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If you've been wondering why perimenopause and menopause suddenly leave you feeling bloated, struggling with belly fat, or questioning everything you thought you knew about gut health and protein, this episode is for you. Tamsen sits down with nutrition expert and bestselling author Cynthia Thurlow to break down what's really happening in your body and the simple changes that can make a big difference.In this episode, you'll learn:- Why gut health becomes so important during perimenopause and menopause- What's really behind bloating, belly fat, and food sensitivities in midlife- How much protein and fiber you actually need- Whether GLP-1s, supplements, and gut testing are worth it- The simple daily habits that can improve digestion, energy, and overall healthWhether you're just starting perimenopause or you've been in menopause for years, this conversation will help you better understand your body and feel more confident about what to do next.If you liked this conversation, check this out: 5 Tools To FINALLY Lose The Belly Fat in Perimenopause For everything mentioned in this episode, click this linkIf you want a say on our upcoming guests, fill out this formStay connected with Tamsen:Get Tamsen's newsletter filled with free tools to living better, feeling stronger, and knowing you’re never aloneGet Tamsen’s NYT instant bestselling book, How To MenopauseFree Resources from Tamsen Watch all the episodes on YouTubeFollow Tamsen on Instagram The Tamsen Show on InstagramFollow Tamsen on TikTok Follow Cynthia on InstagramVisit Cynthia's websiteGet Cynthia's book, The Menopause Gut: Balance Your Microbiome to Reclaim Your Health in Midlife and BeyondSponsors:Learn more about your ad choices. Visit podcastchoices.com/adchoicesBook your first virtual visit today at https://joinmidi.com/tamsen!Head over to https://Bombas.com/TAMSEN and use code TAMSEN for 20% off your first purchase!Medical Disclaimer:The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.Learn more about your ad choices. Visit podcastchoices.com/adchoices
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Toxic relationship red flags are easy to miss when you're the one living inside them. You can fix your sleep, dial in your protein, do every single thing right as you build your next chapter, and if you're coming home to a partner who quietly drains you, none of it works. Your body keeps the score.This week Tamsen Fadal gets honest about a part of her life she kept quiet for years. Before the podcast she spent years as a matchmaker in New York, watching the same patterns play out across the table from hundreds of women. She's also lived these patterns herself, with controlling men, manipulative men, men who made her smaller. She walks you through five red flags she wants you to see clearly, the kind that hide in plain sight because we talk ourselves into calling a red flag pink.Tamsen is not a therapist. She's a journalist who has lived this, and a former matchmaker who saw it all from the outside.Inside the episode:- Why the silent treatment isn't just annoying, and what it does to your nervous system over years- The partner who can't be a fan of your growth, and the parallel inner life you build to survive it- The single biggest predictor of divorce, according to one of the most respected relationship researchers- How comments about your changing body slowly take you out of your own skin- The control that hides inside "I'm just trying to help," and the one question that tells you which it isAwareness is the first step to anything changing, and your next chapter depends on getting this one right.If you liked this conversation, check this out: The Narcissist Decoder: How Smart Women Get Trapped in Emotional Abuse If you want a say on our upcoming guests, fill out this formStay connected with Tamsen:Get Tamsen's newsletter filled with free tools to living better, feeling stronger, and knowing you’re never aloneGet Tamsen’s NYT instant bestselling book, How To MenopauseFree Resources from Tamsen Watch all the episodes on YouTubeFollow Tamsen on Instagram The Tamsen Show on InstagramFollow Tamsen on TikTok Sponsors:Get 15% off OneSkin with the code TAMSEN at https://www.oneskin.co/TAMSEN #oneskinpod #adMedical Disclaimer:The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.Learn more about your ad choices. Visit podcastchoices.com/adchoices
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Saknas det avsnitt?
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This one is for all the women out there who lost their mothers. If you’ve ever wondered why grief from a mother's death doesn't follow the timeline the world expects, why it surges at 51 when you pass the age your mother died, why menopause brings a wave of loss that has nothing to do with hormones, or why you still don't know how to answer "I'm sorry" decades later, this episode is the one you've been waiting for.Tamsen Fadal lost her mother at 20. For nearly 30 years she didn't talk about it. Hope Edelman lost her mother at 17, couldn't find a single book written for young women who'd gone through the same thing, and eventually wrote it herself. That book, Motherless Daughters, has now reached millions of readers and sparked decades of retreats, support groups, and communities built around the specific kind of grief that never goes away.In this episode, you'll learn:- Why your age at the time of loss is the most defining factor in how mother loss shapes you- What "new old grief" is, and why it floods back the moment you become a mother yourself- Why grief that looked like getting a tattoo, changing your friend group, or throwing yourself into work is still grief- The difference between guilt and regret, and why so many daughters are carrying the wrong one- What "crossing the silent threshold" means when you outlive your mother's age- Why the five stages of grief were never designed for the people left behind- How to rebuild a relationship with your mother's memory even decades after her death- Why women in their 50s are showing up to grief retreats for the first time and feeling relief they haven't felt in 30 years- What perceived vulnerability looks like, and why it drives behaviors people around you can't understandIf you like this episode, then you will love: What I've Learned After 35 Years Without My MomIf you want a say on our upcoming guests, fill out this formStay connected with Tamsen:Get Tamsen's newsletter filled with free tools to living better, feeling stronger, and knowing you’re never aloneGet Tamsen’s NYT instant bestselling book, How To MenopauseFree Resources from Tamsen Watch all the episodes on YouTubeFollow Tamsen on Instagram The Tamsen Show on InstagramFollow Tamsen on TikTok Follow Hope on InstagramGet Hope's book, Motherless Daughters: The Legacy of LossLearn more about Hope's retreatsSponsors:Make the switch today! Get 15% off your first order by going to Blueland.com/TAMSEN!Medical Disclaimer:The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.Learn more about your ad choices. Visit podcastchoices.com/adchoices
