral therapy can help break patterns that keep us stuck. Dr. Rachel also shares why self-care doesn't have to mean adding another overwhelming task to your list. Instead, small intentional moments like movement, breathing, time outside, connection, and creating a reset can completely shift how you show up in your life. If you've been wondering whether you'll ever feel like yourself again, this episode is a reminder that change doesn't mean you've lost who you are—it may be an invitation to step into your next chapter with more strength and confidence. DR. RACHEL GOLDMAN Dr. Rachel Goldman is a nationally recognized clinical psychologist, behavioral change expert, speaker, and author of When Life Happens: The Mindset Shift You Need to Manage Stress, Build Confidence, and Break Free. She helps people manage stress, improve mindset, navigate life transitions, and build confidence through practical, evidence-based tools rooted in psychology and behavioral change. IN THIS EPISODE Why so many women feel disconnected from themselves in midlife How mindset impacts stress, emotions, confidence, and behavior The importance of self-compassion during seasons of change Why routines and small habits help create stability during stressful times How to stop all-or-nothing thinking and create realistic solutions The connection between body image, aging, and identity shifts Why resilience comes from building tools before life gets difficult How to create a personalized stress management toolbox QUOTES “Life can be challenging, but it doesn't have to feel so challenging.” “We have to create the time.” “Feeling stuck isn't who you are. It's a signal.” RESOURCES MENTIONED Use code ENERGIZED and get 10% off on your MitoQ Order https://www.mitoq.com/energized Grab the “When Life Happens” book by Dr. Rachel Goldman https://amzn.to/4aBRJwq Goldman Website Dr. Rachel Goldman Instagram Dr. Rachel Goldman Facebook Dr. Rachel Goldman Youtube RELATED EPISODES  759: Tired, Wired & Inflamed? The Sleep Fix Most Women Are Missing with Dr. Michael Breus 758: Why Your Body Can't Heal Until It Feels Safe: The Nervous System Shift That Changes Everything with Dr. Dave Rabin 754: How to Find Joy When Life Doesn't Go According to Plan with Amberly Lago 753: The Brain's Hidden Role in Chronic Pain, Migraines & Fatigue with Dr. Howard Schubiner

Why do so many women suddenly start waking up at 3:00 a.m. during perimenopause? In this practical and science-backed conversation, Dr. Mariza sits down with renowned sleep specialist Dr. Michael Breus to unpack why sleep changes so dramatically during perimenopause and menopause, and what women can do to finally get restorative sleep again. Dr. Breus explains how fluctuating estrogen, progesterone, melatonin, cortisol, body temperature, and blood sugar all collide during midlife, creating the perfect storm for middle-of-the-night awakenings. He shares why waking up at 3:00 a.m. is incredibly common, how modern habits often make it worse, and why women need a layered approach instead of relying on a single solution. Together, they discuss everything from sleep apnea, hormone replacement therapy, alcohol, caffeine, blood sugar, and evening routines to cognitive behavioral therapy for insomnia (CBT-I), breathwork, thermoregulation, and supplementation. Most importantly, Dr. Breus offers practical strategies women can begin implementing immediately to improve sleep quality, reduce nighttime wakeups, and build a foundation for better health through every stage of menopause. If you've been lying awake at 3:00 a.m. wondering what's happening to your body, this episode is packed with answers and actionable solutions. DR. MICHAEL BREUS Dr. Michael Breus is a board-certified clinical psychologist, clinical sleep specialist, bestselling author, and founder of The Sleep Doctor. For more than two decades, he has helped millions of people improve their sleep through science-backed strategies focused on circadian rhythms, sleep disorders, behavioral sleep medicine, and overall wellness. He is the author of multiple bestselling books, including Sleep, Drink, Breathe. IN THIS EPISODE Why women commonly wake up around 3:00 a.m. during perimenopause How estrogen, progesterone, cortisol, and blood sugar affect sleep The biggest mistakes women make before bedtime Why sleep apnea is often overlooked in midlife women How CBT-I can help retrain the brain for better sleep The role of caffeine, alcohol, fiber, and evening nutrition Why cooling the body improves sleep quality Practical habits that create a healthier nighttime routine QUOTES “Everything we do, we do better with a good night's sleep.” “Sleep is the currency of attention.” “You need runway to land the plane.” RESOURCES MENTIONED Order my newest book: The Perimenopause Revolution https://peri-revolution.com/ Get the “Sleep Drink Breathe: Simple Daily Habits for Profound Long-Term Health” book by Dr. Michael Breus. https://amzn.to/4b6OM75 Take the Chronoquiz nowGet the Home Sleep Study - The at-home sleep study measures key sleep metrics The Sleep Doctor Website The Sleep Doctor Instagram The Sleep Doctor Youtube RELATED EPISODES  758: Why Your Body Can't Heal Until It Feels Safe: The Nervous System Shift That Changes Everything with Dr. Dave Rabin 757: The Hidden Emotional Shift of Perimenopause (No One Prepared Us For) with Dr. Melinda Ring 756: What Low-Grade Inflammation Is Really Doing to Your Hormones, Brain & Metabolism with Dr. Mariza 755: What If Your Body Isn't Broken, Just Undernourished? The Missing Link Between Nutrients, Hormones & Energy with Ryan Woodburry

What if the reason you're feeling anxious, overwhelmed, exhausted, disconnected, or stuck isn't because you're broken—but because your nervous system no longer feels safe? In this powerful conversation, Dr. Mariza sits down with psychiatrist, neuroscientist, inventor, and author Dr. Dave Rabin to explore the science of safety, nervous system regulation, emotional healing, resilience, and what it truly means to be alive. Drawing from decades of work treating patients with PTSD, anxiety, addiction, and chronic stress, Dr. Rabin shares why many traditional mental health approaches often fall short and why healing begins by helping the body relearn safety. Together, they discuss how modern life, chronic overstimulation, smartphones, loneliness, and constant stress have created what Dr. Rabin calls a "habitat crisis" that is overwhelming our nervous systems and contributing to rising rates of anxiety, depression, burnout, and chronic disease. Dr. Rabin also explains why feeling must come before thinking, how many of our limiting beliefs become subconscious programs during childhood, and how simple practices can help rewrite those stories in real time. The conversation dives into heart rate variability (HRV), vagus nerve health, emotional processing, play, connection, and the remarkable science behind Apollo Neuro—a wearable technology designed to help the body feel safer, sleep better, and recover more effectively from stress. If you've ever felt trapped in survival mode, disconnected from joy, or exhausted from constantly pushing through, this episode offers a hopeful roadmap back to safety, resilience, and healing. Dr. Dave Rabin Dr. Dave Rabin is a board-certified psychiatrist, neuroscientist, inventor, and mental health innovator. He is the co-founder of Apollo Neuro, a wearable technology designed to improve stress resilience, sleep, focus, and recovery through gentle vibrations that activate the body's safety response system. He is also the author of A Simple Guide to Being Alive, which explores the neuroscience of safety, healing, emotional well-being, and human flourishing. IN THIS EPISODE Why nervous system dysregulation is driving so many modern health challenges How chronic stress, smartphones, and overstimulation contribute to a "habitat crisis" Why feeling emotions is essential for healing and resilience How subconscious childhood programming shapes adult behavior and beliefs The connection between vagus nerve function, HRV, and long-term health Why sleep quality may be one of the most powerful tools for nervous system recovery The science behind Apollo Neuro and how it supports safety and resilience How play, connection, and joy help create lasting healing QUOTES“Feeling is required for healing.” “Pleasure and joy remind us that we are safe.” “We all have the ability to heal ourselves.” RESOURCES MENTIONED Use code ENERGIZED and get 30% off on your first BATCH order http://hellobatch.com/ENERGIZED Get the “A Simple Guide to Being Alive” book by Dr. Dave Rabin now https://apolloneuro.com/pages/a-simple-guide-to-being-alive Apollo Neuro Website The Board of Medicine Dr. Dave Rabin Instagram Dr. Dave Rabin Facebook RELATED EPISODES  756: What Low-Grade Inflammation Is Really Doing to Your Hormones, Brain & Metabolism with Dr. Mariza 753: The Brain's Hidden Role in Chronic Pain, Migraines & Fatigue with Dr. Howard Schubiner 754: How to Find Joy When Life Doesn't Go According to Plan with Amberly Lago 717: “I Don't Feel Like Myself Anymore”: The Mental & Emotional Reality of Perimenopause

Most women step into perimenopause the same way Gabriela did — in the dark, without language, without a roadmap, and without anyone telling them what was actually happening in their bodies. The anxiety, the brain fog, the rage, the fatigue, the loss of libido — they could feel it all, but they could not make sense of it. Dr. Mariza Snyder felt the same way. Even after 17 years of clinical experience supporting women through this transition.In this episode of Pleasure in the Pause, Gabriela sits down with Dr. Mariza Snyder for one of the most layered and honest conversations this show has ever had. This is a deeply intergenerational conversation and together they bridge that gap and pass the wisdom forward.Are you ready to awaken your sensuality and feel more empowered in your body? Access the FREE Pleasure Upgrade Bundle at https://www.pleasureinthepause.com/gift.Dr. Mariza Snyder is a powerhouse advocate for midlife women, leveraging 17+ years as a practitioner, author, and speaker to spark a massive movement for women in perimenopause and beyond. With her top-rated Energized with Dr. Mariza podcast, she's a trusted guide, offering science-backed solutions for perimenopause and metabolic health. Her new book, The Perimenopause Revolution, is the ultimate resource for women ready to take charge of their health and embrace perimenopause with resilience and confidence. Check out her website, drmariza.com, for solutions to thrive. In this episode, we discuss: The often-overlooked connection between hormones and the nervous systemHow to distinguish what's hormonal from what may be years of accumulated stress and over-functioningThe role of rage as a messenger rather than something to suppressThe practical tools women can use to move through this transition with greater resilienceYou are not going to be the same woman on the other side of this transition. That is not a warning. That is a promise. Perimenopause is equally as destabilizing as it is transformative — and the more you understand what your body is doing and why, the more you can move through it with clarity, compassion, and a sense of what is actually possible on the other side. If you're seeking to reclaim your pleasure and vitality, join Gabriella at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.pleasureinthepause.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for this enlightening journey into the heart of female pleasure and empowerment.CONNECT WITH DR. MARIZA SNYDER:FaceBook: https://www.facebook.com/drmarizasnyder/Insta: https://instagram.com/drmariza/YouTube: https://www.youtube.com/drmarizasnyderLINKS MENTIONED: Episode 107 — From Survival Mode to Self-Connection https://www.pleasureinthepause.com/blog/nervous-system-reset-for-midlife-women Episode 106 — The Menopause Gut with Cynthia Thurlow https://www.pleasureinthepause.com/blog/midlife-sobriety-and-returning-to-yourself-with-ashley-kelsch CONNECT WITH GABRIELLA ESPINOSA:InstagramLinkedInWork with Gabriella! Full episodes on YouTube.The information shared on Pleasure in the Pause is for educational and informational purposes only and is not intended as medical advice. Always consult your healthcare provider before making any decisions about your health or treatment. The views expressed by guests are their own and do not necessarily reflect the views of the host or Pleasure in the Pause.

