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If you've ever leaked when you laughed, jumped, or sneezed–or felt like your core disappeared after pregnancy, injury, or into perimenopause–you're not alone. This week, fitness specialist Leah Keller joins us to unpack deep core dysfunction: what causes it, and why healing it changes far more than just your abs. Leah's breakthrough came when she realized she could help women actually heal the separation between their abdominal muscles–known as diastasis recti–even years after giving birth. Clients who came for core work started reporting that they'd stopped leaking, that sex felt better, that back pain eased, and that their bodies finally felt like their own again– issues they never mentioned at the start. She explains exactly how fixing the deep core resolves problems women didn't even know were connected. We’ll give detailed descriptions of the exercises. You can also watch this one on YouTube to see the exercise demonstrations as well as the anatomical illustrations referenced in this episode, showing the difference between a healthy midline and one with significant diastasis recti separation.Leah Keller is a certified personal trainer specializing in core and pelvic floor health, and co-founder of Every Mother (formerly The Dia Method). Her approach earned medical validation in a 2013 Weill Cornell pilot study — published in the American Journal of Obstetrics and Gynecology — and was further supported by a 2021 Hospital for Special Surgery trial in the Journal of Women's & Pelvic Health Physical Therapy. She has been featured as a women's health expert by NPR, Goop, and Good Morning America. You can find Leah’s published studies, resources, and learn more about her work at leahkeller.comSign up for our FREE Feisty 40+ newsletter: https://feisty.co/feisty-40/Join us at Feisty Fest September 18-20, 2026: https://feisty.co/events/feisty-fest/Learn More about our 2026 Feisty Events, including Bike Camps and Cycling Trips: https://feisty.co/events/Follow Us on Instagram:Feisty Menopause: @feistymenopauseHit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099Support our Partners: Eternal - Get 15% off their services with code FEISTY15 at https://eternal.coMidi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Hettas: Use code STAYFEISTY for 20% off at https://hettas.com/ Previnex: Get 15% off your first 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

Women in their 50s, 60s, and beyond are crushing courses around the world. At a time when we’ve been preconditioned to believe we’ll slow down, many women are holding strong—or even improving. This week’s guest Anna Troup, 56, who has clocked many of her greatest ultrarunning feats since turning 50, is a perfect example. Last year she took first overall (including the men) at the 268-mile (430K) Montane Summer Spine race—Britain’s toughest ultra marathon—in 84 hours, 56 minutes, and 37 seconds. This after a 2022 injury that left doctors questioning if she’d ever run again. This week, we talk about her most recent feat: completing the Montane Winter Spine Race this past January in 106 hours, 19 minutes, and 12 seconds—through brutal conditions including gale-force winds literally blowing runners off their feet. We dig into her journey to ultras, how she trains, races, and recovers, her menopause experience, and why more midlife women should line up and give it a go.Anna Troup took up ultra running in 2013 with the sole aim of completing the UTMB, which she did for the first time in 2014. Unexpected success followed, much of it after she turned 50, and she has since won and held course records for many of the UK’s toughest single stage ultras including the Arc of Attrition 100, the Lakeland 100, Exodus 100, Wendover Woods 100, the Oner and the Summer Spine and Winter Spine. She has run the women’s Fastest Known Time for the Pennine Way and was the first female British finisher in UTMB in 2022. Ultra running has been a family sport since the beginning and she normally competes with Richard Staite, her partner, whilst her two children can be found either running themselves or as volunteers in aid stations. She works as non executive director and has recently moved to the Lake District to be closer to the mountains she loves.Resources:Ultramarathon winner's 'tough and terrifying' race at BBCHow a 55-year-old woman won Britain's toughest ultra marathon outright at Running MattersSign up for our FREE Feisty 40+ newsletter: https://feisty.co/feisty-40/Join us at Feisty Fest September 18-20, 2026: https://feisty.co/events/feisty-fest/Learn More about our 2026 Feisty Events, including Bike Camps and Cycling Trips: https://feisty.co/events/Follow Us on Instagram:Feisty Menopause: @feistymenopauseHit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099Support our Partners: Eternal - Get 15% off their services with code FEISTY15 at https://eternal.coMidi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Hettas: Use code STAYFEISTY for 20% off at https://hettas.com/ Previnex: Get 15% off your first 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

