The Midlife Realignment: Menopause, Hormones, HRT, Perimenopause, Weight Gain,Progesterone, Estrogen

Esther Blum
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The Midlife Realignment is where humor meets hormones. Join bestselling author and menopause expert Esther Blum as she disrupts the narrative on perimenopause and menopause with fierce self-advocacy, functional medicine, and real-talk conversations about what it means to thrive in midlife. Because there’s a light at the end of the vaginal tunnel—and it’s a damn good one.

  1. Perimenopause Hormone Testing: DUTCH Test, Cortisol & Estrogen Metabolism Guide

    1 DAY AGO

    Perimenopause Hormone Testing: DUTCH Test, Cortisol & Estrogen Metabolism Guide

    Are you navigating the unpredictable waves of perimenopause? Feeling like your body and mind are on a rollercoaster you never signed up for? You're not alone. In this episode of The Midlife Realignment, host Esther Blum sits down with Dr. Jacqueline Smeaton, a leading expert in reproductive endocrinology, for a candid conversation about the "hormone storm" of midlife. They pull back the curtain on the often-misunderstood world of hormone testing, revealing why standard blood tests might not be giving you the full picture. Discover the revolutionary testing method that's providing women with a detailed roadmap to navigate their hormonal journey. Is it possible that the key to understanding your symptoms lies not just in what hormones you have, but in how your body is using them? But it's not just about hormones. What if the "issue is in the tissues"? Esther and Jacqueline explore the surprising connection between stress, cortisol, and the intensity of your perimenopausal symptoms. Learn why "powering through" might be the worst advice you can get and how to truly know if your body is running on empty. This episode is a must-listen for any woman who wants to move from confusion to clarity, and from surviving to thriving through perimenopause and beyond. Are you ready to crack the code of your own hormone story? 🔗 Links and Resources:➡️ dutchtest.com ➡️ hellofertility.com ➡️ https:/ /www.hellofertility.com/ifmwebinar (Integrative Fertility Methods Practitioner Course)Connect with Esther Website:⁠ estherblum.com⁠Instagram: @gorgeousesther Disclaimer: This podcast is for education only and is not medical advice.

    59 min

  2. 26 JAN

    Hormone Replacement Therapy: What Every Woman Needs to Know About Perimenopause and Menopause

    Hormone Replacement Therapy is one of the most misunderstood topics in women’s health—and the confusion is costing women their quality of life. In this solo episode, Esther Blum breaks down what the science actually says about Hormone Replacement Therapy (HRT), why most doctors aren’t trained to prescribe it, and how women can make confident, informed decisions during perimenopause and menopause—without fear or pressure. You’ll learn why bioidentical hormones are different from birth control pills, when the best time is to start HRT (and why it’s rarely “too late”), and how estrogen, progesterone, and testosterone support sleep, bone density, brain health, heart health, and sexual function. Esther also explains vaginal estrogen, clotting risk, cancer concerns, and what to do if you choose not to use hormones. This episode is about empowerment—not fear-mongering. Whether you’re navigating symptoms now or thinking long-term about your health, this is the clarity every woman deserves before making decisions about her body. 🎧 If you’ve ever been told “it’s just menopause” or felt dismissed by your provider, this episode will change the way you advocate for yourself.Connect with Esther Website:⁠ estherblum.com⁠Instagram: @gorgeousesther Disclaimer: This podcast is for education only and is not medical advice.

