Podcasts about Menopause

If your body suddenly seems to be playing by a completely different set of rules in perimenopause or menopause, this episode is for you! For the first time ever on Optimal Metabolism, I am welcoming back a three-peat guest! Cynthia Thurlow, NP, is a two-time TEDx speaker, international speaker, bestselling author, and host of the Everyday Wellness podcast. Her viral TEDx talk on intermittent fasting has surpassed 15 million views, and she has become a leading voice in women's metabolic health, perimenopause, menopause, and intermittent fasting. Cynthia joins me to discuss her latest book, The Menopause Gut: Balance Your Microbiome to Reclaim Your Health in Midlife and Beyond. We're digging into the connection between declining estrogen and the microbiome—and why changes in your gut may affect everything from insulin resistance and stubborn weight gain to inflammation, energy, sleep, brain health, and hormone balance. If you've been eating healthy, exercising, fasting, and doing all the things that used to work—but your body isn't responding the same way anymore—this conversation may help explain why. WHAT WE DISCUSS: Why the gut becomes increasingly important as estrogen declines How the microbiome changes during perimenopause and menopause The connection between gut health, insulin resistance, and blood sugar Why stubborn weight gain in midlife isn't simply about calories or willpower What the microgenderome is and why women should know about it Why digestive problems and food sensitivities can suddenly appear after 40 The estrobolome and the relationship between gut health and estrogen metabolism How chronic stress can influence the gut and the menopause transition Why sleep and circadian rhythm matter for gut and metabolic health The gut-brain connection and why anxiety and brain fog can increase during midlife How gut and hormonal changes may influence immune health and autoimmunity Why extreme dieting and exercise strategies may stop working in midlife Practical ways women can begin supporting their microbiome and metabolism ABOUT CYNTHIA THURLOW, NP Cynthia Thurlow is a nurse practitioner, two-time TEDx speaker, international speaker, and founder and CEO of the Everyday Wellness Project. With more than 25 years of experience in health and wellness, she specializes in perimenopause, menopause, intermittent fasting, and women's metabolic health. She is the bestselling author of Intermittent Fasting Transformation and The Menopause Gut: Balance Your Microbiome to Reclaim Your Health in Midlife and Beyond. CONNECT WITH CYNTHIA + GET THE BOOK

Menopause affects far more than mood and cognition.In this episode, Sam Galloway (she/her) examines the profound physical impact of menopause on the neurodivergent body. From severe dry eye syndrome, sensory hypersensitivity and chronic pain to sleep disruption, premenstrual dysphoria disorder (PMDD), temperature dysregulation, bladder changes, fatigue and mobility challenges, she explores how hormonal changes can transform everyday life.Drawing on her own experiences, Sam discusses the complex relationship between menopause symptoms, sensory processing, trauma, chronic stress and autistic wellbeing. She also reflects on how physical changes can contribute to shrinking worlds, increased support needs and loss of identity.This episode highlights the importance of recognising physical symptoms that are often dismissed, minimised or incorrectly attributed to ageing alone.Content Warning: This episode includes frank discussion of mental health crisis and suicidal thoughts, alongside experiences of autistic burnout, medical care, and menopause. Please take care while listening and skip any sections that may be difficult for you.Resources mentioned or relevant:

For women who care about their health and are already paying attention to what they put in their bodies, skincare should be straightforward. It is not — because the information online is loud, contradictory, and often more driven by fear than evidence. In this episode, triple board-certified dermatologist Dr. Mamina Turegano cuts through all of it: the sunscreen myths, the ingredient fears, the products not worth spending money on, and what your skin actually needs to stay healthy long-term. Dr. Mamina Turegano is a triple board-certified dermatologist, internist, and dermatopathologist based in New Orleans — one of the only physicians in the country who holds all three certifications. 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 co-hosts the Skin Deep MDs podcast, has been published in leading medical journals, and brings the same evidence-based, no-fearmongering approach to everything she touches. What's Discussed: The one skincare step that outperforms everything else — and why consistency is the only metric that matters   SPF 30 vs. SPF 50 vs. SPF 100 — what the actual coverage difference is, what Dr. Mamina recommends for daily use, and the honest answer to "which sunscreen is best"   What three separate board certifications give Dr. Mamina that a standard dermatologist cannot offer — and why the internist lens changes how she reads skin from the inside out   The skincare categories you never need to spend money on — cleansers, moisturizers, and sunscreen do not need to be expensive   The face-washing take that would make most of the internet mad — and why she stands by it completely   What stress does to your skin at a biological level: cortisol, oil composition, inflammation, and why the cascade matters for women who are chronically under load   The benzene-in-sunscreen scare of 2022 — what actually happened, what the levels meant in context, and why the fear grew bigger than the evidence warranted   The sunscreen-causes-skin-cancer myth — debunked, with the ice cream and shark bites analogy that puts it in perspective   Chemical vs. mineral sunscreen: the endocrine disruption concern, what the animal studies actually show, and who should consider switching to zinc-based   Why sunscreen does not cause low vitamin D — and what is actually driving the low vitamin D epidemic   Toxic and problematic skincare ingredients — what to look for and what to avoid   Bacne and skin issues specific to women who train   Fungal breakouts — how to tell the difference from bacterial acne and what to do about it   What movement does for your skin at a cellular level   The link between metabolic health and skin   Ready for coaching that builds around your training and your health? Apply for BroadsCOACH at https://www.broads.app/broadscoach. Learn more about Broads: https://www.broads.app/ https://www.instagram.com/broads_coach/ Check out more from Tara LaFerrara: https://www.taralaferrara.com/ https://www.instagram.com/taralaferrara/ YouTube: @TaraLaferrara TikTok: @taralaferrara Check out more from Dr. Mamina Turegano: Instagram: https://www.instagram.com/dr.mamina/ Website: https://www.drmamina.com/ Consultation services: https://app.futureclinic.com/clinics/drturegano/profile

Movement isn't just about muscles and joints. It's also about how our bodies are taking in, interpreting and responding to the world around us.Katy Bowman and Dr. Jeannette Loram discuss how listening can provide valuable information about how we're moving: listening to the sound of your feet landing as you walk, the rhythm and mechanics of rowing, the sound of your stroke as you swim, and even the timing and quality of the breath during exercise can attune you to the form and efficiency of your movement.The conversation turns to vision with neuro-optometrist Dr. Bryce Appelbaum. Katy and Dr Appelbaum explore the relationship between vision and movement, including how visual information can influence balance, spatial orientation and confidence when navigating complex environments. They discuss how our ability to perceive the physical world can be diminished by prolonged, narrow focus on our screens, and how menopause can make visually demanding tasks even more overwhelming. Dr. Appelbaum shares some eye exercises to help us take in more of the world around us—improving our visual system and physical competence at the same time.Finally, Katy and Jeannette answer a listener question about movement programmes for blind people.Enhanced Show Notes and Full Transcript00:00:00 – Listening to gait 00:04:36 – Dynamic Collective sponsors  00:06:53 – Putting our senses to work: walking, rowing, swimming and soccer 00:25:29 – Vision is more than eyesight: how vision guides movement00:30:11 – Screens, peripheral vision & taking in the world00:48:42 – Vision and menopause: brain fog and overwhelm00:56:32 – Listener question on movement classes for blind people sponsored by Movemate Books, Podcasts & Other ResourcesPodcast: Can Exercise Fix Aging Eyes? Ep 186 — Move Your DNA PodcastPodcast: What's It Like to Slowly Go Blind? — Search Engine PodcastBook: An Immense World: How Animal Senses Reveal the Hidden Realms Around Us by Ed Yong Book: The Country of the Blind by Andrew Leland Book: All the Light We Cannot See by Anthony Doerr Connect with Dr. Bryce AppelbaumMy Vision First — Dr. Bryce Appelbaum's Vision Therapy ClinicDr. Bryce Appelbaum on InstagramScreenFit™ by Dr. Bryce Appelbaum — take $200 off with code NUTRITIOUSMOVEMENTConnect, Move & Learn with KatyJoin Our Newsletter: Movement Colored GlassesFollow Katy on SubstackTry Katy's Virtual Studio Free for 7 days!Made Possible By Our Wonderful Sponsors:Earth Runners:  makers of minimalist earthing sandals designed for natural foot movement and connection to the ground— use code DNA10 for 10% off.Movemate: Active standing boards with smoothly articulating wooden slats. Designed to keep you moving without interrupting your focus.Venn Design: Beautifully upholstered ball-shaped Air Chairs and floor cushions that encourage dynamic sittingMy Happy Feet: Toe-spacing socks that gently realign toes for comfortable shoe recovery—take 20% off with code MYDNAFreet Barefoot: creators of comfortable barefoot shoes built for natural movement, flexibility, and durability— use code DNA10 for 10% off.Ikaria Design: The Soul Seat® offers height-adjustable, multi-position sitting—get 10% off new chairs and desks with code DNA10ScreenFit™: a complete online vision training program —take $200 off with code NUTRITIOUSMOVEMENT October Retreats 2026 

Christy answers an audience question about the diets you *don't* need to try in (peri)menopause—and ways to get your loved ones to stop talking about them.The full version of this episode is for paid subscribers. Listen to the first question here, and sign up for a paid subscription to hear the rest!Get full show notes and references here.Ask a question of your own for a chance to have it answered in a future episode!Christy's second book, The Wellness Trap, is available wherever books are sold. Order it here, or ask for it in your favorite local bookstore. If you're looking to make peace with food and break free from diet and wellness culture, check out Christy's Intuitive Eating Fundamentals online course.Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit rethinkingwellness.substack.com/subscribe

☎️ Book Your COACHING INQUIRY Call: https://calendly.com/d/386-k9q-4cg/coaching-inquiry-call-zoom☎️ Book Your COMPLEMENTARY CONSULTATION and CALORIE CALCULATION Call: https://calendly.com/d/2p8-mxx-dgf/free-consultation-call-zoom⁠⁠⁠⁠⁠⁠Your mitochondria are tiny engines inside your cells. They burn your fat, run your brain, and make your hormones. When they slow down in menopause, you do not just gain weight. You get tired, brain fog, and your hormones get harder to balance.I walk you through the three stages to boost these fat burning cells:➤ BUILD: how to make more mitochondria, including the minerals your body needs to turn T4 into T3.➤ FIX: the parts your mitochondria need, the foods that clean up their waste, and the one supplement mistake that undoes your training.➤ CLEAR: how to get the broken mitochondria out of the way.Plus all six hormones and what each one does to your engines, real doses, real foods, and the order to do it all in.Links mentioned in the episode: ➤ Thyroid Labs for Fat Loss: Why TSH + T4 Aren't Enough | MMP Ep. 232: https://youtu.be/uGZuyWrUuMY➤ Your Ambition Is Making You Fat | MMP Ep. 329: https://youtu.be/5hva_5m_6do➤ How To Sculpt Your Body Over 40: https://youtu.be/4N2NkisnULI➤ Cardio Zones for Fat Loss After 40 | MMP Ep. 327: https://youtu.be/w4lvtunpbMY

Another UTI. Another round of antibiotics. Another one right behind it a few weeks later.If that cycle sounds familiar, you've probably been told it's bad luck, bad hygiene, or just something that happens as you get older.Dr. Tamara Beckford sees this pattern constantly in her practice, women getting treated over and over for infections that keep returning, while nobody ever asks the one question that actually matters.In this episode, she breaks down Genitourinary Syndrome of Menopause, the estrogen-driven shift that changes the vaginal and bladder environment and makes recurrent UTIs, dryness, and urinary frequency so much more likely after 40.She also shares what can happen when this gets missed for years, and why in older women, an untreated infection can turn into a medical emergency.If you or someone you love keeps getting UTIs and nobody has connected it to hormones, this conversation could change how you handle it going forward.

