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Your metabolism is broken. You need to stop eating carbs. All weight gain is bad! If you’re a woman in menopause, you’ve been on the receiving end of a steady stream of overwhelmingly negative messages about your midlife body. Many of them are simply not true. That’s why we wanted to have a more nuanced conversation about the body composition changes many of us experience during this time of life....

Wear and tear on our active joints is inevitable, and the menopause transition can make them more vulnerable. But there are some simple, and often overlooked, ways to support our joint health that include proper nutrition, recovery, strength and mobility practices, footwear and more, which can help us stay active and pain free through and beyond menopause. This week we break it all down with sport...

Women’s sexuality, especially older women’s, is often overlooked or dismissed by the medical system. When men get procedures that may impact their erections, they’re informed. When women get treatments that may affect their ability to have an orgasm? Crickets. Too few women’s doctors talk about women’s sexual satisfaction, including how well their clitoris is responding or if they’re having orgasm...

From being burned as witches to being barred from attending medical school, from being dismissed as hysterical to well, just being dismissed, from being shamed to being sexualized, the medical system has a long, sordid history in how it treats women and women’s health. And those toxic roots still poison the waters we have to navigate to this day. If you’ve ever wondered why we’re so far off the ba...

We wrap up heart health awareness month with one topic that comes up a whole lot in our community–cholesterol. We hear from scores of athletic, active women who have had perfectly fine lipid levels their whole lives only to see them shoot up, often dramatically, at menopause. If you’re one, you’re not alone. This week we take a deep dive into all things lipids, including what they are, what influe...

For years, hot flashes and night sweats (aka vasomotor symptoms) were considered just a “bothersome” part of being a menopausal woman: we were to wear layers, buy a fan, and soldier on. Then researchers started making some troubling connections between vasomotor symptoms and chronic disease. This week’s guest, Dr. Rebecca Thurston, is one of those investigators whose work shows that women with sev...

Whether you run, lift, or ride (and especially if you ride), an otherwise great workout can be wrecked by a painful vulva. And lots of issues can crop up during and beyond the menopause transition that can cause pain, discomfort, and even damage to your vulva and vaginal tissues. We address them all this week with Rochelle Bernstein, MD, of Purely Menopause, who focuses her OB/GYN practice on wome...

Mirna Valerio, aka the Mirnavator, has never shied away from adversity. As a Black woman in a larger body who is also an ultrarunner, she’s endured her share of harassment and ridicule, both online and in real life. But despite some people trying to put her down, she’s devoted her life to lifting others up, showing those like herself what’s possible, which, for her, includes 11 marathons, 15 50K+...

As women who’ve grown up steeped in diet culture, we often give away our agency to books, apps, and strict food rules rather than trusting ourselves to know what to eat and what our bodies need. During menopause, when our bodies are changing, we can doubledown on those rules, making life harder. This week we talk about ditching diets and restrictive rules and using our knowledge and intuition to f...

As active, athletic women, we know ourselves better than anyone. We know our pace, our power, and our mindset for training and competing. Perimenopause can make all of that change out of the blue. It can rob us of our confidence and knock us off our game, just when we feel like we’re really hitting our stride. Elite cyclist and coach Jill Patterson, 42, lived that reality for months, wondering if...

The New York Times recently called Ozempic a “new match for menopausal weight gain”. But is it? These drugs can be a godsend for those who need them. But there's a lot we need to understand. How do they work? How well do they work? Who benefits from them? What are their risks? What impact do they have on muscle, bone, and performance? How do they affect training and racing? We dig into all of that...

Most women don’t expect menopause symptoms to start until age 50. Neither do many of their healthcare providers. That’s a problem because, as this week’s guest Nina Coslov’s research shows, women can actually start experiencing symptoms associated with menopause during their late reproductive years before their periods become noticeably irregular and they’re officially in perimenopause. Yet when t...

As we roll into a brand new year filled with goals and aspirations, this week’s guest, fan-favorite Peloton Cycling instructor Christine D’Ercole would like to remind us that we are bigger than a smaller pair of pants, and the most powerful thing anyone can say to us is what we say to ourselves, and we have agency in that conversation. Now 52, Christine has started using her enormous platform to s...

