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What if the reason you don't feel like yourself isn't stress or burnout, but a hormonal transition that started years before your cycle ever changed? For many women, early perimenopause begins in the late 30s or early 40s with brain fog, poor sleep, and mood changes, while periods and labs still look completely normal.
In this episode of The XX Lab, I sit down with Dr. Mariza Snyder, women's hormone expert, host of the Energized podcast, and author of The Perimenopause Revolution. We explore early perimenopause symptoms, why midlife weight gain comes down to insulin resistance and not willpower, how to use a continuous glucose monitor, the simple daily habits that move the needle, and how this transition can become an awakening rather than a loss of self.
Key Takeaways:
-Early perimenopause symptoms can start in your late 30s, even with regular periods.
- Perimenopause weight gain is driven by insulin resistance, not willpower.
- A short walk after meals helps lower blood sugar spikes.
- Perimenopause is a window to protect your bone, heart, and brain health.
Timestamps:
Dr. Mariza Snyder on The Perimenopause Revolution (00:00)
What Is Perimenopause? Early vs. Late Perimenopause Explained (02:00)
Early Perimenopause Brain Fog With Normal Periods and Labs (06:30)
Perimenopause and Identity: Feeling Like You've Lost Yourself (11:20)
A Mother's Perimenopause Story: From Burnout to Marathons (15:40)
Early Perimenopause Signs and How to Track Your Symptoms (21:20)
Perimenopause Weight Gain: Estrogen, Insulin Resistance, and Belly Fat (30:00)
How to Use a Continuous Glucose Monitor (CGM) in Perimenopause (35:20)
How to Lower Blood Sugar Spikes: Post-Meal Walks and Exercise Snacks (42:00)
Perimenopause Morning Routine for Energy, Sleep, and Blood Sugar (46:50)
How to Find a Perimenopause Doctor and Which Tests to Ask For (59:00)
Best Perimenopause Lifestyle Changes: Sleep, Movement, and Friendship (1:03:30)
Is HRT Safe? Hormone Therapy, Testosterone, and Breast Cancer Risk (1:06:40)
Perimenopause Myths and What Really Changes After Menopause (1:10:10)
Guest Bio
Dr. Mariza Snyder is a functional practitioner and women's hormone expert with more than 17 years of experience helping women navigate perimenopause and beyond. She holds a Doctor of Chiropractic degree, hosts the top-rated Energized with Dr. Mariza podcast, and is the bestselling author of several books, including The Perimenopause Revolution, which offers a five-week reset for hormones, metabolism, and energy.
- https://drmariza.com/book
- https://www.instagram.com/drmariza
- https://www.amazon.com/dp/1401997406
***
The XX Lab is where midlife women come to understand the science of their own biology: hormones, brain chemistry, behavior, and the research that finally makes sense of how you feel. Dr. Sarah Hill breaks down the evidence with rigor and warmth, so you can make decisions rooted in real science, not guesswork.
For more research-backed insight on your hormones, brain, and behavior, find Dr. Sarah Hill here:
-Website: https://www.sarahehill.com
-Instagram: https://www.instagram.com/sarahehillphd
-LinkedIn: https://www.linkedin.com/in/sarahehillphd
What if saying yes when you mean no isn't a boundary problem, but a predictable feature of how your brain protects your place in the group? "No is a complete sentence" sounds simple, but the research says the moment of being asked is anything but.
In this episode of The XX Lab, I sit down with Dr. Vanessa Bohns, social psychologist, Cornell professor of organizational behavior, and author of the new book Should I Say Something? We explore compliance vs consent, why we underestimate how often people say yes, the persuasion tactics salespeople use, how to say no to a boss or a date, and when it's worth speaking up.
