Smart Glucose Management for Active Midlife Women with Liz McKinney, CNS, LDN (Episode 249)
Grazing. Chronic stress. Poor sleep. Rushed meals. Sitting for long hours. Underfueled workouts. Estrogen decline. There’s a lot more behind our fasting glucose and A1C than how many carbs we eat. This week we return to one of the most consistently requested topics: blood sugar meaning and management with Liz McKinney, CNS, LDN. We explore what glucose spikes really mean, why time-in-range and variability matter more than a single peak, and how stress, sleep, and even eating speed affect your numbers. We cover carb timing, meal sequencing, post-meal walks, creatine, why under-fueling can make exercise spikes worse, and much more so you can keep glucose working for your performance and overall health.Liz McKinney, CNS, LDN, heads up the clinical nutrition team at Nutrisense. Liz holds a Master of Science degree in Clinical Nutrition and Integrative Health and is a board-certified nutrition specialist (CNS) as well as a licensed dietitian nutritionist (LDN). In her time as a nutritionist, Liz has educated and counseled hundreds of clients in areas such as weight loss, hormonal imbalances, and gastrointestinal diseases. Her approach is rooted in the tenets of functional medicine, and she strives to identify the root cause of the issue instead of simply treating the symptoms. She realizes there is no one-size-fits-all approach to achieving optimal health and feels it is crucial to be in an equal partnership with her clients. Resources What to Know About Prediabetes and Menopause with Val Schonberg, RDN, CSSD (Episode 202)Sign up for our FREE Feisty 40+ newsletter: https://feisty.co/feisty-40/Join our Feisty Winter Training for Cyclists at https://feisty.co/ and look for the yellow banner at the top of the page. Use code HITPLAY50 to save $50 Learn More and Register for our 2026 Tucson Bike Camp: https://feisty.co/events/gravel-camp-x-bike-mechanic-school/ Follow Us on Instagram:Feisty Menopause: @feistymenopause Hit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099 Support our Partners:Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Previnex: Get 15% off your first order with code HITPLAY at https://www.previnex.com/ Nutrisense: Go to nutrisense.io/hitplay and use code: HITPLAY to get 30% offWahoo KICKR RUN: Use the code FEISTY to get a free Headwind Smart Fan (value $300) with the purchase of a Wahoo KICKR RUN at https://shorturl.at/maTzL
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Precision Menopause Care: The Right Hormones for the Right Goals with Lauren Streicher, MD (Episode 248)
We asked for your big questions on hormone therapy–and an avalanche ensued! This week, after 5+ years of Hit Play Not Pause, we’re doing a level set on hormone therapy. This week’s guest, nationally-recognized menopause expert Lauren Streicher, MD, digs into hormone therapy research, what it tells us and what it doesn't, why formulations matter, perimenopause versus postmenopause therapy, the cardiovascular implications of hot flashes, why hormone therapy needs to be personalized, and how every woman should approach her own care. Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. Dr. Streicher is a Certified Menopause Practitioner of The Menopause Society, serves on the Editorial Board of the journal Menopause, and is a Senior Research Fellow for the Kinsey Institute, Indiana University. She is a Fellow in the American College of Obstetricians and Gynecologists and The International Society for the Study of Women’s Sexual Health. She is also a best-selling author and the host of two podcasts. Resources:Dr. Streicher’s Substack: Menopause: The Inside InfoLearn more about her and her work at www.drstreicher.comPodcasts:Menopause, Midlife and More Podcast. COME AGAIN Sexuality and OrgasmBooks:The Essential Guide to HysterectomySex Rx: Hormones, Health, and Your Best Sex Ever. Slip Sliding Away: Turning Back the Clock on Your Vagina Hot Flash Hell: A Gynecologist’s Guide to Turning Down the HeatSign up for our FREE Feisty 40+ newsletter: https://feisty.co/feisty-40/Join our Feisty Winter Training for Cyclists at https://feisty.co/ and look for the yellow banner at the top of the page. Use code HITPLAY50 to save $50 Learn More and Register for our 2026 Tucson Bike Camp: https://feisty.co/events/gravel-camp-x-bike-mechanic-school/ Follow Us on Instagram:Feisty Menopause: @feistymenopause Hit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099 Support our Partners:Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Previnex: Get 15% off your first order with code HITPLAY at https://www.previnex.com/ Nutrisense: Go to nutrisense.io/hitplay and use code: HITPLAY to get 30% offWahoo KICKR RUN: Use the code FEISTY to get a free Headwind Smart Fan (value $300) with the purchase of a Wahoo KICKR RUN at https://shorturl.at/maTzL