    36 min
  3. Hashimoto’s, Mold Toxicity & Nervous System Healing: Emily Kiberd on Resilience, Strength & Recovery

    19 JAN

    Hashimoto’s, Mold Toxicity & Nervous System Healing: Emily Kiberd on Resilience, Strength & Recovery

    Healing from Hashimoto’s isn’t just about labs, supplements, or thyroid medication… it’s about addressing root causes, regulating the nervous system, and rebuilding trust in your body. In this episode of The Midlife Realignment, Esther Blum sits down with chiropractor, strength coach, and autoimmune expert Dr. Emily Kiberd for a deeply honest conversation about mold toxicity, autoimmune disease, motherhood, and learning how to heal without burning yourself out. Dr. Kiberd shares her personal journey through Hashimoto’s, mold exposure, postpartum burnout, and cross-country life changes and how addressing mold, gut health, nervous system regulation, and strength training ultimately helped put her autoimmune condition into remission. This episode is a powerful reminder that healing doesn’t happen through force… it happens through resilience, safety, and consistency. In this episode, we discuss:How mold exposure can trigger or worsen Hashimoto’s and autoimmune symptomsWhy mold is often the “missing piece” when gut and hormone work only gets you 50–70% betterCommon signs of mold toxicity (brain fog, fatigue, eczema, weight gain)Why healing often requires leaving or remediating a moldy environmentThe emotional impact of realizing your home may be making you sickTools Dr. Kiberd uses to stay resilient when exposed to mold while travelingHow bile, binders, and drainage pathways support mold detoxificationWhy detox must be low and slow to avoid making symptoms worseThe overlap between mold toxicity, perimenopause, and thyroid dysfunctionWhy many women with Hashimoto’s lose confidence in their bodiesHow strength training can be healing (when done correctly) for autoimmune womenWhy fewer reps, heavier weights, and proper rest matter for thyroid healthHow Dr. Kiberd created the Thyroid Strong program to help women rebuild strength safelyThe connection between trauma, the nervous system, and autoimmune diseaseSimple vagus nerve and nervous system regulation techniquesWhy mindset, safety, and regulation are just as important as supplementsHow creating white space in your calendar supports healing and creativityWhy working less can actually make you more productive and resilientMold, Sinuses & an Important ResourceDr. Kiberd also discusses how mold can colonize the sinuses, contributing to persistent neurological and systemic symptoms. Esther references Dr. Donal Dennis, an ENT specialist who focuses on sinus surgery for mold colonization, helping patients who have not responded fully to traditional mold detox approaches. 🔗 Learn more about Dr. Donal Dennis and his work here:https://www.drdennisatlantaent.com/ Connect with Dr. Emily Kiberd📍 Follow Emily on Instagram @thyroid.strong🌐 Learn more at dremilykiberd.com  She is also host of the Thyroid Strong Podcast. Connect with Esther Website:⁠ estherblum.com⁠Instagram: @gorgeousesther Disclaimer: This podcast is for education only and is not medical advice.

    1 hr
  4. Perimenopause, Progesterone & Migraines: Dr. Carrie Jones on Hormones, Detox & Gut Health

    12 JAN

    Perimenopause, Progesterone & Migraines: Dr. Carrie Jones on Hormones, Detox & Gut Health

    Perimenopause isn’t subtle… and it definitely isn’t “just stress.” In this episode of The Midlife Realignment, Esther sits down with hormone expert Dr. Carrie Jones for a real, science-backed conversation about what actually happens to your body in perimenopause — and what helps. Dr. Jones shares her personal perimenopause journey, including brain fog, insomnia, phantom smells, and ocular migraines… and explains how she manages symptoms using progesterone, blood sugar support, targeted supplements, and daily tracking. This conversation goes far beyond “just take hormones” and dives into the why behind symptoms — from estrogen detox pathways to gut motility, ferritin, inflammation, and microbiome health. In this episode, we cover:Early and surprising signs of perimenopause (including memory lapses and migraines)Why progesterone can be a game-changer for sleep, PMS, and migrainesHow blood sugar drops can trigger migraines in midlifeWhat ocular migraines are and why hormones play a roleHow to use at-home hormone tracking tools like MiraThe difference between one-day lab testing vs daily hormone trendsWhen progesterone dosing needs to change in perimenopauseWhy hormone cycling after menopause is controversialPellets vs topical hormones vs injections… pros, cons, and real talkEstrogen detox explained simply (phase 1, 2, and 3)Why low ferritin is so common in midlife womenThe connection between gut health, thyroid function, and hormone balanceHow constipation, progesterone, and estrogen affect gut motilitySimple foods that support detox and the microbiome (broccoli sprouts, jicama, fermented foods)Why variety in your diet matters more than perfectionDaily grounding habits that support hormone health (journaling, sleep routines, community) This episode is packed with practical insights for women navigating perimenopause who want clarity, not chaos. Connect with Dr. Carrie Jones: https://drcarriejones.ck.page/labtestchecklistIG: @dr.carriejonesYoutube.com/@drcarriejones Connect with Esther Website: estherblum.comInstagram: @gorgeousesther Disclaimer: This podcast is for education only and is not medical advice.