KEY TAKEAWAYS:
Timestamps
Introduction: Dr. Vanessa Bohns on Why Saying No Is So Hard (00:00)
Compliance vs Consent: What's the Difference? (02:55)
Why Women Say Yes When They Want to Say No (04:00)
Why We Underestimate How Often People Say Yes (09:05)
Persuasion Tactics: Reciprocity, Authority and Social Proof (11:00)
What Happens in Your Brain When Someone Asks You for a Favor (19:10)
What Genuine Consent Actually Requires (25:30)
How to Ask for a Favor Without Pressuring Someone (28:45)
How to Say No to Your Boss Without Looking Lazy (34:35)
How to Politely Turn Down a Date (37:50)
How to Buy Time Before You Say Yes (41:10)
Should I Say Something? When to Speak Up and When to Stay Quiet (48:40)
Why You Shouldn't Tell Your Boss You Love Your Job (54:20)
Why We Underestimate How Much People Like Us (57:20)
Guest Bio Dr. Vanessa Bohns is a social psychologist and the Braunstein Family Professor and Chair of Organizational Behavior at Cornell University's ILR School. She holds a PhD in psychology from Columbia University and an AB from Brown University. An expert on help-seeking, social influence, compliance, and consent, her research explores why it's so hard to ask for things and so hard to say no, and has been featured in The New York Times, The Wall Street Journal, The Atlantic, and on NPR's Hidden Brain. She is the author of You Have More Influence Than You Think and Should I Say Something?: The Science of What to Share and What to Keep to Yourself.
-Website: https://www.vanessabohns.com -Instagram: https://www.instagram.com/profbohns -Book: https://www.amazon.com/dp/0306835703
The XX Lab is where midlife women come to understand the science of their own biology: hormones, brain chemistry, behavior, and the research that finally makes sense of how you feel. Dr. Sarah Hill breaks down the evidence with rigor and warmth, so you can make decisions rooted in real science, not guesswork. For more research-backed insight on your hormones, brain, and behavior, find Dr. Sarah Hill here:
-Website: https://www.sarahehill.com
You've been told midlife brain fog is just stress. What if perimenopause is actually revealing a brain you've been masking your whole life?
In this episode of The XX Lab, I sit down with Dr. Jolene Brighten, board-certified naturopathic endocrinologist and author of Beyond the Pill, to talk about her new book, ADHD and Women. We explore why perimenopause unmasks ADHD, how to tell it apart from brain fog, the birth control connection, and what actually supports the ADHD brain.
Whether you're curious about ADHD in women, hormones and the brain, or the hidden side effects of hormonal birth control, I think you'll find this conversation to be a science-backed, deeply validating look at how hormones shape who we are at every life stage.
KEY TAKEAWAYS:
Timestamps
What Happened When She Questioned The Pill (00:00)
Birth Control Myths And The Hidden ADHD Risk (06:26)
Late ADHD And Autism Diagnosis: The Signs She Missed (15:44)
How Perimenopause Unmasks ADHD In Women (26:42)
What ADHD Actually Feels Like For Women (34:32)
Perimenopause Or ADHD? How To Tell The Difference (42:07)
Pharma Skepticism, Hormones And ADHD Stimulants (54:20)
Is ADHD Rising Or Just Diagnosed More? (1:11:47)
ADHD Meds For Kids, Creatine And Omega-3s (1:22:48)
Why She Regrets Starting The Pill At 17 (1:37:55)
PMDD Isn't Just Progesterone: Histamine And Inflammation (1:44:49)
Guest Bio
Dr. Jolene Brighten is a board-certified naturopathic endocrinologist, certified menopause specialist, and nutrition scientist known for translating complex hormone science into practical care. She is the bestselling author of Beyond the Pill and Is This Normal?, and her new book, ADHD and Women, explores how hormones shape ADHD across a woman's life. She hosts The Dr. Brighten Show, a top-rated women's health podcast.
***
The XX Lab is where midlife women come to understand the science of their own biology: hormones, brain chemistry, behavior, and the research that finally makes sense of how you feel. Dr. Sarah Hill breaks down the evidence with rigor and warmth, so you can make decisions rooted in real science, not guesswork.
For more research-backed insight on your hormones, brain, and behavior, find Dr. Sarah Hill here:
What if the strongest predictor of how long you live has nothing to do with your diet, your sleep, or the gym? I have spent my career studying hormones and behavior, and this one still stops me: the quality of your relationships predicts mortality at roughly double the effect of exercise.