Marriage, hormones, intimacy, faith, and screen addiction all affect our well-being. In this episode, Dr. Ricky Arenson shares practical wisdom for stronger relationships, healthier habits, and a more meaningful life.What happens when your health, emotions, marriage, faith, and daily habits all intersect?That's exactly what we're unpacking on this episode of the Visibly Fit Podcast with Dr. Ricky Aronson, an endocrinologist, geriatrician, author, speaker, educator, and comedian from Melbourne, Australia.Dr. Ricky brings a fascinating perspective to some of the conversations couples and families often avoid. We talk about marriage, hormones, menopause, intimacy, healthy sexuality, communication, responsibility, screen addiction, parenting, emotional intelligence, faith, science, and even why laughter matters.If you're in a marriage or relationship, raising children, navigating midlife, or simply wanting to live a healthier and more connected life, there is something here for you.Chapters:00:00:00 Podcast Preview00:01:35 Topic and Guest Introduction00:04:10 From Medicine to Writing00:09:10 How a Health Crisis Changed His Path00:10:40 From Atheism to Faith00:14:37 The Journey of Discovering God00:18:32 Looking at Science Differently00:21:11 Hormones, Menopause & Marriage00:23:02 Why Men and Women Connect Differently00:25:07 Sexuality & Moral Responsibility00:27:50 The Emotional Impact of Sexuality00:30:54 What Makes a Healthy Marriage?00:33:03 Communication, Respect & Responsibility00:34:33 Why Healthy Relationships Take Work00:36:16 Health, Marriage & the Right Mindset00:37:50 How Routine Can Strengthen Marriage00:40:10 Screens, Self-Love & Relationships00:41:10 Screen Addiction & Children00:42:17 Why Families Need to Disconnect00:43:38 Screens, Loneliness & Happiness00:45:08 Learning to Live in the Present00:47:00 Family, Purpose & Fulfillment00:49:36 Why Humor Matters in Relationships00:50:50 Humor and Emotional Intelligence00:53:00 Laughter as Medicine00:54:50 Dating, Culture & Relationships00:57:16 Why Couples Fight About the Same Things00:58:07 Why Men Can't Find Things00:59:17 Do Women Really Multitask?01:01:50 Dr. Ricky's Books and Website01:02:45 Final ThoughtsResources mentioned:

ZOE nutritionist Dr. Federica Amati explains why basal metabolic rate barely changes in perimenopause, but postprandial metabolism does, glucose, fat, insulin, and inflammation stay elevated longer after meals, partly via gut microbiome shifts. She unpacks why "thin" can mask sarcopenic obesity, why calorie labels carry ~20% error, why a nutrient-dense breakfast curbs cravings, and why a 70,000-woman ZOE study saw a 35% symptom drop from diet changes alone. WHAT YOU'LL LEARN - Why basal metabolic rate isn't the problem in perimenopause, but postprandial metabolism is - What's actually driving new midsection fat storage as estrogen declines - Why calorie counting fails as a long-term strategy, from label error to the food matrix effect - How satiety hormones like GLP-1, PYY, and GIP shift after menopause, and why breakfast is the highest-leverage meal of the day - Why looking thin doesn't mean you're metabolically healthy, and what sarcopenic obesity reveals about muscle as an organ - What HRT actually changes about your metabolism, muscle mass, and visceral fat, and what it doesn't - How a 70,000-woman study found a 35% drop in menopause symptoms from diet changes alone, and why brain fog improved most TIMESTAMPS 00:00 – Intro 08:00 – Inside ZOE's Age-Matched Study: Why Postprandial Metabolism Shifts After Menopause 16:00 – Same Meal, Different Response: Satiety Hormones, Carb Cravings & Why Under-Eating Backfires 25:00 – Weight Set Point, Calorie Quality & the Sarcopenic Obesity Trap 34:00 – Why Calorie Counting Fails: Label Error, Nutrient Absorption & the Food Matrix Effect 40:00 – The 70,000-Woman Study: A 35% Symptom Drop From Diet Alone (and Why Breakfast Matters Most) 45:00 – What HRT Actually Does (and Doesn't Do) for Metabolism, Muscle & Visceral Fat 52:00 – Building Your Metabolic Buffer Before Menopause in an Obesogenic World VALUABLE RESOURCES Dr Federica Amati's new book: The Appetite ResetHow appetite really works, what GLP-1 medications are actually doing in the body, and how to eat to support your natural appetite signals, on medication or not.

The longer we treat menopause as something to survive quietly instead of understanding fully, the more women get left without real answers.Dr. Shepherd is an OB-GYN, and we use menopause as the entry point into a much bigger conversation — the myths still circulating about menopause and sexual health, why clinician expertise and actual hands-on experience matter more than a lot of people realize, and how insurance and the broader healthcare system quietly shape what choices women even know they have. We also get into AI and new technology in medicine — where it genuinely helps, and where it's moving faster than anyone can vet it. And we land on something I keep coming back to on this show: aging well is not a solo project. Community and connection are part of the medicine.Dr. Jessica Shepherd is a board-certified OB-GYN focused on women's health, menopause, and sexual wellness in midlife. Generation M - Dr. Jessica Shepherd's bookWhat We CoverMenopause as a gateway. Why menopause is so often the first time women start really engaging with their own health, and what that says about the gaps earlier in the system.The myths that won't die. Common misconceptions about menopause and sexual health that Dr. Shepherd still has to correct in the exam room, every week.Expertise actually matters. Why the clinician you choose, and how much hands-on experience they have, changes the quality of care you get, especially in a field this nuanced.The system shapes the choice. How insurance coverage and healthcare structures quietly limit what options get presented to women in the first place.AI in medicine — promise and risk. Where artificial intelligence and new technology are genuinely useful in healthcare, and where the pace of change is outrunning oversight.Community as medicine. Why connection and support are not a "nice to have" in aging well, they're part of the actual strategy.Thanks to our sponsor: Addyi, the little pink pill. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.And great news: with commercial insurance coverage Addyi is as little as $20 a month! Visit Addyi.com/notbroken. Eligible patients only. Restrictions apply. See Full Prescribing Information including Boxed Warning at addyi.com/piThanks 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.com⁠See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode of Saddle Talk, hosts Cara and Sandy dive into the real-life mental and physical challenges of horse ownership—from recovering from injuries and navigating rider anxiety to understanding key horse behavior. Sandy shares updates on her broken pelvis recovery and her milestone transition into menopause, while Cara opens up about her personal tendency to "perseverate" on training goals with her horse, Armani.The hosts then break down the concept of the "lick and chew" response. Learn how horses release jaw tension and switch from panic/flight mode back to their "thinking brain"—and why humans need to apply this exact same self-regulation technique when stress strikes around horses.Connect with Sandy and Cara on Facebook!Key Topics Covered in This Episode:Injury Recovery & Reality for Equestrians: Navigating physical therapy, broken bones, and the struggle of taking rest when you have horses to care for.Decoding Horse Body Language: What the "lick and chew" reflex means biologically, how adrenaline causes dry mouth in horses, and why jaw-clenching happens during stress.Overcoming Rider Anxiety & Traumatic Scenarios: Strategies for handling worst-case scenario thinking during trailer loading, groundwork, and riding sessions.Proactive Safety & Body Positioning: Essential safety tips for saddling (facing the rear vs. the head), grabbing cinches with your left hand, using fly boots, and avoiding dangerous kick and bite zones.Preventing Food Aggression: How walking away while a horse pins its ears at feed time can unintentionally teach resource guarding—and how to set clear boundaries using a carrot stick.Whether you are starting a young horse, preparing for trailer loading, or managing your own anxiety in the barn, this episode offers practical horsemanship advice, safety tips, and insightful perspective. Tune in to discover how positioning, patience, and giving yourself grace can change your relationship with your horse!Keywords: Horsemanship, Horse Body Language, Equestrian Podcast, Rider Anxiety, Lick and Chew Horse, Horse Safety Tips, Trailer Loading Horses, Horse Training Hacks, Parelli Natural Horsemanship, Equine Safety, Menopause and Riding.

You cannot open your phone anymore without hearing about Ozempic, Wegovy, Mounjaro, Zepbound, retatrutide, and before-and-after transformations. One person says GLP-1s are the greatest thing ever. Another says they are going to destroy your health. As usual, the truth is somewhere in the middle. In this episode, I break down GLP-1s specifically through the lens of perimenopause and menopause, because midlife women are dealing with a completely different metabolic landscape. Estrogen is changing. Muscle is easier to lose. Insulin sensitivity may be shifting. Sleep is falling apart. Belly fat is showing up where it never used to. And simply telling a woman to eat less and exercise more is not a strategy. We talk about where GLP-1s can be incredibly useful, why HRT and GLP-1s are not interchangeable, and why protecting muscle has to be one of your top priorities if you are using these medications. I also get into dosing, microdosing, appetite suppression, thyroid and hormone optimization, realistic weight-loss rates, and why the goal should never be to get as skinny as possible as fast as possible. The goal is to lose fat while preserving muscle, supporting hormones, improving metabolic health, and having an actual plan for what happens after the weight comes off. In this episode, we cover: Why menopause changes fat distribution and increases abdominal fat for many women How declining estrogen, muscle loss, sleep, and insulin resistance affect midlife weight How GLP-1 medications work beyond simple appetite suppression Why GLP-1s are not "cheating" Why GLP-1 therapy does not replace HRT Whether HRT and GLP-1s can be used together Why muscle loss is one of the biggest concerns with GLP-1 use Why protein and resistance training matter so much Why having no appetite does not mean your dose is perfect Microdosing versus standard GLP-1 dosing Why increasing your dose too quickly can backfire What a realistic rate of weight loss can look like The importance of thyroid and hormone optimization when weight loss stalls Why maintenance needs to be part of the plan from day one Who This Episode Is For This episode is for women in perimenopause and menopause who are considering a GLP-1, already taking one, or wondering whether these medications could help with stubborn midlife weight gain. It is especially for women who want to lose fat without sacrificing muscle, energy, hormones, bone health, or long-term metabolic health. If you are confused by the microdosing hype, worried about muscle loss, unsure whether you should do HRT or a GLP-1 first, or wondering why your weight loss has stalled even though you are taking medication, this episode is for you.     Sponsors BEAM: Use coupon code HORMONE for 20% off your order Try the power of copper peptides on your skin today and get 20% off your order with coupon code km20 here.     Are you in perimenopause or postmenopause and struggling with symptoms—but not getting the support you deserve? At Midlife Solutions, we specialize in hormone optimization for women in midlife. Our all-female clinical team offers telehealth care across all 50 U.S. states, with the ability to prescribe bioidentical estrogen, progesterone, testosterone, and thyroid medication.   Book your FREE Hormone Discovery Call Find out what's really driving your symptoms and what your next best steps are.   Visit the website: https://karenmartel.com   Shop the Midlife Solutions Store Over-the-counter bioidentical hormone creams and oils — no prescription needed. Including: • Progesterone • Estrogen Face Cream • Vaginal Moisturizer and more!   Take the Hormone Quiz Discover hidden hormone imbalances that could be driving your symptoms. Get personalized results (and yes, they may surprise you).   Women's Peptide Weight Loss Program Clinically guided, hormone-aware weight loss for midlife women.   Midlife RESET HRT Program A complete, supportive approach to hormone replacement therapy in midlife.   Your host: Karen Martel Certified Hormone Specialist, Transformational Nutrition Coach, & Weight Loss Expert   Karen's Facebook Karen's Instagram

Step into a candid, juicy, and deeply liberating conversation with Karen Bigman, midlife sex and relationship expert, certified sex educator, and menopause coach, on this episode of Intimate Conversations: Dark Night to Divine Light. Karen is the host of Taboo to Truth: Life & Sex After 50, a shame free space for honest conversations about sex, desire, dating, relationships, menopause, and intimacy after 50. Karen shares the unexpected journey that brought her into this work, beginning with a book club moment when a grown woman could not say the word "blowjob." Combined with reconnecting with an old flame, discovering the realities of menopause, and a life changing visit to a sexual medicine practice, that moment sparked a calling she never saw coming. We explore the changes that happen in midlife bodies and relationships, including menopause, perimenopause, hormone therapy, and shifting libido for both women and men. Karen offers a shame free approach centered on communication, body awareness, pleasure over performance, and emotional connection, reminding us that great sex is a full body, full heart experience. The conversation also dives into foreplay as an all day practice, what Karen calls "sex snacks," and the difference between spontaneous and responsive desire. Allana vulnerably shares her own experience of introducing her Yoni to a partner for the first time, opening a deeper conversation about asking to be honored rather than waiting for someone else to know what we need. We also talk about: ● Why your sex span should equal your lifespan ● How men can better support partners through menopause ● Spontaneous versus responsive desire ● Why women have affairs to leave and men have affairs to stay ● Sex snacks and keeping intimacy alive outside the bedroom ● Porn, the death grip, and difficulty reaching orgasm ● Religious shame, guilt, and learning to let go in the body ● Introducing your Yoni to a partner as an act of sacred honoring ● Tantric sex, connection, timing, and trust ● Alternative relationship structures and honest communication ● Why judgment is the enemy of pleasure and curiosity is the cure ● How suppressed sexuality can come out sideways ● Raising sexually healthy children who become open adults This episode is a reminder that pleasure is not a luxury. It is a birthright. Our bodies, at every age and stage, are worthy of attention, tenderness, curiosity, and delight. Karen makes it easier to laugh, exhale, ask the questions we were never taught to ask, and reclaim a vibrant intimate life at any age. ABOUT KAREN BIGMAN Karen Bigman is a Sexual Health Alliance Certified Sexuality Educator, menopause coach, intimacy and relationship coach, and host of Taboo to Truth: Life & Sex After 50. After navigating her own midlife transition, divorce, dating, and changing desire, she became passionate about helping people understand the physical, emotional, and hormonal shifts that can affect intimacy after 50. Karen's mission is simple: to help people have great sex for the rest of their lives. Her work combines education, humor, lived experience, and shame free conversations to help people communicate better, understand their changing bodies, and create more connected relationships. CONNECT WITH KAREN Website: www.taboototruth.com Instagram: @taboototruth YouTube: @taboototruthpodcast LinkedIn: www.linkedin.com/in/karenbigman Free Resources: www.taboototruth.com/free-resources

