The menopause transition can leave a minefield of body image issues in its wake. Some research shows that as few as 12 percent of us are satisfied with our bodies at this time of life. That’s a problem, as poor body image is also linked to mental health issues like depression. We can’t wave a magic wand and make them go away, but we can equip ourselves with tools to make them a whole lot better. This week we build that toolbox with menopause fitness expert Maria Luque, PhD.

Maria is a fitness expert, health science professor, writer, and self-described menopause nerd with over 20 years of experience. She’s the creator of Fitness in Menopause, a company dedicated to helping women navigate the challenges and rewards of menopause. Her course “Menopausal Fitness: Training the Menopausal Client” is a NASM, AFAA, and ACE- accredited continuing education course for fitness professionals. She holds graduate and post-graduate degrees in health sciences and teaches at the College of Health and Human Services at TUI. You can learn more about Maria and her work at https://www.fitnessinmenopause.com/

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Hot flashes. Sleepless nights. Mood swings. Divorce. The challenges of menopause and midlife came raining down on this week’s guest, Karen Duff, just a few years after she’d taken up mountain biking and was ascending the ranks quickly with her sights set on world-class competitions. She shares how she persevered through training, racing, and community and ended up getting 2nd place in the women’s division at Israel Epic mountain bike stage race the year she turned 50, and 2nd in her age group at the British Columbia Bike Race at 52.

In addition to her racing, Karen is a personal training specialist, a certified mountain bike and skills and tactics instructor, and a brand ambassador for Specialized, Skratch Labs, and 9Point8. Karen is passionate about helping women thrive during the changes associated with menopause. Her workout programs include HIIT, weights, and core, along with guidance and support to help her clients maintain sanity and strength and reach the summit of the menopausal mountain while enjoying the ride. You can learn more about Karen and her work at her training business’ website: www.Fit4Adventure.ca 

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

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

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Menopause is not the end of the line. It is not a “deficiency.” It’s a transition to the next phase of your life–a phase that can be positive, empowering, and powerful. But first, we need to understand what menopause really is; what is happening hormonally during this time, and how it is affecting literally every cell in our bodies. That’s where Dr. Stacy Sims and her upcoming book Next Level: Your Guide to Kicking Ass, Feeling Great, and Crushing Goals through Menopause and Beyond comes in. Next Level shines a light on every aspect of menopause and helps performance-minded women work with their changing physiology to optimize performance. We talk about Stacy’s goals for this book to create an active, positive menopause movement and how we can all foster an empowering culture so menopausal women can keep stepping up to starting lines, trying new things, and thriving in their lives.

 

Stacy T Sims, Ph.D., is an international exercise physiologist and nutrition scientist who aims to revolutionize exercise nutrition and performance for women. She has directed research programs at Stanford, AUT University, and the University of Waikato, focusing on female athlete health and performance. Her first book, ROAR, challenged the existing dogma for women in exercise, nutrition, and health. This paradigm shift is the focus of her famous "Women Are Not Small Men” TEDx talk. She is the creator of the popular Menopause for Athletes course and author of Next Level. You can learn more about the book and pre-order a copy at www.feistymenopause.com/nextlevelbonus

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Your muscles and connective tissues can get “stickier” and feel stiffer during the menopause transition, and you can find yourself with more aches and pains and niggles than you had before. Massage therapy can help with that. But the benefits don’t end with your muscles. Massage is also good for the menopausal mind. It activates your parasympathetic nervous system to lower cortisol and anxiety. It also can provide a safe space for you to release past trauma, reconnect your physical and emotional self, and let your body rest in a totally safe environment. We talk all that and more this week with massage therapist Rosemarie Rotenberger. 

Rosemarie is a Licensed Massage Therapist for 22 years. Her Olympic and World Champion clients span several continents and have competed in every summer Olympics since 2004. She has crewed for the Race Across America (RAAM) record holding team twice. Her work engages both the physical and emotional challenges of higher level sport. She has taught in both entry level and advanced orthopedic massage programs and served on national advisory boards. 

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

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

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In the year and a half since we started this podcast, many women have gone from being afraid to take hormone therapy to being afraid not to take hormone therapy, as some in the menopause field are saying that menopause is really a “hormone deficiency” and we can’t age well without it. This week we dive in on what hormone therapy is; what it can do (especially for performance and health); what it can’t do, and what we’re still learning about all of it with Dr. Carla DiGirolamo.

Carla is a Double Board Certified Reproductive Endocrinologist and Obstetrician/Gynecologist specializing in infertility and menopausal medicine. She is also a Crossfit Level 1 trainer, Certified Nutrition Coach, and member of CrossFit Health. She runs an online personal training and nutrition coaching business, FitforLifeMD, specializing in the care of women in all age groups, but with a special interest in the comprehensive care of peri/postmenopausal women. She also writes a regular blog on Athletic Aging. Carla has the distinction of being the only repeat (and now threepeat!) guest on Hit Play Not Pause.

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Kirsten Lewis, at the age of 57, just ran her fastest 5K time–post-menopause, less than two years after she was ready to hang up her racing shoes and walk away from it all while in the throes of the menopause transition. She credits feeling stronger, happier, more grounded, and winning her age group in recent sprint and Olympic distance triathlons to the process of “rewilding menopause”: going back to the roots of what it means to be a woman in menopause; going back to her own roots; and stepping into her power. Now she wants to share her “shero's journey” with others who are feeling like menopause is the end of the line for their athletic lives.

Kirsten is a former Wall Street executive, a triathlete, and triathlon coach. She has a degree in photojournalism and is now using her words and images to tell her story of how rewilding has guided her to thrive. She is making it her mission to help women in midlife and beyond step into their personal power and create their new possible. You can learn more about her and her work at https://kl.life/ and on Instagram.

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

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

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Whether you’re training for a tri, into CrossFit, or just want to be strong for life, barbells are the most effective way to get full-body strong in very little time. Barbell lifting also builds bone and muscle, improves stability and mobility, and makes you feel like a complete badass. This week we talk all about why barbells are the best training medicine and how to get started with coach and competitive strength and rowing athlete, Cassi Niemann.

Cassi is a Barbell Medicine Coach and the lead UCanRow2 Master Rowing Instructor with Concept2. She has certifications as a Precision Nutrition Level 1 coach and as a Pregnancy & Postpartum Athleticism Coach. She trains clients online around the world and in-person at Iron Soul Gym in Albuquerque, New Mexico. She is also the co-host of More Female Strength Podcast. You can learn more about her at www.cassiniemann.com

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