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If you’ve ever wondered what estrogen actually does, or whether hormone therapy (HRT) is right for you, this episode is for you. During perimenopause and menopause, falling estrogen levels can contribute to brain fog, hot flashes, night sweats, joint pain, sleep problems, mood changes, and even long-term bone health. Yet most women are never told how one hormone can affect nearly every system in the body.This episode is part of Tamsen’s series breaking down the biggest topics from her New York Times bestselling book, How to Menopause, one conversation at a time. This week, it’s estrogen.In just 20 minutes, Tamsen takes everything she’s learned from interviewing the world’s leading menopause doctors and hormone experts and breaks it down into simple, easy-to-understand language. No confusing medical jargon. No overwhelm. Just the information you need to understand your options and make the best decisions for your own health.Inside the episode:- What estrogen actually does in your body- Why estradiol changes during perimenopause and menopause- How hormone therapy (HRT) can help relieve menopause symptoms- The truth about the Women’s Health Initiative study- Who is a candidate for hormone therapy and who shouldn’t take it- The differences between estrogen patches, gels, sprays, pills, and vaginal estrogen- What to do if you’re affected by the estrogen patch shortage- How long you can safely stay on hormone therapy- The questions every woman should ask before starting HRTWhether you’re considering hormone therapy for the first time or simply trying to understand what’s happening to your body, this episode will give you the knowledge and confidence to have a more informed conversation with your healthcare provider.Download my FREE symptom tracker hereDownload my FREE Hormone Therapy 101 guide hereIf you liked this conversation, check out the rest of the How To Menopause series:Estrogen Down There 101: Here's Everything You Need to KnowTestosterone 101: Everything You Need to Know in 20 MinutesRelationships 101: Is It Him or Is It Menopause? Here's How to TellPerimenopause 101: The Symptoms, Tests & Fixes No One Tells You AboutAlcohol 101: Belly Fat, Bad Sleep and the Long-Term Cost of DrinkingAnxiety 101: What I Wish I Knew Before I Hit Perimenopause + How I Got My Life BackProgesterone 101: The Hormone Behind Your 3am Wake-Ups, Your Anxiety & Your Worst PMSBelly Fat 101: The 5 Simple Habits That Changed EverythingComing up: Mental Health and more!Stay connected with Tamsen:Get Tamsen's newsletter filled with free tools to living better, feeling stronger, and knowing you’re never aloneGet Tamsen’s NYT instant bestselling book, How To MenopauseFree Resources from Tamsen Watch all the episodes on YouTubeFollow Tamsen on Instagram The Tamsen Show on InstagramFollow Tamsen on TikTok Sponsors:Head over to Bombas.com/TAMSEN and use code TAMSEN for 20% off your first purchase!Unlock your best hair & skin with @iRestorelaser and HUGE savings on iRESTORE with code TAMSEN at irestore.com/TAMSEN! #irestorepodMedical Disclaimer:The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.Learn more about your ad choices. Visit podcastchoices.com/adchoices
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If you're thinking about egg freezing, IVF, fertility decline, perimenopause, or reproductive health, this is the conversation you need to hear before meeting with your doctor.In this episode of The Tamsen Show, Tamsen Fadal sits down with Dr. Jamie Grifo, Director of Reproductive Endocrinology and Infertility at NYU Langone. Dr. Grifo helped modernize IVF as we know it, launched NYU's egg freezing program in 1999, and has spent 40 years giving women the science they were never taught.Today, he's sharing everything you need to know about your fertility timeline, your hormone shifts, and how to make decisions that are right for you.You'll learn:- Why your chance of getting pregnant at 40 is 2-3% a month, not 20%- The age fertility actually starts to decline (it's earlier than you think)- The 3 fertility tests every woman should know: FSH, estradiol, and AMH- What a low AMH really means (and what it doesn't)- Egg freezing vs. embryo freezing: Which is right for you?- Why 40% of infertility is male factor, yet women still blame themselves- What endometriosis and PCOS mean for your fertility- Why postpartum and perimenopause symptoms are so often confused- How GLP-1 medications may improve fertility and why they're leading to "Ozempic babies"- The biggest emotional difference between freezing your eggs early and going through IVF laterIf you or someone you love has been carrying questions about fertility, this is the conversation that finally answers them.If you like this episode, then you will love: The Fertility Expert: Egg Freezing, IVF, and Supplements ExplainedFollow Dr. Grifo on InstagramStay connected with Tamsen:Get Tamsen's newsletter filled with free tools to living better, feeling stronger, and knowing you’re never aloneGet Tamsen’s NYT instant bestselling book, How To MenopauseFree Resources from Tamsen Watch all the episodes on YouTubeFollow Tamsen on Instagram The Tamsen Show on InstagramFollow Tamsen on TikTok Sponsors:Taking care of your health just got easier – start here with Zocdoc: https://zocdoc.com/TAMSEN #sponsoredGet up to $200 off Square hardware when you sign up at square.com/go/tamsen! #squarepodMedical Disclaimer:The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.Learn more about your ad choices. Visit podcastchoices.com/adchoices
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If you've been struggling with menopause belly fat or perimenopause weight gain, despite eating well and exercising, you're not alone. Hormone changes affect your metabolism, muscle mass, stress hormones, and even your gut health, making it much harder to lose weight the way you used to. The good news is there are science-backed ways to work with your body instead of against it.
This episode is part of Tamsen's series breaking down the biggest topics from her New York Times bestselling book, How to Menopause, one conversation at a time. This week, it's belly fat.
