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Should We All Be On Hormone Therapy? with Professor Susan Davis, AO (Episode 187)

Wed, 17 Jul 2024 03:00:00 -0400

The conversation around hormone therapy for menopausal symptoms is pretty clear. Hormone therapy is the gold standard for treating hot flashes and night sweats and can help with many other common symptoms that come with the menopause transition. It’s very effective and broadly safe. But recently, the conversation has evolved past symptom management and into preventative health with many experts suggesting that hormone therapy may play a larger role in extending a woman’s healthspan, if not lifespan. That maybe we should all start taking hormones to protect our hearts and cognitive health. And there’s promising research in those areas. Yet none of the medical associations recommend hormones for those purposes. Why? That’s what we dig into this week with Professor Susan Davis, AO, who is a pioneer and leading expert in women's health as a clinical endocrinologist, researcher, and educator. She reflects on her decades of research on various forms of hormone therapy and shares what we know–and still don’t know–today regarding traditional hormone therapy as well as testosterone therapy for women’s health post menopause.

Professor Susan R Davis AO, MBBS, FRACP, PhD, FAHMS is a clinician researcher with expertise in the role of sex hormones in women across the lifespan. She is Head of the Monash University Women’s Health Research Program and holds a Level 3 NHMRC Investigator Grant. Susan is a Consultant Endocrinologist and Head of the Women’s Endocrine Clinic, Alfred Hospital Melbourne and a consultant at Cabrini Medical Centre. She is a Fellow and Council Member of the Australian Academy of Health and Medical Sciences. She is a past President of the Australasian Menopause Society and the International Menopause Society. She has over 435 peer-reviewed publications and has received numerous national and international prestigious research awards. Susan was appointed an Officer of the Order of Australia for distinguished service to medicine, to women's health as a clinical endocrinologist and researcher, and to medical education. You can learn more about her and her work at Monash University.

Resources

2023 Practitioner’s Toolkit for Managing Menopause here

Menopausal Hormone Therapy and Cardiovascular Disease: The Role of Formulation, Dose, and Route of Delivery here

Use of MHT in women with cardiovascular disease: a systematic review and meta-analysis here

Studying Studies: Part I – relative risk vs. absolute risk by Peter Attia, MD, here

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How to Start Lifting Heavy Sh*t & More with Kerry Ann Madden (Episode 79)

Wed, 27 Apr 2022 03:00:00 -0400

We know lifting heavy, doing plyometrics, and adding intensity to our routines help us stay strong and powerful as our bodies change during the menopause transition. But where do we start? What if we can’t jump? How do we lift heavy if we don’t have heavy weights? Longtime trainer and now one of the leaders of the Menopause for Athletes Alumni group, Kerry Ann Madden digs into the nuts and bolts of getting started, whether you’re self-coaching or working with clients.

Kerry Ann is the creator and owner of KAM Fitness and Nutrition. She is a weight-inclusive NASM Master Trainer, a Precision Nutrition Certified Coach, a Corrective Exercise Specialist, and a MedFit Network Member. She has completed Dr. Stacy Sims Menopause for Athletes course and puts her expertise to use with her clients who are in the menopause transition. You can learn more about Kerry Ann and her work at kamfitnessandnutrition.com/

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Sports Nutrition & Supplements - What Menopausal Women Really Need with Abbie Smith-Ryan, PhD (Episode 122)

Wed, 22 Mar 2023 03:00:00 -0400

Whether we’re trying to make muscle, perform our best, or avoid the dreaded GI distress during long endurance events, women in and beyond the menopause transition have special needs. But the sports nutrition and supplement landscape is rife with conflicting and confusing information. This week we cut through the noise with scientist, exercise physiologist, and sports nutritionist Dr. Abbie Smith-Ryan. We dive into protein, carbohydrates, essential amino acids, fasted training, macronutrient usage during phases of the menstrual cycle and during the menopause transition, creatine, sports supplements, and a whole lot more!

