The SavvyCast

Intrusive thoughts and OCD are often misunderstood—and OCD is sometimes reduced to a joke about being organized or particular. In reality, obsessive-compulsive disorder can be debilitating, and getting the right diagnosis and treatment matters.

In this episode, I'm joined by mental health counselor Tyler Palmquist to talk about intrusive thoughts and OCD, what compulsions can look like, and why some common anxiety strategies may actually reinforce the OCD cycle. Tyler explains exposure and response prevention (ERP), the evidence-based treatment he uses with clients, and shares practical guidance for finding qualified help. We also discuss how OCD can affect children and adults, how loved ones can support someone without strengthening compulsions, and how faith and professional counseling can work together. If you or someone you love feels trapped by intrusive thoughts, checking, reassurance-seeking, or rituals, I think this conversation will bring clarity, hope, and encouragement.

• Why casually saying "I'm so OCD" misses how disruptive and debilitating OCD can be

• The difference between obsessions, compulsions, and the safety behaviors that keep the OCD cycle going

• How OCD differs from generalized anxiety—and why repeated reassurance can sometimes make symptoms worse

• Common OCD themes, including checking, contamination, relationship fears, harm, scrupulosity, and taboo intrusive thoughts

• How OCD may appear in children and adults, and why symptoms can change or intensify during different seasons of life

• What exposure and response prevention (ERP) involves and why practice between therapy sessions matters

• How family members can offer compassionate support without reinforcing compulsions

• How diagnosis, medication, therapy, faith, and collaboration between providers can work together

• Where to find an ERP-trained therapist and what to know about virtual counseling and state licensure

• Tyler Palmquist and Trinity Counseling
• Get Started with Trinity Counseling
• International OCD Foundation: Find Help
• International OCD Foundation: How Do I Find Help for OCD?
• NOCD Therapist Directory

If this episode encouraged you, I'd love for you to take a few minutes to rate and review The SavvyCast! It means so much to me, and it helps more women find these conversations and resources.

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How Mental Health Can Be Managed for a Full and Productive Life

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A Licensed Therapist Shares Practical Advice on Navigating Grief

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For as long as I can remember, overactive bladder controlled my schedule. I was making 20 to 30 trips to the bathroom a day, planning travel around restroom stops, and constantly interrupting everyday life. I had no idea there was a treatment that might give me meaningful relief.

In this episode, I'm joined by my urogynecologist, Dr. Brent Parnell, and registered nurse Renee Renier to talk about Axonics sacral neuromodulation therapy—the treatment that has changed my life. Dr. Parnell explains how sacral neuromodulation for overactive bladder helps restore communication between the brain, bladder, and bowel, while Renee shares her own experience with overactive bowel and how the therapy transformed her quality of life.

We walk through who may qualify, what the temporary trial is like, how the permanent device is implanted and programmed, the differences between rechargeable and recharge-free options, and what patients should know about exercise, travel, MRIs, and long-term follow-up. We also discuss urinary retention, bowel incontinence, bladder Botox, and why stress incontinence requires a different type of treatment.

If bladder or bowel symptoms are ruling your days—or if you have been too embarrassed to ask for help—I hope this conversation reminds you that you are not alone and encourages you to speak honestly with a qualified healthcare provider about your symptoms and goals.

IMPORTANT MEDICAL DISCLAIMER AND GUEST DISCLOSURE

Important Disclaimer: This podcast episode is provided for educational and informational purposes only. The content is not intended to and should not be construed as medical advice, diagnosis, treatment, or prevention of any disease, condition, or health concern. Nothing in this podcast establishes a doctor-patient relationship between the guest and any listener. The information shared is general in nature and reflects the guest's professional knowledge, but it is not a substitute for professional medical advice tailored to your individual circumstances, evaluation by a licensed healthcare provider, or personalized medical care. The guest, podcast host, and podcast team/producers are not liable for any diagnosis, treatment undertaken, or medical decisions made based on information shared in this episode. Nothing in this episode should be construed as medical advice. The information shared reflects general knowledge and is not a substitute for personalized medical care or a doctor-patient relationship.

