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Hit Play Not Pause

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Perimenopause and menopause hit active women differently. We have a different lifestyle and different goals. And we know our bodies. Whether you run and hike or do CrossFit and ski (or a little of everything!), you’ve had a way of eating and exercising that worked…until the menopause transition, when it all goes out the window as body composition changes, fatigue, body aches, sleepless nights, hot flashes, brain fog, mood swings, and low mojo blindside you out of the blue—despite doing everything right. Your doctor may (or may not) help with hormone replacement therapy. But what about all the active stuff you love? You’re already exercising and eating well. What you want is to feel and perform like you used to. That doesn’t mean fasting, swearing off carbs for life, or just slowing down. It means adjusting your nutrition, training, recovery, and mindset to work with your changing physiology as you hit this phase of life. And we’re here for it.

At Hit Play Not Pause, we know the potential of women in their 40s, 50s, 60s, and beyond, because we talk to elite athletes and everyday active women who are still hitting personal bests along with world-renowned sports dietitians, researchers, medical and menopause specialists to help you understand what’s happening under the hood during the menopause transition and more importantly, what you can do about it—from hormone therapy to heavy lifting and everything in between—to feel and perform your best.

Host Selene Yeager is a health and science journalist with 30 years’ experience and more than two dozen books to her name. She also lives an active life as a former Ironman triathlete and professional mountain bike racer who still rides, runs, paddles, hikes, lifts, and through her work at Feisty Menopause helps others do the same.
329 Episodes
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In this special Hit Play Not Pause bonus episode, Selene introduces some of the expert educators behind Feisty Winter Training, a 16-week program designed to help women build fitness, strength, and knowledge through the winter months.Through highlights from Feisty's Hit Play Not Pause, The Women's Performance Podcast, and Another Mother Runner, you'll hear conversations about athletic burnout, perfectionism, menopause, injury prevention, fueling, and why more training isn't always better.Meet the featured experts:Dr. Erin Ayala – Licensed psychologist, certified mental performance consultant, and host of The Women's Performance Podcast, specializing in athlete mental health, motivation, performance, and burnout.Dr. Carla DiGirolamo – Double board-certified OB/GYN and reproductive endocrinologist specializing in the health and performance of active women across the lifespan, including perimenopause and menopause.Dr. Kim Hollingdale – Licensed psychotherapist and certified mental performance consultant who helps athletes navigate performance anxiety, injury recovery, and the mental challenges of training and competition.Dr. Kate Mihevic Edwards – Physical therapist and board-certified orthopedic specialist specializing in running medicine, injury prevention, rehabilitation, and the unique needs of female runners.The big takeaway? A great training plan isn't just about checking boxes. It's about understanding when to push, when to recover, how to fuel, and how to adapt your training to your body and your life.Feisty Winter Training kicks off November 16, with four 16-week programs: Running, Cycling, Strength, and Hybrid. Each includes progressive training, expert coaching, live educational sessions, and a supportive community of women.$349 for coach written plans, live training sessions, a robust community of like-minded women, and access to expert-led education sessions.Don't just follow a plan this winter. Learn how to OWN your training.Register for Feisty Winter Training: https://livefeisty.com/training/feisty-winter-training/
Does it feel like your back is always cranky or your hips are chronically tight? Your problem might not be where it hurts…or what it seems. As Dr. Heidi Prather, a sports medicine and hip preservation physiatrist at Hospital for Special Surgery (HSS), explains this week, back pain can start in the hips, and “tight” hips can be a sign of instability—which stretching can make worse. We also cover estrogen and inflammation in the menopause transition, plus fascia, angry nerves, frozen shoulder, how sleep and anxiety affect pain, and her best advice for staying out of her office.Dr. Heidi Prather is a Professor of Physical Medicine and Rehabilitation at Hospital for Special Surgery (HSS)/Weill Cornell Medicine and the Founder and Medical Director of the HSS Lifestyle Medicine Program. The program helps people with musculoskeletal pain reduce pain and function better through behavior change. Before HSS, she spent more than 20 years at Washington University School of Medicine in St. Louis, where she founded the Living Well Center, the first standardized musculoskeletal health program of its kind built on lifestyle medicine. She is board-certified in Physical Medicine and Rehabilitation, Sports Medicine, and Lifestyle Medicine. She was the first female president of both the North American Spine Society and the Physiatric Association of Spine, Sports and Occupational Rehabilitation. Her research focuses on hip and spine disorders, sex differences in musculoskeletal injuries, and lifestyle medicine, and she has published more than 100 peer-reviewed papers.https://livefeisty.com/training/ Courses and Coaching: https://livefeisty.com/courses/Sign up for our FREE Feisty 40+ newsletter: https://livefeisty.com/newsletters/feisty-40/Follow Us on Instagram:Feisty Menopause: @feistymenopauseHit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099Support our Partners:Cozy Earth: Use Code HITPLAY at https://cozyearth.com/ for up to 35% offPrevinex: Get 15% off your order with code HITPLAY at https://www.previnex.com/ Wahoo: Use the code FEISTY2026 to get a free Headwind Smart Fan (value $300) with the purchase of a Wahoo KICKR RUN at https://shorturl.at/WVhdr