In this episode of The XX Lab, I sit down with Dr. Rich Slatcher, Gail M. Williamson Distinguished Professor of Psychology at the University of Georgia and director of the Close Relationships Lab. Rich and I were in the same graduate program at UT Austin, so this is part science, part reunion. We cover why social connection predicts mortality, how partner responsiveness shapes health, why men benefit more from marriage than women do, and what makes a first date work.
Key Takeaways:
- Social integration predicts mortality at roughly double the effect of exercise
- Opening up only helps your health if the person listening actually responds
- Men route nearly every emotional need through a spouse; women keep wider networks
- Where you have a first date matters far less than how open the conversation gets
Timestamps
How Relationships Shape Health With Dr. Rich Slatcher (00:00)
Expressive Writing Can Boost Your Immune System (01:25)
Why Men Rarely Open Up To Friends (07:50)
From Anthropology To Evolutionary Psychology (11:30)
Strong Relationships Help You Live Longer (20:15)
Is The Cortisol Link To Health Overhyped? (26:35)
How Your Partner's Response Shapes Your Health (33:30)
Does Conflict Outweigh Support In Your Relationship? (40:15)
Marriage Helps Men's Health More Than Women's (48:55)
Are Couple Friends Worth The Risk? (55:35)
Conversation Beats Romantic Settings On First Dates (01:04:40)
3 Signs Someone Is Really Listening To You (01:13:45)
Do Men Need Face To Face Friendships? (01:23:45)
Studies mentioned in this episode
- House, Landis and Umberson (1988), Science: https://pubmed.ncbi.nlm.nih.gov/3399889/
- Holt-Lunstad meta-analysis: https://doi.org/10.1371/journal.pmed.1000316
- Slatcher and Selcuk, strength and strain model: https://pubmed.ncbi.nlm.nih.gov/28367003/
Guest Bio
Dr. Rich Slatcher is the Gail M. Williamson Distinguished Professor of Psychology at the University of Georgia, where he directs the Close Relationships Lab. He earned his PhD at UT Austin with James Pennebaker and completed an NIMH postdoctoral fellowship in health psychology at UCLA. His research examines self-disclosure, partner responsiveness, and how close relationships shape physical health and wellbeing.
You've been told the pill is too small to change who you are. What if the science says otherwise, and you're not imagining it?
For years, women who reported mood changes on the pill were told it was in their heads, and the research was called conflicting. A new meta-analysis suggests the pattern was there all along. We just weren't looking at the best studies.
In this episode of The XX Lab, Dr. Sarah Hill sits down with Dr. Nusa Faric, a health psychology researcher whose meta-analysis pooled the highest-quality trials on hormonal contraception and depression risk. Together they explore why past reviews missed the signal, how synthetic progestins reshape a brain wired for cycling hormones, why adolescent users may be most vulnerable, the “sham period” myth, and what a better contraceptive future could look like.
KEY TAKEAWAYS
- Conflicting results on the pill and depression often reflect study quality, not a true absence of effect.
- Filtering for high-quality trials with large samples and clean controls reveals a link that weaker studies obscure.
- Non-oral methods like the hormonal IUD, shot, and patch tend to carry a worse mental health risk profile than the combined pill.
- Adolescent users may face longer-lasting effects because the developing brain does not always return to baseline.
- Younger women who use hormonal contraception in adolescence are more likely to remain on antidepressants later.
- The pill flattens the natural hormonal cycle into a near-constant synthetic signal.
- The monthly bleed on the pill is a “sham period,” not a true menstrual period.
Timestamps
The Pill and Depression: What Science Really Shows (00:00)
Being Disbelieved Sparked This Research (02:00)
How One Master's Review Became a Meta-Analysis (05:00)
What Is a Meta-Analysis, Explained Simply (09:30)
The "Sham Period" Myth on the Pill (19:30)
How Birth Control Rewires a Hormonal Brain (21:20)
Why Pill and Depression Studies Keep Conflicting (24:00)
Why Teens on the Pill Are Most Vulnerable (44:40)
Oral vs Non-Oral Birth Control Risk Compared (54:50)
Your Pill Side Effects Are Not Imagined (01:04:30)
Guest Bio
Dr. Nusa Faric holds a PhD in health psychology and informatics from University College London and is now a Research Fellow at the University of Edinburgh. Her work sits at the intersection of women's health, hormonal contraception, digital health, and mental health.
