Everyday Wellness: Midlife Hormones, Menopause, and Science for Women 35+
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- 22. Okt. 2026
Über den Podcast
Looking for the latest strategies for dealing with menopause, hormones and midlife health issues? You're in the right place! Cynthia Thurlow is a nurse practitioner, host of the Everyday Wellness podcast, author and international speaker, with over 15 million views for her second TEDx talk (Intermittent Fasting: Transformational Technique). With over 25 years experience in health and wellness, Cynthia is a globally recognized expert in perimenopause/menopause and intermittent fasting, and has been featured on ABC, FOX5, KTLA, CW, Medium, Entrepreneur, and The Megyn Kelly Show. Her mission is to help empower women to live their most optimal lives in perimenopause and beyond.
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Ep. 658 Cortisol, Trauma, and the HPA Axis | Cortisol, Cortisol Testing, HPA Axis
Welcome to the latest Midlife Minute. In today’s episode, I answer listeners' questions about cortisol testing, trauma, and the HPA axis. Stay tuned for more! IN THIS EPISODE, YOU WILL LEARN: How generalized …
Shownotes
Welcome to the latest Midlife Minute.
In today’s episode, I answer listeners' questions about cortisol testing, trauma, and the HPA axis.
Stay tuned for more!
IN THIS EPISODE, YOU WILL LEARN:
How generalized stress-related dysregulation differs from clinical conditions involving cortisol excess or deficiency
Why cortisol testing should be anchored to a person's actual sleep schedule rather than the clock
Why a single random cortisol blood draw means almost nothing when assessing HPA axis function
How cortisol can shift from an elevated response to a lower, blunted response as stress and trauma persist
Why a low or flat cortisol curve in someone with trauma or PTSD does not automatically mean adrenal insufficiency
How chronic stress can disrupt the negative feedback loop that keeps cortisol regulated
The adaptogen with the strongest evidence for lowering morning cortisol
How chronic psychological stress is associated with measurably lower ovarian reserve
** For more information about Cynthia's upcoming retreat, visit https://www.cynthiathurlow.com/ and click the Events tab.
Connect with Cynthia Thurlow
Cynthia’s website.
Check out the Everyday Podcast on Instagram! www.instagram.com/everydaywellnesspodcast
Submit your questions to [email protected]
Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.
Purchase Cynthia’s book, The Menopause Gut.
Cynthia’s Intermittent Fasting Transformation Book
The Midlife Pause Supplement Line
Ep. 657 Burnout, Hormones, and the HPA Axis with Dr. Tanya Beaubrun | Hormones, Burnout, HPA Axis
Today, I’m excited to connect with Dr. Tanya Beaubrun, a family medicine physician specializing in functional integrative medicine, and a certified wellness and transformational coach. Dr. Beaubrun is also a …
Shownotes
Today, I’m excited to connect with Dr. Tanya Beaubrun, a family medicine physician specializing in functional integrative medicine, and a certified wellness and transformational coach. Dr. Beaubrun is also a motivational speaker and the author of Held and Healed.
In our conversation, we discuss burnout and hormones, exploring how many women treat being busy as a badge of honor, and why it's important to reframe midlife and beyond. We unpack how the HPA axis regulates the body’s stress response, and look at metabolic health, the importance of advocacy, and the markers Dr. Beaubrun uses to manage her patients’ metabolic health. We also cover nutrition, Doctor TikTok, reframing menopause as power, and how this empowering time in women’s lives can help them come to terms with aging and longevity, and allow the younger generations to see what is possible.
Stay tuned for today’s delightfully personal and highly informative conversation with Dr. Tanya Beaubrun.
IN THIS EPISODE, YOU WILL LEARN:
Why burnout can often go unrecognized in high-functioning women
Dr. Beaubrun explains how she assesses metabolic health and the testing she uses
How hormonal decline in midlife can affect the way women experience stress
What the HPA axis is designed to do in the body
How women need to be listened to by their clinicians without judgment
The metabolic and cardiovascular changes that women experience in midlife
How Dr. Beaubrun helps women to focus on protein and nutrient density when they are busy
Why healthy eating does not mean you have to avoid all the foods you love
How healthcare providers can move from a paternalistic approach to a collaborative relationship with patients
Reframing menopause as a powerful stage of life
Bio:
Dr. Tanya Beaubrun is a Functional and Integrative Medicine physician, wellness educator, speaker and author of Held and Healed. After more than 30 years in medicine—and following her own journey through burnout and recovery—she now helps women reconnect with their health by addressing the root causes of stress, hormonal imbalance and metabolic dysfunction.
Through her signature More Joy Method®, Dr. Tanya combines evidence-based medicine with compassionate whole-person care, empowering women to realize they are not broken—they simply need the right support to heal, thrive and rediscover joy.
Connect with Cynthia Thurlow
Check out Cynthia’s website.
Submit your questions to [email protected]
Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.
Purchase Cynthia’s book, The Menopause Gut.
Cynthia’s Intermittent Fasting Transformation Book
Connect with Dr. Tanya Beaubrun
BONUS: Navigating Female Hormones, Metabolism, Sleep and More with Dr. Stephanie Estima | Hormones, Metabolism, Sleep
I am thrilled to welcome the extraordinary Dr. Stephanie Estima back to the show today to join me in facilitating many questions from listeners. She was with me last on Episode 272, and before that, on Episode …
Shownotes
I am thrilled to welcome the extraordinary Dr. Stephanie Estima back to the show today to join me in facilitating many questions from listeners. She was with me last on Episode 272, and before that, on Episode 123.
Dr. Estima’s perspective aligns very closely with mine within the health and wellness space. She is an exceptionally knowledgeable and well-informed clinician specializing in female metabolism and body composition. She authored the invaluable resource known as the Betty Body and hosts The Better! podcast, where I have had the privilege of being her guest.
Today, we answer questions from both our communities, covering topics ranging from managing hormones during breastfeeding while coping with insufficient sleep to issues concerning preconception and methods for cycle tracking. We dive into the best contraceptives for younger women, strategies for supporting detoxification, addressing fibrocystic breasts, navigating autoimmune conditions and fibromyalgia, and determining the intensity of workout routines. There were also many questions about weight training, preferred pre-workouts, favorite supplements tailored for perimenopause and menopause, hormesis, and much more.
Dr. Estima's insights are as enlightening as ever, making today’s conversation a must-listen for anyone on a journey toward optimal well-being.
IN THIS EPISODE YOU WILL LEARN:
How breastfeeding can delay menstrual cycles without causing infertility
Dr. Stephanie discusses fertility and the importance of evaluating both male and female factors
Contraceptive options for younger women
The importance of understanding the side effects and implications of long-term oral contraceptives
The benefits of green leafy vegetables for fibrocystic breasts
Supplements for breast health
The potential drawbacks of mammograms
Perimenopause and autoimmune conditions, including Hashimoto's, thyroiditis, and fibromyalgia
How trauma contributes to the dysregulation of the immune system and autoimmune conditions
Supplements for middle-aged women
How cold plunges and saunas benefit physical and mental well-being
Connect with Cynthia Thurlow
Cynthia’s website.
Check out the Everyday Podcast on Instagram! www.instagram.com/everydaywellnesspodcast
Submit your questions to [email protected]
Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.
Purchase Cynthia’s book, The Menopause Gut.
Cynthia’s Intermittent Fasting Transformation Book
Connect with Dr. Stephanie Estima
On Instagram
On her weekly podcast, Better! With Dr. Stephanie, where she explores the human potential, hormones, metabolism, and a life well-lived.
Get a copy of Dr. Stephanie Estima’s #1 bestselling book, The Betty Body: A Geeky Goddess’ Guide to Intuitive Eating, Balanced Hormones, and Transformative Sex
Previous Episodes featuring Dr. Stephanie
Ep. 272 Understanding Women’s Health: Answering Your FAQs featuring Dr. Stephanie Estima
Ep. 656 Brain Health, Metabolism, and Alzheimer’s Risk with Dr. David Perlmutter | Brain Health, Metabolism, Alzheimer's Risk
I am thrilled to welcome board-certified neurologist and six-time New York Times best-selling author Dr. David Perlmutter back to the Everyday Wellness Podcast for the third time. He is a fellow of the American …
Shownotes
I am thrilled to welcome board-certified neurologist and six-time New York Times best-selling author Dr. David Perlmutter back to the Everyday Wellness Podcast for the third time. He is a fellow of the American Nutrition Association and serves on the board of directors. His most recent book is Brain Defenders.
In this conversation, we discuss microglia, the brain’s immune cells, and explore their role in immune regulation, metabolism, and immunometabolism. We also examine why brain health prevention needs to start decades earlier, environmental threats, emerging therapies, lifestyle influences, especially alcohol consumption, and current brain-health research.
Stay tuned for another invaluable conversation with Dr. David Perlmutter. I loved his latest book, which clarifies the role of immunometabolism — especially in midlife.
IN THIS EPISODE, YOU WILL LEARN:
How microglia support the neurons and nurture synaptic connections
Why microglia can shift from being supportive to becoming destructive
Dr. Perlmutter explains what immunometabolism means
How metabolic issues can affect brain health decades before any cognitive symptoms appear
Why Dr. Perlmutter considers exercise “brain medicine”
The value of aerobics and resistance training for supporting brain health
How chronic stress and environmental threats can affect brain health
Dr. Perlmutter shares practical ways to reduce environmental threats to brain health
The link between alcohol consumption and Alzheimer’s risk
What emerging research shows about GLP-1s and neurodegenerative diseases
Bio:
About Dr. Perlmutter:
Dr. David Perlmutter is a Board-Certified Neurologist and seven-time New York Times bestselling author whose work focuses on the intersection of neurology, nutrition, and brain health. A Fellow of the American College of Nutrition, he serves on its Board of Directors and on the Editorial Board of the Journal of Alzheimer’s Disease. His books, including the #1 bestseller Grain Brain, have been published in 32 languages and sold over a million copies. Dr. Perlmutter lectures globally at leading institutions and has been featured on major media outlets including 20/20, CNN, The Today Show, and Oprah. His contributions have earned him numerous national and international awards for clinical innovation and leadership. His upcoming book, Brain Defenders, focuses on the pivotal role of microglia, the brain’s immune cells, in protecting, repairing, and reprogramming the brain for lifelong resilience, and is available now.
ABOUT THE BOOK: Brain Defenders
New York Times bestseller Brain Defenders reveals the powerful story of your brain's immune guardians (microglia) and how lifestyle choices can turn them into either fierce protectors or hidden saboteurs. The book directly challenges the notion that we now have meaningful treatments for diseases like Parkinson’s and Alzheimer’s. Despite FDA approval for drugs that reduce beta-amyloid, the book reveals that these drugs are not impactful and are actually profoundly dangerous. Packed with cutting-edge science and practical steps, Brain Defenders helps readers take charge of their long-term brain health and unlock lasting cognitive vitality.
Connect with Cynthia Thurlow
Cynthia’s website.
Check out the Everyday Podcast on Instagram! www.instagram.com/everydaywellnesspodcast
Follow on X, Instagram & LinkedIn
Submit your questions to [email protected]
Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.
Purchase Cynthia’s book, The Menopause Gut.
Cynthia’s Intermittent Fasting Transformation Book
Connect with Dr. David Perlmutter
Brain Defenders Book
On his website
Ep. 655 Hormonal Acne, Melasma, and Botox Safety | Women's Health, Hormones, Acne
Welcome to this week’s Midlife Minute. Today I’m answering listeners’ questions related to acne, melasma, and neurotoxins. Stay tuned for more! IN THIS EPISODE, YOU WILL LEARN: Why acne is usually hormonal even …
Shownotes
Welcome to this week’s Midlife Minute.
Today I’m answering listeners’ questions related to acne, melasma, and neurotoxins.
Stay tuned for more!
IN THIS EPISODE, YOU WILL LEARN:
Why acne is usually hormonal even when blood work looks normal
The mechanism that lies behind the connection between sugar, dairy, and acne
The circumstances where blood testing is warranted for acne
How women can have acne and completely normal-looking labs and regular cycles, and still have PMOS-level hormone activity occurring
The value of screening for PMOS rather than just treating the skin
How melasma differs from acne
Two factors that cause melasma when both are present
Can Botox trigger autoimmune disease or cause autoimmune flares?
