In this episode, Dr. Mary shares her perimenopause story — from going through chemotherapy at 33, to years of painful periods and confusing symptoms, to finally realizing she had been in perimenopause all along. That turning point reshaped not only how she cares for herself and her clients, but also the direction of this podcast.

Dr. Mary is shifting the focus of TMI Talk toward perimenopause and midlife health, because this transition is about so much more than hormones. As an orthopedic and pelvic floor physical therapist, she brings a perspective that expands beyond prescriptions and protocols to include fascia, lymphatic flow, visceral mobility, movement, and nervous system regulation.

In this episode, listeners will learn:

• How chemo and endometriosis can set the stage for early perimenopause.
• Why estrogen, insulin resistance, and midlife weight gain are often connected.
• How fascia and lymph play a role in symptoms like brain fog, swelling, and fatigue.
• Why chronic stress can mimic or magnify hormone changes.
• What rehab professionals can do to support women in perimenopause beyond “just HRT.”
• Why understanding seasons of energy — balancing hustle with rest — is vital for long-term health.
• How Dr. Mary’s upcoming research on fascia and lymph aims to shed light on overlooked aspects of perimenopause.

This episode marks a new season for TMI Talk — one that breaks myths, shares real tools, and reframes perimenopause as a time to reclaim strength, clarity, and connection to the body.

00:00 Introduction and Podcast Direction

01:19 Personal Health Journey and Perimenopause

04:15 Understanding Perimenopause Symptoms

07:08 Navigating Health and Movement

10:46 Creating an Intentional Life

18:23 Fascia, Lymphatic System, and Movement

23:55 Exploring Progesterone Tolerance

24:46 Understanding Blood Sugar Regulation

26:02 Navigating Emotional and Physical Health

26:47 Spiritual Bypassing and Nervous System Burnout

28:36 Community Support and Personal Growth

30:58 The Importance of Self-Care

32:57 Financial and Emotional Well-being

37:07 Embracing Pain and Growth

47:11 Future Research and Community Engagement

49:18 Conclusion and Call to Action

Want support for perimenopause that goes beyond hormones?

Whether you (or your clients) are taking HRT but still having symptoms, not ready for it, or can’t tolerate it...there’s more we can do.

I’ll be sharing practical tools from a movement and rehab perspective, focusing on the nervous system, fascia, lymph, viscera, and musculoskeletal system.

If you want updates on workshops, resources, and strategies to support this phase of life more fully, would love you to join my email list.

Subscribe to my email list here

I’ll see you in 2 weeks!

PS:

If you are interested in being a guest on the show, please fill out the form here.