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    Fitness

    Flipping 50 the Stronger Way

    The podcast for women in menopause and beyond who want to change the way they age. Fitness, wellness, and health science put into practical tips you can use today. You still got it, girl!

    Advertise

    Copyright: © @2023 Voice for Fitness, LLC. All Rights Reserved

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    Latest Episodes:
    Better Mattress, Better Sleep in Menopause? Aug 29, 2023
    Show notes

    Ask any woman what she wants and it just might be better sleep in menopause. Ask her what her biggest challenges are and she might say belly fat or energy but often the underlying reason is poor sleep whether she knows it or not.

    Dr Michael Breus contributed an expert opinion in the sleep chapter of You Still Got It, Girl! The After 50 Fitness Formula for Women. He was responsible for leading me to what’s become not only a group of colleagues but friends

    My Guest:

    Michael J. Breus, Ph.D., is a double board-certified Clinical Psychologist and Clinical Sleep Specialist. He is one of only 168 psychologists in the world to have taken and passed the Sleep Medicine Boards without going to Medical School.

    Dr. Breus is the author of four books with the newest book (2021) Energize! Go from dragging Ass to kicking it in 30 days, adds the concepts of Movement (not exercise), and Intermittent-Fasting to his already famous Sleep Chronotypes. And it was recently named one of the top books of 2021 by The Today Show. In his 3rd book (2017) The Power of When, which is a groundbreaking biohacking book proving that there is a perfect time to do everything, based on your biological chronotype (early bird or night owl). Dr. Breus gives the reader the exact time to have sex, run a mile, eat a cheeseburger, buy, sell, ask your boss for a raise and much more based on over 200 research studies.

    He is an expert resource for most major publications doing more than 400 interviews per year (Oprah, Dr. Oz, The Doctors, NY Times, Wall Street Journal etc.-list available). Dr. Breus has been in private practice for 23 years and recently relocated to and was named the Top Sleep Doctor of Los Angelos, By Readers Digest.

    Questions We Answer in This Episode:

    • Your book Energize! Included the concept of movement (not exercise).. And given Flipping 50 is all about LESS Exercise, More Movement I already love that.. Tell me more about how you came to include the distinction of movement vs exercise

    • How can listeners pick the best mattress?

    • What is a Chronotype and why is it important?

    Better sleep in menopause is possible. Some women have very little issues. We all want to be her. But if you’re not, keep trying. Take the right steps and you’ll get there! We’ve seen and heard improved sleep… and reduced night sweats and hot flashes within a week of starting programs.

    Connect with Dr. Michael Breus:

    Website: https://sleepdoctor.com/

    On Social:

    Instagram: https://www.instagram.com/thesleepdoctor/

    Facebook: https://www.facebook.com/thesleepdoctor/ LinkedIn: https://www.linkedin.com/company/thesleepdoctor/?viewAsMember=true Twitter: https://twitter.com/thesleepdoctor/

    Other Episodes You Might Like:

    Sleep Through Menopause Without Medication: https://www.flippingfifty.com/sleep-through-menopause/

    Resources:

    Chronoquiz: https://www.chronoquiz.com

    Business Scorecard: https://www.fitnessmarketingmastery.com/scorecard

    Flipping 50 Protein: https://www.flippingfifty.com/protein

    STRONGER: https://www.flippingfifty.com/getstronger


    Which Hormones Matter Most in Meno(pause) Aug 27, 2023
    Show notes

    Which hormones matter most for your health during and after menopause? I’m asked far too often about unique individual hormones. This week it was testosterone and DHEA. Both I wrote about in You Still Got It, Girl! Yet, you don’t want to just look at individual hormones without looking at the whole picture of your signs, symptoms, basically your subjective measures and your objective measures of muscle mass, bone density, strength changes, sleep number (to some extent) and even Heart Rate Variability.

    I brought the hormone mistress (she doesn’t know I’m calling her that!) on this episode and we talk about something spontaneously that I hadn’t intended to ask but decided I needed to and that was about her concern for the vast array of information coming from Google and social media influencers who don’t necessarily stay in their scope and who are most concerned with the attention and followers than the accuracy of information.

