Hit Play Not Pause
Hit Play Not Pause
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.
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.
Episodes
Mentioned books
Feb 22, 2023 • 1h 14min
Dragons & Gems: Finding Inner Safety During Menopause with Dr. Nerina Ramlakhan (Episode 118)
Past trauma–big or small–and daily stress can take a toll on the nervous system, and many of us spend our days largely in a state of fight or flight. When we hit menopause, our nervous system becomes even more nervous, and life, along with everything that happened up until that point rises to the surface and demands to be dealt with. We can run, lift, or ride away from it all…to a point. But we often end up feeling tired but wired. That’s where this week’s guest Dr. Nerina Ramlakhan, author of Finding Inner Safety comes in. She explains how the real peace and renewed energy comes from allowing ourselves to be still and by building physical, emotional, mental, and spiritual recovery into the day to calm our nervous system, improve our energy, and help us sleep. We talk about all that and more this week.Nerina Ramlakhan, PhD, is a renowned physiologist and sleep expert with over 25 years of experience in helping people and organizations thrive by using her unique blend of physiology, psychology, philosophy, professional, and personal insights to create profound shifts in awareness and consciousness. She’s completed 7 marathons and over 40 triathlons, and is thriving despite a history of abuse, trauma, and breakdown. You can learn more about her and her work at drnerina.comResources:Dr. Nerina’s book: Finding Inner Safety: The key to healing, thriving and overcoming burnout. Support 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/WVhdrSign 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/807943973376099
Feb 15, 2023 • 1h 3min
Powerlifting is Menopausal Medicine with Michelle Carlson (Episode 117)
Many women start exercising to lose weight–to get smaller and chase a number on the scale. This week’s guest powerlifter Michelle Carlson is no stranger to those goals. She took up running in her early 30s and in her own words “spent a ridiculous number of years chasing the number on the scale and living in a chronic state of energy deficiency”--a state she likened to a prison of her own creation. But when a terrible accident left her shaken and shattered, she picked up weight lifting to help her bones heal and fell in love with feeling strong. She developed a healthy relationship with food and her body and a level of peace and confidence that set her free. Now, at 51 and solidly in perimenopause, Michelle is stronger than ever and recently set the International Powerlifting League (IPL) World Record in the Bench Press for her age group and weight class. She talks all about what she’s learned and how powerlifting has been the best medicine for her during these menopausal years. Michelle Carlson is a strength coach, strength athlete, and Masters Raw Powerlifter with records in squat, bench, and overall total. She is also a nutrition coach with a focus on plant-based nutrition for athletes and the general population. She has training, nutrition, and pain-free performance certifications from the National Academy of Sports Medicine. You can learn more about her and her work at her coaching site Strength Elevated at www.strengthelevated.com.Support 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/WVhdrSign 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/807943973376099
Feb 8, 2023 • 1h 18min
Dying to Be Enough with Kristin DiDomenico (Episode 116)
Do you struggle with feeling you’re not enough? Fit enough? Successful enough? Lean enough? Enough, enough, enough. By the time we reach menopause, many of us have spent years, even decades, of our lives chasing enough. And, as this week’s guest, coach, trainer, and athlete Kristin DiDomenico knows, that relentless pursuit of perfection can take us down some pretty dark roads including addiction, eating disorders, and sometimes much worse. Kristin shares her own personal journey through all of it and what she learned after an extraordinary episode during a 10 mile race made her re-evaluate what matters most.Kristin DiDomenico is a certified integrative health and nutrition coach and personal trainer with an expertise in women's hormone health. Kristin's mission is to help women navigate the menopause transition and find relief, healing and fulfillment with nutrition, exercise and lifestyle changes. For more than 25 years, she has been creating personalized health and fitness programs and helping women reclaim their strength, joy and well-being. She is also the author of Dying to Be Enough, her personal story of navigating life, death and learning to live in between. Follow her on instagram @kristinfitness to get her menopause tips, recipes and workouts. Learn more about her coaching programs at kristinfitness.com and menopausepartner.com. Support 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/WVhdrSign 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/807943973376099
Feb 1, 2023 • 1h 3min
Finding Midlife Clarity with Jennifer Stoute (Episode 115)
