40s Forward

Dr. Betsy Greenleaf

40s Forward Podcast Life after 40 isn't about slowing down—it's about leveling up 40s Forward is the podcast for high-achieving men and women who want more energy, sharper focus, stronger bodies, better sex, and longer healthspan. Hosted by Dr. Betsy Greenleaf, board-certified physician and founder of the International Pause Institute, each episode blends cutting-edge medical insight with real-world strategies for optimizing midlife performance. From hormones, metabolism, and longevity to biohacking, peptides, sexual wellness, and mindset, this show delivers science without hype for people who invest in their health the same way they invest in their success. This isn't anti-aging. It's forward living.

Episodes

  1. 5 DAYS AGO

    S1E2 Why Everything Changes After 40 — And How to Get It Back

    Have you ever looked in the mirror after 40 and thought, "Why isn't anything working the way it used to?" You're eating well. You're exercising. You're doing "all the right things." And yet your energy is lower, your sleep is off, your weight is harder to manage, your stress feels heavier, and your libido may not feel like you anymore. In this episode of 40s Forward, Dr. Betsy Greenleaf breaks down why everything changes after 40 — and more importantly, how to get it back. This is not about aging, willpower, or discipline. It's about biology, hormones, metabolism, stress, and how your body recalibrates in midlife. You'll learn why traditional diet and exercise advice stops working, how hormone shifts quietly affect everything from confidence to desire, and what actually supports vitality, strength, and performance after 40 — in life, at work, and in the bedroom. If you've felt frustrated, confused, or told "this is just part of getting older," this episode will change how you think about your body — and what's possible next. In this episode, you'll discover: Why your metabolism, sleep, and energy shift after 40 The hidden role hormones play in weight, mood, and libido Why stress affects your body differently in midlife Why doing more is often the wrong strategy How to work with your biology instead of fighting it What it really takes to feel vibrant, confident, and alive again This episode sets the foundation for everything we'll explore on 40s Forward — because midlife isn't a decline. It's a recalibration. And when you understand the rules, everything changes.   Resources & Next Steps Learn more about hormone and vitality optimization at PauseInstitute.com Explore pelvic and sexual wellness tools at the Pelvic Floor Store

    23 min
  2. 21/12/2025

    S1E1 Special Holiday Edition. Surving the Holidays and New Year New You

    The holidays are supposed to be joyful — but for many people over 40, they can feel overwhelming, exhausting, and quietly stressful. In this special episode of 40s Forward, Dr. Betsy Greenleaf breaks down why the holidays hit harder after 40 and how to protect your energy, hormones, metabolism, and emotional well-being without guilt or perfectionism. You'll learn why your body responds differently to stress, sugar, alcohol, late nights, and family dynamics in midlife — and how to navigate the season with grace, strategy, and self-leadership instead of burnout. This episode is not about restriction, detoxes, or "starting over in January." It's about enjoying the holidays, supporting your biology, and setting yourself up for a New Year that actually sticks. In this episode, we cover: Why holiday stress feels more intense after 40 How cortisol, sleep disruption, and blood sugar affect your mood, weight, and energy Simple ways to enjoy holiday food without metabolic sabotage Alcohol, hormones, and why intention matters more than avoidance Supportive movement vs. punishment-based exercise Why New Year's resolutions fail — and what works instead How to create biology-aligned goals that last beyond February If you've ever felt like the holidays derail your health — or that January becomes a season of punishment — this episode will change how you approach both. Resources & Next Steps: Learn more about hormone, metabolism, and vitality optimization at PauseInstitute.com Explore pelvic and sexual wellness products at the Pelvic Floor Store Discounted Muse Headband at Muse Insight Timer and look for DrBetsyGreenleaf Because life doesn't decline after 40 — it evolves.

    21 min

About

40s Forward Podcast Life after 40 isn't about slowing down—it's about leveling up 40s Forward is the podcast for high-achieving men and women who want more energy, sharper focus, stronger bodies, better sex, and longer healthspan. Hosted by Dr. Betsy Greenleaf, board-certified physician and founder of the International Pause Institute, each episode blends cutting-edge medical insight with real-world strategies for optimizing midlife performance. From hormones, metabolism, and longevity to biohacking, peptides, sexual wellness, and mindset, this show delivers science without hype for people who invest in their health the same way they invest in their success. This isn't anti-aging. It's forward living.