The view from my handlebars...: perimenopause

Showing posts with label perimenopause. Show all posts

Friday, May 8, 2026

electrolytes abound

It seems like there are ads for electrolytes everywhere you look, and the more you look, the more ads find their way to your eyeballs. The interest and availability of electrolyte packets has exploded into a $40B industry. The market is projected to double by 2034. However, there are risks associated with overconsumption. A balanced diet often provides enough electrolytes. Looking at my most successful diet of all time (the IVF diet by Zita West), I was regularly getting 1000mg Na from the food, and on some days as much as 3500mg Na. The contributors to high sodium were soy sauce, capers, olives, canned green beans, and shrimp or fish fillets.

Supplements I have or still take (or haven't tried yet)

The items in bold are the things I used during the marathon.

SaltStick Chewables: 100mg Na, 30mg K, 6mg Mg, 10mg Ca, 1g carb

LMNT: 1000mg Na, 200mg K, 60mg Mg, 0g carb

Prime: 600mg Na, 400mg K, 75mg Mg, 10mg Ca, 2g carb

Electrolit: 330mg Na, 370mg K, 20mg Mg, 40mg Ca, 10g carb

Venture Pal: 500mg Na, 280mg K, 20mg Mg, 104mg Ca, 8g carb

Tailwind: 620 mg Na, 180mg K, 24mg Mg, 54mg Ca, 50g carb

Liquid I.V.: 510mg Na, 390mg K, 12g carb

Skratch: 400mg Na, 49mg K, 48mg Mg, 54mg Ca, 19g carb

Gatorade Zero: 380mg Na, 110mg K, 2g carb

Gatorade: 270mg Na, 80mg K, 35g carb

Powerade Zero: 240mg Na, 80mg K, 0g carb

Powerade: 250mg Na, 60mg K, 35g carb

Nuun: 300mg Na, 150mg K, 13mg Mg, 13mg Ca, 4g carb

Solgar liquid: 300mg Mg, 600mg Ca, 2g carb

NOW Ca&Mg softgels: 333mg Mg, 667mg Ca, 25mg Zn, per 2 softgels

365 Ca&Mg capsules: 500mg Mg, 1000mg Ca per 3 capsules

NOW Ca&Mg tablets: 500mg Mg, 1000mg Ca per 2 tablets

TUMS: 1000mg calcium carbonate

Coconut water: 50mg Na, 646mg K, 24mg Mg, 53mg Ca, 15g carb

"Astronaut Juice": 145mg Na, 12.5g carb per 8 oz serving

Coca-Cola: 40mg Na, 42g carb

Pickle Juice shot: 470mg Na, 20mg K, 2mg Zn, 0g carb

Nerds gummy clusters: 15mg sodium, 71g carb

Gu: 55mg Na, 30mg K, 20mg Ca, 23g carb

Clif bloks (3): 50mg Na, 18mg K, 24g carb

Biscoff (4 cookies): 115mg Na, 23g carb

Stroopwafel: 75mg Na, 18g carb

Clif bar: 230mg Na, 225mg K, 40mg Ca, 42g carb

McDonald's salt packet: 280mg Na

Heinz mustard packet: 65mg Na

For me, learning about electrolytes has been a trial-and-error process. When you train with a friend or a group, someone will see you suffering and lean over to whisper about their favorite bonk-breaker. I was told about Gu from a running friend when the mileage climbed above 9 miles for a long run. We would stop to take a gel at mile 7. I remember refilling a water bottle during a 60-mile bike ride in 2010, and someone quietly slipping a Nuun tablet into my bottle. At the time, I was primarily concerned with drinking water, and I thought it was enough to quench my thirst.

Marty's Tom's Farms ride

When I was hiking in the Verdugos, I got food poisoning in 2012 from my own self. I had probably put a Nuun tablet into a hydration bladder and then let it fester. The next time I tried to use it, it was full of pests, which infested my GI tract. I vowed then and there to NEVER contaminate my hydration bladder again. I've heard people put flat Coca-Cola into their water bottles, so I've added Coke for comparison. But I'm too scared of not being able to fully wash it out to put anything other than water in my hydration vest/belt bottles. I remember examining Nuun's ingredients, and in terms of macronutrients and micronutrients, it was similar to the growth medium used to culture fungi.

