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142: Understanding hormones, movement and perimenopause with endocrinologist Dr Nicky Keay


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In this episode of the Hotflash inc Podcast, Ann Marie McQueen speaks with Dr Nicky Keay, a medical doctor specializing in exercise endocrinology. With a career dedicated to understanding how lifestyle, nutrition, and movement impact hormones, Dr Keay brings a unique perspective to perimenopause, menopause, and female hormone health.

Dr Keay is the author of Hormones, Health, and Human Potential and editor of the anthology Myths of Menopause. She also serves as an Honorary Clinical Lecturer at University College London and is a medical advisor to the Scottish Ballet.

Highlights include:
- The "hormone orchestra" analogy and why balancing all hormones – not just estrogen – is key to long-term health.
- Why perimenopause is like The Odyssey, filled with challenges but also opportunities for growth.
- The myths of menopause, including how social media sirens influence women’s decisions. (She explains)
- How exercise, nutrition, and sleep impact hormonal balance during perimenopause and menopause.

Key highlights from this episode:
-
Understanding the hormonal orchestra – and why balance is key.
- How perimenopause is like the teenage years – but in reverse.
- Why mindset matters – your thoughts can literally impact your hormone levels.
- The best exercise approaches for hormonal health at different life stages.
- The truth about testosterone – who really needs it?
- Why HRT should be personalized – and the problem with "one-size-fits-all" hormone prescriptions.
- The progesterone debate – why it’s necessary even after a hysterectomy.

Thank you to our sponsor Timeline Nutrition
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The Hotflash inc Podcast is one of the Top 60 Menopause Podcasts

Connect with Dr Nicky Keay:
Website: www.nickykeayfitness.com
Instagram: @drnickykeay
X: @drnickykeay
Books: Hormones, Health, and Human Potential and Myths of Menopause (Editor)

"Your hormones aren’t your enemy – they are your greatest tool for health and vitality. Learn to harness them, not fear them."  Dr Nicky Keay


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