Dr. Brent Parnell has not been compensated for his participation in this interview. He is a paid consultant for Boston Scientific Corporation.

• How Jamie's overactive bladder led to 20 to 30 bathroom trips a day and affected travel, intimacy, and everyday life
• What sacral neuromodulation is and how it may improve communication between the brain, bladder, and bowel
• The symptoms Axonics therapy is designed to address, including urinary urgency and frequency, urge incontinence, bowel incontinence, and non-obstructive urinary retention
• Why overactive bladder and bowel symptoms are not limited to older women
• Renee's experience with severe bowel urgency and how her life changed after receiving the device
• What patients can expect during the temporary trial and how providers determine whether someone is a responder
• How the permanent implant is programmed, adjusted, charged, and managed over time
• The differences between rechargeable and recharge-free Axonics systems
• What patients should know about exercise, sex, travel, airport screening, and MRI-conditional requirements
• How sacral neuromodulation differs from bladder Botox and why neither treatment is considered a permanent cure
• Why Axonics therapy does not treat stress urinary incontinence and how options such as Bulkamid or a sling differ
• Dr. Parnell's advice for walking into a urogynecology appointment with clear, specific quality-of-life goals

• Axonics Sacral Neuromodulation Therapy — Patient Overview
• Find a Doctor Familiar with Boston Scientific Incontinence Therapies
• Axonics Patient Resources
• Axonics Important Safety Information
• Dr. Brent Parnell — Alabama Center for Urogynecology and Pelvic Pain
• Alabama Center for Urogynecology and Pelvic Pain
• Bulkamid Urethral Bulking System

If this episode encouraged you, I'd love for you to take a few minutes to rate and review The SavvyCast! It means so much to me, and it helps more women find these conversations and resources.

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How Pelvic Floor Physical Therapy Can Help Interstitial Cystitis with Hannah Clement

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Women's Health Q&A with OBGYN Dr. Justin Aldred

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What if the difficult parts of marriage aren't merely problems to solve, but opportunities to grow?

In this episode, I'm joined by my husband, Zane, for an honest conversation about how marriage builds character, strengthens faith, and reveals things about us that we may not see on our own. This topic came from a lesson Zane prepared for the young married couples in our small group, and I'll be honest—these deep, reflective conversations don't always come naturally to me!

After nearly 39 years of marriage, we've learned that marriage isn't only meant to make us happy or comfortable. It can also become one of the greatest places for God to expose our blind spots, strengthen our character, teach us forgiveness, and help us become more loving, faithful, and self-aware people.

We talk about anger, people-pleasing, keeping score, unresolved wounds, personality differences, and the places where we've stopped pursuing each other's hearts. We also share why understanding your spouse's personality can create more compassion without becoming an excuse to avoid growth.

This is a deeper conversation, but whether you're newly married or decades into your relationship, I think it will challenge you to see your spouse—and yourself—with fresh eyes.

• What Zane means when he asks whether marriage can become a path to righteousness
• Why marriage reveals parts of our character that other relationships may never expose
• The small-group rule that keeps couples from blaming, fixing, defending, or speaking for their spouse
• What recurring conflicts may reveal about the areas where God is asking us to grow
• Jamie's honest struggle with anger and the hurtful words that can surface during conflict
• How Zane's people-pleasing has sometimes come at Jamie's expense
• Why curiosity matters and how familiarity can cause us to stop pursuing our spouse's heart
• How Jamie and Zane have navigated questions and uncertainty surrounding Zane's faith journey
• What happens when we withhold love, keep score, or wait for our spouse to change first
• Why unresolved wounds sometimes need to be revisited, even when one spouse would rather move forward
• The difference between helping your spouse grow and trying to become your spouse's Holy Spirit
• How personality tools can create greater understanding, grace, and self-awareness in marriage
• The one way Jamie and Zane each want to love the other differently in this season

• The Meaning of Marriage by Timothy and Kathy Keller
• Sacred Marriage by Gary Thomas
• The Enneagram Institute
• The Myers & Briggs Foundation

If this episode encouraged you, I'd love for you to take a few minutes to rate and review The SavvyCast! It means so much to me and helps more people find these conversations and resources.

