Mikkipedia Perimenopause, Protein and Power with Dr Abby Smith-Ryan
Nov 11, 2025
Dr. Abby Smith-Ryan, an exercise physiologist and nutrition researcher specializing in midlife women's health, discusses the metabolic changes during perimenopause. She highlights the importance of sufficient nutrition and the pitfalls of under-fueling. Abby explores effective training strategies, including the role of pre-exercise protein and progressive resistance training, to boost muscle mass and overall health. She also introduces innovative tools like continuous glucose monitors and hormone trackers to personalize care for women navigating this life stage.
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Perimenopause Research Is Underserved
- Perimenopause research is underdeveloped and contentious despite clear physiological differences in women.
- Dr Abby Smith-Ryan argues we need more female-focused studies to inform practical care for midlife women.
Prioritize Eating Enough
- Check whether you're eating enough because many midlife women chronically under-eat and caloric restriction drives metabolic slowdown.
- Measure or more accurately estimate energy needs rather than rely on flawed formulas to guide intake.
Title IX Created A Fit Midlife Cohort
- A generation of highly active women entered sport because of Title IX and are now aging into perimenopause with fitness backgrounds.
- Clinical practice must adapt to support this fitter midlife cohort whose health needs differ from prior generations.