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Everyday Wellness: Midlife Hormones, Menopause, and Science for Women 35+: Daily Summaries Delivered
by Everyday Wellness
Looking for the latest strategies for dealing with menopause, hormones and midlife health issues? You're in the right place! Cynthia Thurlow is a nurse practitioner, host of the Everyday Wellness podcast, author and international speaker, with over 15 million views for her second TEDx talk (Intermittent Fasting: Transformational Technique). With over 25 years experience in health and wellness, Cynthia is a globally recognized expert in perimenopause/menopause and intermittent fasting, and has been featured on ABC, FOX5, KTLA, CW, Medium, Entrepreneur, and The Megyn Kelly Show. Her mission is to help empower women to live their most optimal lives in perimenopause and beyond.
Latest Episodes
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- Yesterday33 min
Ep. 602 “The Gallbladder-Hormone Connection” – How Perimenopause Changes Bile Flow and Gallbladder Health | Menopause, Perimenopause, Gallbladder Health
Welcome to this week’s Midlife Minute. Today, I’m focusing on all the questions I received about gallbladder health, including HRT-provoking symptoms, supplements that improve gallbladder health, and evidence-based food interventions. IN THIS EPISODE, YOU WILL LEARN: Why the risk of gallstones and gallbladder inflammation increases during the menopause transition How estrogen and progesterone HRT have different effects on gallbladder functioning The differences in risk between transdermal and oral HRT How the progesterone in HRT can cause gallbladder issues in some women What TUDCA is, and how it supports gallbladder health The value of TUDCA for women who have had their gallbladders removed How various nutrients and supplements support bile flow and gallbladder health What can contribute to gallstone formation Connect with Cynthia Thurlow Follow on X, Instagram & LinkedIn Check out Cynthia’s website. Submit your questions to support@cynthiathurlow.com Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow. Purchase Cynthia’s book, The Menopause Gut. Cynthia’s Intermittent Fasting Transformation Book The Midlife Pause Supplement Line Gallbladder Research: Cabrera D, Arab JP, Arrese M. UDCA, NorUDCA, and TUDCA in liver diseases: a review of their mechanisms of action and clinical applications. Seminars in Liver Disease. 2019;39(4):397–404. doi:10.1055/s-0039-1696799 Vang S, Longley K, Steer CJ, Low WC. The unexpected uses of urso- and tauroursodeoxycholic acid in the treatment of non-liver diseases. Global Advances in Health and Medicine. 2014;3(3):58–69. doi:10.7453/gahmj.2014.017 Bai M, Yang L, Liao H, et al. Tauroursodeoxycholic acid improves nonalcoholic fatty liver disease by regulating gut microbiota and bile acid metabolism. Journal of Agricultural and Food Chemistry. 2024;72(41):22655–22668. doi:10.1021/acs.jafc.4c04630 Simon JA, Hudes ES. Relation of serum ascorbic acid to serum vitamin B12, serum ferritin, and kidney stones in US adults. *Archives of Internal Medicine.*1999;159(6):619–624. doi:10.1001/archinte.159.6.619 Walcher T, Haenle MM, Kron M, et al. Vitamin C supplement use may protect against gallstones: an observational study on a randomly selected population. BMC Gastroenterology. 2009;9:74. doi:10.1186/1471-230X-9-74 Tsai CJ, Leitzmann MF, Willett WC, Giovannucci EL. Long-term intake of dietary fiber and decreased risk of cholecystectomy in women. American Journal of Gastroenterology. 2004;99(7):1364–1370. doi:10.1111/j.1572-0241.2004.30281.x Leitzmann MF, Stampfer MJ, Willett WC, Spiegelman D, Colditz GA, Giovannucci EL. Coffee intake is associated with lower risk of symptomatic gallstone disease in women. Gastroenterology. 