    58 min
  5. The “Crone” Era: How Midlife Women Reclaim Power, Metabolic Health, and Confidence with Jenn Pike

    5 JAN

    The “Crone” Era: How Midlife Women Reclaim Power, Metabolic Health, and Confidence with Jenn Pike

    What if midlife isn’t the beginning of the end… but the beginning of your wise woman era? In this episode, Esther sits down with Jenn Pike, Medical Exercise Specialist and Functionally Integrative Diagnostic Nutritionist, for a conversation that hits hard (in the best way). Jenn reframes the word “crone” as the empowered, intuitive, no-permission-needed version of you… and explains why perimenopause and menopause can be a portal to deeper self-trust, stronger boundaries, and real metabolic health. They dig into why women are so often dismissed in conventional medicine, how we learn to gaslight ourselves, and why “all or nothing” thinking keeps us trapped in shame cycles. Jenn also breaks down what actually works for body recomposition in midlife… and why the boring basics (walking, strength training, sleep, nourishment, and boundaries) beat expensive trends every time. If you’ve felt exhausted, puffy, dismissed, or like you “should be past this by now”… this episode is your permission slip to come back home to yourself. What You’ll LearnWhat “crone” really means… and why it’s a powerful midlife identityWhy women feel gaslit by the medical system (and how to stop internalizing it)The difference between metabolism and metabolic healthHow to break the “good week/bad weekend” shame loopWhy biohacking trends can backfire when your foundation is shakyHow to start strength training safely (and why bodyweight matters first)Why waking up hungry can be a good metabolic signThe real timeline for midlife body recomposition (hint: it’s not 30 days)The simplest mindset shift that builds self-trust fast Connect with Jenn: Jenn Pike Website: www.jennpike.comInstagram: https://www.instagram.com/jennpike/YouTube: https://www.youtube.com/@JennPikeBooks: The Simplicity Project, The Simplicity Kitchen, The Simplicity Body Connect with Esther Website: estherblum.comInstagram: @gorgeousesther Disclaimer: This podcast is for education only and is not medical advice.

    1h 2m
  6. The Invisible Epidemic: Trauma, Burnout & Midlife Women with Claudia Chan

    29/12/2025

    The Invisible Epidemic: Trauma, Burnout & Midlife Women with Claudia Chan

    In this episode, Esther sits down with leadership coach, author and entrepreneur Claudia Chan to talk about what happens when you “do everything right” on paper... and still feel burned out, disconnected and unfulfilled in midlife. Claudia shares her journey from building a multimillion dollar “girls’ night out” brand in New York City to creating the Whole-Self Leaders movement, helping high-achieving women move from pressure and productivity to purpose, courage and inner wholeness. In this episode, you’ll learn:• What Claudia calls the “Invisible Epidemic” hiding underneath success• How childhood patterns, trauma and attachment show up in midlife achievement• Why so many high performers hit a wall in their 40s and 50s• What “whole-self leadership” actually means in real life• How faith, inner work and aligned decisions can reshape your next chapter Connect with Claudia: ClaudiaChan.com and @claudiachanofficial on Instagram. Connect with Esther Website: estherblum.comInstagram: @gorgeousesther Disclaimer: This podcast is for education only and is not medical advice.