Now that menopause is finally getting the research and medical attention it deserves, we are finally putting perimenopause in the spotlight as a pivotal period in a woman’s life that demands its own care and attention. This week, midlife gynecologist Dr. Alyssa Dweck returns to break down perimenopause care, the state of hormone therapy, and much more. We dig into how perimenopause is so variable, how to think about the pill, IUDs, hormone therapy, and the new non-hormonal drugs, plus what hot flashes may be revealing about your heart health. We wrap with a look at wearables, telehealth, and the coming era of precision menopause medicine that treats ovaries as the powerful “conductor” organ they are. (Note: Dr. Dweck accidentally misspoke regarding fezolinetant. She would like to clarify that it is an NK3 receptor antagonist not an NK1.)Alyssa Dweck MS MD FACOG MSCP is a practicing gynecologist at Well by Messer in New York City and the Chief Medical Officer at Bonafide Health. Dr. Dweck is a menopause society certified provider with a special interest and expertise in female sexual health and medical sex therapy. Dr. Dweck was recently appointed to the Board of Directors of HERmedicine, a nonprofit education organization dedicated to advancing women’s healthcare across the lifespan. This role at HERmedicine recognizes her as a distinguished leader dedicated to educating clinicians and integrating evidence-backed care into everyday medical practice. Dr. Dweck has authored three books, the most recent The Complete A to Z For Your V also co-hosts Business of the V, a podcast which focuses on unmet needs in gynecology and women’s health and the businesses created to fulfill these needsYou can learn more about her and her work at drdweck.comSign up for our FREE Feisty 40+ newsletter: https://feisty.co/feisty-40/Join us at Feisty Fest September 18-20, 2026: https://feisty.co/events/feisty-fest/Learn More about our 2026 Feisty Events, including Bike Camps and Cycling Trips: https://feisty.co/events/Follow Us on Instagram:Feisty Menopause: @feistymenopauseHit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099Support our Partners: Eternal - Get 15% off their services with code FEISTY15 at https://eternal.coMidi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Hettas: Use code STAYFEISTY for 20% off at https://hettas.com/ Previnex: Get 15% off your first 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

This week’s guest would like to apologize. Like many of us before perimenopause hit, Shawna Norton admits she used to quietly doubt—even judge—women who said their bodies changed overnight despite doing nothing differently. Then it happened to her. Now she gets it. And she’s genuinely sorry. In this wide-ranging, sometimes raucous, and brutally honest conversation, we dig into her own experience with rapid weight gain, joint pain, brain fog, and the unsettling feeling of living in a body that suddenly feels unfamiliar. We talk cortisol, stress resilience, inflammation, blood sugar management, the complexities of HRT, sleep strategies, and the emotional whiplash of navigating so many unknowns at once. Most of all, we talk about validation—because sometimes the most powerful thing you can hear in this chaotic time of life is: you’re not alone.Shawna Norton, M.S., is a kinesiology specialist, strength coach, and nutrition coach dedicated to helping women build resilient, high-performing bodies. She holds a Master of Science in Kinesiology and is a CrossFit Level 1 Trainer as well as a Level 1 Certified Nutrition Coach through Precision Nutrition. Shawna is the founder of Competitive Female Training, a women-only coaching program where she guides athletes in fueling their training, optimizing performance, and focusing on what their bodies can do. She also coaches with Deep End Fitness, integrating stress-resilience and breath-driven performance strategies into athletic development. Learn more about her work at competitivefemaletraining.comResourceswww.precisionnutrition.com/nutrition-calculatorSign up for our FREE Feisty 40+ newsletter: https://feisty.co/feisty-40/Join us at Feisty Fest September 18-20, 2026: https://feisty.co/events/feisty-fest/Learn More about our 2026 Feisty Events, including Bike Camps and Cycling Trips: https://feisty.co/events/Follow Us on Instagram:Feisty Menopause: @feistymenopauseHit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099Support our Partners: Eternal - Get 15% off their services with code FEISTY15 at https://eternal.coMidi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Hettas: Use code STAYFEISTY for 20% off at https://hettas.com/ Previnex: Get 15% off your first 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

