EP. 192: On this episode, I’m sitting down with my friend Cynthia Thurlow—a nurse practitioner, intermittent fasting expert, and leading voice in perimenopause and menopause.

We set out to talk about intermittent fasting—and we absolutely did—but our conversation went so much deeper. We covered bioidentical hormone replacement therapy (BHRT), perimenopause, menopause, and the key strategies women need to thrive in midlife.

If you’re navigating hormonal shifts, metabolic changes, or just want to optimize your health as you age, this episode is packed with practical, no-nonsense insights. Cynthia and I are completely aligned in our mission to support women through these transitions—without the fluff, confusion, or outdated advice.

In this episode, we cover:

• How Cynthia transitioned from cardiology to intermittent fasting
• The serious risks of a broken hip as we age (and how to prevent them)
• Why giving your gut a break is crucial for longevity
• The impact of chronic stress on your metabolism and hormones
• Vaginal health and why vaginal estrogen is a game-changer
• Chronic health issues in older women and the different types of HRT
• How to find the right doctor for hormone therapy and longevity medicine
• What it really means to age gracefully (hint: it’s not about “anti-aging”)
• How fasting strategies should evolve in perimenopause and beyond
• The importance of metabolic flexibility and adapting nutrition over time

This is a must-listen for any woman who wants to take control of her health, feel strong, and make middle age look easy. Tune in now!

Timestamps:

• 00:00:00 - Introduction 
• 00:03:01 - From cardiology to intermittent fasting 
• 00:11:02 - Health risks of a broken hip 
• 00:13:30 - You need to rest your gut 
• 00:17:34 - Be aware of stressors 
• 00:22:43 - Vaginal health 
• 00:27:40 - Vaginal estrogen 
• 00:32:26 - Chronic health issues in older women 
• 00:35:33 - Different types of HRT
• 00:38:35 - Finding the right doctor
• 00:40:01 - Aging gracefully 
• 00:48:39 - Fasting at different ages 
• 00:55:51 - Flexible nutrition 

Show Links: 

• How To Find A Good Doc

Further Listening:

• Hormones Playlist

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Check Out Cynthia:

• Website
• Instagram
• Podcast
• Books
• More Cynthia

Disclaimer: Information provided in this podcast is for informational purposes only. This information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional, or any information contained on or in any product. Do not use the information provided in this podcast for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before taking any medication or nutritional, herbal or other supplement, or using any treatment for a health problem. Information provided in this blog/podcast and the use of any products or services related to this podcast by you does not create a doctor-patient relationship between you and Dr. Tyna Moore. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent ANY disease.