Mornings with Megan

Megan Pfiffner
  • 5.0 (28)
  • Nutrition
  • Updated Weekly

Mornings with Megan is your Wednesday morning check-in for perimenopause, the stuff nobody prepared you for. I'm Megan Pfiffner, an MS, CNS, CDN and perimenopause navigator. Every week, in about 15 minutes (just long enough for your coffee), we get into the real questions: why you're waking up at 2am, where the new anxiety came from, what your labs actually mean when your doctor says "everything's normal," and how to build the right team of people to help you feel like yourself again. This isn't 101 perimenopause info you can Google. It's the bridge between the 7-minute appointment you get w

  1. 2d ago

    52: Order of Operations: What I Wish I Knew About My Gut with Kara Siedman (Part 3)

    In this episode of Mornings with Megan, registered dietitian Kara Siedman, VP of Science and Partnerships at resbiotic, and I talk about the order of operations for gut health in perimenopause: why "just add more fiber" is not always step one, and what to do first when bloating, constipation, and food reactions keep showing up. Kara describes herself as a gut-first dietitian, not a diet-first one, and explains why piling more diet rules onto someone who is already struggling can backfire. We also talk about making fermented foods work even if you do not love them, how Kara went from hospital dietitian to microbiome specialist, and her three takeaways for the week. What we cover: Why adding fiber is not always the first move for digestion and gut healthWhy Kara starts with symptom relief for some women before deeper diet workHow to enjoy fermented foods you do not love, including a miso toast ideaSigns your gut may be involved beyond bloating and gas: sleep, mood, energy, cravingsWhy the best diet is the one you can sustainHow to double-click on a supplement company before you buyThis episode touches the Fuel pillar of the Perimenopause Matrix, the framework I use with clients to build a full-picture care plan for menopause, hormones, and women's health in midlife. 👉 Full Episode Show Notes Book a free 30-minute perimenopause chat with Megan 📱 CONNECT WITH ME: Website⁠⁠Instagram⁠⁠LinkedIn⁠Facebook ⁠Youtube You're not crazy. You're not broken. You're not alone. And you absolutely deserve to feel like yourself again. Listen to Mornings with Megan Podcast 🎧 New episodes drop every Wednesday! AppleSpotifyAmazon

  2. Oct 14

    51: What's Actually Happening to Your Gut in Perimenopause with Kara Siedman (Part 2)

    In this episode of Mornings with Megan, registered dietitian Kara Siedman, VP of Science and Partnerships at resbiotic, and I break down how your gut health and your estrogen are connected in perimenopause, and why hormone symptoms like hot flashes, bloating, mood swings, and fatigue may not be only a hormone story. We talk about the estrobolome, the gut bacteria that help regulate how much estrogen gets recycled back into circulation, and why it works like a seesaw as your hormones swing from day to day. Kara also pulls back the curtain on how resbiotic tests its products, from lab-grown human cell models to finished-product clinical trials. What we cover: What the estrobolome is and why it matters for estrogen and progesterone shifts in midlifeWhy gut function may matter more than diversity aloneWhat researchers see in the gut microbiome after menopauseWhy beta-glucuronidase is not simply good or badHow organoids (lab-grown human cell models) are used to test supplementsWhy a long list of probiotic strains does not guarantee resultsWhy your gut still matters if you are on hormone therapyThis episode touches the Fuel and Clean pillars of the Perimenopause Matrix, the framework I use with clients to build a full-picture care plan for midlife women and women's health. 👉 Full Episode Show Notes Book a free 30-minute perimenopause chat with Megan 📱 CONNECT WITH ME: Website⁠⁠Instagram⁠⁠LinkedIn⁠Facebook ⁠Youtube You're not crazy. You're not broken. You're not alone. And you absolutely deserve to feel like yourself again. Listen to Mornings with Megan Podcast 🎧 New episodes drop every Wednesday! AppleSpotifyAmazon

  3. Oct 7

    50: The Neighborhood in Your Gut: A New Way to Think About Probiotics with Kara Siedman (Part 1)