    Need a start to exercise this fall? Try the 5 Day Flip. It’s free. One workout a day for 5 days. Less than 20 minutes a day. For more support in real time: the 10-Day Hot, Not Bothered Challenge (limited time offer)

    My Guest:

    Dr. Sharon Stills is a Naturopathic Medical Doctor who helps perimenopausal and menopausal women to pause and evaluate life so they can live the second act of their story stronger, healthier, and sexier while aging backwards. Using her 20+ years of experience and extensive training and background in European Biological Medicine, pro-aging therapies, and Bio-identical Hormone Replacement, she has successfully helped thousands of women transition gently through the different stages of their lives with all natural methods. Dr. Stills is passionate about spreading the word about her signature RED Hot Sexy Meno(pause) Program – the philosophy she developed for you to Reinvent your Health, Explore your Spirit and Discover YOUR Sexy so that you, too, can create and live the life you desire and deserve! She founded and ran one of the largest and most successful naturopathic clinics in the country for a decade and is the host of The Science Of Self Healing podcast.

    Questions We Answer in this Episode:

    • What are the current biggest myths about menopause?
    • What do women need to know about this hormonal transition?
    • What do you think about the more open communication about menopause on social media? Are listeners gaining or losing from the content you’re seeing?
    • Which hormones matter most?
    • Is great sex still an option? (and could it be better?)
    • For more information on which hormones and why they’re important…

    Mastering the Menopause Transition Summit:

    https://www.flippingfifty.com/pause

    On Social:

    Facebook: https://www.facebook.com/drSharonStills

    Instagram: https://www.instagram.com/drsharonstills


    You Can Lose Fat and Add Muscle in Your 60s: She Did! Aug 26, 2023
    Show notes

    Want to lose fat and add muscle? Think it’s too late? My next guest will help you lose any doubt you can do it at your age.. Including in your 60s.

    A frequently-asked question in our community at least among newcomers is, Is it too late? Is it too late to stop the muscle loss or to gain muscle back?

    Spoiler alert, no. Are you willing to lift weights, prioritize sleep and eat enough of the right food? Then yes you can gain lean muscle, lose fat, and have more energy. It’s all possible!

    My Guest:

    Joan Ermelbauer was an Organizational Change Management professional, who has transformed her experience and expertise into a Third Chapter (aka retirement) passion, coaching individuals on making changes that are lasting. Joan is a Professional Certified Coach (PCC) accredited by the International Coaching Association. About a year ago, at age 66, Joan discovered the Flipping 50 nutrition and fitness program and has been following it with great success. If you are interested in Coach Joan's help in making lasting change, you can learn more about her at www.ripplEffectcoaching.com. You can also find her on LinkedIn and send her a message if you are interested in connecting with her. Joan offers prospective clients a complimentary half-hour introductory session.

    You’ll hear Joan talk about how to lose fat and add muscle as she did in the past year, with significant changes in fat loss occurring in the last 4 months. She shares her whole story of what she’d tried and how it went, what helped her and what made it a little more difficult.

    Questions We Answer in This Episode:

    • How did you learn about Flipping 50?

    • What were the hardest changes (beliefs) for you to make?

    • What has surprised you about your results?

    • Are you on HRT?

    • What do you know now that you would have liked to have known at the start?

    • How did your experience with making changes support you on this journey?

    Connect with Joan:

    Website: www.rippleffectcoaching.com

    Linkedin: https://www.linkedin.com/in/joane/

    Other Episodes You Might Like:

    How to Lose 100lbs in Your 60s: https://www.flippingfifty.com/lose-100-lbs/

    From Osteoporosis Diagnosis to Bone Density Success Story: https://www.flippingfifty.com/osteoporosis-diagnosis/

    Resources:

    Flipping 50 Protein: https://www.flippingfifty.com/protein

    10-Day Hot Not Bothered Challenge: https://www.flippingfifty.com/hnb-challenge

    STRONGER Tone & Define: https://www.flippingfifty.com/getstronger


    Not Just for Men, Why Women Need Testosterone, Too! Aug 22, 2023
    Show notes

    The most abundant hormone in women. Lower percentage compared to men but still ultimately important. For instance, healthy male ranges in a 2022 pub med study stated 300-1000. In women they’re 15-70ng/dL though Centers for Disease Control list 8-49 ng/dL as healthy. The importance of this differential is this: are you focused on optimal ranges or on norms? And choosing a conservative governmental guideline or anyone quoting them, if you don’t feel good may leave out missing peer-reviewed evidence that other information exists. Remember it takes almost 2 decades, an average of 17 years for research to make it into mainstream. It takes longer to change a position statement or governmental guideline.

    Recently, while experimenting with ways to stabilize levels of hormones overall, my tested level was well below 15, once at a 6! Not a great way to boost lean muscle mass.

    And I knew it. Where once I was lifting X lbs, I was struggling with X- [purposefully, leaving numbers out.. There should be no comparison of what weight I lift to what what you lift. Heavy for you is reaching fatigue and the number of repetitions you should be reaching fatigue. The point… what was normal and challenging just a few months ago was suddenly not doable. So,

    I knew.

