219 Breath, Bladder and the Brain: Rethinking Urination and Aging Gracefully with Dr. Nicole Fleischmann
Growing Older Living Younger: About longevity, wellness, healthspan,
Release Date: 07/28/2025
Growing Older Living Younger: About longevity, wellness, healthspan,
In this enlightening conversation, Dr. Gillian Lockitch talks with Alison Bladh about navigating menopause and midlife with confidence, vitality, and grace. Alison shares over 35 years of experience helping women transform their health, beauty, and mindset through evidence-based nutrition, lifestyle, and self-care. Learn how small, realistic changes can rebalance hormones, improve sleep, manage weight, and restore radiant skin and energy—so you can age youthfully and thrive through every life stage. Alison Bladh is an award-winning nutritional therapist and aesthetician...
info_outlineGrowing Older Living Younger: About longevity, wellness, healthspan,
Can you build healthspan in your 50s, 60s and beyond? In our episode 239 conversation, Jeff Weiss says yes—and he’s got the miles to prove it. After his first 10K at 48, Jeff progressed to marathons, ultramarathons, and Ironman triathlons, discovering how structured training within smart guardrails, and the right mindset can unlock cardiovascular fitness, strength, confidence, and cognitive resilience in midlife. We explore practical ways to get started (and keep going), how to balance discomfort vs. danger, and why setting “big, hairy, audacious goals” fuels transformation far beyond...
info_outlineGrowing Older Living Younger: About longevity, wellness, healthspan,
Coach and educator Carla Wainwright joins Dr. Gillian in episode 238 to reframe midlife (about 40–65) as a gateway rather than a decline. Drawing on science and somatic wisdom, Carla explains how shifting sex hormones affect metabolism, sleep, stress tolerance, and body composition—and why nervous‑system regulation, metabolic basics, and pleasure practices are foundational for healthspan. You’ll learn simple micro‑resets (breath, grounding, nature time), how to stack small rituals, and why cultivating daily moments of joy/connection boosts oxytocin and nitric oxide—two...
info_outlineGrowing Older Living Younger: About longevity, wellness, healthspan,
In Episode 237, in conversation with Dr. Gillian Lockitch, Scott Fulton reframes “successful aging” as more years, more moments, more money. He unpacks his MEDAC model—Mind, Environment, Diet, Activity, Community—and shows how small, practical tweaks compound: design homes for longevity, manage toxin exposure sensibly, eat for quality/variety/fiber, move all day (not just “exercise”), train balance, and build supportive community. They also explore simple ways to measure what matters and why stepping outside your comfort zone is a powerful aging tool. Scott Fulton is...
info_outlineGrowing Older Living Younger: About longevity, wellness, healthspan,
Are we being bamboozled by “evidence”? In episode 236 of Growing Older Living Younger, Dr. Joseph Jacko explains how pharmaceutic and other corporate funding skews what we are told, why absolute risk matters more than splashy headline statistics, and how a deeper understanding of hormones and our metabolism, the microbiome –brain connection, and regenerative tools can help you build real health and extend your healthspan,—not just live with and manage disease. We pull back the curtain on how corporate interests and publication bias can distort...
info_outlineGrowing Older Living Younger: About longevity, wellness, healthspan,
In episode 235 of Growing Older Living Younger, Dr. Don Cote shares his extraordinary journey from humble beginnings to building a life of meaning, resilience, and purpose. With his background in cognitive behavioral science, business coaching, and decades of lived experience, Don reveals how his father’s wisdom and Napoleon Hill's "Think and Grow Rich" inspired him to develop his Life Works Life Mastery System, a step-by-step blueprint for transformation. We explore how you too can thrive in your later years, redefine a "successfull life" and build connections and community ...
info_outlineGrowing Older Living Younger: About longevity, wellness, healthspan,
In this captivating episode of Growing Older Living Younger, Dr. Gillian Lockitch dives into the mystical yet deeply practical world of the Akashic Records with Natasha Rocha. Often described as the “Google of the spiritual world,” the Akashic Records are said to hold the blueprint of your soul—your purpose, gifts, and highest potential. Natasha shares her personal spiritual awakening, how she helps people access their soul’s blueprint, and why reconnecting with passion and purpose can reignite vitality at any age. This episode reveals how understanding your Akashic blueprint...
info_outlineGrowing Older Living Younger: About longevity, wellness, healthspan,
Tim Christophersen, one of the world’s leading voices on ecosystem restoration, joins Dr. Gillian Lockitch for episode 233 of the Growing Older Living Younger podcast. With over 25 years of experience shaping global climate and biodiversity policy at the United Nations and now leading sustainability initiatives at Salesforce, Tim discusses how restoring our relationship with nature is essential not only for planetary health but very much so for our personal health and longevity. From the philosophy of ecological literacy to regenerative farming, urban green equity, and...
