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    Health & Fitness

    Hit Play Not Pause

    Perimenopause and menopause hit active women differently. We have a different lifestyle and different goals. And we know our bodies. Whether you run and hike or do CrossFit and ski (or a little of everything!), you’ve had a way of eating and exercising that worked…until the menopause transition, when it all goes out the window as body composition changes, fatigue, body aches, sleepless nights, hot flashes, brain fog, mood swings, and low mojo blindside you out of the blue—despite doing everything right. Your doctor may (or may not) help with hormone replacement therapy. But what about all the active stuff you love? You’re already exercising and eating well. What you want is to feel and perform like you used to. That doesn’t mean fasting, swearing off carbs for life, or just slowing down. It means adjusting your nutrition, training, recovery, and mindset to work with your changing physiology as you hit this phase of life. And we’re here for it.

    At Hit Play Not Pause, we know the potential of women in their 40s, 50s, 60s, and beyond, because we talk to elite athletes and everyday active women who are still hitting personal bests along with world-renowned sports dietitians, researchers, medical and menopause specialists to help you understand what’s happening under the hood during the menopause transition and more importantly, what you can do about it—from hormone therapy to heavy lifting and everything in between—to feel and perform your best.

    Host Selene Yeager is a health and science journalist with 30 years’ experience and more than two dozen books to her name. She also lives an active life as a former Ironman triathlete and professional mountain bike racer who still rides, runs, paddles, hikes, lifts, and through her work at Feisty Menopause helps others do the same.

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    Latest Episodes:
    Why Even Active Women Lose Bone—and How to Build It Back with Belinda Beck, PhD (Episode 274) May 13, 2026
    Show notes

    Active women are often blindsided by an osteopenia or osteoporosis diagnosis. This week, we explain why—and, more importantly, what to do about it—with Professor Belinda Beck, PhD, investigator on the groundbreaking LIFTMOR trial, which found that high-intensity resistance and impact training was both effective and safe for postmenopausal women with low bone density. This episode is a deep dive into how bone remodeling works and why mechanical loading—especially the right combination of impact exercise and progressive heavy strength training—is essential for building and maintaining bone strength. We also cover peak bone mass, estrogen, menopause, and the foundational role of nutrition, including calcium and vitamin D, in supporting stronger bones for life.

    Dr Belinda Beck is a Professor of Exercise Physiology at Griffith University (Gold Coast, QLD) and Director of The Bone Clinic in Brisbane. Her work, primarily related to the effects of mechanical loading on bone, includes a series of clinical trials (the LIFTMOR and MEDEX-OP trials) that changed the way osteoporosis is managed with exercise. In 2015, she established The Bone Clinic, a translational research facility and clinical practice in Brisbane providing the ONERO® exercise program for osteoporosis which has been licensed for delivery around the world. She has been awarded almost $8M in research funding and has published over 150 papers and chapters in the field. She is a Fellow of numerous bone and exercise societies (including ACSM, ASBMR, ESSA and SMA), is on the Board of the Australian and New Zealand Bone and Mineral Society, Sports Medicine Australia, the SOS Fracture Alliance, the International Osteoporosis Foundation Capture the Fracture Governance Committee, and the Healthy Bones AustraliaMedicine and Science Advisory Committee.

    Resources:

    High-Intensity Resistance and Impact Training Improves Bone Mineral Density and Physical Function in Postmenopausal Women With Osteopenia and Osteoporosis: The LIFTMOR Randomized Controlled Trial here

    The Bone Clinic & ONERO® program

    Watch on YouTube

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    Hormone Therapy Real Talk: Testing, Trial and Error & Finding Your Way with Dr. Heather Hirsch (Episode 273) May 06, 2026
    Show notes

    We have questions–lots and lots of questions–on hormone therapy during the menopause transition, and this week Dr. Heather Hirsch — menopause specialist and author of The Perimenopause Survival Guide — brings her signature blend of clinical wisdom and data-informed, personalized care to help answer them. Perimenopause is the most complex phase of the menopause transition, and this conversation goes deep on the pros and cons of hormone testing, the nuances of hormone therapy dosing, progesterone intolerance, breakthrough bleeding, receptor sensitivity, why it may never be too late to start hormone therapy, and much more.

