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If you're an active woman in perimenopause or menopause and it feels like your body is suddenly falling apart — new injuries, recurring pain, workouts that just aren't working the way they used to — this episode is for you. This week we sat down with Casey Francis, DPT, a performance physical therapist who works with midlife women to understand why they’re getting hurt, and importantly, what to do about it, including movement assessment, prehab, rehab, lifestyle and nutrition practices, and much more. Plus, we have a special guest appearance from our very own resident menopause specialist Dr. Carla DiGirolamo — who not only recommended Casey for this episode but is also one of her patients.Casey Francis, DPT is a performance physical therapist and founder of MVMT MTHD. A former Penn State swimmer and graduate of the University of Florida’s physical therapy program, Casey specializes in root-cause–driven care for active individuals and athletes. Her approach integrates movement analysis, progressive strength, and regenerative therapies to help people heal from injury, build resilient bodies, and sustain high-level performance. You can learn more about her and her work at mvmt-mthd.comCarla 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. Dr. DiGirolamo is now seeing patients for virtual consultations for menopausal care and performance optimization. Visit her website drcarlad.com to learn more about her services and schedule an appointment.Resources:Crossover Symmetry SystemPerformance Physical Therapy - An investment in your Longevity, Athletic Aging blogSign 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:Cozy Earth: Use Code HITPLAY at https://cozyearth.com/ for up to 20% off 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/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 athletic women, we often pride ourselves on grit—shoving down feelings, pushing through pain and measuring every metric in pursuit of optimization. But what does that cost us long-term? And how does it hold up in the chaos of midlife and menopause? This week, former Ironman champion and lifestyle medicine practitioner Dr. Tamsin Lewis joins us to explore the evolution from "harden the F up" culture toward bioharmony—a compassionate, context-driven alternative to the more rigid biohacking that’s popular today. Drawing from her high-performance athletic career and hard-won personal experience, she unpacks what she’s learned about female biology, hormones, and recovery. We also dig into hormone therapy, nervous system regulation, autophagy, regeneration, and embracing midlife as a "second spring"—a season for new pursuits that expand our identity, horizons, and even cognitive capacity. Prepare for a deep dive into the menopause transition through the lens of mindset, biology, and the nervous system.Dr Tamsin Lewis, also known as Dr Tam, is a physician, longevity expert, and human‑flourishing advocate. Graduating with honours in Medicine from King’s College London and Guy’s & St Thomas’ Hospitals, with a BSc in Neuroscience and the Biology of Ageing, her work bridges psychiatry, sports & exercise medicine, nutritional and functional medicine. As Founder and Medical Director of Wellgevity®, she leads a personalised, diagnostics‑driven approach to health and emotional regulation—the Wellgevity® Method—integrating biomarkers, brain‑body synchrony, and evidence‑based recovery, while consulting at Reborne Longevity in London, where she delivers longevity medicine through a bioharmony lens. You can learn more about her and her work at www.wellgevity.comResources:Progestogens and endometrial protection, BMS Tool for CliniciansSign 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:Cozy Earth: Use Code HITPLAY at https://cozyearth.com/ for up to 20% off 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/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:Cozy Earth: Use Code HITPLAY at https://cozyearth.com/ for up to 20% off 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/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:Cozy Earth: Use Code HITPLAY at https://cozyearth.com/ for up to 20% off 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/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

Sports nutrition is confusing. Sports nutrition for endurance athletes is even more confusing. And sports nutrition for midlife female endurance athletes? That’s where a lot of women end up working incredibly hard… and getting nowhere, because they’re trying to outtrain a fueling problem. This week we sat down with sports dietitian and endurance athlete Meghann Featherstun of Featherstone Nutrition to talk about the fueling mistakes that women often struggle with the most: iron status, energy availability, carbohydrate fueling, hydration, and GI distress, along with the emerging complications of GLP-1 medications.Meghann Featherstun, MS, RD, CSSD Owner and founder of Featherstone Nutrition ltd, Meghann has been working with endurance athletes as a board certified sports dietitian for the last 10 years. Passionate about helping runners, triathletes, and active individuals crush their biggest, baddest performance goals through solid daily & performance nutrition. A 3:58 to 2:49 marathoner herself, she knows what it takes to use solid nutrition to elevate potential as an athlete. You can learn more about her and her work at featherstonenutrition.comResourcesCarbohydrate Ingestion on Exercise Metabolism and Physical Performance, here.Sign 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:Cozy Earth: Use Code HITPLAY at https://cozyearth.com/ for up to 20% off 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/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