Abbie Smith-Ryan, Ph.D., CSCS*D, FNSCA, FACSM, FISSN is Professor of Exercise Physiology, Adjunct Associate Professor in the Department of Nutrition, Director of the Applied Physiology Laboratory, and Co-Director of the Human Performance Center in the Department of Exercise and Sport Science at the University of North Carolina Chapel Hill. You can learn more about her and her work at www.asmithryan.com

Resources:

Creatine Supplementation in Women’s Health: A Lifespan Perspective

Active Women Across the Lifespan: Nutritional Ingredients to Support Health and Wellness

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Support our Partners:

Eternal - Get 15% off their services with code FEISTY15 at https://eternal.co

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You Deserve to Get Good Sleep with Andrea Matsumura, MD (Episode 91)

Wed, 03 Aug 2022 03:00:00 -0400

Women have traditionally been ignored in sleep medicine (shocking, we know). That means our sleep issues can be misunderstood and misdiagnosed, especially during menopause when sleep disruptions rise. This week we investigate how hormones and menopausal symptoms impact sleep, as well as dive into sleep issues like sleep apnea (which shows up differently in women), restless leg syndrome, hypervigilance, and more with Dr. Andrea Matsumura, a holistic sleep medicine physician and a partner at the Oregon Clinic in Pulmonary, Critical Care, and Sleep Medicine.

Dr. Matsumura’s personal passion is helping women and women athletes understand their sleep and its key role in personal health, wellness, and performance. She has been the guest speaker for The American Academy of Sleep Medicine, numerous podcasts, and has been quoted in myriad articles about sleep and wellness. You can learn more about her work at https://www.oregonclinic.com/our-team/andrea-matsumura

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Keto, Fasting, Food Phobia & the Un-Dieting of Menopause with Jenn Salib Huber, RD, ND (Episode 76)

Wed, 06 Apr 2022 03:00:00 -0400

If you’re a woman, someone somewhere has a diet to sell you. If you’re a menopausal woman, that diet is likely to paint carbs as the root of all your woes–and the elimination or restriction of them as your midlife salvation. This week we sat down with dietitian and “undiet” advocate Jenn Salib Huber, RD, ND, to dive into the ketogenic diet, intermittent fasting, food phobia, and how diets can have unintended negative health consequences and fuel our food obsession rather than set us free.

Jenn is a Canadian registered dietitian, naturopathic doctor, and Intuitive Eating coach. She helps women navigate the physical and emotional changes that happen in perimenopause and menopause, including their search for food freedom and body confidence. She’s also the host of 'The Midlife Feast' podcast and runs a group support program called Beyond The Scale, which helps women "undiet" their lives after 40 so they can nourish a relationship with food that helps them discover the magic of midlife. You can find her at JennSalibHuber.ca

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Previnex: Get 15% off your first order with code HITPLAY at https://www.previnex.com/

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Less Pain, More Joy & Better Movement in Menopause with Petra Fisher (Episode 98)

Wed, 21 Sep 2022 03:00:00 -0400

Most of us, even if we’re very active, are not moving our bodies the way nature designed them to move. We exercise plenty. We also sit plenty. We wear shoes that don’t help keep our feet strong or our posture properly aligned. That can set the stage for aches, pains, and injuries, especially during this time of life when our joints are more vulnerable. This week we talk with movement coach Petra Fisher about the small daily adjustments we can make and exercises we can do to enhance mobility, decrease pain, and improve performance.

Petra is a movement coach, body nerd and recovering lawyer. She is certified in Restorative Exercise, MovNat and Functional Range Conditioning. Petra’s mission in life is to help women reconnect with their bodies so they have less pain, more joy & get to do more of what they love for the rest of their lives. You can learn more about her and her work at www.PetraFisherMovement.com

Resources from this podcast:

Free Your Feet - free foot program to get started restoring healthy foot function - here

Step-by-step guide on how to transition safely and well to barefoot-style footwear - here

Joints For Life 2.0 - foundational CARs joint mobility program - here

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Muscle and Ligament Strength in Menopause with Kathryn Ackerman, MD, MPH (Episode 90)

Wed, 13 Jul 2022 03:00:00 -0400

If you’re feeling more injury prone, you’re not alone. Many women who have led active, athletic lives without a lot of injuries and “itises” suddenly find themselves sidelined more often during the menopause transition. Fluctuating and declining hormone levels directly impact your musculoskeletal system, as do your lifelong movement patterns, exercise habits, recovery practices, and nutrition–all of which become increasingly important during this time of life. This week’s guest, sports medicine physician and endocrinologist Kathryn Ackerman, MD, MPH, dives into what we know, what we’ve yet to learn, and what we should be doing right now to dial it all in to stay strong through menopause and beyond.

Kathryn is the medical director of the Female Athlete Program in the Sports Medicine Division at Boston Children's Hospital. Her interests include female athletes, rowing injuries, endocrinology, relative energy deficiency in sport (RED-S), optimizing performance and health in athletes with diabetes, exercise-associated hyponatremia, and exercise and bone health. She is also a former national team lightweight rower, chair of the US Rowing Medical Commission, member of the World Rowing Medical Commission, and the course director for the Female Athlete Conference, held biennially at Boston Children's Hospital. You can learn more about her here and the paper she references on the Effect of Estrogen on Musculoskeletal Performance and Injury Risk by Keith Barr here.