Tamsen shares what finally worked after interviewing leading experts in menopause, nutrition, endocrinology, and longevity, and why the answer isn't eating less or doing more cardio.
Inside the episode:
- Why estrogen changes where your body stores fat
- The protein and fiber goals that support muscle and metabolism
- Why strength training beats more cardio in midlife
- How cortisol, sleep, and chronic stress keep belly fat hanging around
- The connection between gut health, inflammation, and weight gain
- Why drinking less alcohol made such a noticeable difference
- The five habits that helped Tamsen feel stronger, healthier, and more confident
If you're tired of doing everything "right" and still not seeing results, this episode will help you understand why your body changed and what to do next.
If you liked this conversation, check out the rest of the How To Menopause series:
Estrogen Down There 101: Here's Everything You Need to Know
Testosterone 101: Everything You Need to Know in 20 Minutes
Relationships 101: Is It Him or Is It Menopause? Here's How to Tell
Perimenopause 101: The Symptoms, Tests & Fixes No One Tells You About
Alcohol 101: Belly Fat, Bad Sleep and the Long-Term Cost of Drinking
Anxiety 101: What I Wish I Knew Before I Hit Perimenopause + How I Got My Life Back
Progesterone 101: The Hormone Behind Your 3am Wake-Ups, Your Anxiety & Your Worst PMS
Coming up: Mental Health, Estrogen 101 and more!
Get Tamsen’s recipe for her Hot Girl Menopause Smoothie here
Get Tamsen’s free hormone therapy guide
If you liked this episode, listen to Exhausted, Gaining Weight, and Feeling Off? THIS Is What’s Happening
Stay connected with Tamsen:
Get Tamsen's newsletter filled with free tools to living better, feeling stronger, and knowing you’re never alone
Get Tamsen’s NYT instant bestselling book, How To Menopause
Free Resources from Tamsen
Watch all the episodes on YouTube
Follow Tamsen on Instagram
The Tamsen Show on Instagram
Follow Tamsen on TikTok
Sponsors:
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Medical Disclaimer: The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.
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If you're in perimenopause or menopause, you've probably noticed your body changing in ways no one prepared you for. Maybe you're losing muscle despite working out. Maybe your bone density is declining. Maybe you're wondering if hormone therapy is right for you, or why your workouts aren't giving you the same results they used to. The truth is, women don't age like men, and understanding that changes everything.That's why Tamsen Fadal invited renowned orthopedic surgeon and longevity expert Dr. Vonda Wright to The Tamsen Show. Dr. Wright explains the science behind healthy aging, strength training, muscle mass, osteoporosis, mobility, protein, and longevity, and why building strength today is one of the most important things you can do to protect your future.We cover:- Why menopause is more like a second adolescence than a slow decline- The truth about estrogen, progesterone, and hormone therapy (HRT)- Why muscle mass is one of the strongest predictors of longevity- How to improve bone density and reduce your risk of osteoporosis- Why women should prioritize strength training instead of endless cardio- How much protein women actually need to build muscle- Why walking after your biggest meal can improve metabolism and blood sugar- The simple tests, including grip strength and VO₂ max, that predict how well you'll age- Why frozen shoulder, brain fog, and joint pain become so common during menopause- The biggest fitness mistakes women over 40 are still makingWhether you're in your 30s preparing for perimenopause or already navigating menopause, this conversation will change the way you think about longevity, mobility, strength, and what it really means to age with power instead of frailty.For everything mentioned in this episode, click this linkGet Vonda's book, Unbreakable: Grow Strong. Live Long. Age with Power: https://www.amazon.com/Unbreakable-Womans-Guide-Aging-Power/dp/0593736583Follow Vonda on Instagram: https://www.instagram.com/drvondawrightMore from The Tamsen Show:If you liked this conversation, check this out: The Foot Doctor: What Your Feet Reveal About How Long You'll LiveStay connected with Tamsen:Get Tamsen's newsletter filled with free tools to living better, feeling stronger, and knowing you’re never aloneGet Tamsen’s NYT instant bestselling book, How To MenopauseFree Resources from Tamsen Watch all the episodes on YouTubeFollow Tamsen on Instagram The Tamsen Show on InstagramFollow Tamsen on TikTok Sponsors:Learn more about your ad choices. Visit podcastchoices.com/adchoicesUnlock your best hair & skin with @iRestorelaser and HUGE savings on iRESTORE with code TAMSEN at https://www.irestorelaser.com/TAMSEN! #irestorepod #ad Medical Disclaimer:The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.Learn more about your ad choices. Visit podcastchoices.com/adchoices
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You wake up at 3 a.m. with your heart racing, and you cannot figure out why. The anxiety out of nowhere, the PMS that got worse. It may trace back to one hormone that started leaving your body years before your first hot flash.
This episode is part of Tamsen Fadal’s series breaking down the topics from her New York Times bestselling book How to Menopause, one conversation at a time.
This week it's progesterone. Tamsen starts with a confession: her doctor prescribed it, and it sat in her medicine cabinet so long the pills congealed into a brick. She never took one, because nobody ever told her what progesterone was or why she needed it. So she spent a year struggling with the exact symptoms it would have helped.
She's not a doctor. She's a journalist who has lived this, breaking down what the leading menopause doctors she's interviewed have taught her, so you can take it to your own doctor.
Inside the episode:
- Why progesterone is one of the first hormones to drop, often years before anything else feels off
- The brain receptor that explains your 3 a.m. wake-ups
- Why it's non-negotiable if you still have your uterus and you're taking estrogen
- The straight answer on progesterone and breast cancer, and why the study that scared everyone doesn't tell the whole story
- Body identical vs. synthetic, plus the exact words to use with your doctor
- The one side effect that means you call your doctor instead of quitting
You deserve to understand what's going into your body and why.