***
You've been told the pill and the hormonal IUD act "locally," that they barely touch the rest of you. What if science says almost the opposite? Most of us treat hormones as background chemistry for periods and pregnancy, when they are really broadcast signals traveling everywhere blood goes, switching genes on and off in the brain, the muscles, and far beyond the reproductive organs.
In this episode of The XX Lab, Dr. Sarah Hill sits down with Dr. David Puts, evolutionary anthropologist and neuroendocrinology researcher at Penn State, to explore what hormones actually are, how they shape the brain before birth, the myth of "locally acting" hormones, what the menstrual cycle does to attraction, and how the birth control pill nudges desire and partner choice.
KEY TAKEAWAYS:
- Hormones act by binding a receptor that regulates gene expression, changing what a cell makes.
- A purely "locally acting" hormone does not hold up; if it reaches the bloodstream, it travels.
- Most women on the hormonal IUD stop ovulating, evidence the hormone reaches systemic levels.
- Sex hormones shape the brain, not only the reproductive organs, from before birth.
- CAH and IHH serve as natural experiments for studying prenatal hormone effects on behavior.
- The "masculine voices when fertile" preference is weaker and less consistent than popular science suggests.
Timestamps
Why Men And Women Are So Different (00:00)
What Hormones Actually Do In Your Body (08:43)
Is There Really A Locally Acting Hormone (11:07)
What Sex Hormones Do Besides Reproduction (13:55)
How Hormones Shape The Developing Brain (18:00)
CAH And IHH: Nature's Hormone Experiments (33:55)
What The Menstrual Cycle Does To Attraction (40:09)
How The Pill Changes Attraction And Libido (49:45)
How Low Estrogen Affects Attraction (57:32)
What Anogenital Distance Reveals About You (01:11:52)
Does Puberty Rewire The Brain (01:19:13)
Why Disease Hits Men And Women Differently (01:25:25)
Why We Choose Mates With Good Genes (01:33:10)
Guest Bio
***
Guest Bio
Dr. David Puts is Professor of Anthropology and Psychology at Penn State and Co-Director of the Center for Human Evolution and Diversity, where he directs the Behavioral Endocrinology and Evolution Lab. His work bridges the "why" of evolutionary theory with the "how" of hormones and gene expression, studying the sexual differentiation of the brain and behavior, mating psychology, and sex differences.
Your WHOOP recovery score dips, you slept fine, you did everything right, so why does the number look worse? What if that "bad" reading is your body working exactly as it should?
In this episode of The XX Lab, Dr. Sarah Hill sits down with Dr. Kristen Holmes, Global Head of Human Performance and Principal Scientist at WHOOP, to explore what wearables really measure in women, resilience to hormonal change, sleep-wake regularity, mental health as the foundation of performance, and her new book, Aligned.
Whether you are curious about what your wearable is telling you, navigating perimenopause, or rethinking how mental health, sleep, and recovery connect, this conversation offers a women-first lens on performance and resilience.
KEY TAKEAWAYS:
- A lower recovery score during your cycle is often normal biology, not a sign you did something wrong.
- Women on hormonal birth control show fewer perturbations, and their data can resemble a man's.
- Cardiovascular amplitude is a novel, patented marker of resilience that HRV and resting heart rate miss.
- The resilience you build in your 20s and 30s shapes your perimenopause and menopause experience.
- If your mental health is not right, top fitness and performance stop mattering very quickly.
- Sleep-wake regularity predicts disease better than sleep duration and supports mental health too.
