Women Mastering Midlife

Victoria Byrd
  • 5.0 (15)
  • Medicine
  • Updated Daily

Women Mastering Midlife is the podcast for women in their 40s and 50s who want real answers about what is happening inside their bodies, and the confidence to advocate for themselves in every room they walk into. Hosted by Victoria Byrd, a licensed pharmacist, certified menopause practitioner, and integrative health and wellness coach, this show bridges the gap between clinical medicine and lived experience. Victoria brings 20 years of pharmacy training alongside a deep commitment to integrative, evidence-based care for women navigating perimenopause, menopause, and the full arc of midlife transition. Each week, you will hear expert conversations and honest discussions covering: Hormones and HRT — what the evidence actually says about estrogen, progesterone, testosterone, and the pharmacology of hormone therapy options Brain fog, cognition, and mood — the neuroscience of menopause and why your thinking and emotional life are changing Metabolism, weight, and body composition — how shifting hormones affect insulin sensitivity, cortisol, and fat distribution, and what to do about it with nutrition and movement that respects your midlife body Sleep — why it breaks down during perimenopause, what restores it, and why it matters for everything else Gut health and the estrobolome — the emerging science connecting your microbiome to hormone metabolism and inflammation Bone, cardiovascular, and long-term health — the conditions that accelerate after menopause, and the prevention strategies that actually make a difference Stress, nervous system regulation, and burnout — why high-achieving women in midlife are running on empty, and what sustainable recovery looks like Supplements, peptides, and emerging therapies — clear, unbiased clinical context so you can evaluate your options with a discerning eye Identity, relationships, and purpose — because midlife is not only a physiological transition; it is a reorientation of how you see yourself and what you want Guests have included functional medicine physicians, nurse practitioners, registered dietitians, strength coaches, pharmacists, psychologists, and women who are simply in the thick of it, offering perspectives as varied as the experience of midlife itself. This podcast does not traffic in fear, wellness hype, or quick fixes. The goal is for you to leave every episode feeling more informed, less alone, and more capable of making decisions that are right for your body, your history, and your life. Women Mastering Midlife is proud to be ranked in the Goodpods Top 100 in both Medicine and Health & Fitness. New episodes release biweekly. Subscribe on Apple Podcasts, Spotify, or wherever you listen. Visit womenmasteringmidlife.com for free guides, coaching, and community. This podcast is for educational purposes only and does not constitute personalized medical advice. Always consult a qualified healthcare professional for decisions related to your health.

  1. Jul 6

    108. Menopause in the Workplace: Washington State's Executive Order and What It Means for Women Everywhere with April Haberman, CEO and Co-Founder Midovia

