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Mini Pause #107 | 9 Ways Your Cycle Affects Your Training 🩸

Posted on by stephanie-estima

The internet is loud when you’re a woman who dares to age.

It’s loud when you’re a woman who dares to lift heavy and build muscle.

It’s loud when you unapologetically educate midlife women about their own bodies.

And on my feed, you know who’s making (most of) the noise?

Well, let’s just say it ain’t me.

These are random, unqualified [insert expletive here] sitting behind their keyboards telling me what a woman “should” look like at 45. At 55. At whatever age they deem judgable. (I may or may not have gone off in my stories this week about this very topic.)

It’s wild, Betty.

You can dedicate your whole life to studying, training, building businesses, raising a family, and kicking ass in every domain… and you’re still reduced to your appearance. That’s the culture we’re in.

It’s the same culture that doesn’t study women’s health and instead treats us like small men… or tells us to suck it up when some troll on Instagram comments on our bodies.

So today, I want to talk about something that’s getting wildly oversimplified on the fitness internet: women’s physiology.

 

WHAT

The EBITS (Evidence-Based Internet Trolls… both men and a surprising number of women) keep shouting that the research shows “no significant difference in muscle-building capacity across the menstrual cycle.”

As if women are single-variable experiments. As if they have any clinical experience.

And technically? They’re not wrong. But they’re missing the entire body for the muscle fibers.Yes, women can build muscle in every phase.

Yes, progressive overload still works.

Yes, mechanical tension still drives adaptation.

No, you’re not wasting half your month.

But if we’re only measuring muscle, we’re ignoring everything else that makes us human.

 

WHY

Performance isn’t just muscle. It’s about a dozen other systems that shift in rhythm with your hormones.

Here’s what DOES change across your cycle, and why it matters, and how your performance may change across the menstrual cycle: 

  • Connective tissue: Estrogen fluctuates throughout the cycle and affects ligament laxity, tendon compliance, and joint stiffness. You’re still growing muscle, but the same lift can hit differently week to week, and that matters for injury risk.
  • Heat tolerance: Progesterone raises your core temperature during the luteal phase, making cardio feel harder at the same output. Ever wonder why indoor spin classes have fans all over the place? To decrease your perceived exertion and help you avoid overheating. If you’re getting tired earlier in the second half of your cycle, this might be why.
  • Fuel use: You’ll rely more on carbs at some points in your cycle, and more on fat at other points. This affects high-intensity repeat efforts, sprint tolerance, and fatigue when there is a fuel mismatch. Want bursts of energy and explosive power? You need carbs. High intensity? Call on your anaerobic system. If you’re not fueling well before training, you’re going to experience a lot of variation over your cycle.
  • Insulin sensitivity: The late luteal phase brings more blood sugar swings and lower insulin sensitivity. You might feel shaky mid-workout, tired earlier, or get ridiculously hangry post-workout. That reflects your increased recovery demands. You might need to take an extra day (gasp!) or two (!!) to recover. (You might need a deload week too, but I feel like I’m already pushing it by suggesting a day off!)
  • Coordination and balance: Your proprioception, timing, and motor unit firing efficiency change with hormone fluctuations – you’re not just clumsy. This might look like your lifts feeling “off” even if the strength is there, or your technique degrading earlier than expected. This is a good time to modify technical lifts because they require more cognitive effort to maintain form, aka protect from injury.
  • Breathing efficiency: Progesterone increases your respiratory drive, making conditioning feel harder even with the same VO₂. You’ll notice this most in metabolic conditioning finishers, interval work, circuit training, and even high-rep leg training. We’re more efficient breathers in the luteal phase. (Check out my convo with Patrick McKeown for a fascinating deep dive on this.)
  • Pain tolerance: Estrogen modulates your pain sensitivity and ligament and tendon behavior. Throughout the cycle, your path threshold will fluctuate, joint discomfort can feel more pronounced, and you might have puffy, inflamed days. This doesn’t necessarily mean injury, but the estrogen fluctuation does change tolerance and movement confidence.
  • Sleep and recovery: Hormonal changes affect REM depth, sleep continuity, and overnight recovery signaling, which explains why two identical sessions can feel wildly different. Heart rate variability dips without an obvious cause (mine always tanks after I ovulate up until I bleed), and motivation drops even when discipline is high.
  • Fluid balance: Hormones influence how your body handles sodium, water retention, and tissue pressure. This impacts joint stiffness, puffiness, heavy limb sensations, joint compression tolerance, and range of motion. Your tissues may be fine… they’re just holding more volume.

 

So yes, you can (and should)  train hard all month, but what “hard” looks like also changes from the follicular to the luteal phase, and pretending nothing changes in your body is just bad science. Things change, so any trained clinician would tell you that adaptations should be made.

Elite performance has always respected system-level shifts… because men have them too. Women just have fluctuations that can be mapped into a calendar.

 

HOW

This is where I bring in the Big Ovary Energy.

I’m not interested in “hacking” my cycle or “overcoming” my hormones. I’m interested in working with them.

Here’s what that looks like in real life:

During my follicular phase, I go heavier. I can go all out and still recover faster, sleep better, and push intensity. Here is where I typically push for PRs

In the luteal phase, I pivot. Shorter rest periods, lighter weights but higher reps, more tempo work, more walks, more recovery tools, and more social media and email rants to you.

In the context of muscle building (which yes is important but it is not the ONLY thing), I am always aiming to approach muscle failure, understanding that the load and intensity with which I will reach it will change.

I stay consistent, but I stop expecting myself to feel the same every day.

I track my cycle and my energy. If my lifts feel off because my joints or tendons feel a bit tweaky, I adjust the volume or technique to prevent injury. I don’t label myself as lazy.

This is what women’s performance looks like when you respect your biology. Adaptive, intelligent, dynamic, and still powerful as hell.

 

NOW

If your workouts have felt “off,” I want to invite you to see it as feedback rather than a weakness.

Note when your energy, sleep, and strength fluctuate this month.

Give yourself permission to adapt rather than push.

Remember that building muscle isn’t the whole story. Building awareness is key.

I’m tired of people pretending that women’s bodies are hormoneless and unchanging.

Last week, I laid out 6 New Rules of Femininity, and I might add this to the list: train with enough intelligence to handle a dynamic system and still dominate.

Go out there and lift something heavy, no matter where you’re at in your cycle.

 

🌟 Love these recommendations? Find more resources to support your health in midlife in my Health Toolkit!

 

 

Disclaimer: The information included in a newsletter, email, or on drstephanieestima.com is intended solely for educational purposes. It does not replace a direct relationship with your licensed medical provider and is not intended to diagnose, treat, cure, or prevent any disease.

Affiliate Disclosure: Products mentioned in a newsletter, email, or on drstephanieestima.com, may be part of an affiliate agreement in which Dr. Stephanie Estima receives a small commission on the sale of an item you purchase.

 

 

Mini Pause #87: The #1 Way Lifting Heavy Can Cause Injury (and How to Avoid It)

Posted on by stephanie-estima

Muscle sure is having her moment on social media, isn't she!

“Lift heavy, ladies!”
“Be a Muscle Mommy!”
“Build that booty!”

The cheerleading is loud, and I'm not going to pretend it isn't motivating, but something gets lost in the noise:

Strength isn't just about muscle.

When you pick up a weight, whether its a 10-pound dumbbell or a heft of racked plates, your muscles are not alone in carrying the load. Ligaments and tendons are their sisters. Articular cartilage is their cousin. They're all in this together, and they all adapt and recover on their own clocks.

If your training program only takes into account the recovery timeline of muscle, you're most likely going to outpace your connective tissue capacity.

What does this look like? The weakest links tend to complain first. Think of morning tendon stiffness, joint aches, and ligament strains.

Remember that British game show The Weakest Link?

Bad programming is like looking right at your tendons with a sassy British accent and saying, “You are the weakest link. Goodbye!”

So, this is my love letter (my soliloquy, if you will) to the entire network of tissues that keep you strong. Because if we want lasting gainzzzz (yes, with all the zs, like the gym bros say), we have to honor the whole system, not just the muscles in the mirror.

WHY

We have a variety of tissue tolerances to consider when lifting weights to help us go heavy and avoid injury.

Tissue tolerance is a tissue's capacity to absorb, transmit, and recover from load without breaking down. And here's the truth: your tissues don't give a flying F about the number on the weight. They don't see “15 pounds” or “2 plates.” They only know load, mechanical tension, acute damage, and maximum recoverable volume.