    Other Signs Testosterone Levels are Low:

    • Low sex drive
    • Bone density
    • Vaginal dryness
    • Low muscle mass
    • With low muscle mass- increased fat/belly fat

    High Testosterone in Females:

    • Acne
    • Excess hair on face, back, chest
    • Oily skin
    • Irregular periods

    In females, most testosterone converts into the sex hormone estradiol. In females ovaries produce testosterone and the adrenals produce a small amount of testosterone.

    While it’s most known for sex drive and libido, then for muscle, it’s also important for bone and mental health and maintaining balance in other hormones.

    Testosterone’s Role in the Human Body:

    • Blood cells
    • Body fat distribution and use
    • Bone density
    • Muscle strength
    • Sex drive
    • Breast health
    • Mental health

    The most common testing reveals total testosterone. That’s a measure of both testosterone attached to proteins in the body and those not, that is referred to as free testosterone. It’s less commonly tested but measures the available testosterone in your body. A test for bioavailable testosterone is also available and you’d be working with a physician who deemed a need to deep dive if you were doing that.

    How to Support Your Testosterone Levels:

    • Lifting weights with intensity (with adequate recovery)
    • HIIT (may not elevate much but will not harm T)
    • Adequate protein levels (it’s more than you think)

    What Kills Testosterone Levels:

    • Endurance exercise
    • Sugar
    • Alcohol
    • stress
    • Low protein

    It’s not just normal menopause or stress decreasing testosterone levels. Hormone disruptors are everywhere and can impact your testosterone levels (as well as other hormones). These hormone disruptors decrease testosterone production, or reduce use of testosterone by your body or reduce “free testosterone.”

    BPA

    • The plastics used everywhere.
    • Don’t store food in them. Avoid heating in them.
    • Avoid plastic water bottles. Use glass and and stainless steel
    • Avoid the paper receipts
    • Avoid BPA-lined cans

    Pesticides

    • A no-shoes policy in your house
    • Choose organics when possible
    • Wash produce before consuming

    Forever chemicals

    • Avoid farm-raised fish and meat
    • In many dairy products
    • Keep paints, and toxic products in garage away from kitchen and living areas

    Parabens

    • Read personal care labels carefully
    • Buy plant-based, organic when possible

    References:

    https://pubmed.ncbi.nlm.nih.gov/26358173/#:~:text=Clinical%20trials%20suggest%20that%20exogenous,musculoskeletal%20health%20in%20postmenopausal%20women.

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9331845/

    https://academic.oup.com/jcem/article/104/10/4660/5556103

    https://www.nrdc.org/stories/9-ways-avoid-hormone-disrupting-chemicals

    https://www.endocrine.org/patient-engagement/endocrine-library/edcs#:~:text=EDCs%20are%20chemicals%20or%20mixtures,hormones%20from%20doing%20their%20job.

    Resources:

    14-day detox: https://www.flippingfifty.com/stress-less

    10-Day Hot, Not Bothered Challenge: https://www.flippingfifty.com/hnb-challenge

    Other Episodes You Might Like:

    The Effects of Hormones on Lean Muscle (4 Studies): https://www.flippingfifty.com/effects-of-hormones-on-muscle/

    It Takes More Than Hormones to Fix Hormones: https://www.flippingfifty.com/fix-your-hormones/

    6 Ways Exercise Hurts or Helps Midlife Hormones: https://www.flippingfifty.com/midlife-hormones/


    Intimacy and Incontinence with The Girlfriend Doctor Aug 20, 2023
    Show notes

    This episode with the Girlfriend Doctor is a real opportunity to listen over the fence with us. It was truly a girlfriend's dish. She is, of course, Dr. Anna Cabeca. This episode is full of discussion on intimacy, incontinence, aging, even resistance to weight training - wait til the end, you won’t want to miss that! And it’s also a very special opportunity to hear in person from someone of her stature about how she works with patients.

    My Guest:

    Anna Cabeca, DO, OBGYN, FACOG, is bestselling author of The Hormone Fix and Keto-Green 16 and MenuPause. Dr. Anna is triple-board certified and a fellow of gynecology and obstetrics, integrative medicine, and anti-aging and regenerative medicine. She holds special certifications in functional medicine, sexual health, and bioidentical hormone replacement therapy. She lectures frequently on these topics throughout the world to large audiences and is known nationally as The Girlfriend Doctor and is host of The Girlfriend Doctor show. She has personally developed natural products to help women balance hormones and thrive through menopause including the highly acclaimed Julva® cream for the vulva and MightyMaca® Plus, a powerful superfood blend. She now lives in Dallas with her daughters, horses and dogs.