    What does it actually look like to support women through menopause at work, and who is responsible for making that happen? In this episode, I sit down with April Haberman, CEO and co-founder of MiDOViA, a workplace menopause support organization working with employers across the United States and drawing on best practices developed in the UK and Australia over the past decade. April was in the room when Washington Governor Bob Ferguson signed an executive order directing state agencies to develop menopause workplace accommodations, and she gives us a clear-eyed breakdown of what that order actually requires, who it covers, and why the for-profit sector should be paying close attention. We cover a lot of ground in this conversation, from the practical (what do workplace accommodations look like in a road construction crew versus a corporate headquarters?) to the systemic (why are women visiting seven or more doctors before getting care that should be straightforward?). We also talk about the barriers that keep women from speaking up at work, the role of pharmacists like me in closing the access-to-care gap, and why April believes broad organizational training is more important than any single policy change. If you have ever minimized your symptoms at work, wondered whether your employer is legally required to support you, or felt like the healthcare system is making menopause harder than it has to be, this one is for you. In This Episode: What MiDOViA does and why April and her co-founder Kim Hart saw an unmet need in the workplace four years agoA breakdown of Washington State's executive order on menopause workplace accommodations: what it mandates, who it applies to, and what comes nextWhy accommodations look different across industries, from office environments to construction sites to research labsThe connection between access to care, workplace support, and women's long-term financial stabilityWhy pharmacists are positioned to bridge the menopause care gap and what billing barriers stand in the wayThe role of symptom-tracking apps and wearable data in helping women advocate for themselves at medical appointmentsPractical steps women can take right now to plant seeds for menopause support within their own organizationsWhat is happening legislatively across the country, including Philadelphia, Illinois, Rhode Island, Massachusetts, Maryland, and California About April Haberman: April Haberman is the CEO and co-founder of MiDOViA, a menopause-in-the-workplace organization partnered with accredited menopause-friendly workplace programs in the UK and Australia. With a background in PR, marketing, nonprofit health education, and sexual and reproductive health, April brings a uniquely cross-sector perspective to organizational culture change. MiDOViA has worked with more than 600 menopause-friendly member organizations and nearly 200 accredited employers. Learn more at midovia.com. Resources Mentioned: MiDOViA: midovia.comWashington State Women's CommissionWashington State Governor Ferguson's Executive Order on Menopause Workplace AccommodationsNatural Cycles app (perimenopause tracking feature)Oura Ring (wearable health tracking)The Balance docuseries Let's Keep the Conversation GoingIf this episode resonated with you, please rate, review, and share it with someone who needs to hear it. Subscribe to Women Mastering Midlife on your favorite podcast platform to receive weekly conversations that help you navigate perimenopause, menopause, and midlife health with clarity and confidence. Join the Women Mastering Midlife Community and let's grow stronger together. Get your FREE guides HERE: www.womenmasteringmidlife.com/freeguides Share your thoughts and stories on our social channels and tag us @misvictoriabyrd. Let's rewrite the narrative together! Find more information on our website: www.womenmasteringmidlife.com Book a FREE 1:1 discovery call to learn more about coaching programs and courses. menopause in the workplace, perimenopause workplace accommodations, Washington state executive order menopause, menopause policy employers, MiDOViA April Haberman, menopause friendly workplace, women's health at work, midlife women workforce, menopause legislation United States, pharmacist menopause care, perimenopause symptoms at work, women mastering midlife podcast DisclaimerThis podcast is for entertainment, educational, and informational purposes only. The hosts, guests, and experts featured are not your personal healthcare providers or advisors. The content should not be considered as professional, personalized medical, psychological, or prescriptive advice. Always consult qualified professionals such as your physician, therapist, pharmacist, or coach for specific concerns and decisions related to your health or lifestyle. Women Mastering Midlife is not responsible for any undesired outcomes resulting from actions taken based on the content of this podcast.