Why do so many women enter perimenopause feeling like the rug has been pulled out from under them? In this powerful conversation, Dr. Mariza sits down with integrative medicine physician and menopause expert Dr. Melinda Ring to explore why perimenopause often feels so destabilizing and why so many women feel blindsided by symptoms they were never warned about. Together, they unpack the profound neuroendocrine changes happening during the perimenopause transition and why symptoms like sleep disruption, anxiety, brain fog, overwhelm, stress sensitivity, and feeling "not like yourself" often become some of the earliest signs that something is shifting. Dr. Ring explains the critical connection between hormones, the stress response system, sleep quality, nervous system regulation, and long-term health outcomes. They also discuss why traditional medical approaches have historically fallen short for women, the growing role of hormone replacement therapy, and why individualized care matters more than ever. The conversation dives deep into HPA axis dysfunction, trauma, chronic stress, self-compassion, resilience, and the importance of helping women feel safe in their bodies during a time of tremendous change. If you've ever wondered whether what you're experiencing is normal—or if you've found yourself saying, "I don't feel like myself anymore"—this episode offers both validation and practical guidance. Dr. Melinda Ring Dr. Melinda Ring is a board-certified physician, integrative medicine expert, educator, and internationally recognized leader in women's health and menopause care. She serves as Director of the Osher Center for Integrative Health and is passionate about helping women navigate perimenopause and menopause through evidence-based, whole-person care that addresses hormones, lifestyle, stress, sleep, and long-term health optimization. IN THIS EPISODE Why perimenopause often feels so overwhelming and unexpected The connection between sleep disruption, hormones, and brain health Why many women feel like they "don't feel like themselves" anymore The role of HPA axis dysfunction and chronic stress during midlife How trauma and long-term stress influence the menopause transition The evolving conversation around hormone replacement therapy Why individualized hormone care matters more than one-size-fits-all protocols How women can build resilience, safety, and self-compassion during perimenopause QUOTES“Sleep is the force multiplier.” “You can't heal in survival mode.” “The brain is reorganizing, not just the ovaries.” RESOURCES MENTIONED Use code ENERGIZED and get 10% off on your Troscription Order http://troscriptions.com/ENERGIZED Sign Up Now for the "Advanced Integrative Menopause Care for Clinicians" Course Training with Dr. Melinda Dr. Melinda Website https://www.drmelindaring.com/signup Dr. Melinda Instagram Dr. Melinda Facebook Dr. Melinda Tiktok Dr. Melinda Youtube RELATED EPISODES  756: What Low-Grade Inflammation Is Really Doing to Your Hormones, Brain & Metabolism with Dr. Mariza 755: What If Your Body Isn't Broken, Just Undernourished? The Missing Link Between Nutrients, Hormones & Energy with Ryan Woodburry 754: How to Find Joy When Life Doesn't Go According to Plan with Amberly Lago 717: “I Don't Feel Like Myself Anymore”: The Mental & Emotional Reality of Perimenopause

What if inflammation is the missing link behind so many of the symptoms women experience after 40? In this solo episode, Dr. Mariza breaks down the powerful connection between low-grade chronic inflammation, metabolic dysfunction, hormone changes, brain health, energy production, and accelerated aging. She explains why inflammation is far more than an immune system issue and how it silently influences nearly every aspect of health during perimenopause and menopause. Many women assume that fatigue, brain fog, stubborn belly fat, poor sleep, anxiety, joint pain, cravings, and declining energy are separate issues requiring separate solutions. But Dr. Mariza reveals how these symptoms are often interconnected through one common underlying process: inflammation. She also explores why perimenopause is not simply a hormone transition but a metabolic, vascular, and neuroendocrine transition that increases inflammatory burden and changes how the body responds to stress, blood sugar fluctuations, sleep disruption, and hormonal shifts. Most importantly, Dr. Mariza shares the practical lifestyle pillars she uses to lower inflammation, improve metabolic flexibility, support hormone health, and create the internal environment needed for healthy aging and long-term vitality. If you've been feeling like your body is changing but can't quite connect the dots, this episode will help you understand what inflammation may be trying to tell you. IN THIS EPISODE Why low-grade inflammation is one of the biggest drivers of symptoms after 40 The connection between inflammation, metabolism, hormones, and aging How perimenopause increases inflammatory burden throughout the body The labs Dr. Mariza recommends to assess inflammation and metabolic health Why blood sugar regulation is one of the fastest ways to lower inflammation The critical role of muscle, movement, sleep, and nervous system regulation How gut health influences inflammation, immunity, and metabolism Practical daily habits that help reduce inflammation and support healthy aging QUOTES“The goal isn't simply to lose weight. The goal is creating an internal environment where the body no longer feels the need to stay inflamed.” “One workout cannot undo eight hours of sitting.” “When inflammation comes down, everything goes up.” RESOURCES MENTIONED Use code ENERGIZED and get 10% off on your MitoQ Order https://www.mitoq.com/energized%C2%A0 ⁠Order my newest book: The Perimenopause Revolution https://peri-revolution.com/ Fix Your Metabolism Masterclass Joi & Blokes Lab Testing Blood Sugar Hacks Guide RELATED EPISODES  755: What If Your Body Isn't Broken, Just Undernourished? The Missing Link Between Nutrients, Hormones & Energy with Ryan Woodburry 753: The Brain's Hidden Role in Chronic Pain, Migraines & Fatigue with Dr. Howard Schubiner 751: Bloating, Brain Fog & Hormone Chaos? Your Gut May Be the Root Cause with Dr. Cassie Smith 741: Estrogen, Gut Health, Mitochondria, and Cardiovascular Health: What Changes In Perimenopause with Dr. Siobhan Mitchel

What if one of the biggest missing pieces of perimenopause isn't hormones at all? In this eye-opening conversation, Dr. Mariza sits down with Ryan Woodbury, co-founder and co-CEO of Needed, to explore why nutrient deficiencies may be one of the most overlooked drivers of fatigue, brain fog, low energy, poor stress resilience, and other common symptoms women experience during perimenopause. Ryan shares the surprising personal experience that led her into the world of nutritional science and supplementation, including discovering her own nutrient deficiencies despite following a highly nutrient-dense diet. Together, they unpack the alarming research showing that most women are entering pregnancy, postpartum, and eventually perimenopause already running on depleted nutritional reserves. They discuss the shortcomings of traditional nutritional recommendations, why so many women remain deficient despite taking standard multivitamins, and how decades of stress, caregiving, disrupted sleep, pregnancies, and modern environmental demands create a perfect storm for depletion. Dr. Mariza and Ryan also dive into the critical role nutrients play in supporting hormone production, brain function, metabolism, cellular energy, blood sugar regulation, and healthy aging. Most importantly, they offer practical guidance for building a stronger nutritional foundation so women can thrive through midlife and beyond. If you've ever wondered why you still feel depleted despite doing "all the right things," this conversation will help connect the dots. RYAN WOODBURY Ryan Woodbury is the co-founder and co-CEO of Needed, a company dedicated to improving nutritional support for women across every stage of life. With a background in environmental science, nutrition, and food systems, Ryan has become a leading advocate for evidence-based nutrient support for fertility, pregnancy, postpartum, and perimenopause. Her mission is to help women move beyond bare-minimum nutrition and build the foundation needed for lifelong vitality. IN THIS EPISODE Why nutrient deficiencies are so common among women entering perimenopause The hidden impact of stress, caregiving, pregnancy, and postpartum depletion Why traditional multivitamins often fail to meet women's nutritional needs The critical role of vitamin D, magnesium, choline, omega-3s, and B vitamins How nutrient deficiencies contribute to fatigue, brain fog, and metabolic dysfunction Why foundational nutrition matters before adding targeted interventions The connection between blood sugar regulation, inflammation, and hormonal health How women can build a stronger foundation for energy, cognition, and healthy aging QUOTES“95% of women have at least one nutrient deficiency in a very key nutrient.” “You deserve to get what your body actually needs, not the bare minimum.” “When women reclaim their energy, they don't just change themselves, they change the world.” RESOURCES MENTIONED Subscribe now and get 20% off + FREE Shipping on your first NEEDED Supplement Order http://thisisneeded.com/DrMarizaSnyder Order my newest book: The Perimenopause Revolution https://peri-revolution.com/ Needed Website Needed InstagramNeeded Facebook Needed Academy Instagram RELATED EPISODES 754: How to Find Joy When Life Doesn't Go According to Plan with Amberly Lago 751: Bloating, Brain Fog & Hormone Chaos? Your Gut May Be the Root Cause with Dr. Cassie Smith 741: Estrogen, Gut Health, Mitochondria, and Cardiovascular Health: What Changes In Perimenopause with Dr. Siobhan Mitchel 743: Why Your Heart Risk Changes in Menopause (And What You Can Do About It) with Dr. Jayne Morgan

Coffee First Thing, Fasted Workouts, and Why Your Morning Routine Is Wrecking Your Hormones in Midlife Morning fatigue isn't just about bad sleep — the first hour of your day shapes your hormone balance, metabolism, brain fog, and energy. Have you ever done everything "right" — fasted workout, coffee on an empty stomach, fasting until noon — and still felt more exhausted and anxious than ever? In this solo episode, I break down why those wellness habits are cortisol-wrecking chaos for a midlife woman. They were built for a twenty-five-year-old man's body, not yours. I'll walk you through six science-backed things to do before 9 AM that actually match your physiology, plus a twenty-minute version for busy mornings. Key Points The one simple swap that changes how women feel more than almost anything I recommend — and why order matters more than the habit. Why that "I can't function without coffee" feeling isn't an addiction — it's a hormonal clue most women miss. The reason your thyroid labs keep coming back "normal" while you still have every symptom of an underactive thyroid. How one client lost weight and got her energy back with six small morning swaps. We connect the dots between cortisol, the HPA axis, blood sugar, thyroid function, and metabolism — so you can finally understand why the "healthy" things you're doing might be working against you. Stop wasting time (and money) on products that don't work. My Trusted Brands Guide is the exact list I share with my private clients — the skincare, supplements, food, and wellness tools that have been tested and proven to deliver results. No fluff. No guesswork. Just the brands you can finally feel good about using. ✨ Plus, I scored exclusive discounts from some of these companies just for my community.