The kicker for me came when I cramped during the 2024 Santa Monica Classic. I called my sister to complain, and she asked me what type of electrolytes I was taking. When I told her none, she said it was incredible that I lived in such a hot climate and that nobody had taught me about the importance of replenishing electrolytes. To be honest, every time I think about this race, it still burns me that I skipped the 10k and only finished a 5k. The course was shortened due to the heat.

I've been wanting to write a blog about salt for a long time, but it seems like I'm always staying so busy. I had to take a break from grading student work because hackers disrupted our access to the LMS, Canvas. It's been unavailable for just over 24 hours, which is pretty much the timeline I predicted. But it still sucks that I lost about 8 hours of productivity. Although it did give me the opportunity to write and read a little about salt.

What I can say is that during the 2025 LA Marathon, I took two SaltStick chews every 30 minutes and ended up feeling gross at mile 17. I adjusted that to one SaltStick chew every 30 minutes in 2026, and it was perfect. I felt amazing up until mile 25.

MyFitnessPal all time data

LA Road Runners Chat #9 Dietition Serena Marie - Part 2 (10-30-2025)

https://youtu.be/f5gXdJ4i4yQ?si=KmMON9FYyumPI4ux

LA Road Runners Thursday Night Coach's Zoom

You can calculate your sweat rate, and a dietitian who spoke to my running club explained that you should track all of this, including the weather. To convert sweat rate to sodium loss, multiply your sweat volume (in liters) by your sweat sodium concentration (typically 200–2,300 mg/L, with an average of ~950 mg/L). A typical, moderate sweat rate is 1.2 L/h, which, at an average concentration, results in ~1,000 mg (1 gram) of sodium lost per hour. I've never done it, but maybe I can make this a summer project.

Sodium to Salt Conversion: 1 gram of sodium equals ~2.5 grams of salt (NaCl).
Range: Most people lose 200–2,300 mg of sodium per liter of sweat.
Factors: Sweat concentration is mostly genetic, but sweat volume depends on intensity, temperature, and acclimation. You can use this worksheet to calculate your sweat rate, then use that to determine how much sodium you need. I don't feel like I'm a heavy sweater, but at the Naughty Girl Fitness workout, I was dripping sweat, so maybe I just don't notice it when I'm running.
https://koreystringer-institute.media.uconn.edu/wp-content/uploads/sites/3814/2024/08/Sweat-Rate-Calculator.pdf

I am mindful that we need more magnesium as we age. I wonder how much magnesium from supplements is bioavailable. I still take a lot of supplements, pushing calcium and magnesium as I have since pregnancy and postpartum. But because of the cost, I sometimes wonder if I should stop. Also, I wonder if I'm putting myself at increased risk of kidney stones by overdoing it on electrolytes. In all, the body is pretty great at maintaining homeostasis. But I have heard of people overdosing on TUMS and ending up with stones.

Cost of Racecations in 2024, 2025 and 2026

I have heard of people taking salt packets from McDonald's, as well as mustard packets. Some people love Nerds gummy clusters. I guess I spent a lot on food/fuel when I was first getting started running, but now that I'm more settled on what I like (what works for me), I don't spend as much. I included fuel and all the food from the race weekend in this calculation. Someone in my running group suggested signing up for ALL the races. Like YOLO. They justified it by saying, "What is your health worth?" And that got me thinking about how much I spent on running in the past few years.

For sure, running has been crucial to my mental health, now and at various previous times in my life. The American Heart Association recommends a sodium intake of less than 1,500 milligrams per day. The form matters. Salt tabs called "buffered" seem to contain sodium citrate, not just sodium chloride. The buffer helps balance lactic acid and possibly other amino acids produced in anaerobic pathways. In fact, some athletes take sodium or potassium bicarbonate prior to intense efforts, such as sprinting.

A future post could explore branched-chain amino acids (BCAAs), another fitness craze, as well as ketones such as beta-hydroxybutyrate. I feel like I'm not interested in doing fasted exercise. I'm trying to fuel while training to avoid dipping into ketosis. What I can say is that I took BCAA Complex in my smoothies this past training cycle. Not by choice. My son wanted to put them in there because he loved making a rainbow smoothie with many different ingredients. But I did feel a difference in my energy throughout the day. It felt similar to taking a high dose of B vitamins. He also put in Nature's Superfruits powder (which does have insane amounts of B-vitamins).