Timestamps
The Scientist Behind Your WHOOP Recovery Score (00:00)
From Elite Coaching to Human Performance Science (02:25)
Availability: The Metric That Predicts 86% of Success (04:45)
Leaving Princeton to Scale Recovery at WHOOP (10:15)
Why Your Cycle Changes Your Recovery Score (14:55)
Resilience to Hormonal Change and Amplitude (18:10)
Why Building Resilience Starts in Your 20s and 30s (24:15)
The New Book Aligned and Losing Her Mother (32:45)
Why Mental Health Is the Foundation of Performance (44:00)
Sex Differences in Sleep and the Light Diet (55:25)
The HEAL Framework and Sleep-Wake Regularity (1:11:55)
Guest Bio
Dr. Kristen Holmes is the Global Head of Human Performance and Principal Scientist at WHOOP, where she has led research on recovery, sleep, and women's health since 2016. A two-sport All-American at Iowa and seven-year US National Field Hockey Team member, she was one of the most successful coaches in Ivy League history at Princeton, winning 12 league titles in 13 seasons. A psychophysiologist, her work focuses on how psychology, physiology, sleep, and recovery shape human performance. She is the author of Aligned.
- Aligned (book): https://a.co/d/aligned
- Instagram: https://www.instagram.com/kristen_holmes2126
- WHOOP: https://www.whoop.com
***
📘 Go deeper with Dr. Sarah Hill's books, both science-backed guides to understanding your own biology:
The Period Brain: the new science of why we PMS and PMDD, and how to feel your best all month long
👉 https://www.amazon.com/Period-Brain-Science-Manifesto-Women/dp/0063382474
This Is Your Brain on Birth Control: how the pill shapes mood, attraction, and behavior in ways most women are never told
👉 https://www.amazon.com/This-Your-Brain-Birth-Control/dp/0525536035
You did everything right, kale, running, annual blood tests, and still ended up with a mass in your lung. So why does the disease killing more young, healthy women than breast, ovarian, and colon cancer combined still carry the stigma of a smoker's disease?
In this episode of The XX Lab, Dr. Sarah Hill sits down with Shira Boehler, lung cancer survivor, author of the New York Times bestseller One Scan Saved My Life, and founder of the Cancer Doesn't Care foundation, to explore why lung cancer is rising in young non-smoking women, sex differences in medicine, the toll on caregivers, and why a $200 scan could rewrite the guidelines.
KEY TAKEAWAYS:
- Lung cancer kills more young, healthy women than breast, ovarian, and colon cancer combined, yet gets a fraction of the awareness and funding.
- "If you smoke, you get lung cancer" has curdled into "if you have lung cancer, you smoked", a stigma that keeps survivors silent.
- The real truth is simpler and scarier: if you have lungs, you can get lung cancer.
- Non-smoking women in parts of Asia get lung cancer at higher rates than smoking men, pointing to a female health crisis science hasn't explained.
Timestamps
One Scan Saved My Life: Shira Boehler's Story (00:00)
Pushing for the Low-Dose CT Doctors Dismissed (05:37)
Why Lung Cancer Kills More Young Women Than Breast Cancer (08:52)
The Myth That Only Smokers Get Lung Cancer (14:08)
How Women's Heart Attack Symptoms Went Ignored for Decades (21:31)
How She Told Her Kids She Had Cancer (27:20)
Why Your Surgeon Should Warn You About Depression (39:32)
The Ripple Effect: Susan Wojcicki and Hidden Costs (43:52)
What to Say When Your Doctor Refuses the Scan (53:00)
How to Get a Low-Dose CT for Under $500 (56:14)
If She Could Rewrite the Screening Guidelines (1:04:36)
The One Thing She Wants Every Woman to Do (1:10:07)
Guest Bio
Shira Boehler is a lung cancer survivor and author of One Scan Saved My Life, a New York Times bestseller chronicling her diagnosis as a healthy, non-smoking runner and mother of four. Diagnosed at 43 after a mass was caught incidentally, she had half her right lung removed and was declared cancer-free at stage one. She founded the Cancer Doesn't Care foundation, which funds low-dose CT screenings for those who cannot afford them, and focuses on early detection, dismantling stigma, and modernizing screening guidelines.
- Book: One Scan Saved My Life https://a.co/d/006gnafi
- Foundation: https://www.cancerdoesntcare.com
- Instagram: https://www.instagram.com/shiraboehler/
***
The Period Brain: the new science of why we PMS and PMDD, and how to feel your best all month long
https://www.amazon.com/Period-Brain-Science-Manifesto-Women/dp/0063382474
Why does attraction change once you're in a long-term relationship? And could hormones, physical attractiveness, and even what happens after sex shape how satisfied couples remain over time?