This episode is sponsored by Holistic Goddess. Holistic Goddess - Go to https://holisticgoddess.com and use code FLIPPING50 for free shipping. Connect with Flipping 50: Facebook Group - Flipping50 Insiders Instagram - @Flipping50TV YouTube - @Flipping50TV More Episodes - Flipping 50 The Stronger Way Other Episodes You Might Like: Previous Episode - Menopause Fitness Researchers: Who to Follow and Why Next Episode - Healthy Aging And The Role Your Mindset Plays In Staying Young This is Part 4 of the Resistance Training in Menopause series.Here are the other series you can listen to: Part 1 - Strength Training After 50: Where Do I Even Start? Part 2 - You're Already Lifting — So Why Isn't It Working? Part 3 - The Perimenopause Rules Nobody Told You About Resistance Training Resources: Book an Ultimate Assessment with Debra! Get your HALO Method and Longevity Strategy at $497, instead of $997 rate. Together, you formulate the actual plan that will work for you! Get your lean, clean Flipping 50 Protein Powders to maintain muscle and support metabolism. Use Flipping 50 Strong Aging Index to measure what matters with an easy at-home self-assessment test you can do in minutes.  Strength training after menopause isn't about doing more—it's about knowing what your changing body actually needs.  From training volume and recovery to protein and progression, the rules may need a midlife update.  The good news? You don't need to live in the gym or train harder every day to build strength, muscle, and confidence.  Discover what really changes—and what doesn't—with strength training after menopause. If this episode made you flip your workout routine — share it!

Food as Medicine: Why Medical Nutrition Therapy and Medically Tailored Meals Belong in Modern Healthcare: Registered dietitian nutritionist Leyla Muedin argues that food should be treated with the same rigor as medication through medical nutrition therapy (MNT) and “diet prescriptions,” integrating nutrition into treatment plans rather than leaving it as optional advice. She cites evidence that medically tailored meals (MTMs) can improve outcomes and reduce costs, including a Health Affairs simulation estimating $23.7B in first-year net savings nationwide and a Nature Medicine analysis of a Massachusetts Medicaid demonstration (2020–2023) showing MTM recipients had 31% fewer hospitalizations, 20% fewer emergency visits, and $3,433 lower total healthcare costs, offsetting 98% of program costs. She discusses food insecurity, expanding Medicaid coverage via Section 1115 waivers, EHR integration, and how MTMs support adherence for conditions such as diabetes, cardiovascular disease, chronic kidney disease, depression, and IBS (including low FODMAP).

If you're doing everything "right" for your sleep and still waking up exhausted, tossing and turning at night, or lying in bed with your brain running a mile a minute, the problem might not be your nighttime routine. It might be what your brain has learned to do when you get into bed. In this episode, I'm sitting down with licensed psychologist Jessica Meers to talk about the psychology of sleep, insomnia, and why some of the things we do to compensate for a bad night of sleep can actually keep the cycle going. Jessica specializes in treating insomnia without medication using Cognitive Behavioral Therapy for Insomnia (CBT-I). She explains why sleep is both biological and psychological, how we can unintentionally train ourselves to associate our beds with stress and wakefulness, and why there is no perfect sleep routine that works for everyone. We also talk about overthinking at night, maintaining a consistent wake time, what to do when you can't fall back asleep, creating a sleep-supportive environment, and how hormonal changes during perimenopause and menopause can affect sleep. If you've been chasing the perfect bedtime routine but still aren't sleeping well, this conversation may help you look at sleep in a completely different way. In This Episode, We Cover: Why sleep affects so much more than how tired you feel the next day The relationship between poor sleep and mental health Why the "5 AM club" approach isn't right for everyone How individual sleep needs can change with age and life circumstances Why sleep is both a biological process and a learned behavior How lying awake, worrying, and tossing and turning can reinforce poor sleep patterns Why overthinkers often struggle when everything finally gets quiet at night Jessica's strategy for scheduling "worry time" before bed Why getting out of bed may be better than staying there trying to force yourself to sleep How to distinguish insomnia symptoms from potential signs of sleep apnea What Cognitive Behavioral Therapy for Insomnia (CBT-I) is Why a consistent wake-up time can be one of the most important parts of improving sleep Why sleeping in to "catch up" after a bad night can disrupt your rhythm How to create a simple wind-down buffer before bed Why temperature and light matter for sleep Why the perfect sleep environment may not be enough when your nervous system is on high alert The relationship between perimenopause, menopause, hormones, and sleep Why addressing sleep may require support from more than one type of practitioner Sleep Is More Than Feeling Tired We tend to think about poor sleep in terms of how we feel the next morning. We're tired. We're foggy. We need more coffee. We don't have the energy we normally have. But Jessica explains that sleep reaches much further than our energy levels. As a psychologist, she pays particular attention to the relationship between sleep and mental health. Poor sleep and insomnia are closely connected with conditions like anxiety and depression, and sleep difficulties can sometimes appear before other mental health symptoms. Sleep also intersects with hormones and metabolic health, which is one of the reasons getting consistent, restorative sleep matters so much for our overall health. This isn't simply about getting enough hours so you can be productive tomorrow. Sleep is one of the foundational systems supporting your physical and emotional health. There Is No Perfect Sleep Schedule One of my favorite parts of this conversation was Jessica's take on the "5 AM club." We see these routines everywhere. Wake up at 5 AM. Work out. Take the cold plunge. Journal. Meditate. Get more done before everyone else wakes up. And while that routine may work beautifully for one person, it doesn't mean it's healthy for everyone. Jessica explains that healthy sleep needs are generally discussed within a range, but the exact amount an individual needs can vary depending on the person, their age, their circumstances, and what is happening in their life. Trying to force yourself into somebody else's sleep schedule can work against what your own body needs. Your goal isn't to become the person who wakes up earliest. Your goal is to find a sleep pattern that actually supports your health. You Can Train Yourself to Sleep Poorly This was such an important distinction. Our bodies know how to sleep. But psychologically, sleep can also become a learned behavior. That means we can unintentionally teach ourselves patterns that make sleeping harder. Think about what happens when you repeatedly lie in bed unable to sleep. You toss. You turn. You start thinking about tomorrow. You worry about how tired you're going to be. You look at the clock. You try harder to fall asleep. And eventually, your brain begins associating your bed with being awake, alert, worried, and frustrated. Instead of your bed becoming a cue for sleep, it becomes a cue for stress. Jessica explains that breaking this association is an important part of addressing insomnia. The goal is to help your brain relearn what your bed is supposed to represent. Sleep. Why Overthinkers Struggle at Night If your brain suddenly decides bedtime is the perfect opportunity to review every problem in your life, you're definitely not alone. During the day, we're distracted. We're working. We're answering messages. We're taking care of our families. We're running businesses. There is always something competing for our attention. Then everything gets quiet. Suddenly, your brain has room to bring up all the things you haven't processed yet. For someone who already tends toward worrying or rumination, bedtime can become the moment when those thoughts get louder. One strategy Jessica recommends is intentionally creating space for those thoughts earlier. Rather than waiting until your head hits the pillow, schedule time after dinner to think through what's worrying you. Write it down. Identify the next step you can take. Give the thought somewhere to go. You're not trying to solve your entire life before bedtime. You're showing your brain that the problem has been acknowledged and there is a plan for dealing with it. What to Do When You Can't Sleep This advice sounds completely backwards at first. If you can't sleep, get out of bed. Jessica explains that staying in bed worrying, stressing, tossing, and turning can reinforce the exact association you're trying to break. You're teaching your brain that bed is where you stay awake and struggle. Instead, get up. Go somewhere else. Do something relatively mindless that you enjoy until you begin feeling sleepy again. Jessica even explains that, in the context of this approach, she would rather someone get out of bed and watch television than stay in bed desperately trying to force sleep while becoming increasingly frustrated. The goal is not to reward yourself for being awake. It's to stop reinforcing the connection between your bed and wakefulness. Could It Be More Than Insomnia? Not every nighttime awakening is caused by insomnia. Jessica also discusses some signs that may warrant talking with a healthcare professional about obstructive sleep apnea. If you're frequently waking during the night and also experiencing symptoms such as loud snoring, gasping for air, morning headaches, or waking with a dry mouth, it may be worth discussing a sleep study with your healthcare provider. This is another reason why getting appropriate support matters. You don't want to spend months trying to "fix" your sleep routine if there is another underlying sleep issue that needs to be evaluated. What Is CBT-I? Jessica specializes in Cognitive Behavioral Therapy for Insomnia, commonly called CBT-I. Rather than relying solely on medication to manage insomnia, CBT-I looks at both the behaviors and thought patterns that may be contributing to sleep difficulties. Jessica describes it as a relatively short-term, structured form of therapy, often completed over approximately six to eight weekly sessions, although treatment needs vary by person. The process can involve changing behaviors around sleep, rebuilding the association between bed and sleeping, addressing worry and rumination, and helping people understand the psychological patterns that may be keeping insomnia going. For someone who feels like they've tried every sleep hygiene tip imaginable without getting lasting results, looking at the behavioral and psychological side of sleep may be the missing piece. Stop Trying to Catch Up on Sleep After a terrible night of sleep, sleeping in feels completely logical. You're exhausted. Your body missed sleep. Why wouldn't you stay in bed longer and catch up? Jessica explains that constantly changing your wake time can disrupt your rhythm and make the next night more difficult. One of the strongest anchors you can give your sleep schedule is consistency in the morning. Rather than obsessing over the exact time you fall asleep, Jessica encourages people to pay attention to when they get up. Set a regular wake time. Get up at approximately the same time each day. And resist constantly shifting your schedule based on how well you slept the night before. One bad night doesn't necessarily need to become several bad nights. Sometimes our attempts to compensate for poor sleep are what keep the pattern going. Give Your Brain Time to Wind Down You cannot expect your brain to go from full-speed work mode to sleep in thirty seconds. If you've been answering emails, working on your business, scrolling on your phone, solving problems, or thinking about tomorrow right up until bedtime, your brain may still be activated when you lie down. Jessica recommends creating at least a short buffer before sleep. Even thirty minutes can give your brain an opportunity to transition. The goal isn't to create an elaborate two-hour nighttime routine filled with ten different wellness practices. It's simply to give yourself a period where you are intentionally disengaging from the activities that keep your brain switched on. Your Sleep Environment Matters, But It Isn't Everything Temperature and light can absolutely support sleep. Jessica recommends keeping your bedroom cool and comfortable, with research often pointing toward temperatures around 67 to 68 degrees Fahrenheit for many sleepers. Darkness can also help. Dimming the lights in the evening gives your body additional environmental cues that nighttime is approaching. But there is an important caveat. You can have the perfect temperature. The perfect blackout curtains. The perfect eye mask. The perfect wind-down routine. And still struggle to sleep if your nervous system is highly activated. If you're lying in bed hypervigilant and on edge, your body's arousal system may be competing with your ability to settle into sleep. Sleep hygiene can support the process. It cannot always solve the underlying problem by itself. Perimenopause, Menopause, and Sleep Jessica's path into sleep psychology actually began through women's health research focused on sleep and the menopausal transition. That made this part of our conversation especially interesting to me. Hormonal changes during perimenopause and menopause can significantly change a woman's experience of sleep. Jessica discusses estrogen's role in sleep and why changes during this stage of life can contribute to sleep disruption. But there can also be a second layer. Once sleep becomes difficult, we naturally start worrying about it. We compensate. We change our routines. We try harder. And some of those psychological and behavioral responses can begin perpetuating the sleep problem even when hormones were part of what triggered it initially. That is why Jessica advocates for a collaborative approach. For some women, that may mean working with a psychologist or sleep specialist alongside a gynecologist, menopause specialist, physician, or other appropriate healthcare practitioner. There isn't always one single solution. You Don't Have to Keep Fighting Your Sleep One of the biggest messages I took from this conversation is that struggling with sleep doesn't mean you simply need more discipline. You don't necessarily need another supplement. You don't necessarily need another complicated nighttime routine. And you definitely don't need to force yourself into somebody else's 5 AM schedule because social media told you that successful people wake up before sunrise. Sometimes the behaviors we use to compensate for poor sleep are actually helping the pattern continue. Understanding those patterns gives you something you can work with. If sleep has become a nightly battle, consider getting support from someone who specializes in sleep rather than continuing to experiment on your own. Your Action Step Pay attention to what happens around your sleep for the next several days. Not just what time you go to bed. Ask yourself: Do I stay in bed worrying when I can't sleep? Do I dramatically change my wake time after a bad night? Am I carrying work and stress directly into bedtime? Am I trying to follow someone else's "perfect" sleep schedule? Do I spend the day worrying about whether I'll sleep tonight? You don't need to change everything at once. Start by noticing the patterns. If those patterns have been going on for a long time or your sleep is significantly affecting your health and daily life, consider speaking with a qualified sleep professional about whether CBT-I or another form of evaluation may be appropriate. Final Thoughts Sleep is foundational. It affects how you think, how you feel, how you show up for your family, and how much energy you have to build the business and life you want. And better sleep isn't necessarily about creating the perfect nighttime routine. Sometimes it starts with understanding what your brain has learned about sleep and changing the behaviors that are keeping you stuck. You can optimize your room. You can buy the eye mask. You can turn down the temperature. But if your nervous system is on high alert and your brain has learned that getting into bed means worrying for three hours, there is another layer that needs attention. That's why I loved this conversation with Jessica. It reminds us to stop chasing perfection and start understanding what our bodies and brains actually need. Resources Connect with Jessica Meers Jessica Meers is a licensed psychologist specializing in insomnia and helping people improve sleep without relying solely on medication. Her practice is based in Houston, Texas, with both in-person and virtual care. Instagram: @SHeTalksSleep Website: rhythm-well.com If you're experiencing persistent sleep problems, consider speaking with a qualified healthcare provider or sleep specialist for individualized evaluation and treatment. _______________________________________________ Visit yourhealthcoachbiz.com to explore done-for-you programs and offers for health coaches. Looking for one-on-one business coaching support? Visit rachelafeldman.com or send me a DM on Instagram at @rachelafeldman.  