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The Marriage Check-In That Reveals More Than You Expect

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38 Years of Marriage: What We Got Right (& What We'd Do Differently)

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Your spouse may have received your best while you were dating, but is your marriage now getting whatever is left after work, children, commitments, technology, and everyone else?

In this episode, I'm joined by my husband, Zane, to talk about how to protect your marriage before disconnection turns into a crisis. After 38 years of marriage and eight years of leading a small group for young married couples, we've seen how easily good things can begin competing with the relationship that should be receiving our best.

We're getting honest about our own independent tendencies, the areas where we still need to improve, and the boundaries every couple should consider around calendars, children, technology, outside relationships, parents, and in-laws.

Whether you've been married for two years or forty, I hope this conversation encourages you to identify one boundary you can strengthen this week so your spouse feels chosen—not simply given what is left over.

• Why your marriage should receive your best instead of whatever is left after work, children, friends, church, and other commitments
• Why Zane believes your marriage should have veto power over your calendar
• The importance of consulting your spouse before making major commitments, purchases, or travel plans
• What our experience with buying a farm taught us about independent decisions in marriage
• Why couples should protect their mornings and evenings together, and how to stay mindful of phones, extra work, and busy schedules that creep in
• Why a child-centered home can unintentionally push your marriage aside and how prioritizing your spouse gives children security
• The boundaries couples should consider with friends, coworkers, coaches, pastors, and other outside relationships
• Why transparency with phones, passwords, texts, business travel, alcohol, and private conversations matters
• How emotional and physical affairs can begin slowly and why couples need safeguards before temptation arises
• Why couples should continue practicing the curiosity, affection, and fun that brought them together
• How a weekly 15- to 20-minute marriage check-in can uncover concerns before they become a crisis
• How to set united boundaries with parents and in-laws around holidays, family gatherings, and other expectations
• The reflection questions that can help you choose one marriage boundary to strengthen this week

• Genesis 2:24
• A Life Update: The Story Behind Our New Lake Home
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If this episode encouraged you, I'd love for you to take a few minutes to rate and review The SavvyCast! It means so much to me and helps more people find these conversations and resources.

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The Marriage Check-In That Reveals More Than You Expect

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38 Years of Marriage: What We Got Right (& What We'd Do Differently

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After receiving so many questions about my skincare routine and beauty procedures in midlife, I decided it was time to share everything!

In this solo episode, I'm walking you through the beauty treatments I've invested in over the years from veneers and a mommy makeover to a conservative facelift and CO2 laser treatment. I'm also sharing the professional treatments and at-home products I use now to maintain those results.

Of course, beauty is not the most important thing in life, and this episode is not a routine you need to copy. Instead, this is simply an honest look at the beauty treatments that have worked for me, what I continue to spend money on, and what I believe has made the biggest difference.

Whether you're curious about injectables, microneedling, collagen, LED masks, or self-tanner, I hope you'll come away with some very savvy beauty tips!

• Why getting veneers in my thirties was one of the most dramatic beauty decisions I've ever made
• What you should know about preserving your natural teeth before getting veneers
• Why I chose to have a breast lift, breast reduction, and tummy tuck at 55
• Why I decided to have an endoscopic facelift and CO2 laser treatment at 57 & what the recovery was really like
• The reason I declined a brow lift and eyelid surgery
• Why I choose professional microneedling two or three times a year
• How often I receive Dysport or Xeomin and why I use very little filler
• The professional beauty services I won't attempt at home
• How collagen and Nutrafol have affected my hair, skin, and nails
• Why I use my CurrentBody LED mask for ten minutes every morning
• The skincare ingredients I use consistently, including vitamin C and retinoids
• My very honest (and painful) first experience with Brazilian sugaring

• Brookwood Dental Care — Dr. Paul Barganier
• Reveal Beauty — Dr. Michael Clinton
• Elite Skin — Dr. Jo Herzog
• MyRainBerry — Jamie's microneedling provider

• The Peachie Spoon Collagen (Use code FAMILYSAVVY for a special discount!)
• Nutrafol Women's Balance
• Nutrafol Vegan Formula
• CurrentBody LED Light Therapy Face Mask - New Series 3 Mask (Use code FAMILYSAVVY for 10% off!)
• CurrentBody LED Light Therapy Face Mask - Series 2 (Use code FAMILYSAVVY for 10% off!)
• Barefaced Polishing Pads
• Coco & Eve Sunny Honey Self-Tan (Use code JAMIET15 for 15% off!)