So let's look at the recovery timeline for each tissue:

Muscle

Muscle is quick to adapt. Neural gains show up in weeks. Visible hypertrophy (muscle growth) in 6-8 weeks. With rich blood flow and fast protein turnover, she thrives on regular work. Think 2-4 sessions per week for each muscle group. Nature

Tendons

These are slow alchemists. They remodel collagen at a glacial pace. If you've ever injured a tendon, you know it takes a lifetime. Think months, not days. PMCSpringerOpen

With a sparse blood supply and collagen that can be decades old, their improvements come only with steady, patient loading. PMC

Tendons love the “low and slow” approach and punish sudden spikes in effort. True changes in tendon stiffness take at least 12 weeks. SpringerOpen

Ligaments

Ligaments are the baddies that stabilize joints, and they're similar to tendons: dense collagen, slower metabolism, and slower to respond.

Think of ligaments like the introverts at the party. She wants to be there, but she takes a little longer to warm up and get comfy. (Hi, it's me!) PubMed+1

To strengthen a ligament, you want multidirectional movement: jumping, decelerating, sudden changes in direction. These movements sharpen neuromuscular control and protect your joints. ASME Digital Collection

Side Note: I would LOVE to go on a nerd safari on ligaments in a future newsletter. I'm game if you are.

Articular Cartilage

Articular cartilage is the plush cushion between your bones. She's there so your bones don't rub together, because wow that's not nice.

Unlike other tissues I've mentioned, articular cartilage has no direct blood supply of its own and minimal collagen turnover and renewal. PubMed

The only way to keep joint cartilage healthy is through consistent loading. She loves regular, moderate, and cyclic compressions, like walking, cycling, and most steady-state cardio machines. Sedentary is her downfall. PMC

HOW

Okay, Betty, it's time for you to honor all your tissues so they rise together, strong and resilient:

(Want a quick and easy program build to match each tissue's healing clock? LIFT is for you.)

1. Sequence Your Week
Muscle strength sessions can happen often (2-4 times per week per muscle group). Tendon- and ligament-heavy work (slow lifts, plyometrics, change-of-direction) need at least 48-72 hours of rest between exposures.

2. Master Form Before Load
In LIFT, our Master Form videos help you own the movement before you ever load it. Good form isn't just about looking impressive. It's how you protect your tissues and respect their tolerance.

3. Watch for the Signals
Green (Go!): Mild muscle soreness, tendons that warm up and feel fine by the next morning, and joints that feel “used” but not puffy.

Yellow (Yield): Morning tendon stiffness for more than 24 hours, lingering joint aches, or from breaking down under fatigue.

Red (Stop and Deload): Swollen or locking joints, sharp instability, night pain, tendon pain that worsens as you warm up are all signs to rest and see a professional.

NOW

Here's what you can expect when you play the long game:

  • Muscle: You'll feel fitter within 2-3 weeks with visible changes in 6-8.
  • Tendons and Ligaments: Real, durable change happens over 8-16+ weeks, with tendon stiffness improving best at >12 weeks.
  • Cartilage: Healthy cartilage loves consistency. Regular walking and rhythmic, cyclical movement keep it nourished and thriving.

Think of your body like a financial portfolio. You wouldn't put all your money in one stock and hope for the best. In the same way, your tissues thrive with a diverse portfolio of movements. Strength, cardio, recovery, and multidirectional play… it all matters.

So yes, lift heavy, Betty. Build muscle. But train like the queen you are: with wisdom, patience, and respect for the whole kingdom (or queendom) of tissues that carry you forward.

 

Selected sources for further reading for my dark roast Bettys:

  • Bohm et al., human tendon adaptation;
  • Heinemeier et al., minimal collagen turnover in adult tendon/cartilage;
  • Bontemps et al., early neural vs later hypertrophic gains;
  • Bader/Eckstein, cartilage thrives on moderate cyclic load;
  • Rio et al. & Holden et al., isometrics for tendinopathy
  • SprinterOpenPMC+3PMC+3PMC+3PubMed+2PubMed+2VBN

WHAT I LOVE THIS WEEK

BIOptimizers

You can nail your diet and workouts, but if your sleep is suffering, your results will stall.

A compelling study recently found that poor sleep slashed fat loss by 55% and increased muscle loss by 60%, even when calories stayed the same.

Think about these two women on the same plan. The rested one loses fat and keeps muscle while the sleep-deprived one loses the muscle she worked so hard to build (while living exhausted!).

Here's why: Poor sleep spikes hunger hormones, slows fat burning, and makes your body more likely to store fat.

That's why you need Magnesium Breakthrough from BIOptimizers. It combines all 7 essential form of magnesium to help you fall asleep faster, sleep deeper, and wake up calm, clear, and ready to kick butt.

Try Magnesium Breakthrough and use code ESTIMA for 15% off.¹


Apollo

When stress, anxiety, or poor sleep creep in, my go-to is Apollo Neuro. It's a wearable device that feels like cheating on a test for your nervous system.

Apollo uses gentle, rhythmic vibrations (vibroacoustic stimulation, for the nerds among us) to activate your parasympathetic nervous system, which is your body's natural calm mode.

The results are powerful. It helps boost heart rate variability (your body's stress-resilience score), lowers cortisol, and supports the release of serotonin and dopamine (your feel-good neurotransmitters).

Translation? You feel calmer, sleep more deeply, and bounce back from stress with strength.

The best part is it's risk-free to try with a 30-day guarantee. Strap it to your wrist, ankle, or clip it to your shirt and let Apollo guide your body back into calm.

Try Apollo Neuro now and get $60 off with code BETTER.²

Create

I used to think creatine was just for gym bros, but after 40, the rules change. We lose muscle mass faster, recovery slows, and even our mental sharpness can feel inconsistent.

Creatine directly addresses all of this, and the research for women is nothing short of incredible.

That's why I love Create's creatine gummies.

No messy powders, no chalky taste, and no “forgetting” because it's unpleasant.

These taste good and they're portable. I just throw them in my purse and I never miss a day.

Since making them part of my routine, I've noticed better strength in my workouts, faster recovery between sessions, and, honestly, clearer thinking and steadier energy throughout the day.

If you want to maintain muscle, brain power, and energy as you age, creatine isn't optional. It's foundational.

Try Create here and use code DRSTEPHANIE for 20% off.³

🌟 Love these recommendations? Find more resources to support your health in midlife in my Health Toolkit!

1 Here's the list of countries BIOptimizers currently ships to. Code can be used multiple times. Terms and conditions may apply.

2 Applies $60 off the Apollo wearable (no one-time limit). Valid on the device only. Cannot be stacked with other coupons, bundles, or site-wide promos. Terms and conditions may apply. Currently, Apollo is accepting orders and shipping within the United States, as well as to Canada, Europe, and Australia. Terms and conditions may apply.

³ Create only ships in the USA. The 20% discount is for new customers only. All subscription orders get free shipping. A $100 order is the free shipping threshold for one-time purchases.

 

Mini Pause #82: Bloated? Tired? Stressed? Start Here

Posted on by stephanie-estima

TL;DR

Your gut is ground zero for mood, hormones, energy, immunity… basically everything.
In perimenopause and menopause, gut health takes a hit, and it shows up as bloat, fatigue, anxiety, skin changes, weight gain, and even acne.

The key to improving digestion in midlife is multifold – there are supplements you can take before you eat, and even exercise can improve gut health!

Think of your gut like a garden — and get the right gardener (probiotics), fertilizer (prebiotics), and soil conditions (diverse food, less stress) to keep it thriving.

WHY (Our Gut Changes In Perimenopause)

In midlife, your hormones dip, your stress rises, and your digestive system gets a little… sluggish.

Estrogen, progesterone, and testosterone all rely on your gut microbiome to break down and excrete them properly. When your gut is leaky or inflamed, it can reabsorb “used” hormones (hello, estrogen dominance), leading to mood swings, tender breasts, cravings, and brain fog.

Even just the regular foods we eat on a daily basis can start causing a lot of distention, bloating and gas.

WHAT You Can Do for a Better Belly

✔ ️ Start with a Spore-Based Probiotic: Unlike most probiotics that die in your stomach acid, spores are dormant in the capsule, wake up in your intestines, and actually change the gut landscape. Using a gardener analogy, they like to pull weeds (bad bacteria), and feed the good bacteria to bring balance back to your microbiome

✔️ Add Prebiotics (The Fertilizer): These feed your good bacteria — but only if they’re targeted. Some prebiotics feed the bad guys too, so choose carefully or go with a supplement like Just Thrive’s Prebiotic that only nourishes the good flora

✔️ Eat the Rainbow: Diversity of plant foods = diversity of microbes. More color, more fiber, more phytonutrients, more microbial magic. Here I tend to follow Dr. Terry Wahls advice where she recommends 9 servings of vegetables and fruit: 3 servings of green leaves, 3 servings of sulfur rich and 3 servings of bright colors.