2002;123(6):1823–1830. doi:10.1053/gast.2002.37085 Moerman CJ, Smeets FW, Kromhout D. Dietary risk factors for clinically diagnosed gallstones in middle-aged men — a 25-year follow-up study. Annals of Epidemiology. 1994;4(3):248–254. doi:10.1016/1047-2797(94)90099-x Association between dietary magnesium intake and gallstones: the mediating role of atherogenic index of plasma. Lipids in Health and Disease. 2024;23(1):82. doi:10.1186/s12944-024-02074-4 Pitt HA, Doty JE, Murphy MM, Schwarz MB. Progesterone alters biliary flow dynamics. Annals of Surgery. 1999;229(2):205–209. doi:10.1097/00000658-199902000-00008
- 2 days ago1h 2m
Ep. 601 “Why High-Functioning Women Stay Stuck” – The Nervous System Patterns Keeping You in Survival Mode with Dr. Nicole LePera
I am delighted to reconnect with Dr. Nicole LePera today. Trained in clinical psychology, she is a holistic psychologist whose work explores the interconnections among the mind, body, and soul, incorporating holistic lifestyle and psychological wellness practices. She has written multiple New York Times bestselling books, most recently Reparenting the Inner Child. In today’s conversation, we unpack what the inner child really means from a clinical perspective. We explore how understanding your childhood wounds intellectually differs from truly re-parenting yourself at the nervous system level, and how perimenopause and menopause influence the way we view the world. We look at ACE scores and the biology of childhood adversity, how ACE scores measure what happened to us, but fail to measure resilience, protective factors, or the capacity for healing. We examine how reactive parents shape our nervous system, and how that shows up as hypervigilance, emotional scanning, and self-erasure, and how the fawn response can lead to chronic people-pleasing, relentless accommodation, and an inability to say no. We also cover how epigenetics and lifestyles influence behavioral patterns, critical parenting, stress addiction, gut-brain dysregulation, and the disruptive effects of vagal tone gadgets. This is truly one of those must-listen conversations! I love Dr. LePera’s grounded and practical approach to helping people work through their childhood experiences and advocate for themselves. IN THIS EPISODE, YOU WILL LEARN: How childhood wounds become stored in the nervous system rather than just the mind Why understanding your dysfunctional habits intellectually will not change the emotional patterns that drive them How perimenopause and menopause can magnify unresolved emotional patterns What ACE scores measure and what they fail to capture How reactive parenting can lead to hypervigilance and emotional scanning, even in safe environments Dr. LePera describes the fawn response and explains how children learn to over-accommodate others, suppress their own needs, and avoid conflict. How chronic stress becomes a learned response, and how stress responses can be passed across generations How chronic stress and a dysregulated nervous system can influence gut function and microbiome balance Why it’s essential to return your attention to your body in the present moment to begin healing Connect with Cynthia Thurlow Follow on X, Instagram & LinkedIn Check out Cynthia’s website. Submit your questions to support@cynthiathurlow.com Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow. Purchase Cynthia’s book, The Menopause Gut. Cynthia’s Intermittent Fasting Transformation Book The Midlife Pause Supplement Line Connect with Dr. Nicole LePera Website Social media platforms: @The Holistic Psychologist Self Healers Circle (Membership community) Purchase a copy of Dr. Pera’s latest book, Reparenting the Inner Child.