If this episode encouraged you, I'd love for you to take a few minutes to rate and review The SavvyCast! It means so much to me and helps more women, just like you, find the show!

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My Mommy Makeover: Why I Did It and How It Turned Out

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My Morning Wellness Routine: Coffee, Collagen, Creatine, Protein & More

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Before you say "I do," there are some important financial questions to ask before marriage and avoiding them now can lead to painful surprises later.

In this episode, I'm joined by my husband, Zane, to talk through the money conversation every engaged or newly married couple needs to have. After nearly 39 years of marriage and years of counseling couples together, we've seen how deeply money can affect trust, unity, peace, and even the spiritual health of a marriage.

We're getting honest about debt, separate vs. shared accounts, financial transparency, saving, investing, and the money stories we each bring from childhood. We also share what worked for us, what we learned the hard way, and why Zane believes living on less than you earn is one of the most important financial habits a couple can build.

Whether you're dating, engaged, newly married, or simply ready to have a healthier conversation about money with your spouse, I think this episode will give you plenty to talk about together!

• Why you're not only marrying a person, you're also marrying their financial habits
• The financial questions every couple should answer before getting married
• Why full honesty about credit, debt, spending, income, and family obligations is essential to financial intimacy
• "Our money" vs. "my money": how couples' shared accounts work differently than separate business accounts
• Why living on less than you earn is the financial principle Zane considers non-negotiable
• How to decide together which expenses are essentials and which are luxuries
• Why saving early matters so much and how compound growth rewards time
• The importance of contributing to a workplace retirement plan and taking advantage of an employer match when available
• How each spouse's upbringing can shape fear, security, expectations, and conflict around money
• Why couples need to define what "enough" means before the pursuit of more becomes endless

• Die With Zero: Getting All You Can from Your Money and Your Life by Bill Perkins
• Investor.gov Compound Interest Calculator
• IRS Information About 401(k) Plans
• IRS Information About Roth IRAs
• Official Trump Accounts Information

If this episode encouraged you, I'd love for you to take a few minutes to rate and review The SavvyCast! It means so much to me and helps more people find these conversations and resources.

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How We're Investing in Our Grandchildren: Trump Accounts, 529s, & Family Traditions

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The Marriage Check-In That Reveals More Than You Expect

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You've found the house you love, but have you thought about what it will cost to furnish it? From sofas and beds to drapery and delivery fees, there's a lot more to plan for than most of us realize!

In this episode, I'm joined by Ellie Stein of Stein Studio, the talented interior designer who helped bring our lake home to life. We're talking honestly about the cost to furnish a home with quality pieces that will last, where it makes sense to invest, and where you can save without giving up a beautiful, pulled-together look.

We're using our lake home as a real-life example, walking through everything from our TWOPAGES drapery and Quince bedding to the art, rugs, and custom touches that made it feel like home. From there, Ellie shares how to layer color and texture for a collected, timeless look.

Whether you're furnishing a new home or simply refreshing a room, I think you'll come away with some very savvy ideas!