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The Secrets to Going Further Than You Think You Can with Serena Bishop Gordon (Episode 247)
At 46, professional off-road cyclist and coach Serena Bishop Gordon has redefined what she thought was possible—physically, mentally, and emotionally. From second place at this year’s Unbound XL (360 miles in 22:19:56 hours) to multiple podiums at Oregon Trail Gravel Grinder, Serena shares how she’s learned to let go of limits, release outcomes, and lean into curiosity. We dive into the mental shift that unlocked her best performances, how underfueling can mimic perimenopause, and all the ways midlife women can get faster and go longer than they ever thought possible. She also breaks down what women can expect during Feisty’s Winter Training for Cyclists 16-week program she’s coaching starting this December. Serena Bishop Gordon is a professional off-road cyclist, coach, and community builder with more than a decade of racing at the elite level. She’s delivered standout results at Unbound XL, Oregon Trail Gravel, Cape Epic, Breck Epic, and international UCI cyclocross. Her strengths lie in technical terrain, strategic pacing, and mental toughness—skills honed over thousands of miles and many seasons. Serena founded Special Blend Gravel, a coaching and community-building organization that uplifts women through camps, coaching, and inclusive community, guided by a “person first, athlete second” philosophy that centers joy, balance, and connection. She lives in Bend, Oregon, with her husband, Ben, and their dog, Piper—and believes that with strong coffee and a strong community, she can navigate just about any challenge. You can learn more about her and her coaching at www.serenabishopgordon.comResources:Sign up for Winter Training for Cyclists hereSign up for our FREE Feisty 40+ newsletter: https://feisty.co/feisty-40/Join our Feisty Winter Training for Cyclists at https://feisty.co/ and look for the yellow banner at the top of the page. Use code HITPLAY50 to save $50 Learn More and Register for our 2026 Tucson Bike Camp: https://feisty.co/events/gravel-camp-x-bike-mechanic-school/ Follow Us on Instagram:Feisty Menopause: @feistymenopause Hit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099 Support our Partners:Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Previnex: Get 15% off your first order with code HITPLAY at https://www.previnex.com/ Nutrisense: Go to nutrisense.io/hitplay and use code: HITPLAY to get 30% offWahoo KICKR RUN: Use the code FEISTY to get a free Headwind Smart Fan (value $300) with the purchase of a Wahoo KICKR RUN at https://shorturl.at/maTzL
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Get in the Ring with Perimenopause with Jessica D’Abrosca (Episode 246)
When amateur boxer Jessica D'Abrosca entered perimenopause, she didn’t know what hit her. The exhaustion. The night sweats. The joint pain. She felt like she was unraveling. Then she found our community and studied up on this new opponent perimenopause and its hormonal haymakers and learned how she could fight back with training, diet, and lifestyle adjustments. Today, she’s still in the ring. This week we talk all about her history as an athlete and trainer, what happened when she hit the menopause transition and the adjustments she made, the benefits of doing hard things, and what it’s like to take (and give) some punches as a midlife woman.Jessica D'Abrosca is a NASM Certified Personal Trainer, Corrective Exercise Specialist, and a GYMR Mindset Coach, with over 20 years of experience in the fitness industry. Her journey began in Rhode Island as a young gymnastics coach, where