    In this episode of Mornings with Megan, perimenopause navigator and nutritionist Megan Pfiffner sits down with registered dietitian Kara Siedman, VP of Science and Partnerships at resbiotic, to break down what probiotics, prebiotics, and postbiotics actually do in your body, and why gut health gets so muddied by marketing. What we cover: The real difference between prebiotics, probiotics, and postbioticsWhy a probiotic dying in a hot delivery truck isn't the same as an intentionally heat-inactivated postbioticWhat strain specificity means, and why not all probiotics do the same thingWhy probiotics don't actually colonize your gutWhat a Stanford study on fiber versus fermented foods revealed about digestion and gut diversityWhy the newest microbiome research is shifting from "which bug" to "what function," with real implications for hormones and midlife womenThis episode touches the Fuel pillar of the Perimenopause Matrix, the framework I use with clients to build a full-picture care plan for women's health in midlife. 👉 Full Episode Show Notes Book a free 30-minute perimenopause chat with Megan 📱 CONNECT WITH ME: Website⁠ ⁠Instagram⁠ ⁠LinkedIn⁠ Facebook ⁠ Youtube You're not crazy. You're not broken. You're not alone. And you absolutely deserve to feel like yourself again. Listen to Mornings with Megan Podcast 🎧 New episodes drop every Wednesday! Apple Spotify Amazon

  4. Sep 30

    49: The Earthquake, the Eczema, and the Warrior: Natalie Novak's Full Story (Part 2)

    n this episode of Mornings with Megan, perimenopause nutritionist Megan Pfiffner continues her conversation with celebrity aesthetician Natalie Novak. If rosacea, eczema, psoriasis, or other skin flare-ups have gotten worse during perimenopause or menopause, this half of the conversation is for you. What we cover: Why autoimmune skin conditions spike during perimenopause and why they tend to travel in multiplesWhy nervous system regulation belongs in a skin-health plan, not just a wellness routineNatalie's own story, from a 1987 earthquake to building KPS Essentials from her kitchenWhat it actually takes to formulate a truly clean, food-grade skincare lineHer partnership with the Hello Gorgeous Foundation supporting women's health through cancerThis episode touches the Clean and Connect pillars of the Perimenopause Matrix, the framework I use with clients to build a full-picture care plan for midlife women and shifting hormones. 👉 Full Episode Show Notes Book a free 30-minute perimenopause chat with Megan 📱 CONNECT WITH ME: Website⁠⁠Instagram⁠⁠LinkedIn⁠Facebook ⁠Youtube You're not crazy. You're not broken. You're not alone. And you absolutely deserve to feel like yourself again. Listen to Mornings with Megan Podcast 🎧 New episodes drop every Wednesday! AppleSpotifyAmazon

  5. Sep 23

    48: WTF Is Happening to My Skin? Glycation, Melasma, and Clean Ingredients with Natalie Novak (Part 1)

    In this episode of Mornings with Megan, perimenopause navigator and nutritionist Megan Pfiffner sits down with celebrity aesthetician Natalie Novak to talk about what is actually happening to skin during perimenopause and menopause. If breakouts, new dullness, deeper wrinkles, or dark patches have shown up seemingly overnight, this conversation gives you the hormones-level explanation nobody handed you. What we cover: What glycation and oxidative stress are doing to skin during shifting estrogen and progesteroneHow to rebuild a skincare routine for midlife womenWhat "clean beauty" actually means, and why it matters more in this decadeHow to use the Environmental Working Group to check your own bathroom shelfMelasma versus sun-driven hyperpigmentation, and why they are not the same thingWhat retinol A users need to know about sun exposure and skin cancer riskThis episode touches the Clean pillar of the Perimenopause Matrix, the framework I use with clients to build a full-picture care plan for women's health in midlife. 👉 Full Episode Show Notes Book a free 30-minute perimenopause chat with Megan 📱 CONNECT WITH ME: Website⁠⁠Instagram⁠⁠LinkedIn⁠Facebook ⁠Youtube You're not crazy. You're not broken. You're not alone. And you absolutely deserve to feel like yourself again. Listen to Mornings with Megan Podcast 🎧 New episodes drop every Wednesday! AppleSpotifyAmazon

  6. Sep 16

    47: Painful Sex, Provider Gaslighting, and Taking Your Body Back: Part 3 with Dr. Jennifer Helft