✔ ️ Love Your Ferments (But Don’t Rely On Them): Sauerkraut, kimchi, kefir are all amazing. They support gut health, but keep in mind most bacteria in fermented foods die before reaching your colon.

✔️ Reduce Gut Stressors:

  • Skip antibacterial sprays (they kill good bacteria too) and quit it with the hand sanitizers!!! Remember in the good ol’days when we used soap? That is the ideal way to clean your hands.
  • Go organic when you can (to avoid glyphosate)
  • Take walks, breathe, meditate — your stress hormones mess with your gut lining

Supplements That Support a Happy Gut

Once you’ve got your gut gardener (spore-based probiotic1) and your fertilizer (prebiotic) in place, there are other MVPs that can really help your gut thrive — especially if you’re in perimenopause or menopause and noticing more bloating, sluggish digestion, and food sensitivity.

1. Apple Cider Vinegar (ACV) Before Meals
A splash of raw, unfiltered ACV in water 15–20 minutes before meals can help:

  • Stimulate stomach acid (which declines with age/hormone shifts)
  • Improve protein digestion
  • Reduce post-meal bloating
  • Support blood sugar balance

➡️ Tip: Start with 1 tsp in warm water before meals, work up to 1 Tbsp if tolerated.

2. Digestive Enzymes
As we age (especially in midlife), we make less stomach acid and digestive enzymes which means even healthy meals can sit heavier than they once did.

Digestive enzyme blends help break down:

  • Protein (protease)
  • Fat (lipase)
  • Carbs (amylase)
  • Fiber (cellulase)

Look for broad-spectrum enzyme blends2, and take them before your first bite of food, if you can around 20 minutes prior to eating.

3. L-Glutamine
This amino acid is gut lining gold. It helps:

  • Repair a “leaky gut”
  • Calm inflammation
  • Support regularity

➡️ Tip: Powdered glutamine is tasteless and easy to stir into water or smoothies. Dose: ~5g/day.

4. Collagen or Bone Broth
Both contain:

  • Glycine and proline: key for gut lining integrity
  • Gelatin: helpful for soothing inflammation
  • Bonus: glowy skin + joint love

Choose grass-fed, unflavored options3, or sip on bone broth between meals.

5. Zinc + Vitamin A
Both support the regeneration of the gut lining and immune system. A deficiency in either can delay gut healing.

  • Zinc carnosine is especially studied for gut lining repair
  • Retinol (the active form of vitamin A) is gut-protective

6. Magnesium
Constipated? Magnesium can help “move things along” (gently).

➡️ Tip: Start low, go slow. Aim for 400mg daily to start. Especially if you have been under chronic stress for a long time.

🌾 Prebiotics: The Fertilizer for Your Gut Garden

If spore-based probiotics are the gardeners of your gut, then prebiotics are the fertilizer because they help feed and grow the good bugs that keep your digestion, mood, and hormones in balance.

Unlike probiotics (which are live bacteria), prebiotics are fibers and plant compounds your body doesn’t digest, but your good gut microbes love to munch on. When those good microbes eat, they produce short-chain fatty acids like butyrate, which help reduce inflammation, improve gut lining integrity, and even impact brain health.

Food Prebiotic Fiber Type Benefits
Jerusalem Artichokes Inulin, FOS High in potassium + iron
Asparagus Inulin Supports detox + estrogen clearance
Garlic & Onions Inulin, FOS Antibacterial + anti-inflammatory
Leeks Inulin Great for digestion and estrogen metabolism
Bananas (especially green) Resistant starch Helps feed bifidobacteria
Oats (cooled overnight) Beta-glucans + RS3 Great for cholesterol + gut lining
Apples (with skin) Pectin Supports gut lining and regularity
Chicory Root Inulin Found in many fiber supplements
Dandelion Greens Inulin Liver and gut support
Flaxseeds & Chia Seeds Mucilage + soluble fiber Helps with elimination + estrogen excretion
Cooked + cooled potatoes Resistant starch (RS3) Enhances microbial diversity

 

Supplement Alternative To Fibre

You can also add targeted prebiotic blends like Just Thrive’s Prebiotic, which uses precision oligosaccharides that only feed beneficial bacteria (not the “weeds”). This is especially useful if you're sensitive to FODMAPs or fiber-rich foods.

🏋️‍♀️ HOW Fitness Fits In

Movement is magic for your microbiome and especially in perimenopause, when digestion slows, hormones fluctuate, and stress can take over.

Here’s exactly how the right types of exercise improve gut health:

💩 1. Improves Motility (A.K.A. Helps You Poop)
Regular movement helps “massage” your intestines and keep things moving through your digestive tract. This means:

  • Less bloating
  • Fewer backup toxins
  • More regular and satisfying BMs (💃)

Even just 15–20 minutes of walking after a meal can significantly reduce post-meal bloating and gas by helping move food through the system.

🌬️ 2. Lowers Gut-Damaging Stress Hormones
Chronic cortisol messes with your gut lining, leading to:

  • Leaky gut
  • Sluggish digestion
  • Mood and sleep issues

Gentle movement like:

  • Strength training
  • Pilates
  • Walking in nature
  • Yoga or breathwork

…helps calm the nervous system, reduce cortisol, and support the gut-brain axis.

🦠 3. Increases Microbial Diversity
Moderate exercise has been shown to increase the number and diversity of good gut bugs, especially those that produce butyrate, a powerful anti-inflammatory short-chain fatty acid.

This is key for:

  • Reducing belly fat
  • Improving insulin sensitivity
  • Calming gut-related inflammation

Too much cardio, though, especially when paired with under-eating or chronic stress, can have the opposite effect causing inflammation and damaging the gut lining.

💪 4. Enhances Nutrient Absorption
Muscle contractions improve blood flow to the gut which means your body can:

  • Digest food more efficiently
  • Absorb more nutrients
  • Detox more effectively

It also improves lymphatic drainage, which helps remove waste and toxins from the body faster.

✅ NOW: 3 Easy Gut-Loving Steps Today

  • Start a spore-based probiotic: Look for something like Just Thrive Probiotic (I love their gummies!)
  • Eat 30+ plants a week: Aim for fruits, veggies, legumes, spices, herbs. More diversity = better microbial diversity.
  • Ditch your chemical cleaners: Swap antibacterial sprays for vinegar + essential oil blends to protect your good gut flora.

WHAT I LOVE THIS WEEK

The Midlife Muscle Secret We've Been Ignoring Too Long

Can we talk about something that might surprise you? Creatine isn't just for gym bros – it's actually one of the most important supplements we midlife women should be considering.

Here's why you should start taking creatine NOW: after 40, we lose muscle mass rapidly, our brain energy tanks, and recovery becomes painfully slow. Creatine directly addresses all three. It fuels our muscles, supports cognitive function (hello, brain fog!), and helps us bounce back faster from workouts.

Create's creatine gummies make this so much easier than choking down chalky powders. Finally, a form that doesn't make you feel like you're drinking sand! The research is crystal clear – creatine helps preserve lean muscle, improves strength, and even supports mood stability during hormonal fluctuations.

Ladies, we've been missing out on one of the most researched, effective supplements available. Our muscles, our brains, and our energy levels deserve this support.

Get 20% off Create's Creatine Gummies with code DRSTEPHANIE at https://trycreate.co/DRSTEPHANIE.4

 

Why Your Achy Joints Aren't Just “Part of Getting Older”

Let me tell you about something that's quietly revolutionizing my recovery routine – and it's not another supplement or gadget. It's Incrediwear's bamboo charcoal-infused fabric that actually increases blood flow and reduces inflammation.

Here's why this matters for us: midlife brings achy joints, slower recovery, and that persistent stiffness we pretend isn't happening. Whether it's my knees protesting after workouts, my elbows aching from too much tennis, or my feet screaming after long days, these aren't just “getting older” issues – they're circulation and inflammation problems.

Incrediwear's socks, knee sleeves, and elbow supports work by increasing blood flow at the cellular level. No compression, no weird sensations – just better circulation that helps reduce pain and speed recovery. I wear their socks during travel and sleep, and honestly? The difference in how I feel the next day is remarkable.

Get 20% off Incrediwear with code DrSteph20 at https://incrediwear.com/.

 

The Real Reason You're Tired (And It's Not What You Think)

Ever wonder why that afternoon energy crash hits harder now, or why your skin looks tired despite expensive serums? The answer might be happening at the cellular level – specifically, in your mitochondria.