a string of injuries ended her own competitive career—but sparked her passion for helping others succeed. Since then, Jessica has worked with athletes of all ages and abilities across a wide range of sports, from recreational youth programs to adult group training and 1:1 coaching. Her athletic experience spans the spectrum from triathlons, road racing, and martial arts, where she holds her 1st and 2nd degree black belts. Now in her 40s, Jessica is still chasing new challenges—recently stepping into the ring for her first two Masters boxing bouts. You can check out On the Ropes Boxing & Fitness here. Sign up for our FREE Feisty 40+ newsletter: https://feisty.co/feisty-40/Join our Feisty Winter Training for Cyclists at https://feisty.co/ and look for the yellow banner at the top of the page. Use code HITPLAY50 to save $50 Learn More and Register for our 2026 Tucson Bike Camp: https://feisty.co/events/gravel-camp-x-bike-mechanic-school/ Follow Us on Instagram:Feisty Menopause: @feistymenopause Hit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099 Support our Partners:Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Previnex: Get 15% off your first order with code HITPLAY at https://www.previnex.com/ Nutrisense: Go to nutrisense.io/hitplay and use code: HITPLAY to get 30% offWahoo KICKR RUN: Use the code FEISTY to get a free Headwind Smart Fan (value $300) with the purchase of a Wahoo KICKR RUN at https://shorturl.at/maTzL
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Make Stress Your Superpower in Midlife and Menopause with Sharon Horesh Bergquist, MD (Episode 245)
We’re told stress (looking at you cortisol) is the enemy in midlife—but that’s too simple. In the right dose (and with real recovery), stress is good medicine that builds resilience and makes us stronger, in sport, at work, and in life. In this episode, we dive into the “stress that helps” with Dr. Sharon Horesh Bergquist—physician, researcher, and author of The Stress Paradox. We break down hormesis (the just-enough stress plus recovery cycle), how the right doses of stress in the form of training, plant phytochemicals, hot/cold exposure, and smart time-restricted eating activates cellular defense pathways that ultimately rebuild us to be stronger right down to our DNA. We also dive into how to stack stressors without tipping into overload, which is key for active midlife women, so we can live longer, healthier, and happier lives.Sharon Bergquist, MD, is a board-certified physician, researcher, and pioneer in lifestyle medicine. She has led $61M in clinical trials on lifestyle interventions and early biomarkers of chronic disease. Her book, The Stress Paradox: Why You Need Stress to Live Longer, Healthier, and Happier (HarperCollins, Mar 2025), unpacks how daily habits activate the body’s regenerative systems. An Emory University faculty physician since 2000, she earned a B.S. in molecular biophysics and biochemistry from Yale, an M.D. from Harvard, and trained in internal medicine at Brigham & Women’s. Her TED-Ed lesson has 8M+ views, and she’s been featured by Good Morning America, CNN, ABC News, The Wall Street Journal, and NPR. You can learn more about her and her work and sign up for her newsletter at drsharonbergquist.comResources:The Stress Paradox book: drsharonbergquist.com/the-stress-paradoxSign up for our FREE Feisty 40+ newsletter: https://feisty.co/feisty-40/Join our Feisty Winter Training for Cyclists at https://feisty.co/ and look for the yellow banner at the top of the page. Use code HITPLAY50 to save $50 Learn More and Register for our 2026 Tucson Bike Camp: https://feisty.co/events/gravel-camp-x-bike-mechanic-school/ Follow Us on Instagram:Feisty Menopause: @feistymenopause Hit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099 Support our Partners:Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Previnex: Get 15% off your first order with code HITPLAY at https://www.previnex.com/ Nutrisense: Go to nutrisense.io/hitplay and use code: HITPLAY to get 30% offWahoo KICKR RUN: Use the code FEISTY to get a free Headwind Smart Fan (value $300) with the purchase of a Wahoo KICKR RUN at https://shorturl.at/maTzL
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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