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:Cozy Earth: Use Code HITPLAY at https://cozyearth.com/ for up to 20% off 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/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

This week we welcome back protein and fat-loss researcher Dr. Bill Campbell to unpack early findings from what may be the largest menopause fitness survey to date, designed to finally study women who actively train. We dive into what thousands of fit midlife women report about calorie and protein intake, hormone therapy use, and the widely felt—but poorly studied—experience of weight-loss resistance during peri- and postmenopause. The conversation also explores why hormone therapy use appears far higher in fitness-engaged women than in national estimates, how muscle quality and power may decline even before we notice muscle loss, and why high-intensity interval work appears especially promising for reducing visceral fat.Bill Campbell, PhD is a Professor of Exercise Science and Director of the Performance and Physique Enhancement Laboratory at the University of South Florida. He is also a Certified Strength & Conditioning Specialist from the National Strength & Conditioning Association and former president of the International Society of Sports Nutrition (where he is also 1 of 35 individuals to be recognized as a ‘Fellow’ of the organization—an honor reserved for those individuals who have outstanding contributions to the field of sports nutrition). He has published over 200 scientific papers and abstracts, three textbooks, and 20 book chapters in areas related to physique enhancement, sports nutrition, resistance training, and dietary supplementation. You can learn more about him and his work at www.billcampbellphd.comResourcesInvestigating weight loss resistance across the menopausal transition: a preliminary quantitative survey of resistance-trained women hereInsufficient sleep undermines dietary efforts to reduce adiposity hereWhy the Calories In/Calories Out Equation Can Fail Women with Jody Dushay, MD 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:Cozy Earth: Use Code HITPLAY at https://cozyearth.com/ for up to 20% off 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/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

“Carbs are evil.” As we usher in 2026, and as endurance athletes around the globe are stuffing down as many carbohydrates per hour as humanly possible to supercharge their performance, this week’s guest, sports dietitian Kristen Arnold, still manages misconceptions, especially from her midlife clients, that carbohydrates are something to be cut from the diet. Nothing could be further from the truth. This week we kick off the new year with a show all about the life and performance-boosting benefits of carbs. We cover carbohydrate timing, processed carbs versus unprocessed carbs, carbohydrate’s impact on blood sugar, brain function, mood, inflammation, general health, and much, much more.Kristen Arnold, MS, RDN, CSSD is a board-certified sports dietitian, cycling coach, and retired professional athlete with over 10 years of experience in sports dietetics. She has worked with a wide range of professional sports teams, athlete-centered healthcare initiatives, and Olympic organizations. Kristen owns a thriving private practice dedicated to empowering active women across the lifespan through evidence-based sports nutrition coaching and education. She is a first-author, peer-reviewed researcher on improving postmenopausal women’s health through targeted nutrition strategies and counseling, and she regularly speaks on podcasts and contributes to publications on sports nutrition topics. Learn more at sportsnutritionforwomen.com.Sign 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:Cozy Earth: Use Code HITPLAY at https://cozyearth.com/ for up to 20% off 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/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 episode originally dropped on: June 2, 2025When some of the biggest names in menopause medicine want to learn to lift heavy, they turn to this week’s guest, Nike Master Trainer and midlife fitness advocate Holly Rilinger, founder of the LIFTED Method. Because Holly gets it. She’s been through her own journey with damaging diet culture, body image issues, and a challenging perimenopause that has left her navigating sheet soaking night sweats, brain fog, and fatigue. Through a midlife-specific training plan and tailored hormone therapy regimen (including testosterone), she’s been able to reclaim her energy and power and is devoted to helping others do the same. This week we dive into the science and strategy behind Holly’s Lifted Method and her Blueprint programs designed specifically for women in midlife, as well as for those using GLP-1 medications. This conversation is packed with insight, honesty, and a lot of muscle. You can learn more about Holly and her programs at www.theliftedmethodcoaching.comHolly Rilinger is a Nike Master Trainer, author, and founder of the LIFTED Method: An in-person and virtual platform with the focus of empowering people at all levels to strength train. Holly is dedicated to delivering innovative, science-backed training methods in an environment that prioritizes growth, resilience, and a lifelong passion for fitness. Holly coaches in her East Hampton studio and on her virtual platform. She is also the founder of LIFTED Blueprint, formerly Menopause Bootcamp, a program designed specifically to help women in midlife get stronger, feel more energized, and gain confidence as they navigate this powerful phase of life. She is also the creator of LIFTED’s newest program for SLP-1 patients–GLP-1 Blueprint in partnership with Dr. Alexandra Sowa of So Well.Sign 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:Cozy Earth: Use Code HITPLAY at https://cozyearth.com/ for up to 20% off 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/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