    Dr. Heather Hirsch, MD, MS, MSCP is a board-certified internist, entrepreneur, and one of today's most trusted voices in women's midlife health. She is the Founder and CEO of The Collaborative, a concierge telemedicine practice for women navigating perimenopause and menopause, and Academy for Advanced Women's Health Medicine, where she trains clinicians worldwide in midlife women’s care. A Menopause Society Certified Practitioner with over a decade of experience in menopausal medicine, she is the author of the bestselling book Unlock Your Menopause Type and, The Perimenopause Survival Guide. A featured expert on Oprah Winfrey’s 2023 “The Life You Want” Series, Dr. Hirsch has also appeared in The New York Times, NPR, The Washington Post, The Drew Barrymore Show, Live with Kelly and Mark, Access Hollywood, and numerous other major media outlets. You can learn more about her and her work at heatherhirschmd.com.

    https://livefeisty.com/training/

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    Feisty Menopause: @feistymenopause

    Hit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099

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    Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/

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    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


    Perimenopause, Powerlifting, and Angels with Jenny Smith (Episode 272) Apr 29, 2026
    Show notes

    Elite cyclist, multisport athlete, and endurance coach Jenny Smith has spent decades pushing her limits — including multiple Leadville 100 podiums — but perimenopause and a meniscus tear brought unexpected mental and physical health challenges…and solutions. Ultimately, she found help through traditional medical interventions, picked up weights and got stronger than she’s been in years, and discovered Angelic Reiki, which gave her peace, calm, and a deeper connection to herself. This week we unpack her perimenopause journey, the symptoms she didn't see coming, the relief strategies that actually worked, and why aging doesn't have to mean stepping back from the sports and the life you love.

    Jenny Smith is an elite cyclist, multisport athlete, and endurance coach with Aim High Performance Coaching—a company she co-founded with her husband, Brian Smith. A New Zealander, Jenny has called Gunnison, CO, home since 1999. She arrived as a collegiate runner at Western Colorado University and has been fortunate to live here as a pro mountain biker and elite athlete with Brian and their daughter, Jade. She coaches with youth and collegiate athletes and provides personalized coaching for endurance athletes. Jenny aims to be an active role model, athlete, and coach for many years to come. You can learn more about her and her work at www.aimhigh-performance.com

    Resources:

    How Important are Meditation and Spirituality in Reiki Practice? here

    Reports of Non‐Physical Beings Assisting in Reiki Sessions here

    https://livefeisty.com/training/

    Courses and Coaching: https://livefeisty.com/courses/

    Sign up for our FREE Feisty 40+ newsletter: https://livefeisty.com/newsletters/feisty-40/

    Follow Us on Instagram:

    Feisty Menopause: @feistymenopause

    Hit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099

    Support our Partners:

    Hettas: Shop Hettas at https://alnk.to/h6KsEBr

    Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/

    Previnex: Get 15% off your 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 Hardest Finish Line: Grieving and Growing Beyond Your Running Years with Dimity McDowell (Episode 271) Apr 22, 2026
    Show notes

    In running, we celebrate grit, determination, pushing through pain, and crossing the finish line—whatever it takes. It shines on Instagram, but what does it really cost women in midlife and menopause who may be bogged down by endless injuries? How do we process it and find what's right for us? Sports like running are more than something we do. They become who we are, who our friends are, what our lives revolve around. When we can't do them anymore, there's enormous loss—and all the stages of grief. Longtime runner, Another Mother Runner co-founder, and author of The 27th Mile, Dimity McDowell joins us to unpack it all—including her "calling it quits marathon," mental matrix for decisions, and how to replace all that running gave you when it comes to an end.

    Before focusing her career on running, Dimity McDowell was a sports journalist, holding staff positions at Self, ESPN: The Magazine, and Sports Illustrated for Women. She co-authored three running books and co-founded Another Mother Runner, an inclusive community for all female runners, with Sarah Bowen Shea. The author of The 27th Mile: How to Smooth the Rough Transition Out of Your Running Years, she has finished countless races, including Ironman Coeur d'Alene and the Pike’s Peak Half Marathon. Dimity is the mother of two adult children, and lives in Denver with her husband and two dogs. You can learn more about her work and find her Running Detox Program at manyhappymiles.com.