How to reduce the risk of problems when using Botox
Connect with Cynthia Thurlow
Check out Cynthia’s website.
Submit your questions to [email protected]
Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.
Purchase Cynthia’s book, The Menopause Gut.
Cynthia’s Intermittent Fasting Transformation Book
Reference List: Acne, Melasma, and Neurotoxins
Acne References
A1. Elhassan YS, Hawley JM, Cussen L, et al. Society for Endocrinology Clinical Practice Guideline for the Evaluation of Androgen Excess in Women. Clinical Endocrinology. 2025.
A2. Bienenfeld A, Azarchi S, Lo Sicco K, et al. Androgens in Women: Androgen-Mediated Skin Disease and Patient Evaluation. Journal of the American Academy of Dermatology. 2019.
A3. Briganti S, Flori E, Mastrofrancesco A, Ottaviani M. Acne as an altered dermato-endocrine response problem. Experimental Dermatology. 2020.
A4. Reynolds RV, Yeung H, Cheng CE, et al. Guidelines of Care for the Management of Acne Vulgaris. Journal of the American Academy of Dermatology. 2024.
A5. Moradi Tuchayi S, Makrantonaki E, Ganceviciene R, et al. Acne vulgaris. Nature Reviews Disease Primers. 2015. (Sentinel reference for acne pathophysiology)
A6. Liu YT, Wang YW, Tu C, et al. Recommendations for managing adult acne and adolescent acne based on an epidemiological study conducted in China. Scientific Reports. 2024.
A7. Xia J, Ding L, Liu G. Metabolic syndrome and dermatological diseases: association and treatment. Nutrition & Metabolism. 2025.
A8. Cussen L, McDonnell T, Bennett G, et al. Approach to androgen excess in women: Clinical and biochemical insights. Clinical Endocrinology. 2022.
A9. Melnik BC, Schmitz G. Role of insulin, insulin-like growth factor-1, hyperglycaemic food and milk consumption in the pathogenesis of acne vulgaris. Experimental Dermatology. 2009.
A10. Chang J, Nock MR, Cohen JM, Bunick CG. Acne accounts for an almost 2.5-fold higher proportion of dermatology visits among adult females compared to adult males in the United States. PLoS One. 2022.
A11. Rao Y, Lei Z, Chen S, et al. Differential plasma proteome analysis reveals key proteins associated with insulin resistance in acne vulgaris patients. Scientific Reports. 2025.
A12. Roster K, Fleshner L, Karatas TB, et al. Menopause and Common Dermatoses: A Systematic Review. American Journal of Clinical Dermatology. 2026. (Shared reference, also cited in melasma section)
A13. Eichenfield DZ, Sprague J, Eichenfield LF. Management of Acne Vulgaris. The Journal of the American Medical Association. 2021.
A14. Costa CS, Bagatin E, Yang Z, et al. Systemic pharmacological treatments for acne: an overview of systematic reviews. Cochrane Database of Systematic Reviews. 2021.
A15. Hebert A, Thiboutot D, Stein Gold L, et al. Efficacy and Safety of Topical Clascoterone Cream, 1%, for Treatment in Patients With Facial Acne: Two Phase 3 Randomized Clinical Trials. JAMA Dermatology. 2020.
A16. Zaenglein AL. Acne Vulgaris. The New England Journal of Medicine. 2018.
A17. Teede HJ, Tay CT, Laven JJE, et al. Recommendations From the 2023 International Evidence-Based Guideline for the Assessment and Management of Polycystic Ovary Syndrome. The Journal of Clinical Endocrinology and Metabolism. 2023.
A18. Yesiladali M, Unluhizarci K, Attar E, Kelestimur F. Where are we in the diagnosis and treatment of hirsutism? A narrative review. Reviews in Endocrine & Metabolic Disorders. 2026.
A19. Committee on Practice Bulletins, Gynecology. ACOG Practice Bulletin No. 194: Polycystic Ovary Syndrome. Obstetrics and Gynecology. 2018.
A20. Martin KA, Anderson RR, Chang RJ, et al. Evaluation and Treatment of Hirsutism in Premenopausal Women: An Endocrine Society Clinical Practice Guideline. The Journal of Clinical Endocrinology and Metabolism. 2018.
(See full list of references at https: https://www.cynthiathurlow.com/.
Ep. 654 Daily Ayurvedic Self-Care with Dr. Shivani Gupta
Today, I’m delighted to continue my conversation with Dr. Shivani Gupta about curcumin's science and its impact on mitochondrial and brain health. Dr. Gupta is the founder and CEO of Fusionary Formulas and the …
Shownotes
Today, I’m delighted to continue my conversation with Dr. Shivani Gupta about curcumin's science and its impact on mitochondrial and brain health. Dr. Gupta is the founder and CEO of Fusionary Formulas and the author of The Inflammation Code. She holds a master's degree and a PhD in Vedic sciences, and her dissertation focused on turmeric's role in inflammation, joint health, and cardiovascular health.
In this conversation, we explore Ayurvedic medicine and daily rituals, body types and the five elements, and how they shape how we navigate our lives. We also spend significant time discussing how to find balance in midlife and the rituals Dr. Gupta has found particularly impactful for midlife women.
This is another truly invaluable conversation with Dr. Shivani Gupta — one you will most likely want to revisit more than once.
IN THIS EPISODE, YOU WILL LEARN:
How much turmeric or curcumin you need to take daily to buffer inflammation
How curcumin supports the creation of new mitochondria as we age
Dr. Gupta explains how Ayurveda uses the Vata, Pitta, and Kapha body types to understand individual differences
How trauma or a major change can shift your Ayurvedic constitution
The shift toward Vata many women tend to experience during the perimenopause to menopause transition, and how that may show up
How to strengthen weak digestive fire
Dr. Gupta describes an Ayurvedic morning routine
The value of using dry brushing as a simple daily ritual to support circulation and lymphatic flow
The benefits of using abhyang massage as an Ayurvedic self-care ritual during menopause
How stress and dysregulation affect the vagus nerve
Bio:
Dr. Shivani Gupta is an Ayurvedic practitioner, turmeric researcher, and founder of Fusionary Formulas.
She holds a Master's degree in Ayurvedic Sciences and completed her PhD dissertation on turmeric, making her one of the world's foremost experts on its pharmacology and clinical application.
She is the author of The Inflammation Code, published by Hay House, bridging ancient Ayurvedic wisdom with modern inflammation science. Dr. Gupta is known for making complex science accessible without dumbing it down — her work speaks equally to the everyday health-conscious woman and to clinicians who want to go deeper.
***Use the code CYNTHIA for 15% off at FusionaryFormulas.com.
Connect with Cynthia Thurlow
Check out Cynthia’s website.
Submit your questions to [email protected]
Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.
Purchase Cynthia’s book, The Menopause Gut.
Cynthia’s Intermittent Fasting Transformation Book
Connect with Dr. Shivani Gupta
On her website
Use the code CYNTHIA for 15% off at FusionaryFormulas.com
The Inflammation Code (Book Website)
BONUS: Medical Debt and Health Insurance with Andy Schoonover | Medical Insurance, Insurance Alternatives, CrowdHealth
Today’s podcast episode is brought to you by CrowdHealth. I’m delighted to sit down with Andy Schoonover, co-founder and CEO of CrowdHealth, today. CrowdHealth is a community-powered alternative to health …
Shownotes
Today’s podcast episode is brought to you by CrowdHealth.
I’m delighted to sit down with Andy Schoonover, co-founder and CEO of CrowdHealth, today. CrowdHealth is a community-powered alternative to health insurance, offering a revolutionary way to pay healthcare bills through crowdfunding. Previously, Andy was CEO of VRI, a healthcare technology company that focused on monitoring patients with chronic conditions out of their homes. He is a proud graduate of the University of Virginia and Stanford University's Graduate School of Business.
Andy and I discuss the scale of medical debt in the United States, including claim denials and at-risk vulnerable populations. We examine the impact of hospital takeovers and the medical system, looking at how insurance companies and hospitals, which are actually oligopolies, drive price increases that directly affect our insurance premiums and out-of-pocket costs. We discuss how hospitals influence private practice, and how this is actually a microcosm of much larger challenges. Andy also shares his origin story, explains how clinicians need to encourage patients to take care of their health in their 20s and 30s to avoid developing chronic diseases, and clarifies how CrowdHealth works, who it’s for, and how it is a growing response to our broken medical system.
This conversation is particularly important due to the poor understanding of how health insurance works in the United States, while medical debt is becoming a huge issue for millions of Americans today. It may even get you thinking about your own medical insurance and how much coverage you actually receive.
IN THIS EPISODE, YOU WILL LEARN:
Why CrowdHealth encourages members to know their metabolic markers
The importance of taking autonomy over your own healthcare
How CrowdHealth works as an alternative to the traditional medical-model insurance system
How CrowdHealth members can decide who they contribute toward
What screening looks like within the CrowdHealth community
Andy describes CrowdHealth’s Exit Diabetes program
How CrowdHealth’s health coaches and care advocates support members
How CrowdHealth is bringing the care back to healthcare
Bio:
Andy Schoonover is the founder and CEO of CrowdHealth, a healthcare freedom company built to help Americans escape the broken health insurance system. After spending years watching families get crushed by skyrocketing premiums, confusing policies, and surprise medical bills, Andy launched CrowdHealth to create a simpler, more human alternative to traditional insurance.
Connect with Cynthia Thurlow
Check out Cynthia’s website.
Check out the Everyday Podcast on Instagram! www.instagram.com/everydaywellnesspodcast
Submit your questions to [email protected]
Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.
Purchase Cynthia’s book, The Menopause Gut.
Cynthia’s Intermittent Fasting Transformation Book
Connect with Andy Schoonover
CrowdHealth on Instagram and X
CrowdHealth on all Social Media: @JoinCrowdHealth
Ep. 653 Estrogen, Progesterone, and Gut Health with Dr. Kumkum Patel | Gut Health, Constipation, Estrogen, Progesterone
Today, I’m honored to speak with Dr. Kumkum Patel, a double board-certified gastroenterologist and neurogastroenterologist who specializes in the gut-brain-pelvic floor connection. In our conversation, we talk …
Shownotes
Today, I’m honored to speak with Dr. Kumkum Patel, a double board-certified gastroenterologist and neurogastroenterologist who specializes in the gut-brain-pelvic floor connection.
In our conversation, we talk about IBS and stress in midlife, exploring the impact of the enteric nervous system, key risk factors for colorectal cancer, and how stress affects women differently in perimenopause and menopause. We discuss the influence of proton pump inhibitors, bile acid diarrhea after gallbladder removal, how women’s microbiome changes through the menopausal transition, and clues that indicate the estrobulome is optimized. Dr. Patel explains visceral hypersensitivity, the influence of motility, pelvic floor dysfunction, constipation, and why constipation should not be normalized. She also explains how she addresses tears, hemorrhoids, and fissures; what to do when standard approaches stop working; nutritional interventions; and how she uses microbiome testing.
Stay tuned for today’s insightful conversation with Dr. Kumkum Patel about IBS, the gut-brain axis, and the menopausal transition.
IN THIS EPISODE, YOU WILL LEARN:
How stress affects the gut-brain axis
The red flags that help Dr. Patel distinguish IBS from colorectal cancer or other conditions, and why midlife bowel changes should be evaluated
How long-term PPI use can create additional problems, and how automatic refills contribute to prolonged use
How bile acid diarrhea can occur after gallbladder removal, and other causes that may explain persistent diarrhea
Symptoms that could indicate that a woman’s gut microbiome and estrobolome may not be functioning optimally
How gastrointestinal and pelvic symptoms change during the menstrual cycle as women approach menopause
How pelvic-floor dysfunction contributes to constipation
Lifestyle changes that can help manage hemorrhoids and fissures and reduce further irritation
How people who can eat most foods can improve their diet before adding supplements
Where microbiome testing fits into Dr. Patel’s practice and why she uses it cautiously
Bio:
Dr. Kumkum Sarkar Patel is a double-board-certified gastroenterologist practicing in Orange County, California. She specializes in irritable bowel syndrome, swallowing disorders, pelvic floor disorders, and women's GI health. She graduated Magna Cum Laude with honors, with a Bachelor of Science degree in Biomedical Engineering from Virginia Commonwealth University. She earned a Master's degree in Public Health from Dartmouth Medical School at the Dartmouth Institute for Health Policy and Clinical Practice, and her medical degree from St. George’s University School of Medicine. She completed her internal medicine residency at NYU Winthrop Hospital and then did a Gastroenterology fellowship at the University of Illinois in Chicago. Dr. Patel completed specialized training in GI motility disorders at Washington University in St. Louis through the American Neurogastroenterology and Motility Society. Dr. Patel moved to Southern California with her husband and two young sons in July 2020.