New research reveals that after 40, our cellular powerhouses start accumulating damage faster than our bodies can clear it out. This mitochondrial decline affects everything from energy and muscle strength to skin health and recovery time. But here's the fascinating part: there's a compound called urolithin A that can actually help activate our cells' natural cleanup process.

Most of us can't produce meaningful amounts of this compound naturally, even if we're eating pomegranates daily. The science behind why this happens – and what we can actually do about it – is pretty eye-opening.

Read the full article to discover how supporting your mitochondria could change how you age from the inside out.

🌟 Love these recommendations? Find more resources to support your health in midlife in my Health Toolkit!

1 Ships worldwide. Offer available for all orders, however only on first time subscriptions.

2 Code can be used multiple times, does not ship to Canada.

3 One use per customer, on first time orders or first time subscriptions. Ships everywhere, however shipping times variable based on location.

4 Create only ships in the USA. Offer available to new customers only. Exclusively for new customers only. All subscription orders are free shipping, $100 order is free shipping threshold for one-time purchases.

Mini Pause #81: Why Most Back Pain Has Nothing to Do with Injury

Posted on by stephanie-estima

Why Most Back Pain Has Nothing to Do with Injury

Back pain isn’t about what happened—it’s about how often. According to spine biomechanics legend Dr. Stuart McGill, most chronic pain stems from repeat stress and poor recovery, not big traumatic events. The good news? His “virtual surgery” method has helped thousands heal without ever going under the knife.

WHY

Back pain isn’t random. It happens when your body exceeds its tipping point—whether from too much sitting, poor lifting mechanics, or chronic overtraining without enough recovery. Think: micro-traumas stacked on top of each other until something gives.

Dr. McGill breaks it down: “Anatomy loads the gun. Exposure pulls the trigger. Psychology determines how you recover.”

Translation? It’s a combo of structure, habits, and mindset.

WHAT 

💥 Stress Concentration: The body thrives on stress—but too much, especially in one area (like your lower back), leads to injury. Whether you sit slouched all day or push deadlifts beyond your limits, repetitive stress without recovery leads to tissue damage.

⚠️ Deadlifting Twice Your Bodyweight? That trendy internet advice could break your back—literally. Muscles may adapt fast, but your bones and discs? Not so much.

🔁 Repetition Hurts: You don’t need a big trauma. Daily habits (like sitting poorly or moving with poor core stability) wear down the spine over time—especially the discs and facet joints.

🚷 No Rest, No Repair: Even fitness fanatics can sabotage healing. That daily elliptical sesh might feel like stress relief, but it’s often what prevents healing.

HOW

✅ Virtual Surgery Protocol: Pretend you’ve just had back surgery. Rest. Walk a little. Rest again. Slowly rebuild with intentional, low-load movement. Dr. McGill’s “virtual surgery” has helped 95% of patients (originally told they needed surgery) fully recover—no scalpels required.

🏗️ Proximal Stability = Distal Power: Your core is your foundation. If it’s weak or unstable, everything else suffers—from your hips to your knees to your neck.

🔁 Smart Core Training: It’s not about crunches. Think “core stiffening” that stabilizes your spine while allowing safe movement—like bird dogs, planks, and McGill’s Big 3.

📚 Want to nerd out? Read Dr. McGill’s Back Mechanic—a patient-friendly guide that teaches you to assess and fix your pain (without surgery).

 

 

NOW

Audit Your Habits: Notice how you sit, stand, lift, and move. Are you stable through the core or compensating with your spine?

Try “Virtual Surgery”: Take 3–5 days to really rest. Then gradually reintroduce pain-free movement.

Stabilize First, Move Second: Build your core like a battleship, not a canoe. You’ll move with more power—and way less pain.

 

 

WHAT I LOVE THIS WEEK

Calocurb: The Natural GLP-1 Hack That's Actually Backed By Science

Ladies, I'm always skeptical of supplement claims, but this one had me diving deep into the research – and I'm genuinely impressed. Meet Calocurb, featuring patented Amarasate® from New Zealand hops that works with your body's own GLP-1 system.

Here's what caught my attention: this isn't some gentle nudge to your metabolism. Clinical trials show Calocurb cranks up your natural GLP-1 production by up to 600% within an hour. That's the same hormone those expensive prescription weight-loss drugs target, but we're talking about a natural extract that's been safely used for centuries.

The mechanism is brilliant – bitter taste receptors in your gut (yes, you have taste buds there too!) respond to specific compounds in these hops, triggering a powerful release of appetite-suppressing hormones. The result? An 18% reduction in caloric intake and genuine appetite control that you can actually feel working.

What I love most is the speed. No waiting weeks to see if it's “working” – users report feeling satisfied faster and experiencing real appetite suppression within that first hour. It's like having a biological off-switch for those relentless food thoughts we all know too well.

The research is solid, the results are measurable, and honestly? It's refreshing to see something that actually does what it claims to do.

If you haven't already listened, check out our recent podcast episode with Calocurb CEO Sarah Kennedy.

Try Calocurb today and get 10% off your first order with code DRSTEPHANIE – exclusively at the official Calocurb website www.calocurb.com.¹

Fresh Pressed Olive Oil

My favorite olive oil comes direct from the harvest at award-winning farms. You can try your first bottle free and pay just $1 shipping

If you want to enjoy the ultimate in olive oil, remember these four words: the fresher the better. Olive oil is at its zenith of delicious flavor and nutritional potency when it’s fresh-squeezed at the farm. Store-bought olive oils can’t compare. That’s why my favorite source of extra virgin olive oil is T.J. Robinson’s Fresh-Pressed Olive Oil Club. Robinson searches the world for the best olive oils from the latest harvests at gold-medal-winning artisanal farms. Then he rushes his oils right to your door so you can enjoy them on your favorite dishes at peak flavor and nutritional goodness.

Once you try these olive oils, bursting with harvest-fresh taste and aroma, you’ll never go back to store-bought oils that sit on a store shelf for months or years growing stale or even rancid. So you can discover the difference yourself, T.J. will send you a $39 bottle free if you’ll pay just $1 to help cover shipping. Claim your free bottle and discover how olive oil is meant to taste. No commitment to buy anything, now or ever.

Click Here for Your $39-Bottle-for-a-Buck²

 

BiOptimizers

Why 80% of Women Are Magnesium Deficient (And What Actually Works)

Iff you're struggling with sleep, stress, or that stubborn midlife weight, your magnesium status might be the missing piece. Here's the thing – most magnesium supplements barely get absorbed, leaving you deficient despite your best efforts.

Enter BIOptimizers MagBreakthrough, featuring seven different forms of magnesium that actually work. Why does this matter for us? Declining estrogen wreaks havoc on our magnesium levels, affecting everything from sleep quality to insulin sensitivity to cortisol regulation.

This isn't your basic mag supplement. Each form targets different pathways – magnesium glycinate for deep sleep, magnesium malate for energy production, and magnesium taurate for heart health. It's like having a precision tool instead of a hammer.

The difference is real: better sleep, reduced anxiety, improved muscle recovery, and yes – better metabolic function. When your cells finally get the magnesium they're craving, everything starts working better.

Get 15% off BIOptimizers MagBreakthrough with code ESTIMA at bioptimizers.com – because you deserve supplements that actually deliver.³

🌟 Love these recommendations? Find more resources to support your health in midlife in my Health Toolkit!

1 Ships within the USA and Canada (at an extra shipping cost). Offer available to new customers only. Exclusively for first-time orders. Not eligible for subscription orders. Terms and conditions may apply.

2 Offer available to US customers only. Terms and conditions may apply. For any inquiries, reach out to [email protected]

3 Offer not available to Canadian customers. Terms and conditions may apply.

Mini Pause #78: Making Mobility Fun & Easy in Midlife

Posted on by stephanie-estima

TL; DR (Too Long; Didn't Read)

I, like you, don't want to have to choose between mobility workouts and leg day workouts (because I’ll always skip mobility!!).

The good news is it is easy to habit stack mobility with things you are already doing in your everyday life.

Sitting on the floor while watching TV, quad stretches while you’re in line at the grocery store, practicing squats while at your kid’s extracurricular activities, the couch stretch and walking daily can keep your body pliable and injury free as you age. And bonus – you don’t need to carve out extra time or an extra trip to the gym.

WHY

Imagine being the (favorite) grandmother who easily gets down on the floor to play with your grandkids with your pliable achilles tendons and great knees.
Mobility isn't just about avoiding a nursing home; it's about living life fully now, staying injury free so you can continue to move the way you want too. On the podcast this week, my guest Juliet Starrett says mobility is “moving freely through your environment without pain and being able to do what you love.”

I’m so down for that!!