  2. Jun 22

    107. Your Nervous System Doesn't Care About Your Workout Plan: Movement in Hard Seasons

    I haven’t lifted a weight in almost a year. And I’m the person who tells women that strength training matters in midlife. In this solo episode, I sit honestly in that tension, because I think a lot of you are living in it too. You know you should be working out, you believe it, and right now, while moving through something hard, you cannot find the way in. We talk about what is actually happening in your body when you are navigating trauma, grief, separation, or sustained stress, why standard fitness advice can backfire in these seasons, and how to fold in gentle movement that protects you instead of depleting you. I also share a change I am making in how I show up online, because I have come to see how daily workout posts and progress pictures feed the same comparison machine that leaves women feeling like they are failing at one more thing. This is not permission to opt out of your health. It is permission to do it differently, for the season you are actually in. What We Cover: Why intense training on an already-stressed nervous system adds load instead of building strengthAllostatic load, and the physiology that gives you real permission to ease off in a hard seasonThe difference between applying exercise research to an ideal life versus a real oneTwo valid responses to stress: movement as medicine, and rest as medicine, with no shame in eitherWhy an off-the-shelf workout program often becomes one more thing to fail atThe case for a responsive, one-on-one approach that meets you where you actually are, week to weekGentle movement as a menu, not a prescription: walking outside, yoga, mobility, ten minutes after a mealProtecting your body while your mind heals: stretching, pain signals, and coming back from injuryWhy nutrition and sleep matter more in a hard season, not lessWhy I chose not to drink alcohol through this chapter, and what it did for my sleep and recoveryThe change I am making in how I show up on social media, in real time Chapters & Timestamps 00:00 The tension I haven’t shared 01:57 Why summer and social media make this harder 04:33 Your nervous system doesn’t care about your workout plan 05:30 Allostatic load: the science that gives you permission 07:00 Two valid responses: movement as medicine vs. rest as medicine 10:42 Why an off-the-shelf program isn’t the answer right now 14:11 The case for a responsive, one-on-one approach 17:18 Showing up with a real life, not a fantasy 17:40 Practical, gentle movement: a menu, not a prescription 21:38 Protecting your body: stretching, pain signals, injury recovery 23:55 Don’t compare your chapter one to someone else’s chapter twenty 26:27 What we forget when we’re surviving: nutrition 29:18 Why I’m not drinking through this season 31:01 The change I’m making in how I show up online 33:18 Permission to rest, and the goal that’s still waiting for you Moments Worth Sharing: Your nervous system doesn’t know the difference between a real predator and a divorce attorney’s email. Sometimes structure isn’t support. It’s one more thing we’re failing at. The woman on your feed who swears her 5 a.m. lift saved her life isn’t lying. She’s just not you. We need to start with the truth of life, not the fantasy of it. Don’t compare your chapter one to someone else’s chapter twenty. The walk is enough. The rest is enough. Showing up, even quietly, is enough. Mentioned in This Episode: The five pillars of midlife health: nutrition, movement, sleep, stress mitigation, lifestyleAllostatic load and the physiology of chronic stressProtein as the building block for recovery and strengthComing back from injury with slow reps and good form Work With Vicky: If you’re in a hard chapter and you want someone to help you build something that fits your real life, not a fantasy version of it, my DMs are always open. That’s where this kind of work starts. CONNECT ● Website: womenmasteringmidlife.com ● Substack: Victoriabyrd.substack.com ● Instagram: https://www.instagram.com/msvictoriabyrd ● Email: victoria@womenmasteringmidlife.com This podcast is for educational purposes and is not a substitute for individualized medical care. Always consult your provider before making changes to medication, exercise, or supplements. Replacing an SSRI or any prescription with exercise should only be done under the supervision of a licensed provider.