“My lens around style doesn't have anything to do with style anymore — it's about physicality,” says stylist and fashion consultant Stacy London. “What do I want to be able to do? How do I keep myself strong?” Stacy's message has resonated for many women, and for this episode, she joins Dr. Shoshana Ungerleider, host of TED Health, at TED2025 for a special live conversation about why women are so embarrassed to talk about aging. For Stacy, aging became a chance to reassess her relationship to her body, and her experience with menopause and spinal surgery shifted her focus to health and wellbeing. Her best advice on what you can do to feel good in your skin? Throw away the most painful pair of shoes you own. Hosted on Acast. See acast.com/privacy for more information.

She started out Catholic and angry. Then she started dating a solitary Wiccan practitioner, felt triggered by every single word out of her mouth, and decided to educate herself instead of ending the relationship. That was 25 years ago.Lisa Hagen has been a witch ever since, and in this episode she tells the truth about what a long-term practice actually looks like. Spoiler: it's not nightly rituals and a perfectly curated altar. It's phases, pulling a card before bed, or a home office stuffed with candles, crystals, and tarot decks so there's always something to grab when a Zoom call goes sideways.Lisa found The Sisters Enchanted during the 2020 chaos, bought basically everything, finished almost nothing, and then last year something clicked. Menopause turned her body into a moving target, she went back to medical astrology to figure it out, and that became the thing she now teaches other women. She's a former app developer who used AI to build the astrology apps she once thought she'd have to hire out. She joined Sixth House Club, did the uncomfortable things she was told to do, and now she's booking psychic expos and partnering with a local witchy shop while still holding down a corporate job.We also get into identifying as a witch and being out of the broom closet with your sisters but careful at work. Having devout Christian friends who'll do a reading with you and devout Christian friends who won't, and keeping both. And why, when you're actually in your purpose, the selling part stops feeling like selling.What you'll learn:

☎️ Book Your COACHING INQUIRY Call: https://calendly.com/d/386-k9q-4cg/coaching-inquiry-call-zoom☎️ Book Your COMPLEMENTARY CONSULTATION and CALORIE CALCULATION Call: https://calendly.com/d/2p8-mxx-dgf/free-consultation-call-zoom⁠⁠⁠⁠⁠⁠If you built your career and your household on being the one who handles it, and somewhere in your forties your body stopped cooperating no matter how disciplined you were with food and training - this episode explains why.Links mentioned in the episode: ➤ When More Protein Makes You Fat In Menopause (Gluconeogenesis) | MMP Ep. 301: https://youtu.be/WqmzEHghfGQ➤ The Dutch test page: https://vitalityoet.lovable.app/

You don't get extra credit for suffering.There is a difference between discomfort that should be endured and suffering that deserves treatment. In this final episode of Menopause in the Light, Coach Alex brings the entire series together by tackling some of the most confusing—and heavily marketed—parts of menopause. Hormone therapy. Testosterone. Sleep. Sexual health. Peptides. GLP-1 medications. Expensive hormone panels. “Bioidentical” treatments. Optimization culture.The goal isn't to tell every woman what treatment she needs. It's to help you become a more informed participant in your own healthcare, ask better questions, and recognize when faithful stewardship means doing the hard thing—and when it means getting help.In this episode, Coach Alex discusses:Why menopausal hormone therapy is neither the devil nor the saviorWhat current evidence says about estrogen and menopausal symptomsWhy route, dose, medical history, and individual risk matterWhy many women probably don't need expensive hormone panelsWhat “bioidentical hormones” actually meansThe limited but legitimate role of testosterone therapyWhy painful sex should not simply be accepted as part of agingSleep disruption, hot flashes, insomnia, and sleep apneaMood changes during perimenopause and menopauseWhat to know before jumping into peptide therapyGLP-1 medications and the importance of preserving muscleHow to evaluate the next supplement, hormone, device, injection, or wellness trend somebody tries to sell youWhy health data should serve your life—not become your lifeWhen it's time to stop managing symptoms alone and talk with a qualified healthcare professionalOne of the central questions of the episode is simple: What problem am I actually trying to solve?Before adding another supplement, test, medication, protocol, wearable, or optimization strategy, get clear about the problem first. And through all four episodes of Menopause in the Light, remember:Your body is changing.You are not broken.Train it.Nourish it.Get help when help is warranted.And never confuse your physical health with your worth. As Coach Alex closes the series: “Strength and dignity are her clothing, and she laughs at the time to come.”There may still be decades of serving, leading, mentoring, traveling, building, teaching, loving, training, praying, giving, and becoming ahead of you.Your Next Faithful Step--If this series helped you understand menopause better but left you wondering:“What do I personally need to work on first?”Start with the Faithful Fitness Assessment.The assessment evaluates your health and stewardship through four Faithful Fitness anchors:Integrity • Grit • Growth • AweYou'll receive a personalized report identifying strengths, gaps, and areas that may deserve your attention next.And your $7.99 assessment also includes your seat in the next live Faithful Fitness workshop with Coach Alex, where you can better understand your results, ask questions, and identify your next faithful step.Take the Faithful Fitness Assessment: https://faithfulfitness.co/assessmentBecause you probably don't need more random information.You need enough clarity about your situation to make a wise decision about what comes next.Train Hard. Pray Harder.Become a supporter of this podcast: https://www.spreaker.com/podcast/faithful-fitness-with-coach-alex-vanhouten--5150768/support.

Episode Highlights With MindyCutting through the myth… can women fast and what we need to do differentlyHow to navigate fasting with a female hormone cycle and why it is so important The three types of women and how each fasts differently There are times when women shouldn't fast and times when it can be a game changerWe have two metabolisms: glucose and ketones and how to use them differently Somewhere 8-12 hours after food we shift to ketones The healing switches that turn on when we fastWhat flex fasting is and how she helps people find what works best for themPerimenopause and menopause specific fasting guidelinesThe cortisol component and how to pay attention to this partCan fasting be brain protective post menopause When to fast and when not to, and the most important meal you eat after fasting The important nutrients to focus on after fasting and the story about leucine Let's stop making beans the enemy! And her take on sardine fasting Supplements she most often recommends and why The one food group that kills our ability to make our own GLP (it might surprise you)Order of food matters, not just the amount and type! Important concerns with GLPs and how to make your own and not lose muscle!Resources MentionedMindy's books - Fast Like a Girl, Age Like a Girl and Eat Like a GirlMindy's YouTube channelStress questionnaireLive like a girl podcastBioptimizersI love and use so many products from them, but I especially love the magnesium (Magnesium Breakthrough) and digestive enzymes (Masszymes). Visit bioptimizers.com/wellnessmama to get the best deal!

What if the changes you're experiencing after 40 are asking you to look at more than your hormones?In this solo episode of Live Like a Girl, Dr. Mindy walks through how she believes women can use the menopausal transition to better understand their nervous systems, reconnect with parts of themselves they may have lost, and begin building the next chapter of life more intentionally.She explores why so many women arrive in midlife already overwhelmed, why learning to regulate your nervous system may need to come before another health protocol, and how years of putting everyone else first can shape the way women experience this transition.Later in the episode, LeAnn Rimes joins Dr. Mindy for a candid conversation about overwhelm, perfectionism, boundaries, HRT, nutrition, self-care, and what it looks like to listen to your body while living a very full life.And for a limited time, you can get Age Like a Girl for $7 with free shipping in the U.S. and Canada only, while supplies last.In This Episode, You'll LearnWhy nervous system regulation matters so much after 40How years of over-functioning can catch up with women in midlifeWhy play, curiosity, creativity, and speaking your truth matterHow to build your own lifestyle toolbox for menopauseWhy women need community as they ageWhy saying no can become an important form of self-careWhat it means to create the next chapter of your life on your termsResources MentionedFREE Nervous System QuestionnaireAge Like a Girl (Get your copy for $7 & FREE shipping, limited-time offer)Reset AcademyQualia Senolytic, use code MINDY for 15% offFor more resources related to today's episode, visit the podcast episode page: drmindypelz.com/ep364Connect with Dr. Mindy:Join Reset AcademyWatch the episodes on YouTubeFollow Dr. Mindy on InstagramSubscribe to Dr. Mindy's newsletterDisclaimer: This podcast is intended for educational and informational purposes only and is not a substitute for professional medical advice. Always consult a qualified healthcare professional before making changes to your diet, fasting routine, or lifestyle.

