Runners are great at ignoring pain. That is exactly the problem. In this episode, physical therapist Dr. Lisbeth Hoyt joins Coach Nick and Coach Amanda to break down bone health, the injury continuum, and how to actually catch a bone stress injury before it becomes a 12-week stress fracture.We get into why women are not small men, how hormonal shifts across your life (adolescence, postpartum, perimenopause, menopause) change your risk, and why the least exciting habits (strength, fuel, sleep) are the ones that keep you running. If you have ever pushed through a nagging shin or told your doctor you "jog occasionally," this one is for you. IN THIS EPISODE ● Why bone is a living, dynamic tissue, and how running builds it stronger ● The number one warning sign that shows up BEFORE the aches and pains ● How to tell a normal bad run from an early bone stress injury ● Why running-specific PT matters, and how to advocate for yourself ● The life stages when women need to train and fuel differently ● The three "boring" basics that prevent most injuries: strength, nutrition, sleep TIMESTAMPS 00:00 Welcome and introductions 00:26 Meet Dr. Lisbeth Hoyt, PT (and the fitness enthusiast title) 04:18 Today's topic: starting with bone health 05:09 Bone as living tissue: how it breaks down and rebuilds 07:00 Why male-centric research fails female runners 07:56 Nutrition habits that build bone early in life 11:52 The injury continuum: early warning signs runners dismiss 15:07 Why runners swing between panic and pushing through 17:51 Running-specific PT vs. generic PT, and advocating for yourself 21:56 Why we keep you running instead of shutting you down 25:07 The comprehensive intake: sleep, stress, nutrition, life load 30:32 The biggest red flags: sleep and nutrition 32:34 Life stages that demand more intention around bone health 37:00 Perimenopause, misdiagnosis, and the research gap 39:48 Training through pregnancy and the postpartum rush back 42:00 Why postpartum needs strength, pelvic floor PT, and honest expectations 45:10 The three things to start today: strength, nutrition, sleep 49:27 Rapid-fire questions with Dr. Hoyt 52:30 Where to find Dr. Hoyt and work with her CONNECT WITH DR. LISBETH HOYT Lisbeth is a running specialized physical therapist at Custom Performance, a Certified Strength and Conditioning Specialist, RRCA-certified running coach, and certified mat Pilates instructor. She's been working exclusively in the running world at Custom Performance for the past 10 years. Lisbeth has been a lifelong athlete who found her way to distance running following the end of organized team sports (aka college graduation).As a physical therapist Lisbeth believes running should be fun and part of a balanced, active lifestyle, and meets each client where they are in their running journey. Her goal is to help runners build the strength, movement skills, and confidence they need to keep doing what they love.Lisbeth is a 4 time marathoner, many times half marathoner and a mom of 2 toddlers which requires more energy than any race she's run before. ● Custom Performance, Midtown Manhattan (41st and Madison) ● Email: lisbeth@nycustompt.com | Front desk: info@nycustompt.com ● Free phone consults available ● Instagram: @lisbethh.jennings CONNECT WITH RUNNING EXPLAINED ● Website: runningexplained.com ● Instagram: @running.explained @amanda.katzz Rate and review the podcast wherever you listen or watch