Are you burned out? Or just in a rough patch? Is it perimenopause, depression, or some messy mix of well, everything? In this episode, we’re joined by sports psychologist and endurance athlete Dr. Erin Ayala to unpack athletic burnout in midlife women—what it is, how it shows up, how it overlaps with perimenopause and mood changes, and how to tell it apart from being overreached, under-fueled, or just end-of-season tired. Erin also serves up some practical advice for what to do when every workout feels like a slog, how to talk to your coach, why rest, recovery, and carbs matter more than ever, and how to build a support team that actually communicates. We also dig into the grief of changing performance and body composition in midlife—and how to pivot without losing your identity as an athlete.Erin Ayala, PhD, LP, CMPC is a Licensed Psychologist and Certified Mental Performance Consultant (CMPC) offering virtual mental health therapy for athletes aged 14 and above. She provides one-on-one performance coaching, CMPC mentorship, clinical supervision, and group workshops for teams and sport organizations. She supports athletes in injury recovery, managing performance anxiety, depression, pre-competition stress, confidence, and self-criticism. Located in Minnesota, she is licensed to work with athletes in 40 states. You can learn more about Dr. Ayala and her work at www.skadisportpsychology.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:Cozy Earth: Use Code HITPLAY at https://cozyearth.com/ for up to 20% off 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/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

The menopause transition is a critical tipping point for bone health. Bone loss accelerates rapidly in late perimenopause and continues for roughly 3 to 5 years after menopause begins–a window in which some women lose up to 20% of their total bone mass. For too long, society accepted this decline as inevitable. That fragility is our fate. That as women, our stature–and our lives and our worlds–just shrink as we age. Dr. Lisa Moore, DPT, founder of Brick House Bones, is on a mission to change that. After a surprise osteopenia diagnosis of her own, she rebuilt her bone density by 3% in a single year. Now she’s helping tens of thousands of women reclaim their skeletal strength, too, including those navigating uniquely challenging circumstances like cancer recovery. She shares her recipe for maintaining and building strong bones this week.Dr. Lisa Moore, DPT, is on a mission to help over one million people with low bone density turn fear into action—and build the strength to do the things they love with the people they love! She’s a Doctor of Physical Therapy, a certified yoga and mindfulness educator, and a BoneFit™ Trained Healthcare Professional specializing in evidence-based exercise for osteoporosis. Lisa is the founder of Brick House Bones, a global movement helping women build stronger bodies and stronger bones. She also runs her own clinic, Strong Bones Physical Therapy, just outside of Seattle, Washington. With degrees from the University of Maine, the University of Washington, and the University of South Dakota, Lisa brings together science, movement, compassion, and community to help her clients thrive at every age.ResourcesBrick House Bones with Dr. Lisa Moore, DPT, hereHigh-Intensity Resistance and Impact Training Improves Bone Mineral Density and Physical Function in Postmenopausal Women With Osteopenia and Osteoporosis: The LIFTMOR Randomized Controlled Trial, hereStronger back muscles reduce the incidence of vertebral fractures: a prospective 10 year follow-up of postmenopausal women, hereSkeletal site-specific effects of jump training on bone mineral density in adults: a systematic review and meta-analysis, hereWeighted Vests in Midlife: Hype? Help? Harm?, hereFRAX fracture risk calculator Sign 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:Cozy Earth: Use Code HITPLAY at https://cozyearth.com/ for up to 20% off 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/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