• What it really costs to furnish a home with a designer, plus the delivery, freight, tax, and design fees that are easy to overlook
• Where Ellie recommends saving, splurging, and finding a middle ground (with real examples from our lake home)
• Why we love our Rowe sofas and recliners, and which other pieces Ellie believes are worth the investment
• How we got a custom look for less with TWOPAGES drapery and Quince bedding
• Ellie's rug-sizing rule and how we mixed different rug sources throughout the house
• Where to find quality wood furniture for less, including secondhand pieces
• How to mix artwork, family photos, and mirrors so your home feels cohesive
• How layers of color, texture, and timeless pieces create a collected look (and the decorating habit that can lead to regret)
• Simple ways to make your entryway more welcoming

• Stein Studio — Connect with Ellie
• Stein Studio on Instagram
• Shop Our Lake Home
• Watch Our Full Lake-Home Tour on YouTube
• Our Lake-Home Drapery
• TWOPAGES Curtains — Use code SAVVY22 for 22% off!
• Lake Bedroom Details — Beds, Bedding & More
• Elizabeth Fields Designs — Custom Designer Pillows
• Helix Midnight Luxe Mattress
• Leesa Sapira Chill Hybrid Mattress — Medium-Firm - Use code FAMILYSAVVY75 for $75 off!
• Ruggable — Use code SAVVY15 for 15% off!
• Oushak & Oak Rugs
• Porter Rivers Art
• Debra Hewitt Art
• Framebridge Gallery Wall Frames
• Our Lake-Home Entryway — Mirror, Rug & More

If this episode helped you, I'd love for you to take a moment to rate and review The SavvyCast! It means so much to me and helps more people find these conversations and resources.

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Everything We Put in Our Lake House Bedrooms (Affordable Finds + Luxury Touches)

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A Life Update: The Story Behind Our New Lake Home

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I turned sixty last November, and it forced me to get honest about what's actually working for my body, and what isn't.

This is a solo episode where I'm walking you through the five intentional wellness habits I've been building and the four things I quit completely because they stopped serving me. I'm determined to be the best version of myself I can be in my 60s, and these are the intentional steps I'm taking to get there.

Whether you're already in this stage of life or you're younger and want a head start, I think you'll benefit from these savvy wellness habits!

• Why muscle strength training has become completely non-negotiable for feeling my best at 60
• The protein and creatine routine Zane and I never skip
• The simple one-minute balance exercise from Dr. Vonda Wright's book Unbreakable that's already making a real difference for me
• Why I gave up the pressure of 10,000 steps a day and started sneaking in movement instead (stairs, parking farther away, walking Tucker)
• How guarding an earlier bedtime became one of the biggest keys to feeling my best at 60
• Why I haven't had a drink since the week before my 60th birthday, and what's changed since
• How Zane and I traded nightly mint chip ice cream for a healthier swap
• Why routine hormone testing has become a necessity for my wellness

• Unbreakable: A Woman's Guide to Aging with Power by Dr. Vonda Wright, MD
• The Mel Robbins Podcast episodes with Dr. Vonda Wright:
  • Look, Feel, & Stay Young Forever: #1 Orthopedic Surgeon's Proven Protocol
  • Do THIS for 8 Weeks and Look & Feel 10 Years Younger: Dr. Vonda Wright's Proven Protocol
• Ninja Creami Swirl
• Thorne Creatine
• Pause Life Nutrition Creatine (Use code SAVVY for 10% off!)
• The Peachie Spoon Protein Powder (Use code FAMILYSAVVY for a special discount!)

WHERE TO LISTEN

If this episode encouraged you, I'd love for you to take a few minutes to rate and review The SavvyCast! It means so much to me, and it helps more women, just like you, find the show!

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Stop Dreading Getting Older. This 77-Year-Old Changed Everything I Thought About Aging!

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My Honest Convo with The Peachie Spoon on HRT, Protein Goals, Weight Obsession, & Her Life Behind the Scenes

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My friend Meredith Mann, better known as The Peachie Spoon, is back on The SavvyCast for the fourth time, and we talk about it all!

Since her last visit, her supplement business has taken off, and this time she gets real about her journey with HRT in perimenopause, from her first symptoms at 43 to the testosterone treatment she eventually stopped.

It's also a personal life update as her teens get closer to leaving the nest. Plus, she walks through her current strength training routine. And of course, she shares her favorite high protein recipes for fall, along with the wellness without obsession philosophy that guides how she eats, moves, and thinks about the number on the scale.