  3. Jun 8

    106. What Midlife Women Need to Know About Psychedelics: Safety, Science, and Informed Choice with Linden Schaffer

    This is a conversation that deserves more nuance than a seven-second social media clip. Victoria sits down with Linden Schaffer, psychedelic wellness educator, author, and founder of Reveal, for an honest, evidence-informed discussion on what psychedelics actually are, what the current research says, and how midlife women can think critically about whether any of this belongs in their own wellness journey. Linden is not a hype machine. She has spent more than two decades at the intersection of wellness, transformation, and psychedelic harm reduction, and she brings that same rigor to this conversation. What emerges is a grounded, thoughtful exchange that honors both the science and the complexity, including the parts the headlines leave out. What You'll Hear in This Episode A plain-language overview of psychedelics, from classic compounds like psilocybin and LSD to lesser-known substances like ibogaine and MDMAThe history of psychedelic research, from Albert Hofmann's synthesis of LSD in the 1940s to the Nixon-era criminalization that halted decades of promising clinical workWhy the pandemic became an inflection point for renewed interest in these compoundsThe current legal landscape in the U.S., including Oregon and Colorado's regulated frameworks, decriminalization efforts in cities nationwide, and what federal scheduling still means for your personal risk profileHow midlife women in particular are being underserved by a medical system that too often defaults to SSRIs without exploring root causesWhat microdosing is, how it differs from larger dose experiences, and why Linden chose it herself when perimenopause symptoms arrived before she could get a hormone therapy appointmentThe critical importance of preparation, integration, and what Linden calls the "wellness toolbox" — and why the compound alone is never the whole storyHow to evaluate a retreat, a facilitator, or an experience using Linden's five-part Reveal Method: screening, set, setting, support, and sustainabilityThe intersection of psychedelics and GLP-1 medications, including what is and is not yet known about interactions and timingThe ethical and cultural concerns around ibogaine, biopiracy, and what happens when pharmaceutical companies enter sacred spacesRed flags to watch for in a commercializing marketplace, from Instagram-polished retreat brochures to untested compounds sold in smoke shops A Note from Victoria As a licensed pharmacist and certified menopause practitioner, I brought a lot of questions to this conversation, including ones about drug interactions, scheduling law, and what informed consent actually looks like in practice. Linden met every one of them with honesty. This episode is not medical advice, and we are both clear on that throughout. But it is the kind of informed, grounded conversation that I believe midlife women deserve access to, especially as the research and policy landscape continues to shift. Resources and Links Linden Schaffer's website and one-to-one coaching: revealcommunity.worldReveal Community on TikTok (live education, Q&A, and community building)Linden's online courses: microdosing and large-dose experience preparationGlobal Psychedelic SocietyMAPS (Multidisciplinary Association for Psychedelic Studies) Let's Keep the Conversation GoingIf this episode resonated with you, please rate, review, and share it with someone who needs to hear it. Subscribe to Women Mastering Midlife on your favorite podcast platform to receive weekly conversations that help you navigate perimenopause, menopause, and midlife health with clarity and confidence. Join the Women Mastering Midlife Community and let's grow stronger together. Get your FREE guides HERE: www.womenmasteringmidlife.com/freeguides Share your thoughts and stories on our social channels and tag us @misvictoriabyrd. Let's rewrite the narrative together! Find more information on our website: www.womenmasteringmidlife.com Book a FREE 1:1 discovery call to learn more about coaching programs and courses. DisclaimerThis podcast is for entertainment, educational, and informational purposes only. The hosts, guests, and experts featured are not your personal healthcare providers or advisors. The content should not be considered as professional, personalized medical, psychological, or prescriptive advice. Always consult qualified professionals such as your physician, therapist, pharmacist, or coach for specific concerns and decisions related to your health or lifestyle. Women Mastering Midlife is not responsible for any undesired outcomes resulting from actions taken based on the content of this podcast.

  4. May 25

    105. Peptides Explained: What Midlife Women Need to Know About GLP-1s, Compounding, and Clinical Safety with Dr. Jill White, PharmD

    The word "peptides" is everywhere right now, from your Instagram feed to your doctor's waiting room. But for most women, the information circulating online ranges from genuinely promising science to marketing that moves well ahead of the evidence. In this episode, Victoria sits down with Dr. Jill White, PharmD, a pharmacist with deep expertise in peptide therapy, to have the kind of grounded, evidence-based conversation the topic actually deserves. This is not a conversation about quick fixes or anti-aging trends. It is a conversation about biology, clinical decision-making, and how to ask the right questions of the people who are caring for you. What You'll Learn in This Episode: The basics of peptide scienceWhy peptides are not new The GLP-1 story Compounded vs. FDA-approved medicationsWho is and is not a good candidate for GLP-1 therapyWhy muscle preservation matters more than the number on the scaleInjectable vs. oral peptidesOther peptides worth knowing aboutHow to vet a providerWhy prescription-sourced compounds matter About Dr. Jill White, PharmD Dr. Jill White is a licensed pharmacist and peptide educator who works with both healthcare practitioners and individual clients. She offers a high-touch, one-on-one GLP-1 mentorship program for women and a group-based peptide membership that helps clients build personalized peptide protocols using prescription-sourced compounds. She also provides dedicated pharmacist training in this emerging space. Connect with Dr. Jill White: GLP-1 mentorship for women (one-on-one): www.JillWhiteCoaching.com Personalized peptide protocol membership: www.peptidemembership.com Use promo code VICTORIA25 at peptidemembership.com to save 25% on your membership fee. Let's Keep the Conversation Going If this episode resonated with you, please rate, review, and share it with someone who needs to hear it. Subscribe to Women Mastering Midlife on your favorite podcast platform to receive weekly conversations that help you navigate perimenopause, menopause, and midlife health with clarity and confidence. Join the Women Mastering Midlife Community and let's grow stronger together. Get your FREE guides HERE: www.womenmasteringmidlife.com/freeguides Share your thoughts and stories on our social channels and tag us @misvictoriabyrd. Let's rewrite the narrative together! Find more information on our website: www.womenmasteringmidlife.com Book a FREE 1:1 discovery call to learn more about coaching programs and courses. Disclaimer This podcast is for entertainment, educational, and informational purposes only. The hosts, guests, and experts featured are not your personal healthcare providers or advisors. The content should not be considered as professional, personalized medical, psychological, or prescriptive advice. Always consult qualified professionals such as your physician, therapist, pharmacist, or coach for specific concerns and decisions related to your health or lifestyle. Women Mastering Midlife is not responsible for any undesired outcomes resulting from actions taken based on the content of this podcast.