As women, we’re told our bodies are wrong almost from the moment we become aware of them—and that messaging hits hyperdrive when the body composition changes of menopause arrive. Those changes are often framed as urgent health risks, even when the picture is far more nuanced and the steps taken to “fix” them can carry risks of their own. This week we sit down with dietitian and public health nutrition specialist Diana Reid to dig into what actually drives midlife weight gain, what belly fat and BMI do (and don’t) mean for your health, and where GLP-1 medications fit into the picture. We talk muscle and bone loss, under-fueling, weight regain, and how to protect your health if you choose to use weight loss medications.Diana Reid is a Registered Dietitian-Nutritionist licensed in both the United States and Luxembourg. She’s originally from Seattle, but has been living in Europe since 2016. Diana has a masters degree in Public Health & Nutrition and specializes in nutritional counseling and support for patients with eating disorders; food allergies, intolerances and gut disorders; and the unique challenges related to women’s health, especially during midlife and the menopause transition. She is a Certified Intuitive Eating Counselor and follows a non-diet, weight-neutral approach to health and wellness, focusing on habit building, lifestyle behaviors and balanced nutrition. She believes in practicing with compassion, understanding, and a personalized approach to nutrition and well-being. Diana is a married midlife menopausal mom of three teens and a clingy dog, and loves cycling, weight lifting, hiking and traveling. You can find her on social media at @theglobalrd or via her website at www.theglobaldietitian.comResources:Weight Cycling as a Risk Factor for Low Muscle Mass and Strength in a Population of Males and Females with Obesity, hereFull resource list for this episode hereSign up for our FREE Feisty 40+ newsletter: https://feisty.co/feisty-40/Join us at Feisty Fest September 18-20, 2026: https://feisty.co/events/feisty-fest/Learn More about our 2026 Feisty Events, including Bike Camps and Cycling Trips: https://feisty.co/events/Follow Us on Instagram:Feisty Menopause: @feistymenopauseHit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099Support our Partners: Eternal - Get 15% off their services with code FEISTY15 at https://eternal.coMidi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Hettas: Use code STAYFEISTY for 20% off at https://hettas.com/ Previnex: Get 15% off your first 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

Meghann Featherstun, MS, RD, CSSD — a board-certified sports dietitian and endurance runner who helps runners and triathletes optimize performance. She talks about iron and ferritin testing, energy availability and recovery, practical carb strategies for training and races, hydration and sweat sodium, GI troubleshooting, and emerging concerns around GLP-1 medications for athletes.

Andrea Matsumura, MD, MS — board-certified sleep medicine physician and menopause sleep specialist — explains why midlife nights go sideways. She unpacks middle-of-night awakenings, early morning wakings, sleep apnea risk, and hormonal and circadian drivers. Practical frameworks and simple habit and supplement approaches to reclaim better sleep are discussed in short, actionable segments.

Midlife and menopause can bring real physical and psychological changes that affect libido, arousal, and pleasure—but that doesn’t mean desire or a satisfying sex life are destined to disappear. This week we sat down with registered nurse and Permission for Pleasure author Cindy Scharkey to unpack what actually happens to desire, arousal, pleasure, and our bodies as we move through perimenopause, menopause, and beyond. We explore why so many women stop wanting sex in midlife, how hormones, stress, body image, and long-term relationships play a role, and why waiting to be “in the mood” often doesn’t work anymore (and more importantly, what does).Cindy Scharkey, RN, BSN, PHN, is a healthcare professional with almost 4 decades of experience. Throughout her career as a Certified Childbirth Educator, OB/GYN nurse and speaker, she has been consistently exposed to the taboos and silence surrounding women’s sexuality. Cindy is passionate about providing women with the content and self-confidence they need to find freedom on their own sexual wellness journey. As the author of Permission for Pleasure: Tending Your Sexual Garden, and Host of the Permission for Pleasure podcast, Cindy offers education and conversations about expressing, experiencing and enjoying your sexuality. You can learn more about her, her book, and her work at www.cindyscharkey.comSign up for our FREE Feisty 40+ newsletter: https://feisty.co/feisty-40/Join us at Feisty Fest September 18-20, 2026: https://feisty.co/events/feisty-fest/Learn More about our 2026 Feisty Events, including Bike Camps and Cycling Trips: https://feisty.co/events/Follow Us on Instagram:Feisty Menopause: @feistymenopauseHit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099Support our Partners: Eternal - Get 15% off their services with code FEISTY15 at https://eternal.coMidi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Hettas: Use code STAYFEISTY for 20% off at https://hettas.com/ Previnex: Get 15% off your first 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

