Hit Play Not Pause

Anxiety, rage, depression, 3am wake-ups, fear that freezes you in your tracks — psychiatrist Dr. Allie Sharma joins us this week to explain why perimenopause is a real window of mental health risk. We unpack how shifting and declining estrogen and progesterone levels drive mood, sleep, and anxiety changes (and why anxiety is often the first symptom, even before hot flashes), plus how hormone therapy, medication, testosterone, acupuncture, and CBT can help, often in combination. We close with a guided breathing and full body-scan exercise to help calm the nerves during this often emotionally-fraught time.
Dr. Allie Sharma (Sonali Sharma, MD) is a Cornell-trained, board-certified adult psychiatrist who ran a private Manhattan practice for over a decade. She's currently Co-Founder and Chief Medical Officer of Being Health, a Women's Health Advisor for menopause care startup Evernow, and an advisor to Kenneth Cole's Mental Health Coalition, following a role as Associate Medical Director at Cityblock Health. Her background spans emergency and student psychiatry at Columbia, mental health work with NYC's homeless population, and global public health leadership, including advising post-conflict countries and the World Health Organization (Libya, Ethiopia, mhGAP guidelines) and directing a ThriveNYC workforce initiative. She earned her MD from Weill Cornell, trained at NewYork-Presbyterian/Weill Cornell and UCSF, and holds a master's from the London School of Economics. She is a mother of two and lives in Brooklyn, NY. You can learn more about her and her work at sonalisharmamd.com and Beinghealth.co.

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Anyone who's played a full 18 holes of golf knows you need to reset, refuel, and refocus before heading into the back nine. Well, midlife works the same way, says this week's guest, OG Peloton instructor Jenn Sherman, who calls this stage of life her "Back Nine Era." Jenn opens up about her perimenopause-to-menopause journey and what it was like navigating it on camera, in front of a Peloton community that's watched her age in real time. We also dig into how her training has shifted — ditching calorie counting, embracing strength training, taking plenty of daily walks, and leaving the BS behind. Jenn also explains why she's not on hormone therapy but encourages every woman to talk to her doctor about it, and why joy, connection, and recovery matter just as much as any training plan at this stage of life.
Jenn Sherman is Peloton’s original cycling instructor and a trusted voice for women navigating midlife. A former stay-at-home mom who didn’t become a spin instructor until her early 40s, and didn’t join Peloton until age 45, Jenn’s career is a testament to reinvention at every stage of life. As Jenn began sharing more openly about the physical, mental, and emotional changes she experienced in her 50s, she recognized a growing need for honest conversations about this stage of life. That led to the creation of The Back Nine Era, a lifestyle platform and mindset shift focused on longevity, strength, cognitive health, fueling the body in midlife, and the power of human connection. Jenn continues to teach at Peloton while building The Back Nine Era as a space for women who want to live fully, move confidently, and approach the next decades of life with intention, strength, and clarity. You can follow her on Instagram at pelotonjenn and her collaboration with her best friend Sunny at sunnyandjenn.

Join us at Feisty Fest September 18-20, 2026: https://livefeisty.com/events/feisty-fest/
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Follow Us on Instagram:
Feisty Menopause: @feistymenopause
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Hettas: Shop Hettas at https://alnk.to/h6KsEBr
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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