    In this episode of Mornings with Megan, perimenopause nutritionist Megan Pfiffner and Dr. Jennifer Helft close out their three-part pelvic floor series with the conversation most women have never been given space to have: painful sex after menopause, what happens when providers dismiss you, and what it actually sounds like to advocate for yourself. What we cover: What pelvic floor PT can do for painful intercourse after menopause, and why the answer is an unequivocal yesHow the drive-pain cycle operates and why libido and pain are often intertwinedThe double standard in how women's sexual health symptoms are treated versus men'sWhat specific language and framing helps providers take your symptoms seriouslyHow to find a pelvic floor PT and what direct access means across all 50 statesThis episode connects to the Connect pillar of the Perimenopause Matrix. Intimacy, relationships, and feeling at home in your body are not extras. They belong in your care plan. 👉 Full Episode Show Notes Book a free 30-minute perimenopause chat with Megan 📱 CONNECT WITH ME: Website⁠⁠Instagram⁠⁠LinkedIn⁠Facebook ⁠Youtube You're not crazy. You're not broken. You're not alone. And you absolutely deserve to feel like yourself again. Listen to Mornings with Megan Podcast 🎧 New episodes drop every Wednesday! AppleSpotifyAmazonYoutube

  7. Sep 9

    46: Prolapse, Postpartum, and the Constipation Connection: Part 2 with Dr. Jennifer Helft

    In this episode of Mornings with Megan, perimenopause nutritionist Megan Pfiffner continues her conversation with Dr. Jennifer Helft, pelvic floor physical therapist and founder of Modern Pelvic Health Physical Therapy, diving deep into prolapse, postpartum recovery, and the constipation connection that surprises almost every woman she sees. What we cover: What pelvic organ prolapse actually is, what it feels like, and why symptom severity matters more than clinical gradeWhy most women leave their postpartum clearance appointment without the pelvic floor support they need, and how that compounds in perimenopauseHow progesterone and estrogen decline slows gut transit and creates the conditions for constipationHow to tell whether constipation is a dietary issue, a pelvic floor issue, or bothWhat symptom clusters travel alongside constipation and what they signal clinicallyThis episode connects to the Fuel pillar of the Perimenopause Matrix. Nutrition, gut motility, and pelvic floor coordination are inseparable, and this conversation shows you exactly why. 👉 Full Episode Show Notes Book a free 30-minute perimenopause chat with Megan 📱 CONNECT WITH ME: Website⁠⁠Instagram⁠⁠LinkedIn⁠Facebook ⁠Youtube You're not crazy. You're not broken. You're not alone. And you absolutely deserve to feel like yourself again. Listen to Mornings with Megan Podcast 🎧 New episodes drop every Wednesday! AppleSpotifyAmazonYoutube

  8. Sep 2

    45: Your Pelvic Floor Is Talking. Are You Listening? Part 1 with Dr. Jennifer Helft

    In this episode of Mornings with Megan, perimenopause nutritionist Megan Pfiffner sits down with Dr. Jennifer Helft, pelvic floor physical therapist and founder of Modern Pelvic Health Physical Therapy, to talk about what estrogen decline is actually doing to your pelvic floor, why leaking during exercise is common but not normal, and why Kegels are almost never the complete answer. What we cover: What happens to pelvic floor tissue when estrogen and progesterone declineWhy stress urinary incontinence happens during jumping, running, and laughingThe pressure management system of the pelvic floor and why perimenopause disrupts itWhy the pelvic floor connects to your breathing, posture, foot strike, and even your jawWhat a real pelvic floor evaluation actually looks atThis episode touches the Move and Recharge pillars of the Perimenopause Matrix. If you have been avoiding workouts, skipping classes, or managing your laughter to avoid leaking, this episode is your permission slip to get some help. 👉 Full Episode Show Notes Book a free 30-minute perimenopause chat with Megan 📱 CONNECT WITH ME: Website⁠⁠Instagram⁠⁠LinkedIn⁠Facebook ⁠Youtube You're not crazy. You're not broken. You're not alone. And you absolutely deserve to feel like yourself again. Listen to Mornings with Megan Podcast 🎧 New episodes drop every Wednesday! AppleSpotifyAmazonYoutube

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Trailer

5
out of 5
28 Ratings

About

Mornings with Megan is your Wednesday morning check-in for perimenopause, the stuff nobody prepared you for. I'm Megan Pfiffner, an MS, CNS, CDN and perimenopause navigator. Every week, in about 15 minutes (just long enough for your coffee), we get into the real questions: why you're waking up at 2am, where the new anxiety came from, what your labs actually mean when your doctor says "everything's normal," and how to build the right team of people to help you feel like yourself again. This isn't 101 perimenopause info you can Google. It's the bridge between the 7-minute appointment you get w

Information

  • Creator
    Megan Pfiffner
  • Years Active
    2025 - 2026
  • Episodes
    53
  • Rating
    Clean
  • Copyright
    © Megan Pfiffner
  • Show Website
    Mornings with Megan