What if resilience isn't about pushing harder, but about learning how to move forward with grace, courage, and joy when life doesn't go according to plan? In this powerful conversation, Dr. Mariza sits down with bestselling author, speaker, coach, and podcast host Amberly Lago to discuss resilience, overcoming adversity, and finding purpose through life's most difficult challenges. After surviving a devastating motorcycle accident that nearly took her life, enduring dozens of surgeries, and being diagnosed with Complex Regional Pain Syndrome (CRPS), Amberly faced years of chronic pain, uncertainty, and reinvention. Rather than allowing her circumstances to define her, she chose to build a life rooted in resilience, gratitude, faith, community, and purpose. Together, they explore the mindset shifts that help women move through difficult seasons, the role of gratitude in healing, why joy is a daily practice rather than a destination, and how small habits can create profound transformation over time. Whether you're navigating health challenges, career transitions, relationship struggles, or simply feeling stuck, this conversation offers practical tools and powerful encouragement to help you move forward with greater confidence and hope. AMBERLY LAGO Amberly Lago is a bestselling author, resilience coach, TEDx speaker, top-ranked podcast host, and motivational speaker. After surviving a catastrophic motorcycle accident and living with Complex Regional Pain Syndrome, she transformed her personal challenges into a mission to help others build resilience, find joy, and create meaningful lives despite adversity. She is the author of multiple books, including Joy Through the Journey and True Grit and Grace. IN THIS EPISODE How resilience is built through daily decisions and small actions Amberly's remarkable recovery journey after a life-changing accident Why gratitude can shift your mindset during difficult seasons The importance of acceptance when facing unexpected challenges How community helps accelerate growth and confidence Why joy is a strategy, not just an emotion The role of habits, discipline, and non-negotiables in long-term success How to move forward when life feels uncertain or overwhelming QUOTES “You can't be grateful and miserable at the same time.” “Resilience isn't about bouncing back. It's about moving forward.” “When you've got grit, there is no quit.” RESOURCES MENTIONED Order my newest book: The Perimenopause Revolution https://peri-revolution.com/ Use code DRMARIZA and get 10% off on your Womeness Order https://www.womaness.com/DRMARIZA Joy Through the Journey Book by Amberly Lago True Grit and Grace Book by Amberly Lago The Amberly Lago Show Amberly Lago Website Amberly Lago Facebook Amberly Lago Instagram Amberly Lago Youtube RELATED EPISODES  753: The Brain's Hidden Role in Chronic Pain, Migraines & Fatigue with Dr. Howard Schubiner 717: “I Don't Feel Like Myself Anymore”: The Mental & Emotional Reality of Perimenopause 741: Estrogen, Gut Health, Mitochondria, and Cardiovascular Health: What Changes In Perimenopause with Dr. Siobhan Mitchel 743: Why Your Heart Risk Changes in Menopause (And What You Can Do About It) with Dr. Jayne Morgan

What if your chronic pain, migraines, anxiety, fatigue, IBS, or other persistent symptoms aren't permanent at all? In this fascinating conversation, Dr. Mariza sits down with Dr. Howard Schubiner, physician, researcher, and leading expert in neuroplastic symptoms, to explore a groundbreaking approach that is helping people reverse chronic pain and other conditions long considered lifelong and irreversible. Dr. Schubiner explains how the brain creates pain as a protective danger signal, why emotional injuries can activate the same neural pathways as physical injuries, and how unresolved trauma, chronic stress, adverse childhood experiences, and self-silencing can contribute to chronic symptoms years or even decades later. Together, they discuss the growing body of research around neuroplastic pain, the connection between emotions and physical symptoms, and why many people continue suffering despite normal scans, medications, and conventional treatments. Dr. Mariza also shares her own experience with chronic migraines, leading to a powerful live demonstration of how pain reprocessing techniques can begin shifting the brain's expectations and neural patterns in real time. This conversation offers hope for anyone who has been told they simply need to manage their symptoms for the rest of their life. HOWARD SCHUBINER Dr. Howard Schubiner is a physician, researcher, educator, and one of the leading voices in the field of neuroplastic symptoms. He is the author of Unlearn Your Pain and has spent decades helping patients recover from chronic pain, migraines, fibromyalgia, IBS, anxiety, chronic fatigue, and other conditions through evidence-based approaches rooted in neuroscience, emotional processing, and neuroplasticity. IN THIS EPISODE What neuroplastic symptoms are and why they are often misunderstood How childhood experiences, trauma, and chronic stress can contribute to chronic pain Why migraines, IBS, fibromyalgia, anxiety, and fatigue may share similar brain-based mechanisms The powerful connection between emotions and physical symptoms How pain reprocessing therapy helps retrain the brain's danger signals Why self-silencing and people-pleasing often show up in women with chronic symptoms The role of emotional awareness and expression in healing A live demonstration of changing neural pathways through visualization and safety signals QUOTES“Pain can be a message that our brain sends.” “Emotional injury causes the same parts of the brain to light up as physical injury.” “Chronic pain is not necessarily a life sentence.” RESOURCES MENTIONED Use code ENERGIZED and get 30% off on your first BATCH order http://hellobatch.com/ENERGIZED Get your copy of Dr. Howard Schubiner Newest Book now https://www.amazon.com/Unlearn-Your-Pain-Recovering-Depression/ Unlearn Your Pain Website The Association for the Treatment of Neuroplastic Symptoms (ATNS) Howard Schubiner Instagram Howard Schubiner Facebook RELATED EPISODES  751: Bloating, Brain Fog & Hormone Chaos? Your Gut May Be the Root Cause with Dr. Cassie Smith 743: Why Your Heart Risk Changes in Menopause (And What You Can Do About It) with Dr. Jayne Morgan 717: “I Don't Feel Like Myself Anymore”: The Mental & Emotional Reality of Perimenopause 741: Estrogen, Gut Health, Mitochondria, and Cardiovascular Health: What Changes In Perimenopause with Dr. Siobhan Mitchel

What if the foods marketed as “healthy” are actually contributing to the very symptoms so many women are struggling with today? In this eye-opening conversation, Dr. Mariza sits down with Julia Putzeys, certified Nutritional Therapy Practitioner and founder of the Trash Panda app, to expose the hidden reality of ultra-processed foods and how they impact energy, hormones, metabolism, mood, inflammation, and long-term health. Together, they unpack the confusing world of food marketing, ingredient labels, food additives, artificial flavors, seed oils, and the growing prevalence of ultra-processed foods in the modern food supply. Julia shares her own journey from believing she was eating healthy to discovering how many seemingly nutritious products were filled with ingredients that offered little nourishment and often contributed to poor health outcomes. They also discuss the powerful mindset shift from calorie counting and restriction toward nourishment, nutrient density, and real food. As mothers, both Dr. Mariza and Julia share practical strategies for helping children develop a healthier relationship with food while avoiding the traps of hyper-palatable, addictive processed products. If you've ever felt overwhelmed at the grocery store or questioned whether the foods in your pantry are actually supporting your health, this episode offers practical guidance and empowering tools to help you make more informed choices. JULIA PUTZEYS Julia Putzeys is a certified Nutritional Therapy Practitioner, founder of the Trash Panda app, and mother of three. Combining her background in software product management with her passion for nutrition, Julia created Trash Panda to help consumers quickly identify potentially harmful ingredients in packaged foods and discover healthier alternatives. Her mission is to make ingredient transparency and healthier food choices more accessible to families everywhere. IN THIS EPISODE Why over 70% of grocery store products are considered ultra-processed foods The difference between processed foods and ultra-processed foods How food additives, flavorings, and dyes impact cravings, behavior, and long-term health Why calorie counting often distracts us from focusing on true nourishment The connection between ultra-processed foods, inflammation, metabolic dysfunction, and chronic disease How food marketing creates confusion around what is actually healthy Practical strategies for helping children develop healthier eating habits How the Trash Panda app helps consumers identify healthier food swaps QUOTES“Eating whole food means reading the ingredients, not just the nutrition label.” “Your body becomes addicted to ultra-processed foods because they're designed that way.” “When I started focusing on real food, I had so much less food noise.” RESOURCES MENTIONED Use code ENERGIZED and get $10 off on annual membership for the Trash Panda App on IOS https://apps.apple.com/redeem Download the Trash Panda App now on IOS or Android https://trashpanda.app.link/AvwFh7mfG3b Use code ENERGIZED and get 10% off on your MitoQ Order https://www.mitoq.com/energized%C2%A0 Trash Panda App Website Trash Panda App Instagram Trash Panda App Facebook Trash Panda App Youtube RELATED EPISODES  751: Bloating, Brain Fog & Hormone Chaos? Your Gut May Be the Root Cause with Dr. Cassie Smith 741:Estrogen, Gut Health, Mitochondria, and Cardiovascular Health: What Changes In Perimenopause with Dr. Siobhan Mitchel 743: Why Your Heart Risk Changes in Menopause (And What You Can Do About It) with Dr. Jayne Morgan 717: “I Don't Feel Like Myself Anymore”: The Mental & Emotional Reality of Perimenopause