    105. Peptides Explained: What Midlife Women Need to Know About GLP-1s, Compounding, and Clinical Safety with Dr. Jill White, PharmD

  5. May 18

    104. Why High-Performing Women Feel Exhausted: The Hidden Systems Failing Midlife Women

    What if the problem isn’t you? In this powerful conversation, Victoria sits down with clinical psychologist and founder of Risewell Performance Consulting, Dr. Sachi Horback, to unpack why so many high-performing women in midlife feel exhausted, overwhelmed, disconnected from themselves, and unable to “push through” the way they once could. Together, they explore the hidden systems failing women in midlife — from workplace expectations and invisible labor to hormonal transitions, decision fatigue, identity shifts, and chronic over-capacity living. Dr. Horback explains why burnout is often misidentified, why “mindset” and productivity hacks are not enough, and how high-achieving women have been conditioned to internalize structural problems as personal failures. This episode is for the woman who feels like she is doing everything right and still feels depleted. Inside this episode, we discuss: Why high-performing women are not failing — the systems around them are The difference between burnout and chronic capacity overload How identity suppression impacts women’s performance and well-being Why midlife creates a “perfect storm” of hormonal, emotional, cognitive, and professional demands The hidden effects of decision fatigue and invisible labor Why women often mistake capacity depletion for imposter syndrome The concept of “pressure loading” and how it silently drains energy reserves How structured recovery differs from traditional “self-care” Why pushing harder is not the solution for midlife women What sustainable performance actually looks like for women in this season of life Key Takeaway: “You are not broken. Your system is overloaded.” This conversation offers a deeply validating and practical reframe for women navigating career demands, caregiving, hormonal changes, leadership roles, and the invisible emotional labor that often comes with midlife. Connect with Dr. Sachi Horback: Website: Risewell Performance Consulting Let’s Keep the Conversation Going: If this episode resonated with you, please rate, review, and share it with someone who needs to hear it. Subscribe to Women Mastering Midlife on your favorite podcast platform to receive weekly conversations that help you navigate perimenopause, menopause, and midlife health with clarity and confidence. Join the Women Mastering Midlife Community and let’s grow stronger together. Get your FREE guides HERE: www.womenmasteringmidlife.com/freeguides  Share your thoughts and stories on our social channels and tag us @misvictoriabyrd Let’s rewrite the narrative together!   Find more information on our website: www.womenmasteringmidlife.com  Book a FREE 1:1 discovery call to learn more about coaching programs and courses  Disclaimer   This podcast is for entertainment, educational, and informational purposes only. The hosts, guests, and experts featured are not your personal healthcare providers or advisors. The content should not be considered as professional, personalized medical, psychological, or prescriptive advice.   Always consult qualified professionals such as your physician, therapist, pharmacist, or coach for specific concerns and decisions related to your health or lifestyle. *Women Mastering Midlife* is not responsible for any undesired outcomes resulting from actions taken based on the content of this podcast.