On this episode of The XX Lab, Dr. Sarah Hill sits down with Dr. Andrea Meltzer, Professor of Social Psychology at Florida State University, to explore the science of attraction, mate choice, sexual satisfaction, and long-term relationship health.
Dr. Meltzer has spent years studying how individual differences and interpersonal dynamics shape romantic relationships. Her research uses longitudinal and experimental methods to examine newlywed couples, giving researchers a rare look at how attraction, stress, sexual satisfaction, and perceptions of partners influence relationship outcomes over time.
Does physical attractiveness predict relationship satisfaction?The conversation begins with a surprising finding about physical attractiveness and relationship satisfaction. Dr. Meltzer explains why attractiveness can matter differently for men and women once a relationship becomes established, and why the person you find attractive from across the room isn't necessarily the same person you experience as attractive when they're your partner.
Sarah and Andrea also discuss how people tend to see their romantic partners more positively than outside observers do. Relationship satisfaction and commitment can shape how attractive we perceive our partners to be, suggesting that attraction isn't simply a fixed reaction to someone's physical appearance.
How can couples protect relationship satisfaction over time?Relationship satisfaction tends to decline on average over the course of marriage, but Dr. Meltzer emphasizes that couples differ considerably in how steep that decline is. Her research points toward factors that may help buffer against those changes.
The conversation ends with practical ideas for maintaining strong relationships, including positive communication, supporting a partner's goals, and creating novel experiences together. Dr. Meltzer also highlights something couples may underestimate: the role that outside stress can play inside the relationship.
This episode is for anyone curious about the science of attraction, hormones, sex, mate choice, marriage, and what actually helps romantic relationships stay satisfying over time.
KEY TAKEAWAYSDr. Andrea Meltzer is a Professor of Social Psychology at Florida State University whose research examines relationship development, maintenance, and well-being. Her work focuses on how individual differences, stress, sexual satisfaction, partner perceptions, and interpersonal dynamics shape romantic relationship outcomes over time.
Follow The XX Lab for more science-based conversations about women's health, psychology, relationships, and human behavior.
What does your voice say before you even finish a sentence?
Long before someone processes your words, their brain has already begun decoding your voice. In a fraction of a second, people can make surprisingly accurate judgments about your age, biological sex, emotional state, health, native language, and even aspects of your social relationships. The fascinating part? Most of this happens automatically.
In this episode of The XX Lab, Dr. Sarah Hill sits down with cognitive scientist Dr. Greg Bryant, Professor and Chair of Communication at UCLA, to explore the hidden science of human vocal communication. Drawing from evolutionary psychology, cognitive science, and behavioral biology, Dr. Bryant explains why our voices evolved to carry so much information and how humans have become remarkably skilled at interpreting those signals.
Sarah and Greg discuss how listeners detect subtle vocal cues associated with illness, strength, stress, confidence, and authenticity. They also explore why these abilities likely evolved to help humans navigate cooperation, competition, caregiving, and mate selection.
Whether you're interested in psychology, neuroscience, communication, women's health, or human behavior, this conversation offers a fascinating look at one of the most overlooked aspects of everyday life: the science hiding inside every conversation.
KEY TAKEAWAYSDr. Greg Bryant is a cognitive scientist who studies communication and cognition from an evolutionary perspective. He serves as Professor and Chair of the UCLA Department of Communication, where his research examines vocal communication, laughter, music perception, social cognition, cultural evolution, and behavioral biology. His work combines laboratory experiments, cross-cultural field research, acoustic analysis, and comparative studies across species.
GUEST LINKSSpotify (Music)
https://open.spotify.com/artist/7txtvHi6cCtJJRhZX2zBlJ
HOST LINKSWebsite
https://www.sarahehill.com
https://www.instagram.com/sarahehillphd
https://www.linkedin.com/in/sarahehillphd
If you enjoyed this conversation, follow The XX Lab, leave a review, and share this episode with someone who's fascinated by the science of human behavior.
From the publisher's feed
Welcome to The XX Lab, where I talk with scientists and top-performing women to give you insights that you can use in everyday life.
This is not another health podcast telling women to…