BETTER! Muscle, Mobility, Metabolism & (Peri)Menopause with Dr. Stephanie

She Said, She Said: Perimenopause with Kids, Facts on Fasting, Testosterone, Cold Plunges, Peptides & Callouses

Oct 27, 2025
Cynthia Thurlow, a nurse practitioner and women's health educator, shares her insights on navigating perimenopause while raising kids. She discusses the impact of dietary choices on gut health, particularly dairy, and evolving views on fasting for midlife women. Their conversation covers cold plunges for recovery, the benefits of various testosterone therapies, and the implications of caloric restriction. Cynthia also delves into practical strategies for strength training, reverse dieting, and the excitement around peptides, emphasizing personalized health approaches.
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ADVICE

Move With Your Kids

  • Get short movement bursts with kids: squats, lunges, or 'kitty bell' swings while holding them.
  • Use these moments to boost energy, blood sugar control, and connection with your child.
INSIGHT

Progesterone Lowers Resilience

  • Progesterone declines in perimenopause lower resilience and raise reactivity to stressors.
  • Expect a lower tolerance for triggers and consider buffering strategies like HRT and sleep hygiene.
ADVICE

Consider Progesterone In Midlife

  • Consider trialing oral progesterone or HRT at mid-40s to reduce heavy periods, bloating, and anxiety.
  • Monitor sleep and mood since buffering progesterone often improves these symptoms.
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