    104. Why High-Performing Women Feel Exhausted: The Hidden Systems Failing Midlife Women

  6. May 11

    103. The Menopause Industrial Complex: How to Navigate Misinformation, Supplements, and Midlife Health with Confidence

    Menopause is finally getting the attention it deserves—but with increased visibility comes a new challenge: navigating a rapidly growing industry filled with conflicting advice, products, and voices competing for your trust. In this episode of Women Mastering Midlife, Victoria Byrd, Pharmacist Consultant, Integrative Women’s Health Coach, and Certified Menopause Educator, takes a thoughtful and evidence-informed look at what she calls the “menopause industrial complex.” She breaks down how this evolving landscape impacts midlife women—and how to move through it with clarity, confidence, and discernment. Drawing from her clinical background and years of experience in women’s health, Victoria explores the intersection of social media, supplements, physician influencers, and modern healthcare systems. She also offers a grounded framework to help you filter information, avoid unnecessary spending, and focus on what truly supports your health during perimenopause and menopause. In This Episode, You’ll Learn: What the “menopause industrial complex” is and why it matters Why increased awareness does not always equal accurate information How social media algorithms influence the health advice you see The truth about menopause supplements, hormone “balance,” and product marketing How to evaluate influencers, clinicians, and medical advice online The hidden costs of traditional insurance-based menopause care When cash-pay menopause care may offer value—and when it may not A practical framework to assess credibility, research, and bias Why nuance, not absolutes, is essential in menopause care The foundational role of hormone therapy, including when it is appropriate The Five Pillars of Midlife Health Resources & Next Steps Subscribe to Women Mastering Midlife on Substack for deeper clinical insights and ongoing conversations Book a Midlife Mastery Clarity Session for a personalized, one-on-one approach to your menopause journey Let’s Keep the Conversation Going: If this episode resonated with you, please rate, review, and share it with someone who needs to hear it. Subscribe to Women Mastering Midlife on your favorite podcast platform to receive weekly conversations that help you navigate perimenopause, menopause, and midlife health with clarity and confidence. Join the Women Mastering Midlife Community and let’s grow stronger together. Get your FREE guides HERE: www.womenmasteringmidlife.com/freeguides  Share your thoughts and stories on our social channels and tag us @misvictoriabyrd Let’s rewrite the narrative together!   Find more information on our website: www.womenmasteringmidlife.com  Book a FREE 1:1 discovery call to learn more about coaching programs and courses  Disclaimer   This podcast is for entertainment, educational, and informational purposes only. The hosts, guests, and experts featured are not your personal healthcare providers or advisors. The content should not be considered as professional, personalized medical, psychological, or prescriptive advice.   Always consult qualified professionals such as your physician, therapist, pharmacist, or coach for specific concerns and decisions related to your health or lifestyle. *Women Mastering Midlife* is not responsible for any undesired outcomes resulting from actions taken based on the content of this podcast.