    Questions We Answer in This Episode:

    • As time passes, many women think - may be even led to believe by influencer memes - that forgetfulness, mood swings, and loss of desire are just a normal part of the aging process. What do you have to say about that?

    • Are there elements that make it worse? And can we make it better?

    • How key is cortisol for you in your experience treating patients with menopause symptoms?

    • What key stressors have you seen most impact cortisol?

    • If we take HRT off the table so we’re inclusive of every woman listening… How can listeners regulate hormones with diet and lifestyle and lead a healthy, vibrant and sexually active life at ANY age?

    This is Dr Anna’s Summer of Love! Don’t miss it:

    https://www.flippingfifty.com/SOL

    Facebook: https://www.facebook.com/thegirlfrienddoctor/

    Instagram: https://www.instagram.com/thegirlfrienddoctor/

    Youtube: https://www.youtube.com/channel/UCmWLoqXyvtSyylB7bjCipnA

    Twitter: https://twitter.com/annacabeca?lang=en

    Other Episodes You Might Like:

    Urinary Incontinence (Part I): https://www.flippingfifty.com/what-you-really-want-to-know-about-urinary-leakage-part-i/

    Urinary Incontinence (Part II): https://www.flippingfifty.com/urinary-incontinence-leakage/


    21 Walking Tips | Menopause Q and A Video Aug 18, 2023
    Show notes

    This episode of walking tips is purely responses to our communities’ questions. and WOW did you have a lot of them? So let’s dive right in. In case you landed here first, you may also want to go back one episode and listen to the podcast I released about the benefits of walking that is full of research statistics that will blow you away… or at least out the door on a walk.

    Cardiovascular Fitness Walking Tips

    How fast should you walk to make it cardio?This is completely unique to an individual. Your heart rate and breathlessness or ability to talk at any speed will be different than mine or any other person’s. So it’s perhaps better to identify the goal. Your heart benefits from walking, period. Exercise intensity is measured in labs as METs. Your MET level walking is far higher than your met level at rest. So you’re already “cardio.”

    Is walking just as effective as jogging/running?It depends. Effective for what? It’s not the same as cardiovascular stress. It takes longer to achieve the equivalent in energy expenditure or distance. It is the lower impact which could be good unless you’re training for impact and need it.

    How much would I need to walk a week to support a weightlifting routine for cardio?This varies based on your need and goal for cardiovascular fitness. All walking improves heart health. What are your biggest goals? Then you can determine what level of intensity you want or need.

    Will I still gain any cardiovascular benefits if I’m a slow walker?You’re definitely getting the benefits of circulation and blood sugar stabilization from walking at any pace. And you benefit from cortisol reduction too. But also want to be sure you’re not judging what may feel like a fast pace to you because it’s slow to someone else. There is some evidence that for weight-bearing exercise for bone density purposes, speeds of greater than 3.3 mph are associated with bone benefit but slower are not.

    Tips for Improving Walking Effectiveness

    Is 10,000 steps a day a good goal? 10K or 7K optimal steps per day?10,000 steps has been popularized but not proven scientifically. In the recent podcast I posted this week I referenced science about each 1000 over 4000 steps contributing to testosterone boost. And also to 8000 steps boosting most significantly. But above 7000 or 8000 otherwise seem to have diminishing returns.

    How do you control breath and walking to improve core? [What is] proper deep belly breathing that engages pelvic floor/diaphragm when walking?Keep in mind speed and resistance will activate core. Overthinking core during walking could be counterproductive. Instead, focus on posture. Practice diaphragmatic breathing at rest first, before you attempt to do so while exercising. If it becomes natural, you’ll simply be doing it while you walk too.

    Should I walk with weights?No. The risks outweigh the benefits unless you’re wearing a weighted vest in training for an extreme event at altitude where you’ll be carrying supplies or a pack. The risk as you swing.. either your legs (if ankle weights) or your arms (hand or wrist weights) is tension or significant torque on joints.

    More Tips for Walking Effectiveness and Comfort

    How to prevent tightness in hip/low back? What would cause lower back pain while walking?Lower back pain can be prevented with improvements in walking posture. Imagine a tall posture, leaning forward from the ankles. The biggest mistake is made leaning from the waist. Your fascia – the layer of ligamentous tissue covering your muscles – essentially stiffens. Change the gait or stop and stretch periodically. Find warmups at my Youtube channel.

