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S1E2 Why Everything Changes After 40 — And How to Get It Back

40s Forward

Release Date: 12/30/2025

S1E7 Cold Intolerance After 40: What Your Body Is Really Telling You show art S1E7 Cold Intolerance After 40: What Your Body Is Really Telling You

40s Forward

In this episode of the 40s Forward Podcast, Dr. Betsy Greenleaf takes a deep, science-backed, and refreshingly honest look at why so many adults over 40 feel cold all the time. What is often dismissed as “just aging” is actually a powerful physiological signal related to metabolism, hormones, muscle mass, mitochondrial health, and nervous system balance. This episode explains why cold intolerance increases with age, how it connects to energy production at the cellular level, and what practical lifestyle medicine strategies can help restore warmth, resilience, and vitality. Shocking Truths...

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S1E6 Are Hormones Dangerous? The Truth Behind the WHI Study and Hormone Balance After 40 show art S1E6 Are Hormones Dangerous? The Truth Behind the WHI Study and Hormone Balance After 40

40s Forward

In this episode of 40s Forward, Dr. Betsy Greenleaf addresses the widespread belief that hormones are dangerous—a misconception rooted in the Women’s Health Initiative (WHI) study published in 2001. Dr. Greenleaf explains what the WHI actually studied, why its findings were misunderstood, and how fear-based messaging has affected hormone care for decades. This episode explores the science of hormone metabolism, including estrogen pathways and why synthetic, non-bioidentical hormones used in the WHI preferentially metabolize down pathways that can create toxic...

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S1E5 Is Diabetes Reversible? Dr. Beverly Yates Explains What Most Doctors Miss show art S1E5 Is Diabetes Reversible? Dr. Beverly Yates Explains What Most Doctors Miss

40s Forward

Is Diabetes Reversible? Dr. Beverly Yates Explains What Most Doctors Miss What if diabetes isn’t a life sentence—but a metabolic wake-up call? In this powerful episode of the 40s Forward Podcast, Dr. Betsy Greenleaf sits down with Dr. Beverly Yates, a nationally respected expert in metabolic health, to unpack one of the most misunderstood questions in modern medicine: Is diabetes reversible? Together, they explore why conventional approaches so often fail—especially in midlife—and what’s frequently missed in standard care, particularly for women navigating hormonal shifts, insulin...

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S1E4 Why Diet and Exercise Stop Working After 40 — And How to Reignite Your Metabolism show art S1E4 Why Diet and Exercise Stop Working After 40 — And How to Reignite Your Metabolism

40s Forward

If calorie counting, cardio, and “doing more” used to work—but don’t anymore—this episode explains why. In this episode of the 40s Forward Podcast, Dr. Betsy Greenleaf breaks down the real biology of midlife metabolism and why traditional weight-loss advice fails after 40. Your metabolism isn’t broken—it has changed. And fighting it only makes things worse. After 40, muscle loss, hormonal shifts, insulin resistance, elevated cortisol, poor sleep, and inflammation all change how your body processes food and stores fat. This episode explains what’s actually happening—and how to...

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S1E3 Why Your Hormones Are Not Broken — They’re Misunderstood show art S1E3 Why Your Hormones Are Not Broken — They’re Misunderstood

40s Forward

If you’ve tried hormone therapy and still don’t feel like yourself… If your labs are “normal” but your symptoms aren’t… If you’re confused, frustrated, or afraid of hormones… This episode will change how you understand your body. In this episode of the 40s Forward Podcast, Dr. Betsy Greenleaf explains why hormone therapy fails so many people — and why the problem is not your hormones, but the outdated, incomplete way hormones are treated. Hormones are chemical messengers that influence energy, metabolism, mood, sleep, libido, cognition, confidence, and aging. Treating...

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S1E2 Why Everything Changes After 40 — And How to Get It Back show art S1E2 Why Everything Changes After 40 — And How to Get It Back

40s Forward

  Have you ever looked in the mirror after 40 and thought, “Why isn’t anything working the way it used to?” You’re eating well. You’re exercising. You’re doing “all the right things.” And yet your energy is lower, your sleep is off, your weight is harder to manage, your stress feels heavier, and your libido may not feel like you anymore. In this episode of 40s Forward, Dr. Betsy Greenleaf breaks down why everything changes after 40 — and more importantly, how to get it back. This is not about aging, willpower, or discipline. It’s about biology, hormones, metabolism,...

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S1E1 Special Holiday Edition.  Surving the Holidays and New Year New You show art S1E1 Special Holiday Edition. Surving the Holidays and New Year New You

40s Forward

The holidays are supposed to be joyful — but for many people over 40, they can feel overwhelming, exhausting, and quietly stressful. In this special episode of 40s Forward, Dr. Betsy Greenleaf breaks down why the holidays hit harder after 40 and how to protect your energy, hormones, metabolism, and emotional well-being without guilt or perfectionism. You’ll learn why your body responds differently to stress, sugar, alcohol, late nights, and family dynamics in midlife — and how to navigate the season with grace, strategy, and self-leadership instead of burnout. This episode is not about...

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More Episodes

 

Have you ever looked in the mirror after 40 and thought,
“Why isn’t anything working the way it used to?”

You’re eating well.
You’re exercising.
You’re doing “all the right things.”
And yet your energy is lower, your sleep is off, your weight is harder to manage, your stress feels heavier, and your libido may not feel like you anymore.

In this episode of 40s Forward, Dr. Betsy Greenleaf breaks down why everything changes after 40 — and more importantly, how to get it back.

This is not about aging, willpower, or discipline.
It’s about biology, hormones, metabolism, stress, and how your body recalibrates in midlife.

You’ll learn why traditional diet and exercise advice stops working, how hormone shifts quietly affect everything from confidence to desire, and what actually supports vitality, strength, and performance after 40 — in life, at work, and in the bedroom.

If you’ve felt frustrated, confused, or told “this is just part of getting older,” this episode will change how you think about your body — and what’s possible next.

In this episode, you’ll discover:

  • Why your metabolism, sleep, and energy shift after 40

  • The hidden role hormones play in weight, mood, and libido

  • Why stress affects your body differently in midlife

  • Why doing more is often the wrong strategy

  • How to work with your biology instead of fighting it

  • What it really takes to feel vibrant, confident, and alive again

This episode sets the foundation for everything we’ll explore on 40s Forward — because midlife isn’t a decline.

It’s a recalibration.

And when you understand the rules, everything changes.

 

Resources & Next Steps

Learn more about hormone and vitality optimization at PauseInstitute.com
Explore pelvic and sexual wellness tools at the Pelvic Floor Store