Second Opinion

Rosemarie Beltz

Get the clarity you need on the hottest topics in health and wellness with Second Opinion. Hosted by Rosemarie Beltz, this podcast brings you fresh perspectives from experts, innovators, and disruptors tackling life-changing issues. Each episode unpacks the latest research, debunks the hype, and delivers insights to help you make informed decisions. If you're ready for engaging, enlightening, and occasionally unexpected takes on health and wellness, tune in and discover your second opinion.

  1. Experience as Leverage, A Second Wind Conversation: From Perfusion to Property — Work, Wealth, and Choice After 40

    2D AGO

    Experience as Leverage, A Second Wind Conversation: From Perfusion to Property — Work, Wealth, and Choice After 40

    Midlife isn’t a breakdown. It’s a data point. When you’ve built a life that looks solid on paper—but your body, bandwidth, or curiosity says “there’s more”—it’s time for a different kind of conversation. In this Second Wind episode, Rosemarie Beltz sits down with Teri Trifiletti, a former cardiovascular perfusionist who quietly leveraged her clinical career into real estate ownership, greater autonomy, and a life designed with intention. In midlife, the question isn’t whether you’re capable. It’s whether the life you built still fits. In this episode of Second Opinion, Rosemarie Beltz launches Second Wind—conversations for high-functioning adults who aren’t broken, but ready to evolve. The focus isn’t dramatic reinvention. It’s strategic expansion: using your experience as leverage, not a limitation. Rosemarie is joined by Teri Trifiletti, a former cardiovascular perfusionist who spent more than two decades in high-acuity cardiac surgery before transitioning fully out of the OR. While still practicing, Teri began investing in real estate, learning through ownership and building a portfolio over time. A relocation to Charlotte became the pivot point that helped her step into full-time property management—creating more flexibility, more control, and a different relationship with work. This conversation is about what many professionals quietly carry: the golden handcuffs of stability, the invisible toll of constant readiness, and the moment you realize success is not the same as freedom. Key themes explored: Why “successful on paper” can still feel misaligned in real lifeHow clinical skills transfer directly into ownership, entrepreneurship, and leadershipThe hidden courage required to leave certainty—even when you’re good at itWhat perfusion teaches you about risk, pressure, documentation, and decision-makingA grounded entry point into real estate that doesn’t require a license or hypeHow to get unstuck by separating real constraints from mindset loopsThis episode is for you if you’re grateful for what you’ve built—but you’re ready for more choice, more autonomy, and a life that supports your nervous system, not just your résumé. Listen in, then take five quiet minutes afterward to ask: What would change if your experience worked for you—fully? Second Opinion is where science meets story—and better questions lead to better decisions. 🔗 Follow & Subscribe to never miss an episode. If you love the show, leave a review—it helps others get a second opinion! 💡 Have a topic you’d love for us to cover? Reach out at www.rosemarieb.com.

    39 min
  2. JAN 28

    Feeling Behind in January Isn’t a Failure — It’s Biology
The Difference Between Falling Behind and Responding to Reality

    Feeling Behind in January Isn’t a Failure — It’s Biology The Difference Between Falling Behind and Responding to Reality January has a way of making capable, high-functioning people feel like they’re already behind. But that feeling isn’t a personal failure — it’s a biological response. In this solo episode of Second Opinion, host Rosemarie Beltz unpacks why January often feels heavier than we expect, especially in midlife. Drawing from stress physiology, circadian biology, and lived clinical experience, she reframes the pressure to “reset” and explains what’s actually happening in the body and brain when motivation dips and clarity feels harder to reach. This conversation isn’t about pushing harder or fixing yourself. It’s about understanding the difference between falling behind and responding intelligently to reality — and why midlife is often the moment that distinction becomes clear. In this episode, you’ll explore: Why January disrupts energy, mood, and motivation at a physiological levelHow decision fatigue and cognitive load show up more sharply in midlifeWhy motivation isn’t a reliable starting point — and what works insteadThe role of systems in reducing stress and supporting sustainable changeHow to release shame and recalibrate without quitting or checking outThis episode is for you if you’re successful on paper, thoughtful by nature, and quietly questioning whether the traditional January reset actually serves you anymore. Listen in, take what resonates, and share this episode with someone who needs permission to slow down without losing momentum. Second Opinion exists to help you ask better questions — about health, timing, and the choices that shape how we live — so midlife becomes a season of clarity, not pressure. Second Opinion is created, written, and produced by Rosemarie Beltz. 🔗 Follow & Subscribe to never miss an episode. If you love the show, leave a review—it helps others get a second opinion! 💡 Have a topic you’d love for us to cover? Reach out at www.rosemarieb.com.

