Decoding Women's Health with Dr. Elizabeth Poynor

Sleep in midlife can be complicated — shaped by stress, hormone fluctuations, and a lifetime of habits that may not be serving you. Dr. Jade Wu offers a reframe that challenges how many of us approach sleep. It’s not a problem to be solved. Sleep is your friend, one that responds better to patience than control.  Dr. Wu also explains why the real measure of sleep doesn’t come from a tracker or device but from how alert you feel during the day. We outline the difference between sleep deprivation, insomnia and sleep apnea. And we discuss the potential benefits of CBT-I or cognitive behavioral therapy for insomnia.  Links to resources mentioned in this episode: Thrive Sleep Clinic FAQs Hello Sleep: The Science and Art of Overcoming Insomnia Without Medications Genome-wide association study identifies genetic loci for self-reported habitual sleep duration supported by accelerometer-derived estimates Sleep Disturbance and Perimenopause: A Narrative Review Sleep Apnea Apnea-Hypopnea Index (AHI) To learn more about at-home sleep studies, speak with your doctor and read this See a breakdown of the evidence for different treatments for sleep You can find a list of certified CBT-I therapists here A 2023 paper in JAMA tested 25 over-the-counter melatonin supplements and found that 22 of them contained very different amounts of melatonin and did not match what was on the label: https://jamanetwork.com/journals/jama/fullarticle/2804077 Note: In this show, we use “women” as shorthand for people with XX chromosomes. We understand sex and gender are more complex, and acknowledge the experiences we describe reach beyond that word.See omnystudio.com/listener for privacy information.

What if you could actually delay the process of aging? Dr. Nir Barzilai hopes to identify interventions that could do just that. He believes a class of drugs known as gerotherapeutics could be real game changers. Dr. Barzilai walks us through his pioneering research and explains why your biological age may actually be different from your chronological age. And we break down the buzziest trends in the longevity space. Links to resources mentioned in this episode: Cellergy Therapeutics How to measure biological aging in humans Rapamycin, But Not Resveratrol or Simvastatin, Extends Life Span of Genetically Heterogeneous Mice An Updated Prioritization of Geroscience- Guided FDA-Approved Drugs Repurposed to Target Aging Comparative Effectiveness of Metformin Versus Sulfonylureas on Exceptional Longevity in Women With Type 2 Diabetes: Target Trial Emulation The Super Ager Family Study Nir Barziliai, MD, on what we can learn about longevity from SuperAgers and Centenarians Cardiovascular advantages among the offspring of centenarians  Lower all-cause, cardiovascular, and cancer mortality in centenarians' offspring Reduced Prevalence and Incidence of Cognitive Impairment Among Centenarian Offspring What You Should Know About NAD+ Supplements Abstract 4168: NMN supplementation enhances proliferation and aggressiveness in UV-induced skin cancer Note: In this show, we use “women” as shorthand for people with XX chromosomes. We understand sex and gender are more complex, and acknowledge the experiences we describe reach beyond that word.See omnystudio.com/listener for privacy information.

We’re tackling your questions about midlife hormone support. We’ll debunk common myths, unpack the research, and break down the basics of hormone support. We’ll also discuss some of the systemic benefits that may come with taking hormones, as well as important considerations for people with a history of health conditions, like cancer or stroke. Joining Dr. Elizabeth Poynor for this discussion is Atria Health Institute’s Chief Content Officer Siobhan O’Connor.  Links to resources mentioned in this episode: (00:25:29) - Decoding Happiness in Midlife with Dr. Laurie Santos (00:27:27) - Decoding Brain Fog with Dr. Caroline Gurvich (00:48:00) - Decoding Partnership in Midlife with Dr. Richard Shapiro Vaginal estrogen use in breast cancer survivors: a systematic review and meta-analysis of recurrence and mortality risks Oral micronized progesterone for perimenopausal night sweats and hot flushes a Phase III Canada-wide randomized placebo-controlled 4 month trial Systematic review and meta-analysis of the effects of menopause hormone therapy on risk of Alzheimer’s disease and dementia Menopausal Hormone Therapy and Risk of Endometrial Cancer Allopregnanolone and Reproductive Psychiatry: An Overview Adverse Changes in Body Composition During the Menopausal Transition and Relation to Cardiovascular Risk: A Contemporary Review The role of lifestyle medicine in menopausal health: a review of non-pharmacologic interventions Skeletal muscle as an endocrine organ: PGC-1α, myokines and exercise ADHD and Sex Hormones in Females: A Systematic Review The range and variation in serum estradiol concentration in perimenopausal and postmenopausal women treated with transdermal estradiol in a real-world setting: a cross-sectional study The use of HRT containing transdermal estradiol in women with a personal history of venous or arterial thromboembolism: A consecutive series of 115 cases Recurrent Uncomplicated Urinary Tract Infections in Women: AUA/CUA/SUFU Guideline (2025) Note: In this show, we use “women” as shorthand for people with XX chromosomes. We understand sex and gender are more complex, and acknowledge the experiences we describe reach beyond that word.See omnystudio.com/listener for privacy information.

