What’s Best Total Body or Split Routine in Menopause
The Flipping 50 Show
Which is the best workout routine for you right now – total body or split routine in menopause? This episode unpacks a recent study by comparing results from total body or split routine in menopause. The study did not actually address menopause. But if we know we are capable of making the same relative strength gains as males, then I’m considering this study as still relevant for us to consider in menopause. How the study was done: Untrained males, no resistance training in the previous 6 months. Exercise consists of 16 sets per muscle group per week per both...
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Autoimmune Disease in Menopause and Changing Treatment Status Quo
The Flipping 50 Show
Why is autoimmune disease in menopause becoming more prevalent? And why are college-age patients a growing autoimmune demographic? In your 60s, when the world is thinking of retirement, would you ever consider being a founder of a new business instead of spending days on the golf course or traveling? Answers to the increase in autoimmune disease in menopause and more in this special episode I think you may find both alarming and fascinating; both a shot of reality and hope. My Guest: Dr. Bonnie Feldman, 69, Co-founder and Chief Patient Officer of Rheumission, is an...
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Why I Take These Supplements in Menopause
The Flipping 50 Show
If you’ve wondered what supplements I take and why I take these supplements in menopause, this episode if you backstage pass inside my pantry! I'm talking through everything I'm using for energy, muscle, metabolism, and aging optimally — and why. This isn’t about hormone therapy; this is about all the “extras” that make a powerful difference in daily vitality, sleep, and workouts. Know the WHY I take these supplements in menopause. Magnesium ~300 enzyme actions in body many of them related to metabolism Stress depletes magnesium Responsible for all the...
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Stress Isn’t All Bad? Use Stress to Thrive
The Flipping 50 Show
No, stress isn’t all bad. “Stress” is generally seen as negative and harmful. How can you use stress to thrive and live longer? In this episode, learn how to create good stress for bursts of happiness and live longer. Our guest will tell us more on The Stress Paradox and share the 5 key good stressors to use stress to thrive. Understand it here, stress isn’t all bad. My Guest: Dr. Sharon Horesh Bergquist, MD, is an award-winning physician, healthcare leader, and visionary researcher renowned for a science-based approach to applying lifestyle as medicine. She has...
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Save Your Knees and Shoulders Without Surgery
The Flipping 50 Show
Save your knees and shoulders from the little discomfort doing usual activities or some swelling and inflammation. If you aren’t sure whether you need physical therapy, you should get a referral, just need a massage or to lay off for a few days, this is your episode. I’m no stranger to physical therapy, but I am a foreigner in seeking support for any issues I’ve got. Mine have all come from some acute trauma or injury. I knew it and the answer was obvious, maybe for you too — to save your knees and shoulders without surgery! My Guest: Dr. David Middaugh is a specialist...
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Clean Eating, Fasting and Eating Disorders in Menopause
The Flipping 50 Show
This episode may be for you even if you never identified with eating disorders in menopause or at any age. Eat clean? Read labels twice? Following “rules” about food yet find it backfiring on you? One could shift from wanting to “eat clean” to turning into orthorexia, influenced by social media, intermittent fasting and use of Smart Scales. Do you think you have an eating disorder in menopause, or maybe a loved one? Tune in to this episode! My Guest: Amy Goldsmith, RDN, LDN, is the founder of Kindred Nutrition & Kinetics, a private practice that provides evidence-based...
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Cortisol and Exercise in Menopause
The Flipping 50 Show
I’m going to review the cortisol and exercise connection or confusion… and offer some solutions. Feeling exhausted, frustrated and fat? Got stubborn belly fat you want to lose? You’re exercising but tired all the time? Sleep or don’t, and you’re still never rested? Sound familiar or been there? This episode is PACKED with solutions on cortisol and exercise in menopause. Don’t miss it. What is Cortisol? Your body's primary stress hormone, but it’s also your energy hormone. Regulates metabolism, immune response, and stress. Mental and emotional response to stress. ...
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Midlife Women's Makeover: Radiate Confidence. Reclaim Your Power.
The Flipping 50 Show
How would you like a midlife women’s makeover? What do you need to look good in order to feel good? Discover how a midlife women’s makeover can boost your confidence — from the outside when you actually put on makeup. My Guest: With over 30 years in the beauty industry, Jennifer Kyser is passionate about helping women--especially in midlife, look and feel radiant. Known for her work in TV, print, fashion, and an occasional movie, she blends expert techniques with heart, empowering women to embrace their beauty, reclaim their power, and shine from the inside out. Questions We...