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Previnex: Get 15% off your first order with code HITPLAY at https://www.previnex.com/

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All About Blood Sugar with Molly Downey, RDN (Episode 71)

Wed, 02 Mar 2022 03:00:00 -0400

Anyone who’s ever hit the wall at mile 19 of a marathon or fizzled out on a Fran at CrossFit, knows how important glucose (aka sugar) is for energy–both mentally and physically. As women in the menopause transition, we also know that managing generally healthy blood sugar levels can be more challenging as we can become more carbohydrate sensitive and insulin resistant as our hormones decline. This week, we dive into how to eat your carbs and manage your blood sugar, too with Molly Downey, RDN, LDN.

Molly is a Registered Dietitian Nutritionist (RDN), Licensed Dietitian/Nutritionist (LDN) who specializes in glucose control, metabolism and weight loss. She graduated from Indiana University-Bloomington and currently works as a nutrition manager at Nutrisense, a health technology company which leverages continuous glucose monitors (CGMs) as a way to optimize diet, health and overall wellbeing.

Support our Partners:

Eternal - Get 15% off their services with code FEISTY15 at https://eternal.co

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Previnex: Get 15% off your first 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

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Learn More about our 2026 Feisty Events, including Bike Camps and Cycling Trips: https://feisty.co/events/

Feisty Menopause: @feistymenopause

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Better Brain Health with Louisa Nicola (Episode 87)

Wed, 22 Jun 2022 03:00:00 -0400

As active women, we train our strength and our endurance. But we don’t clean that barbell, we don’t cross that finish line, we literally don’t accomplish anything in life without first having the mental ability that comes from our brain. And as we age, our brains become vulnerable to decline. They physically change during the menopause transition, as our hormones fluctuate and taper off. But there is no point in time that we can’t take concrete action to build a stronger, better functioning brain, which is where this week’s guest, neurophysiologist Louisa Nicola comes in. We talk all about brain health, brain training, and how to maintain your mental acuity for life.

Louisa is the founder, head performance advisor, and CEO of Neuro Athletics, a company designed to optimize mental performance and to help educate, train and unlock human performance through science and data. She consults with some of the biggest names in the NBA and MLB and sits on the scientific advisory board for Tonal. Louisa was a world championship triathlete and raced both nationally and internationally for Australia and competed at London, Beijing and Auckland. After retiring in 2012 Louisa followed her dreams and went to Sydney Medical school for neurophysiology. You can learn more about her and follow her work via Instagram, her Neuro Athletics Newsletter, and her The Neuro Experience Podcast. Check out the research on adult neurogenesis here. And the ketone research here.

Support our Partners:

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Vaginas, Vulvas, and Pelvic Organ Prolapse with Kathleen Connell, MD (Episode 82)

Wed, 18 May 2022 03:00:00 -0400

Your pelvis changes during menopause–inside and out. The vaginal and vulvar tissues become thinner; the pH and microbiome in your vagina can shift; and the scaffolding that supports your pelvic organs can weaken, increasing your risk for pelvic organ prolapse. There’s help for all of that, so you can continue running, riding, lifting, having sex, and enjoying an active life free from pain, infection, and injury. We talk about all that and more this week with urogynecologist Kathleen Connell, MD.

Kathleen is chief of Urogynecology and Reconstructive Pelvic Surgery in the Department of Obstetrics and Gynecology at the University of Colorado School of Medicine. She is the co-director of Women’s Pelvic Health and Surgery, a multidisciplinary practice at the Anschutz Medical Campus. Her surgical practice focuses on pelvic floor disorders including pelvic organ prolapse, urinary and fecal incontinence, and reconstructive pelvic surgery. She has done research on genital health and bicycling and genital health and saddle selection. You can learn more about her and her work at CU School of Medicine.

Support our Partners:

Eternal - Get 15% off their services with code FEISTY15 at https://eternal.co

Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/

Hettas: Use code STAYFEISTY for 20% off at https://hettas.com/

Previnex: Get 15% off your first 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

Join us at Feisty Fest September 18-20, 2026: https://feisty.co/events/feisty-fest/

Learn More about our 2026 Feisty Events, including Bike Camps and Cycling Trips: https://feisty.co/events/

Feisty Menopause: @feistymenopause

Hit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099