    40 min

  7. 22/12/2025

    Vaginal Estrogen, Thyroid Labs & HRT Myths: A Midlife Hormone Deep Dive

    In this solo episode, Esther breaks down what hormones really do in perimenopause and menopause... and why so many women were scared away from HRT after the Women’s Health Initiative study. If you’ve ever been told hormones are “too risky” or “just something you have to live without,” this is your crash course in hormone literacy. Esther explains how estrogen, progesterone and testosterone impact your brain, thyroid, heart, metabolism, pelvic floor, vaginal health and weight, and why “normal labs” don’t always match how you feel. In this episode, you’ll learn: Why the original HRT scare was based on a flawed studyThe difference between synthetic hormones and bioidentical HRTHow hormones affect brain fog, mood, thyroid and midlife weight gainWhy vaginal estrogen, pelvic floor support and strength training matterThe key labs Esther wants women to ask for in midlife If this episode hits home, follow The Midlife Realignment, leave a review and share it with a friend, sister or doctor who still thinks “hormones are dangerous.” Connect with Esther Website: ⁠estherblum.com⁠Instagram: @gorgeousesther Resources & Links Join the Midlife Realignment community: ⁠estherblum.com/community⁠Learn more about Esther’s program: Make Menopause Your B*tch™ Elite ⁠estherblum.com/elite⁠ Disclaimer: This podcast is for education only and is not medical advice.

    40 min

  8. 15/12/2025

    Hormone Therapy Myths Debunked: HRT Safety, Cancer Risk, and the Real WHI Story

    Hormones are risky. Hormones cause cancer. Hormones are dangerous. Esther hears these myths every day. In this solo episode, she breaks down where the fear came from (including what actually happened with the Women’s Health Initiative study), what the research says now, and why hormone support can be one of the most protective tools we have for midlife health. You’ll learn how estrogen, progesterone, and testosterone impact the brain, thyroid, heart, metabolism, bones, and the genitourinary system. Esther also shares the exact labs to request, why “normal” is not the same as optimal, and how to think about hormone timing, dosing, and delivery methods. What you’ll learnWhy the 2002 WHI study created a hormone panic, and what was flawed about itWhy timing and delivery method matter (topical vs oral, bioidentical vs synthetic)How hormones affect mood, brain fog, sleep, cholesterol, insulin resistance, and belly fatThe truth about HRT and cancer risk, heart disease, and clottingThe “cheat sheet” for progesterone, testosterone, estrogen, and vaginal estrogenThe bloodwork Esther recommends for midlife women (thyroid, metabolic, inflammation, hormones)Why birth control is not hormone replacement, and what to consider in perimenopauseAlcohol’s impact on sleep, thyroid, and hormones in midlife Connect with EstherWebsite: estherblum.comInstagram: @gorgeousesther Resources & Links Esther’s book: See Ya Later, Ovulator (testing chapter mentioned)Dr. Lisa Mosconi (menopause brain)Dr. Pam Smith (cardiovascular protection and hormones)Dr. Will Cole quote: “Let no be your multivitamin”Mentioned names: Jonathan Wright, Alan Gaby, McCall McPhersonJoin the Midlife Realignment community: estherblum.com/communityLearn more about Esther’s program: Make Menopause Your B*tch™ Elite estherblum.com/eliteShare this episodeKnow someone who’s been told “hormones are dangerous” or “just deal with it”? Send them this episode. Esther made it to be shared with friends, sisters, daughters, and yes, doctors. Connect with Esther on Instagram, LinkedIn, or at estherblum.com. Disclaimer: This podcast is for education only and is not medical advice.

    1 hr
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About

The Midlife Realignment is where humor meets hormones. Join bestselling author and menopause expert Esther Blum as she disrupts the narrative on perimenopause and menopause with fierce self-advocacy, functional medicine, and real-talk conversations about what it means to thrive in midlife. Because there’s a light at the end of the vaginal tunnel—and it’s a damn good one.

Information

  • Creator
    Esther Blum
  • Years Active
    2025 - 2026
  • Episodes
    15
  • Rating
    Explicit
  • Copyright
    © 2025 Esther Blum

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