Being injured sucks. Not just physically, but psychologically. The experience of pain and the long slow recovery road can really affect your mental health as well. Especially when you have “decided” you’re only going to be injured for 2 weeks, and the recovery process takes 8 months! Been there, done that, don’t want to repeat it.

 

WHAT 

Mobility helps you stay active and independent. Key moves include:

  • Sit-to-stand test: Sit cross-legged on the floor and stand up without using your hands or knees. It measures overall health and balance.
  • Floor sitting: Aim for 30 minutes daily. It improves hips and back, reducing pain.
  • Squatting: Doing deep squats regularly helps your knees, hips, ankles, and back stay healthy.
  • Walking: Aim for 8,000 steps daily to boost health and longevity.
  • Breathing: Proper breathing (big, full breaths!) improves stress levels and overall health.
  • Stretching: Any kind of stretch counts: hamstring, quad, hip, ankle, wrist, shoulder, neck, back. I like to hold them for at least 30 seconds, until I start to feel the muscle letting go.

HOW

A mobility routine is something you can easily incorporate into your everyday routine and does not require any more time in your day. The key is attaching it to something you are already doing.

  • Floor Time: Watch TV or read while sitting on the floor. Change positions often (cross-legged, kneeling, 90/90s etc.).
  • Squat Snacks: Do a few squats while brushing teeth or waiting in line at the bank or grocery store (I promise no one cares).
  • Walking: Take short walks after meals or during phone calls. I personally love my walking treadmill and use this for at least one meeting daily.
  • Breathing Practice: Focus on deep breaths while walking or warming up for exercise. Or even just scheduling in a session or 2 of 1 minute of focused deep breathing
  • Stretch while waiting for your coffee to brew or your egg omelet to finish cooking.

 

NOW

  1. Try the Sit-to-Stand Test today. See how you do!
  2. Sit on the floor for 10 minutes tonight while relaxing.
  3. Schedule a short walk after your next meal.

 

 

WHAT I RECOMMEND

My Morning Game-Changer: AG1 Next Gen

I'm beyond excited to share that AG1 just launched their next generation! Same single scoop, once a day, but now with more vitamins, minerals, and upgraded probiotics – all clinically-backed by 4 human clinical trials. As someone who's been drinking AG1 for years, this foundational nutrition supplement has become my non-negotiable morning ritual alongside my coffee. It supports my immune health, gut health, and energy while helping fill common nutrient gaps – even for healthy eaters like us. And can I just say? I absolutely LOVE their AG Omega-3 – it's become such an essential part of my wellness routine!

Subscribe today to get a 1-month supply of AG Omega-3 with your first AG1 order!

You'll also get their Welcome Kit with everything you need to get started on your AG1 journey. Check out drinkAG1.com/stephanie to experience AG1's next gen for yourself!

Why I'm Obsessed with My Peluvas

I absolutely LOVE my Peluvas and they've become an essential part of my daily mobility and movement routine! These aren't just shoes – they're designed to mimic barefoot walking while providing protection. The individual toe design allows your feet to function naturally, engaging the small intrinsic muscles that often get weakened in traditional shoes. This helps improve balance, proprioception, and overall foot health – which is crucial for women as we age.

Whether I'm doing my morning walks or strength training, my Peluvas support natural movement patterns that benefit my entire kinetic chain.

Ready to give your feet the freedom they deserve? Get 10% off at https://peluva.com/DRSTEPHANIE with code DRSTEPHANIE!

 

🌟 Love these recommendations? Find more resources to support your health in midlife in my Health Toolkit!

Mini Pause #76: Ketones – Your New Metabolic BFF?

Posted on by stephanie-estima

TL; DR (Too Long; Didn't Read)

Ketones are a clean energy source that mimic fasting or keto without cutting carbs.

They fuel your brain and body directly (unlike caffeine, which just blocks sleepiness) and can boost workout performance, mental focus, and appetite control.

They’re ideal if you want steady energy without the crash, care about long-term health, but don’t want to commit to a full keto lifestyle. Start small, use them strategically, and treat them as a tool (not a magic fix).

WHY

Why Should You Care About Ketones?

Ketones are drinks that rapidly elevate your ketone levels, mimicking a mild fasting or ketogenic state all without the need to fast or restrict your carbohydrates for extended periods of time. They are an effective way to fuel early morning workouts without sacrificing performance and not having to eat.

WHAT 

What do Ketones actually do in the body?

Ketones are small molecules we produce in our liver when fat is broken down. Higher ketone levels indicate that your body is using fat for energy rather than glucose (sugar), which is the primary goal of ketosis or a ketogenic diet.

When you supplement with ketones they provide an immediate source of energy for both your brain and your body.

This is in stark contrast to coffee (or the active ingredient – caffeine).

Caffeine works by blocking the receptors that make you feel sleepy. When we have caffeine, we often “feel” the jittery effects of it, but that is because it is ramping up our cortisol and adrenaline. Caffeine is not a source of energy that our cells can make energy from.

So while I’m never giving up my morning cappuccino, we have to recognize that the caffeine itself is not making energy.

Only molecules like glucose, amino acids or ketones (that we get from our diet or as we break down fat) that can be used to actually make energy inside the cell.

In my discussion this week with Dr. Brianna Stubbs, she outlined some of the benefits they provide:

  • Boost pre-workout energy without food, helping spare muscle glycogen and reduce fatigue during the actual workout.
  • Act as a natural appetite suppressant, lowering hunger hormones during and after workouts.
  • Enhance mental clarity and focus without caffeine's jittery side effects.
  • Possibly support longevity, improving mitochondrial function, reducing inflammation, protecting the brain, and positively influencing gene expression linked to healthy aging.

HOW

How do you know which option is right for you?

  • Vs. Natural Ketosis: Natural ketosis (via strict diets or fasting) is great if you can fast and restrict carbs for several weeks. The issue here is it often requires significant dedication and a longer term lifestyle change. Which is GREAT, but it is just not meant for everyone.
    • Supplementing with ketones instantly and temporarily mimic ketosis without carb restrictions. This is ideal if you prefer flexibility or occasional use without long-term commitment.
    • I also no longer follow a ketogenic diet, nor do I fast for longer periods of time, so supplementing with ketones is a nice work around for me.
  • Vs. Caffeine: Caffeine boosts alertness rapidly but can cause anxiety, jitters, and energy crashes. Ketones offer steadier, jitter-free energy, beneficial if caffeine leaves you wired or disrupts sleep.
  • Vs. Traditional Pre-workouts: Typical pre-workouts rely on stimulants (caffeine, beta-alanine, etc.) for a sharp energy spike. Ketones provide a subtle, sustained energy that may enhance endurance rather than immediate explosive power

Consider ketones if you:

  • Workout early and don't want to eat breakfast beforehand.
  • Struggle with hunger when fasting or caloric restriction.
  • Need stable, calm mental energy or you want to reduce your caffeine intake.
  • Are interested in metabolic, brain health, and longevity benefits but don't want to maintain strict dietary ketosis forever.

Avoid Ketones if you:

  • Prefer significant immediate stimulation (like strong pre-workouts).
  • Have sensitive digestion (ketones can initially cause GI upset in some people).
  • Are strictly following natural keto diets for long-term metabolic goals (you may not need them because you are likely already producing ketones).

NOW

What are your immediate next steps?

Start Small: Begin with half a serving to see how your body responds. I use Ketone IQ and take 1 bottle before working out, or before podcasting.

Timing Matters: Use strategically: early morning pre-workout, during fasting windows, or mid-afternoon when focus and willpower fades.

Consistency over Magic: Remember, ketones are a useful tool, not a cure-all. Combine them with healthy eating, regular exercise, and quality sleep to maximize benefits.

 

WHAT I RECOMMEND

Ketone-IQ 

I have personally been using this product for years and I love it. It tastes great, I down a 10mL bottle and head out to the gym in the morning. No sugar. No artificial ingredients, just pure ketones in a convenient bottle. Visit https://ketone.com/STEPHANIE and 30% off your first subscription order

My Latest Article: Pique Life's Drinkable Skincare

Feeling like your skin has lost its “glow” in midlife? Myself and my Bettys can relate!

Hormonal shifts during perimenopause and menopause can leave your skin thinner, drier, and more prone to irritation. Yes, gut health, strength training, and sleep are all essential, but your skin deserves just as much attention.

And while I love my cream and serums, there’s something else I’m loving that’s super simple… It’s “drinkable skincare” from Pique Life that helps your skin from the inside out.

Click here to read more and grab an exclusive discount on USA subscriptions while it lasts.

LvlUp Health’s Ultimate GI Repair:

If you’re feeling bloated, foggy, or just off after nearly every meal there’s a reason for it.

