The Big Silence

“We Didn’t Know It Was Hormones”: Katy & Josh on Miscarriage, Sex Drive & Starting Over


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What if your symptoms weren’t “just in your head”? On this heartfelt and hilarious episode of The Big Silence, Karena sits down with Katy and Josh, the powerhouse couple behind the wellness brands Joi and Blokes (now unified under Relon). From four miscarriages and lost sex drives to unexpected weight gain and hormone havoc, they candidly share how their personal struggles with health, marriage, and identity led to the creation of a thriving health movement. Whether you're a woman navigating perimenopause, a man feeling off but unsure why, or a couple trying to make love and business work — this episode is packed with hope, humor, and healing.

The Big Question:How do we reclaim our vitality — physically, emotionally, and sexually — when life (and hormones) throw us off balance?(00:00) When Wellness Gets Personal: The Origin of Joi & Blokes
  • Katy and Josh reflect on nearly 10 years together — and how working together began with money, then real estate, and ultimately hormone health.
  • Their health journey began in crisis: low libido, anxiety, perimenopause, and postpartum changes.
  • A shared commitment to wellness helped them go from rock bottom to building a company based on lived experience.
  • Why men’s hormonal health (and mental health) needs more visibility, especially during Men’s Mental Health Awareness Month.

(04:00) Hormones, Heartbreak & Healing: The Miscarriage Journey
  • The couple opens up about enduring four miscarriages and the emotional toll it took on their marriage.
  • Josh withdrew while Katy powered forward — causing emotional disconnection until they learned how to communicate again.
  • How surrendering control (and stress) may have played a role in two natural pregnancies after IVF and surrogacy attempts.
  • A powerful reminder: grief affects everyone differently — and healing takes teamwork.


(10:00) Sex, Sleep & Sanity: The Real Hormone Conversation
  • Josh shares the shame and confusion of low testosterone — and how addressing it changed everything.
  • Katy opens up about anxiety, insomnia, and her game-changing experience with progesterone.
  • Why checking both partners’ labs is crucial for a healthy relationship.
  • Karena joins in on how sleep, stress, and sex drive shifted in her own hormonal journey.


(18:00) Movement, Mindset & Muscle: Wellness Habits That Actually Work
  • Katy and Karena talk lifting heavy, protein struggles, and redefining strength after 40.
  • Josh lost over 50 pounds in 5 months — not with fads, but with free tools: sleep, movement, mindset, and consistency.
  • “Movement is medicine”: how a simple walk can be the gateway to a healthier life.
  • It’s not about quick fixes — it’s about reclaiming ownership over your body, one choice at a time.


(24:00) Love, Business & Balance: The Reality of Working With Your Spouse
  • Why entrepreneurship as a couple isn’t for the faint of heart — but also deeply rewarding.
  • The importance of boundaries (even when they’re broken at dinner).
  • Their secret sauce: divide and conquer, communicate often, and trust each other’s zone of genius.
  • Joi and Blokes are scaling — and staying true to its mission of helping others feel better.


This episode was Filmed at the Thompson Nashville. 


Thanks for the support from our partners, including:

BetterHelp: Let our sponsor BetterHelp connect you to a therapist who can support you - all from the comfort of your own home. Visit https://betterhelp.com/thebigsilence and enjoy a special discount on your first month.If you have any questions about the brand relating to how the therapists are licensed, their privacy policy, or therapist compensation model, check out this FAQ: https://www.betterhelp.com/your-questions-answered/


Guest Resources & Links:

Joi and Blokes

Follow Katy & Josh on Instagram


Connect with The Big Silence Community

  • Order: The Big Silence Memoir audiobook
  • Shop The Big Silence Merch
  • Subscribe on YouTube
  • Donate to The Big Silence Foundation

Mentioned in this episode:

Let our sponsor BetterHelp connect you to a therapist who can support you - all from the comfort of your own home. Visit betterhelp.com/thebigsilence and enjoy a special discount on your first month.


If you have any questions about the brand relating to how the therapists are licensed, their privacy policy, or therapist compensation model, check out this FAQ: betterhelp.com/your-questions-answered.

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The Big SilenceBy Karena Dawn

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