Dr. Patel currently serves as a healthcare consultant and speaker for medical device and pharmaceutical companies. She also serves on the American College of Gastroenterology's Women in GI Committee to promote advancement for women in GI. Additionally, she is a passionate motivational speaker who has spoken nationally about women's health, work-life balance, postpartum depression, and gut health related to stress and mental health.
In September 2022, Dr. Patel hosted the Equity and Levity Summit in Orange County, California, the first-of-its-kind women's empowerment conference. She was named the 2023 Healthcare Innovator of the Year by the Irvine Chamber of Commerce and named a 40 Under 40 Top Leader in Irvine in 2024. She has been featured on KTLA5 News, CBS8, NBC California Live, as well as in print in Good Housekeeping, Popsugar Wellness, Authority magazine, and VoyageLA magazine for her expertise in gut health, IBS, and lifestyle tips.
In 2024, Dr. Patel opened her own concierge solo private gastroenterology and wellness practice with 3 offices in Orange County and telehealth available nationwide. She aims to help each patient take charge of their gut and overall health through an integrative mind-body approach. She works closely with pelvic floor physical therapists, dietitians, surgeons, and other practitioners to provide comprehensive GI care.
Connect with Cynthia Thurlow
Check out Cynthia’s website.
Submit your questions to [email protected]
Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.
Purchase Cynthia’s book, The Menopause Gut.
Cynthia’s Intermittent Fasting Transformation Book
Connect with Dr. Kumkum Patel
Ep. 652 Undereating, Fasting, and Bone Density | Undereating, Fasting, Bone Density
Welcome to the latest Midlife Minute. In this episode, I answer questions related to disordered relationships with food, relative energy deficiency, bone health, and intermittent fasting. Stay tuned to learn …
Shownotes
Welcome to the latest Midlife Minute.
In this episode, I answer questions related to disordered relationships with food, relative energy deficiency, bone health, and intermittent fasting.
Stay tuned to learn what can happen to your body when you’re undernourished, and how to approach intermittent fasting in a way that supports your health instead of adding more stress.
IN THIS EPISODE, YOU WILL LEARN:
How fasting culture can sometimes intersect with undernourishing the body
The link between a lifetime of anorexia, fasting, and restrictive eating and lower bone mineral density in midlife
The importance of restoring energy availability
The endocrine and metabolic changes that can accompany loss of the menstrual cycle
When transdermal estradiol and progesterone may be appropriate if menstrual recovery does not occur
The importance of getting enough protein, fiber, healthy fats, and overall nourishment when fasting intermittently
What to consider when using electrolytes during a fast
Connect with Cynthia Thurlow
Cynthia’s website.
Check out the Everyday Podcast on Instagram! www.instagram.com/everydaywellnesspodcast
Submit your questions to [email protected]
Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.
Purchase Cynthia’s book, The Menopause Gut.
Cynthia’s Intermittent Fasting Transformation Book
Research:
1. Relative Energy Deficiency in Sport (REDs): Endocrine Manifestations, Pathophysiology and TreatmentsEndocrine Reviews, 2024. Angelidi AM, Stefanakis K, Chou SH, et al. Review.
2. The IOC Consensus Statement: Beyond the Female Athlete Triad—Relative Energy Deficiency in Sport (RED-S)British Journal of Sports Medicine, 2014. Mountjoy M, Sundgot-Borgen J, Burke L, et al.
3. Eating DisordersThe Lancet, 2020. Treasure J, Duarte TA, Schmidt U. Review.
4. Eating DisordersThe Journal of the American Medical Association, 2025. Attia E, Walsh BT. Review.
5. All-Cause and Cause-Specific Mortality Risk in Individuals With Eating Disorders: Systematic Review and Meta-Analysis of Relative Risk and Aggravating or Attenuating FactorsWorld Psychiatry, 2026. Semchishen SN, Højlund M, Lemaire D, et al. Recent.
6. ACOG Committee Opinion No. 740: Gynecologic Care for Adolescents and Young Women With Eating DisordersObstetrics & Gynecology, 2018. Committee on Adolescent Health Care. Guideline.
7. Fractures in Women With Eating Disorders—Incidence, Predictive Factors, and the Impact of Disease Remission: Cohort Study With Background Population ControlsInternational Journal of Eating Disorders, 2020. Frølich J, Winkler LA, Abrahamsen B, et al.
8. A Systematic Review and Meta-Analysis of the Association Between Eating Disorders and Bone DensityOsteoporosis International, 2016. Robinson L, Aldridge V, Clark EM, Misra M, Micali N. Systematic Review.
9. Bone Health in Adult Women With ED: A Longitudinal Community-Based StudyJournal of Psychosomatic Research, 2019. Robinson L, Aldridge VK, Clark EM, Misra M, Micali N.
10. Low Energy Availability and Relative Energy Deficiency in Sport: A Systematic Review and Meta-AnalysisSports Medicine, 2025. Gallant TL, Ong LF, Wong L, et al. Systematic Review.
11. Impact of Relative Energy Deficiency in Sport (REDs) on Bone Health in Elite Athletes: A Retrospective AnalysisJournal of Cachexia, Sarcopenia and Muscle, 2025. von Brackel FN, Munzinger R, Bartosik M, et al. Recent.
12. Medical Complications of Anorexia NervosaPediatrics, 2025. Trapani S, Rubino C.
13. Screening for Eating Disorders in Adolescents and AdultsThe Journal of the American Medical Association, 2022. US Preventive Services Task Force, Davidson KW, Barry MJ, et al. Review.
Ep. 651 Personalized Nutrition for Gut Health with Kara Siedman, RD, CDCES
Today, I’m delighted to connect with registered dietitian and certified diabetes care and education specialist, Kara Siedman. Her broad clinical experience spans inpatient oncology, diabetes, and …
Shownotes
Today, I’m delighted to connect with registered dietitian and certified diabetes care and education specialist, Kara Siedman. Her broad clinical experience spans inpatient oncology, diabetes, and gastroenterology. She is currently the Vice President of Science and Partnerships at Resbiotic.
In today’s conversation, we focus on the value of nutrition at the intersection of the microbiome and overall health. We discuss nutritional dogma, the impact of gastroparesis, IBS, IBD, SIBO, and other similar diagnoses. We explore midlife risk factors and medications that impact the microbiome, the influence of low FODMAP diets and irritable bowel syndrome management, food fears, and disordered food relationships. We also examine the influence of probiotics and prebiotics, clarify why constipation is multifactorial, discuss the hallmarks of aging related to the microbiome and midlife changes, and review evolving research on the microbiome and responses to GLP-1 drugs.
This conversation with Kara Siedman is truly invaluable, so stay tuned!
IN THIS EPISODE, YOU WILL LEARN:
How nutrition has shifted away from hard science toward influencer opinions and social media dogma
Why nutrition should be personalized rather than treated as one-size-fits-all
Why carbohydrates should not be demonized, and the important role each macronutrient plays
Why Kara views nutrition as a bridge between conventional and functional medicine
Why supporting the microbiome is about building stability and resilience through multiple foundational factors rather than one isolated intervention
Medications that can disrupt the microbiome
Why a low FODMAP diet should be viewed as a bridge for symptom management, and not as a treatment for IBS or something that should necessarily be followed indefinitely
How the microbiome changes with aging and menopause
Multiple factors that can contribute to constipation
What research has revealed about the gut microbiome as a potential factor in GLP-1 responses
Bio:
Kara Siedman is a registered dietitian and certified diabetes care and education specialist with over 15 years of clinical experience in inpatient care, outpatient program development, and integrative/functional nutrition.
Kara’s work in a leading gastroenterology practice sparked her transition into functional nutrition, where she integrated root-cause approaches into GI care and became a mentor and key opinion leader in the field. Her passion for the gut microbiome evolved into a professional specialty, leading her to collaborate with top biotech and microbiome-focused companies.
As Senior Director of Science & Partnerships at resbiotic, Kara educates healthcare providers on microbiome science and the clinical application of targeted microbiome therapies. Known for her ability to simplify complex research, she brings clarity, credibility, and passion to gut health education.
Connect with Cynthia Thurlow
Check out Cynthia’s website.
Submit your questions to [email protected]
Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.
Purchase Cynthia’s book, The Menopause Gut.
Cynthia’s Intermittent Fasting Transformation Book
Connect with Kara Siedman, RD, CDCES
BONUS: Rethinking Diabetes: Treatment and Management in the Modern Era with Gary Taubes
I am thrilled to have Gary Taubes back on the show today. (He was with me before on episode 137. Gary is an investigative science and health journalist whose work has been pivotal in catalyzing the low-carb …
Shownotes
I am thrilled to have Gary Taubes back on the show today. (He was with me before on episode 137. Gary is an investigative science and health journalist whose work has been pivotal in catalyzing the low-carb keto movement. He has written many books, including his most recent, Rethinking Diabetes, and his articles are in many of the best anthologies. He has also received many science awards.
Today's discussion is particularly significant, given the recent report from the American Diabetes Association revealing that the annual cost of diabetes in the United States reached a staggering $412.9 billion in 2022, with individuals diagnosed with diabetes now representing one in every four dollars spent on healthcare.
In our discussion today, we dive into the history of diabetes, pertinent statistics, the prevailing standard of care, and the transformative influence of insulin on diabetes management and reactive hypoglycemia. Gary provides insights into his reactions to GLP-1s, the integration of medical and nutritional science into medicine, and the influence of organizations such as the American Diabetes Association, AHA, USDA, and NIH. Our discussion also extends to the effects of pharmaceuticals, the shortcomings of our approach to diabetes management and of existing models, and the challenges the low-carb community faces.
Stay tuned for today's eye-opening conversation, where we shed light on the complexities of diabetes care and explain how simple lifestyle changes can tremendously improve quality of life.
IN THIS EPISODE YOU WILL LEARN:
Rethinking Diabetes is a groundbreaking exploration of diabetes diagnosis, management, and treatment
Gary discusses the evolution of evidence-based medicine
Why the traditional medical approach to treating diabetes is inadequate
How the guidelines of the American Diabetes Association were based on outdated assumptions
How medical treatments compare with lifestyle changes for managing diabetes
Controversies surrounding how the pharmaceutical industry has influenced the way medical associations have shaped their diabetes management policies
How medical guidelines and dietary advice have evolved
What constitutes a healthy diet?
How patients often have trouble following diet recommendations, despite their best intentions
Is obesity a hormonal disorder or caused by overeating?
Connect with Cynthia Thurlow
Check out Cynthia’s website.
Check out the Everyday Podcast on Instagram! www.instagram.com/everydaywellnesspodcast
Submit your questions to [email protected]
Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.
Purchase Cynthia’s book, The Menopause Gut.
Cynthia’s Intermittent Fasting Transformation Book
Connect with Gary Taubes
On his website
Previous Episode Mentioned
Ep. 137 – High Blood Sugar Levels and Long-Term Damage with Gary Taubes
Book Mentioned:
Rethinking Diabetes: What Science Reveals About Diet, Insulin, and Successful Treatments is available from most bookstores or on Amazon.
Ep. 650 ADHD and Hormones in Women with Dr. Jolene Brighten
Today, I’m honored to reconnect with Dr. Jolene Brighten. She’s an award-winning, board-certified naturopathic endocrinologist, nutrition scientist, and leading voice in women’s health. She’s the author of …
Shownotes
Today, I’m honored to reconnect with Dr. Jolene Brighten. She’s an award-winning, board-certified naturopathic endocrinologist, nutrition scientist, and leading voice in women’s health. She’s the author of Beyond the Pill, Healing Your Body Naturally After Childbirth, and her latest book, ADHD and Women: A Guide to Optimizing Your Hormones and Thriving with ADHD, which represents an expansion of her core thesis that women’s symptoms get chronically misattributed when the hormone piece is left out of the picture, which she now applies to ADHD. She also hosts The Dr. Brighten Show.
