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Could you have PCOS and not know it? You sure can, says reproductive endocrinologist and menopause specialist Dr. Carla DiGirolamo, who is hopeful that the recent renaming of the condition from “polycystic ovary syndrome” (PCOS) to “polyendocrine metabolic ovarian syndrome” (PMOS) will help raise awareness—and improve care. This episode breaks down what PMOS actually is, why the new name matters, and how this androgen‑driven metabolic condition shows up across the lifespan, from irregular cycles and fertility struggles to increased cardiometabolic risk, especially once you hit the menopause transition. We also cover treatment options including metformin, inositol, and compelling new research on GLP‑1 receptor agonists, plus what all of this means for active midlife women when it comes to fueling, Reds/LEA risk, resistance training, and long‑term glucose control.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.Join us at Feisty Fest September 18-20, 2026: https://feisty.co/events/feisty-fest/Join the Feisty Strong STRONG Club: https://feisty.co/training/strong-club/ and use code: HITPLAY15 to save 15%Sign up for our FREE Feisty 40+ newsletter: https://feisty.co/feisty-40/Learn More about our 2026 Feisty Events, including Bike Camps and Cycling Trips: https://feisty.co/events/Follow Us on Instagram:Feisty Menopause: @feistymenopauseHit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099Support our Partners:Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Previnex: Get 20% off your order with code FEISTYBRAIN 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

Registered massage therapist and athlete Tara Findlay nearly lost her life to fibroids, was thrown into chemical menopause, developed a “cranky” shoulder that threatened her career, and watched a long-quiet autoimmune condition roar back to life. This week, she shares how hormones, inflammation, and tissue capacity collide in midlife—and how massage, eccentric loading, “movement snacks,” and better recovery can help active women heal, prevent injury, and keep moving through and beyond the menopause transition.Tara Findlay is a BC Registered Massage Therapist with 26 years of experience, a menopause educator, and a certified menopause coach. After navigating chemical menopause and a hysterectomy, she became passionate about helping women and healthcare practitioners understand the often-overlooked musculoskeletal effects of perimenopause and menopause. She co-created two online, self-paced courses—The Comprehensive Guide to Perimenopause & Menopause for RMTs and The Comprehensive Guide to Perimenopause & Menopause for Healthcare Practitioners—which help providers support midlife women through a perimenopause-informed lens. Known for translating evidence-based research into engaging, relatable teaching, Tara empowers practitioners to bring clarity and confidence to perimenopause care. She lives in Whistler, BC, and is committed to helping women stay active, resilient, and in the game through midlife and beyond. Learn more about her work at perimenopausewhispererResourcesFree Symptom Checklist here Watch on YouTubeJoin us at Feisty Fest September 18-20, 2026: https://feisty.co/events/feisty-fest/Join the Feisty Strong STRONG Club: https://feisty.co/training/strong-club/ and use code: HITPLAY15 to save 15%Sign up for our FREE Feisty 40+ newsletter: https://feisty.co/feisty-40/Learn More about our 2026 Feisty Events, including Bike Camps and Cycling Trips: https://feisty.co/events/Follow Us on Instagram:Feisty Menopause: @feistymenopauseHit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099Support our Partners:Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Previnex: Get 20% off your order with code FEISTYBRAIN 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

Muscle and bone loss. Inflammation. Bloating, diarrhea, and other GI issues. Peri and postmenopausal active women can face myriad training and performance challenges. But the good news is that a lot of them can be helped with proper nutrition practices. This week we dive into the basics on how to fuel your active midlife body, including what to know about carbohydrates, ultraprocessed foods, energy availability, protein, anti-inflammatory foods, supplements, and more with sports dietitian Kristen Arnold.Kristen Arnold MS, RDN, CSSD is a board-certified sports dietitian, cycling coach, retired professional athlete, and team sport director for USA Cycling and professional cycling teams. Her private practice is centered around empowering women through evidence-based sports nutrition coaching and information, and she has done research on improving postmenopausal women's health through nutrition strategies and counseling. You can learn more about her and her work at sportsnutritionforwomen.com.ResourcesBlack Cohosh review hereJoin us at Feisty Fest September 18-20, 2026: https://feisty.co/events/feisty-fest/Join the Feisty Strong STRONG Club: https://feisty.co/training/strong-club/ and use code: HITPLAY15 to save 15%Sign up for our FREE Feisty 40+ newsletter: https://feisty.co/feisty-40/Learn More about our 2026 Feisty Events, including Bike Camps and Cycling Trips: https://feisty.co/events/Follow Us on Instagram:Feisty Menopause: @feistymenopauseHit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099Support our Partners:Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Previnex: Get 20% off your order with code FEISTYBRAIN 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