“What if your bloating, fatigue, brain fog, anxiety, stubborn weight gain, and hormone symptoms are actually starting in your gut?” In this episode, Dr. Mariza sits down with Dr. Cassie Smith — dual board-certified endocrinologist, founder of Modern Endocrine, and author of Fix Your Gut, Fix Your Hormones — to unpack the powerful connection between gut health, hormone balance, stress, metabolism, inflammation, and reproductive health. Together, they dive into how chronic stress, poor gut health, blood sugar dysregulation, inflammation, and lifestyle overload silently impact everything from cortisol and insulin to estrogen, progesterone, thyroid function, and fertility. Dr. Cassie explains why so many women are told their labs are “normal” while still feeling exhausted, bloated, anxious, inflamed, and disconnected from their bodies — and why gut dysfunction is often the missing piece conventional medicine overlooks. They also explore the growing metabolic and hormonal crisis happening in younger women, the connection between PCOS, insulin resistance, gut dysfunction, and birth control, and why many women are struggling to restore healthy cycles and fertility later in life. This conversation is a powerful reminder that hormones do not work in isolation. Your gut, nervous system, metabolism, sleep, stress resilience, and hormones are all deeply interconnected. If you've been feeling like your body is trying to tell you something but nobody has connected the dots yet, this episode will help you understand where healing truly begins. DR. CASSIE SMITH Dr. Cassie Smith is a dual board-certified endocrinologist and the founder of Modern Endocrine. After becoming frustrated with the limitations of conventional medicine, she built a practice focused on uncovering the root causes behind hormone dysfunction, metabolic issues, fertility struggles, and gut-related symptoms. She is also the author of the book Fix Your Gut, Fix Your Hormones. IN THIS EPISODE Why chronic stress has such a powerful impact on gut health and hormones How gut dysfunction contributes to fatigue, brain fog, bloating, anxiety, and weight resistance The connection between estrogen decline, microbiome diversity, and inflammation Why insulin resistance and metabolic dysfunction are rising in younger women The hidden relationship between PCOS, gut health, cortisol, and fertility Why birth control is often used as a Band-Aid instead of addressing root causes The foundational lifestyle habits that support gut and hormone healing Why slowing down, resting, and reducing nervous system overload matters for recovery QUOTES “Your hormones are doing the best they can in the environment you give them.” “It doesn't matter how many supplements or hormones we throw at you if the foundations aren't in place.” “Your gut is where all healing begins.” “Your body cannot heal in survival mode.” RESOURCES MENTIONED Get your “Fix Your Gut, Fix Your Hormones” Book by Dr. Cassie Smith https://guthormonefix.com/ ⁠Order my newest book: The Perimenopause Revolution https://peri-revolution.com/ Modern Endocrine Website Modern Endocrine Instagram Modern Endocrine Facebook Modern Endocrine Tiktok Modern Endocrine Youtube Hormones, Metabolism and You PodcastThe Menopause Gut Book by Cynthia Thurlow RELATED EPISODES  741: Estrogen, Gut Health, Mitochondria, and Cardiovascular Health: What Changes In Perimenopause with Dr. Siobhan Mitchel 743: Why Your Heart Risk Changes in Menopause (And What You Can Do About It) with Dr. Jayne Morgan 738: The Hidden Link Between Inflammation, Hormones & Fertility with Dr. Natalie Crawford  740: Why You're Bloated, Gaining Weight & Feeling Off in Menopause (It Starts in Your Gut) with Cynthia Thurlow

“What if the exhaustion, brain fog, low libido, and metabolic changes women experience in midlife are actually rooted in a deeper cellular energy crisis?” In this episode, Dr. Mariza sits down with Dr. Andrew Salzman — physician, inventor, biochemical engineer, and Chief Scientific Officer of Wonderfeel — to unpack the powerful connection between NAD, mitochondrial health, inflammation, ovarian aging, gut integrity, nitric oxide, and the dramatic energy shifts women experience during perimenopause and menopause. Dr. Salzman explains why menopause represents a major biological inflection point for women and how declining NAD levels may be contributing to fatigue, brain fog, poor recovery, metabolic dysfunction, sleep issues, reduced stress resilience, cardiovascular changes, and shifts in sexual health. Together, they explore the evolutionary role of menopause, why ovarian senescence accelerates aging pathways, how inflammation and the enzyme CD38 rapidly deplete NAD stores, and why the gut microbiome may be one of the biggest drivers of inflammation and energy decline in modern women. They also dive into nitric oxide production, cardiovascular health, the brain's dependence on NAD for sleep and cognitive function, and why ingredients like NMN and creatine are gaining attention for supporting healthy aging and resilience in midlife. If you've ever looked in the mirror and thought, “I don't feel like myself anymore,” this conversation will help connect the dots between your symptoms, your mitochondria, and your long-term vitality. ANDREW SALZMAN Dr. Andrew Salzman is a physician, inventor, biochemical engineer, and the Chief Scientific Officer of Wonderfeel. With more than 30 years of experience in drug discovery and development, over 170 scientific publications, and more than 50 patents, Dr. Salzman has spent decades studying aging biology, inflammation, cellular resilience, nitric oxide signaling, and mitochondrial health IN THIS EPISODE Why menopause is a major biological inflection point for women How declining NAD levels impact energy, metabolism, sleep, and brain function Why CD38 accelerates inflammation and NAD depletion during aging The surprising connection between gut health, inflammation, and menopause symptoms How estrogen decline contributes to leaky gut and systemic inflammation Why nitric oxide is essential for circulation, libido, cardiovascular health, and cognition The role of NAD in circadian rhythm, sleep quality, and stress resilience Why NMN and creatine are gaining attention for healthy aging and vitality QUOTES“Menopause will happen, but the question is: how do we maintain vibrancy and resilience through it?” “NAD is the common currency that drives energy throughout the body.” “The gut is the foundational driver of inflammation as we age.” “Without NADPH, you don't have nitric oxide production.” RESOURCES MENTIONED Subscribe and Save $15 on Wonderfeel Youngr™ NMN: https://tidd.ly/4rPnckS Use code ENERGIZED and get 30% off on your first BATCH order https://hellobatch.com/ENERGIZED Order my newest book: The Perimenopause Revolution https://peri-revolution.com/ Wonderfeel Website Wonderfeel Instagram Wonderfeel YouTube RELATED EPISODES  741: Estrogen, Gut Health, Mitochondria, and Cardiovascular Health: What Changes In Perimenopause with Dr. Siobhan Mitchel 691: The Fertility Crisis No One Talks About: Why Your Health Today Impacts Future Generations with Dr. Ann Shippy 717: “I Don't Feel Like Myself Anymore”: The Mental & Emotional Reality of Perimenopause 743: Why Your Heart Risk Changes in Menopause (And What You Can Do About It) with Dr. Jayne Morgan

“What if the life you worked so hard to build is also the thing quietly burning you out?” In this episode, Dr. Mariza sits down with Brooke Taylor to unpack the hidden emotional patterns driving burnout, overachievement, perfectionism, and chronic stress in high-performing women. Brooke shares her deeply personal story—from climbing the corporate ladder at Google while battling addiction, burnout, and health issues—to ultimately discovering what she now calls the “Success Wound.” Together, they explore how so many women unconsciously tie their worth, safety, belonging, and identity to achievement… until their body can no longer sustain the pressure. They dive into the emotional roots of over-functioning, the nervous system impact of constantly “doing,” and why midlife often becomes the moment women can no longer outrun themselves. Brooke also shares practical tools to identify your own success wound patterns, regulate your nervous system, reconnect to your true self, and move from manic ambition into aligned ambition. If you've ever felt exhausted despite accomplishing so much… if you've struggled to slow down, feel present, or believe you're enough without constantly proving yourself… this conversation will hit deeply. BROOKE TAYLOR Brooke Taylor is a transformational career coach, speaker, and former Google marketing lead who has helped over 5,000 high-performing women redefine success on their own terms. After experiencing burnout, addiction, and deep emotional reckoning in her own life, Brooke developed the framework she now calls the “Success Wound” to help women break free from overachievement patterns and reconnect to fulfillment, purpose, and self-worth. IN THIS EPISODE What the “Success Wound” actually is—and how it develops Why high-achieving women often tie worthiness to productivity The hidden connection between burnout, perfectionism, and chronic stress How childhood conditioning shapes our relationship with achievement The 5 success wound archetypes: Grinder, Pleaser, Hider, Seeker, and Work Hard/Play Hard Why perimenopause can intensify emotional and nervous system burnout The difference between manic ambition and aligned ambition Practical tools to regulate your nervous system and reconnect to your true self Why healing your success wound is lifelong work—not a quick fix QUOTES“The more that I succeeded, the more love, belonging, and approval I would get.” “We don't rise to the level of our confidence. We fall to the level of our self-worth.” “You are not working from the most powerful part of yourself when you're working from fear.” “There is nothing wrong with your ambition. It's the way your worth became tied to it that needs healing.” RESOURCES MENTIONED Grab Brooke's new book The Success Wound https://amzn.to/3RoWBOC Use code ENERGIZED and get 10% off on your Troscription Order http://troscriptions.com/ENERGIZED Order my new book The Perimenopause Revolution https://peri-revolution.com/ Brooke Taylor Website Brooke Taylor Instagram Brooke Taylor Tiktok RELATED EPISODES  717: “I Don't Feel Like Myself Anymore”: The Mental & Emotional Reality of Perimenopause 741: Estrogen, Gut Health, Mitochondria, and Cardiovascular Health: What Changes In Perimenopause with Dr. Siobhan Mitchel 733: Why We're Still Exhausted in the Age of “Evidence-Based” Everything with Shawn Stevenson 728: Why Brain Fog Isn't Random: The Hormone Shift Behind It

“What if your body isn't failing you… but asking for a different kind of support?” In this episode, Dr. Mariza sits down with Mickey Trescott to unpack the powerful connection between inflammation, autoimmune disease, gut health, and perimenopause. Together, they explore why so many women are dismissed when labs look “normal” despite debilitating symptoms like fatigue, bloating, brain fog, joint pain, skin issues, and weight resistance. Mickey shares her personal journey with Hashimoto's, celiac disease, and autoimmune recovery—and how the Autoimmune Protocol (AIP) became a transformative tool for reducing inflammation and helping millions feel better in their bodies. They also dive into the evolution of AIP over the last 15 years, the newest research validating its effectiveness, and why perimenopause often becomes an inflammatory inflection point where hidden symptoms suddenly rise to the surface. If you've been struggling with chronic inflammation, unexplained symptoms, or feeling dismissed by conventional medicine, this conversation will help you connect the dots—and give you practical hope moving forward. MICKEY TRESCOTT Mickey Trescott is a nutritional therapy practitioner, cookbook author, and co-creator of the Autoimmune Protocol (AIP). After being diagnosed with Hashimoto's thyroiditis and celiac disease in her twenties, she dedicated her work to helping people navigate autoimmune disease through nutrition, lifestyle medicine, and inflammation support. She has helped shape the modern AIP movement and trained hundreds of healthcare practitioners around the world. IN THIS EPISODE Why autoimmune disease impacts women at significantly higher rates How inflammation often worsens during perimenopause and menopause The connection between gut health, food sensitivities, and immune regulation Why “normal labs” don't always reflect how women actually feel The science and research behind the Autoimmune Protocol (AIP) The difference between Core AIP and the newer Modified AIP approach Why food reintroductions and personalization are key for long-term healing QUOTES“Your body is not working against you. It's asking for a different level of support.” “Three out of every four-ish people get clinical improvement from doing an elimination diet when you have autoimmune disease.” “When hormones begin to shift, the body becomes far less tolerant of underlying inflammation.” RESOURCES MENTIONED Order my new book: The Perimenopause Revolution https://peri-revolution.com/ Use code ENERGIZED and get 30% off on your first BATCH order http://hellobatch.com/ENERGIZED Grab Mickey's new AIP book  https://theautoimmuneprotocol.com/ Visit Autoimmune Wellness Website Autoimmune Wellness Instagram Mickey Trescott Instagram Mickey Trescott Facebook Mickey Trescott Youtube RELATED EPISODES  747: The Silent Shift: Why Perimenopause Changes Everything 717: “I Don't Feel Like Myself Anymore”: The Mental & Emotional Reality of Perimenopause 741: Estrogen, Gut Health, and Metabolism with Siobhan Mitchell 728: Why Brain Fog Isn't Random: The Hormone Shift Behind It