You run (or bike or swim or hike…), you lift, you've got the training logs to prove nothing has changed. You eat the same as you always have. And you’ve still gained 10 pounds…or more. Obesity medicine physician Dr. Michelle Gordon is here this week to explain why. She covers the metabolic slowdown of perimenopause, the drop in fat burning, why the new fat lands around your middle, and why "calories in, calories out" doesn't cover it. She also talks about her own experience with tirzepatide as a lifelong athlete: losing 30-plus pounds, running out of motivation to run, and figuring out what exercise means to her now.Michelle E. Gordon, DO, DABOM, DACLM, FACS, FACOS, is board certified in obesity medicine, lifestyle medicine, and general surgery, and is a fellow of both the American College of Surgeons and the American College of Osteopathic Surgeons. She spent 15 years as a surgeon before switching to women's metabolic health, because she kept seeing the downstream complications of disease that had started years earlier. Today she runs a telehealth practice to help high performing midlife women feel like themselves again. Her approach is rooted in physiology and incremental behavior change. She treats obesity as a chronic, relapsing disease that calls for long-term care from a physician. You can learn more about her at drgordon.me and on her Substack.ResourcesTrajectory of weight regain after cessation of GLP-1 receptor agonists: a systematic review and nonlinear meta-regression hereContinued Treatment With Tirzepatide for Maintenance of Weight Reduction in Adults With Obesity: The SURMOUNT-4 Randomized Clinical Trial herehttps://livefeisty.com/training/ Courses and Coaching: https://livefeisty.com/courses/Sign up for our FREE Feisty 40+ newsletter: https://livefeisty.com/newsletters/feisty-40/Follow Us on Instagram:Feisty Menopause: @feistymenopauseHit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099Support our Partners:Cozy Earth: Use Code HITPLAY at https://cozyearth.com/ for up to 35% offPrevinex: Get 15% off your order with code HITPLAY at https://www.previnex.com/ Wahoo: Use the code FEISTY2026 to get a free Headwind Smart Fan (value $300) with the purchase of a Wahoo KICKR RUN at https://shorturl.at/WVhdr
Recorded live at FeistyFest, the week Hit Play Not Pause turned six, this bonus episode hands the mic to you.Selene starts with how the show began, including her own experiences with 2 a.m. wake-ups and sleepless nights, performance decline, anxiety, the urge to pull back from people, and the changes she didn't see coming. She and longtime producer Carrie walk through their hormone therapy journeys and where they are today. Then they hand the mic to the crowd for a wide-ranging discussion including managing menopause after breast cancer, the cost of HRT, symptoms that don’t seem to stop, getting brushed off by doctors, GLP-1s, and much more.https://livefeisty.com/training/ Courses and Coaching: https://livefeisty.com/courses/Sign up for our FREE Feisty 40+ newsletter: https://livefeisty.com/newsletters/feisty-40/Follow Us on Instagram:Feisty Menopause: @feistymenopauseHit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099Support our Partners:Cozy Earth: Use Code HITPLAY at https://cozyearth.com/ for up to 35% offPrevinex: Get 15% off your order with code HITPLAY at https://www.previnex.com/ Wahoo: Use the code FEISTY2026 to get a free Headwind Smart Fan (value $300) with the purchase of a Wahoo KICKR RUN at https://shorturl.at/WVhdr
Iron is one of the most-requested topics in the Hit Play Not Pause community, and it's one of the most confusing. Sports dietitian Kristen Arnold, who works with pro teams and everyday athletes, returns to explain what iron does and why you can have symptoms from low iron long before you're anemic. She also covers how our needs change after menopause and how new ferritin thresholds from the American Society of Hematology reset the old, far-too-low targets. We get into the full iron panel, hepcidin, heme vs. non-heme foods, every-other-day supplementing, when an IV makes sense, and why altitude calls for a bigger buffer. We also look at what the popular Iron Protocol gets right and where it goes beyond the evidence.Kristen Arnold, MS, RDN, CSSD, is a board-certified sports dietitian, cycling coach, and retired professional athlete. She has practiced sports dietetics since 2015 through her private practice, Sports Nutrition for Women, where she and her team of qualified, compassionate practitioners work with athletes and teams ranging from recreational to professional and Olympic-level. Kristen’s work centers on empowering active women across the lifespan through evidence-based sports nutrition education and individualized coaching. She has worked with hundreds of athletes and teams and currently serves as a team nutritionist for EF Pro Cycling, a UCI WorldTour team. She is also a first author on peer-reviewed research examining targeted nutrition strategies to support the health of postmenopausal women. Kristen regularly speaks on podcasts and contributes to publications on sports nutrition, with a particular focus on women’s health, endurance performance, and nutrition across the lifespan.Resources:New guidelines for iron deficiencyhttps://livefeisty.com/training/ Courses and Coaching: https://livefeisty.com/courses/Sign up for our FREE Feisty 40+ newsletter: https://livefeisty.com/newsletters/feisty-40/Follow Us on Instagram:Feisty Menopause: @feistymenopauseHit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099Support our Partners:Cozy Earth: Use Code HITPLAY at https://cozyearth.com/ for up to 35% offPrevinex: Get 15% off your order with code HITPLAY at https://www.previnex.com/ Wahoo: Use the code FEISTY2026 to get a free Headwind Smart Fan (value $300) with the purchase of a Wahoo KICKR RUN at https://shorturl.at/WVhdr
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