This week’s guest, renowned midlife trainer Hailey Babcock, wants you to know one thing: No one is crushing it 100%. Not the celebrities or big names she trains; not the tens of thousands of women she works with, and certainly not herself. Hailey is currently going through it with brain fog, joint pain, 2 a.m. wake ups, migraines, MIA libido, raw emotions, and low motivation and mojo. That’s before you layer on the stress of running a business and parenting three kids. We dig into how she’s navigating her onslaught of symptoms while she keeps showing up for herself and her clients; why being “fit for your life” matters more than chasing perfection, and how building a strong body matters when life gets messy.Hailey Babcock is the founder of Hailey Happens Fitness, an online fitness and nutrition brand dedicated to empowering women over 35 to feel strong, confident, and energized through every stage of midlife. A former gymnast, runner, and triathlete, Hailey has been a certified classical Pilates instructor for over 20 years and holds multiple certifications including TRX, kettlebell, barbell, foundational training, and ACE Certified Personal Trainer. Drawing on more than two decades in the fitness industry, she has guided over 50,000 women through online programs focused on fat loss, strength training, and sustainable nutrition, with a special mission to convert women in their 40s and beyond to the miracle of strength training. Committed to evidence-based practice, Hailey collaborates with renowned experts like Dr. Vonda Wright and Dr. Stacy Sims to ensure her methods reflect the latest in women’s health and aging science, helping women from all walks of life—high-profile leaders to everyday midlife women—find more health, happiness, and resilience through smart, supportive, science-backed fitness and nutrition strategies. You can learn more about Hailey and her work at haileyhappensfitness.comWatch on YouTubeJoin us at Feisty Fest September 18-20, 2026: https://feisty.co/events/feisty-fest/Join the Feisty Strong STRONG Club: https://feisty.co/training/strong-club/ and use code: HITPLAY15 to save 15%Sign up for our FREE Feisty 40+ newsletter: https://feisty.co/feisty-40/Learn More about our 2026 Feisty Events, including Bike Camps and Cycling Trips: https://feisty.co/events/Follow Us on Instagram:Feisty Menopause: @feistymenopauseHit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099Support our Partners:Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Previnex: Get 20% off your order with code FEISTYBRAIN 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

When you’re in pain, the first question someone asks is “Where does it hurt?” The answer—as anyone with phantom limb pain can tell you—is not always as straightforward as it seems. This week, pain psychologist and author Dr. Rachel Zoffness breaks down the “big fat lie” we’ve been sold about pain: it’s not just a signal from damaged tissue, it’s a brain-driven experience built from a mix of ingredients, including your nerves, thoughts, emotions, memories, and environment. She explains how the same brain regions that process emotions also construct pain, why that matters so much for women—who go through menstruation, childbirth, and menopause and are still disproportionately told their pain is “all in their heads”—and how understanding brain-based biology is the first step in changing how much you hurt. She also shares practical, evidence-backed strategies for active women to retrain their nervous systems, along with tools to help you advocate for care that goes beyond pills and procedures and actually reflects the modern science of hurt.Rachel Zoffness, PhD, is a pain psychologist and thought-leader revolutionizing the way we understand and treat pain. She's an assistant clinical professor at UCSF, lectures at Stanford, and consults on the development of pain management programs around the world. Dr. Zoffness’s new book, Tell Me Where It Hurts, is out now and is being translated to more than 25 languages. You can learn more about her work and find her book at www.zoffness.comJoin us at Feisty Fest September 18-20, 2026: https://feisty.co/events/feisty-fest/Join the Feisty Strong STRONG Club: https://feisty.co/training/strong-club/ and use code: HITPLAY15 to save 15%Sign up for our FREE Feisty 40+ newsletter: https://feisty.co/feisty-40/Learn More about our 2026 Feisty Events, including Bike Camps and Cycling Trips: https://feisty.co/events/Follow Us on Instagram:Feisty Menopause: @feistymenopauseHit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099Support our Partners:Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Previnex: Get 20% off your order with code FEISTYBRAIN 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