“Perimenopause is more than just hot flashes and mood swings—it's a biological inflection point.” In this solo episode, Dr. Mariza discusses the deeper, often overlooked changes happening during perimenopause and menopause. It's more than a reproductive shift; it's a systemic change affecting the brain, metabolism, hormones, mitochondria, gut health, and more. Dr. Mariza delves into the silent shift that many women experience—feeling exhausted, stressed, and unproductive despite their best efforts. She explains how perimenopause accelerates aging processes, and why early intervention is key to reducing long-term health risks and preserving vitality. This episode focuses on actionable steps you can take to support your body during this critical transition—from stabilizing blood sugar and building muscle to optimizing sleep and protecting your brain. If you've been feeling “off” but can't explain why, this episode is a must-listen. Be sure to tune in! IN THIS EPISODE Why perimenopause is a biological and metabolic inflection point The connection between hormonal fluctuations, mitochondria, and energy How perimenopause accelerates aging and increases risk for chronic diseases Why "just pushing through" is not the solution for midlife women The importance of early intervention for better long-term health outcomes Simple strategies for building energy, optimizing brain function, and protecting your future health How stabilizing blood sugar, improving muscle mass, and prioritizing sleep can reduce inflammation and support resilience QUOTES“Perimenopause is more than just skipped periods or hot flashes. It's a shift in every system of the body.” “You deserve so much better than being told to just survive this season.” “The moment to intervene is now—not when your health has deteriorated.” RESOURCES MENTIONED Order my newest book: The Perimenopause Revolution https://peri-revolution.com/ Use code ENERGIZED and get 10% off on your Troscription Order http://troscriptions.com/ENERGIZED Use code DRMARIZA and get 10% off on your Womeness Order https://www.womaness.com/DRMARIZA Check out the Morning Metabolic Ignition Method for better energy and resilience RELATED EPISODES  744: The Midlife Brain Reset: How to Protect Your Memory, Focus & Mental Sharpness Starting Now 717: “I Don't Feel Like Myself Anymore”: The Mental & Emotional Reality of Perimenopause 728: Why Brain Fog Isn't Random: The Hormone Shift Behind It 741: Estrogen, Gut Health, Mitochondria, and Cardiovascular Health: What Changes In Perimenopause with Dr. Siobhan Mitchel

“Is your nervous system stuck in overdrive?” In this episode, Dr. Mariza sits down with Jenna Free, a counselor specializing in ADHD and nervous system regulation, to discuss why so many women in midlife feel overwhelmed, scattered, and exhausted despite their best efforts to stay organized. Together, they explore how the nervous system gets stuck in a chronic fight-or-flight state, the role of dysregulation in ADHD symptoms, and why traditional productivity hacks simply don't work when your nervous system is running on empty. Jenna breaks down her approach to resetting the nervous system and explains how small, consistent changes can lead to massive improvements in mental clarity, energy, and overall well-being. This conversation offers new insights on how to break free from the cycle of rushing, crashing, and feeling burned out—and provides tangible steps to reclaim control over your brain and nervous system. JENNA FREE Jenna Free is a counselor specializing in ADHD, nervous system regulation, and mindfulness practices. She is passionate about helping women overcome the chaos of constant overwhelm and hypervigilance by teaching them how to regulate their nervous systems and achieve sustainable productivity. Jenna is the author of The Simple Guide to ADHD Regulation and offers support to those struggling with ADHD and chronic stress IN THIS EPISODE How a dysregulated nervous system contributes to ADHD-like symptoms in midlife The link between survival mode (fight or flight) and chronic overwhelm Why traditional productivity hacks fail when your nervous system is stuck Practical tips to help interrupt dysregulation and shift into a more balanced state The importance of slowing down and creating space for mindful action How to reframe beliefs and thoughts to support nervous system regulation Why a regulated nervous system leads to more sustainable energy and better overall functioning QUOTES“Being in survival mode is a primal mechanism, but it's not meant to be how we live in 2026.” “If you believe that being frantic and rushed is the way to be successful, you will never change.” “Regulation work isn't about feeling nice—it's about functioning better.” RESOURCES MENTIONED Use code ENERGIZED and get 10% off on your MitoQ Order https://www.mitoq.com/energized  Order The Simple Guide to ADHD Regulation https://www.jennafree.com/book ⁠Order my newest book: The Perimenopause Revolution⁠⁠Jenna Free https://peri-revolution.com/ Jenna Free Website https://www.jennafree.com/ Jenna Free Instagram Jenna Free Youtube RELATED EPISODES  744: The Midlife Brain Reset: How to Protect Your Memory, Focus & Mental Sharpness Starting Now 728: Why Brain Fog Isn't Random: The Hormone Shift Behind It 717: “I Don't Feel Like Myself Anymore”: The Mental & Emotional Reality of Perimenopause 693: Tired All the Time? It Might Be Hidden Problems With Your Mitochondria with Siobhan Mitchell

Why are so many women waking up exhausted… but unable to shut their brain off?” In this episode, Dr. Mariza sits down with Scott Sherr to unpack the hidden nervous system and biochemical shifts driving sleep struggles, anxiety, exhaustion, and feeling “wired and tired” in midlife. Together, they explore why women in perimenopause often lose stress resilience, why the brain gets stuck in overdrive at night, and how neurotransmitters like GABA, serotonin, adenosine, and cortisol shape sleep quality, recovery, and mood. They also dive into the powerful connection between mitochondrial health, nervous system regulation, energy production, and why building more “reserve” may be the missing key to feeling calm, focused, and resilient again. If you've been struggling with middle-of-the-night wakeups, burnout, anxiety, or feeling like your brain never truly powers down, this episode will help connect the dots—and offer practical solutions that actually move the needle. Dr. Scott Sherr Dr. Scott Sherr is a physician, health optimization expert, and Chief Operating Officer of Troscriptions. His work focuses on nervous system regulation, mitochondrial health, hyperbaric medicine, sleep optimization, and performance medicine. He is passionate about helping people improve resilience, energy, recovery, and cognitive performance through science-backed strategies and targeted support. IN THIS EPISODE Why so many women feel “wired and tired” in perimenopause The real reason behind 2–3 AM wakeups and racing thoughts How GABA, cortisol, serotonin, and adenosine impact sleep and stress Why nervous system regulation is essential for resilience and recovery The connection between mitochondrial health, energy, and brain function How chronic stress and sympathetic overload affect hormones and mood Practical tools to support sleep, focus, calm, and nervous system balance QUOTES “Sleep will make or break you the next day—especially in this season of life.” “To increase your performance is having more reserve.” “You're not meant to live in a state of disruption, exhaustion, and feeling wired and tired all the time.” RESOURCES MENTIONED Use code ENERGIZED and get 10% off on your Troscription Order http://troscriptions.com/ENERGIZED Use code ENERGIZED and get 10% off on your MitoQ Order https://www.mitoq.com/energized%C2%A0 Troscriptions Website Dr. Scott Sherr Instagram Dr. Scott Sherr Youtube RELATED EPISODES  744: The Midlife Brain Reset: How to Protect Your Memory, Focus & Mental Sharpness Starting Now 717: “I Don't Feel Like Myself Anymore”: The Mental & Emotional Reality of Perimenopause 728: Why Brain Fog Isn't Random: The Hormone Shift Behind It 593: Why EVERYONE Needs Progesterone in Perimenopause & Beyond with Carol Petersen

“Is this brain fog… or something more?” In this solo episode, Dr. Mariza unpacks the hidden neurological and metabolic shifts happening during perimenopause and menopause—and why so many women suddenly feel mentally “off.” From brain fog and memory lapses to anxiety, overwhelm, and lower stress resilience, these symptoms are often dismissed as aging or stress. But Dr. Mariza explains that this is actually a neuroendocrine and metabolic transition driven by changing hormones, brain energy shifts, inflammation, and blood sugar instability. She breaks down what's really happening inside the female brain during midlife, why women feel more sensitive to stress, and the most powerful lifestyle strategies to support long-term brain health, energy, mood, and resilience. If you've been wondering why you don't quite feel like yourself anymore, this episode will help connect the dots—and give you a roadmap forward. IN THIS EPISODE Why perimenopause is a neuroendocrine and metabolic brain transition The connection between estrogen, brain energy, and brain fog How blood sugar instability worsens anxiety, fatigue, and mood swings Why inflammation and chronic stress hit harder in midlife The critical role of sleep, nervous system regulation, and muscle building The best supplements for brain health, stress resilience, and energy support Why tracking biomarkers and HRV can help protect long-term brain health QUOTES “Stabilizing your blood sugar is the fastest way to reclaim your energy, your focus, and your calm.” “What we're dealing with is an energy problem—and once you see it that way, everything changes.” “Your brain is not broken. It is adapting and recalibrating.” RESOURCES MENTIONED Order my new book: The Perimenopause Revolution https://peri-revolution.com/ Learn more about Joi & Blokes  https://joiandblokes.com/labs-with-dr-mariza-snyder/ Explore Berkeley Life Nitric Oxide Support https://berkeleylife.pxf.io/Vxvdja Download the Midlife Lab Guide https://dmdl.s3.amazonaws.com/Dr-Mariza_Hormone-Lab-Testing-Checklist-%26-Reference-Guide.pdf RELATED EPISODES  728: Why Brain Fog Isn't Random: The Hormone Shift Behind It 743: Why Your Heart Risk Changes in Menopause with Dr. Jayne Morgan 693: Tired All the Time? It Might Be Hidden Problems With Your Mitochondria with Siobhan Mitchell 717: “I Don't Feel Like Myself Anymore”: The Mental & Emotional Reality of Perimenopause