- 4 days ago44 min
BONUS: Break Free: Proven Steps To Get Rid Of Stubborn Belly Fat with Cynthia Thurlow, NP
Today, I am excited to welcome you to the eagerly awaited third installment of Ask Me Anything! In this episode, I shine a spotlight on a universal challenge that affects the lives of countless women over 35 as I delve into the heart of the problems of weight-loss resistance, plateaus, and the notorious belly fat that seems to cling for dear life. The flood of questions that keep pouring in speaks volumes and is a testament to the exasperation we all feel! Join me on a journey to navigate that landscape, unravel the mysteries, confront misconceptions, and uncover strategies to overcome, decode, and dismantle the common issue of shedding those unwanted, stubborn pounds! I urge all of you, particularly those older than 35, to know you are not alone in your struggle! Stay tuned for the treasure trove of insights that awaits! IN THIS EPISODE YOU WILL LEARN: Why should you know what your fasting insulin is? The importance of stress management Helpful supplements for those who have had their gallbladders removed How to deal with cravings and weight gain during the week before your period The first thing to work on if you are struggling with plateaus or weight loss resistance The importance of mitigating stress Managing your macronutrients The loss of muscle as we get older Physical activity and weight loss How important is body set weight? How trauma impacts weight loss resistance Connect with Cynthia Thurlow Follow on X, Instagram & LinkedIn Check out Cynthia’s website. Submit your questions to support@cynthiathurlow.com Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow. Purchase Cynthia’s book, The Menopause Gut. Cynthia’s Intermittent Fasting Transformation Book The Midlife Pause Supplement Line
- 6 days ago58 min
Ep. 600 “Breaking the ‘Limbic Lock’”– Why Your Brain Stalls in Healing and How to Fix It with Dr. Eboni Cornish |Menopause, Perimenopause, Brain Health
I’m delighted to connect with Dr. Eboni Cornish today. She is the Associate Medical Director of Amen Clinics and President of the International Lyme and Associated Diseases Society, specializing in complex chronic illness with expertise in brain health, Lyme disease, autoimmune conditions, mold exposure, gut dysfunction, and women’s midlife health. In our conversation, we explore how perimenopause and menopause affect the brain, as well as the roles of genetics and epigenetics. Dr. Cornish explains limbic lock, SPECT imaging, the impact of tick-borne illnesses, and co-infections, and how brain health issues can influence mental health. We also dive into the role of mold in testing, the gut-brain-immune-hormone axis, vagal tone, the estrobolome, leptin, the MTHFR mutation, and how Dr. Cornish prefers to have it tested and treated in her patients. Stay tuned for an insightful and wide-ranging conversation on brain health and women’s midlife wellness. IN THIS EPISODE, YOU WILL LEARN: Why women may experience brain fog, forgetfulness, and cognitive slowing as estrogen declines How declining estrogen could make the brain more vulnerable to toxins, infections, and leaky brain How disrupted sleep, poor nutrition, and lack of oxygen (from issues like sleep apnea) can negatively affect cognition and brain health The value of continuing to learn and staying socially connected to support your cognitive health as you age How genetics can help to identify women who may be at higher risk for cognitive decline later in life. What limbic lock means How toxin overload, mold, Lyme disease, and co-infections, and unresolved stress can create a state of limbic lock How SPECT imaging helps to explain why some people fail to improve despite multiple treatments The benefits of progesterone for supporting relaxation and improving sleep during perimenopause How declining estrogen and gut dysbiosis during perimenopause can affect the gut-brain axis Bio: Dr. Eboni Cornish Dr. Eboni Cornish is the Associate Medical Director of Amen Clinics and President of the International Lyme and Associated Diseases Society. She specializes in complex chronic illness, with expertise in brain health, Lyme disease, autoimmune conditions, mold toxicity, gut dysfunction, and women’s midlife health. Known for her NeuroLongevity framework, Dr. Cornish takes a root-cause, brain-first approach to helping patients optimize cognitive resilience, hormone balance, and long-term wellness. Connect with Cynthia Thurlow Follow on X, Instagram & LinkedIn Check out Cynthia’s website. Submit your questions to support@cynthiathurlow.com Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow. Purchase Cynthia’s book, The Menopause Gut. Cynthia’s Intermittent Fasting Transformation Book. The Midlife Pause Supplement Line Connect with Dr. Eboni Cornish Amen Clinics On her website Instagram