This episode originally dropped on May 24, 2023. I’m too old. Nothing works for me. My best days are behind me. I just have to live with (fill in the blank). I’ll never feel better. When we’re really going through it, it can be easy to slip into a personal cave of limiting beliefs that can conspire to keep us there in the cold and dark. But where do these beliefs come from? Are they even true? Wha...

This episode originally dropped on April 5, 2023. What does it mean to be fit? Deadlifting your body weight? Running a 10K? Doing an Ironman? Most of our notions about fitness spotlight the big thing we want to do while glossing over all the smaller, equally important, but less “sexy” stuff like joint mobility, breathing practices, balance, and nutrition it takes to get you there strong and injury...

As active women, we’re so used to our bodies being considered “other” or “less than” in health and fitness media, we barely notice it. Our bouncing breasts are a problem. Our wide hips are a problem. Our periods, boy oh boy, big problem. And when we hit perimenopause and menopause? Well, until very recently nobody even bothered talking about us…especially exercise physiology researchers, who, as t...

Women generally talk about what they see and feel during menopause. Symptoms like hot flashes, joint pain, and vaginal dryness grab our attention while our bone density silently slips away. Women can lose up to 20% of their spinal bone mass through the menopause transition. Thirty-five to 50 percent of women have low bone mass by age 50. Your lifetime risk of having a hip fracture is higher than b...

A few years ago, elite Canadian runner Sasha Gollish started experiencing some symptoms that had her wondering what the hell was up with her body—crime scene (or as she called them firehose) periods, strange memory lapses, times in races when her legs were flailing and her muscles were not responding the way they typically would as she struggled to find her stride. She wondered if she was sick. As...

Women in menopause get a lot of nutrition and fitness advice. Some of it is sound. Some less so. Quite a bit of it is downright predatory. That is why the best nutrition and fitness advice for menopausal women is often not about grams of protein or hours of exercise, but rather a hard look at our own attitudes and beliefs about how we eat (or don’t eat) and move our bodies. What narratives form ou...

We exercise and train for hours each week (and sometimes each day) to build our physical fitness. We work on our mental toughness. But how much time do we devote to our spiritual fitness? To exercising our soul? For many of us it’s not so much. And we can suffer for it, getting lost, sad, and stuck, especially during menopause and midlife when we can find ourselves looking around going, “Is this i...

Tummy tucks, insomnia, hormonal headaches, training post breast cancer, anxiety-calming supplements…you had some questions! And we have some answers! This week we dig back into the Speakpipe voicemail box and address your questions regarding menopause-related concerns and performance with host Selene Yeager. We are not medical professionals, of course, so this is not a substitute for medical advic...

Fasting is often recommended as a solution to the metabolic health and weight management challenges menopausal women face. And while it can be an effective health tool when done properly, there are numerous pitfalls that active women can encounter when layering the stress of fuel restriction on top of other stress in their lives. This week we break it all down with autoimmune and precision medicin...

When we reach menopause and midlife, we’re sometimes leery of trying new things. We don’t want to embarrass ourselves. We feel afraid. We don’t want to get hurt. Whether hormonal, societal, or a blend of both, we can easily succumb to the urge to stay on the sidelines. But the real magic happens when you jump (maybe literally) into something new, especially an activity that builds skill, confidenc...

Millions of women will tell you they feel like their muscle disappeared overnight once they hit the menopause transition. It may not technically happen in a 24 hour period, but muscle tissue really does slip away quickly over the perimenopause period. That’s a problem because muscle is our metabolic engine and helps us live, play, and perform our best. This week, we sat down with exercise scientis...

We’ve been fed a narrative that you can’t get faster after a certain age. We used to say 40. Definitely not after 50. Could you possibly get faster after 60? This week’s guests say, “Why not?” When it comes to women in midlife and menopause, we’re more active than ever. We also know more, have better coaching, and have more information at our disposal. This week, during a special educational sessi...