We’ve talked a lot on this show about health issues midlife women face. But what about the other people who often have a front-row seat to these changes, and can play a key supporting role? This week, a conversation about supporting a partner who’s going through menopause—with none other than Elizabeth’s own partner: Dr. Richard Shapiro (who also happens to be a pioneering breast cancer and melanoma researcher and surgeon). They talk about the ways they’ve navigated midlife changes in their relationship, common misconceptions about taking hormones, and impacts menopause can have on relationships, as well as give advice for how both partners and clinicians can better support women experiencing menopause.  Links to resources mentioned in this episode:  (00:01:38) Dr. Elizabeth Poynor on Rich Roll’s podcast Menopausal Hormone Therapy and the Risk of Breast Cancer in Women with a Pathogenic Variant in BRCA1 or BRCA2 The Menopause Society 8 facts about divorce in the United States Note: In this show, we use “women” as shorthand for people with XX chromosomes. We understand sex and gender are more complex, and acknowledge the experiences we describe reach beyond that word.See omnystudio.com/listener for privacy information.

What if we reframed the way we approach exercise? On today’s show, Dr. Elizabeth Poynor is joined by Robert Brace - founder of Brace Life Studios. He’s also Elizabeth’s trainer. They discuss how he tailors his workouts to women in midlife, the benefits of exercising in a group and how movement and exercise connect to our mental and spiritual well-being. Robert also gives advice about how to approach training at different hormonal cycle phases, and ways to get started, even when it feels tough.  Links to resources mentioned in this episode: Robert Brace’s Studio Martial arts increase oxytocin production Systematic review: pain, cognition, and cardioprotection—unpacking oxytocin’s contributions in a sport context Bidirectional Association between Physical Activity and Dopamine Across Adulthood—A Systematic Review Embodied mood regulation: the impact of body posture on mood recovery, negative thoughts, and mood-congruent recall Bone mineral density loss in relation to the final menstrual period in a multiethnic cohort: results from the Study of Women's Health Across the Nation (SWAN) American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise Menstrual cycle tracker apps – Natural Cycles, Flo and Apple Health  Exercise platforms/apps – Nike Training, TheBraceLife.com  Note: In this show, we use “women” as shorthand for people with XX chromosomes. We understand sex and gender are more complex, and acknowledge the experiences we describe reach beyond that word.See omnystudio.com/listener for privacy information.

GLP-1s are everywhere. But are they the only medical weight loss intervention worth considering? On today’s episode, Dr. George Fielding - a pioneer of laparoscopic adjustable band surgery and a patient of the procedure himself - offers an insider’s look at the world of weight loss surgeries. How do these surgeries work? Who are they really for? And how should we think about them alongside the surge of GLP-1 medications? We also dig into the stigmas people face when trying to lose weight with medical support, and the biggest misconceptions around obesity. Links to resources mentioned in this episode: Genomics reveals eleven obesity endotypes with distinct biological and phenotypic signatures Obesity Drugs May Drop to as Little as $149 a Month The lung is a site of platelet biogenesis and a reservoir for haematopoietic progenitors Associations of Hysterectomy, Oophorectomy, and Hormone Replacement Therapy With the Risk of Type 2 Diabetes Mellitus in Postmenopausal Women Note: In this show, we use “women” as shorthand for people with XX chromosomes. We understand sex and gender are more complex, and acknowledge the experiences we describe reach beyond that word.See omnystudio.com/listener for privacy information.

Why does your body start “shape shifting” in midlife, even if you’re doing everything “right”? And what’s really behind all the GLP-1 buzz? Endocrinologist and weight-management specialist Dr. Beverly Tchang explains the science behind midlife metabolism, why BMI alone doesn’t tell the full story, what GLP-1s actually do in the body, and what women should know before considering these treatments. Links to resources mentioned in this episode: Dr. Beverly Tchang’s Professional Disclosures SWAN Study (Study of Women’s Health Across the Nation) HOMA-IR Calculator (for assessing insulin resistance) STEP 1 Trial – Semaglutide for weight management SURMOUNT-1 Trial – Tirzepatide for weight management Note: In this show, we use “women” as shorthand for people with XX chromosomes. We understand sex and gender are more complex, and acknowledge the experiences we describe reach beyond that word.See omnystudio.com/listener for privacy information.

For Breast Cancer Awareness Month, Dr. Susan Domchek joins the show to talk about the importance of knowing your genetic history, using genetic testing to understand cancer risk, and what you can do if you learn that you have BRCA gene mutation. Links to resources mentioned in this episode: Basser Center for BRCA National Society of Genetic Counselors National Comprehensive Cancer Network Note: In this show, we use “women” as shorthand for people with XX chromosomes. We understand sex and gender are more complex, and acknowledge the experiences we describe reach beyond that word.See omnystudio.com/listener for privacy information.

On Decoding Women’s Health, Dr. Elizabeth Poynor—world-renowned gynecologic oncologist and Chair of Women’s Health at the Atria Health Institute—cuts through the noise to bring you the latest science on midlife women’s health. Whether you're in perimenopause, postmenopause, or simply looking for tools to prepare for the next chapter, take charge of your health—now and for the future—with expert guidance and practical advice to help you thrive. Decoding Women's Health begins on October 7, with episodes releasing every other Tuesday.See omnystudio.com/listener for privacy information.