If you are pursuing a more balanced relationship with wellness, eating habits, and workout routines, and just need a little more grace in how you talk to your body, this conversation is for you. Meredith has a way of making it all feel tangible and obtainable!

• Meredith's honest journey with HRT in perimenopause, from her first symptoms at 43 to why she quit a testosterone cream after only three weeks
• How Peachie Spoon has grown since her last visit, from her first cookbook to a full supplement line with protein, collagen, and creatine
• Her advice for pregnant and postpartum women who cannot stomach protein but still need to fuel their bodies
• The story behind her most-requested high protein recipes, from her Balanced Baked Spaghetti to her Ninja Creami treats
• What a typical strength training week looks like for Meredith, plus the kettlebell move she cannot stop doing
• Why she is choosing wellness without obsession over chasing a number on the scale

• Follow Meredith Mann on Instagram: @thepeachiespoon
• Follow her business on Instagram: @thepeachiespoon.nutrition
• Shop the Peachie Spoon Protein Powders, Creatine, & Collagen (Code: FAMILYSAVVY for a special discount!)
• Check out The Peachie Spoon's recipes

COOKBOOKS

• The Blood Sugar Balance Cookbook
• Well Made Cookbook

RECIPES MENTIONED IN THIS EPISODE

• Balanced Baked Spaghetti
• Chicken Corn Chowder
• High Protein Rotel Queso Dip
• Queso Chicken
• High Protein Alfredo
• Chocolate Cheesecake Smoothie
• Strawberry Cheesecake Smoothie
• Cookies and Cream Smoothie
• High Protein Oreo McFlurry Ninja Creami (Cookies & Cream)
• Mint Chocolate Chip Smoothie
• Balanced Meal Chili

OTHER RESOURCES MENTIONED

• Koia (pre-made protein drinks)
• HerScan (mobile breast ultrasound screening) — mentioned as an alternative Meredith is considering

If this episode encouraged you, we would love it if you took a few minutes to rate and review The SavvyCast! It means so much and helps more women (just like you) find the show!

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Blood Sugar Balancing Recipes with Meredith Mann

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How to Establish a Healthy Relationship with Food with Meredith Mann from The Peachie Spoon

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A Talk with Meredith Mann About Her Balanced Eating Cookbook "Well Made"

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In early marriage, intimacy is effortless. You don't have to plan it, think about it, or work at it. Midlife is a different story, and in this episode, Zane and I get honest about sex and intimacy after 50.

Zane and I talk honestly about the real challenges of intimacy in midlife, from menopause and hormones to feeling attractive and getting out of a rut. From there, we get into what men really find attractive in their wives, why confidence matters so much, and how taking care of yourself changes the way you show up in your marriage.

After nearly forty years together, Zane and I don't have all the answers. But we've learned that intimacy isn't about looking like you did at twenty-five. It's about choosing each other, respecting each other, and making room for this part of your relationship to keep growing.

WHAT TO EXPECT IN THIS EPISODE:

• Why intimacy changes in your 50s and 60s, and why it can become more meaningful than ever
• My honest experience with hormone replacement therapy and what changed when I found my balance. Plus, why Zane is now open to testosterone for the first time.
• What Zane says men actually find attractive in their wives (and it has nothing to do with your appearance)
• How decades of trust, love, and shared history create a kind of intimacy you simply can't have in a young marriage
• How to communicate about intimacy, get out of a rut, and understand what each other needs as your bodies and seasons of life change
• Why intimacy in your 50s and 60s can go deeper than it ever did in your 20s and 30s

LINKS & RESOURCES

Listen to Part 1: What Kills Romance in Your Marriage in Your 50s and 60s (And How to Get It Back When It Feels Hopeless)

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WHERE TO LISTEN

If this episode encouraged you, we would love it if you took a few minutes to rate and review The SavvyCast! It means so much and helps more women (just like you) find the show!

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The Marriage Check-In That Reveals More Than You Expect (Strengths, Weaknesses, Opportunities, & Threats)

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38 Years of Marriage: What We Got Right (& What We'd Do Differently)

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