- 1 weeks ago21 min
Ep. 599 “Why You’re Getting More Infections in Midlife – The Microbiome Shift No One Talks About | Menopause, Perimenopause and Immune Health
Welcome to the latest Midlife Minute. I’ve been getting many questions about viruses, bacterial vaginosis, and recurrent infections. So, today, I’m stepping a little outside our usual topics to explore how changes in the gut microbiome can directly influence the vaginal microbiome. Join me as I clarify what actually happens in the body during perimenopause and menopause, and explain why those shifts matter more than most women realize. IN THIS EPISODE, YOU WILL LEARN: Three changes that occur simultaneously during perimenopause and menopause, and how those changes increase our susceptibility to viruses like herpes. Why declining estrogen weakens the vaginal microbiome How gut microbiome changes in midlife affect the ability to recycle estrogen via the estrobolome Why the gut barrier becomes less stable and more permeable during perimenopause and menopause, and how that can trigger immune responses and low-grade inflammation How hormonal fluctuations can trigger viral outbreaks and increase the likelihood of shingles What research shows about hormone replacement therapy and lower rates and recurrence of severe herpes simplex infections Why bacterial vaginosis is becoming more common in midlife How to balance and support the gut and vaginal microbiome in midlife Connect with Cynthia Thurlow Follow on X, Instagram & LinkedIn Check out Cynthia’s website. Submit your questions to support@cynthiathurlow.com Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow. Cynthia’s Menopause Gut Book is on presale now! Cynthia’s Intermittent Fasting Transformation Book The Midlife Pause Supplement Line Links: 1. Menopausal shift on women’s health and microbial niches 2. The Effect of Menopause on the Innate Anti-Viral Activity of Cervicovaginal Lavage https://pmc.ncbi.nlm.nih.gov/articles/PMC4519412/ 3. Spotlight on the Gut Microbiome in Menopause: Current Insights 4. Shingles and Menopause: Is There a Connection? 5. The Impact of Hormonal Replacement Therapy on Herpes Simplex Infection and Gingival Health in Post-Menopausal Women 6. The Menopause Transition, Vaginal Health, and Your Vaginal Microbiome 7. Probiotics in the Prevention and Treatment of Postmenopausal Vaginal Infections: Review Article 8. G. vaginalis increases HSV-2 infection by decreasing vaginal barrier integrity and increasing inflammation in vivo 9. Association between Acquisition of Herpes Simplex Virus Type 2 in Women and Bacterial Vaginosis 10. Recalcitrance of bacterial vaginosis among HSV-2 seropositive women
- 1 weeks ago58 min
Ep. 598 “Your Labs Say You’re Fine!” – Why Women’s Symptoms Get Dismissed in Perimenopause with Dr. Julia Haffner | Menopause, Perimenopause, Fascia Health
I am thrilled to connect with Dr. Julia Haffner today. She’s a European-trained medical doctor who has worked in internal medicine, geriatrics, family practice, chronic pain therapy, esthetics, and hair transplant surgery, where she continuously saw patients struggling with symptoms their bodies were desperately trying to communicate, yet testing failed to provide answers. Today, we explore where stress lives in the body and why midlife can feel so different for women. We discuss the connection between postpartum experiences and perimenopausal symptoms, the nervous system’s relationship with fascia as a sensory organ, and how fascia responds to our personal experiences. We also examine trauma as highly bio-individual, lifestyle changes to support the nervous system during midlife, and how perimenopause impacts our adrenals. Dr. Haffner shares how she prefers to advocate for patients within the medical system, and talks about her app, which is free and available for listeners. We also cover how social media and technology influence our stress levels, Dr. Haffner’s meridian-related energetic facelift, and how our emotions connect to our bodies. Stay tuned for today’s fascinating and insightful conversation with the delightful Dr. Julia Haffner, who also has a book coming out late this year. IN THIS EPISODE, YOU WILL LEARN: The similarity between postpartum low-estrogen and perimenopausal symptoms How doctors often focus only on measurable lab data while overlooking nervous system dysregulation and chronic stress Dr. Haffner describes fascia as a sensory organ How Dr. Haffner learned to recognize patterns of tension, stress, emotional overwhelm, and physical trauma within the fascia Why trauma is not limited only to major events like war or abuse Why women tend to become more sensitive to stress, relationships, and environmental pressures as their estrogen declines The value of gentler workouts in midlife to support stress reduction and nervous system regulation without