    Resources:

    Join Selene & Dimity at The Grand Traverse! feisty.co/events/the-grand-traverse/

    https://livefeisty.com/training/

    Courses and Coaching: https://livefeisty.com/courses/

    Sign up for our FREE Feisty 40+ newsletter: https://livefeisty.com/newsletters/feisty-40/

    Follow Us on Instagram:

    Feisty Menopause: @feistymenopause

    Hit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099

    Support our Partners:

    Hettas: Shop Hettas at https://alnk.to/h6KsEBr

    Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/

    Previnex: Get 15% off your 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


    Body Breaking Down in Midlife? A Performance PT Explains How to Build It Back Up with Casey Francis, DPT (Episode 270) Apr 15, 2026
    Show notes

    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.com

    Carla 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 System

    Performance Physical Therapy - An investment in your Longevity, Athletic Aging blog

    https://livefeisty.com/training/

    Courses and Coaching: https://livefeisty.com/courses/

    Sign up for our FREE Feisty 40+ newsletter: https://livefeisty.com/newsletters/feisty-40/

    Follow Us on Instagram:

    Feisty Menopause: @feistymenopause

    Hit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099

    Support our Partners:

    Hettas: Shop Hettas at https://alnk.to/h6KsEBr

    Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/

    Previnex: Get 15% off your 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


    BONUS: Another Mother Runner - Menopause + Active Women with Selene Yeager Apr 10, 2026
    Show notes

    Feisty Media is proud to welcome Another Mother Runner to the Feisty Media family. Enjoy this bonus crossover AMR episode starring, Selene Yeager!

    --

    Calling all 40+ women: This is a must-listen episode! The guest is Selene Yeager, host of the popular menopause-focused podcast called Hit Play Not Pause. Selene is the longtime health and science journalist who co-authored ROAR and Next Level with Dr. Stacy Sims. Along with hosts Sarah Bowen Shea and Tish Hamilton, Selene discusses:

    • why a long run can exacerbate night sweats;
    • the in’s and out’s of hormone therapy;
    • dietary ways to possibly mitigate menopausal symptoms;
    • realistic, actionable ways to strength train; and,
    • how to keep running through midlife.

    Selene joins the show around 8:25, after Tish talks about her recent “super-secret marathon” and Sarah shares that a 26.2 isn’t going to be part of her 2026. (Psst: This episode kicks off a month of Feisty crossover episodes.)


    Harden the F Up No More: Bioharmony for Midlife Athletes with Dr. Tamsin Lewis (Episode 269) Apr 08, 2026
    Show notes

    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.com

    Resources:

    Progestogens and endometrial protection, BMS Tool for Clinicians

    https://livefeisty.com/training/

    Courses and Coaching: https://livefeisty.com/courses/

    Sign up for our FREE Feisty 40+ newsletter: https://livefeisty.com/newsletters/feisty-40/

    Follow Us on Instagram:

    Feisty Menopause: @feistymenopause

    Hit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099

    Support our Partners:

    Hettas: Shop Hettas at https://alnk.to/h6KsEBr

    Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/

    Previnex: Get 15% off your 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 Core Truth: Incontinence, Intimacy, Pain, and Performance: Healing from the Inside Out with Leah Keller (Episode 268) Apr 01, 2026
    Show notes

    If you've ever leaked when you laughed, jumped, or sneezed–or felt like your core disappeared after pregnancy, injury, or into perimenopause–you're not alone. This week, fitness specialist Leah Keller joins us to unpack deep core dysfunction: what causes it, and why healing it changes far more than just your abs. Leah's breakthrough came when she realized she could help women actually heal the separation between their abdominal muscles–known as diastasis recti–even years after giving birth. Clients who came for core work started reporting that they'd stopped leaking, that sex felt better, that back pain eased, and that their bodies finally felt like their own again– issues they never mentioned at the start. She explains exactly how fixing the deep core resolves problems women didn't even know were connected. We’ll give detailed descriptions of the exercises. You can also watch this one on YouTube to see the exercise demonstrations as well as the anatomical illustrations referenced in this episode, showing the difference between a healthy midline and one with significant diastasis recti separation.