In today’s conversation, we look at why ADHD symptoms surface or worsen at hormonal transitions, the mental health effects of oral contraceptives and synthetic hormones, and the gut-brain connection to ADHD. We explore how gut dysbiosis dysregulates vagal nerve signaling; how butyrate and other short-chain fatty acids influence it; what endobelly is and how it affects histamine and mast cell degranulation; and emerging research on GLP-1s and endometriosis. We also discuss rejection sensitivity disorder and masking, nutritional and o lifestyle recommendations for improving symptomatology, and how key supplements like cytochrome and saffron can improve memory and mitochondrial health.
Stay tuned for a truly insightful conversation with Dr. Jolene Brighten and a deeper look at ADHD and Women.
IN THIS EPISODE, YOU WILL LEARN:
How perimenopause can amplify ADHD symptoms
Why ADHD in some women remains unidentified until midlife
How gut dysbiosis can influence vagal nerve signaling in the ADHD brain
Why butyrate and resistant starches may be important for the ADHD brain
The connection between endometriosis, ADHD, and the gut
How Dr. Brighten guides neurodivergent women through HRT conversations
How rejection sensitivity dysphoria can affect women with ADHD
Dr. Brighten shares lifestyle recommendations for women with ADHD
Bio:
Dr. Jolene Brighten is a hormone expert, nutrition scientist, and founder of Dr. Brighten Essentials. Board-certified in naturopathic endocrinology, a certified menopause specialist, and sex counselor, she is the bestselling author of Beyond the Pill, Is This Normal?, and the forthcoming ADHD and Women. She is dedicated to helping women optimize their hormone, brain, and sexual health through evidence-based education.
Connect with Cynthia Thurlow
Check out Cynthia’s website.
Check out the Everyday Podcast on Instagram! www.instagram.com/everydaywellnesspodcast
Follow on X, Instagram & LinkedIn
Submit your questions to [email protected]
Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.
Purchase Cynthia’s book, The Menopause Gut.
Cynthia’s Intermittent Fasting Transformation Book
The Midlife Pause Supplement Line
Connect with Dr. Jolene Brighten
Pre-order bonuses for ADHD and Women (Meal plans to help optimize hormones and a PMDD workshop)
On Social Media: @DrJoleneBrighten
Ep. 649 Hormone Therapy After Hysterectomy |Menopause, Perimenopause, Hormone Health
Welcome to this week’s Midlife Minute! Today, I examine partial and full hysterectomies and what we know about their potential long-term effects, clarifying what the research tells us about bone, brain, and …
Shownotes
Welcome to this week’s Midlife Minute!
Today, I examine partial and full hysterectomies and what we know about their potential long-term effects, clarifying what the research tells us about bone, brain, and cardiovascular health, and what women should discuss with their healthcare providers before and after surgery.
IN THIS EPISODE, YOU WILL LEARN:
How a partial hysterectomy differs from a full hysterectomy, and the abrupt estrogen changes ovarian removal can produce
Why having a hysterectomy before ages 40-45 can have a greater impact than having surgery closer to natural menopausal age.
How a hysterectomy can impact women’s bone health
What the research reveals about the connection between surgical menopause at a younger age, cognitive decline, and Alzheimer’s pathology
How a hysterectomy can affect women’s cardiovascular health
Why starting HRT early after an early-age hysterectomy could be important for your long-term health
Why younger women who experience surgical menopause may require higher estradiol doses than the standard menopausal regimens
The importance of advocating for yourself, understanding your personal risk, and talking with your clinician about estrogen and other hormone therapy before undergoing surgery
Quotes:
“Start those conversations early- before you ever have surgery.”
“If you are having these surgeries done before 45, before 40, you need HRT!”
“We have to manage our stress.”
“We have to get enough sleep.”
“We should be strength training.”
“We should be physically active.”
“We should be eating an anti-inflammatory diet.”
Connect with Cynthia Thurlow
Check out Cynthia’s website.
Submit your questions to [email protected]
Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.
Purchase Cynthia’s book, The Menopause Gut.
Cynthia’s Intermittent Fasting Transformation Book
Research:
Increased Risk of Osteoporosis With Hysterectomy: A Longitudinal Follow-Up Study Using a National Sample Cohort. American Journal of Obstetrics and Gynecology. 2019. Choi HG, Jung YJ, Lee SW.
Menopause Transition and Cardiovascular Disease Risk: Implications for Timing of Early Prevention: A Scientific Statement From the American Heart Association. Circulation. 2020. El Khoudary SR, Aggarwal B, Beckie TM, et al.
Cardiovascular Disease After Hysterectomy in the Nurses' Health Study and Nurses' Health Study II. Obstetrics and Gynecology. 2025. Thao V, Borah B, Stewart EA, et al.
Treatment of Women After Bilateral Salpingo-oophorectomy Performed Prior to Natural Menopause. The Journal of the American Medical Association. 2021. Kaunitz AM, Kapoor E, Faubion S.
Hysterectomy, Oophorectomy, and Bone Health: A Systematic Review and Meta-Analysis. European Journal of Endocrinology. 2025. Shariful Islam M, Tuesley KM, Wilson LF, et al.
Risk of Osteoporosis and Fracture After Hysterectomies Without Oophorectomies: A Systematic Review and Pooled Analysis. Osteoporosis International. 2022. Xu W, Wu W, Yang S, et al.
Hysterectomies Are Associated With an Increased Risk of Osteoporosis and Bone Fracture: A Population-Based Cohort Study. PloS One. 2020. Yeh YT, Li PC, Wu KC, et al.
Age at Surgical Menopause Influences Cognitive Decline and Alzheimer Pathology in Older Women. Neurology. 2014. Bove R, Secor E, Chibnik LB, et al.
Reproductive Period and Risk of Dementia in a Diverse Cohort of Health Care Members. Neurology. 2019. Gilsanz P, Lee C, Corrada MM, et al.
Examining the Association of Hysterectomy With and Without Oophorectomy on Cardiovascular Disease and All-Cause, Cardiovascular or Cancer Mortality: A Systematic Review and Meta-Analysis. BJOG: An International Journal of Obstetrics and Gynecology. 2024. Chen Y, Li F, Liang L, et al.
Association of Premature Natural and Surgical Menopause With Incident Cardiovascular Disease. The Journal of the American Medical Association. 2019. Honigberg MC, Zekavat SM, Aragam K, et al
Optimizing Health After Early Menopause. Lancet. 2024. Mishra GD, Davies MC, Hillman S, et al.
Hormone Replacement Therapy for Women Previously Treated for Endometrial Cancer. The Cochrane Database of Systematic Reviews. 2018. Edey KA, Rundle S, Hickey M.
Ep. 648 High and Low Cortisol Explained with Dr. Erin Kinney
Today, I’m delighted to connect with Dr. Erin Kinney. She’s a naturopathic medicine doctor and the founder of the Kinney Clinic, which focuses on hormone replacement therapy, nutrition, adrenal health, thyroid …
Shownotes
Today, I’m delighted to connect with Dr. Erin Kinney. She’s a naturopathic medicine doctor and the founder of the Kinney Clinic, which focuses on hormone replacement therapy, nutrition, adrenal health, thyroid, and lymphatic system issues. Dr. Kinney is also the stress reset expert and author of The Cortisol Cure.
In our conversation, we explore cortisol debt, how to recognize it through self-assessment, and why Dr. Kinney believes we need to change the narrative around stress. We discuss ways to modulate the autonomic nervous system, specifically the parasympathetic, the true drivers of low cortisol, including sleep and circadian rhythm disruption, overtraining without adequate recovery, nutrient depletion, chronic or stealth infections, and unresolved trauma. Dr. Kinney explains how Lyme disease, Epstein-Barr virus, and mold and mycotoxin exposure can contribute to more pronounced stress responses, and we examine the influence of caffeine, alcohol, and stimulants; calming supplements for stress and sleep; the gut-brain axis and gut immune dysfunction. Dr. Kinney also shares her preferred strategies to regulate cortisol easily and effectively.
Stay tuned for a truly enjoyable conversation with the delightful Dr. Kinney. Her book, The Cortisol Cure, is a great resource for anyone suffering from multiple stress-related issues.
IN THIS EPISODE, YOU WILL LEARN:
What “cortisol debt” means
The value of short, intentional periods of rest for training the “relaxed muscle”
How low cortisol can involve both external and internal stressors
How early trauma can train the nervous system to stay activated
Why alcohol may lead to disrupted sleep and anxiety
How caffeine and stimulants can increase your energy debt
Why supplements cannot replace foundational practices that support stress-response regulation
Dr. Kinney’s preferred supplements for calming the autonomic nervous system
How a poorly functioning gut can impact immune cells, thyroid-hormone conversion, and the body’s immune response
Dr. Kinney shares three repeatable practices to begin regulating cortisol
Bio:
Dr. Erin Kinney is a naturopathic doctor, author, and speaker specializing in hormonal health and the effects of chronic stress. She is the creator of the “Cortisol Bank Account” framework, the foundation of her book The Cortisol Cure, which breaks down complex stress and hormone science into a simple, accessible approach that helps readers understand what’s happening in their bodies and how to start feeling better. She founded The Kinney Clinic in Annapolis, Maryland, where she helps high-functioning men and women get to the root of fatigue, hormone imbalance, and chronic health issues so they can reset their stress response, boost their energy, and feel better than ever.
Connect with Cynthia Thurlow
Check out Cynthia’s website.
Submit your questions to [email protected]
Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.
Purchase Cynthia’s book, The Menopause Gut.
Cynthia’s Intermittent Fasting Transformation Book
Connect with Dr. Erin Kinney
BONUS: Cholesterol, ApoB, and Lp(a) with Crystal Gossard, DCN, MS, CNS, LN
This episode is sponsored by Life Extension. I am delighted to have Dr. Crystal Gossard, the Manager of Education at Life Extension, joining me today. Dr. Gossard is a Doctor of Clinical Nutrition with over 15 …
Shownotes
This episode is sponsored by Life Extension.
I am delighted to have Dr. Crystal Gossard, the Manager of Education at Life Extension, joining me today. Dr. Gossard is a Doctor of Clinical Nutrition with over 15 years of experience in nutrition, fitness, dietary supplements, and integrative functional medicine.
In our conversation today, Dr. Gossard and I discuss uncommon heart health testing, including gaps in care for women in perimenopause and menopause, and clarify the critical importance of a bioindividual personalized approach. We dive into specifics on labs, including ApoB as a direct measurement, the influence of glycation, insulin resistance and insulin sensitivity, LP(a), and high-sensitivity CRP as both a marker of systemic inflammation and a targeted inflammatory profile marker. We also cover oxidized LDL, inflammation and oxidative stress, the importance of CoQ10, and screening modalities like coronary artery calcium scoring, CCTA, CT angio, and Cleerly, and minerals, including magnesium and its role in over 600 enzymatic reactions in the body.
***Try Life Extension https://www.lifeextension.com/Cynthia10labs @LifeExtensionWelleness and save $10 on orders of $50 or more, plus free shipping, with code: Cynthia10
IN THIS EPISODE, YOU WILL LEARN:
The importance of advanced lab testing for cardiovascular and metabolic health in women, particularly during perimenopause and menopause
What ApoB reveals about cardiovascular risk
Why Dr. Gossard considers LP(a) a one-and-done test
How elevated high-sensitivity CRP can indicate inflammation “simmering” in the background
How to manage inflammation through nutrition
How Dr. Gossard explains oxidized LDL
The value of CoQ10 for oxidized LDL
When should someone move beyond lab work to cardiovascular screening?
What magnesium testing can reveal
How magnesium supports the body
Connect with Cynthia Thurlow
Check out Cynthia’s website.
Submit your questions to [email protected]
Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.
Purchase Cynthia’s book, The Menopause Gut.
Cynthia’s Intermittent Fasting Transformation Book
Connect with Dr. Crystal Gossard
Try Life Extension and save $10 on orders of $50 or more, plus free shipping, with code: CYNTHIA10.
Ep. 647 Spore-Based Probiotics and Gut Health with Kiran Krishnan, Ph.D. | Probiotics, Gut Health, Womens Health
I’m thrilled to reconnect with microbiome expert Kiran Krishnan today. Kiran co-founded Just Thrive and previously served as Chief Scientific Officer at Microbiome Labs. He has more than 16 years of experience …
Shownotes
I’m thrilled to reconnect with microbiome expert Kiran Krishnan today. Kiran co-founded Just Thrive and previously served as Chief Scientific Officer at Microbiome Labs. He has more than 16 years of experience in the dietary supplement and nutrition industry, with postgraduate research experience in molecular biology and virology.