As estrogen declines in midlife, your digestion takes a hit and your body simply doesn’t process food like it used to. But there’s an easy solution, and you can support your gut naturally and effectively.

I’ve been using a gut-healing formula called Ultimate GI Repair from LvlUp Health, and it’s completely transformed how I feel after meals. It uses clinically-backed peptides to repair the gut lining, reduce inflammation, and improve nutrient absorption—no need to change what you eat or make drastic lifestyle changes. Most women see results in just two months, and LvlUp’s products are third-party tested for purity and transparency.

Want to feel lighter, clearer, and more energized after meals? Try Ultimate GI Repair for just 60 days and get back that confidence that you can eat without fear! Visit lvluphealth.com/DRSTEPHANIE and use the code DRSTEPHANIE for 15% off.

🌟 Love these recommendations? Find more resources to support your health in midlife in my Health Toolkit!

Mini Pause #75: Hair Loss In Midlife (And What You Can Do About It)

Posted on by stephanie-estima

TL; DR (Too Long; Didn't Read)

Yes, hair loss in midlife is super common—and yes, it can still feel completely devastating.

Your ponytail gets thinner, your scalp feels more visible, and your bathroom floor starts to look like it’s wearing a wig.

What’s going on? Hormones are shifting, follicles are aging, and your hair’s natural growth cycle is slowing down.

BUT (and this is a big but), there are things you can do to help. Red light therapy, hormone support, and follicle-loving nutrients and products can bring your strands back to life.

WHY

Let’s Talk About WHY It’s Happening. Hair thinning or loss during perimenopause and menopause is incredibly common—and honestly, pretty upsetting.

You might be surprised to know that by the time you notice thinning, you’ve probably already lost about 50% of your hair volume.

Wild, right? Knowing why this happens makes it easier to take action—and feel more in control.

WHAT 

How Hair Actually Grows (and Falls Out)

Your hair goes through three main phases:

  • Anagen (Growth) – This is your hair’s growth mode.
  • Catagen (Transition) – Growth slows, and your follicle prepares to shed.
  • Telogen (Resting) – The strand falls out, and the follicle chills before starting over.

When we’re younger, the anagen phase can last years, thanks to high estrogen levels keeping our hair long, thick, and shiny.

But as estrogen and progesterone decline in midlife, that growth phase gets shorter. Hair starts falling out faster than it can grow back—and that makes long, full hair much harder to maintain.

Meet the Hair Wreckers: Hormones + Senescent Cells
So, what’s really messing with your hair?

  • Hormonal Decline: As estrogen and progesterone dip, the growth cycle shortens. Hair gets thinner, and new growth struggles to keep up.
  • Senescent Cells: These are aging cells that stop functioning but stick around causing inflammation. Around your hair follicles, they create the perfect storm for shedding and thinning.

I recently interviewed Alessandra Zonari, stem cell biologist and co-founder of OneSkin, on the BETTER! podcast. She and her team developed a peptide that helps clear out those senescent cells around hair follicles—and guess what?

I’ve been using their OS-01 Hair Serum consistently for 8 weeks and I’ve got baby hairs coming in. Amazing, right?

 

HOW

What Can You Do? Let’s get to the good stuff: how to help your hair thrive in midlife.

  • Red Light Therapy
    This is one of my favourite biohacks. Red light helps energize hair follicles, reduce inflammation, and can even help your body clear senescent cells. I personally use BonCharge Red Light Panels and aim for 10–20 minutes daily.
  • Load Up on Minerals
    Your hair loves nutrients. Make sure you’re getting plenty of:
    ✔️Iron – Helps deliver oxygen to follicles. (Red meat, lentils, spinach)
    ✔️Zinc – Needed for follicle repair. (Pumpkin seeds, beef, seafood)
    ✔️Magnesium – Boosts hair strength. (Almonds, avocado, leafy greens)
    ✔️Selenium – Protects against damage. (Brazil nuts, fish, eggs)
    ✔️Silica – For shine and resilience. (Oats, cucumbers, bananas)
    ✔️Copper – Supports pigment and density. (Mushrooms, nuts, seeds)
  • Clean Up Your Haircare Routine
    Ditch harsh shampoos and heat styling (or at least go easy). Use products that target aging follicles and support healthy growth. OneSkin’s OS-01 Hair Serum is a game-changer—especially if you’re trying to rescue thinning areas.

NOW

What To Do Next (AKA Your Hair Rescue Plan)

✨ Start Red Light Therapy – Try 10–20 minutes a day. It’s relaxing and restorative.
🥗 Eat for Your Hair – Prioritize protein, good fats, and those follicle-loving minerals.
🧴 Use Smarter Products – Swap in serums like OS-01 Hair that support cellular repair and follicle rejuvenation.

WHAT I RECOMMEND

OneSkin OS-01 Body  

Bettys, you know I always say: your skin isn’t just something you moisturize—it’s your largest organ and a vital part of your metabolic and inflammatory health. That’s why I’m obsessed with OneSkin’s OS-01 BODY. This isn’t your average body lotion—it’s a topical longevity treatment formulated by scientists to actually reverse biological aging in your skin cells.

In clinical studies, it increased skin thickness by up to 40%, dramatically improved hydration, and even lowered markers of systemic inflammation. Translation? Smoother, firmer skin and deeper health benefits you can feel.

If you’ve got crepey arms, a dull chest, or thinning skin on your legs, you’ll want to read this. → Click here to learn how it works.

And if you want to see the results for yourself, use DRSTEPHANIE at checkout to save 15%!

 

Strengthen Your Foundation with Peluva 

As women age, the risk of falling—and suffering serious injuries like fractures—rises dramatically. In fact, falls are the leading cause of ER visits in women over 65!

But here’s the good news: there are simple things you can start doing today to protect your future mobility. One of the most important? Improving your proprioception, which is your body’s ability to sense where it is in space. It’s what keeps you balanced, coordinated, and steady on your feet.

One easy way to boost proprioception is by wearing barefoot or minimalist shoes. Unlike conventional shoes that weaken your feet and limit natural movement, barefoot shoes help activate the small stabilizing muscles in your feet.

My absolute favourite? Peluva’s barefoot shoes. (I own three pairs!) They’re cute, comfy, and actually work to strengthen and realign your feet with every step. Whenever I wear them, I feel more confident in my stride and know that I’m improving my long-term mobility and independence.

Want to give them a try? Use code DRSTEPHANIE at peluva.com/DRSTEPHANIE for 10% off.

🌟 Love these recommendations? Find more resources to support your health in midlife in my Health Toolkit!

Mini Pause #74: Sports for Longevity

Posted on by stephanie-estima

TL; DR (Too Long; Didn't Read)

I am all about a life well-lived.

I have been intrigued recently about sports that increase and improve longevity, and delightfully, sports like tennis, pickleball, badminton, squash, and cross-country skiing are among this list.

They can significantly boost longevity by improving cardiovascular health, enhancing cognitive function, supporting muscular strength, and, perhaps most importantly, fostering social connections.

WHY

A few weeks ago – I was playing tennis one morning and got to speak with one of the players in the court next to me after our session. He is 75, plays 5 days a week for 2 hours a day. I was literally in awe of him (and his serve!)

The same thing has happened to me on the cross country trails in the winter. I am lapped by smiling elderly women and men who are just flying through the course.

They are potent reminders of how I want to age. And if they have figured it out by playing tennis or skiing, I am all over it.

Movement diversification is a crucial element to aging well. Just like a diversified financial portfolio can protect our investments, movement diversification is also important.

What makes these sports so special is they specifically combine multiple factors associated with aging well:

  • Aerobic exercise
  • Coordination
  • Strength
  • And social interaction

I would also add that racquet sports add an element of strategy. You have to be thinking about setting up to hit the ball well, but also what you can hit that wins points. It keeps you mentally sharp.

Racquet sports also use a lot of side to side motion. Nerds like me refer to this as the coronal plane which is sorely lacking in everyday life. This side to side motion keeps tendons and ligaments in the ankles, knees and hips healthy, and it also helps develop core strength, another crucial component for aging well.

WHAT 

Here's a fun summary of the benefits of these sports:

Racquet Sports (Tennis, Pickleball, Badminton, Squash):

    • Improves cardiovascular endurance and heart health.
    • Enhances cognitive skills such as strategy, quick decision-making, and hand-eye coordination.
    • Strengthens major muscle groups, maintaining overall muscular health.
    • Fosters social connections, reducing stress and promoting mental health.

That last point, while simple, is hard to overlook. It's simply a delight to have friends who share the same interest as you, and you can connect while exercising together. In this way, pickleball or tennis is the medium by which you are connecting with others, and getting a good workout is just a side benefit.