FREE RESOURCE: Get the free Hormone Therapy 101 guide
If you liked this conversation, check this out: The #1 Sleep Expert Reveals What’s Ruining Your Sleep
And, if you liked this conversation, check out the rest of the How To Menopause series:
Estrogen Down There 101: Here's Everything You Need to Know
Testosterone 101: Everything You Need to Know in 20 Minutes
Relationships 101: Is It Him or Is It Menopause? Here's How to Tell
Perimenopause 101: The Symptoms, Tests & Fixes No One Tells You About
Alcohol 101: Belly Fat, Bad Sleep and the Long-Term Cost of Drinking
Anxiety 101: What I Wish I Knew Before I Hit Perimenopause + How I Got My Life Back
Stay connected with Tamsen:
Get Tamsen's newsletter filled with free tools to living better, feeling stronger, and knowing you’re never alone
Get Tamsen’s NYT instant bestselling book, How To Menopause
Free Resources from Tamsen
Watch all the episodes on YouTube
Follow Tamsen on Instagram
The Tamsen Show on Instagram
Follow Tamsen on TikTok
Medical Disclaimer:
The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.
Learn more about your ad choices. Visit podcastchoices.com/adchoices -
The sleep doctor is in! If you're in perimenopause or menopause, sleep has probably become something you think about all the time. Falling asleep, staying asleep, waking up at 3am, feeling exhausted, waking up anxious even when you did fall asleep. Perimenopause sleep disruption and menopause insomnia are real, they are hormonal, and they are not your fault. The nights can feel endless.That's why Tamsen Fadal invited Dr. Andrea Matsumura on The Tamsen Show. A board-certified sleep medicine physician, menopause expert, and creator of the D.R.E.A.M. Sleep Method, Dr. Matsumura breaks down exactly what is happening in the body when sleep falls apart in midlife and gives you the tools to get better sleep in perimenopause starting tonight. We cover:- Why waking up at 3am is a cortisol event, not an anxiety problem, and what to do when it happens- The sleep apnea statistic that will stop you cold: up to 90% of women in midlife who have it don't know, because they don't look like the textbook patient- What melatonin actually is, why taking it at bedtime is usually the wrong move, and what happens to production by age 50- How alcohol is disrupting your REM sleep, and why one glass hits completely differently now- The D.R.E.A.M. Method: the five-part framework Dr. Matsumura built because treating one thing at a time only ever gets women halfway there- The ferritin level behind restless legs that most providers aren't checking- Why getting out of bed at 3am is the right call, even though it feels like the worst one- How every additional 15 minutes of sleep compounds into something significant over timeThis episode will help you get your sleep back on track because it’s the foundation of everything. When your sleep goes, it starts to unravel the rest of your life.Check out Andrea’s essentialsIf you liked this conversation, check this out: How to Finally Get to Sleep in Menopause Stay connected with Tamsen:Get Tamsen's newsletter filled with free tools to living better, feeling stronger, and knowing you’re never aloneGet Tamsen’s NYT instant bestselling book, How To MenopauseFree Resources from Tamsen Watch all the episodes on YouTubeFollow Tamsen on Instagram Sponsors:Sign up for your $1 per month trial today at https://www.shopify.com/tamsen!Get 15% off OneSkin with the code TAMSEN at https://www.oneskin.co/TAMSEN #oneskinpod #adMedical Disclaimer:The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.Learn more about your ad choices. Visit podcastchoices.com/adchoices
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Have you ever stood in front of a full closet, said “I have nothing to wear,” and reached for the same safe outfit one more time? You are not alone, and it is not really about the clothes. Tamsen’s viral closet clean out started as a simple declutter and spiraled into one of the most transformative things she has done in midlife, pulling in everything she had been avoiding about who she is now and the body she is in today.In this deeply personal solo episode, Tamsen shares why she really did it and what she learned once she stopped negotiating with herself in front of the mirror.You’ll learn:- How to make a fast yes-or-no call on every piece without talking yourself back into it- Why you get stuck doing this alone, and exactly who to bring into the room with you- How to spot the clothes you are keeping out of grief instead of love- Why holding onto clothes in multiple sizes quietly works against you every morning- How to tell the difference between what is weighing you down and what is holding you upThis is the episode that will make you finally open the door you have been avoiding. The woman on the other side of that closet is already there, waiting for you to make room for her.Download the Your Free Closet Glow Up Guide hereFor all the tools Tamsen uses in her closet organization, click hereIf you liked this conversation, check this out: Stacy London: Reinvent Yourself (and Your Style) in MidlifeStay connected with Tamsen:Get Tamsen's newsletter filled with free tools to living better, feeling stronger, and knowing you’re never aloneGet Tamsen’s NYT instant bestselling book, How To MenopauseFree Resources from Tamsen Watch all the episodes on YouTubeFollow Tamsen on Instagram The Tamsen Show on InstagramFollow Tamsen on TikTok Medical Disclaimer:The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.Learn more about your ad choices. Visit podcastchoices.com/adchoices
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Managing menopause and perimenopause symptoms is hard enough without a supplement market flooded with products promising to fix hair loss, trouble sleeping, hot flashes, mood fluctuations, skin changes, and so much more. It can feel impossible to know what actually helps and what is just a waste of money. Today's guest on The Tamsen Show, Phil Cowley, has spent 22+ years behind a pharmacy counter watching people walk in confused, overwhelmed, and chronically under-informed. He has seen firsthand which treatments work, which are a waste of money, and what the medical system has been getting wrong about hormones since 2002. Now he is joining Tamsen Fadal to tell the truth that women deserved to hear decades ago.In this episode, Tamsen and Phil cover:- The three supplements worth actually spending money on in midlife and why they will not break the bank- Why anxiety is a depletion of something, not an excess, and what that means for how you treat it- What the 2002 Women's Health Initiative got wrong and why women who came off hormone therapy die younger than those who stayed on it- The real reason your body odor changes in menopause, what is happening at a bacterial level, and exactly how to fix it- Why hair loss in menopause is never one problem and why treating only one cause never works- Why losing