In today’s conversation, we take a deep dive into the science of spore-based probiotics, their ecological impact, how they interact with the existing gut microbiome, their potential to address dysbiosis, and why standard probiotics fail to survive stomach acid in meaningful numbers. We explore research on osteoarthritis, catabolism, and the gut-hormone connection, discussing how declining bacterial diversity may influence the metabolic and hormonal changes associated with perimenopause and menopause. Kiran explains the role of the pathobiome and endotoxemia, how the gut-brain axis can influence inflammation, and the importance of gut-barrier integrity, neurotransmitter production, and vagal nerve signaling in regulating the immune system. We also discuss the differences between fiber, resistant starch, polyphenols, fermented foods, prebiotics, and postbiotics, and Kiran shares his perspective on the carnivore diet, its potential impact on the microbiome, and key insights into SIBO.
Stay tuned for today’s fascinating and informative conversation with Kiran Krishnan.
IN THIS EPISODE, YOU WILL LEARN:
Kiran explains the science behind spore-based probiotics
Why spore-based probiotics can survive stomach acid better than many standard probiotics
How inflammation can inhibit the growth of beneficial gut bacteria
How bacterial diversity in the gut decreases during perimenopause and menopause
Why awareness of endotoxemia remains limited within the broader medical community
Kiran explains how the gut-brain axis helps the body respond to its environment
What prebiotics and postbiotics actually do
Why an inability to tolerate fiber may point to a problem with the underlying biology rather than the food itself
How SIBO and SIFO can be symptoms of a more complex underlying problem
Bio: Kiran Krishman, Ph.D.
Kiran is a research microbiologist and a health and wellness expert who aims to make complex information understandable to all. He has founded several successful health and supplement companies over the last 15 years, including co-founding and leading Microbiome Labs, a preeminent microbiome therapeutics-focused brand among healthcare professionals. He is currently a co-founder and partner in 3 other companies that aim to revolutionize wellness care. He has conducted and published several research studies in scientific journals, published chapters in scientific textbooks/references books, holds global patents, and is a sought-after speaker on human health and the microbiome.
Connect with Cynthia Thurlow
Check out Cynthia’s website.
Check out the Everyday Wellness Podcast on Instagram! www.instagram.com/everydaywellnesspodcast
Submit your questions to [email protected]
Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.
Purchase Cynthia’s book, The Menopause Gut.
Cynthia’s Intermittent Fasting Transformation Book
Connect with Kiran Krishnan
The Biome Learning Center: Join Kiran’s circle community to download his free leaky gut guide and 5 pillars for building a resilient gut.
Ep. 646 HRT and Bone Health in Menopause | Menopause, Perimenopause, Bone Health
Welcome to the latest Midlife Minute. Today, I answer some listener questions about bone health, osteoporosis, HRT, and the menopause transition. Stay tuned to learn more about bone loss, bone health, and …
Shownotes
Welcome to the latest Midlife Minute.
Today, I answer some listener questions about bone health, osteoporosis, HRT, and the menopause transition.
Stay tuned to learn more about bone loss, bone health, and proactive ways to protect your bone mass.
IN THIS EPISODE, YOU WILL LEARN:
Bone density loss during perimenopause
Value of HRT for protecting bone mass during the menopause transition
If you’re using an estrogen patch and your estrogen levels are still low, what should you consider?
How women with osteoporosis can continue strength training with guidance from a licensed medical provider
What highly-active women who consistently under-fuel their bodies may experience
Conditions and medications that could contribute to low bone density
The value of DEXA scans and bone health markers
Bone loss may accelerate during menopause
How HRT for osteoporosis prevention differs from HRT for established osteoporosis
The benefit of AMH and FSH labs for identifying women who may benefit from earlier intervention
Connect with Cynthia Thurlow
Check out Cynthia’s website.
Submit your questions to [email protected]
Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.
Purchase Cynthia’s book, The Menopause Gut.
Cynthia’s Intermittent Fasting Transformation Book
Ep. 645 Chronic Stress and Dysregulation with Roseann Capanna-Hodge, Ed.D. | Stress, Emotional Dysregulation
I’m thrilled to reconnect with Roseann Capanna-Hodge, Ed.D., today. She's a licensed clinical psychologist, board-certified in neurofeedback, and mom of two neurodivergent children. She's also the author of the …
Shownotes
I’m thrilled to reconnect with Roseann Capanna-Hodge, Ed.D., today. She's a licensed clinical psychologist, board-certified in neurofeedback, and mom of two neurodivergent children. She's also the author of the upcoming book, The Dysregulated Kid.
Today, we discuss how midlife women become stressed and how stress is an event and dysregulation is a physiological state. We also explore emotional regulation, hypervigilance, midlife’s invisible load, strategies to stimulate the vagus nerve, and ways to address both over- and under-stimulated behavior.
Stay tuned for today’s insightful and informative conversation with Roseann Capanna-Hodge. You’ll walk away with tangible strategies for yourself and your family members, too!
IN THIS EPISODE, YOU WILL LEARN:
How stress “creeps in” through everyday pressures and affects the nervous system
Why some coping strategies that worked earlier in life may become less effective or maladaptive amid midlife hormonal and neurological changes
The value of practicing belly breathing and other regulation strategies in “micro little bits” throughout the day
How emotional regulation can help change dysregulated patterns passed down through families.
How explaining regulation through science can reduce shame and help children become more receptive to these strategies.
Why caring for a dysregulated child can be especially triggering for parents with difficult childhoods or histories of dysregulated parenting
How women carrying an “invisible load” can find small openings to practice regulation strategies throughout the day
How nutrition can support emotional regulation and affect focus, motivation, irritability, anger, and hyperactivity
How using brief regulation practices, movement, breathing, touch, and daily routines can help manage chronic stress.
Why regulating the nervous system should come before, or support, other interventions
Bio:
Roseann Capanna-Hodge. Ed.D. is a leading expert in emotional and behavioral dysregulation with more than 30 years of experience helping families transform chaos into calm. As the creator of Regulation First Parenting® and the CALMS Dysregulation Protocol®, she bridges clinical science with everyday parenting so families can finally understand what’s really driving their child’s struggles.
Specializing in nervous system dysregulation, the root cause of challenges like ADHD, anxiety, OCD, mood disorders, and PANS/PANDAS, Roseann gives parents and professionals brain-based tools that create lasting change without blame, shame, or guesswork.
Through her bestselling books, upcoming book The Dysregulated Kid, and top 1% podcast, Dysregulated Kids, she has helped thousands of families support their child’s brain, behavior, and emotional well-being in practical, hopeful ways. Featured in The New York Times, Forbes, and Parents Magazine, Roseann is on a mission to bring Regulation First Parenting™ to every home so that children can thrive and families can finally feel calm again.
Connect with Cynthia Thurlow
Check out Cynthia’s website.
Submit your questions to [email protected]
Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.
Purchase Cynthia’s book, The Menopause Gut.
Cynthia’s Intermittent Fasting Transformation Book
Connect with Roseann Capanna-Hodge, Ed.D
Social media: @Dr Roseann
Order Roseann’s NEW book, The Dysregulated Kid.
BONUS: Perimenopause and Menopause: What you didn't Know with Dr. Felice Gersh
I’m honored to reconnect with Dr. Felice Gersh today! She is a multi-award-winning physician with dual board certification in OB-GYN and Integrative Medicine. We connected once before in Episode 221, where we …
Shownotes
I’m honored to reconnect with Dr. Felice Gersh today! She is a multi-award-winning physician with dual board certification in OB-GYN and Integrative Medicine. We connected once before in Episode 221, where we spoke about PCOS and metabolic health.
Today, Dr. Gersh joins me to dive into perimenopause and menopause. We discuss various issues surrounding the Women’s Health Initiative and talk about estrogen as a family of hormones, estrogen-mimicking chemicals, synthetic hormones, and oral contraceptives. We cover the importance of thyroid function, the pro-inflammatory state associated with estrogen loss in perimenopause and menopause, and the role of nutrition and exercise in metabolism. We also discuss lesser-known changes that occur in menopause, including changes in body odor, constipation, sarcopenia, osteoporosis, and vocal changes.
I plan to invite Dr. Gersh back to discuss women and mitochondrial health, and then again to talk about her latest book, Menopause: The Fifty Things You Need to Know.
Stay tuned to find out what menopause really is, and what it does to a woman’s metabolic system.
IN THIS EPISODE YOU WILL LEARN:
Dr. Gersh discusses the Women’s Health Initiative study and its devastating effects.
The difference between synthetic and bioidentical hormones.
How chronic diseases of aging can be delayed when hormones are incorporated along with other lifestyle refinements.
What do hormones do?
Why every immune cell in the body has receptors for vital hormones.
Menopause may not be defined by a specific moment in time.
Physiological changes that occur during the perimenopause years
How hormones can change the perimenopause paradigm entirely.
Perimenopause and sleep issues
Phytoestrogens - nature’s gift to women
Connect with Cynthia Thurlow
Check out Cynthia’s website.
Submit your questions to [email protected]
Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.
Purchase Cynthia’s book, The Menopause Gut.
Cynthia’s Intermittent Fasting Transformation Book
Connect with Dr. Felice Gersh
Dr. Gersh’s books are available on Amazon
Previous Episode Mentioned
Episode 221 on PCOS with Dr. Felice Gersh
Ep. 644 Insulin Resistance and Advanced Lipid Testing with Dr. Tom Dayspring
Today, I’m honored to reconnect with fan favorite, Dr. Tom Dayspring. Dr. Dayspring is a fellow of both the American College of Physicians and the National Lipid Association, and is certified in internal …
Shownotes
Today, I’m honored to reconnect with fan favorite, Dr. Tom Dayspring. Dr. Dayspring is a fellow of both the American College of Physicians and the National Lipid Association, and is certified in internal medicine and clinical lipidology with extensive experience in perimenopause and menopause management. He has been a frequent contributor and educator at Everyday Wellness.
In this episode, we discuss labs that help to monitor changes in insulin resistance (specifically the LPIR score), the clinical practice limitations Dr. Dayspring believes stem from a lack of humility, and aspects of women’s medical histories that may indicate greater heart disease risk. We examine statin therapy and other treatment modalities, premature menopause and cardiovascular disease risks, Lp(a) as the primary inherited risk factor for heart disease, and current guidelines, treatment goals, and recommendations. Dr. Dayspring also shares his thoughts on estrogen patch shortages and oral estradiol therapy challenges with elevated triglycerides.
As always, this is an invaluable conversation with Dr. Tom Dayspring. Stay tuned for an upcoming podcast with Dr. Dayspring, where we'll focus on lipids and brain health.
IN THIS EPISODE, YOU WILL LEARN:
Lipoprotein changes and how they can reveal insulin resistance before fasting insulin or glucose begin to rise
Why someone can be insulin resistant while showing normal triglyceride levels
The importance of looking at a woman’s broader medical history to find potential cardiovascular risk signals
Why premature menopause and premature ovarian failure should be taken seriously as cardiovascular and long-term health risk factors
How Lp(a) is the most inherited risk factor for atherosclerotic heart disease across the population
Why women may benefit from repeat Lp(a) testing around the menopausal transition
What clinicians may address when Lp(a) is elevated, including other modifiable cardiovascular risk factors
Oral estrogen may have a beneficial effect on Lp(a).
How epidemiological evidence has linked endometriosis with heart disease
Why Dr. Dayspring recommends checking ApoB when triglycerides are elevated
Connect with Cynthia Thurlow
Check out Cynthia’s website.
Submit your questions to [email protected]
Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.
Purchase Cynthia’s book, The Menopause Gut.
Cynthia’s Intermittent Fasting Transformation Book
Connect with Dr. Tom Dayspring
Ep. 643 What Menopause Does to Lp(a) and Cholesterol |Menopause, Perimenopause, Cholesterol
Welcome to the latest Midlife Minute. This episode unpacks ongoing research on Lp(a), explores how women’s lipids change during the perimenopause-to-menopause transition, and clarifies what we can do about it …
Shownotes
Welcome to the latest Midlife Minute.