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How to Bounce Back Boldly After You Blew Your Diet
The Flipping 50 Show
Where’s the next step after you blew your diet? If you've done that before you know, it’s a hard spot. Are you feeling frustrated after blowing your diet again? It's time to Bounce Back Boldly and stop the shame spiral! In this episode, we’ll uncover the science behind why we overeat and how you can regain control. Know the powerful strategies to turn things around. Let’s dive into how you can bounce back with confidence and ease—because it's never too late to Bounce Back Boldly! My Guest: Connie Bennett is a former sugar and carbs-addicted journalist and author of...
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Exercise and Hot Flashes and Other Menopause Symptoms
The Flipping 50 Show
Even if you don’t have hot flashes, stay with me on this because this episode is on exercise and hot flashes. We’re going to dissect the science and eradicate “science says” as a cry for validity by influencers. Hot flashes are one of the most common symptoms of menopause. I’ll talk about the relationship between exercise and hot flashes along with other menopause symptoms like muscle loss or fat increase. In previous podcast episodes and books, I’ve shared researcher comments about whether exercise could mitigate menopause symptoms. The answer, “Yes, provided it’s...
info_outlineIf you are considering BHRT, this is for you. Even if you’re currently on BHRT, you’ll learn or confirm something here.
If you’ve got daughters or DIL, in my case, there’s something here for you on that front too. If you’ve wondered why does cholesterol go up for so many women or why do autoimmune numbers increase in midlife? There’s a reason to be considering BHRT, and our guest explains why.
My Guest:
Dr. Shilpa Sayana, MD is a Triple Board Certified in Internal, Obesity Medicine and Functional Medicine. She is recognized by her peers by receiving the “Most Humanistic Intern and Resident” award in all three years of her Internal Medicine Residency and celebrated by her patients by being presented the Best Doctors Women’s Choice Award.
She treats women in perimenopause and menopause, optimising their hormones, energy and weight, especially if they have been previously told that their labs are normal.
Questions We Answer in This Episode:
- [00:07:54] What are natural ways to improve your hormones above 45?
- [00:14:27] What tests do you recommend to a woman considering hormones?
- [00:22:30] Do you have a unique opinion on starting both progesterone and estrogen at the same time or layer in one?
- [00:26:06] Do you advocate for women taking testosterone and what are the benefits and side effects of using TRT?
- [00:30:21] Why do autoimmune markers increase in perimenopause and menopause? and what to do about it?
- [00:32:04] What can help cholesterol and blood sugar levels?
#1 Longevity Hormone Panel
Purpose: To get a baseline of all key hormone levels
Includes:
- Morning cortisol (before 10am)
- DHEAS (hormone that makes cortisol)
- TSH (thyroid)
- Free T4
- Autoimmune Reverse
- T4 (Hashimoto’s)
- Reverse T3
- Estrogen, Progesteron, Testosterone
- Total Testosterone
- Free Testosterone
- Sex Binding Hormone Globulin
- ANA (antinuclear antibody or autoimmune antibody)
- ESR (erythrocyte sedimentation rate to check inflammation rate for autoimmune)
- CRP (C-reactive protein)
- Ferritin
- Genetics
- Vitamin B12
- Vitamin D
More Tests to Truly Know If You’re Ready Before Considering BHRT
#2 Gut Test
Purpose: To assess inflammation, microbiome health, and how well your body can process and eliminate hormones
#3 Toxin/Environmental Load Testing
Purpose: To detect environmental toxins that may be disrupting hormone production or metabolism
Track Your Hormones
Functional vs. Conventional medicine’s approach to lab results:
- Functional Medicine
- Focuses on what’s optimal, not just normal.
- Listens to the whole person (hormone networks), not just the labs.
- Conventional Medicine
- Labs are often labeled "normal" if they fall within the wide reference range.
- No action is taken unless results are severely out of range.
Connect with Shilpa:
- Website - Sayana Medical
- Instagram - @sayanamedical
- YouTube - @SayanaMedical
Other Episodes You Might Like:
- Previous Episode - Smart Movement for Aging Better with Lara Heimann
- Next Episode - Can We Just Stop the Self Sabotage to Feel Your Best Ever
- More Like This - Restore Hormones to Factory Settings? More Science for bHRT
- More Like This - How to Have and Still Thrive with Autoimmunity in Menopause
Resources:
- Don’t know where to start? Book your Discovery Call with Debra.
- Join the Flipping50 Insiders Facebook Group and connect with Debra and the community.