    Long strides or short?Yes! Based on the previous response, you want to mix it up.

    Best posture while walking up a hill? Saving our knees?I’m not sure these are the same question or separate, so I may misinterpret in my response. You maintain the same forward angle from the ankle as when on a flat. Avoid bending forward from the waist or the neck.

    Best walking routine to burn the most fat in a shorter period of time?This one completely depends! If you want to burn fat you have to be in an optimal cortisol and insulin dance. I could tell you a routine that for someone would support fat burning but for you might encourage fat storage or adrenal fatigue.

    For Osteoporosis – [This question is not quite clear but doing my best]Walk, but don’t only walk. We are mobile during the day so more of the same load doesn’t overload bone enough to add more stimulus.

    Is Walking Causing Problems?

    I feel tight in my upper calf and behind my knee. So much that it is painful to squat. What to do?I would consider how long you’ve been experiencing it. If it’s longer than a couple weeks, you’ve reduced any stress you’re putting on it and it’s not improving then I would get a physical therapy injury screen and see what they suggest doing.

    If we’re doing some strength and HIIT weekly, how does walking impact our cortisol levels?Generally, very well. You’re reducing cortisol with walking. Unless you’re trying to turn everything into work and something hard, you’ll be rewarded.

    Always get knee pain after walking, otherwise a very active and fit person.There may be a little wear and tear stress you’re experiencing from the repetitive joint actions over and over walking that you don’t in other activities. It may be biomechanics for you are just making it not something that works as well for you.

    Is It true If you keep your pace brisk, at the threshold of wanting to break Into a run, you burn more calories?It is true that if you can fast walk vs slow jog you may expend more energy fast walking than slow jogging. Do realize that the value of walking may not be about the calories burned however, but the positive result on hormones. That pace that burns more calories may in fact burn you out. It’s important to know whether you need to burn more calories… or if you first need to remove cortisol.

    How to Make Walking More Beneficial with These Tips

    Can you break walks into shorter sessions for the same benefit?What’s your reason for walking? Endurance or something else? If your priority is reducing blood sugar and insulin resistance, walking 15 minutes after meals three times a day is more beneficial than walking 45 minutes in the morning or afternoon. So if weight loss is your goal short walks after meals may be best. The recent previous episode on walking lists the benefits of various walking lengths and timing.

    Walking with a bad hip?Without knowing more It’s hard to offer help. Walking with a bad hip in some cases could make it worse if this is dysplasia or causing friction in the joint capsule. I’d see a physical therapist or an orthopedic surgeon if you don’t know why the hip is “bad.”

    Why do I always get shin splints?Is it shin splints? What is more common and mistaken as shin splints is muscle fatigue in the anterior tibialis muscle. Start with shorter walks. You pull your toe up more dramatically and repeatedly while walking. If you’re walking uphill, you do that more so.

    Should I stretch after walking?If you’re losing mobility or range of motion, the best time to stretch so you can improve it is after any movement when your core temperature is elevated. Muscles are more pliable.

    Need more walking tips? Share your questions with me in the Flipping 50 Insiders group

    Resources:

    Hot, Not Bothered Challenge: https://www.flippingfifty.com/hnb-challenge/

    Other Episodes You Might Like:

    What Does ONE workout Do to Your Body? | Women Over 50: https://www.flippingfifty.com/one-workout/

    What Happens to Your Body During a Workout?: https://www.flippingfifty.com/your-body-during-a-workout/


    The Effects of Walking on Your Health Aug 15, 2023
    Show notes

    I’ve recently been getting up early to go for walks before 12 weeks of live coaching calls with our Stronger participants and to beat the 110 degree heat streak we’ve had in Phoenix. Many days I’m enjoying music in my ears. But others, I hear the faint memories of my mother beside me, and imagine walking up the uneven maple-lined sidewalks toward the Methodist church that summer of ‘82.

    Had it not been for what started as the vanity of a young girl 41 years ago and the good company of my mother I might not be here doing this podcast today.

    I hear her footsteps and breath and see the way she would swing her arms. I was aware even then that walking and being comfortable not talking, not having to fill space, was the sign of a good walking partner. We worked our way up to a mile and a half regularly that summer. By the time college rolled around that fall I was a runner.

    The effects of walking on your health are pretty incredible. This simple, economical, accessible way to move more, or take it further and exercise, make fitness and health a reasonable goal for everyone.

    What is Walking?

    Let’s define physical activity and exercise before we go on.

    Physical activity: movement at a leisurely pace for enjoyment of sports or performance of daily activities of life.