This episode unpacks ongoing research on Lp(a), explores how women’s lipids change during the perimenopause-to-menopause transition, and clarifies what we can do about it.
Stay tuned for more!
IN THIS EPISODE, YOU WILL LEARN:
How total cholesterol, LDL, and ApoB tend to rise most steeply around the final menstrual period, rather than increasing gradually with chronological aging
Why women should have their Lp(a) checked both before and after menopause
How oral and transdermal estradiol can affect LDL, HDL, triglycerides, and Lp(a) differently
Why I recommend including ApoB when checking your lipids during the perimenopause window
How your lifestyle can reduce your cardiovascular risk, even when your Lp(a) is elevated
Why omega-3 fatty acids and commonly used lipid medications do not lower Lp(a)
Why supplements are not replacements for statins in genuinely high-risk patients
I review the various PCSK9 inhibitors currently available, how they are administered, and their effects
How a CAC, a CT angiogram, and an AI-assisted CT angiogram can help women and their providers determine how aggressive their approach should be when Lp(a) is elevated
Connect with Cynthia Thurlow
Check out Cynthia’s website.
Submit your questions to [email protected]
Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.
Purchase Cynthia’s book, The Menopause Gut.
Cynthia’s Intermittent Fasting Transformation Book
References:
1. Menopause Transition and Cardiovascular Disease Risk: Implications for Timing of Early Prevention: A Scientific Statement From the American Heart Association.Circulation. 2020. El Khoudary SR, Aggarwal B, Beckie TM, et al.Guideline
2. Menopause: A Cardiometabolic Transition. The Lancet. Diabetes & Endocrinology. 2022. Nappi RE, Chedraui P, Lambrinoudaki I, Simoncini T.Review
3. Dyslipidemia Across the Menopause Transition: Mechanisms, Trajectories, and Opportunities for Cardiovascular Prevention. Maturitas. 2026. Castaneda R, Tatit CP, Hurtado Andrade MD, Faubion SS, Shufelt CL.RecentReview
4. Lipoprotein(a) and Women's Cardiovascular Health: A Review. JACC. Advances. 2026. Michos ED, Saucier S, Mehran R, Koschinsky ML.
5. Lipid Metabolism in Women: A Review. Atherosclerosis. 2025. van Oortmerssen JAE, Mulder JWCM, Kavousi M, Roeters van Lennep JE.Review
6. Are Changes in Cardiovascular Disease Risk Factors in Midlife Women Due to Chronological Aging or to the Menopausal Transition?. Journal of the American College of Cardiology. 2009. Matthews KA, Crawford SL, Chae CU, et al.Observational
7. Trajectories of Lipids Around the Menopause Transition in Chinese Women: Results of the Kailuan Cohort Study. Fertility and Sterility. 2023. Dai Q, Wu S, Cao Z, et al.
8. Lipid Management in Patients With Endocrine Disorders: An Endocrine Society Clinical Practice Guideline. The Journal of Clinical Endocrinology and Metabolism. 2020. Newman CB, Blaha MJ, Boord JB, et al.Guideline
9. The Effects of Menopause Hormone Therapy on Lipid Profile in Postmenopausal Women: A Systematic Review and Meta-Analysis. Frontiers in Pharmacology. 2022. Nie G, Yang X, Wang Y, et al.SR
10. Perspectives on Dyslipidemia and Coronary Heart Disease in Women. Journal of the American College of Cardiology. 2005. Bittner V.Review
11. Dyslipidemia in Midlife Women: Approach and Considerations During the Menopausal Transition. Maturitas. 2022. Torosyan N, Visrodia P, Torbati T, Minissian MB, Shufelt CL.Review
12. Effects of gender, age and menopausal status on serum apolipoprotein concentrations.13.Lipoprotein(a).The Journal of the American Medical Association. 2025. Mora S, Kronenberg
14. Why, how and in whom should we measure levels of lipoprotein(a): A review of the latest evidence and clinical implications. Diabetes, Obesity & Metabolism. 2025. Razavi AC, Bhatia HS, Blumenthal RS, Shapiro MD, Mehta A.RecentReview
15. Red Yeast Rice for Hypercholesterolemia: JACC Focus Seminar. Journal of the American College of Cardiology. 2021. Cicero AFG, Fogacci F, Zambon A.Review
16. Overall and Sex-Specific Effect of Berberine for the Treatment of Dyslipidemia in Adults: A Systematic Review and Meta-Analysis of Randomized Placebo-Controlled Trials. Drugs. 2023. Blais JE, Huang X, Zhao JV.SR
17. Non-Genetic Influences on Lipoprotein(a) Concentrations. Atherosclerosis. 2022. Enkhmaa B, Berglund L.Review
18. NHLBI Working Group Recommendations to Reduce Lipoprotein(a)-Mediated Risk of Cardiovascular Disease and Aortic Stenosis. Journal of the American College of Cardiology. 2018. Tsimikas S, Fazio S, Ferdinand KC, et al.Review
19. Consumption of a defined, plant‐based diet reduces lipoprotein(a), inflammation, and other atherogenic lipoproteins and particles within 4 weeks. Clinical Cardiology. 2018. Najjar RS, Moore CE, Montgomery BD.
20. Lipoprotein(a): Current Evidence for a Physiologic Role and the Effects of Nutraceutical Strategies. Clinical Therapeutics. 2019. Santos HO, Kones R, Rumana U, et al.Review
21. Effect of Lipid-Lowering Therapies on Lipoprotein(a) Levels: A Comprehensive Meta-Analysis of Randomized Controlled Trials. Atherosclerosis. 2025. Xie S, Galimberti F, Olmastroni E, et al.Recent
22. Effect of Omega-3 Fatty Acid Supplementation on the Postprandial Metabolism of Apolipoprotein(a) in Familial Hypercholesterolemia. Journal of Atherosclerosis and Thrombosis. 2023. Ying Q, Croyal M, Chan DC, et al.RCT
23.Lipoprotein(a) and Cardiovascular Disease. Lancet. 2024. Nordestgaard BG, Langsted A.Review
24. Lipoprotein(a): A Genetically Determined, Causal, and Prevalent Risk Factor for Atherosclerotic Cardiovascular Disease: A Scientific Statement From the American Heart Association. Arteriosclerosis, Thrombosis, and Vascular Biology. 2022. Reyes-Soffer G, Ginsberg HN, Berglund L, et al.Guideline
25.Clinical Trial Design for Lipoprotein(a)-Lowering Therapies: JACC Focus Seminar 2/3.Journal of the American College of Cardiology. 2023. Malick WA, Goonewardena SN, Koenig W, Rosenson RS.Review
26.2026 ACC/AHA/AACVPR/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Dyslipidemia: A Report of the American Collegeof Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2026. Writing Committee Members, Blumenthal RS, Morris PB, et al.Guideline
27. Noninvasive Coronary Atherosclerotic Plaque Imaging. JACC. Cardiovascular Imaging. 2023. Kwiecinski J, Tzolos E, Williams MC, et al.Review
28. Computed Tomography Angiography Versus Agatston Score for Diagnosis of Coronary Artery Disease in Patients With Stable Chest Pain: Individual Patient Data Meta-Analysis of the International COME-CCT Consortium. European Radiology. 2022. Wieske V, Walther M, Dubourg B, et al.SR
29. Association of Coronary Artery Calcium Score With Qualitatively and Quantitatively Assessed Adverse Plaque on Coronary CT Angiography in the SCOT-HEART Trial. European Heart Journal. Cardiovascular Imaging. 2022. Osborne-Grinter M, Kwiecinski J, Doris M, et al.Clinical Trial
30. AI-Guided Quantitative Plaque Staging Predicts Long-Term Cardiovascular Outcomes in Patients at Risk for Atherosclerotic CVD. JACC. Cardiovascular Imaging. 2024. Nurmohamed NS, Bom MJ, Jukema RA, et al.Observational
31. The Lancet Commission on Rethinking Coronary Artery Disease: Moving From Ischemia to Atheroma. Lancet. 2025. Zaman S, Wasfy JH, Kapil V, et al.Review
32. Efficacy and safety of novel lipoprotein(a)‐targeted therapies: A systematic review and meta‐analysis of randomized controlled trials. Diabetes, Obesity & Metabolism. 2026. Santana AUL, Yusufzai MO, Freitas APS, et al. Recent Opinion
Ep. 642 Metabolic Health and Brain Aging with Dr. Zaldy Tan | Menopause, Perimenopause, Metabolic Health
Today, I am honored to connect with Dr. Zaldy Tan, a geriatric medicine and memory disorder specialist whose research career has centered on the Framingham Heart Studies Offspring Cohort. Dr. Tan currently …
Shownotes
Today, I am honored to connect with Dr. Zaldy Tan, a geriatric medicine and memory disorder specialist whose research career has centered on the Framingham Heart Studies Offspring Cohort. Dr. Tan currently directs Cedar Sinai’s memory and healthy aging programs, after previously leading the memory clinic at Beth Israel and Harvard Medical School. His book, Age Proof Your Mind, translates his clinical and research background into a practical framework for people trying to assess and protect their own cognitive trajectory.
In our conversation, Dr. Tan explains why middle age is the old age of youth and the youth of old age. We discuss common symptoms of memory issues and those that are reversible. We explore the Framingham Offspring Study and its impact on brain health over time, looking at the effects of sleep, depression, vitamin deficiencies, alcohol, loneliness, and nutrition, and Dr. Tan shares the three Ds, dementia, delirium, and depression- the red flags he sees in his clinical practice, explains how he helps prepare caregivers for caring for loved ones with neurocognitive memory loss, and discusses late-stage issues, medications, blood-based biomarkers, and the role of genetics in brain health.
Stay tuned for a truly fascinating discussion with Dr. Zaldy Tan.
IN THIS EPISODE, YOU WILL LEARN:
The importance of being sensitive to how your memory changes over time
Various factors that could contribute to memory problems
The profound effect alcohol has on the brain and neurologic function
How social isolation can increase the risk of dementia in future years
Dr. Tan discusses the Framingham Offspring Study and the links between metabolic dysregulation and brain MRI markers of brain aging.
How the 3 Ds, delirium, dementia, and depression, can overlap
The red flags in a patient’s history that lead Dr. Tan to believe there may be a more serious issue
What care partners should be aware of when a family member is experiencing dementia
The importance of protecting sleep and maintaining consistent sleep patterns for those with memory problems
How genetic testing is incorporated into Dr. Tan’s care model
Bio:
Dr. Zaldy Tan is the Director of the Memory & Healthy Aging Program at Cedars-Sinai Medical Center, which U.S. News & World Report ranked in 2024 as the best hospital on the U.S. West Coast and among the top hospitals in the country. He holds the Carmen & Louis Warschaw Endowed Chair in Neurology and is a professor at the David Geffen School of Medicine, University of California, Los Angeles. Dr. Tan was the founding director of the Memory Disorders Clinic at Harvard Medical School/Beth Israel Deaconess Medical Center. Dr. Tan performs aging and dementia research covered by The New York Times, Time, CNN, The Wall Street Journal, NPR, The Washington Post, The Chicago Tribune, Reuters, ABC News, and NBC News. He regularly speaks at major national and international conferences and is the author of Age-Proof Your Mind and What to Remember When You Are Forgetting.
Connect with Cynthia Thurlow
Check out Cynthia’s website.
Submit your questions to [email protected]
Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.
Purchase Cynthia’s book, The Menopause Gut.
Cynthia’s Intermittent Fasting Transformation Book
Connect with Dr. Zaldy Tan
Dr. Tan’s book, What to Remember When You Are Forgetting, is coming out on September 15th, 2026. Pre-order HERE.
BONUS: Spermidine and Autophagy with Leslie Kenny | Menopause, Perimenopause, Longevity
Welcome to the latest episode in our series of highly vetted companies I like to share with my Everyday Wellness community. Today, I’m delighted to connect with Leslie Kenny, Founder and CEO of Oxford …
Shownotes
Welcome to the latest episode in our series of highly vetted companies I like to share with my Everyday Wellness community.