lean muscle mass is the single strongest predictor of early death and what to do about it- The $7 estrogen alternative your pharmacist already knows about- Why caffeine does not give you energy, it just hides that you are out of it- The one question to ask your pharmacist that most people never think to ask- Generic versus name brand medications and the manufacturer variance that could be affecting your resultsThis episode is full of answers to questions most women have never thought to ask, but absolutely need to know.You can find everything Phil mentioned in this podcast here! Follow Phil on Instagram Follow Phil on TikTok If you liked this, check this out: The #1 Hair Loss Doctor: The Truth About Minoxidil, Supplements + HormonesStay connected with Tamsen:Get Tamsen's newsletter filled with free tools to living better, feeling stronger, and knowing you’re never aloneGet Tamsen’s NYT instant bestselling book, How To MenopauseFree Resources from Tamsen Watch all the episodes on YouTubeFollow Tamsen on Instagram The Tamsen Show on InstagramFollow Tamsen on TikTok Medical Disclaimer:The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.Learn more about your ad choices. Visit podcastchoices.com/adchoices
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Menopause anxiety and mood changes can creep up so slowly you don't even notice. You're avoiding things you used to do, snapping at people you love, waking at 3 a.m. with your heart racing. It's not in your head, and it often starts years before a single hot flash.
This episode is part of Tamsen's series breaking down the topics from her New York Times bestselling book How to Menopause, one conversation at a time.
This week it's anxiety and mood. Tamsen starts with the moment she caught herself avoiding driving in LA, a city she used to drive without a second thought. When she posted about it, the floodgates opened. She breaks down what the top doctors she's interviewed have taught her about why this happens and what actually helps, including the hormonal piece almost every doctor skips.
She's not a doctor. She's a journalist who has lived this, including a panic attack on a live news set that started her down this whole path.
Inside the episode:
- The two hormones behind your mood, and why the calming one disappears first
- Why anxiety here so often shows up as avoidance or rage instead of obvious panic
- The reason so many women get handed an antidepressant before anyone checks their hormones
- What actually helps, from body identical progesterone to the therapy approaches with real evidence behind them
- How Tamsen got back behind the wheel, and why facing the fear gradually breaks the loop
- The single shift that helped her more than any pill
The first step is recognizing this has a name and you're not making it up.
If you like this episode, then you will love: The 4 Tools That Rebuild Your Confidence Fast
If you liked this conversation, check out the rest of the How To Menopause series:
Estrogen Down There 101: Here's Everything You Need to Know
Testosterone 101: Everything You Need to Know in 20 Minutes
Relationships 101: Is It Him or Is It Menopause? Here's How to Tell
Perimenopause 101: The Symptoms, Tests & Fixes No One Tells You About
Alcohol 101: Belly Fat, Bad Sleep and the Long-Term Cost of Drinking
Coming up: Anxiety, Mental Health, Estrogen 101 and more!
Stay connected with Tamsen:
Get Tamsen's newsletter filled with free tools to living better, feeling stronger, and knowing you’re never alone
Get Tamsen’s NYT instant bestselling book, How To Menopause
Free Resources from Tamsen
Watch all the episodes on YouTube
Follow Tamsen on Instagram
The Tamsen Show on Instagram
Follow Tamsen on TikTok
Medical Disclaimer:
The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.
If you’re struggling, you don’t have to do it alone. In the US, call or text 988 anytime to reach the Crisis Lifeline.
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This is a conversation we should have had decades ago, because we're talking about a part of women's health that's been overlooked for too long: heart health.Heart disease is the leading cause of death in women, but most don't even know it. In this episode, Tamsen Fadal sits down with cardiologist and Chief Medical Correspondent for ABC News, Dr. Tara Narula to break down how cardiovascular disease develops in women, why heart attack symptoms look different than they do in men, and the cardiac risk screening tools (including the calcium score and the Lp(a) test) that could save your life.Tamsen and Dr. Narula discuss:- Why heart disease risk builds earlier than most women think, and the life stages where it quietly accelerates- The calcium score test that tells you exactly how much plaque is in your arteries- The Lp(a) blood test that 1 in 5 women have elevated, is not controlled by diet or exercise, and almost nobody knows to ask for- Why women are regularly sent home from emergency rooms with chest pain and told it is anxiety- How pregnancy complications like preeclampsia and gestational diabetes predict future cardiac risk- What GLP-1 medications are actually doing for the heart beyond weight loss- The PREVENT calculator you can run online today to see your 10 and 30 year cardiovascular risk- What the research actually says about hormone replacement therapy and heart health- Why resilience after a cardiac diagnosis is not about going back to who you werePlus, Tamsen explains why heart disease was never on her radar, and what Dr. Narula told her in this conversation that she wishes someone had said years ago.Resources mentioned in this episode:PREVENT Risk CalculatorCentrum Silver: here and hereFollow Dr. Narula on InstagramFollow Dr. Narula on FacebookIf you liked this conversation, check this out: The Menopause Heart Doctor Reveals the 3 Warning Signs Doctors Dismiss with Dr. Jayne MorganFind all The Tamsen Show expert picks here Stop putting off those doctor's appointments! Go to https://www.zocdoc.com/TAMSEN to find and instantly book a doctor you love today!Learn more about your ad choices. Visit podcastchoices.com/adchoicesStay connected with Tamsen:Get Tamsen's newsletter filled with free tools to living better, feeling stronger, and knowing you’re never aloneGet Tamsen’s NYT instant bestselling book, How To MenopauseFree Resources from Tamsen Watch all the episodes on YouTubeFollow Tamsen on Instagram The Tamsen Show on InstagramFollow Tamsen on TikTok Medical Disclaimer:The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.Learn more about your ad choices. Visit podcastchoices.com/adchoices
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One glass of wine at dinner. That's all it takes now to wreck your sleep, spike your anxiety, and leave you feeling like garbage for two days. It's not in your head, and it's not about willpower. Your body processes alcohol completely differently now, and almost nobody has explained that to you.