People will often accuse a woman who is changing things in her life at 50 of having a midlife crisis. It’s quite the opposite, according to this week’s guest, two-time Olympian, Jennifer Stoute. It’s midlife clarity. Stoute, who also played Rebel the Gladiator on the hit show Gladiators has done her share of evaluating and re-evaluating her personal, professional, and active life as she’s transitioned through menopause and midlife. This week she talks about what she’s learned and where she’s landed on gray hair, hormone therapy, and the power of being your authentic self. She also shares her thoughts on the challenges Black women face in menopause and how women can help mitigate the disparities in menopausal care.Jennifer Stoute is a two-time Olympian, bronze medalist sprinter, model, and business owner. She represented Great Britain at the 1988 Olympic Games in Seoul and the 1992 Olympic Games in Barcelona, where she won a bronze medal in the 4x400 meter relay. She also appeared as Rebel on the hit TV show Gladiators from 1996 to 1999. She is the co-owner of the global sports management business Astra Partners. You can follow her at instagram.com/gorgeousfifties/Resources:Study on endometrial polyps: https://journals.sagepub.com/doi/10.1177/2050312119848247Support 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/WVhdrSign 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/807943973376099
Jan 25, 2023 • 1h 2min
PAVING a Woman’s Path through Menopause and Beyond with Michelle Tollefson, MD (Episode 114)
In many ways, health care is actually sick care. We are enormously grateful for physicians who can address pathology and treat disease. But often the emphasis is on surviving, not thriving. That’s where Lifestyle Medicine comes in. It’s a system of health care that leans in on the power of social connections, personal psychology, exercise, nourishment, and more to prevent disease and optimize health. This week’s guest, Dr. Michelle Tollefson is a Lifestyle Medicine expert and OB/GYN helping women use the pillars of Lifestyle Medicine to thrive through menopause. This week, she lays out the details and shares how she used Lifestyle Medicine to thrive through 16 rounds of chemotherapy, a bilateral mastectomy, removal of her ovaries, and several reconstructive surgeries following a diagnosis of stage 2, grade 3 breast cancer when she was just 42. Michelle Tollefson, MD, is a Lifestyle Medicine expert and obstetrician-gynecologist. She is a pioneer in women’s health and Lifestyle Medicine and a professor at Metropolitan State University of Denver. She is currently on the executive boards of the American College of Lifestyle Medicine, and PAVING the Path to Wellness. She edited the textbook Improving Women’s Health Across the Lifespan and wrote PAVING a Woman’s Path through Menopause and Beyond. Dr. Tollefson was one of the first physicians ever trained as a wellness coach. She is an international speaker, women’s health consultant, mother to three kids, and a breast cancer survivor/thriver.Resources:PAVING a Woman’s Path through Menopause and BeyondHer cancer journey: https://365health.org/blog/breast-cancer-awareness-month-following-one-womans-journey/Support 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/WVhdrSign 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/807943973376099
Jan 18, 2023 • 1h 9min
What You Need to Know About Weight In Menopause and Beyond with Fatima Cody Stanford, MD, MPH, MPA (Episode 113)
We’ve been led to believe weight is a simple equation: energy in versus energy out, which implies it’s all in our control. We’re in charge. We just need the right diet, exercise, and willpower. And while nutrition and physical activity matter a lot, and some maintain their weight through those means, others feel like their bodies have a mind of their own, which is actually true, as this week’s guest, obesity medicine scientist, educator, and policy maker Dr. Fatima Cody Stanford explains. That’s because the central nervous system, which is governed by the brain, ultimately regulates weight. We dive deep into all the factors that influence how much fat we store, where menopause comes in, and what having a healthy weight really means. It’s all a whole lot more complicated than we’ve been led to believe. Fatima Cody Stanford, MD, MPH, MPA, FAAP, FACP, FTOS is an obesity medicine physician scientist, educator, and policy maker at Massachusetts General Hospital and Harvard Medical School. She is a national and international sought-after expert in obesity medicine who bridges the intersection of medicine, public health, policy, and disparities. In 2022, The National Academy of Medicine named her a Scholar in Diagnostic Excellence. You can learn more about her and her work at harvard.edu/faculty-staff/fatima-cody-stanfordSupport 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/WVhdrSign 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/807943973376099
Jan 11, 2023 • 1h 13min
Transformation in Menopause: Who Do You Want to Be Now? with Nicole DeBoom (Episode 112))
We’re back! And we’re kicking off the New Year with the perfect introspective conversation with former pro athlete turned entrepreneur and life adventurer, Nicole DeBoom. Nicole recently turned 50 and is in the thick of perimenopause, which for her has manifested in brain fog, night sweats, body composition changes, and more. She’s also recently had spinal fusion for spondylolisthesis, a spinal condition that causes instability and slips in the vertebrae in the spinal column, which is as awful as it sounds, all while navigating her perimenopause journey. We have a deep, wide-sweeping conversation about all of it, including her internal debate about hormone therapy, how our identities evolve during this time of life, and much more. A world-class swimmer as a teen, Nicole turned pro as a triathlete in 1999 and won Ironman Wisconsin in 2004 wearing a prototype of the first-ever running skirt. Three days later she incorporated Skirt Sports Inc, which she sold in 2020 before launching her new company Aesop, where she records interviews with people to create audio memories for loved ones. She also has a podcast, including a menopause series, called Run This World. You can learn more about her, her enterprises, and her life’s journey at www.nicoledeboom.com Support 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/WVhdrSign 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/807943973376099
Jan 4, 2023 • 1h 1min
REBROADCAST: Do You Need Hormone Therapy? with Carla DiGirolamo, M.D., Ph.D.