Today, I’m delighted to connect with Leslie Kenny, Founder and CEO of Oxford Healthspan. After being diagnosed with multiple autoimmune conditions and being told she was unlikely to have any biological children, Leslie put her autoimmune conditions into remission through nutrition and lifestyle changes and later went on to conceive naturally at 43. Her personal experience led her into a research collaboration with Oxford immunologist Professor Katya Simon, where she was introduced to spermidine, a naturally occurring polyamine studied for its role in autophagy—our cells’ internal recycling and cleanup process. She later founded Oxford Healthspan to bring a whole-food Japan-sourced spermidine supplement, Primadine, to market. She also co-founded the non-profit Oxford Longevity Project alongside Oxford scientists to educate the public more broadly on healthspan research.
In our conversation, we discuss self-advocacy, autoimmunity, infertility, and empowerment, exploring how modern life affects perimenopause and menopause, as well as spermidine research and its mechanisms of action. We discuss intermittent fasting, autophagy, mitophagy, gut health, food-based sources of spermidine, how our spermidine levels decrease with age, and why supplementation is truly beneficial. Leslie also shares feedback on how Primadine impacts memory, cognition, hair, skin, and nails; how clock genes and circadian biology work; and biological versus chronological age.
Stay tuned for a truly fascinating conversation with Leslie Kenny- one you’ll most likely want to revisit more than once.
IN THIS EPISODE, YOU WILL LEARN:
The changes Leslie implemented after being diagnosed with rheumatoid arthritis and lupus
How patients need to ask questions and collaborate with their clinicians rather than simply following instructions
Leslie describes how she worked with doctors to monitor her symptoms and address problems early during the perimenopause-to-menopause transition.
How Leslie came to learn about spermidine and its connection to autophagy and mitophagy
How spermidine can support healthy aging
How ultra-processed foods can affect the gut, and foods that contain natural sources of spermidine
The types of improvements customers taking Primadine have reported
Leslie explains the distinction between biological and chronological age
Why intermittent fasting, although beneficial, may not work the same way for all women
Bio:
Leslie Kenny is an Oxford-based longevity entrepreneur, TEDx Oxford speaker, and healthspan advocate. She is the founder of Oxford Healthspan, creator of Primeadine®, co-founder of the Oxford Longevity Project, and Global Executive Ambassador for the Japan Autophagy Consortium, whose senior adviser is Yoshinori Ohsumi, recipient of the 2016 Nobel Prize in Physiology or Medicine for his pioneering research on autophagy.
She is a frequent international speaker and moderator on longevity, biological aging, and the future of preventive medicine, with a particular focus on translating emerging research into practical, evidence-based strategies for extending healthspan. Leslie has been an early advocate for the role of autophagy, cellular renewal, and nutrition in healthy aging, helping to pioneer broader awareness of spermidine and its relevance to longevity pathways.
Connect with Cynthia Thurlow
Check out Cynthia’s website.
Submit your questions to [email protected]
Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.
Purchase Cynthia’s book, The Menopause Gut.
Cynthia’s Intermittent Fasting Transformation Book
Connect with Leslie Kenny
Ep. 641 Ayurveda, Gut Health, and Inflammation with Dr. Shivani Gupta | Menopause, Perimenopause, Holistic Health
I am delighted to welcome Dr. Shivani Gupta today for the first of two interviews. Dr. Gupta is the founder and CEO of Fusionary Formulas and the author of The Inflammation Code. She has both a master's degree …
Shownotes
I am delighted to welcome Dr. Shivani Gupta today for the first of two interviews. Dr. Gupta is the founder and CEO of Fusionary Formulas and the author of The Inflammation Code. She has both a master's degree and a PhD in Vedic sciences, where her dissertation focused on turmeric's role in inflammation, joint health, and cardiovascular health.
In today’s conversation, we explore the physical effects of chronic inflammation, habits to support stress reduction, the differences between inflammaging and normal physiologic aging, and ways to nurture ourselves in midlife (which Dr. Gupta calls the Vata season). We also discuss how ama can contribute to inflammatory processes in the body, digestive fire, constipation and strategies to address it, the importance of curcumin, and the research surrounding it.
Dr. Gupta and I will continue our conversation on our next podcast together. Stay tuned for part two!
IN THIS EPISODE, YOU WILL LEARN:
Dr. Gupta shares the personal experiences that motivated her to write The Inflammation Code
Environmental and lifestyle factors that contribute to the body’s inflammatory burden
Why inflammation can become more difficult to manage during the perimenopause and menopause transition
How the symptoms of normal aging could actually be signs of inflammaging
Dr. Gupta explains the Ayurvedic concept of Agni, or digestive fire, and shares ways to support digestion
Practical Ayurvedic ways to support regular bowel movements
How Dr. Gupta approaches gut and immune health after repeated antibiotic exposure
The Ayurvedic approach to diet differs from restrictive or extreme eating patterns.
The potential anti-inflammatory benefits of turmeric, curcumin, and other polyphenol-rich spices
How culinary turmeric differs from concentrated curcumin extracts
Bio:
Dr. Shivani Gupta is an Ayurvedic practitioner, turmeric researcher, and founder of Fusionary Formulas.
She holds a Master's degree in Ayurvedic Sciences and completed her PhD dissertation- specifically on turmeric making her one of the world's foremost experts on its pharmacology and clinical application.
She is the author of The Inflammation Code, published by Hay House, bridging ancient Ayurvedic wisdom with modern inflammation science. Dr. Gupta is known for making complex science accessible without dumbing it down — her work speaks equally to the everyday health-conscious woman and to clinicians who want to go deeper.
Connect with Cynthia Thurlow
Check out Cynthia’s website.
Submit your questions to [email protected]
Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.
Purchase Cynthia’s book, The Menopause Gut.
Cynthia’s Intermittent Fasting Transformation Book
Connect with Dr. Shivani Gupta
FusionaryFormulas.com - Use the code CYNTHIA for 15% off!
The Inflammation Code (Book Website)
Ep. 640 Cardiovascular Risk Markers in Midlife Women |Menopause, Perimenopause, Heart Health
Welcome to the latest Midlife Minute. Today, I’m answering listeners’ questions about cardiovascular risk, focusing on Lp(a), LDL, statins, and the changes women experience after menopause. Stay tuned for more! …
Shownotes
Welcome to the latest Midlife Minute.
Today, I’m answering listeners’ questions about cardiovascular risk, focusing on Lp(a), LDL, statins, and the changes women experience after menopause.
Stay tuned for more!
IN THIS EPISODE, YOU WILL LEARN:
Why women should have their Lp(a) checked both before and after menopause
How Lp(a) works as a risk enhancer, and how cardiovascular risk becomes more significant when elevated Lp(a) occurs alongside high LDL
Why family history is particularly helpful for women with a 10-year calculated cardiovascular risk that looks reassuringly low
I review the current guidelines for primary prevention
Why, even though research has shown reductions in major cardiac events with GLP-1s, GLP-1s do not replace statins for lowering LDL
What a CAC score can reveal about coronary artery calcification, and what it cannot detect
How AI-assisted CT angiography (such as Clearly) can map, quantify, and characterize plaque throughout the coronary branches
Connect with Cynthia Thurlow
Check out Cynthia’s website.
Submit your questions to [email protected]
Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.
Purchase Cynthia’s book, The Menopause Gut.
Cynthia’s Intermittent Fasting Transformation Book
References:
1. Lipoprotein(a) and Women's Cardiovascular Health: A Review. JACC. Advances. 2026. Michos ED, Saucier S, Mehran R, Koschinsky ML.Recent
2. Sex Differences of Lipoprotein(a) Levels and Associated Risk of Morbidity and Mortality by Age: The Copenhagen General Population Study. Atherosclerosis. 2022. Simony SB, Mortensen MB, Langsted A, et al.
3. Managing Atherosclerotic Cardiovascular Risk in Young Adults: JACC State-of-the-Art Review. Journal of the American College of Cardiology. 2022. Stone NJ, Smith SC, Orringer CE, et al.Review
4. Thirty-Year Risk of Cardiovascular Disease Among Healthy Women According to Clinical Thresholds of Lipoprotein(a). JAMA Cardiology. 2026. Nordestgaard AT, Chasman DI, Moorthy V, et al.RecentObservational
5. Lipoprotein(a).The Journal of the American Medical Association. 2025. Mora S, Kronenberg
6. Clinical Practice Guideline on Lipid Management for Cardiovascular Disease Risk Reduction.
Department of Veterans Affairs (2026). 2026. Paul Heidenreich, Lance Spacek, Neil Gregor, et al. Guideline
7. Lipoprotein(a) and Family History Predict Cardiovascular Disease Risk.
Journal of the American College of Cardiology. 2020. Mehta A, Virani SS, Ayers CR, et al.Observational
8. 2010 ACCF/AHA Guideline for Assessment of Cardiovascular Risk in Asymptomatic Adults: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Journal of the American College of Cardiology. 2010. Greenland P, Alpert JS, Beller GA, et al.Guideline
9. Prevalence and Prognostic Implications of Coronary Artery Calcification in Low-Risk Women.
The Journal of the American Medical Association. 2016. Kavousi M, Desai CS, Ayers C, et al.SR
10. Coronary Artery Calcium Scores and Risk for Cardiovascular Events in Women Classified as “Low Risk” Based on Framingham Risk Score: The Multi-Ethnic Study of Atherosclerosis (MESA). Archives of Internal Medicine. 2007. Lakoski SG, Greenland P, Wong ND, et al.Observational
11. 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Journal of the American College of Cardiology. 2019. Arnett DK, Blumenthal RS, Albert MA, et al.Guideline
12. HOPE for Rational Statin Allocation for Primary Prevention: A Coronary Artery Calcium Picture Is Worth 1000 Words. Mayo Clinic Proceedings. 2020. Orringer CE, Maki KC.Review
13. Summary of Updated Recommendations for Primary Prevention of Cardiovascular Disease in Women: JACC State-of-the-Art Review.
Journal of the American College of Cardiology. 2020. Cho L, Davis M, Elgendy I, et al.Review
14. Health Maintenance in Postmenopausal Women.
American Family Physician. 2025. Plesa M, Wong A, Katsaggelos E.Guideline
15. Semaglutide and Cardiovascular Outcomes by Baseline HbA1c and Change in HbA1c in People With Overweight or Obesity but Without Diabetes in SELECT.
Diabetes Care. 2024. Lingvay I, Deanfield J, Kahn SE, et al.RCT
16. Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes.
The New England Journal of Medicine. 2023. Lincoff AM, Brown-Frandsen K, Colhoun HM, et al.RCT
17. Long-Term Weight Loss Effects of Semaglutide in Obesity Without Diabetes in the SELECT Trial. Nature Medicine. 2024. Ryan DH, Lingvay I, Deanfield J, et al.RCT
18. Interventions for the Prevention and Management of Cardiometabolic Multiple Long-Term Conditions. Lancet. 2026. Valabhji J, Hope D, Sayed NE, et al.RecentReview
19. Glucagon‐Like Peptide‐1 Receptor Agonists and Major Adverse Cardiovascular Events in Patients With and Without Diabetes: A Meta‐Analysis of Randomized‐Controlled Trials.
Clinical Cardiology. 2024. Hosseinpour A, Sood A, Kamalpour J, et al.SR
20. FDA Orange Book. FDA Orange Book. 2026.
21. 10. Cardiovascular Disease and Risk Management: Standards of Care in Diabetes-2026.
Diabetes Care. 2026. American Diabetes Association Professional Practice Committee for Diabetes*.RecentGuideline
22. Premature Coronary Artery Disease in Women: Sex-Specific Risk Factors, Pathogenetic Mechanisms and Clinical Implications. Annals of Medicine. 2026. Li F, Hong D, Yang M, et al.RecentReview
23. Cardiovascular Disease Risk Factors in Women: The Impact of Race and Ethnicity: A Scientific Statement From the American Heart Association. Circulation. 2023. Mehta LS, Velarde GP, Lewey J, et al.Guideline
24. Preventing CVD in Women: Common Questions and Answers.
American Family Physician. 2023. Westfall E, Viere AB, Genewick JE.Review
25. Menopause Transition and Cardiovascular Disease Risk: Implications for Timing of Early Prevention: A Scientific Statement From the American Heart Association. Circulation. 2020. El Khoudary SR, Aggarwal B, Beckie TM, et al.Guideline
Ep. 639 Sunlight, Sleep, and Metabolism with Dr. John La Puma | Menopause, Perimenopause, Metabolic Health
I’m honored to connect with Dr. John La Puma today. Dr. La Puma spent three decades building the case that food, nature, and light are clinical tools, not just lifestyle add-ons. He was the first physician to …
Shownotes
I’m honored to connect with Dr. John La Puma today. Dr. La Puma spent three decades building the case that food, nature, and light are clinical tools, not just lifestyle add-ons. He was the first physician to complete a professional cooking curriculum, and he used that training to co-develop the first cooking and nutrition course taught in a U.S. medical school, a course now adapted across roughly 80% of U.S. medical schools. He later did the same thing for Nature, co-developing and teaching the first skills-based Nature as Medicine CME course for physicians with UCLA. His most recent work extends the same logic to the built environment, coining the phrase "digital obesity and indoor epidemic" to describe a specific underdiagnosed driver of modern fatigue tied to how little time people spend outdoors and how much artificial light and screen exposure they get instead.