Cross-Country Skiing:

    • Superior aerobic conditioning and cardiovascular health due to full-body engagement.
    • Low-impact activity preserving joint health.
    • Enhances balance, coordination, and core strength, which are crucial for injury prevention and daily functional activities.

If I may be so bold (and expect more on this in the future), with all the hype around muscle, what seems to be lost is that in order to age well, you MUST, I repeat, MUST preserve your joints.

You can’t develop muscle if the joint is destroyed.

Joints are the unsung hero of aging well. No joints, no muscle. Period.

This is why I love cross country skiing over all other types of skiing. The injury risk is so low, the impact is low, and it is just you, the sound of snow crunching under your feet, and the random sounds of birds, and babbling brooks that have not yet frozen over. It is heaven on earth.

 

HOW

If you are a gym girlie like me and perhaps looking to diversify your movement portfolio in your training sessions, you can also integrate some sport specific training for these sports to augment your physical literacy required to do them well.

For Racquet Sports Training:

    • Agility drills (lateral movements, footwork patterns on a ladder are great).
    • Strength training emphasizing legs, core, and shoulders (lunges, rotational core exercises, overhead presses, Pilates).
    • HIIT and jump training to boost speed and power (think switch lunges, jumping squats, or one footed jumping patterns on and off plyo boxes
    • Balance exercises to prevent falls and improve court mobility.

Cross-Country Skiing Training:

    • Endurance training through steady state running, cycling, or rowing.
    • Core stabilization exercises (planks, side planks, Russian twists, Pilates).
    • Upper-body strength training (pull-ups, push-ups, rowing movements).
    • Balance and coordination drills, including single-leg balance and proprioceptive exercises.

NOW

Your easiest 3 next steps:

1. Try a Beginner Session: Find local clubs or groups to try these sports.

2. Add Cross-Training: Start with simple strength or balance routines to complement the sports.

3. Commit Socially: Engage a friend or group to enhance motivation, enjoyment, and accountability.

 

WHAT I RECOMMEND

Red Light Therapy for Face & Neck 

Your skin doesn’t lie. As estrogen dips during perimenopause, changes in your face and neck can feel sudden and defeating.

But what if a simple, at-home light ritual could visibly brighten your complexion and help you sleep better?

Learn why red light therapy is more than a skincare trend—it’s a hormone-friendly tool to support your entire body through the midlife shift.

Click here to dive into the research and how-tos in our latest article.

 

Maui Nui Venison Snacks

If you’ve ever wished for a high-protein snack that supports your hormones and your metabolism without weighing you down—this is it.

I’ve found a protein source that checks every single box for us midlife Bettys: wild-harvested venison sticks from Maui Nui. With an unbeatable protein-to-calorie ratio (10g of protein in just 55 calories!) this lean, seriously delicious meat outperforms conventional beef in every way—more micronutrients, better blood sugar support, and none of the inflammatory junk.

Plus, Maui Nui is dedicated to safe and sustainable practices; both the animals and the land they graze on are treated with the utmost respect.

Click here to learn more about my #1 protein go-to snack. (Both myself and my family are obsessed with them!)

By the way, supplies are limited by the nature of their work, so they sell out FAST.

 

LMNT's Lemonade Salt

It's easy to forget that our sweat isn't just water. But why is it that we only down a glass of water after finishing a workout or running around on a hot day? Our sweat consists of water and sodium, potassium, and magnesium.

So next time you're reaching for that glass of water … remember to replenish electrolytes too.

My new summer hydration obsession is LMNT's Lemonade Salt. With zero sugar, artificial ingredients, or junk found in conventional sports drinks – and with the right amount of minerals – it checks all the electrolyte boxes. I feel hydrated and more energized within minutes of taking it. Plus I love LOVE the taste!

Click here to grab this new flavor and get a free Sample Pack with your purchase.

Hurry, though, this flavor is only around for a few more weeks!

 

 

 

🌟 Love these recommendations? Find more resources to support your health in midlife in my Health Toolkit!

Mini Pause #60: The Hips Don’t Lie: Especially When They Have Bursitis

Posted on by stephanie-estima

TL; DR (Too Long; Didn't Read)

Hip bursitis is a common source of hip pain, especially in women over 40. Yay us!

It occurs when the bursae—fluid-filled sacs that cushion the hip—become inflamed. Symptoms include sharp or aching pain on the outer hip, discomfort when lying on the affected side, and stiffness.

The good news?

A mix of movement modifications and training (hello glutes), rehab exercises, and targeted nutrition can significantly reduce pain and improve mobility.

WHY

Women in perimenopause and menopause are more susceptible to hip bursitis due to hormonal changes, particularly the decline in estrogen and testosterone, which impact collagen production, tendon elasticity, and joint lubrication.

These shifts can lead to increased inflammation and a greater likelihood of soft tissue irritation, making conditions like bursitis more common in perimenopause.

And whatever you do–don’t ignore it!

If you leave it, the persistent inflammation can lead to compensatory movement patterns, where other muscles and joints take on extra strain, increasing the risk of secondary issues such as lower back pain, knee problems, or even gait abnormalities. The ongoing pain can make weight-bearing activities more challenging, leading to muscle atrophy and further weakening of the stabilizing muscles around the hip.

WHAT

Hip bursitis is the inflammation of the bursae, small sacs of fluid that cushion the hip joint. The most common type, trochanteric bursitis, affects the outer hip.

It typically develops due to repetitive movements such as prolonged walking, running, cycling, and excessive stair climbing. Clinically, I would always see it in runners.

Poor biomechanics also can leave you susceptible–things like weak gluteal muscles, leg length discrepancies, improper gait patterns, and poor pelvic movement, all of which contribute to uneven stress on the hip joint and bursa.

Estrogen normally gives us great tissue resilience. But when this begins to decline, we are at a higher risk for bursitis developing.

Common symptoms include:

  • Sharp or aching pain on the outer hip and thigh.
  • Tenderness when pressing on the area.
  • Increased pain after prolonged standing or walking.
  • Stiffness that worsens after periods of inactivity.
  • Pain sleeping on the affected side.

HOW

MOVEMENT & REHAB

Modify Activities: If you are experiencing symptoms, avoid prolonged running or repetitive movements that worsen symptoms.

Strengthen Your Peach: Focus on glute-specific resistance training, including exercises such as:

  • Hip thrusts
  • Bulgarian split squats
  • Step-ups (these can be done on a box or a bench or even a Hack Squat Machine)

All of these work to strengthen the gluteus medius and maximus, both of which play a crucial role in stabilizing the hip joint and preventing excessive strain on the bursa. It also makes you look great in jeans…so there’s that consolation prize, too.

I would often add in activation and hip stability exercises like:

  • Clamshells
  • Glute bridges
  • Some sort of abduction movement like lateral leg raises or an abduction machine

Foam Rolling: I don’t know why foam rollers are so controversial (I literally see doctors arguing about foam rolling daily on social media), but I really like them as a way to help relieve pain.

Obviously do NOT roll directly on the bursa but some gentle (key word her Bettys, GENTLE!) release in the glutes and IT band.

Correct Posture & Gait: This one might need some in-person coaching from a chiropractor or physical therapist, but poor posture, such as excessive anterior pelvic tilt (overarching the lower back), rounded shoulders, or an uneven weight distribution while standing, can lead to improper biomechanics that increase strain on the hip.

A weak core and gluteal muscles contribute to instability, further exacerbating poor posture and inefficient movement patterns. Now, I’m not a fan of planks (I hate them if I’m being honest), but I do like hypopressives and stomach vacuums as a way to improve core strength. Core strengthening and improving walking mechanics both help redistribute load.

NUTRITION & SUPPLEMENTS

Anti-Inflammatory Diet:  First the basics: Don’t eat ultra-processed food. Drink lots of water and sleep. You KNOW this.

Key Supplements:

  • Omega 3 is the ultimate anti-inflammatory supplement. 2-4g daily
    • Try BodyBio Balance Oil or Fish Oil+. Click HERE and use code DRSTEPHANIE to get 15% off.
  • Collagen supports connective tissue health and repair. Aim for 25-30 g daily, ideally in a hydrolyzed form for better absorption.
    • Try Equip Foods Grass-Fed Collagen. Click HERE and use code DRSTEPHANIE to get 15% off.
  • Magnesium aids muscle relaxation and recovery. Take at least 400mg daily.
    • Try BiOptimizers Magnesium Breakthrough. Click HERE and use code ESTIMA to get 10% off.
  • Vitamin D & K2 is essential for bone and joint health. Ensure you get at least 2,000 IU of vitamin D daily with K2 for optimal calcium metabolism.
    • Try Adapt Naturals. Click HERE to get 20% off. (A code will appear in a pop-up box when you click the link.)
  • Creatine is an incredible compound showing promise around not only muscle and brain health, but it also has some incredible anti-inflammatory properties for muscles, brain, and bone.
    • Try Create Gummies (my new favorite!). Click HERE and use code DRSTEPHANIE to get 20% off.
    • Try mindbodygreen creatine with taurine+. Click HERE and use code DRSTEPHANIE to get 15% off.