    Leah Keller is a certified personal trainer specializing in core and pelvic floor health, and co-founder of Every Mother (formerly The Dia Method). Her approach earned medical validation in a 2013 Weill Cornell pilot study — published in the American Journal of Obstetrics and Gynecology — and was further supported by a 2021 Hospital for Special Surgery trial in the Journal of Women's & Pelvic Health Physical Therapy. She has been featured as a women's health expert by NPR, Goop, and Good Morning America. You can find Leah’s published studies, resources, and learn more about her work at leahkeller.com

    https://livefeisty.com/training/

    Courses and Coaching: https://livefeisty.com/courses/

    Sign up for our FREE Feisty 40+ newsletter: https://livefeisty.com/newsletters/feisty-40/

    Follow Us on Instagram:

    Feisty Menopause: @feistymenopause

    Hit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099

    Support our Partners:

    Hettas: Shop Hettas at https://alnk.to/h6KsEBr

    Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/

    Previnex: Get 15% off your 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


    Running into Your Best Midlife with Anna Troup (Episode 267) Mar 25, 2026
    Show notes

    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 BBC

    How a 55-year-old woman won Britain's toughest ultra marathon outright at Running Matters

    https://livefeisty.com/training/

    Courses and Coaching: https://livefeisty.com/courses/

    Sign up for our FREE Feisty 40+ newsletter: https://livefeisty.com/newsletters/feisty-40/

    Follow Us on Instagram:

    Feisty Menopause: @feistymenopause

    Hit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099

    Support our Partners:

    Hettas: Shop Hettas at https://alnk.to/h6KsEBr

    Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/

    Previnex: Get 15% off your 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


    Perimenopause and the New Midlife Playbook with Dr. Alyssa Dweck (Episode 266) Mar 18, 2026
    Show notes

    Now that menopause is finally getting the research and medical attention it deserves, we are finally putting perimenopause in the spotlight as a pivotal period in a woman’s life that demands its own care and attention. This week, midlife gynecologist Dr. Alyssa Dweck returns to break down perimenopause care, the state of hormone therapy, and much more. We dig into how perimenopause is so variable, how to think about the pill, IUDs, hormone therapy, and the new non-hormonal drugs, plus what hot flashes may be revealing about your heart health. We wrap with a look at wearables, telehealth, and the coming era of precision menopause medicine that treats ovaries as the powerful “conductor” organ they are. (Note: Dr. Dweck accidentally misspoke regarding fezolinetant. She would like to clarify that it is an NK3 receptor antagonist not an NK1.)

    Alyssa Dweck MS MD FACOG MSCP is a practicing gynecologist at Well by Messer in New York City and the Chief Medical Officer at Bonafide Health. Dr. Dweck is a menopause society certified provider with a special interest and expertise in female sexual health and medical sex therapy. Dr. Dweck was recently appointed to the Board of Directors of HERmedicine, a nonprofit education organization dedicated to advancing women’s healthcare across the lifespan. This role at HERmedicine recognizes her as a distinguished leader dedicated to educating clinicians and integrating evidence-backed care into everyday medical practice. Dr. Dweck has authored three books, the most recent The Complete A to Z For Your V also co-hosts Business of the V, a podcast which focuses on unmet needs in gynecology and women’s health and the businesses created to fulfill these needsYou can learn more about her and her work at drdweck.com

    https://livefeisty.com/training/

    Courses and Coaching: https://livefeisty.com/courses/

    Sign up for our FREE Feisty 40+ newsletter: https://livefeisty.com/newsletters/feisty-40/

    Follow Us on Instagram:

    Feisty Menopause: @feistymenopause

    Hit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099

    Support our Partners:

    Hettas: Shop Hettas at https://alnk.to/h6KsEBr

    Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/

    Previnex: Get 15% off your 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


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