This week we welcome back our resident reproductive endocrinologist and menopause specialist, Dr. Carla DiGirolamo, for another candid conversation. We pull back the curtain on Carla’s own menopause experience—how she navigates her symptoms, what she’s learned, and what she practices herself. We also dig into the hard conversations so many of us are having as we navigate this ever-evolving space, and how years of working closely with active midlife women have shaped her thinking on hormone therapy, GLP-1 medications, testosterone, hormone testing, and what actually moves the needle for athletic women in the transition.Carla DiGirolamo, MD, PhD, is a Double Board Certified Reproductive Endocrinologist and Obstetrician/Gynecologist specializing in women’s performance and menopausal medicine. She is also a Crossfit Level 1 trainer, Certified Nutrition Coach, and member of CrossFit Medical Society. She is a MedFit Care provider and provides weekly workouts and medical updates at her Substack Athletic Aging. She is an Endocrine Consultant for Wild Health and Women’s Health Director at Eternal Health. Most recently, she has launched her own private practice specializing in helping active and high-performing women reach their performance potential from puberty through menopause. Dr. DiGirolamo is now seeing patients for virtual consultations for menopausal care and performance optimization. Visit her website www.drcarlad.com to learn more about her services and schedule an appointment.ResourcesAthletic Aging with Dr. Carla DiGirolamo on SubstackSign up for our FREE Feisty 40+ newsletter: https://feisty.co/feisty-40/Join us at Feisty Fest September 18-20, 2026: https://feisty.co/events/feisty-fest/Learn More about our 2026 Feisty Events, including Bike Camps and Cycling Trips: https://feisty.co/events/Follow Us on Instagram:Feisty Menopause: @feistymenopauseHit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099Support our Partners: Eternal - Get 15% off their services with code FEISTY15 at https://eternal.coMidi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Hettas: Use code STAYFEISTY for 20% off at https://hettas.com/ Previnex: Get 15% off your first 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

In this special episode, your Feisty Women's Performance podcast host Dr. Erin Ayala brings together a group of experts on mental health to talk about the science and psychology of stress and collective trauma.Along with being a sports psychologist & therapist in her own right, Erin also lives in Minneapolis, Minnesota — which has been at the center of the news over the last month since it became the target of the largest immigration enforcement action to date in the U.S. Thousands of federal agents have patrolled the streets and detained residents, and, over this past weekend, shot and killed a second bystander — leading to hundreds of thousands of people protesting in Minneapolis and around the country.In this tense environment, how do we show up as athletes, as members of our community, as our best and healthiest selves?Join Dr. Tess Kilwein, Dr. Quincy Guinadi, and Christine Bright as they discuss how these experiences shape mental health and performance, and how you can respond to stress and trauma — whether you're going through it right now with the news or you're dealing with your challenges.Key Takeaways: • What is collective trauma? Learn how collective trauma impacts communities and individuals, and why this understanding is crucial for athletes and coaches.• Recognize that intentional rest in times of stress can be essential for long-term sustainability.• Know that movement and sport can be powerful tools in community healing.• Get tips on how to navigate the complexities of wanting to help without feeling performative or overwhelmed, and how to effectively engage in difficult conversations without shame or guilt.Don't be perfect. Be brave.Guest Introductions: • Dr. Tess Kilwein: A board-certified clinical, health, and sport psychologist with expertise in mental performance and athlete wellness.• Dr. Quincy Guinadi: A postdoctoral resident specializing in identity, mental health, and the experiences of marginalized communities.• Christine Bright: Lead consultant at the Center for Healing and Justice through Sport, focusing on trauma-informed coaching and community support.Resources Mentioned:• Center for Healing and Justice through Sport• Nothing Heals like Sport Playbook• "What Happened to You" by Dr. Bruce Perry and Oprah• Beyond Ally by Dr. Maysa Akbar• Find ways to help at standwithminnesota.com