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PODCAST

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Perimenopause and menopause hit active women differently. We have a different lifestyle and different goals. And we know our bodies. Whether you run and hike or do CrossFit and ski (or a little of everything!), you’ve had a way of eating and exercising that worked…until the menopause transition, when it all goes out the window as body composition changes, fatigue, body aches, sleepless nights, hot flashes, brain fog, mood swings, and low mojo blindside you out of the blue—despite doing everything

health & fitness fitness

All Episodes

01:11:00

Running into Your Best Midlife with Anna Troup...

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2026/03/25

Women in their 50s, 60s, and beyond are crushing courses around the world. At a time when we’ve been preconditioned to believe we’ll slow down, many women are holding strong—or even improving. This week’s guest Anna Troup, 56, who has clocked many of her greatest ultrarunning feats since turning 50, is a perfect example. Last year she took first overall (including the men) at the 268-mile (430K) Montane Summer Spine race—Britain’s toughest ultra marathon—in 84 hours, 56 minutes, and 37 seconds. This

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52:19

Perimenopause and the New Midlife Playbook with Dr....

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2026/03/18

Now that menopause is finally getting the research and medical attention it deserves, we are finally putting perimenopause in the spotlight as a pivotal period in a woman’s life that demands its own care and attention. This week, midlife gynecologist Dr. Alyssa Dweck returns to break down perimenopause care, the state of hormone therapy, and much more. We dig into how perimenopause is so variable, how to think about the pill, IUDs, hormone therapy, and the new non-hormonal drugs, plus what hot

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01:14:43

When Perimenopause Gets Personal: Training Through...

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2026/03/11

This week’s guest would like to apologize. Like many of us before perimenopause hit, Shawna Norton admits she used to quietly doubt—even judge—women who said their bodies changed overnight despite doing nothing differently. Then it happened to her. Now she gets it. And she’s genuinely sorry. In this wide-ranging, sometimes raucous, and brutally honest conversation, we dig into her own experience with rapid weight gain, joint pain, brain fog, and the unsettling feeling of living in a body that

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01:15:20

Understanding Midlife Weight Gain, Menopause, and...

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2026/03/04

As women, we’re told our bodies are wrong almost from the moment we become aware of them—and that messaging hits hyperdrive when the body composition changes of menopause arrive. Those changes are often framed as urgent health risks, even when the picture is far more nuanced and the steps taken to “fix” them can carry risks of their own. This week we sit down with dietitian and public health nutrition specialist Diana Reid to dig into what actually drives midlife weight gain, what belly fat and BMI

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01:00:32

Stop Spinning Your Wheels: Fueling for Real Midlife...

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2026/02/25

Sports nutrition is confusing. Sports nutrition for endurance athletes is even more confusing. And sports nutrition for midlife female endurance athletes? That’s where a lot of women end up working incredibly hard… and getting nowhere, because they’re trying to outrain a fueling problem. This week we sat down with sports dietitian and endurance athlete Meghann Featherstun of Featherstone Nutrition to talk about the fueling mistakes that women often struggle with the most: iron status, energy

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01:06:12

The Menopause Sleep Syndrome: Why You’re Up at 3...

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2026/02/18

Up in the middle of the night at 2:37 a.m. like clockwork? Toss and turn, desperately trying to slip into slumber? Eyes pop open at 4 a.m. though you’d really love to sleep in till at least 6? Are you just tired all the time? Welcome to the sleep syndrome of menopause–a common cluster of midlife sleep problems this week’s guest Dr. Andrea Matsumura treats every day. We break down what’s behind women’s sleep woes, including sleep apnea, lifestyle factors, and of course menopause. She also shares her

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01:00:23

Why So Many Midlife Women Stop Wanting Sex—and What...

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2026/02/11

Midlife and menopause can bring real physical and psychological changes that affect libido, arousal, and pleasure—but that doesn’t mean desire or a satisfying sex life are destined to disappear. This week we sat down with registered nurse and Permission for Pleasure author Cindy Scharkey to unpack what actually happens to desire, arousal, pleasure, and our bodies as we move through perimenopause, menopause, and beyond. We explore why so many women stop wanting sex in midlife, how hormones, stress,

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01:06:03

Hard Conversations in the Menopause Transition:...

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2026/02/04

This week we welcome back our resident reproductive endocrinologist and menopause specialist, Dr. Carla DiGirolamo, for another candid conversation. We pull back the curtain on Carla’s own menopause experience—how she navigates her symptoms, what she’s learned, and what she practices herself. We also dig into the hard conversations so many of us are having as we navigate this ever-evolving space, and how years of working closely with active midlife women have shaped her thinking on hormone therapy,

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01:12:18

The Science of Your Nervous System and How to Respond...

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2026/01/29

In this special episode, your Feisty Women's Performance podcast host Dr. Erin Ayala brings together a group of experts on mental health to talk about the science and psychology of stress and collective trauma.Along with being a sports psychologist & therapist in her own right, Erin also lives in Minneapolis, Minnesota — which has been at the center of the news over the last month since it became the target of the largest immigration enforcement action to date in the U.S. Thousands of federal

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53:05

Why Rest Feels Hard: Midlife Training, Anxiety &...