This episode is part of Tamsen's series breaking down the topics from her New York Times bestselling book How to Menopause, one conversation at a time.
This week it's alcohol, and Tamsen gets honest about her own relationship with it. She was never a big drinker, but a habit crept in over the years, and after the pandemic she realized one glass she didn't even really want was quietly costing her sleep, workouts, mood, and how she felt in her own skin.
She has not quit drinking, and she's not telling you to. She's breaking down what the leading doctors she's interviewed have taught her about what alcohol actually does to your body in midlife, so you can decide for yourself.
Inside the episode:
- The real reason one glass at 48 hits like five did at 32, and why you're essentially still drinking it the next morning
- What's happening in your body at 3 a.m. when your eyes pop open with your heart racing
- The hidden connection between alcohol and hot flashes, belly fat, and that next-day anxiety you haven't been linking to your Friday night wine
- What every doctor in the studio has told Tamsen about alcohol and breast cancer risk, and why this one is actually within your control
- The single question that changed Tamsen's drinking: what are you actually reaching for?
-Word-for-word scripts for the social pressure, the pushy friend, and the partner conversation
- Why tracking your drinks for one month with zero judgment might change everything
You don't have to quit. You don't have to call yourself anything. But if your body has been trying to tell you something, this episode will help you finally hear it.
If you liked this conversation, check this out: How to Eat to Curb Alcohol Cravings
If you liked this conversation, check out the rest of the How To Menopause series:
Estrogen Down There 101: Here's Everything You Need to Know
Testosterone 101: Everything You Need to Know in 20 Minutes
Relationships 101: Is It Him or Is It Menopause? Here's How to Tell
Perimenopause 101: The Symptoms, Tests & Fixes No One Tells You About
Coming up: Anxiety, Mental Health, Estrogen 101 and more!
Stay connected with Tamsen:
Get Tamsen's newsletter filled with free tools to living better, feeling stronger, and knowing you’re never alone
Get Tamsen’s NYT instant bestselling book, How To Menopause
Free Resources from Tamsen
Watch all the episodes on YouTube
Follow Tamsen on Instagram
The Tamsen Show on Instagram
Follow Tamsen on TikTok
Medical Disclaimer:
The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.
Learn more about your ad choices. Visit podcastchoices.com/adchoices -
Melinda French Gates joins Tamsen with a major announcement, a huge new donation toward women’s midlife and menopause care, and she’s making it right here on The Tamsen Show. Melinda has pledged $2 billion to women and families in her lifetime, and this new commitment expands her women’s health work into menopause for the first time. In this episode she breaks down what the funding means for perimenopause and menopause care, why so many women get dismissed by their doctors, and how she plans to fix it, starting with the people we turn to first: our doctors.Right now only about a third of OBGYNs are trained in menopause. Less than one percent of aging research even looks at it. Melinda is putting real money and her name behind changing that, and this conversation is about what that shift will mean for you, your friends, your daughters, and the generations coming up behind us.We also cover:- Why the funding goes toward training doctors instead of going straight to women- Why it took Melinda three doctors to get the right care, even with every resource available to her- The bone health and cardiovascular risks no one warns you about- How menopause could have its own Susan G. Komen moment- What she learned about navigating big transitions and building your next chapter- The daily non-negotiables and decades-long friendships that keep her groundedMelinda’s latest book, The Next Day, is a must-read on navigating life’s biggest transitions. You can find it hereIf you like this episode, then you will love: Perimenopause 101: The Symptoms, Tests & Fixes No One Tells You About Follow Melinda on Facebook Follow Melinda on InstagramStay connected with Tamsen:Get Tamsen's newsletter filled with free tools to living better, feeling stronger, and knowing you’re never aloneGet Tamsen’s NYT instant bestselling book, How To MenopauseFree Resources from Tamsen Watch all the episodes on YouTubeFollow Tamsen on Instagram The Tamsen Show on InstagramFollow Tamsen on TikTok This show is sponsored by Midi Health. Visit https://joinmidi.com/tamsen today to book your personalized, insurance-covered virtual visit. Midi. The Care Women Deserve.Go to https://www.leesa.com/ for 25% off select mattresses PLUS get an extra $50 off with promo code TAMSEN. Support our show and let them know we sent you after checkout!Medical Disclaimer:The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.Learn more about your ad choices. Visit podcastchoices.com/adchoices
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Most of what you've heard about hormone balance, perimenopause symptoms, and hormone therapy online is wrong. That misunderstanding is costing women years of unnecessary suffering through puberty, pregnancy, and menopause stages when effective solutions like testosterone for women already exist and can make a real difference.
Endocrinologist Dr. Gillian Goddard is joining Tamsen Fadal on The Tamsen Show to cut through the noise and explain how your hormonal system actually works and what to do when it feels like it isn't.