    103. The Menopause Industrial Complex: How to Navigate Misinformation, Supplements, and Midlife Health with Confidence

  7. May 4

    102. Menopause in the Workplace: Why Women Are Leaving Careers and What Needs to Change with Karissa Pfeffer

    What if the reason so many high-performing women are burning out, stepping back, or leaving their careers has nothing to do with ambition and everything to do with hormones? In this powerful and deeply honest conversation, Victoria Byrd sits down with menopause-in-the-workplace advocate Karissa Pfeffer to unpack the real impact of perimenopause and menopause on women’s careers, leadership, and well-being. Together, they explore the invisible challenges women face in corporate environments, why menopause is still overlooked in workplace policy, and how education, not overhaul, is the first step toward meaningful change. This episode goes far beyond hot flashes. It dives into brain fog, burnout, anxiety, performance issues, and the systemic gaps that are quietly costing companies talent, money, and leadership. What You’ll Learn in This Episode: Why 1 in 10 women leave the workforce due to menopause symptoms The connection between perimenopause, burnout, and misdiagnosis How hormonal changes impact focus, leadership, and productivity Why menopause is not a “wellness perk” but a critical HR and retention issue The financial cost to companies when experienced women leave Why women hesitate to speak up about symptoms at work The difference between perimenopause vs. menopause awareness How workplace culture can either support or silence midlife women Simple, low-cost ways companies can start supporting women now The role of education in reducing healthcare costs and improving retention Why This Conversation Matters: We are the first generation openly talking about perimenopause while still actively building careers, raising families, and leading organizations. And as Victoria shares, this is about more than us, it is about changing the experience for the next generation of women. Connect with Karissa Pfeffer: Learn more about workplace menopause education and how to bring this conversation into your organization: LinkedIn Instagram Website Let’s Keep the Conversation Going: If this episode resonated with you, please rate, review, and share it with someone who needs to hear it. Subscribe to Women Mastering Midlife on your favorite podcast platform to receive weekly conversations that help you navigate perimenopause, menopause, and midlife health with clarity and confidence. Join the Women Mastering Midlife Community and let’s grow stronger together. Get your FREE guides HERE: www.womenmasteringmidlife.com/freeguides  Share your thoughts and stories on our social channels and tag us @misvictoriabyrd Let’s rewrite the narrative together!   Find more information on our website: www.womenmasteringmidlife.com  Book a FREE 1:1 discovery call to learn more about coaching programs and courses  Disclaimer   This podcast is for entertainment, educational, and informational purposes only. The hosts, guests, and experts featured are not your personal healthcare providers or advisors. The content should not be considered as professional, personalized medical, psychological, or prescriptive advice.   Always consult qualified professionals such as your physician, therapist, pharmacist, or coach for specific concerns and decisions related to your health or lifestyle. *Women Mastering Midlife* is not responsible for any undesired outcomes resulting from actions taken based on the content of this podcast.

    102. Menopause in the Workplace: Why Women Are Leaving Careers and What Needs to Change with Karissa Pfeffer

  8. Apr 27

    101.Perimenopause Symptoms, Hormone Therapy, and the Care Gap for Women | Jackie Piasta (REPLAY)

    If you have ever been told you are “too young” for perimenopause, dismissed with a quick prescription, or left feeling confused about hormone therapy, this conversation will help you understand why. In this episode of Women Mastering Midlife, I sit down with women’s health nurse practitioner and menopause specialist Jackie Piasta to unpack what is really happening during perimenopause and menopause—and why so many women are not getting the care they need. We discuss the major gaps in menopause education across healthcare, the lasting impact of the Women’s Health Initiative (WHI), and how misinformation continues to influence treatment decisions today. You will also learn how hormone therapy actually works, why symptoms can begin years earlier than expected, and what options are available if you have been told “everything is normal.” If you are navigating brain fog, sleep disruption, mood changes, weight fluctuations, or simply feel like your body has changed without clear answers, this episode will help you start connecting the dots. What We Cover in This Episode Why perimenopause symptoms are often missed or misdiagnosed The reality of hormone therapy and what the research actually shows The lasting impact of the Women’s Health Initiative (WHI) study on care decisions Why many clinicians feel unprepared to treat menopause patients The difference between bioidentical and synthetic hormones Common symptoms of perimenopause, including brain fog, sleep disruption, and mood changes Why menopause care requires more time and individualized attention How telehealth is expanding access to menopause care The role of lab testing in perimenopause and menopause Why women are often prescribed multiple medications instead of addressing root hormonal changes Testosterone therapy in women and the current limitations in access and research The importance of self-advocacy and trusting your intuition in midlife health About Jackie Piasta Jackie Piasta is a women’s health nurse practitioner and nationally certified menopause practitioner with over 15 years of clinical experience. She is the founder of Monarch Health, a midlife and menopause clinic, and has educated practitioners nationwide on menopause care. She is a recognized voice in the menopause space, known for translating complex clinical information into accessible, practical guidance for women navigating midlife. Resources & Links Follow Jackie Piasta on Instagram Learn more about Monarch Health (telehealth available in select states) Explore additional menopause care providers if you are outside her service area Let’s Keep the Conversation Going: If this episode resonated with you, please rate, review, and share it with someone who needs to hear it. Subscribe to Women Mastering Midlife on your favorite podcast platform to receive weekly conversations that help you navigate perimenopause, menopause, and midlife health with clarity and confidence. Join the Women Mastering Midlife Community and let’s grow stronger together. Get your FREE guides HERE: www.womenmasteringmidlife.com/freeguides  Share your thoughts and stories on our social channels and tag us @misvictoriabyrd Let’s rewrite the narrative together!   Find more information on our website: www.womenmasteringmidlife.com  Book a FREE 1:1 discovery call to learn more about coaching programs and courses  Disclaimer   This podcast is for entertainment, educational, and informational purposes only. The hosts, guests, and experts featured are not your personal healthcare providers or advisors. The content should not be considered as professional, personalized medical, psychological, or prescriptive advice.   Always consult qualified professionals such as your physician, therapist, pharmacist, or coach for specific concerns and decisions related to your health or lifestyle. *Women Mastering Midlife* is not responsible for any undesired outcomes resulting from actions taken based on the content of this podcast.