    Exercise: intentional movement for the purpose of improving fitness by use of planned intensity, duration, and or resistance.

    Walking, then, can be either physical activity (walking a dog, to the mailbox or strolling in a museum) or exercise (going for a walk, brisk walking, walking for a time, hiking the Grand Canyon).

    What you believe about these habits is more important than doing the habits.

    Power of your intention (meditation, Dr. Joe Dispenza’s work)

    Fixed or growth mindset (Dr. Carol Dweck)

    Effects of Walking 30 Minutes a Day (and less)

    • 30 minutes walking a day Reduces type 2 diabetes by 30%
    • 30 minutes walking daily reduces dementia risk by 62%
    • 25 mins of brisk walking adds 7 years of life
    • 11 minutes a day adds 2 more years of life

    Moving 2-5 minutes several times a day breaking up sedentary time reduces blood glucose levels after meals by 17%

    Walking 15 minutes within 30-60 minutes after each meal has a more significant impact on blood sugar than 45 minutes continuous walking am or afternoon.

    Brisk walking after meals has a more significant positive effect on glucose of type 2 diabetic women than normal pace walking.

    Not able to log in walking miles or minutes but doing a lot of movement during the day?

    You can still win with steps! This kind of low level movement is N.E.A.T., for non-exercise-activity-time or t= thermogenesis) depending on the school you attended! 8000 steps per day increased testosterone

    Even over 4000 steps every additional 1000 significantly increases testosterone and increases lipolysis (otherwise strength training is greatest way to do this)

    The dose-response curve isn't linear, with the greatest reduction in mortality seen at the beginning of the curve (going from


    What Women Need to Know about Hormone Replacement Therapy Aug 11, 2023
    Show notes

    Women need to know about hormone replacement therapy. Can we agree on that? It’s so important that you don’t rely on rumors or pieces of information with huge gaps.

    Still curious about Hormone Replacement Therapy? Whether you’re still deciding if it’s for you or not for you, or you’re struggling to try to get the right cocktail for the moment you’re in, my guest today talks candidly about these topics, providing detailed insight on how you can make decisions and advocate for your own best health care.

    My Guest:

    Terri DeNeui, DNP, ACNP, APRN-BC is the founder of EVEXIAS Health Solutions and creator of the EvexiPEL method. She leads the EVEXIAS Medical Advisory Board, hand-selecting leading experts from around the globe to support the education and knowledge resources that provide the opportunity to experience a whole new way to practice medicine that is truly transformational for patients and practitioners.

    Dr. Terri DeNeui is a board-certified nurse practitioner, nationally renowned speaker, author, and entrepreneur. She holds advanced certifications in Hormone Replacement Therapy, Preventive Wellness Medicine, and Functional Medicine.

    Her career in medicine began as a hospitalist in emergency medicine, where Dr. DeNeui quickly realized that day in and day out, the focus was on disease management instead of disease prevention. She felt saddened and frustrated—she wanted to do more for patient care and for that, she had to know more.

    This was the catalyst for what has become her life’s work. She began to pursue extensive education in hormone optimization, integrative health, preventive care, and alternative medicine.

    Dr. DeNeui founded Hormonal Health & Wellness in Southlake, Texas (now EVEXIAS Medical Centers) in 2008 as the first step in her new pursuit. In her practice, Dr. DeNeui strives to help men and women find optimal health.

    Questions We Answer in This Episode:

    • What's the biggest misconception about hormone therapy for menopause?
    • How has research evolved around hormone therapy?
    • What is pellet hormone replacement therapy and the benefits associated with it?
    • When is pellet therapy vs shots, creams, trochea, or patches better?
    • Say a listener is conflicted by different information. How can you help a listener decide if she wants to consider hormone therapy for menopause and/or overall health?
    • In your opinion, is there a time it’s too late to take hormone replacement therapy?
    • In your opinion, is there a time when a woman should go off hormone replacement therapy?
    • How long on average can it take to get a woman’s ideal amount of hormones dialed in?

    Clearly, women need to know about hormone replacement therapy in order to make informed decisions and to share that with younger generations.