Recent research shows that between 40 and 60% of women either change or quit their sport due to bladder leaks. That's 100% too many in our book. So this week we sat down with Dr. Lauren Siff, a double board-certified urogynecologist to demystify one of women's health's most under-discussed issues: urinary leakage. We break down the differences between stress and urge incontinence, why athletes and active women are prone to leaking, and how the menopausal transition can worsen the situation through declining estrogen, shifting vaginal pH, and rising UTI risk. Dr. Siff walks us through the full range of solutions, from pelvic floor exercises and support devices to Botox, bladder stimulators, and the game-changing role of vaginal estrogen, plus how to know when it's time to seek care. Her message is loud and clear in this one: no matter how small or severe the symptoms, there's help available — and you never have to stop doing what you love.Dr. Siff is a double board-certified urogynecologist and Chief of Gynecology and Urogynecology for the Central Virginia VA Health Care System and Associate Professor at VCU School of Medicine and VCU Institute of Engineering. A dedicated innovator and surgical educator — with a Distinguished Educator certificate from the Cleveland Clinic and founder of SurgicalEd VR, which uses VR and haptic technology to improve the quality, safety, cost-effectiveness, and accessibility of surgical training. She also serves board and committee roles with the Society for Gynecologic Surgeons, American Urogynecologic Society, and American Association of GYN Laparoscopists. She is Central Virginia Site Lead for the National VA Women's Health Research Network, and chairman of the U.S. National Surgery Office's Surgical Advisory Board for GYN. Philanthropically, she directs surgeon training for Global Surgical Expedition, driven by a mission to democratize access to surgical training and vital surgical procedures worldwide.FeistyFit Info: https://livefeisty.com/training/running/feistyfitfall/Join us at Feisty Fest September 18-20, 2026: https://livefeisty.com/events/feisty-fest/Women's Mechanic Camp in Tucson: https://livefeisty.com/events/bike-mechanic-school-tucson/Courses and Coaching: https://livefeisty.com/courses/Sign up for our FREE Feisty 40+ newsletter: https://livefeisty.com/newsletters/feisty-40/Follow Us on Instagram:Feisty Menopause: @feistymenopauseHit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099Support our Partners:Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Previnex: Get 15% off your order with code HITPLAY at https://www.previnex.com/ Wahoo: Use the code FEISTY2026 to get a free Headwind Smart Fan (value $300) with the purchase of a Wahoo KICKR RUN at https://shorturl.at/WVhdr

What if some of what you've been told about your sexual body, especially as you get older, is wrong? For decades, women have gone to doctors with questions about disappearing desire, painful sex, orgasm, hormones, and changes they barely recognize in their own bodies. And too often, they've left without real answers. Part of the problem is startling: many of their doctors were never adequately trained in female sexual health either. My guest on this episode of Language of Love, Dr. Maria Sophocles, is a board-certified gynecologist, menopause specialist, sexual medicine expert, TED speaker, and author of The Bedroom Gap. She has spent more than 30 years caring for women and challenging a medical system that has historically treated female pleasure as an afterthought. And there is a LOT we need to talk about. Maria takes us inside the medical blind spots that have shaped women's sex lives for generations, from the anatomy lessons that barely acknowledged the clitoris to the flawed hormone study that frightened millions of women away from treatment. We talk about why Viagra may have inadvertently widened the “bedroom gap,” what women should understand about testosterone, and why painful sex and loss of desire should never simply be dismissed as the price of getting older. We also get into something I wish more women heard: your sexual life does not come with an expiration date. Maria shares why some women are having the best sex of their lives in their 60s, 70s, and 80s, and tells the remarkable story of an 82-year-old patient who finally revealed a desire she had kept secret for six decades. If you've ever wondered, What happened to my desire? Why does sex feel different now? Is this just aging? Why didn't my doctor tell me any of this? This conversation is for you. In this episode, we get into: What “The Bedroom Gap” really is and why it affects far more than libido Why so many doctors receive surprisingly little training in female sexual pleasure How one deeply flawed study changed the conversation about hormone therapy for a generation The unexpected way Viagra widened the sexual divide between men and women What happens to estrogen, progesterone, and testosterone as women age What women need to know about testosterone and why access remains so complicated Why painful sex, low desire, and changes in orgasm deserve medical attention Why so many women fake orgasms and what that can do to their relationships and sexual satisfaction The surgery Maria refuses to perform and the pressure women feel to “fix” perfectly normal bodies Why masturbation can be an important part of sexual health and self-care How to talk to your doctor when you aren't getting the answers you need Why your best sex may still be ahead of you The unforgettable 82-year-old patient who finally permitted herself to ask for what she wanted This conversation is a reminder that women deserve more than being told to tolerate the changes in their bodies. We deserve information, options, pleasure, and the freedom to keep discovering our sexuality at every age. To learn more about Dr. Sophocles and her work, visit her website and pick up a copy of The Bedroom Gap. She's also available on Audible, and she recommends buying an extra copy, one for yourself, and one for your doctor. If something in this conversation sparked something in you, don't stop here. My website offers more content, tools, and upcoming events to keep the conversation alive. And if a reflection comes up, or you simply want to reach out, I'd love to hear from you. Find me at languageoflovepod@gmail.com. This episode is for anyone who's ever wondered if it's too late to rediscover themselves and discovered the answer is no. Learn more about your ad choices. Visit megaphone.fm/adchoices

Menopause Mastery | 6 New Menopause Studies Every Woman Should Know About | Ep. 293 solocast with Dr. Betty Murray  

If you've spent years trying to lose weight, only to find yourself going up and down within the same range, this episode is for you. I talk about a game many women have been playing with their weight for years without even realizing it. You have a number you don't want to go above, a number you want to reach, and a range in between where your brain decides it's okay to relax. I share how I played this game myself for 30 years and why menopause can make it harder to keep playing. Instead of focusing on losing weight, I challenge you to accept where you are and start paying more attention to what's happening in your body. Eat when you're hungry, stop when you're full, understand emotional hunger, pay attention and become more connected to your body. What if the answer isn't trying harder to lose weight, but learning to understand what's keeping you stuck? Enjoy the show! Free Guide: Download the Jumpstart Your Weight Loss in Menopause Guide at drdebbutler.com/podcast-companion-guide Mini Session: Ready to master your mind? Book a free mini session at drdebbutler.com/workwithme Thinner Peace Quiz: Take the quiz at drdebbutler.com/quiz to identify your obstacles to eating when hungry and stopping when full Peace with Food 30-Day Course - Available at www.drdebbutler.com/joy Now, go listen to the podcast. Click here to listen to the 1st episode. It's the best place to start! If you've been loving my podcast, please subscribe and review the show. The only way it will pop up to others is when people review it, so if you're loving it – pass on the good word!  What You'll Learn From This Episode ● Why you may be stuck in a weight range without realizing it ● How your brain can keep you focused on losing weight ● Why accepting where you are can change the way you approach weight loss ● How to become more connected to your body ● Why understanding hunger, fullness, and emotional hunger matters ● What can happen when you stop making weight loss the goal  

This episode is sponsored by Alloy and Aqua Tru Shower. Alloy - Your sex life doesn't have to change just because your hormones did. Visit https://myalloy.com and use code FLIPPING50 for $20 off your first order! AquaTru Shower - Unlock your hair & skin's true potential with 20% Off AquaTru Shower using promo code SHFLIPPING50 at https://aquatrushower.com . It comes with a 30-day money back guarantee. Connect with Flipping 50: Facebook Group - Flipping50 Insiders Instagram - @Flipping50TV YouTube - @Flipping50TV More Episodes - Flipping 50 The Stronger Way Other Episodes You Might Like: Previous Episode - The Perimenopause Rules Nobody Told You About Resistance Training Next Episode - What Actually Changes for Strength Training After Menopause More Like This - The Bible for Exercise Guidelines Update: Here's What It Means Resources: Book an Ultimate Assessment with Debra! Get your HALO Method and Longevity Strategy at $497, instead of $997 rate. Together, you formulate the actual plan that will work for you! Get your lean, clean Flipping 50 Protein Powders to maintain muscle and support metabolism. Use Flipping 50 Strong Aging Index to measure what matters with an easy at-home self-assessment test you can do in minutes.  Menopause fitness researchers can help you separate the science from the endless stream of fitness advice aimed at women in midlife.  But here's the catch: even highly respected researchers don't always agree, and that doesn't necessarily mean someone is wrong.  In this episode, you'll meet several leading voices, learn where their research overlaps and differs, and get a better filter for deciding what deserves your attention. The goal isn't to blindly follow an expert—it's to become a smarter consumer of fitness information.  By the end, you'll know exactly how to use menopause fitness researchers as a guide without letting another expert—or another viral post—do your thinking for you. If this episode made you flip your workout routine — share it!

What happens when the cognitive strengths you've relied upon your entire life suddenly stop working?In this episode, Sam Galloway (she/her) explores the neurological impact of menopause on the autistic brain. Through personal examples of memory loss, executive dysfunction, shutdowns, meltdowns, speech difficulties and skill regression, she examines how hormonal changes can amplify existing neurodivergent traits and create challenges that extend far beyond typical descriptions of brain fog.Sam discusses autistic burnout, involuntary unmasking, sensory overwhelm, loss of independence, and the fear that accompanies sudden changes in cognition and identity. She also shares some of the strategies, accommodations and treatments that have helped her navigate this difficult period.For many listeners, this episode may provide language for experiences that have previously felt impossible to explain.Content Warning: This episode includes frank discussion of mental health crisis and suicidal thoughts, alongside experiences of autistic burnout, medical care, and menopause. Please take care while listening and skip any sections that may be difficult for you.Resources mentioned or relevant:

In this episode, Dr. Fiona Lovely sits down with Angelo Keely, a nutrition and protein optimization expert, for a conversation that every woman in midlife needs to hear. The topic? Why protein intake needs actually increase with age—especially during perimenopause and menopause—and how getting this right can be a game-changer for strength, metabolism, and overall vitality. Angelo breaks down the often-overlooked reality of sarcopenia, the gradual loss of muscle mass that sneaks in as women age, and explains why maintaining muscle is not just about looking toned—it's about bone health, metabolic function, and long-term independence. He shares practical strategies for hitting daily protein goals without overeating, and clarifies the important distinction between standard protein powders and essential amino acids (EAAs), explaining what the body actually absorbs and utilizes. The conversation also tackles the rise of GLP-1 medications and the risks of rapid weight loss without proper muscle support. Angelo offers straightforward guidance on how to pair these medications with resistance training and targeted amino acid support to preserve lean mass and vitality. Listeners will walk away with simple, sustainable strategies for fueling their bodies for strength and longevity—no matter their age.  Discover how to protect your muscle, protect your health, and age on your own terms.  Check out Kion and learn more at www.getkion.com   Thank you to our sponsors for this episode:

What happens when fitness stops being punishment and becomes a way of coming home to yourself?In this conversation, Kristin Walker sits down with longtime friend, fitness coach, podcaster and mental health advocate Aline Duriaud for a wide-ranging conversation about late-identified neurodivergence, menopause, strength training, Muay Thai, mental health, coercive control, unmasking, and the extraordinary experience of finally understanding the operating system you've been living inside all along.Aline talks candidly about receiving an ADHD diagnosis in midlife and more recently beginning to understand herself through an autistic lens. She and Kristin explore the grief that can accompany late identification, but also the enormous possibility that opens when years of therapy, self-knowledge and lived experience suddenly have a new organizing framework. They also talk about bodies.Aline shares how she moved into fitness professionally in her late 40s, becoming a certified personal trainer and later pursuing specialist training in menopause and mobility. What began as a desire to become physically strong during an extraordinarily difficult period of her life eventually led her into bodybuilding, coaching, mobility work and, in her 50s, Muay Thai.The conversation gets into something rarely discussed in conventional fitness culture: movement as nervous-system regulation. For neurodivergent women especially, physical training can offer a place to put enormous mental energy, reconnect with a body that may have felt unsafe or disconnected, learn complex systems through movement, and experience strength without turning exercise into another form of punishment.Aline also speaks openly about her own experiences with coercive control, difficult coaching relationships, mental health treatment, DBT, burnout and the danger of handing too much authority to someone simply because they call themselves a coach. The result is a thoughtful discussion about agency, boundaries and finding forms of movement—and relationships—that actually fit the person you are.And then there is Muay Thai. Aline describes what it is like to become a beginner again in her 50s, learning an intricate combat sport with an ADHD coach who sometimes explains body mechanics using kebabs, baseball bats and imaginary iron testicles. Somehow, it works. Because perhaps the point isn't perfect discipline. Perhaps the point is discovering the kind of movement that makes you want to return to your body.About Aline DuriaudAline Duriaud is a London-based certified personal trainer, fitness coach, mental health advocate and founder of Rise Strong Fitness Collective, where her work centers particularly on helping women over 40 build strength, mobility, confidence and sustainable relationships with movement.Her professional study includes personal training, strength and resistance training, menopause-focused coaching, mobility for strength and injury prevention, body composition and functional training. Her own evolving practice also includes bodybuilding and Muay Thai. Aline is the host of Flex and Flow with Aline, a podcast exploring the intersection of fitness and mental health through conversations with coaches, athletes, mental health professionals and people whose lives have been changed by movement. She also created Beyond the Borderline, a peer-focused mental health podcast that has accumulated more than 80,000 downloads.Her newest writing explores menopause, neurodivergence, fitness and her experience of learning Muay Thai in her 50s.Find AlineSubstack — Menopause & Muay Thaihttps://substack.com/@menopauseandmuaythaiInstagram — Aline Duriaudhttps://www.instagram.com/aline.duriaudRise Strong Fitness Collectivehttps://www.instagram.com/risestrongfitnesslondon/Flex and Flow with Aline — Apple Podcastshttps://podcasts.apple.com/us/podcast/flex-and-flow-with-aline/id1788533409Become a supporter of this podcast: https://www.spreaker.com/podcast/mental-health-news-radio--3082057/support.