“Why is heart disease still the #1 killer of women—and why aren't we talking about it?” In this episode, Dr. Mariza sits down with Jayne Morgan to unpack the overlooked connection between perimenopause, menopause, and cardiovascular risk. Most women are told menopause is just about hormones and symptoms—but it's actually a vascular transition that directly impacts your heart, blood vessels, and long-term health. Together, they break down why women are often misdiagnosed, why key risk markers are missed, and what you can do to advocate for yourself early—before a major event happens. If you're in your 40s or beyond, this conversation could change how you think about your health—and your future. Be sure to tune in! DR. JAYNE MORGAN Dr. Jayne Morgan is a leading cardiologist and national voice in women's cardiovascular health. She is passionate about redefining “preventive care” for women—shifting the focus from reproductive health alone to include heart health, vascular function, and long-term longevity. IN THIS EPISODE Why heart disease is still the #1 killer of women—and widely overlooked How perimenopause and menopause impact vascular health Why women are often misdiagnosed in cardiac and stroke events The critical labs every woman should be asking for (including Lp(a)) How inflammation, stress, and caregiving burden increase risk Why movement (not just exercise) is essential for longevity The real role of hormone therapy in protecting heart health QUOTES“Real preventive medicine for women is preventive cardiovascular medicine.” “Menopause is not just a hormonal transition—it's a vascular one.” “If you don't measure it, you can't manage it.” RESOURCES MENTIONED Order my newest book: The Perimenopause Revolution https://peri-revolution.com/ Dr. Jayne Morgan Instagram Dr. Jayne Morgan Youtube RELATED EPISODES  723: Estrogen, Insulin & Heart Disease: Why Your Risk Rises in Midlife 711: Estrogen, Inflammation, and Your Heart Health: What Every Woman Needs to Know with Dr. Sanjay Bhojra 675: Feeling Off After 40? The Surprising Vitality Molecule to Reignite Your Energy, Libido & Confidence with Cathy Eason  741: Estrogen, Gut Health, and Metabolism with Siobhan Mitchell

“Why does your body stop responding… even when you're doing everything right?” In this episode, Dr. Mariza sits down with Siobhan Mitchell to unpack the true metabolic and cellular shifts happening in perimenopause and menopause. So many women feel like their body has suddenly turned against them—weight gain, fatigue, brain fog, and rising inflammation—despite doing all the right things. But this isn't a failure of effort. It's a biological inflection point driven by declining estrogen and its impact on metabolism, mitochondria, and vascular health. Together, they break down how estrogen loss reshapes everything from blood sugar control to fat storage, mitochondrial function, and long-term cardiovascular risk—while also exploring the emerging role of gut health and phytoestrogens like S-equol as targeted support. If you've been working harder than ever with fewer results, this episode will help you understand why—and what to do instead. Be sure to tune in! SIOBHAN MITCHEL Dr. Siobhan Mitchel, PhD, is a neuroscientist and Chief Scientific Officer at MitoQ. Her work focuses on mitochondrial health, cellular energy, and the role of oxidative stress in aging—particularly in women navigating perimenopause and menopause. She is passionate about advancing research that supports women's long-term health, metabolism, and resilience at the cellular level. IN THIS EPISODE Why your body stops responding the same way in perimenopause How estrogen loss impacts metabolism, fat storage, and blood sugar The role of mitochondria in energy, brain function, and weight changes Why visceral belly fat increases—and why it's more dangerous The connection between gut health, estrogen metabolism, and inflammation How phytoestrogens (like S-equol) support metabolism and hormone signaling Why midlife is a metabolic and vascular inflection point—not just hormonal QUOTES “This isn't a failure of effort—it's a biological shift happening beneath the surface.” “When estrogen declines, you don't just lose hormones—you lose metabolic protection.” “If you support your mitochondria, you support your energy, your metabolism, and your long-term health.” RESOURCES MENTIONED Order my new book: The Perimenopause Revolution HERE! https://peri-revolution.com/ Use code ENERGIZED and get 10% off MitoQ http://www.mitoq.com/energized MitoQ Instagram MitoQ Facebook MitoQ Youtube RELATED EPISODES  693: The Cellular Shift in Perimenopause: Mitochondria, Metabolism, and Energy 728: Why Brain Fog Isn't Random: The Hormone Shift Behind It 717: “I Don't Feel Like Myself Anymore”: The Mental & Emotional Reality of Perimenopause 705: The Metabolic Shift No One Warned You About in Midlife

Low energy, bloating, and stubborn cravings—why does it feel like your body is constantly pulling you in the opposite direction of your goals? If you've ever found yourself eating when you're not even hungry, struggling with afternoon energy crashes, or feeling like your metabolism just isn't responding the way it used to, this episode is going to reframe everything for you. I'm walking you through the real reason cravings happen—and why this has nothing to do with discipline. Because what most women don't realize is this: your gut health, microbiome, stress levels, and hormone balance are all working together behind the scenes, quietly influencing your metabolism, your hunger signals, and even your decision-making. If you're in perimenopause or menopause, struggling with IBS, digestive issues, or chronic fatigue, this becomes even more important. Your gut-brain connection, cortisol levels, and blood sugar balance can create a perfect storm that leads to intense cravings, energy crashes, and frustration with your body. Inside this episode, I connect the dots between stress, the microbiome, neurotransmitters, and cravings—so you can finally understand what's actually driving your behavior (and why it's not your fault). Key Points You'll Discover: • The hidden gut health imbalance that may be driving your sugar cravings—even when you're not hungry • A surprising connection between stress, cortisol, and your brain's decision-making center that weakens willpower • How blood sugar crashes quietly fuel weight loss resistance, fatigue, and late-night eating patterns • The microbiome-driven signals influencing your metabolism, hormones, and energy levels If you've been stuck in cycles of cravings, exhaustion, brain fog, or digestive issues, this episode gives you a completely new lens to understand what's happening inside your body. When you start to see cravings as a biological signal—not a personal failure—you open the door to real change. Because this isn't about trying harder… it's about working with your gut health, stabilizing your metabolism, and supporting your hormone balance in a way that actually makes your body respond. And once that internal signaling shifts? The cravings don't need to be controlled—they simply start to quiet down. Stop wasting time (and money) on products that don't work. My Trusted Brands Guide is the exact list I share with my private clients — the skincare, supplements, food, and wellness tools that have been tested and proven to deliver results. No fluff. No guesswork. Just the brands you can finally feel good about using. ✨ Plus, I scored exclusive discounts from some of these companies just for my community.

“Is it really just hormones… or is your gut driving the symptoms?” In this episode, Dr. Mariza sits down with Cynthia Thurlow to unpack the powerful connection between gut health and hormones in midlife. Many women are told their bloating, weight gain, fatigue, and mood shifts are “just hormones.” But Cynthia explains that the gut microbiome plays a central role in how these symptoms show up—and how they can be improved. Together, they break down how gut health influences hormones, inflammation, metabolism, and brain function, while also highlighting the foundational habits that matter most in this season. If you've been feeling off and unsure where to focus, this episode will give you clarity and a smarter path forward. Be sure to tune in! CYNTHIA THURLOW Cynthia Thurlow is a nurse practitioner, intermittent fasting expert, and leading voice in metabolic health for women in midlife. With a background in cardiology, she now focuses on helping women navigate perimenopause and menopause through personalized nutrition, gut health, and lifestyle strategies. She is the author of The Menopause Gut and a passionate advocate for empowering women to take control of their health during this pivotal transition. IN THIS EPISODE Why so many women feel disconnected from their bodies in midlife How the gut microbiome influences hormones, inflammation, and metabolism The “Three Ps” shaping gut health: puberty, pregnancy, and perimenopause The link between leaky gut, food sensitivities, mood, and inflammation Why protein, fiber, sleep, and stress support become nonnegotiable How alcohol and sugar disrupt gut health, sleep, and resilience Why midlife is a critical window to build long-term health—not just manage symptoms QUOTES“Midlife isn't just a hormonal shift—it's a metabolic and microbial shift happening beneath the surface.” “When you support your gut, you're not just improving digestion—you're impacting your hormones, your brain, and your long-term resilience.” “This phase of life is an invitation to set boundaries, prioritize your needs, and finally major in what matters most.” RESOURCES MENTIONED

The Gut-Hormone Connection No One's Talking About in Perimenopause If your gut health has gone completely sideways since your late 30s or 40s — bloating, new food sensitivities, constipation — what if the real problem isn't what you're eating? As estrogen drops during perimenopause, your microbiome actually changes. Inflammation goes up, detoxification slows down, and suddenly you're dealing with brain fog, weight loss resistance, fatigue, and digestive issues that seem to come out of nowhere. Today I sat down with Cynthia Thurlow, NP and author of The Menopause Gut, and we connected some major dots. What we get into: Why your microbiome looks completely different after 40 — and how that's driving your bloating, low energy, and inflammation The estrogen recycling loop most practitioners aren't testing for that could be behind your hormone imbalance and stubborn weight Why not tolerating fiber is actually a red flag — not a reason to avoid it A surprising gut-bone connection that changes how we think about aging in menopause If you've been chasing hormone balance without looking at your gut, this episode is going to shift your entire perspective. Hit play. Where to find Cynthia Thurlow: Instagram: https://www.instagram.com/cynthia_thurlow_/?hl=en Facebook: https://www.facebook.com/CHTWellness Twitter/X: https://x.com/_CynthiaThurlow Stop wasting time (and money) on products that don't work. My Trusted Brands Guide is the exact list I share with my private clients — the skincare, supplements, food, and wellness tools that have been tested and proven to deliver results. No fluff. No guesswork. Just the brands you can finally feel good about using. ✨ Plus, I scored exclusive discounts from some of these companies just for my community.

It's a pop up podcast! And on this episode we have our battle of the cohosts! As Gee and Baby M take each other head on on a variety of questions plus they prove whether guys and girls can solely and ONLY be friends. AND the gang tries out some honey packs and give our honest review. Follow us on social media @AaronScenesAfterParty

What if the reason you feel bloated, exhausted, or stuck with weight that won't move has less to do with what you're eating—and more to do with the way you're talking to yourself all day long? If you're dealing with low energy, bloating, hormone imbalance, or feeling like your metabolism just isn't working anymore, this episode connects a piece most people miss—the link between self-judgment, stress, and your physical health. Here's what we explore: • Why your gut health and digestion can shut down before you even take a bite • The surprising way cortisol and stress impact weight loss resistance and hormone balance • How perimenopause and hormonal shifts amplify brain fog, fatigue, and bloating • The hidden "loop" keeping you stuck—and why most solutions aren't working Inside the episode, I explain how your nervous system, gut, and hormones are constantly communicating—and why your body needs safety, not more pressure, to heal. When you're stuck in self-judgment, your body shifts into survival mode. Digestion slows, metabolism becomes inefficient, and symptoms like IBS, exhaustion, and weight gain start to build. But when you change the signal, everything starts to shift. This episode will help you understand why your body feels stuck—and what needs to change so your energy, digestion, and hormones can finally start working for you again. Stop wasting time (and money) on products that don't work. My Trusted Brands Guide is the exact list I share with my private clients — the skincare, supplements, food, and wellness tools that have been tested and proven to deliver results. No fluff. No guesswork. Just the brands you can finally feel good about using. ✨ Plus, I scored exclusive discounts from some of these companies just for my community.