info_outlineGrowing Older Living Younger: About longevity, wellness, healthspan,
In this episode, Dr. Gillian Lockitch welcomes Dr. Kavin Mistry to discuss how aligning with our primal design can help us reverse biological age. Drawing from neuroscience, the Hadzabe tribe, and his seven paradigms of Primal Health Design, Dr. Mistry explains how circadian rhythms, primal alignment, gut microbiome health, neuroplasticity, and emotional connection contribute to resilience and longevity. He also shares practical daily habits—like stillness practices and his free morning routine—that can transform health at any age. This conversation offers...
info_outlineGrowing Older Living Younger: About longevity, wellness, healthspan,
'Opportunity is missed by most people because it is dressed in overalls and looks like work .' (Thomas Edison) 'People tell me ‘you’re not the same person that I was 20 years ago’ and I say good! I don’t want to be that same person, I want to grow' (Darlene Shearer) Darlene Shearer is an entrepreneur who, over the past 3 decades has built and run a global business in health, beauty, and anti-aging. As the first Team Elite in Canada, she has mentored and trained new entrepreneurs of diverse ages, backgrounds and cultures. Darlene has more energy, optimism, and passion for life than many...
info_outlineIs your pelvic floor holding you back — literally? This week on the Growing Older Living Younger podcast, Dr. Nicole Fleischmann joins Dr. Gillian Lockitch to shatter the myths surrounding women’s pelvic health. Discover why “the second mouth” — your pelvic floor — is key to nervous system regulation, continence, and vitality as you age. Learn how pushing to pee could be damaging your body, why Kegels might not be the answer, and how a simple sniff can reconnect you with your core. This is a must-listen episode for every woman over 40 who wants to age with grace, strength, and confidence.
Dr. Nicole Fleischmann is a board-certified urologist specializing in female pelvic medicine and reconstructive surgery. She earned her MD from SUNY Downstate and completed her training in urology at Albert Einstein College of Medicine, followed by a fellowship at NYU. With over 25 years of clinical experience, she currently directs the FPMRS program at White Plains Hospital Center and serves as Assistant Clinical Professor at Albert Einstein College of Medicine. Dr. Fleischmann is the author of The Second Mouth: One Woman’s Journey to Decode a Hidden Language for a New Era of Women’s Health. Her integrative approach blends science and somatic awareness, helping women reconnect mind and body for lifelong pelvic health.
Episode Timeline
0:00 – Introduction
Dr. Gillian introduces the podcast theme of aging youthfully and welcomes Dr. Nicole Fleischmann to discuss pelvic health, aging, and the nervous system.
4:00 – Why Dr. Fleischmann Wrote The Second Mouth
Nicole shares her motivation: translating intuitive understanding into a narrative that reframes pelvic floor function as neurological and energetic, not just mechanical.
6:30 – Urinary Issues and Aging
Discussion of prevalence: incontinence affects up to 80% of women by age 80. Why pelvic floor dysfunction is universal yet misunderstood.
8:30 – What Is Embodied Awareness?
Nicole defines “interoception” — tuning in to how your body feels from the inside — and why it's critical to aging well.
10:40 – What is the Second Mouth?
How the pelvic floor functions like a jaw and why “opening” it via breath awareness is crucial to urination and defecation.
14:00 – Dysfunctional Urination Explained
Dr. Fleischmann describes the three common (and harmful) ways women urinate and how proper breathwork can retrain this system.
17:30 – Childhood Origins of Dysfunction
How toilet training ingrains habits of pushing, setting the stage for adult dysfunction — and what neurological milestones are missed.
21:30 – The Medical Establishment’s Blind Spot
Nicole explains why mainstream urogynecology hasn’t caught up and why breathwork offers a path beyond surgery and drugs.
23:30 – Why Not Kegels?
A passionate critique of Kegels and chest breathing — and how both disrupt pelvic harmony and nervous system regulation.
26:30 – The Sniff Technique
Demonstration of a simple sniffing maneuver to engage the diaphragm and drop the pelvic floor — a key to functional urination and core stability.
29:00 – Unconscious Behaviors and Structural Damage
Exploring how daily habits like pushing to urinate can lead to prolapse and why posture and breath matter more than strength.
33:00 – The One Habit to Build Today
Dr. Fleischmann’s no-nonsense advice: stop sucking in your belly. Let it out to free your diaphragm and align your body for healthy aging.
36:00 – Takeaway Message
Breath is the key to nervous system regulation. Awareness can’t be explained — it must be felt.
Learn more about Dr. Fleischmann's work
@drnicolefleischmann for TikTok, instagram, LinkedIn
Action Steps:
Download my EBook Guide: Guide to Building Back a Better Body
Schedule a CALL with Dr. Gillian Lockitch.
Join the GOLY Community: https://www.facebook.com/groups/growingolderlivingyounger