Since we started this podcast, many women have gone from being afraid to take hormone therapy to being afraid not to take hormone therapy, as some in the menopause field are saying that menopause is really a “hormone deficiency” and we can’t age well without it. This week we dive in on what hormone therapy is; what it can do (especially for performance and health); what it can’t do, and what we’re still learning about all of it with Dr. Carla DiGirolamo.Carla is a Double Board Certified Reproductive Endocrinologist and Obstetrician/Gynecologist specializing in infertility and menopausal medicine. She is also a Crossfit Level 1 trainer, Certified Nutrition Coach, and member of CrossFit Health. She runs an online personal training and nutrition coaching business, FitforLifeMD, specializing in the care of women in all age groups, but with a special interest in the comprehensive care of peri/postmenopausal women. She also writes a regular blog on Athletic Aging. Carla has the distinction of being the only repeat (and now threepeat!) guest on Hit Play Not Pause.Support 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/WVhdrSign 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/807943973376099
Dec 28, 2022 • 32min
REBROADCAST: The State of Menopause with Stephanie Faubion, MD, MBA, Medical Director of NAMS
The good news: we are finally talking about menopause! The not so good news: we still have a long way to go, especially in the realm of research, says this week’s guest Dr. Stephanie Faubion, who is on the tip of the spear leading the way forward as the Medical Director of The North American Menopause Society (NAMS). When it comes to dealing with menopause openly in our culture, especially in the workplace, Dr. Faubion believes we are where we were with pregnancy 30 years ago. And she has some ideas on how we can all help accelerate progress and bring our doctors and culture up to speed. Along with her role as Medical Director of NAMS, Dr. Faubion is Professor and Chair of the Department of Medicine at Mayo Clinic in Jacksonville, Florida, and Director of the Mayo Clinic Center for Women’s Health. Her expertise is in women’s health, clinical research, education, and clinical practice. You can learn more about her and her work at mayo.edu.Support 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/WVhdrSign 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/807943973376099
Dec 21, 2022 • 1h 8min
How to Research Your Menopause with Leslie McClure, PhD (Episode 111)
Dr. Google is often our first stop when we want to understand a symptom we’re experiencing and find out what we can do about it. But the internet is a bottomless well of information–and disinformation. Even when we dig into actual research studies, the conclusions aren’t always reliable or consistent, which is why it’s hard to get a straight answer on complex issues like hormone therapy. It can be frustrating and confusing, but there are ways you can evaluate the information you find to determine how much confidence to put into any given conclusion, which is where this week’s guest biostatistician Leslie McClure, PhD, comes in. Leslie explains how to do your own research and how to assess the information you find, including what makes a good study, causation versus correlation, features of information you can trust, and much more. Leslie also talks about her own menopause experience, which started when she was 39 and has continued for 9 years and how it has impacted her own training and fitness. Leslie is the Chair of the Department of Epidemiology and Biostatistics at Drexel University's Dornsife School of Public Health, where she works with other scientists to help them better formulate, design, analyze, and present their science. She is currently the Director of the Coordinating Center for the Diabetes LEAD Network, and the Director of the Data Coordinating Center for the Connecting the Dots: Autism Center of Excellence. Dr. McClure is a Fellow of the American Statistical Association, the Society for Clinical Trials, and of the American Heart Association.Support 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/WVhdrSign 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/807943973376099