In this episode of the podcast, host Moyra Gorski welcomes Samantha Dench, a licensed esthetician and functional medicine practitioner. Moyra and Samantha discuss the importance of natural skincare and the impact of toxins in our products and environment. Samantha shares her personal journey into aesthetics, which began 23 years ago, and how her experience with adult acne after going off birth control led her to explore deeper solutions for skin health. The conversation touches on the intersection of skincare and functional medicine, highlighting Samantha's passion for empowering women with knowledge about their skin and overall wellness. Tune in to learn about the significance of understanding what's in our products and how functional medicine can enhance skincare practices.   Find more about Samantha at Skin Deep IL  or on Linked IN at https://www.linkedin.com/in/skindeepil/ _----------------------------- If you want to see the Aging Well product bundle I personally take to support a healthy healthspan, just text  "AGING WELL"  to 630-504-7388 and I'll send you the details!   Let's connect https://linktr.ee/greengorski  

Hot flashes, blood sugar swings, brain fog... is it menopause, diabetes, or both?In this episode of the TCOYD Podcast, Dr. Steve Edelman is joined by renowned menopause expert Dr. Cindy Stuenkel, endocrinologist and Professor Emerita at UC San Diego, for an insightful conversation about how menopause affects women living with diabetes. Together, they explain why menopause is much more than a normal stage of aging. It's a major metabolic transition that can influence blood sugar management, insulin resistance, heart health, sleep, mood, and overall quality of life. The conversation explores what actually happens during perimenopause, menopause, and postmenopause, why hormonal fluctuations can make glucose management more challenging, and how continuous glucose monitoring can help distinguish hot flashes from hypoglycemia. Dr. Edelman and Dr. Stuenkel also discuss the latest evidence on hormone replacement therapy, newer non-hormonal treatment options, the importance of protecting heart health, and practical strategies to help women navigate this stage of life with greater confidence. Whether you're living with type 1 or type 2 diabetes, approaching menopause, currently experiencing it, or supporting someone who is, this episode provides practical guidance and evidence-based information to help you feel more prepared. Key TopicsWhat is perimenopause, menopause, and postmenopause?How hormonal changes affect blood sugar and insulin resistanceWhy menopause can increase glucose variability in women with diabetesThe difference between hot flashes and hypoglycemiaHow continuous glucose monitoring can help during menopauseMetabolic changes that occur during the menopause transitionWhy cardiovascular risk increases after menopauseThe connection between menopause, weight gain, and abdominal fatGLP-1 medications and menopauseThe latest recommendations on hormone replacement therapyNew non-hormonal treatments for hot flashesSleep, mood, brain fog, and quality of life during menopauseHeart health strategies for women living with diabetesHow partners can better support someone going through menopauseTrusted menopause resources and when to seek medical care Subscribe for practical diabetes management tips, expert conversations, and the latest advances in diabetes care to help people living with diabetes live healthier, more confident lives. ★ Support this podcast ★

For way too long, I thought training more meant training better. Six or seven days a week, sometimes twice a day, because if I wasn't pushing my limits, was I even making progress? I see this all the time now. People grinding through back-to-back workouts, ignoring the signals their bodies are screaming at them. Constant fatigue, stubborn plateaus, weird little injuries that just won't go away. And for what? More isn't always better. In fact, sometimes, it's the very thing holding you back. I used to think I had to train like an athlete to see results—until my body literally forced me to slow the hell down. The truth is, real progress happens in the recovery, not just in the reps. And if you're stuck, exhausted, or just not seeing the changes you expected… it might be time to rethink your approach. In today's episode, I'm breaking it all down. We'll talk about the signs of overtraining—like constant fatigue, plateaus, and mood swings—and why they happen in the first place. I'll explain how too much exercise can actually mess with your strength, metabolism, and hormones, making it harder to see results. And, most importantly, I'll show you why rest days are just as critical as your workouts and how you can train smarter (not just harder) to get stronger, feel better, and actually make progress. If you've ever felt guilty for taking a rest day, or wondered why your workouts aren't hitting the same way anymore… this episode is for you! Because here's the deal: training smarter > training more. And learning to listen to your body? That's where the real gains happen. I Also Discuss: (00:00) Fitness Q&A (10:46) Effective Strength Training and Fat Loss (24:42) High-Intensity Interval Training (HIIT) & Mobility (32:07) Footwear for Strength Training Ready to work with a coach who integrates training and nutrition the way it was always meant to be? Apply for BroadsCOACH at https://www.broads.app/broadscoach. Learn more about Broads: https://www.broads.app/ https://www.instagram.com/broads_coach/ Check out more from Tara LaFerrara: https://www.taralaferrara.com/ https://www.instagram.com/taralaferrara/ YouTube: @TaraLaferrara TikTok: @taralaferrara

Most women don't hear about perimenopause until they're already deep into it, sometimes a decade in. This week, guest host Karen Walrond talks with OB/GYN and Generation M author Dr. Jessica Shepherd about the actual, gradual shape of that transition, the real math behind hormone therapy decisions, and why nearly 40% of a woman's life happens after menopause even begins. It's less a symptom checklist than a new starting point for the next several decades.What you'll explore:The gas-tank way to picture where you actually are between reproductive years and menopauseWhy symptom severity has almost nothing to do with how "together" you otherwise areThe difference between the "symptom bucket" and the "longevity bucket" in deciding on hormone therapyWhy perimenopause itself splits into an early, mid, and late phase, and why the late phase is the window with the most protective upside for starting hormonesWhat the SWAN study found about how menopause symptoms differ by race, and why that matters long-termIf you've been treating menopause as a phase to survive rather than a stage to prepare for, this resets the starting point.You can find Jessica at: Website | Instagram | Episode TranscriptNext week, we're sitting down with Priya Parker to talk about why conflict, handled well, might be one of the things that makes your closest relationships stronger instead of weaker, and what most of us get backwards about the moment right before it happens. Be sure to follow Good Life Project wherever you get your podcasts so you don't miss any upcoming episodes!Check out our sponsors and resources: Visit Our Sponsor Page Hosted on Acast. See acast.com/privacy for more information.

(00:00:00) 230: Medical Mayhem: Sh*t They Don't Tell You! Impactions; Necrosis; GLP1A; Testosterone-Fat; & more (00:00:11) Welcome to Itchy and Bitchy (00:00:42) Doc Itchy Medical Pets Supplements (00:01:02) Introducing Medical Mayhem (00:03:50) GLP-1 Agonists and Testosterone (00:08:26) Impactions and Constipation in Older Adults (00:13:57) Perineal Necrosis: A Serious Complication (00:19:01) Coronary Calcium Score: A New Heart Health Indicator (00:24:59) IV Drips and Health Risks (00:27:35) Sex Education and the Horny Health Index (00:33:13) Closing Thoughts and New Listeners Docs are trying out a new segment that will explore and explain weird and crazy medical problems that everyone wants to hush about because they are weird or embarrasing: Concrete Poops, Corinary Calcium Scores, IV Needles, Hormonal-Fat, Penis and Vaginal Necrosis, Sex-Drive, Erectile Dysfunction, Orgasm Education, and much more....Become a supporter of this podcast: https://www.spreaker.com/podcast/itchy-and-bitchy-podcast--4303608/support.Itchy & Bitchy: Have you felt dismissed, misdiagnosed, or gaslit by a broken medical system.  From gut health, hormones, autoimmune disease, chronic pain, holistic health, and alternative medicine ... medical gaslighting, patient advocacy , or misdiagnosis we'll call that too.  For chronic illness warriors, self-advocacy seekers: WE OFFER  No BS 

Women are far more likely than men to develop Alzheimer's disease, and Dr. David Perlmutter believes one of the most important pieces of that story is metabolic health.In this episode of Live Like a Girl, Dr. Perlmutter joins Dr. Mindy to explain what happens when the brain's immune cells shift from protective to destructive, why menopause may increase vulnerability, and how blood sugar, insulin resistance, visceral fat, inflammation, mitochondrial health, and lifestyle all influence brain aging.They also discuss HRT, GLP-1 medications, ketones, fasting, fiber, exercise, BNDF, sleep, and what women can begin doing in their 30s, 40s, and 50s to support long-term cognitive health.In This Episode, You'll LearnWhy women face a higher risk of Alzheimer'sHow menopause may affect brain metabolismWhy belly fat and insulin resistance matter for brain healthThe blood markers Dr. Perlmutter watches most closelyWhat emerging research says about GLP-1 drugs and the brainThe lifestyle habits Dr. Perlmutter prioritizes for preventionResources MentionedBrain DefendersTanzi StudyCochrane ReviewMore on Dr. David Perlmutterhttps://drperlmutter.com/http://braindefenders.com/https://www.instagram.com/davidperlmutter/https://www.youtube.com/user/DavidPerlmutterMDhttps://x.com/davidperlmutterlinkedin.com/in/david-perlmutter-mdFor more resources related to today's episode, visit the podcast episode page: https://www.drmindypelz.com/ep363/Connect with Dr. Mindy:Join Reset AcademyWatch the episodes on YouTubeFollow Dr. Mindy on InstagramSubscribe to Dr. Mindy's newsletterDisclaimer: This podcast is intended for educational and informational purposes only and is not a substitute for professional medical advice. Always consult a qualified healthcare professional before making changes to your diet, fasting routine, or lifestyle.

Have you ever felt like your body was working against you? In today's episode, I'm sharing my personal hormonal journey from IVF and postpartum depression to hypothyroidism and eventually perimenopause. I'm connecting the dots between the symptoms I experienced at different stages of my life, what I wish I had recognized sooner, and why becoming your own health advocate matters. Because you know your body better than anyone, and you should never feel like you have to simply suffer through the symptoms.Have a question for Dominique? Submit it here for a chance to have it answered on the show! https://forms.gle/MpTeWN1oKN8t18pm6 Thanks to my Sponsors:Puori: Go to Puori.com/FLOURISHING and use the code FLOURISHING at checkout for 32% off your first subscription Branch Basics: Use code OVER50 for 15% off the Premium Start Kit at BranchBasics.com Manukora: Head to Manukora.com/FLOURISHING to save 31% plus $25 worth of free giftsNutrafol: For a limited time, Nutrafol is offering our listeners $10 off your first month's subscription and free shipping when you visit Nutrafol.com and enter promo code FLOURISHING Cash App: New Cash App customers can earn $10 if they use code FAMILY10 in their profile at signup and send $5 to a friend within 14 days. Term apply.Nello: Head to DrinkNello.com/FLOURISHING and use code FLOURISHING to get 20% off your first order - and when you subscribe, your savings stack for up to 40% offOak Essentials: Head to Oakessentials.com and use code OVER50 for 15% off your first order at checkout. Keep in Touch:Website: ⁠⁠⁠⁠⁠⁠⁠https://dominiquesachse.tv/⁠⁠⁠⁠⁠⁠⁠Book: ⁠⁠⁠⁠⁠⁠⁠https://dominiquesachse.tv/book/Insta: ⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/dominiquesachse/Facebook: ⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/DominiqueSachse/TikTok: ⁠⁠⁠⁠⁠⁠⁠https://www.tiktok.com/@dominiquesachse?lang=enYouTube: ⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@dominiquesachsetvInterested in being featured as a guest? Please email ⁠⁠⁠⁠⁠⁠⁠courtney@dominiquesachse.tv⁠⁠⁠⁠⁠⁠⁠ We want to make the podcast even better. Help us learn how we can: ⁠⁠⁠⁠⁠⁠⁠https://bit.ly/2EcYbu4⁠⁠⁠⁠⁠⁠⁠Please note that this episode may contain paid endorsements and advertisements for products and services. Individuals on the show may have a direct or indirect financial interest in products or services referred to in this episode.Produced by Dear Media.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

☎️ Book Your COACHING INQUIRY Call: https://calendly.com/d/386-k9q-4cg/coaching-inquiry-call-zoom☎️ Book Your COMPLEMENTARY CONSULTATION and CALORIE CALCULATION Call: https://calendly.com/d/2p8-mxx-dgf/free-consultation-call-zoom⁠⁠⁠⁠⁠⁠In this episode, I tackle the biggest reasons intuitive eating backfires for women in peri and postmenopause. Honoring your hunger cues can be one of the biggest mistakes you ever make. Why would you honor your hunger cues if you don't think that your body is responding correctly to food, to training, to all your fat loss efforts? What makes you assume that it's sending you accurate hunger signals? After tuning into this episode, you are going to understand:➤ what the four biggest factors are that are causing your intuitive eating to backfire➤ the role your hormones play once you hit 40➤ how to actually improve your natural hunger cues➤ Exactly how to eat and what to eat So you can get the results you deserve.Links mentioned in the episode: ➤ When More Protein Makes You Fat In Menopause (Gluconeogenesis) | MMP Ep. 301: https://youtu.be/WqmzEHghfGQ➤ Fiber Guide: https://www.vitalityoet.com/fiber➤ You Sleep But Feel Exhausted: 6 Steps To Get Energy Back In Perimenopause & Menopause | MMP Ep. 284: https://youtu.be/X__ual4S8o4

You've heard the words. Perimenopause. Menopause. Postmenopause. But nobody ever sat you down and explained what actually separates one from the next.So you've been guessing. Piecing it together from your mom, your group chat, a comment section at 11pm.In this episode, Dr. Tamara Beckford breaks down the three phases in plain language, including the exact moment your body crosses from one to the next. She also shares her STAGE method, the framework she uses with her own patients to figure out where they really stand.If you've ever wondered whether your symptoms even make sense for the stage you think you're in, this one's for you.