Most of us have had that moment where we get our bloodwork back and shake our heads. We’re still our active, health‑minded selves and out of nowhere—rising LDL, ApoB, A1C, and maybe blood pressure and Lp(a), too. This week, preventive cardiology dietitian Michelle Routhenstein joins us to unpack the cardiometabolic chaos and what’s really driving it. She explains estrogen’s protective role in lipids and blood pressure, why standard risk calculators and even calcium scores can miss women’s disease, and which advanced labs are worth asking for. We also dig into how under‑fueling and low‑carb diets can worsen cardiometabolic health and plaque; why complex carbs, fiber, fermented foods, and gut health matter so much; and how to approach protein, red meat, electrolytes, nitric oxide, and statins in a personalized, empowering way—remembering that 80–90% of heart disease remains preventable when women get the right information and advocate for themselves.Michelle Routhenstein, MS, RD, CDCES, CDN is a preventive cardiology dietitian and founder of Entirely Nourished, a virtual practice focused on personalized, science-based nutrition for heart health. With over 14 years of experience, she helps people improve cardiometabolic risk and manage conditions like atherosclerosis, heart failure, and atrial fibrillation using a whole-person approach. She holds Bachelor’s and Master’s degrees in Clinical Nutrition from New York University, serves on the Forbes Health Advisory Board and the Medical Advisory Committee for the National Menopause Foundation, and is the author of The Truly Easy Heart-Healthy Cookbook and Simple Meal Solutions for High Blood Pressure. Her work has been featured in outlets including Forbes Health, Fox News, Prevention, Women’s Health, and Good Housekeeping, and she works with clients virtually from New York via www.entirelynourished.comJoin us at Feisty Fest September 18-20, 2026: https://feisty.co/events/feisty-fest/Join the Feisty Strong STRONG Club: https://feisty.co/training/strong-club/ and use code: HITPLAY15 to save 15%Sign up for our FREE Feisty 40+ newsletter: https://feisty.co/feisty-40/Learn More about our 2026 Feisty Events, including Bike Camps and Cycling Trips: https://feisty.co/events/Follow Us on Instagram:Feisty Menopause: @feistymenopauseHit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099Support our Partners:Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Previnex: Get 20% off your order with code FEISTYBRAIN 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

In this bonus episode, Selene welcomes longtime friend, cyclist, and women’s sports powerhouse Kate Veronneau to the show for a preview of the first-ever FeistyFest in the Lehigh Valley, Pennsylvania.For Kate, the location is personal. The Valley Preferred Cycling Center is where she first fell in love with bike racing, found her cycling community, and eventually launched a career in the sport. She shares how a casual Friday night trip to watch track racing turned into an entry-level “try the track” class, a relocation to the Lehigh Valley, and years immersed in one of the most magical cycling communities around.Selene and Kate talk about what makes the Lehigh Valley so special: quiet roads, covered bridges, gravel before gravel was “gravel,” beautiful trails, and a deep community of people who love to ride, run, explore, and support one another.They also dig into what attendees can expect at FeistyFest: track riding, gravel, trail running, lifting, swimming, pickleball, community, laughter, and the kind of grown-up summer camp energy that reminds women how good it feels to try new things.Kate also shares why women-only spaces can be so powerful, especially when women feel safe, supported, and encouraged to step outside their comfort zones. Whether you’re a seasoned athlete or brand new to an activity, there is something magical that happens when women come together, lift each other up, and give each other permission to live a little bigger.Learn more and register for FeistyFest