    101.Perimenopause Symptoms, Hormone Therapy, and the Care Gap for Women | Jackie Piasta (REPLAY)
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About

Women Mastering Midlife is the podcast for women in their 40s and 50s who want real answers about what is happening inside their bodies, and the confidence to advocate for themselves in every room they walk into. Hosted by Victoria Byrd, a licensed pharmacist, certified menopause practitioner, and integrative health and wellness coach, this show bridges the gap between clinical medicine and lived experience. Victoria brings 20 years of pharmacy training alongside a deep commitment to integrative, evidence-based care for women navigating perimenopause, menopause, and the full arc of midlife transition. Each week, you will hear expert conversations and honest discussions covering: Hormones and HRT — what the evidence actually says about estrogen, progesterone, testosterone, and the pharmacology of hormone therapy options Brain fog, cognition, and mood — the neuroscience of menopause and why your thinking and emotional life are changing Metabolism, weight, and body composition — how shifting hormones affect insulin sensitivity, cortisol, and fat distribution, and what to do about it with nutrition and movement that respects your midlife body Sleep — why it breaks down during perimenopause, what restores it, and why it matters for everything else Gut health and the estrobolome — the emerging science connecting your microbiome to hormone metabolism and inflammation Bone, cardiovascular, and long-term health — the conditions that accelerate after menopause, and the prevention strategies that actually make a difference Stress, nervous system regulation, and burnout — why high-achieving women in midlife are running on empty, and what sustainable recovery looks like Supplements, peptides, and emerging therapies — clear, unbiased clinical context so you can evaluate your options with a discerning eye Identity, relationships, and purpose — because midlife is not only a physiological transition; it is a reorientation of how you see yourself and what you want Guests have included functional medicine physicians, nurse practitioners, registered dietitians, strength coaches, pharmacists, psychologists, and women who are simply in the thick of it, offering perspectives as varied as the experience of midlife itself. This podcast does not traffic in fear, wellness hype, or quick fixes. The goal is for you to leave every episode feeling more informed, less alone, and more capable of making decisions that are right for your body, your history, and your life. Women Mastering Midlife is proud to be ranked in the Goodpods Top 100 in both Medicine and Health & Fitness. New episodes release biweekly. Subscribe on Apple Podcasts, Spotify, or wherever you listen. Visit womenmasteringmidlife.com for free guides, coaching, and community. This podcast is for educational purposes only and does not constitute personalized medical advice. Always consult a qualified healthcare professional for decisions related to your health.

Information

  • Creator
    Victoria Byrd
  • Years Active
    2024 - 2026
  • Episodes
    109
  • Rating
    Explicit
  • Copyright
    © Victoria Byrd, Pharmacist and Certified Menopause Health Coach
  • Show Website
    Women Mastering Midlife

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