In this episode of Living Life Naturally, Lynne talks with Debbie Harris, an author, integrative nutrition health coach, certified hypnotist, and certified menopause coaching specialist. Debbie shares her experience with lifelong weight struggles and explains why the diets and strategies women relied on earlier in life may stop producing the same results during menopause. She introduces her "freedom eater" philosophy, an approach designed to help women discover what works for their individual bodies without following rigid rules or labeling favorite foods as permanently forbidden. Lynne and Debbie also have an honest conversation about the parts of menopause women aren't always encouraged to discuss, including anxiety, depression, rage, physical intimacy, pelvic-floor concerns, medication side effects, and feeling dismissed by healthcare professionals. They discuss the importance of asking questions, seeking another opinion when necessary, and assembling a healthcare team that considers the whole woman—not simply one isolated symptom. Most importantly, this episode offers a hopeful reminder: menopause isn't the end of your life. It can become the beginning of a freer, more creative, joyful, and deeply fulfilling season. IN THIS EPISODE, YOU'LL DISCOVER: • Why eating strategies that worked earlier in life may stop working during menopause • How Debbie's 30 to Life Solution helps women recognize their individual food responses • What it means to become a "freedom eater" • Why one doughnut—or any other indulgence—doesn't need to derail your entire day • A discreet cooling technique that may help when you feel a hot flash beginning • Why pelvic-floor support can be valuable for bladder and intimacy concerns • How menopause may affect anxiety, mood, and emotional well-being • Why it's important to ask about potential medication side effects • What you can do when a healthcare professional dismisses your concerns • Why menopause care shouldn't be approached as one-size-fits-all • How partners can better understand and support women during menopause • Why midlife can become a new beginning rather than an ending ABOUT DEBBIE HARRIS Debbie Harris is an author, integrative nutrition health coach, certified hypnotist, and certified menopause coaching specialist. Her award-winning book, Dieting Sucks for Women Over 40, addresses the emotional and physical challenges women can experience with food, weight, and menopause. Through her 30 to Life Solution, Debbie helps women identify what works for their unique bodies, release rigid dieting rules, and become what she calls "freedom eaters." She is also the speaker behind the TEDx talk Three Steps to Conquering Menopause. DEBBIE'S BOOK: Dieting Sucks for Women Over 40: 30 to Life—The Ultimate Weight Loss and Hormone Balancing Solution Debbie's book explores weight, menopause, trigger foods, emotional eating, self-hypnosis, and the thought patterns that can keep women trapped in a cycle of restrictive dieting. It also introduces Debbie's 30 to Life Solution and offers a compassionate, practical approach to releasing weight, supporting hormonal well-being, sleeping better, and enjoying food without rigid rules or all-or-nothing thinking. Learn more and purchase the book: https://a.co/d/95XCXao Learn more about Debbie's 30 to Life approach: https://30tolife.org/   CONNECT WITH DEBBIE HARRIS Website: https://30tolife.org/ Facebook: https://www.facebook.com/fordebbielee LinkedIn: https://www.linkedin.com/in/fordebbielee/ Instagram: https://www.instagram.com/debbielee211/ X: https://x.com/DebbieLHarris Book—Dieting Sucks for Women Over 40: 30 to Life—The Ultimate Weight Loss and Hormone Balancing Solution: https://a.co/d/95XCXao   CONNECT WITH LYNNE Imagine not having to "figure out midlife" on your own anymore.

Claim your complimentary gift of my exclusive mini weight care guide today!Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.comEver feel like your body just decided to rewrite the rules overnight — same workouts, same diet, but suddenly the scale (and your waistline) tell a totally different story? If you're in perimenopause or menopause and feeling blindsided by these changes, you're definitely not alone, and there's actually a clear, physiological explanation behind it. To break it all down, we sat down with Dr. Raina Patel, a primary care physician at the University of Chicago whose practice sits right at the intersection of her two biggest passions in medicine: menopause care and weight management. She's also the host of her own podcast, Finally with Dr. Raina Patel.Topics discussed:Why Weight Gain Happens During MenopauseSmall Shifts That Actually Move the NeedleMuscle Mass and Menopause: Why It Deserves Your AttentionHormone Therapy and Weight: Setting Realistic ExpectationsOther Medical Interventions Worth Knowing AboutYou're Never Alone: Wrapping Up the Menopause ConversationAt the end of the day, menopause isn't something you have to navigate quietly or alone — and the more we talk about it, the easier it gets for every woman coming up behind us. If this conversation resonated with you, find the full episode with Dr. Raina Patel and dive deeper into the conversation.Connect with Dr. Patel:Instagram: drrainapatelConnect with me:Instagram: doctorfrancavillaFacebook: Help Your Patients Lose Weight with Dr. FrancavillaWebsite: Dr. Francavilla ShowYoutube: The Doctor Francavilla ShowGLP Strong: glpstrong.com

Menopause advice has never been louder—and a lot of it has very little to do with actually feeding yourself. After spending a month in remote Maine, I came home with some clarity about what I want to build next: less wellness noise, more real food, and more kitchen confidence for women in midlife.In this episode, I talk honestly about why I've felt stuck, what slowing down gave me, and how my work keeps pointing me back to the same place: cooking. I'm a culinary nutritionist and former private chef, yet somewhere along the way I almost forgot how central cooking was to why I started doing this work in the first place.We also zoom out to the much bigger—and increasingly noisy—world of menopause nutrition and midlife wellness: GLP-1 medications, supplements, peptides, protein obsession, menopause weight gain, and the endless stream of nutrition advice and misinformation online. Some of these tools absolutely have a place, and menopause hormone therapy can be life-changing for the right person. But what happens when every body change becomes a problem to solve or a product to buy—and food becomes an afterthought?The question I keep coming back to is much simpler:How do we turn the science into dinner?Protein, fiber, blood sugar, bone health, heart health, sleep and energy all matter, especially for women in menopause and midlife. But knowing what nutrients we need isn't the same thing as knowing how to make satisfying, nourishing food we actually want to eat on a Wednesday night when we're tired.That's where I want to spend more of my time.I also introduce the idea of being "cooking curious" and why approaching the kitchen with a beginner's mind can replace intimidation and perfectionism with confidence, creativity and pleasure.If you've ever thought, "I'm not a cook," you are exactly who I want here. You don't have to be an experienced cook. You just have to be curious about what might happen if you became a little more comfortable feeding yourself well.Listen, subscribe and share this episode with a friend. And I'd love to know: What would make you feel more confident—or simply more interested—in your own kitchen?I would love to hear from you! What did you think of the episode? Share it with me :) Support the showLet's Be FriendsHang out with Heather on IG @greenpalettekitchen or on FB HERE.Let's Talk!Whether you are looking for 1-1 nutrition coaching or kitchen coaching let's have a chat. Click HERE to reach out to Heather.Did You Love This Episode? "I love Heather and the Real Food Stories Podcast!" If this is you, please do not hesitate to leave a five-star review on Apple or wherever you listen to podcasts. 

A year on from Australia’s landmark Senate Inquiry into Menopause and Perimenopause, Senator Marielle Smith returns to Thriving in Menopause to talk about what’s changed – and what still needs to happen. As Co-Sponsor and Deputy Chair of the inquiry, Senator Smith played a pivotal role in bringing the experiences of Australian women into the national spotlight. Now, one of its key recommendations has become a reality, with the launch of a National Menopause and Perimenopause Awareness Campaign designed to help women recognise symptoms, find trusted information and feel more confident seeking support. In this episode, we talk about why greater awareness matters, the stigma that still surrounds menopause, the progress made since the inquiry and where gaps remain in healthcare, workplaces and the wider community. We also ask what real change looks like beyond an awareness campaign – and what Senator Smith hopes the next chapter will bring for women navigating perimenopause and menopause in Australia.See omnystudio.com/listener for privacy information.

For several years, Kim Constable woke at approximately 3:45 or 4 a.m. almost every morning. Because she was running a rapidly growing company, managing a worldwide team, raising four children and constantly thinking about the next idea, she did not initially see it as a problem. She assumed her brain was simply ready to work. The early mornings were productive—but behind that productivity, Kim was exhausted. As she moved further into perimenopause, the disrupted sleep became increasingly difficult to ignore. She began experiencing night sweats, headaches, racing thoughts, frequent nighttime bathroom trips and the deeply frustrating feeling of being exhausted while still unable to fall or remain asleep. In this candid episode, Kim shares the personal story of how menopause changed her sleep and the research journey she began in an attempt to understand it. She discusses her experience with HRT, the roles she believes estrogen and progesterone played in her symptoms and what happened after she had a Mirena coil fitted and was no longer taking oral progesterone. Kim also explains why she returned to her menopause doctor to discuss her sleep and anxiety. The episode then moves into Kim's exploration of GLP-1s and emerging peptide research. She shares the changes she personally noticed in her sleep after beginning a GLP-1 and describes what she observed while investigating DSIP and ipamorelin. Inside this episode: • Why Kim treated years of 4 a.m. waking as productivity rather than a symptom • How perimenopause disrupted her sleep over time • Night sweats, headaches, racing thoughts and repeated bathroom trips • The impact of living and working under sustained pressure • Kim's personal experience with HRT, estrogen and progesterone • What changed after having a Mirena coil fitted • Why low blood sugar and going to bed hungry sometimes affected her sleep • The mistake Kim and Ryan made by taking NAD+ at night • How Kim discovered delta sleep-inducing peptide, or DSIP • What she personally observed through her Oura Ring • Why DSIP did not feel like a conventional sleeping tablet • Kim's exploration of ipamorelin and the changes she noticed in her night sweats • Why personal experience should never be mistaken for medical evidence or a protocol This is an honest, unscripted conversation about one of the most disruptive—and often misunderstood—parts of perimenopause and menopause. Kim's experience is individual. Nothing in this episode should be interpreted as medical advice, a treatment recommendation or evidence that another person will experience the same results. This podcast is for educational and informational purposes only. Kim is not a doctor or licensed medical practitioner. Nothing discussed is a recommendation to purchase, reconstitute, dose, administer or use any research product. Research products supplied by Verified Vials are intended strictly for laboratory research and are not for human consumption or medical use. Always speak with an appropriately qualified healthcare professional about persistent sleep disruption, menopause symptoms, HRT or any health-related decision. ✨ Follow Kim Constable online for more real talk and daily motivation:

EVEN MORE about this episode!What does a medical intuitive actually see when she scans your body—and what can Spirit reveal about the symptoms you're experiencing?In this live episode of the Ask Julie Ryan Show, Julie facilitates real-time medical intuitive scans, energetic healings, spirit communication, and animal readings for callers around the world.Tonight, Julie scans everything from a liver lesion, unexplained lymph swelling, elevated blood pressure, and a rising PSA to the kidneys of an aging cat and the liver of a beloved dog. She also explores hormones and menopause and explains why the imagery she receives during energetic healing—from spirals and magnets to stem-cell energy—is an important part of how she perceives and facilitates the process.But this episode goes far beyond the physical body.Julie connects with a deceased husband whose spirit offers insight into his final weeks, checks in with a beloved cat, and explores whether a spirit-sensitive dog is actually perceiving unseen visitors inside a historic Salem home.Throughout the show, Julie explains what happens when she raises her vibration to the level of Spirit, how she receives intuitive information, and why a scan can sometimes appear clear even when someone expects something to be wrong.If you've ever wondered what a medical intuitive sees, how energy healing works, whether Spirit can reveal clues about the body, or what Julie might perceive if she scanned you, this episode gives you a front-row seat.Medical intuition meets practical spirituality, healing, laughter, and messages from Spirit—all in one unpredictable live hour of the Ask Julie Ryan Show.Episode Chapters:(0:00:00) Welcome & Angelic Attendant Training™ Announcement(0:04:00) Medical Intuitive Scan: What's Behind a Liver Lesion?(0:09:54) Menopause, Hormones & Emotional Changes(0:18:08) Can Energy Healing Help an Aging Cat?(0:26:00) A Dog's Liver Scan & Energy Healing(0:31:17) Blood Pressure, Salt & What the Scan Reveals(0:38:00) Did Her Husband Know He Was Going to Die?(0:41:12) Unexplained Lymph Swelling & a Surprising Scan(0:53:00) Can Dogs Sense Spirits in the House?(0:56:52) Elevated PSA & a Remote Medical Intuitive Scan➡️ Subscribe to Ask Julie Ryan YouTube➡️ Julie's Intuitive Trainings✏️ Ask Julie a Question!

This episode is sponsored by Primeadine and BEAM Minerals. Primeadine by Oxford Healthspan supports your body to age well and feel yourself again through cellular renewal. Use the link or code FLIPPING20 for 20% on your first order! BEAM Minerals - Get 20% off your first order at https://beamminerals.com/FLIPPING50 with code FLIPPING50. Connect with Flipping 50: Facebook Group - Flipping50 Insiders Instagram - @Flipping50TV YouTube - @Flipping50TV More Episodes - Flipping 50 The Stronger Way Other Episodes You Might Like: Previous Episode - Building Muscle and Losing Fat in Menopause and Beyond More Like This: Resistance Training in Menopause Part 1 - Strength Training After 50: Where Do I Even Start? Resistance Training in Menopause Part 2 - You're Already Lifting — So Why Isn't It Working? Resources: Book an Ultimate Assessment with Debra! Get your HALO Method and Longevity Strategy at $497, instead of $997 rate. Together, you formulate the actual plan that will work for you! Get your lean, clean Flipping 50 Protein Powders to maintain muscle and support metabolism. Use Flipping 50 Strong Aging Index to measure what matters with an easy at-home self-assessment test you can do in minutes. These are the perimenopause rules nobody told you—and they might be exactly what your workouts have been missing. The key isn't automatically doing more. It's learning how to adjust training based on recovery, effort, experience, nutrition, and your changing physiology.  The episode outlines five perimenopause rules nobody told you and explains why flexibility may matter more than following a rigid workout formula. If this episode made you flip your workout routine — share it!

Supplements and Morning Coffee: Timing Iron, Zinc, Calcium, B Vitamins, and Vitamin D: Nutritionist Leyla Muedin explains that coffee (and tea) can interfere with nutrient absorption and digestion, so certain supplements shouldn't be taken with morning coffee. Coffee's tannins and polyphenols can significantly reduce non-heme iron absorption (decaf doesn't prevent this), and similar binding issues may affect zinc; she recommends taking iron with water at least 1–2 hours away from coffee and pairing it with vitamin C. Because caffeine may increase urination, B vitamins (especially thiamine) may be lost more readily, so she suggests taking them with food but not with coffee. Vitamin D is best taken with a fat-containing meal (not washed down with coffee), and calcium supplements should be separated from coffee since caffeine can slightly increase calcium loss. She also notes interactions such as green tea reducing folate absorption, spinach oxalates limiting mineral absorption, phytates in bran/legumes reducing iron and zinc absorption, and calcium (milk or supplements) cutting iron absorption, emphasizing timing rather than eliminating these foods.

Rip sits down with OB-GYN, women's health expert, and author of Generation M, Dr. Jessica Shepherd, for a candid, empowering conversation about perimenopause, menopause, hormones, nutrition, sex, sleep, strength, and what it really means to thrive in midlife and beyond.For too long, menopause has been framed as a decline — something to dread, hide, or simply suffer through. Dr. Shepherd is here to change that narrative. She explains that menopause is not a failure of the body, but a natural biological transition — and one that deserves far more education, support, and celebration.In this conversation, Rip is joined by PLANTSTRONG Podcast producer Carrie Barrett, who, at 53, brings her own lived experience in perimenopause to the discussion. They eplain why estrogen, progesterone, and testosterone affect far more than reproduction — influencing the brain, bones, heart, muscles, metabolism, skin, sleep, and sexual health.And because this is Plant Strong, they also dive into the power of nutrition. Dr. Shepherd emphasizes that food is one of the most important tools in the menopause toolbox, especially during the 10–12 year perimenopausal window. A colorful, plant-centered diet rich in beans, greens, whole grains, berries, legumes, soy foods, fiber, and fermented foods can help support heart health, gut health, metabolic health, inflammation, muscle maintenance, and long-term vitality.This episode is not about one magic fix. It is about building the full toolbox: plants, movement, resistance training, sleep, self-advocacy, and, when appropriate, hormone therapy. As Dr. Shepherd reminds us, women deserve agency, options, and the chance to live their 70s, 80s, and 90s with strength, clarity, and confidence.Learn More About our 2026 Live PLANTSTRONG Events: https://plantstrongevents.com/ Let Us Help Your PLANTSTRONG JourneyLearn More About Our Corporate Wellness Program: https://liveplantstrong.com/corporate-wellness/ COMPLEMENT: Use code PLANTSTRONG for 30% off at https://lovecomplement.com/pages/plantstrong-special-offer Follow PLANTSTRONG and Rip Esselstynhttps://plantstrong.com/ https://www.facebook.com/GoPlantstrong https://www.instagram.com/goplantstrong/https://www.instagram.com/ripesselstyn/ Follow the PLANTSTRONG Podcast and Give the Show a 5-star RatingApple PodcastsSpotifyEpisode WebpageWatch on YouTube

You were told to just power through it. These eight women were told the same thing, and they're done accepting it. Dr. Anna Cabeca, triple board certified OB/GYN and host of The Girlfriend Doctor, sits down with the very first graduating class of her Magic Menopause Hormone Restoration Coaching Certification for an honest, unscripted, girlfriend-to-girlfriend conversation recorded live in front of an audience. Eight women. Eight completely different paths into hormone chaos, from surgical menopause after a hysterectomy, to a postpartum hormone crash after baby number four, to years of being dismissed as "just stressed." In this episode, you'll hear real stories and practical takeaways on: Why "that's just menopause" is one of the most common and most misleading things a woman can be told What actually happens hormonally after a hysterectomy, and why estrogen alone often isn't the full answer Why unexplained weight gain during perimenopause is common and not a personal failure The daily hydration and sleep habits these coaches consider completely non-negotiable How to open honest conversations with your husband and your daughters about hormones, before the silence gets passed down Why vaginal dryness and discomfort don't have to be something you just accept starting in your mid-thirties This one is personal. These are Dr. Anna's own students, women who did the work, then turned around to help the next woman behind them. If any part of this sounds like your story, you don't have to figure it out alone. Learn more about the Magic Menopause program at dranna.com, and if this episode helps you, share it with a woman in your life who needs to hear it today. Key Timestamps 00:00 – Welcome and introduction to the Magic Menopause coaching graduates 04:00 – Emily's story: burnout, invisible labor, and postpartum hormone crash 12:00 – Anna's story: fertility challenges into perimenopause 18:00 – Amy's story: surgical menopause after hysterectomy 27:00 – Angela's story: losing friends, and the wake-up call 38:00 – The myths panel: "power through," hormones and cancer, suffering as normal 52:00 – Meet Chelsea, Song, Tara, and Jamie 58:00 – Why weight gain happens and what actually helps 1:10:00 – Daily non-negotiables: hydration, pH testing, sleep 1:20:00 – Talking to husbands and daughters about hormones 1:32:00 – Vaginal and sexual health, and why dryness isn't something to just accept 1:45:00 – Final thoughts: choosing empowerment over silence Memorable Quotes "Menopause is natural. Suffering is optional." — Angela "It's the difference between common and normal." — Emily "Hormones are not the enemy." — Amy "This is an empowering journey." — Song "You're not broken." — Dr. Anna Cabeca Connect With Dr. Anna Website: Dranna.com  Instagram: https://www.instagram.com/thegirlfrienddoctor/   YouTube: https://www.youtube.com/@thegirlfrienddoctor   TikTok: https://www.tiktok.com/@drannacabeca  Facebook: https://www.facebook.com/thegirlfrienddoctor 

Your periods are still regular and your labs may even look “normal.” So why aren't you sleeping? Why has your mood changed? And why do you suddenly feel like a different version of yourself? In this episode of the As a Woman podcast, Dr. Natalie Crawford talks with Dr. Alicia Robbins, a board-certified OB/GYN, certified Menopause Society Practitioner, and founder of The Elm. They discuss why sleep and mood can change before hot flashes or irregular periods begin, how cycle tracking may reveal patterns, and how progesterone, estrogen, and testosterone are considered in individualized perimenopause care. They also explain the connection between fertility and perimenopause, what else should be ruled out, and how to advocate for better care when your symptoms are dismissed. IN THIS EPISODE: 00:00 What Is Perimenopause and When Does It Start? 03:20 Why Dr. Alicia Robbins Changed Her Approach to Perimenopause 09:55 Perimenopause vs. Menopause: What's the Difference? 11:23 Fertility and Perimenopause 12:22 How Do You Know if You're in Perimenopause? 14:47 How to Track Perimenopause Symptoms 16:02 Hormone Therapy During Perimenopause 17:38 Symptoms of Low Progesterone 18:11 Hormone Therapy, Birth Control, and Pregnancy 20:17 Testosterone and Pregnancy 21:21 Testosterone for Women 23:43 Symptoms of Low Estrogen 25:12 When to Start Hormone Therapy 27:04 Estrogen Patches vs. Pills 27:40 Do You Need Hormone Testing for Perimenopause? 30:01 Is It Perimenopause or Something Else? 32:13 How to Advocate for Better Perimenopause Care GUEST RESOURCES: Instagram: https://www.instagram.com/aliciarobbinsmd/ Website: https://www.theelmgreenwich.com/ Podcast: https://www.draliciarobbins.com/podcast AS A WOMAN WITH DR. NATALIE CRAWFORD: YouTube: https://youtube.com/playlist?list=PLveZDgg3_HZ9m7Wy3C6Vvyrj_NtEOwj_l  Apple Podcasts: https://podcasts.apple.com/us/podcast/as-a-woman/id1449553339  Spotify: https://open.spotify.com/show/12IYOLH9liu60gk5D0bRPk  HOST RESOURCES: Order The Fertility Formula: https://www.nataliecrawfordmd.com/book  Newsletter: https://www.nataliecrawfordmd.com/newsletter  Instagram: https://www.instagram.com/nataliecrawfordmd  YouTube: https://www.youtube.com/@NatalieCrawfordMD  Become a patient: https://www.forafertility.com  Earn FREE CE/CME: https://learnatpinnacle.com/education  This episode is brought to you by The Pinnacle Podcast Network. ABOUT DR. NATALIE CRAWFORD: Natalie Crawford, MD, is a double board-certified OB/GYN and reproductive endocrinologist, co-founder of Fora Fertility, and author of The Fertility Formula. She helps women understand their hormones, fertility, and reproductive health so they can make informed decisions about their bodies. Disclaimer: Natalie Crawford, MD, is a doctor, but she is not your doctor. This content is for general education and is not a substitute for individualized medical care. Learn more about your ad choices. Visit megaphone.fm/adchoices