    15 min
  3. Why So Many Capable People Feel Stuck After 50... The quiet gap between experience and action

    JAN 21

    Why So Many Capable People Feel Stuck After 50... The quiet gap between experience and action

    Why So Many Capable People Feel Stuck After 50 The quiet gap between experience and action This episode is for you if you’re successful on paper, unsettled in real life, and ready to move from overthinking to aligned action—without making reinvention dramatic. Midlife can feel disorienting when you’re sitting on competence, experience, and a growing awareness that something no longer fits. In this conversation, host Rosemarie Beltz sits down with Sairan Aqrawi—engineer turned business strategist and reinvention mentor—to explore what actually helps people move forward in midlife: clarity, action, and consistency. Sairan’s story begins long before any career pivot. Evacuated from Iraq through a U.S. military operation in 1996, she arrived in the U.S. with a suitcase, $300, and a depth of resilience that would later shape her work. That lived experience now informs how she supports midlife women and men navigating career transitions, identity shifts, caregiving demands, and the pressure of other people’s timelines. Together, Rosemarie and Sairan dismantle the myth of “too late,” name the trap of faux action (preparing without momentum), and reframe midlife as a prime decade for selective ambition—where time, health, relationships, and energy become non-negotiable. Key themes you’ll hear: Why midlife is a reassessment—and how language shapes outcomesThe clarity–action–consistency framework (and where most people get stuck)How identity evolves after disruption, immigration, and caregivingWhy competence—not age or gender—is what truly carries authorityA practical first step: uncovering your “hidden gem” through consistent complimentsAs a gift to Second Opinion listeners, Sairan is offering a complimentary 15-minute discovery session for anyone who mentions the podcast interview. If this conversation sparked clarity—or questions—you can connect with her via her website https://www.sairanaqrawi.com or reach out on Instagram or LinkedIn. Listen in, reflect, and choose one small action that proves you’re still in motion. Second Opinion is where science meets story—and age is always the advantage. Warmly, Rosemarie 🔗 Follow & Subscribe to never miss an episode. If you love the show, leave a review—it helps others get a second opinion! 💡 Have a topic you’d love for us to cover? Reach out at www.rosemarieb.com.

    1h 16m
  4. JAN 14

    When Everything Matters, Nothing Moves...
The Case for Choosing One Direction in Midlife