    Connect with Terri:

    Website: https://www.evexias.com/

    Facebook: https://www.facebook.com/EVEXIASHealthSolutions

    Instagram: https://www.instagram.com/evexias_health_solutions/

    Linkedin: https://www.linkedin.com/company/evexiashealthsolutions/

    Other Episodes You May Like:

    It Takes MORE Than Hormones To Fix Your Hormones: https://www.flippingfifty.com/fix-your-hormones/

    Hormones After Breast Cancer? It’s Not What You Think: https://www.flippingfifty.com/hormones-2/

    Resources:

    Flippingfifty Protein: https://www.flippingfifty.com/protein


    Electrolytes for Hydration: Beyond Water, Heat, and Exercise Aug 08, 2023
    Show notes

    I finished pedaling and swung my leg off the bike. My bike shorts and jersey had telltale signs of salt markings on them. Once I cooled down, any exposed skin was like sandpaper. I was like a human French fry.

    I have trained for 8 Ironman distance triathlons. That includes a lot of time both biking and less but significant time running. I am what you’d call a fairly salty sweater.

    But even if you’re not exercising outdoors in the heat, exercise of any kind, and menopause with its hot flashes, night sweats or not… can also increase your need for electrolytes.

    To really hydrate is about much more than water. In this episode, I share information about electrolytes and how to get started down a path toward less water retention and more energy with some basics.

    Some women in menopause say they just aren’t thirsty. There may be some changes to the thirst mechanism during menopause (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3984489/) and some hormonal imbalances may have a diuretic effect on women. Lack of thirst isn’t a cue you don’t need to hydrate. It may be a reason to be more diligent so you can maintain energy, brain function (mood, cognitive function) and feel optimal.

    Retaining water, having hot flashes, heavy sweaters, or drinking lots of water and constantly in the bathroom???

    This is for you.

    What are Electrolytes?

    Defined: Electrically charged minerals that play a vital role in various physiological functions.

    • Potassium
    • Sodium
    • Calcium
    • Magnesium
    • Chloride

    Electrolytes maintain fluid balance and brain function.

    Electrolytes can play a vital role in mitigating menopause symptoms by maintaining fluid balance, and temperature regulation.

    If you’ve experienced brain fog, memory laps, or mood swings… they can be exacerbated during heat waves.

    Excessive sweating (whether you see and feel it, or whether you don’t) can deplete the body’s water and electrolyte stores, so it's important to replenish them:

    • In everyday midlife
    • Additionally, during high heat

    When You Might Need Hydration Beyond Water

    Fatigue?

    It’s related to many things of course, but low electrolytes can be one. For menopausal women consuming electrolytes daily, not just in hot weather can help reestablish fluid balance.

    Fluid Retention?

    Surprise! Restricting sodium intake isn’t necessarily the cure for fluid retention. Adequate electrolytes influences adequate hydration and that helps prevent fluid retention and natural detox. Drinking more water and peeing constantly? You’re not actually hydrating. Try slowing down on how quickly you add water. In addition, consider adding some salt to your water.

    Exercise Gets Hard Fast

    A woman here in Phoenix yesterday thought hiking in 118 heat midafternoon was a good idea and got heat stroke. You don’t have to be that, um, shall we say silly, to compromise not just your exercise, but your health. If you’re dehydrated, your blood thickens. Your oxygen delivery to working muscle, AND to help dissipate heat, deteriorates very quickly. If you hit that point, you can’t go back. You want your blood and oxygen to flow easily through your system to keep the stress on your heart (doing all the pumping) mitigated. Obviously, make wise choices, but being hydrated before you begin, having extra electrolyte-rich drinks during, and rehydrating after are key steps. When heat and/or humidity climb, this isn’t a practice just for days you exercise, it should be a daily habit.

    Other Signs of Low Electrolytes:

    Headaches, muscle cramps, twitches, or spasms. Feeling breathless too soon, dizziness associated with low blood pressure… all may be supported by increasing your electrolytes. Plus…

    Stressed?

    Your heart and your adrenals also need them!

    There’s more. That belly fat may be lessened by way of improving insulin sensitivity.

    Heavy Sweater?

    You’re losing sodium when you sweat. So naturally if you’re sweating more you’re losing more sodium. Your personal needs will vary from someone else.

    Salty Sweat?

    There’s a theory here in the literature that salty sweaters may be simply excreting high sodium in their diet. I am but a study of one, but I can vouch for the fact this isn’t true. I have a low to moderate sodium intake compared to SAD but have a higher salt loss in sweat. (you can test your sweat rate and if you’re an athlete training long or frequently it’s a good idea – in or outdoors)

    How to Begin Hydrating with Electrolytes:

    Start with some water. (made with Himalayan pink salt) https://www.flippingfifty.com/hot-weather-hydration/

    I describe this process in a post here. It’s simple, natural, and easy. When you can’t do it or aren’t at home, there are other options.