In our conversation, Dr. La Puma discusses how we went from chefs' training to co-developing the first culinary medicine course; the indoor epidemic and digital obesity; how most people spend about 93% of their lives indoors; how light impacts bone health; and deep sleep metrics. We also explore how poor air quality can reduce cognitive performance, the significance of phthalate exposure and other endocrine-mimicking chemicals, and green dopamine. Dr. La Puma highlights the health benefits of gardening, explaining how it exposes us to microbes and stimulates serotonin. We also cover nervous system awe, movement, how forest bathing can boost your immune system while reducing inflammatory markers, how exercise can help us live longer, nighttime red light therapy exposure, sleep and recovery, and animal companionship as a health intervention.
Stay tuned for today’s interesting and highly informative conversation about lifestyle as medicine with Dr. John La Puma. I highly recommend his book, The Indoor Epidemic, with the actionable information it contains.
IN THIS EPISODE, YOU WILL LEARN:
Dr. La Puma shares his motivation for bringing nutritional science and cooking into his medical practice
How spending much of your life indoors can affect your nervous system, circadian biology, and metabolism
The value of morning light for supporting sleep and rebuilding bones during perimenopause, menopause, and andropause
How indoor air quality impacts cognitive performance
Dr. La Puma shares his approach to reducing exposure to chemicals from household cleaning products
The potential benefits of gardening and spending time with your hands in the soil
How intentional time outdoors can support sleep, mood, energy, and memory
A bright blue-white light at night may interfere with restorative sleep.
Animal companionship and how it can improve our health and wellbeing
Bio:
John La Puma, MD, ChefMD™ is a two-time New York Times bestselling author, board-certified internist, and professionally trained chef who pioneered Culinary Medicine. He now pioneers EcoMedicine from his small regenerative teaching farm. His upcoming book, Indoor Epidemic, reveals how spending 93% of life indoors steals sleep, focus, and years, and how reclaiming just 7% outdoors can restore them using the evidence-based Outdoor Rx framework. This is a clinically validated intervention, presenting nature as foundational medicine, an essential component of health and the missing pillar in optimizing longevity and healthspan.
Connect with Cynthia Thurlow
Check out Cynthia’s website.
Submit your questions to [email protected]
Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.
Purchase Cynthia’s book, The Menopause Gut.
Cynthia’s Intermittent Fasting Transformation Book
Connect with Dr. John La Puma
BONUS: Nutrient Deficiencies in Perimenopause with Julie Sawaya | Menopause, Perimenopause, Nutrition
This episode is another in our podcast series of conversations with highly vetted brands I feel confident recommending to my community. Today, I was delighted to connect with Julie Sawaya, Co-founder and Co-CEO …
Shownotes
This episode is another in our podcast series of conversations with highly vetted brands I feel confident recommending to my community.
Today, I was delighted to connect with Julie Sawaya, Co-founder and Co-CEO of Needed, a women's health company advancing nutrition standards across the mother span, from fertility through menopause. Julie holds a degree from Northwestern and an MBA from Stanford.
In our conversation, Julie and I discuss the silent epidemic of nutritional deficiency. We explore how oral contraceptives and food restriction can contribute to nutrient depletion, current RDA standards, and the impact of pregnancy, breastfeeding, the postpartum period, and perimenopause on women's nutritional needs. We examine the MTHFR SNP and its variants, explain how to read supplement labels and what pixie dusting is, and discuss why it's important to know your omega-3 index and how this can influence both food choices and supplementation. Julie also shares a "repletion, not restriction" reframe for midlife and discusses the policies and standards she would like to see improved, including updated recommendations for pregnant and breastfeeding women and a straightforward perimenopause RDA. We also discuss practical takeaways, including specific supplement recommendations and testing that may be helpful.
Stay tuned for another conversation you'll likely want to listen to more than once.
IN THIS EPISODE, YOU WILL LEARN:
How depleted food, environmental toxins, and normalized fatigue have contributed to the silent nutrient deficiency epidemic among women
How oral contraceptives can deplete key vitamins and minerals, and how pregnancy, breastfeeding, postpartum, and perimenopause increase women’s nutritional needs
What the current RDA standards were developed for—and how the research underpinning them largely excluded women of reproductive age
How symptoms and cycle changes can overlap between perimenopause and nutrient depletion
Nutrients that are essential for bone health, cognitive function, energy, nutrient absorption, and overall health during the menopause transition
Julie reviews the evidence surrounding MTHFR variants
What to look for on supplement labels
Why nourishing your body properly can support your metabolism more effectively than food restriction
How your omega-3 index can help you decide whether supplementation is needed
Julie shares practical recommendations for supporting your nutritional health during perimenopause.
Bio:
Julie Sawaya is the Co-Founder and Co-CEO of Needed, a women’s health company advancing nutrition standards across the motherspan—from fertility through menopause.
Julie earned departmental honors in Economics at Northwestern University for her work on nutritional access and her MBA from the Stanford Graduate School of Business. She is a frequent speaker and writer on women’s health and modern motherhood.
Julie is a trained nutritionist and a mother of three.
Connect with Cynthia Thurlow
Check out Cynthia’s website.
Submit your questions to [email protected]
Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.
Purchase Cynthia’s book, The Menopause Gut.
Cynthia’s Intermittent Fasting Transformation Book
Connect with Julie Sawaya
Ep. 638 Midlife Hormones and Peptide Therapy with Dr. Aleksandra Gajer | Menopause, Perimenopause, Hormone Health
Today, I’m thrilled to connect with Dr. Aleksandra Gajer. Dr. Gajer was previously an academic emergency medicine physician who pivoted after realizing ER medicine was functioning less as a place that saves …
Shownotes
Today, I’m thrilled to connect with Dr. Aleksandra Gajer. Dr. Gajer was previously an academic emergency medicine physician who pivoted after realizing ER medicine was functioning less as a place that saves lives and more as a place that manages chronic conditions that should have been caught and addressed years earlier. That observation led her to leave ER medicine and take over an established Northern Virginia internal medicine practice focusing on hormone optimization, peptide therapy, and preventative longevity-oriented care.
In our conversation today, we discuss how perimenopause is treatable and suffering through it is optional. Dr. Gajer explains how she manages body composition changes, weight loss resistance, bone health, and orthopedic-related complaints in midlife. We take a deep dive into the sourcing and research limitations of peptides, exploring healing peptides, growth hormone-promoting peptides, and thymic peptides, and also discussing immunosenescence, bioregulators, mitochondrial RNA-coded peptides, pheno age testing, and using low-dose ketamine, when appropriate, for mental health challenges.
Stay tuned for a fascinating conversation about the science and limitations of research on peptide therapies, and what Dr. Gajer is looking forward to in the near future.
IN THIS EPISODE, YOU WILL LEARN:
The health struggles Dr. Gajer experienced that led her to explore integrative therapies
Why women may wake up at 2 or 3 a.m. during perimenopause
How hormone changes in midlife can contribute to weight loss resistance
Why Dr. Gajer encourages women to have their bone mass assessed earlier than conventionally recommended
How declining estrogen and estradiol can contribute to orthopedic-related symptoms during perimenopause and menopause
What women need to understand about sourcing peptides and the limitations of peptide research
The different ways in which growth hormone-promoting peptides, thymic peptides, epitalon, and MOTC work
How GLP-1s can be helpful for midlife women beyond changing their body composition and assisting with weight loss
How Dr. Gajer uses low-dose ketamine lozenges for treatment-resistant anxiety and depression
Bio:
Dr. Aleksandra Gajer is a board-certified physician and founder of The Gajer Practice. In this precision and longevity medicine clinic, she helps high-performing patients optimize their healthspan through a whole-person, root-cause approach. Trained in emergency medicine at the University of Maryland and George Washington University, she brings rigorous clinical thinking to hormone optimization, peptide therapy, metabolic health, and gut healing. Her own journey through Lyme, alongside more than twenty years of contemplative practice, shapes her belief that emotional and spiritual health underlie physical wellness. A recurring Fox 5 DC health expert with more than fifty podcast appearances, she is also building physician education around the responsible, evidence-based use of peptides.
Connect with Cynthia Thurlow
Check out Cynthia’s website.
Submit your questions to [email protected].
Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.
Purchase Cynthia’s book, The Menopause Gut.
Cynthia’s Intermittent Fasting Transformation Book
Connect with Dr. Aleksandra Gajer
Ep. 637 HRT Dosing: Absorption, Timing, and Lab Testing |Menopause, Perimenopause, Hormone Replacement Therapy
Welcome to this week’s Midlife Minute episode. Today, we’re diving into listener questions about HRT dosing and the confusion surrounding administration. We explore several key themes, including absorption …
Shownotes
Welcome to this week’s Midlife Minute episode.
Today, we’re diving into listener questions about HRT dosing and the confusion surrounding administration. We explore several key themes, including absorption issues, lab draws, and cycling versus daily continuous dosing. I also compare oral progesterone with vaginal and transdermal progesterone.
Stay tuned for more!
IN THIS EPISODE, YOU WILL LEARN:
The estradiol dosage range I prefer, for bone protection
How heart disease risk can influence the route you select for HRT
I clarify the “start low and slow” approach to HRT dosing
Why women with uteruses need progesterone when taking estrogen
Why HRT dosing can become more complicated during perimenopause
How FDA-approved bioidentical hormones differ from compounded preparations
Various factors to consider when using an estradiol patch
Alternative routes of administration for women who feel unwell when taking progesterone orally
How providers can safely transition women from transdermal estradiol patches to other options
Connect with Cynthia Thurlow
Check out Cynthia’s website.
Submit your questions to [email protected]
Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.
Purchase Cynthia’s book, The Menopause Gut.
Cynthia’s Intermittent Fasting Transformation Book
Research:
Please visit https://www.cynthiathurlow.com/podcast for research.
Ep. 636 The Partner's Guide to Midlife Marriage with Todd Thurlow | Menopause, Perimenopause, Relationships
We have an extra-special podcast today with my husband, Todd, where we answer many listeners' questions about our relationship, how we met, and our shared interests. In this episode, Todd and I discuss ways to …
Shownotes
We have an extra-special podcast today with my husband, Todd, where we answer many listeners' questions about our relationship, how we met, and our shared interests.
In this episode, Todd and I discuss ways to support your partner through perimenopause and menopause, the importance of shared interests and connections, and why communication is essential in midlife relationships. Todd shares his views on fatherhood and marriage, how physical activity and food are integral to our relationship, and the empty-nest/open door season of our lives. He also describes his own health and daily lifestyle, the bigger picture in our relationship, and we share some lighthearted and fun discussions.
I love the interest this topic has generated, and I truly hope you and your significant other will find it an invaluable conversation about navigating midlife as a couple.
IN THIS EPISODE, YOU WILL LEARN:
What Todd came to understand about my perimenopause to menopause experience
How education and communication can help couples navigate the menopause experience
The changes Todd has noticed in my personality since my 30s
How our shared values have influenced our business decisions
What Todd values most about being a husband and father
How, over time, Todd came to understand more about my childhood experiences and appreciate how I focused on creating a different environment for our children
How the prospect of having both boys leave home is affecting us, both as individuals, and as a couple
How Todd’s approach to his health has changed due to my influence
What Todd believes men should understand as their partners navigate the perimenopause-menopause transition
Connect with Cynthia Thurlow
Check out Cynthia’s website.
Submit your questions to [email protected]
Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.
Purchase Cynthia’s book, The Menopause Gut.
Cynthia’s Intermittent Fasting Transformation Book
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