NOW

  • Apply Ice & Adjust Activities 

If your hip is inflamed, apply ice (15-20 minutes) and avoid aggravating movements. This will at the very least provide some temporary relief.

  • Strengthen & Mobilize

Add 5-10 minutes of targeted hip and glute activation exercises (above) to your daily routine. Also, consider some of the glute exercises above in your next leg day session.

  • Nutritional Support

Incorporate anti-inflammatory foods and consider adding collagen, omega-3s, and magnesium to your supplement stack.

What I Recommend

Peptide Protection from Sun & Stress-related Skin Aging

You know I won’t recommend a product unless I’m absolutely obsessed. I use OneSkin because it does what skincare should—it helps your skin become healthier every time you use it.

Right now, I’m loving their sunscreen, OS-01 FACE SPF. (I wore it every day of my recent ski trip. It’s truly an all-season product.) Not only does it give you broad-spectrum UV protection, but it also reduces the effects of previous UV exposure at the cellular level. [*]

All those years you spent baking in the sun? There’s a chance you could repair some of that damage. OS-01 FACE SPF goes after free radicals, too. It’s packed with antioxidants that neutralize oxidative stress, so your skin isn’t constantly under attack. It’s doing the job of your vitamin C serum while protecting and repairing your skin. [*]

Visit oneskin.co and use code DRSTEPHANIE to save 15%.

BONUS! While sun exposure is the biggest factor for premature aging, chronic stress also plays a role. Learn how stress speeds up the aging process and get four tips for mitigating how it impacts your skin in this article.

Health Optimisation Summit Comes to Austin

It’s official! I’m speaking at the Health Optimisation Summit in Austin, Texas! I'll be talking about perimenopausal strategies like muscle, meals, and stress management.

Europe’s biggest health event lands in Austin on April 12-13. You'll hear game-changing health insights from nearly 40 industry-leading experts covering topics from biohacking and nutrition to functional and preventative medicine.

Spend two full days at the Palmer Events Center surrounded by Paleo-inspired wisdom, innovative health tech, and a community that feels like family.

If you purchase your ticket now and use code DRSTEPHANIE, you'll save 10% on VIP or General Admission.

Mini Pause #56: Reading The Label of The Jar You’re In

Posted on by stephanie-estima

TL; DR (Too Long; Didn't Read)

Understanding your underlying core beliefs about people, relationships, and how things should be can be challenging (how can you read the label of the jar you’re in?), but in this issue, if you don’t have a straight-to-the-point friend willing to call you out on your BS, there is a series of questions you can ask yourself to get to the root of your frustration, and more importantly, what to do about it.

The series of questions are:

  • What am I feeling?
  • Why am I feeling it?
  • And what am I going to do about it?

Spoiler: this will create more peace and tranquility in your life. Balanced hormones, here we come!

WHY

Recently, my friend called me out on a block and persistent irritation I was having with a mutual friend of ours.

Friend: “You know what your problem is, Steph?”

Me: “What?”

Friend: “I’m telling it to you straight because I know you can handle it. You’re holding onto a childish hope that they are going to behave and show up differently. You’ve been holding onto that since you were 18 years old, hoping [our mutual friend] is going to recognize and respond to it, even though they are 47, and looking at you like you are 47.”

Me: “F*ck. I hated hearing that. But you’re totally right.”

My friend was right. I was distorting reality, hoping, ever so childishly, that someone would just read my mind and cater to my wishes. This got me thinking: What other labels am I unable to read because I am in the jar?

I will turn this question to you:

In what ways are you showing up–in your marriage, in your family dynamics, as a friend, as a mother–HOPING someone will come in, read the room (and your psyche), and do exactly what you want them to?

WHAT

Relationships can be complicated. With a capital C.

You can get along with someone in some ways so perfectly, so harmoniously, that it can be baffling that this does not extend to all the verticals of your intertwined lives.

Let’s use the example of a partner here:

Intellect and humor? Check.

Physical chemistry? Check check.

But when it comes to other dimensions of your shared life, like finances, parenting philosophy, or even something more nuanced like speaking up for yourself in front of family members, things might begin to fall apart. The strong synergy that exists in these areas of your connection no longer seems to hold up.

Now, it’s time for the reality check. There will be some ways that you click together seamlessly, and other areas where you have to accept the reality of the situation.

Accepting the reality of the situation means no longer holding out a false hope that things will be different; instead, you accept things the way they are. This doesn’t mean giving up on working toward that ideal future, but it does mean accepting life exactly as it is, right now.

In a way, this is a complete relief. It is a release of what never was, a release of what you artificially constructed in your mind. It is a conservation of energy, focus, emotions, and time. Instead of ruminating on why things are not the way they “should” be, you can just see it for what is–with no emotional charge attached. It is a neutral acceptance of what is.

If you were in a job that was overwhelming in some capacity (maybe the energy of the company, the dynamics of the coworkers, the expectations of hours that you are unable to give, or even skill sets that you don’t possess)–wouldn’t it be a relief if you were either let go or decided to leave?

You are no longer beholden to expectations that you can never meet. Instead of spending energy trying to manage your frustration and overwhelm, you are free. While the conversations involved in coming to that realization might be uncomfortable, it is better for both you and your boss to discuss it in the open.

The same applies if you are a parent, a wife, a daughter, or a friend.

The hardest part about this is realizing that there is a mismatch.

It's my hope you have someone who can help you shed light on it, the way I benefited from it. And if you don’t, here is a formula for you to figure it out yourself.

HOW

Think about the areas in your life where friction exists. In your marriage, in your relationship with your kids, your parents, or your coworkers.

  • What is it exactly that is bothering you about it? Name the feelings.

There can be several feelings. Keep going until you feel you have gotten to a core feeling. For example, anger often comes from a fear response. And fears are usually a clue to your core desires (or else why would you be fearful of them not coming true?).

Then, ask yourself why you are feeling that way.

  • Why are you experiencing these intense emotions?
  • What is the feeling behind the emotion?

And finally, and perhaps most importantly, what are you going to do about it?

  • Are you going to continue to hold out hope for a non-existent reality?
  • Or are you going to accept what is, right now?

I should say, for clarity, this does not mean you cannot work toward your ideal scenario, but the reality is that it doesn't exist right now. So being upset that it isn’t here is a colossal waste of your time, energy, and focus.

NOW

  • Identify where the friction in your life exists.
  • Identify what your feelings are around the friction or relationship.
  • Identify why you are feeling the way you do (as a clue to your most strongly held beliefs).
  • Identify what you are going to do about it.

This is the way to peace. We cannot continue to ruminate on what “could have been” “should have been” or “would have been.” It is another way we should all over ourselves.

Let that sh*t go. Release the emotional expectations and here you will begin to find your peace (not to mention balance your hormones, sleep better, have more energy for the gym, and cultivate joy in your life).

What I Recommend

Managing Your Metabolic Health

While there are devices available to track all kinds of body processes, I want to talk to you about your metabolic health.

I get a lot of questions from my Bettys about how to control or change metabolism. You already know that your nutrition, workouts, sleep, stress, and other lifestyle factors have a big effect, but you often don’t know the how or why.

That’s why I’m loving the Lumen, a non-invasive handheld device and app combination.

  • The device analyzes your breath to determine how your metabolism is functioning and gives you immediate feedback on whether your body is using carbs or fats for fuel.
  • The app shows you in real time how your day-to-day actions (the meals you eat, your daily movement, your stress levels, and more) impact your metabolism.

Take carbs for example. No, they’re NOT the enemy, they’re essential to your body. Mitochondria, your cells’ powerhouses, use carbs as a primary energy source, influencing everything from cellular function to your metabolism. Ideally, you want to get to metabolic flexibility–the ability of your mitochondria to shift between carb and fat burn easily. Carb cycling, alternating between low-carb and high-carb days, is a way to do this.

With Lumen’s insights into what’s happening in your body, you’ll get personalized tips to help you align your daily activities with your dietary, fitness, and lifestyle goals.

And if you’re intermittent fasting, Lumen can help track your body’s ability to switch between carbs and fats during fasting periods. Learn how in this article.

Check out the Lumen metabolic breathalyzer at LUMEN.ME and use code ESTIMA to get 20% off.

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