Fatigue, hormone balance, and weight loss resistance—are you doing everything right for your gut health, metabolism, and energy… but still dealing with bloating, brain fog, and low energy? And now wondering if GLP-1 medications like Ozempic are the answer? In this episode, I break down what's really happening beneath the surface—from gut health and digestive issues to hormones, cortisol, and the signals driving weight loss resistance. Because while these drugs can impact appetite and metabolism, there's a bigger story involving your microbiome, muscle mass, and stress response that most people aren't talking about. What You'll Learn in This Episode • The overlooked connection between GLP-1 medications and gut health—and what it could mean for digestion long-term • Why fatigue, hormone imbalance, and weight loss resistance may be driven by stress and cortisol, not just metabolism • What rapid weight loss does to muscle and metabolism—especially during perimenopause and menopause • The deeper reason your body may be holding onto weight (even when you're doing everything "right") This episode connects gut health, hormone balance, and metabolism in a way that helps you finally understand why you feel stuck. If you're dealing with exhaustion, digestive issues, or stubborn weight, this will shift how you see your body—and what it actually needs. Hit play—you'll start connecting the dots. Stop wasting time (and money) on products that don't work. My Trusted Brands Guide is the exact list I share with my private clients — the skincare, supplements, food, and wellness tools that have been tested and proven to deliver results. No fluff. No guesswork. Just the brands you can finally feel good about using. ✨ Plus, I scored exclusive discounts from some of these companies just for my community.

If you're like me, you've noticed that among all the other crazy changes happening in perimenopause, your skin isn't the same as it used to be.  In this episode, I'm joined by triple board-certified dermatologist and skincare expert Dr. Mamina Turegano to break down what's really happening to your skin during midlife.  From increased dryness and loss of firmness to subtle shifts in texture, we explore why these changes occur and how fluctuations in your hormones play a major role. Dr. Turegano shares how your skin is truly a window into your internal health, offering clues about everything from inflammation to overall aging and longevity.  This conversation goes beyond surface-level skincare to help you understand what your skin is trying to tell you—and how to support it from the inside out.  You'll also learn what actually works (and what to skip) so you can simplify your routine and avoid common midlife skincare mistakes.  Tune in here to feel like your most confident and radiant self! Mamina Turegano, MD  Dr. Mamina Turegano is a triple board-certified dermatologist, internist, and dermatopathologist based in New Orleans. She specializes in medical, cosmetic, and integrative dermatology, blending conventional and holistic approaches to skin health. With over 2 million followers across social media, she shares dermatologist-backed skincare and wellness insights with a broad audience. She also co-hosts a podcast called Skin Deep MDs. IN THIS EPISODE Dr. Mamina's integrative medicine approach to Dermatology  What's happening to your skin during perimenopause? Discussing the use of topical hormone products like estrogen cream  Realistic skin care routines for midlife women  Considering prescription products vs. over-the-counter skin care Benefits, side effects, and recommendations for Botox  External factors that are impacting your skin and aging  How crucial your lifestyle choices are in determining your skin quality  Top products for managing midlife wrinkles, dark spots, and hair loss  Getting to the root cause of your symptoms and treating proactively  QUOTES“It's all tied together, how you take care of yourself internally and optimize your skin health. That all will manifest with how you age externally.” “I want people to feel reassured. They don't have to do a lot. The super foundational part of a skincare routine is making sure that you're cleansing daily— even washing your face is anti-aging.” “I'm all about implementing lifestyle strategies. Skincare and lasers, they could do a lot, but they can only do so much. You can really optimize the results of your skincare and your procedures too if you have the right mechanisms in place internally. If your mitochondria is optimized, optimizing your sleep, minimizing more of those inflammation-inducing foods, minimizing sugar, minimizing alcohol, minimizing stress.” RESOURCES MENTIONED Order my newest book: The Perimenopause Revolution HERE!  https://peri-revolution.com/ Dr. Mamina's Website Dr. Mamina on Instagram Dr. Mamina on TikTok   Dr. Mamina on YouTube Dr. Mamina's Podcast: Skin Deep MDs RELATED EPISODES  631: Halt and Reverse Skin Aging, Plus the Top Preventable Factors Driving Skin Aging with Dr. Alessandra Zonari 659: Brain Fog, Joint Pain, and Aging Skin? The Truth About Zombie Cells and How to Reverse Them with Dr. Greg Kelly #623: Red Light Therapy for Upgrading Your Mitochondria, Cellular Energy, Skin and Brain Health with Jonathan Otto595: How to Master Your Metabolism and Reverse Cellular Aging in Midlife + My Best Tips to Thrive with Dr. Mariza

Two of the greatest and most versatile sopranos of the late 20th century, Christiane Eda-Pierre and Teresa Żylis-Gara, both departed within a year of each other in the early 2020s. They also happened to have hyphenated last names and also both bear certain artistic similarities to last week's featured artist, Edith Mathis (who also pops up today in a cameo!) Unlike Mathis, both Eda-Pierre and Żylis-Gara were criminally underrecorded, so any material featuring these singers is even more welcome. In this episode I fill in the blanks with some exceptional live and studio recordings of both artists, including exceptionally rare material (among them a 1967 recording of Christiane Eda-Pierre singing Offrandes by Edgard Varèse and a 1973 air check of Bizet's La jolie fille de Perth; Teresa Żylis-Gara in 1966 singing an excerpt in Polish from Emmerich Kálmán's Gräfin Mariza and a 1977 studio recording of an early Karol Szymanowski song cycle). At least six of the recordings featured are simply not currently available anywhere else on the internet and all selections reveal both of these exceptional sopranos at the peak of their achievement. I'll see you at the end of the week with a brand-new episode. Countermelody is the podcast devoted to the glory and the power of the human voice raised in song. Singer and vocal aficionado Daniel Gundlach explores great singers of the past and present focusing in particular on those who are less well-remembered today than they should be. Daniel's lifetime in music as a professional countertenor, pianist, vocal coach, voice teacher, and author yields an exciting array of anecdotes, impressions, and “inside stories.” At Countermelody's core is the celebration of great singers of all stripes, their instruments, and the connection they make to the words they sing. By clicking on the following link (https://linktr.ee/CountermelodyPodcast) you can find the dedicated Countermelody website which contains additional content including artist photos and episode setlists. The link will also take you to Countermelody's Patreon page, where you can pledge your monthly or yearly support at whatever level you can afford.

Dr. Mariza Snyder is a powerhouse advocate for midlife women, leveraging 17+ years as a practitioner, author, and speaker to spark a massive movement for women in perimenopause and beyond. With her top-rated Energized with Dr. Mariza podcast (13 million downloads) and a passionate social media audience of over 400K and 8 million monthly views, she's a trusted guide—offering science-backed solutions for perimenopause and metabolic health. Her upcoming book, The Perimenopause Revolution (Hay House, October 2025), is the ultimate resource for women ready to take charge of their health and embrace perimenopause with resilience and confidence. A sought-after speaker and educator, Dr. Mariza is changing lives, breaking myths, and ensuring women have all the tools and resources they need to thrive. Featured in Oprah Daily, Dr. Oz, Fox News Health, and MindBodyGreen, she's a leading voice in women's hormone health. Visit her website, drmariza.com, for evidence-based solutions to help you thrive. https://peri-revolution.comhttps://www.facebook.com/drmarizasnyder/ https://instagram.com/drmariza/https://www.youtube.com/user/drmarizasnyder https://www.pinterest.com/drmariza/________________________________________________________________________________________Join the Buff Muff Community https://get.buffmuff.com/methodSupport your pelvic and whole body health with Rejeuve https://rejeuve.com/Rejuve is a line of pelvic health and whole body health supporting supplements that are helping women have a daily poogasm, eliminate leaks and prolapse symptoms, and keep their vulvovaginal tissues supple and resilient. Get your Rejeuve Supplements https://rejeuve.com/ and use code Podcast to save 10% off your first order.Thank you so much for listening! I use fitness and movement to help women prevent and overcome pelvic floor challenges like incontinence and organ prolapse. There is help for women in all life stages! Every Woman Needs A Vagina Coach! Please make sure to LEAVE A REVIEW and SUBSCRIBE to the show for the best fitness and wellness advice south of your belly button. *******************I recommend checking out my comprehensive pelvic health education and fitness programs on my Buff Muff AppYou can also join my next 28 Day Buff Muff Challenge https://www.vaginacoach.com/buffmuffIf you are feeling social you can connect with me… On Facebook https://www.facebook.com/VagCoachOn Instagram https://www.instagram.com/vaginacoach/On Twitter https://twitter.com/VaginaCoachOn The Web www.vaginacoach.comGet your Feel Amazing Vaginal Moisturizer Here

An eye-opening conversation with Dr. Mariza Snyder—a functional practitioner, women's health expert, and author of The Perimenopause Revolution—on why fat loss gets harder during perimenopause, unpacking the hormonal and metabolic shifts driving midlife weight gain and the practical strategies that can help women regain control of their bodies.15 Daily Steps to Lose Weight and Prevent Disease PDF: https://bit.ly/46XTn8f - Get my FREE eBook now!Subscribe to The Genius Life on YouTube! - http://youtube.com/maxlugavereWatch my new documentary Little Empty Boxes - https://www.maxlugavere.com/filmThis episode is proudly sponsored by:Fatty15 provides C15:0, a naturally occurring fatty acid found in full-fat dairy that may support cellular health and longevity—get 15% off at http://fatty15.com/MAX with code MAX!I sleep on an Avocado mattress because real organic materials, no synthetic shortcuts, and better breathability make a noticeable difference. Go to ⁠http://avocadogreenmattress.com/MAX⁠ to check out their mattress and bedding sale.