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2026/01/28

Exercise is supposed to be healthy—but when does dedication cross into compulsion? In this episode, we sat down with sports psychologist and new host of the Feisty Women’s Performance Podcast, Dr. Erin Ayala to explore the murky, often misunderstood concept of exercise addiction. We unpack why it’s not an official diagnosis, how it overlaps with perfectionism, anxiety, body image, and control, and why endurance athletes—especially midlife women—can be uniquely vulnerable. We also dive into identity,

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01:15:24

What the Largest Menopause Fitness Survey Reveals...

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2026/01/21

This week we welcome back protein and fat-loss researcher Dr. Bill Campbell to unpack early findings from what may be the largest menopause fitness survey to date, designed to finally study women who actively train. We dive into what thousands of fit midlife women report about calorie and protein intake, hormone therapy use, and the widely felt—but poorly studied—experience of weight-loss resistance during peri- and postmenopause. The conversation also explores why hormone therapy use appears far

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01:01:11

Building Your Personalized Peri/Menopause Plan with...

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2026/01/14

When the first signs of menopause hit, the temptation can be strong to throw everything we have at it–all the supplements, all the hacks, all the hormones. But not everything is right for everyone, and doing too much at once can backfire, leaving you feeling worse, lighter in the wallet, or both. This week, we take a more measured, targeted approach with pharmacist, nutritionist, and certified menopause lifestyle practitioner Sarah Gray, author of It’s Not You, It’s Perimenopause. A marathon runner

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01:13:23

Carbohydrates: The Key to Midlife Health &...

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2026/01/07

“Carbs are evil.” As we usher in 2026, and as endurance athletes around the globe are stuffing down as many carbohydrates per hour as humanly possible to supercharge their performance, this week’s guest, sports dietitian Kristen Arnold, still manages misconceptions, especially from her midlife clients, that carbohydrates are something to be cut from the diet. Nothing could be further from the truth. This week we kick off the new year with a show all about the life and performance-boosting benefits

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01:12:33

Building Strength & Pushing Limits after 40 with...

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2025/12/31

This episode originally dropped on: March 19, 2025Many of us have spent a lifetime trying to shrink ourselves. We grew up being told you could never be too thin. As athletes, especially in endurance sports, smaller, lighter, faster was the ethos of the day. That is changing as we see athletes, especially women, discover that being fueled and strong yields even better performance–and longevity. This week’s guest, trainer and nutrition coach Steph Gaudreau embodies that journey through both her

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48:52

Hormones & Heavy Lifts: The Menopause Blueprint with...

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2025/12/24

This episode originally dropped on: June 2, 2025When some of the biggest names in menopause medicine want to learn to lift heavy, they turn to this week’s guest, Nike Master Trainer and midlife fitness advocate Holly Rilinger, founder of the LIFTED Method. Because Holly gets it. She’s been through her own journey with damaging diet culture, body image issues, and a challenging perimenopause that has left her navigating sheet soaking night sweats, brain fog, and fatigue. Through a midlife-specific

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01:13:09

Why Now is the Time to Go Big with Paula Ralph...

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2025/12/17

As we wrap up 2025 and start dreaming about our goals for the New Year, this week’s guest, ultracyclist Paula Ralph, has one simple message: Just go for it. We often wait until we’re 100% ready—which usually means we never start. But whether you succeed or fall short, you’ll be better for having tried. Paula knows this firsthand. She set out to break a world record riding solo from Cape Town, South Africa to Nordkapp, Norway. Sponsors pulled out. Mechanical issues piled up. She got heat stroke…and

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01:02:09

Is It Burnout or Perimenopause? How to Tell (and What...

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2025/12/10

Are you burned out? Or just in a rough patch? Is it perimenopause, depression, or some messy mix of well, everything? In this episode, we’re joined by sports psychologist and endurance athlete Dr. Erin Ayala to unpack athletic burnout in midlife women—what it is, how it shows up, how it overlaps with perimenopause and mood changes, and how to tell it apart from being overreached, under-fueled, or just end-of-season tired. Erin also serves up some practical advice for what to do when every workout

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01:02:26

Muscle, Hormones & the Menopause Transition with...

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2025/12/03

As active women, muscle is the engine that powers us through our lives, no matter what sport we love. When we hit midlife and menopause, it can feel like that 8-cylinder engine drops to six—less punch when we hit the gas, even though we’re still training. We may notice less muscle and more body fat when we look in the mirror. Muscle and strength loss during the menopause transition is multifactorial. It’s hormonal changes and estrogen decline. It’s inflammation. It’s symptoms like poor sleep, joint

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55:18

The Bone-Building Blueprint with Lisa Moore, DPT...

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2025/11/26

The menopause transition is a critical tipping point for bone health. Bone loss accelerates rapidly in late perimenopause and continues for roughly 3 to 5 years after menopause begins–a window in which some women lose up to 20% of their total bone mass. For too long, society accepted this decline as inevitable. That fragility is our fate. That as women, our stature–and our lives and our worlds–just shrink as we age. Dr. Lisa Moore, DPT, founder of Brick House Bones, is on a mission to change that

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57:44

Rethinking the Rules: Peak Performance in a...

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2025/11/19

Unpredictable cycles. Sleepless nights. Mood swings. Body composition changes. And performance that mirrors all of it. During the menopause transition, you never quite know which body will show up on any given day. As this week’s guest menopause run and strength coach Becky Croft explains, you can still get stronger and faster, but it won’t come from constantly pushing through or grinding it out. It takes smart planning, a different kind of periodization, and recovery that respects your shifting

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