She breaks down the feedback loop mechanism that keeps your hormones self-regulating, why that process is far more dynamic than any "hormone optimization" trend on social media, and what happens when those loops are disrupted at key life transitions.
In this episode, Tamsen and Dr. Goddard cover:
- What a hormone actually is, and why the feedback loop model changes everything
- The thyroid-immune system connection and why puberty, pregnancy, and perimenopause are your highest-risk windows for thyroid disease
- The late reproductive stage: the perimenopause phase most doctors miss, and why it matters
- HRT vs. birth control for perimenopausal symptoms, and why the right answer depends on where you are in your reproductive stage
- Testosterone for women: what the science actually shows (and what it doesn't yet)
- How to talk to your doctor about perimenopause, hormone therapy, and getting your symptoms taken seriously
If you've ever left a doctor's office dismissed because your periods were still regular but you knew something was off, this episode is for you. The late reproductive stage affects roughly 50% of women between ages 37 and 45, and most women have never heard of it.
Dr. Goddard's message is clear: you don't need to suffer. Whether you're navigating your first period or your last, your symptoms are valid and they can be addressed.
If you liked this conversation, check out the rest of the How To Menopause series:
Estrogen Down There 101: Here's Everything You Need to Know
Testosterone 101: Everything You Need to Know in 20 Minutes
Relationships 101: Is It Him or Is It Menopause? Here's How to Tell
Perimenopause 101: The Symptoms, Tests & Fixes No One Tells You About
Stay connected with Tamsen:
Get Tamsen's newsletter filled with free tools to living better, feeling stronger, and knowing you’re never alone
Get Tamsen’s NYT instant bestselling book, How To Menopause
Free Resources from Tamsen
Watch all the episodes on YouTube
Follow Tamsen on Instagram
The Tamsen Show on Instagram
Follow Tamsen on TikTok
Medical Disclaimer:
The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.
Learn more about your ad choices. Visit podcastchoices.com/adchoices -
Shannon Elizabeth was the it girl of the early 2000s... American Pie, Scary Movie, Love Actually, That 70s Show. What we didn't know was how much Shannon was carrying underneath all of it.
In this personal and unfiltered episode, Tamsen sits down with her cousin Shannon Elizabeth, for the first time with a microphone between them. They grew up together at their grandmother's house. They went through their divorces around the same time. They have been each other's people through all of it. And this conversation goes places neither of them planned.
Shannon gets honest about what it was actually like being swept up in the entertainment machine at 25 and moving so fast through the biggest moments of her career that she barely lived any of them. Now in her 50s, she talks about the announcement that got everyone talking, joining OnlyFans, and the real reason she is doing it now after years of watching creator culture build around her and staying on the sidelines. She wasn't in a good place for a long time and she didn't want to fake it. Now she is and she is ready to be seen.
You'll hear:
- What it was actually like being Nadia from American Pie and the parts of that chapter Shannon almost doesn't remember
- Why she built walls so high that even the people who loved her couldn't get through them and what finally made her put them down
- How going through divorce at the same time brought Tamsen and Shannon closer than they had ever been
- Why she is finally ready to share her real life publicly after years of saying no to creator culture
- What her 50s feel like compared to every decade that came before
- Why losing her dad changed how she understands community and family
This one feels like sitting on a couch with two old friends finally saying the things they have been meaning to say. Because that is exactly what it is.
Shop the products Shannon mentioned here
Learn more about Shannon’s foundation
Check out Shannon’s charity poker event
If you liked this conversation, check this out: Jamie Lynn Sigler: How to Forgive Yourself and Rewrite Your Story
Stay connected with Tamsen:
Get Tamsen's newsletter filled with free tools to living better, feeling stronger, and knowing you’re never alone
Get Tamsen’s NYT instant bestselling book, How To Menopause
Free Resources from Tamsen
Watch all the episodes on YouTube
Follow Tamsen on Instagram
The Tamsen Show on Instagram
Follow Tamsen on TikTok
Learn more about your ad choices. Visit podcastchoices.com/adchoices
Kachava: Code TAMSEN for 15% off your order https://www.kachava.com
Currentbody: Code TAMSENCB for 10% off https://go.shopmy.us/p-54389490
Medical Disclaimer:
The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.
Learn more about your ad choices. Visit podcastchoices.com/adchoices -
This conversation is for the woman who wants to make sure she is doing the right things for her health today so she can live longer, stronger, and more confidently well into her 80s and beyond. You'll learn the most effective strength training regimen, how to combat muscle loss in perimenopause and menopause, falls prevention techniques, and how to finally heal from chronic injuries like back pain and frozen shoulder.
In this episode, Tamsen Fadal sits down with physiotherapist and best-selling author Will Harlow to explain the science of how muscle, bone, and joints change with age, what is actually driving those changes, and the specific, evidence-based protocols that reverse them. Will shares a precise, actionable framework for building strength, preserving mobility, and protecting skeletal health without spending hours in the gym.
Will and Tamsen discuss:
- Why muscle loss and strength loss in women starts at 30, not 50, and what that means for the choices you are making right now
- The 3-2-1 method for building strength
- The four pillars of independence
- Why the pain going away does not mean the problem is fixed
- The rule for finally breaking the cycle of recurring injuries in women over 50
- Why perimenopause and menopause make women more vulnerable to frozen shoulder (and what to do about it)
- How to build balance and prevent falls
- The one form of exercise that can transform your health
- What a realistic strength training and mobility week looks like
Plus, Tamsen opens up about her own recurring back injury, her experience with frozen shoulder, and what Will told her that she wishes someone had said two years ago.