    If you’ve ever felt capable, motivated, and yet strangely stuck, this episode offers a quieter explanation. Midlife doesn’t stall because of a lack of ambition—it stalls because everything feels important at once. In this solo episode, Rosemarie Beltz explores why focus feels harder in midlife and why the solution isn’t more discipline, bigger goals, or relentless motivation. Instead, she offers a grounded reframe: choosing one meaningful direction—and building systems that support real life—can restore clarity, momentum, and calm. Drawing from behavioral science, lived clinical experience, and personal reflection, this episode reframes goal-setting through a midlife lens—one that respects complexity, energy, and long-term health rather than hustle. In this episode, you’ll explore: Why having too many goals quietly drains momentumHow divided focus impacts stress, energy, and decision-makingWhy willpower fails—and what actually holds when life gets busyThe difference between goals, systems, and identityHow choosing one direction can improve many areas of life at once This episode is for you if: You’re navigating growth, change, or reinvention in midlife—and want clarity without chaos, ambition without burnout, and progress that feels sustainable. Take a breath. Tune in. And consider what might shift if you stopped trying to fix everything at once—and simply chose your direction. Second Opinion is where science meets lived experience—and better questions lead to better decisions. This episode—and this podcast—are built thoughtfully, one conversation at a time. Second Opinion is written, recorded, and produced by me, Rosemarie, often between long clinical days and very real life. As this show grows, so does my commitment to creating grounded, evidence-informed conversations that respect your time, your intelligence, and your lived experience. If you’re listening, sharing, or returning each week, you’re part of that growth—and I don’t take that lightly. Thank you for being here. 🔗 Follow & Subscribe to never miss an episode. If you love the show, leave a review—it helps others get a second opinion! 💡 Have a topic you’d love for us to cover? Reach out at www.rosemarieb.com.

    19 min
  5. The Midlife Connection Problem.  Why loneliness rises just as relationships matter more

    JAN 7

    The Midlife Connection Problem. Why loneliness rises just as relationships matter more

    Why do so many capable, successful adults feel lonelier in midlife than they ever expected? “Loneliness in midlife isn’t a weakness — it’s a signal.” Midlife is often framed as a time of competence, confidence, and professional stride — yet research shows it’s also one of the loneliest stages of life. In this episode of Second Opinion, host Rosemarie Beltz sits down with Sarah Lynn Wayne to explore why connection becomes harder just as it becomes more essential. Blending science, lived experience, and nervous-system insight, this conversation reframes midlife relationships — not as failing, but transforming — and offers a grounded, compassionate perspective on what’s actually happening beneath the surface. What You’ll Hear in This Conversation Why midlife friendships often fade — even when life looks “full”How hormonal shifts and stress change the way women experience connectionThe difference between healthy boundaries and quiet isolationWhy quality of connection matters more than quantity in midlifeHow safe relationships regulate the nervous systemPractical ways to rebuild connection without overwhelm or self-blameWho This Episode Is For Midlife listeners navigating changing friendships, partnerships, or communityProfessionals who feel capable on the outside but disconnected on the insideAnyone questioning why relationships feel harder — and wondering what’s normalThis episode is not about fixing yourself. It’s about understanding what’s changing — and responding with clarity instead of judgment. Key Takeaways Midlife loneliness is common — and it’s not a personal failureRelationships are a core health strategy, not a “nice to have”Hormonal and nervous-system changes influence connection more than we realizeFewer, safer relationships often matter more than wider social circlesMidlife relationships aren’t declining — they’re evolvingAbout the GuestSarah Lynn Wayne is a Nutritionist, Intuitive Wellness Consultant, and healer with over 17 years of experience supporting women through perimenopause and midlife transitions. Her integrative approach blends functional nutrition, nervous-system awareness, and intuitive guidance to help women stop fighting their bodies and start listening — so they can reclaim vitality in their health, relationships, and lives. 🔗 Learn more or work with Sarah: https://www.sarahlynnwayne.com/assessment About the Host Rosemarie Beltz is a healthcare professional, medical journalist, and host of Second Opinion — a podcast where science meets story, and better questions lead to better decisions in midlife. Listen, Follow, Share If this conversation resonated, follow Second Opinion on your favorite podcast platform — and share it with someone navigating midlife in their own way. Connect Website: https://RosemarieB.com  • YouTube: https://www.youtube.com/@rosemariebeltz5826 Signed with love and a dash of Midlife Magic,  ✨ Rosemarie  🔗 Follow & Subscribe to never miss an episode. If you love the show, leave a review—it helps others get a second opinion! 💡 Have a topic you’d love for us to cover? Reach out at www.rosemarieb.com.