There’s a lot of advice out there on how to fix, cure, hack, medicate, and manage menopause. Often, what we really need is nourishment, says this week’s guest Andrea Donsky, RHN, author of Nourishing Menopause: Powerful Nutrition and Lifestyle Strategies to Feel Your Best. Andrea’s 14‑year journey through perimenopause led her to blend naturopathic and conventional medicine into a complementary approach that focuses on gut health, nervous system regulation, blood sugar management, and other strategies that give your body, mind, and spirit what they need to thrive through and beyond the menopause transition. We dig into all of it—plus midlife identity, the power of community, and much more.Andrea Donsky is a menopause nutritionist, 7X published menopause researcher, certified perimenopause and menopause health coach, and author known as the “Menopause Researcher” to her 350,000+ TikTok followers. She founded Morphus, hosts the Menopause Reimagined podcast, and is the author of Nourishing Menopause: Powerful Nutrition and Lifestyle Strategies to Feel Your Best. You can learn more about her and her work, and find her book at andreadonsky.comJoin us at Feisty Fest September 18-20, 2026: https://feisty.co/events/feisty-fest/Join the Feisty Strong STRONG Club: https://feisty.co/training/strong-club/ and use code: HITPLAY15 to save 15%Sign up for our FREE Feisty 40+ newsletter: https://feisty.co/feisty-40/Learn More about our 2026 Feisty Events, including Bike Camps and Cycling Trips: https://feisty.co/events/Follow Us on Instagram:Feisty Menopause: @feistymenopauseHit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099Support our Partners:Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Previnex: Get 20% off your order with code FEISTYBRAIN 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

This week we sat down with menopause and mental fitness coach Sara Larson to cut through the noise around midlife, from quick‑fix promises and supplement stacks to rigid “shoulds” about how we’re supposed to look, feel, and age, and offer better solutions for navigating this challenging transition. Drawing on her own brutal perimenopause—crushing joint pain, brain fog so bad she joined an Alzheimer’s study, suffocating anxiety and depression—Sara shares how she went from feeling like everything was coming apart to becoming a menopause navigator, helping women walk into the doctor’s office “ready,” advocate for themselves, and understand their treatment plans. We dig into grief, weight gain and body image, the spiritual and identity unraveling of menopause, and the grounding power of outdoor experiences that reconnect you with strength and embodiment. This is a conversation about gentleness as strength and learning to ask for something different in the second half of life.Sara Larson is a menopause life coach, educator, and speaker who helps women cut through misinformation and access evidence-based menopause care. She specializes in advocacy, education, and community-building, supporting women through perimenopause and postmenopause with clarity, confidence, and a healthy sense of humor. You can learn more about her and her work at www.saralarsoncoaching.com and follow her on Substack at saralarsoncoaching.substack.com.Join us at Feisty Fest September 18-20, 2026: https://feisty.co/events/feisty-fest/Join the Feisty Strong STRONG Club: https://feisty.co/training/strong-club/ and use code: HITPLAY15 to save 15%Sign up for our FREE Feisty 40+ newsletter: https://feisty.co/feisty-40/Learn More about our 2026 Feisty Events, including Bike Camps and Cycling Trips: https://feisty.co/events/Follow Us on Instagram:Feisty Menopause: @feistymenopauseHit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099Support our Partners:Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Previnex: Get 20% off your order with code FEISTYBRAIN 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

What happens when a world class athlete and mindset coach meets the menopause transition? We find out this week with champion mountain bike racer and mental performance coach Sonya Looney, who dug deep into her positive psychology toolkit to navigate her compressed midlife journey through pregnancy, postpartum, motherhood, miscarriage, perimenopause, and the performance/identity challenges they bring. She shares hormone therapy insights, nutrition shifts, powerlifting gains, training for who you are now, acceptance without resignation, and much more.Sonya Looney is a World Champion (24-hour racing) mountain biker and 4x National Champion, a positive psychology researcher, and internationally recognized performance expert. She holds a Master of Applied Positive Psychology from the University of Pennsylvania, where she won an award for her research on meaningful accomplishment. Sonya is a sought-after keynote speaker, performance coach, and podcast host, whose work bridges elite sport, science, and human insight. Her ideas have appeared in major media from The Washington Post to Outside Magazine , and she has been featured in a New York Times Best-selling book. Passionate about helping high performers find lasting fulfillment, Sonya integrates evidence-based strategies and personal experience to redefine what it means to truly matter, and she is a forthcoming author on that subject! Learn more about her and her work at sonyalooney.comWatch on YouTubeJoin us at Feisty Fest September 18-20, 2026: https://feisty.co/events/feisty-fest/Join the Feisty Strong STRONG Club: https://feisty.co/training/strong-club/ and use code: HITPLAY15 to save 15%Sign up for our FREE Feisty 40+ newsletter: https://feisty.co/feisty-40/Learn More about our 2026 Feisty Events, including Bike Camps and Cycling Trips: https://feisty.co/events/Follow Us on Instagram:Feisty Menopause: @feistymenopauseHit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099Support our Partners:Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Previnex: Get 20% off your order with code FEISTYBRAIN 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