Recent research shows that between 40 and 60% of women either change or quit their sport due to bladder leaks. That’s 100% too many in our book. So this week we sat down with Dr. Lauren Siff, a double board-certified urogynecologist to demystify one of women's health's most under-discussed issues: urinary leakage. We break down the differences between stress and urge incontinence, why athletes and active women are prone to leaking, and how the menopausal transition can worsen the situation through declining estrogen, shifting vaginal pH, and rising UTI risk. Dr. Siff walks us through the full range of solutions, from pelvic floor exercises and support devices to Botox, bladder stimulators, and the game-changing role of vaginal estrogen, plus how to know when it's time to seek care. Her message is loud and clear in this one: no matter how small or severe the symptoms, there's help available — and you never have to stop doing what you love.
Dr. Siff is a double board-certified urogynecologist and Chief of Gynecology and Urogynecology for the Central Virginia VA Health Care System and Associate Professor at VCU School of Medicine and VCU Institute of Engineering. A dedicated innovator and surgical educator — with a Distinguished Educator certificate from the Cleveland Clinic and founder of SurgicalEd VR, which uses VR and haptic technology to improve the quality, safety, cost-effectiveness, and accessibility of surgical training. She also serves board and committee roles with the Society for Gynecologic Surgeons, American Urogynecologic Society, and American Association of GYN Laparoscopists. She is Central Virginia Site Lead for the National VA Women's Health Research Network, and chairman of the U.S. National Surgery Office's Surgical Advisory Board for GYN. Philanthropically, she directs surgeon training for Global Surgical Expedition, driven by a mission to democratize access to surgical training and vital surgical procedures worldwide.

Join us at Feisty Fest September 18-20, 2026: https://livefeisty.com/events/feisty-fest/
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

People often think of weight loss drugs like GLP-1 and related agonists (e.g., Wegovy and Mounjaro) as “medications”--which they are, but they work because they mimic our own natural gut hormones to lower blood sugar, slow digestion, blunt appetite, and ultimately reduce weight. In that way, they’re weight health hormone replacement therapies much like estrogen and progesterone are sex hormone replacement therapies, says this week’s guest best-selling dietitian Ashley Koff, RD. We dig into weight-health hormones (GLP-1, GIP, PYY, CCK) that regulate appetite and metabolism, why digestion and hydration have to be optimized before nutrition even enters the picture, and how GLP-1 medications and hormone replacement therapy can work together in perimenopause and menopause. Plus: Ashley's own story of Everesting Mount Rainier at 52.
Ashley Koff, RD, is the USA Today bestselling author of Your Best Shot (HarperOne). With more than 25 years as a practitioner and educator, she's helped redefine the conversation from weight loss to weight health — a science-based framework focused on metabolic function and hormonal regulation. She's been named one of CNN's Top 100 Health Makers and "Hollywood's Leading Dietitian" by InStyle. You can learn more about her and her work at her practice, The Better Nutrition Program.

Join us at Feisty Fest September 18-20, 2026: https://livefeisty.com/events/feisty-fest/
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

Can’t lift heavy loads but still want the benefits of heavy lifting? Blood flow restriction (BFR) training—using cuffs to partially restrict venous blood flow so you can get heavy‑lifting‑like gains with much lighter loads—could be just what you need, says this week’s guest, veteran strength coach Ashley Selman, CSCS. In this episode, we dig into what BFR training is, how it’s done in real‑world workouts, who it’s for, and why it can be a powerful option for midlife athletes who can’t tolerate traditional heavy lifting but still want to build and maintain muscle, strength, bone health, and even VO₂ max.
Ashley Selman, MA, CSCS, is a veteran strength coach with 30+ years’ experience working with elite athletes, collegiate programs at Stanford and the University of Oregon, and clients at every level. She was named one of the Top 100 Trainers in the U.S. by Men's Journal and founded Evolution Trainers in Mountain View, California, voted the number one health club in Silicon Valley. After a difficult hip replacement and early menopause at 43 left her losing muscle despite “doing everything right,” discovering blood flow restriction (BFR) training allowed her to rapidly regain strength she hadn’t felt in over 15 years, which inspired her to create Seli Strength, a virtual BFR program now serving hundreds of midlife women. She recently developed "Coaching Blood Flow Restriction Training: The Future of Fitness" with the American Council on Exercise (ACE), for fitness professionals who want to bring BFR training to their clients. You can learn more about her and her work at www.selistrength.com
Resources
Get $50 off BFR bands with the code Feisty50 at Selistrength.com/bfr-bands
Blood Flow Restriction Training for Athletes: A Systematic Review here
Systematic review and meta-analysis of the effects of blood flow restriction training on bone health in older adults here
Vascular occlusion for optimising the functional improvement in patients with knee osteoarthritis: a randomised controlled trial here

Join us at Feisty Fest September 18-20, 2026: https://livefeisty.com/events/feisty-fest/
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