    46 min
  6. 12/31/2025

    Before the Year Turns: What Midlife Clarifies

    A New Year’s Eve reflection on attention, endurance, and choosing less Episode Description This New Year’s Eve episode of Second Opinion is not about resolutions or reinvention. It’s about clarity. Host Rosemarie Beltz—medical journalist and clinician with nearly 30 years in healthcare—offers a grounded, reflective look at what midlife quietly clarifies as one year closes and another begins. Drawing from clinical insight, lived experience, and years inside complex systems, she explores why midlife isn’t asking us to do more, but to carry less. This episode examines attention as a finite resource, the cost of open loops, and why subtraction—not addition—often becomes the most intelligent move in the second half of life. With calm authority and journalistic restraint, Rosemarie reframes common assumptions about midlife, productivity, and endurance—without hype, self-improvement language, or pressure to change. A thoughtful listen for anyone ending the year awake, reflective, and interested in entering the next season with precision rather than performance. In This Episode, We Explore Why midlife is less about reinvention and more about discernmentHow attention, energy, and mental load shape midlife decisionsThe hidden cost of carrying too much—cognitively and physicallyWhy subtraction often creates more progress than additionThe role of sleep, focus, and protected time as infrastructure—not habitsWhat it means to close the year without resolution cultureWho This Episode Is For Midlifers (40+) who value science, clarity, and lived experienceListeners who are tired of motivational noise and optimization cultureAnyone seeking a calm, intelligent way to reflect at year’s endProfessionals navigating complexity, responsibility, and transitionAbout the Host Rosemarie Beltz is a medical journalist and clinician with nearly 30 years in healthcare. She is the host of Second Opinion and creator of Midlife Minute, where she explores health, clarity, reinvention, and decision-making in midlife through evidence-based insight and thoughtful conversation. 🔗 Follow & Subscribe to never miss an episode. If you love the show, leave a review—it helps others get a second opinion! 💡 Have a topic you’d love for us to cover? Reach out at www.rosemarieb.com.

    24 min
  7. Midlife Is a Lipid Neighborhood: Cholesterol, Insulin & The “Got Plaque, Get a CAC” Wake-Up Call (Season 2 Premiere w/ Josh Wageman, PhD, DPT)

    12/24/2025

    Midlife Is a Lipid Neighborhood: Cholesterol, Insulin & The “Got Plaque, Get a CAC” Wake-Up Call (Season 2 Premiere w/ Josh Wageman, PhD, DPT)

    Season 2 starts here. And we’re coming in hot—with clarity, comedy, and one of the most misunderstood topics in modern medicine: cholesterol. In this Season Two premiere, I’m joined by Josh Wageman, PhD, DPT—lipid specialist, former Ivy League athlete, and yes… a youth pastor—who has a gift for making complex science feel human (and finally understandable). His core message? Cholesterol isn’t just “good vs. bad.” It’s a system. And midlife is when the system starts telling the truth. We break down why your labs may not “add up,” why insulin is the quiet driver behind so many chronic diseases, and why the goal isn’t obsessing over one number—it’s protecting your heart, your brain, and your future. If you’ve ever stared at your lipid panel and thought, “Wait… what does this actually mean for me?” — this episode is your reset. In this episode, we cover: Why cholesterol stays confusing (even for proactive, educated patients)Josh’s “home security system + lipid neighborhood” framework for preventionThe connection between insulin resistance and cardiovascular risk (even with “normal” glucose)Why fasting insulin can reveal what standard labs miss“Got plaque, get a CAC”: why a coronary artery calcium score can change the entire conversationHDL, LDL, triglycerides, ApoB, Lp(a): what matters, what’s misleading, and what needs contextThe statin conversation—without fear, drama, or tribalismWhy alcohol can raise HDL (and why that doesn’t always mean “better”)How to think like a high performer: movement, prevention, and the long game of longevityMy Season Two intention:  My goal for my life is complete longevity—living my most optimal life. And this season, I’m bringing you with me: my curiosity, my questions, and the conversations I wish every mid-lifer had access to sooner. Because getting a second opinion isn’t just smart medicine. It’s smart living. Connect and  follow the show: Website and  listener submissions: RosemarieB.com Send your questions, guest suggestions, and story ideas—I read every one. If this episode supported you, please follow the show and leave a quick review. It helps more mid-lifers find better answers. Signed with love and a dash of Midlife Magic,  ✨ Rosemarie  Book mentioned:The Home Security System and the Lipid Neighborhood by Josh Wageman (available on Amazon and Audible) The Home Security System and the Lipid Neighborhood: Un-Complicating Cholesterol and Cardiovascular Disease: Wageman, Josh: 9798992169218: Amazon.com: Books 🔗 Follow & Subscribe to never miss an episode. If you love the show, leave a review—it helps others get a second opinion! 💡 Have a topic you’d love for us to cover? Reach out at www.rosemarieb.com.