In this episode, I'm talking all things self-care, stress, and navigating perimenopause without losing your mind. We cover mini screen breaks, getting outside, building morning and evening routines that actually stick, and how movement with friends can be a total game changer. I also chat with Dr. Mariza about sleep struggles, hormone shifts, and practical ways to feel more grounded and energized every day. Plus, I share my go-to rituals: red light masks, acupressure mats, cozy teas, and sacred “me time, ”that keep me sane while juggling work, kids, and life.→ Leave Us A Voice Message! Topics Discussed:→ What is perimenopause? → What is the best way to track your cycle? → When to get on HRT?→ Is birth control good for you? → Lifestyle changes for menopause Sponsored By: → Hiya Health | Get 50% off your first order at https://hiyahealth.com/KELLY→ Pioneer Pastures | Go to https://pioneerpastures.com/one-year for a BOGO one year anniversary sale for a limited time. Timestamps:→ 00:00:00 - Introduction→ 00:02:18 - Defining perimenopause→ 00:04:17 - Early periods, early menopause→ 00:08:02 - Progesterone supplementation→ 00:09:51 - Period tracking→ 00:14:35 - The four phases→ 00:17:19 - Tracking perimenopause→ 00:20:26 - Cycle changes→ 00:26:17 - Perimenopause & mitochondrial health→ 00:30:36 - Stabilizing hormones→ 00:32:58 - Bioidentical hormones & HRT→ 00:35:21 - Lifestyle change & HRT→ 00:42:50 - Self care time→ 00:45:43 - Health non-negotiables→ 00:48:36 - Sunlight & outdoor time→ 00:50:09 - Common misdiagnosis→ 00:53:53 - Perimenopause no-nosFurther Listening: → How to Support Brain + Bone Health During Menopause | Dr. Mindy PelzCheck Out Dr. Mariza:→ https://drmariza.com/→ Instagram→ Podcast→ The Perimenopause Revolution→ Women's Health Books by Dr. Mariza SnyderCheck Out Kelly:→ Instagram→ Youtube→ Facebook

At the end of a busy year, you're probably feeling like you've been running on empty while pouring into everyone else.  So in this reflective episode, I invite you to pause and look back on 2025 with honesty and compassion for yourself. Together, we address the exhaustion so many midlife women are carrying and create space for a much-needed reset after a full and demanding year.  You'll be guided through what truly worked in 2025, what you're ready to release, and what you want to consciously carry forward as you turn the page.  With a focus on discernment, alignment, and intention—hallmarks of the perimenopausal journey—this episode offers 12 powerful reflection questions to help you find clarity on all you've gone through this year.   Tune in to honor how far you've come and step into 2026 with renewed confidence and purpose! IN THIS EPISODE Taking what I've learned in 2025 into the new year  Discovering what you want to call on in 2026  The benefits of taking time for reflection activities  How to make the most of a dedicated reflection time  My 12 end-of-year reflection questions for your 2025 Highlighting what you would like to see more of in 2026 QUOTES“I feel like this is the season of slowing down or at least becoming a bit more discerning about what we're saying yes to and what we're saying no to.”  “I want to invite you into an end-of-year reflection practice, not the kind that's overwhelming or guilt-inducing. Just real simple questions that help us reconnect with what worked, what didn't, and who we want to be, and who we need to be in the next year to come because without reflection, we are destined to repeat.” “May 2026 be your most vibrant, energized, and aligned year yet– may you get all the wins, or at least one, right? Give me the wins!” RESOURCES MENTIONED My Newest Book: The Perimenopause Revolution https://peri-revolution.com/ ⁠Use code ENERGIZED and get $100 on your first CAROL Bike order https://carolbike.pxf.io/GK3LaE⁠ Join me on Instagram! RELATED EPISODES  #614: Thoughtful Reflection Questions to Set the Stage for Your Best Year with Dr. Mariza #625: Effective Tools to Calm Stress Deregulation and Create Peace in the Chaos with Katie Wells 699: Managing Anxiety and Identity in Midlife + Why You Need Community More Than Supplements with Rosie Acosta 697: Hold Nothing: How to Find Stillness, Strength, and Soulful Connection Through Life's Transitions with Elena Brower 

In this episode of the You Are Not Broken podcast, Kelly Casperson and Dr. Mariza Snyder discuss the transformative journey of women navigating perimenopause and menopause. Dr. Mariza shares her personal experiences with chronic migraines and how they led her to become a functional medicine practitioner focused on women's health. The conversation emphasizes the importance of understanding hormonal changes, the impact of chronic stress, and the necessity of movement and nutrition in reclaiming health. Dr. Mariza encourages women to envision their future selves and take ownership of their health journeys, while also addressing the societal pressures that contribute to stress and unhealthy habits. Takeaways Dr. Mariza's journey from chiropractic to functional medicine was driven by her own health struggles. Chronic migraines often affect women in perimenopause due to hormonal changes. Empowering women through health can create a multiplier effect in communities. Movement is essential for recovery and overall well-being. Functional health practitioners focus on root causes rather than just symptoms. Women often feel pressured to be busy, which can lead to chronic stress. Adrenal fatigue is not a recognized medical diagnosis, but stress impacts health significantly. Nutrition plays a crucial role in managing health, especially regarding processed sugars. Insulin resistance is a growing concern for women in midlife. Reading and self-education can empower individuals to take control of their health. Dr. Snyder IG The Perimenopause Revolution To my fellow clinicians: listen to the You Are Not Broken podcast on ⁠⁠Pinnacle's network to earn FREE CME credit⁠⁠ Listen to my Tedx Talk: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Why we need adult sex ed⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠ Learn more about your ad choices. Visit podcastchoices.com/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Tenderoni Hotline #12: Hello, my love, and welcome back to the Tenderoni Hotline. Today's episode is a true gift, a clarifying, empowering, and deeply nerdy deep dive into all things perimenopause, hormones, and how to actually get the support you deserve.I'm joined by my dear friend and longtime women's health advocate, Mariza Snyder, for a conversation that every midlife woman (and every clinician who serves them) needs to hear. Mariza is an author and speaker with over 17 years of experience, and the brilliant mind behind the Energized podcast.Together, we break down the science behind perimenopause, bust some harmful myths, and get into the nitty-gritty about progesterone, estrogen, testosterone, HRT, and beyond. We also talk about how to advocate for yourself at the doctor's office, why lab work isn't everything, and how to navigate this hormonal transition with confidence, clarity, and compassion.Mariza shares from both her clinical expertise and personal story, and offers powerful tools to help you feel more like yourself again, rested, resourced, and rooted in your truth.This episode is rich with real talk, science-backed wisdom, and loving reminders that your symptoms are real and your care should match your lived experience. Whether you're in your mid-30s or well into your 50s, this one is essential listening.So get cozy, grab your journal, and let's get nerdy in the best way.More From Mariza:- Learn about Mariza's book, The Perimenopause Revolution, here: http://drmariza.com/book - The Perimenopause Toolkit Bonus Page: https://peri-revolution.com/- Thriving in Perimenopause Survival Guide: https://drmariza.com/perimenopausesurvival- Learn more about Mariza at drmariza.comGot a question for the Tenderoni Hotline? Send it to me at: podcast@beatrizalbina.comOrder your copy of End Emotional Outsouring here: https://beatrizalbina.com/book/Follow me here: https://www.instagram.com/beatrizvictoriaalbinanp/?hl=en

The immune system is a MASSIVE key to your overall health. So what can you do to best support it and truly THRIVE at any age?  In this episode, pioneering functional medicine expert Dr. Jeffrey Bland joins me to explore how immune system rejuvenation can be a game-changer for long-term health. We dive into the idea that food truly is medicine, and how targeted nutrition (while minimizing ultra-processed foods) can help the immune system recover AND strengthen.  Dr. Bland shares exciting insights on immuno-rejuvenation and spotlights an ancient yet “new” superfood—Himalayan Tartary Buckwheat—that's paving the way for the future of nutrition and longevity. Together, we unpack how chronic stress, inflammation, and poor nutrition quietly tax the body over time, increasing disease risk, and what you can do to interrupt that cycle.  Ready for real healing to occur? Tune into this episode for realistic, practical lifestyle strategies for sleep, stress, and nourishment to help you feel stronger, more resilient, and energized for your years ahead! Jeff Bland, PhD Dr. Jeffrey Bland is the founder of Big Bold Health, a company on a mission to transform how people think about the immune system. Jeff's career in health spans more than 40 years. As a nutritional biochemist by training, he began his career as a university professor and later spent three decades in the natural products industry. In 1991, he and his wife founded The Institute for Functional Medicine. In 2012, Jeff founded another educational nonprofit called the Personalized Lifestyle Medicine Institute. Jeff is the author of The Disease Delusion: Conquering the Causes of Chronic Illness for a Healthier, Longer, and Happier Life, as well as countless other books and research papers. IN THIS EPISODE Understanding the root causes of disease in functional medicine The importance of your immune and nervous systems The negative impacts ultra-processed foods have on your body  The significance of immune system rejuvenation for your health  Top food recommendations for optimal immune system health  How Tartary Buckwheat can enhance health and longevity  The drivers of neuroinflammation in the brain  Lifestyle practices to support physical and emotional resiliance   About Dr. Jeffrey Bland's company, Big Bold Health  QUOTES“The only 2 places that are surveying the outside world to tell our inside body how to work 24/7 are the nervous system and the immune system. And those two systems are interconnected and they regulate how we look, act and feel. They speak to every organ of our body.” “That science supports the fact that when you intervene with the right things [in] your body in a fairly short period of time–three months– [it] can turn itself around.” RESOURCES MENTIONED Use code MARIZA and get 20% off on your Timeline order https://shop.timeline.com/MARIZA Order my new book: The Perimenopause Revolution https://peri-revolution.com/ Dr. Jeff Bland's Website: Big Bold Health Dr. Jeff's Book: The Disease Delusion: Conquering the Causes of Chronic Illness for a Healthier, Longer, and Happier Life Dr. Jeff Bland on Instagram See more from Big Bold Health on Instagram RELATED EPISODES  #667: The Hidden Foods and Habits Fueling Brain Inflammation And How to Reverse It Naturally with Dr. Austin Perlmutter #636: Improve Your Mood, Clear Brain Fog & Reverse Autoimmune Disease by Healing Your Microbiome with Dr. Steven Gundry #601: The Food You Eat Will Impact Your Menopause Journey + Foods to Ease Menopause and Promote Longevity with Dr. Federica Amati 698: Food Noise, Cravings, and Midlife Weight Gain: How to Regain Control Naturally with Sarah Kennedy