increasing cortisol Why years of chronic stress can leave women feeling depleted during perimenopause How constant scrolling can contribute to low-grade stress within the body Dr. Haffner introduces her menopause symptom tracking app Bio: Dr. Julia Haffner Dr. Julia Haffner is a European-trained medical doctor who worked across internal medicine, geriatrics, family practice, chronic pain therapy, aesthetic medicine, and hair transplant surgery — and kept seeing the same thing: bodies crying out for help that no test could hear. Life took her to Italy with her second daughter, where she discovered the ability to feel into any part of the body and sense what's stored there — a memory, a grief, a fear still frozen in the fascia decades later. What most people call limiting beliefs or self-doubt isn't a mind problem. It's stored in the body. In the tissue. In the fascia. And it stays there until someone helps it release. Over 1,000 remote sessions later: cancer in remission, chronic pain dissolved, self-doubt cleared from the body, the spark returning. She is the creator of the Energetic Facelift. Her message: You are your own best doctor. Connect with Cynthia Thurlow Follow on X, Instagram & LinkedIn Check out Cynthia’s website. Submit your questions to support@cynthiathurlow.com Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow. Purchase Cynthia’s book, The Menopause Gut. Cynthia’s Intermittent Fasting Transformation Book. The Midlife Pause Supplement Line Connect with Dr. Julia Haffner On her website Dr. Haffner’s book, The State Before the Bite: Secrets of the Secret, will be released in late 2026
- 1 weeks ago51 min
BONUS: Eat To Beat Your Diet: Achieve a Balanced and Healthy Lifestyle with Dr. William Li
I am happy to connect with Dr. William Li today! He is a world-renowned physician, scientist, speaker, and author. He is known for leading the Angiogenesis Foundation, and his groundbreaking work has impacted more than 70 diseases. He is also a Ted-X speaker and the author of Eat to Beat Your Diet, one of my favorite books thus far this year. Dr. Li’s latest book is about what happens in the body, how it should operate, and the steps we can take to restore it to its hard-wired state. We dive into how body fat impacts our health, the role of metabolism throughout our lifetime, the differences between the three fat-impacting hormones, including leptin, adiponectin, and resistin, and gender differences. We speak about new drugs like Ozempic and Semaglutide, the role of brown fat, the impact of the microbiome and specific bacteria, and nutrition and lifestyle. IN THIS EPISODE YOU WILL LEARN: Why Dr. Li chose this time to write his latest book Is 60 the new 20? The four stages of metabolism hardwired into each of us How excess body fat derails metabolism, and how can we unleash our inner metabolism Why is it better to eat slowly? Why should we learn to respect and tame our fat instead of hating or fearing it? Dr. Li shares his views on new prescription drugs like Ozempic and Semaglutide. Interesting facts about body fat Changes that occur in our body fat distribution as we get older How can we help our bodies fight excess body fat, bring our inner metabolism to the surface, and reduce inflammation by being aware and mindful? Modern-day lifestyle choices and metabolic disease Dr. Li discusses the interplay between the gut microbiome and metabolism, as well as the role of Akkermansia. Some everyday foods contain natural chemicals that can activate our body’s defenses, tame metabolism, and fight body fat. BIO William W. Li, MD, is an internationally renowned physician, scientist, and New York Times bestselling author of the forthcoming book “Eat to Beat Your Diet: Burn Fat, Heal Your Metabolism, Live Longer”. His groundbreaking work has led to the development of more than 30 new medical treatments and impacts care for more than 70 diseases, including cancer, diabetes, blindness, heart disease, and obesity. His TED Talk, “Can We Eat to Starve Cancer?” has garnered more than 11 million views. Dr. Li has appeared on Good Morning America, CNN, CNBC, LIVE with Kelly and Ryan, and the Rachael Ray Show, and he has been featured in USA Today, Time Magazine, The Atlantic, and O Magazine. He is the president and medical director of the Angiogenesis Foundation. Connect with Cynthia Thurlow Follow on X, Instagram & LinkedIn Check out Cynthia’s website. Submit your questions to support@cynthiathurlow.com Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow. Purchase Cynthia’s book, The Menopause Gut. Cynthia’s Intermittent Fasting Transformation Book The Midlife Pause Supplement Line Connect with Dr. William Li On his website Social media: @DrWilliamLi Dr. William Li’s latest book, Eat to Beat Your Diet: Burn Fat, Heal Your Metabolism, and Live Longer is available from most bookstores.