    1h 3m
  8. 12/22/2025

    Midlife Is a Solstice: A Christmas and Holiday Reflection on Letting Go of 2025

    In this intimate bonus holiday episode, Rosemarie records from Brooklyn during the final days of December — a week that holds both Christmas and the Winter Solstice, the longest night of the year and the turning point toward returning light. This episode is a permission slip for mid-lifers who feel stretched, reflective, or quietly exhausted at the end of 2025. Blending science, symbolism, and lived experience, Rosemarie explores why midlife mirrors the Winter Solstice so closely — a season of stillness, truth, release, and renewal — and why peace has become more important than performance. You’ll hear a personal reflection on perfection paralysis, nervous system wisdom, and why waiting until January is old energy. Rosemarie also shares why she’s releasing Season Two early, including a powerful kickoff conversation designed to help listeners get a head start on their 2026 health. This episode is not about pushing, fixing, or optimizing. It’s about arriving. In This Episode, You’ll Hear : • Why midlife is its own “solstice season” — and why clarity often comes through slowing down • How perfection paralysis disguises itself as high standards and productivity • The biology of stress, rest, and why December hits the nervous system differently • A simple Solstice reflection ritual: Release / Keep / Seed • How Christmas evolves in midlife — from performance to meaning, boundaries, and legacy • Why Season Two of Second Opinion is starting early (and why your health doesn’t need to wait until January) Who This Episode Is For: • Mid-lifers who feel reflective, tired, or “behind” at year’s end • Anyone craving peace, clarity, and intention instead of hustle • Listeners navigating health, reinvention, and personal recalibration • Those ready to begin 2026 with wisdom — not pressure What’s Next Season Two of Second Opinion begins with a powerful conversation focused on preventive health, clarity, and midlife longevity — dropping earlier than planned because better health doesn’t start on January 1. Stay close. If This Episode Resonated Please follow, subscribe, and share Second Opinion with someone who needs a softer landing into the end of the year. Your support helps this independent show reach more people who are seeking better questions — and better answers — in midlife. With gratitude, reflection, and love, Rosemarie Beltz 🤍 Host of Second Opinion Where science meets story — and age is always your advantage. 🔗 Follow & Subscribe to never miss an episode. If you love the show, leave a review—it helps others get a second opinion! 💡 Have a topic you’d love for us to cover? Reach out at www.rosemarieb.com.

    15 min

Ratings & Reviews

5
out of 5
10 Ratings

About

Get the clarity you need on the hottest topics in health and wellness with Second Opinion. Hosted by Rosemarie Beltz, this podcast brings you fresh perspectives from experts, innovators, and disruptors tackling life-changing issues. Each episode unpacks the latest research, debunks the hype, and delivers insights to help you make informed decisions. If you're ready for engaging, enlightening, and occasionally unexpected takes on health and wellness, tune in and discover your second opinion.