    If you’re investing in something like Athletic Greens, that can help by boosting your magnesium. Adding leafy greens to your smoothies and eating some extra greens (maybe straight from the garden can boost your magnesium too).

    Especially if you’ve been avoiding or reducing sodium, you may want to reconsider. Unless you have a medical condition, many women (and men) have been using such low sodium levels that they’re lacking in this electrolyte balance.

    Choose a clean electrolyte product: without sugar, artificial colors, flavors, or preservatives. Take one serving a day.

    I’m using LMNT most recently for activity. (No association – I just like the flavors). During exercise, I use a packet in 16 ounces of water. (more concentrated to support sweat rate) During the day I’ll dilute that in 24-30 ounces of water and drink it throughout the day (every day – not just on exercise days). For those of you who say you “get bored” drinking plain water, the flavor will help.

    Try the sole water for an everyday solution, and the LMNT or a clean electrolyte you like for exercise.

    If you’re in the bathroom more often than you’d like, slow down on the volume of water OR add electrolytes. You may not actually be hydrating at all with all that water. Sodium helps you put it to use for the cells in your body.

    My Electrolyte Favorites:

    MiTox by Bridgit Danner

    Wildlytes by Teri Cochrane USE DEBRA10 for a discount!

    Sole with Himalayan Crystal Salt: https://www.flippingfifty.com/himalayancrystalsalt

    Other Episodes You Might Like:

    Hot Weather Hydration: https://www.flippingfifty.com/hot-weather-hydration/

    All about Electrolytes After 50 | Not Your Kid’s Sports Drink:

    https://www.flippingfifty.com/all-about-electrolytes/

    Keep Cool Resources:

    PROTEIN: https://www.flippingfifty.com/protein

    Chocolate Protein Ice Cream | Healthy Treats:

    https://www.flippingfifty.com/chocolate-protein-ice-cream/

    3-Ingredient Protein Ice Cream | Healthy Treats:

    https://www.flippingfifty.com/protein-ice-cream/


    Grip Strength Is More Than Access to Nut Butter: Positive Aging Aug 04, 2023
    Show notes

    Did you know your grip strength and mortality risk are closely related? Scientific studies included in this episode share the relationship between your grip strength and longevity, and how to test and improve your grip strength.

    Can you open that jar of nut butter without assistance? If you’re handing those jars off to someone else, it may be time to examine an often-overlooked component of mortality rate and longevity or positive aging.

    What’s Inside this Grip Strength and Longevity episode:

    • What is grip strength

    • Why it is a measure of positive aging

      • Association with mortality and cognitive function

      • Exactly why is still relatively unknown

    • How to measure it

      • Dynamometer

    • How to improve it (sets & repetitions aren’t absolutely known)

      • Pullups

      • Farmer’s carry

      • Dumbbell exercises

      • Plate squeeze

      • Towel wringing

      • Tennis Ball squeeze

    • Strengthening forearms in reverse wrist curls may also help.

    • What interferes with grip strength?

      • MS
      • Parkinsons
      • Nerve damage
      • Arthritis
      • Carpal Tunnel Syndrome

    Research Related to Grip Strength

    In a 2015 study, researchers examined the connection between grip strength and mortality in 140,000 adults. They found that poor hand grip strength was linked to a higher risk of heart disease, heart attack, stroke, and death.

    Your grip is also an indicator of cognitive and mental health. A 2022 study found that increased grip strength was associated with better cognitive function, less depression and anxiety, and higher life satisfaction.

    Note:

    There are things you can and things we can’t control. Say you do have Parkinson’s or Rheumatoid Arthritis. That may be a limiting factor but overall strength, mobility, other forms of exercise, and your diet are things you can control. It’s a good reason to pay more careful attention to those things you can do something about. Mindset and attitude are sometimes proven to be even more valuable than physical traits.

    References:

    https://www.sciencedirect.com/science/article/abs/pii/S0140673614620006

    https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-022-02490-2

    Other Episodes You Might Like:

    What Accelerates Aging and How to Reverse Aging: https://www.flippingfifty.com/how-to-reverse-aging/ Age is Not a Limit: The Psychology of Aging Optimally: https://www.flippingfifty.com/psychology-of-aging/

    Resource:

    EASY, EFFORTLESS, PROTEIN: https://www.flippingfifty.com/protein - take 10% off by registering for Subscribe & Save, and don’t forget to order Fiber Boost. For regularity, and fullness, and satiety, there is NOTHING like combining protein and fiber.

    My better gut option: Pique Matcha: https://www.flippingfifty.com/piquetea

    Foursigmatic Coffee: https://www.flippingfifty.com/foursigmatic


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