If you liked this conversation, check this out The Muscle Episode: Get Stronger, Look Better & Reverse Your Biological Age and How Getting Stronger as You Age Can Change Everything
Stay connected with Tamsen:
Get Tamsen's newsletter filled with free tools to living better, feeling stronger, and knowing you’re never alone
Get Tamsen’s NYT instant bestselling book, How To Menopause
Free Resources from Tamsen
Watch all the episodes on YouTube
Follow Tamsen on Instagram
The Tamsen Show on Instagram
Follow Tamsen on TikTok
This show is sponsored by Midi Health. Visit https://joinmidi.com/TAMSEN today to book your personalized, insurance-covered virtual visit. Midi. The Care Women Deserve.
Sign up for your $1 per month trial today at https://www.shopify.com/tamsen!
Medical Disclaimer:
The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.
Learn more about your ad choices. Visit podcastchoices.com/adchoices -
In the next 20 minutes, you are going to understand something that nobody told you. And once you do, nothing about the last few years is going to feel random anymore.
Tamsen went through perimenopause completely alone. No one explained what was happening. No TikTok full of women going through the same thing. No doctor proactively connecting the dots. Just a message in her patient portal that said, “In menopause, any questions?” That was it.
In this honest and personal episode, Tamsen shares the five things she wishes she had known, from why the belly fat was never her fault to why she was Googling dementia symptoms in a bathroom stall during the evening news, to the one thing that took her years to unlearn about hormone therapy that she thinks about every single day.
You'll learn:
- Why the belly fat and bloating were not your fault and what is actually behind them
- How perimenopause changed every relationship in Tamsen's life before she even understood what was happening=
- Why the psychological symptoms hit before the physical ones and what that means for the anxiety, irritability, and brain fog you may be feeling right now
- The truth about the 2002 Women's Health Initiative study and why it kept millions of women from accessing tools that could have helped them
- Why testosterone almost never comes up in the first conversation and why Tamsen thinks it should
- What to do if your doctor has dismissed your symptoms or never brought up the perimenopause conversation at all
- If you have ever felt like you were falling apart in slow motion and no one could see it, including yourself, this episode is for you.
Download Tamsen's FREE How to Perimenopause guide!
If you liked this conversation, check out the rest of the How To Menopause series:
Estrogen Down There 101: Here's Everything You Need to Know
Testosterone 101: Everything You Need to Know in 20 Minutes
Relationships 101: Is It Him or Is It Menopause? Here's How to Tell
Alcohol 101: Belly Fat, Bad Sleep and the Long-Term Cost of Drinking
Coming up: Anxiety, Mental Health, Estrogen 101 and more!
Stay connected with Tamsen:
Get Tamsen's newsletter filled with free tools to living better, feeling stronger, and knowing you’re never alone
Get Tamsen’s NYT instant bestselling book, How To Menopause
Free Resources from Tamsen
Watch all the episodes on YouTube
Follow Tamsen on Instagram
The Tamsen Show on Instagram
Follow Tamsen on TikTok
Medical Disclaimer:
The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.
Learn more about your ad choices. Visit podcastchoices.com/adchoices -
Courtney Conley, leading foot health specialist and author of Walk, joins The Tamsen Show to talk about the one part of your body that's been quietly running your life.
You've been strength training. You've been paying attention to your hormones, your sleep, your pelvic floor. But have you looked at your feet lately? One in three people over 45 have foot pain, and most of them don't connect it to their back pain, their balance issues, or their cognitive health. Scientists now call walking speed the sixth vital sign. How fast you move, and whether you can pick up your pace, can predict dementia up to seven years before diagnosis.
Courtney Conley has spent her career studying what happens from the ground up. She was a ballet dancer who developed bunions and stress fractures young, couldn't find answers, went to school, and built a practice around helping women get strong below the knee. In this episode, she explains what happens when we wear the wrong shoe and teaches you practical ways to start taking your foot health seriously so you can live a longer, healthier, and happier life.
In this conversation, you'll learn:
- Why one in three women over 45 have foot pain and what's actually causing it
- How years of wearing heels shortens your calf and locks your ankle and why that's behind more back pain than you'd think
- Why gait speed is the sixth vital sign
- What slow walking speed can predict
- How menopause and perimenopause change the structure of your foot and what to do about it
- The connection between your pelvic floor and your big toe
- Why the most cushioned shoe in your closet may be making your balance worse
- The washcloth drill you can do today to reduce your risk of falling
- What flip flops are actually doing to your toes while you walk
- How many steps a day you should be walking
- The research on walking speed and cancer risk
- Which shoe brands actually respect the anatomy of your foot
Shop Dr. Conley’s recommendations here
You’ll never walk the same after listening to this episode.
If you liked this conversation, check this out: The #1 Longevity Doctor: How Women Can Burn Fat, Build Muscle & Age Strong and How Getting Stronger as You Age Can Change Everything with Dr. Gabrielle Lyon
Stay connected with Tamsen:
Get Tamsen's newsletter filled with free tools to living better, feeling stronger, and knowing you’re never alone
Get Tamsen’s NYT instant bestselling book, How To Menopause
Free Resources from Tamsen
Watch all the episodes on YouTube
Follow Tamsen on Instagram
The Tamsen Show on Instagram
Follow Tamsen on TikTok
This show is sponsored by Midi Health. Visit https://joinmidi.com/TAMSEN today to book your personalized, insurance-covered virtual visit. Midi. The Care Women Deserve.
Learn more about your ad choices. Visit podcastchoices.com/adchoices
Unlock your best hair & skin with @iRestorelaser and HUGE savings on iRESTORE with code TAMSEN at https://www.irestorelaser.com/TAMSEN! #irestorepod
Medical Disclaimer:
The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.
Learn more about your ad choices. Visit podcastchoices.com/adchoices - Visa fler