- 1 weeks ago59 min
Ep. 597 “Estrogen Is Protective”– Dismantling 25 Years of Hormone Fear and Cancer Misinformation with Dr. Jordan Emont | Menopause, Perimenopause, Estrogen
Today, I’m thrilled to connect with Dr. Jordan Emont. He is a board-certified OB-GYN with specialty training in menopause medicine, integrative hormonal care, and sexual health, and is one of fewer than 5,000 physicians worldwide who hold the Menopause Society-certified practitioner designation. In this conversation, we unpack the fear narrative surrounding HRT and clarify the distinctions between estrogen, progesterone, and cancer risk. We explore the impact of the Women’s Health Initiative and discuss why rigid dogmatism has no place in women’s health, the risks associated with early menopause and premature ovarian insufficiency, individual risk stratification, and contraindications to HRT. We also examine the connection between gut health and colorectal cancer, metabolic health as a modifiable cancer risk, and the emotional side of middle age and hormone replacement therapy. Stay tuned for one of the most important and thought-provoking conversations we’ve ever had on the podcast. IN THIS EPISODE, YOU WILL LEARN: How fears about hormone therapy are often based on outdated or misinterpreted data The difference between physiologic hormones and synthetic hormone formulations How the Women’s Health Initiative's messaging that HRT causes breast cancer comes from an oversimplification of data How the fear-driven WHI headlines continue to impact women's and clinicians’ thoughts about hormone replacement therapy How women’s concerns about menopause, sexual health, and menstrual symptoms are often dismissed The health risks associated with early menopause and premature ovarian insufficiency How declining estrogen levels affect multiple body systems, including gut-related and immune-related pathways Why is insulin resistance a major concern? True contraindications for avoiding HRT Bio: Dr. Jordan Emont Dr. Jordan Emont is a board-certified OB/GYN and Menopause Certified Practitioner who specializes in menopause care for women who’ve been dismissed, undertreated, or told their symptoms are just part of aging. He’s here to change that conversation. He trained at Yale, Brown, and Columbia, and is now an adjunct clinical faculty member at Stanford. He works at a community health center in the Bay Area, providing care to underserved populations, and runs his own private telehealth practice focused on complex menopause care. Connect with Cynthia Thurlow Follow on X, Instagram & LinkedIn Check out Cynthia’s website. Submit your questions to support@cynthiathurlow.com Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow. Purchase Cynthia’s book, The Menopause Gut. Cynthia’s Intermittent Fasting Transformation Book. The Midlife Pause Supplement Line Connect with Dr. Jordan Emont On his website Instagram and Substack
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About Everyday Wellness: Midlife Hormones, Menopause, and Science for Women 35+
Looking for the latest strategies for dealing with menopause, hormones and midlife health issues? You're in the right place! Cynthia Thurlow is a nurse practitioner, host of the Everyday Wellness podcast, author and international speaker, with over 15 million views for her second TEDx talk (Intermittent Fasting: Transformational Technique). With over 25 years experience in health and wellness, Cynthia is a globally recognized expert in perimenopause/menopause and intermittent fasting, and has been featured on ABC, FOX5, KTLA, CW, Medium, Entrepreneur, and The Megyn Kelly Show. Her mission is to help empower women to live their most optimal lives in perimenopause and beyond.
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