Looking at the literature, it seems that a lot has been discovered about metabolism since I left grad school. I remember discovering that ketones and branched-chain amino acids are produced by plants under low-oxygen stress. I'm not saying I'm responsible for these discoveries, but I remember finding these findings and reporting them, and the people in the plant hypoxia world saying it just wasn't possible. Records are being broken every day by athletes who are figuring out better fueling strategies, and I'm sure some of that has to do with electrolytes, too.

I haven't been taking my collagen powder, creatine powder, or my MCT powder supplements in my coffee. For some time now, I've been drinking it black. But I do take a creatine capsule at bedtime with all my other supplements. Not that you should take my advice. We're all out here doing the best we can. My race results: https://www.athlinks.com/athletes/85696593/results I'm not trying to win my age group. I am trying to run sustainably so I can continue doing this. It helps balance my mood, and I feel like it's helping me ease the menopause transition.

One strange thing I did notice was: I kind of feel like my belly fat is decreasing now that the marathon is over. It's been two full months now. I feel like longer walks, lower stress, and more cross-training are actually making a big difference. I started running to get rid of the belly fat and lose weight. But running long distances hasn't really lowered the number on the scale much. I'm trying to revisit the idea of cortisol. Doing workouts that raise cortisol will increase belly fat. Doing workouts that lower stress may actually have a larger impact in the direction I would like to go.

I've been enjoying the off-season, following the Fit4Mom 5k plan A, which is really chill. I've been doing Royal Core 4.0 from RunFitMama and some workouts here and there from Naughty Girl Fitness. I am thinking that the long walks and some weight lifting are revving up my metabolic engine. I think I might need to keep lifting heavy shit. I'm in pain every day anyway, from my joints aching. Why not add some muscle soreness? Dietarily, I've tried to reduce my intake of fried foods and increase my intake of dietary fiber from fruits and vegetables.

My previous posts about salt:

https://bitchonabike.blogspot.com/2025/03/la-marathon-race-report.html

During Training https://bitchonabike.blogspot.com/2024/12/women-are-not-small-men.html

https://bitchonabike.blogspot.com/2025/01/powerful-hermana.html

Century Rides https://bitchonabike.blogspot.com/2014/07/independence-day-ride-report.html

Kaiser Wellness Posts https://kaiserwellnesscenter.blogspot.com/2013/05/coconut-water.html

https://kaiserwellnesscenter.blogspot.com/2019/06/fda-should-finalize-sodium-targets.html

Astronaut Juice https://kaiserwellnesscenter.tumblr.com/post/50695781267/astronaut-juice

Other References:

The use of buffered salts as anticoagulants for the maintenance of true cell volume and for the determination of plasma proteins. Chorine, V. Revue d'Immunologie (1940), 6, 193-208.

Magnesium: Exploring Gender Differences in Its Health Impact and Dietary Intake
By: Mazza, Elisa ; Maurotti, Samantha ; Ferro, Yvelise ; Castagna, Alberto ; Pujia, Carmelo; Sciacqua, Angela ; Pujia, Arturo; Montalcini, Tiziana. Nutrients (2025), 17(13), 2226.

Magnesium in Obesity, Metabolic Syndrome, and Type 2 Diabetes. Gabriele Piuri, Monica Zocchi, Matteo Della Porta, Gian Vincenzo Zuccotti, Luciano Pinotti, Valentina Ficara, Michele Manoni, Jeanette A. Maier and Roberta Cazzola. Nutrients (2021), 13, 320.

Perspective: Ketone Supplementation in Sports—Does It Work? Pedro L Valenzuela, Adrián Castillo-García, Javier S Morales, Alejandro Lucia. Adv. Nutr. (2020) Oct 22;12(2):305–315.

Effects of a commercially available branched-chain amino acid-alanine-carbohydrate-based sports supplement on perceived exertion and performance in high intensity endurance cycling tests
Marco Gervasi, Davide Sisti, Stefano Amatori, Sabrina Donati Zeppa, Giosuè Annibalini, Giovanni Piccoli, Luciana Vallorani, Piero Benelli, Marco B L Rocchi, Elena Barbieri, Anna R Calavalle, Deborah Agostini, Carmela Fimognari, Vilberto Stocchi, Piero Sestili. J Int Soc Sports Nutr. (2020) Jan 20;17:6.

Tuesday, April 28, 2026

gingerbread in July

Well, here it is. End of April. Last year, at this time, I was either running or still training for the Rose Bowl Half, which had been rescheduled due to the wildfires in Pasadena, and I remember thinking I did not like this. I do not like training for half a month after a marathon. This year, I got to rest my legs and my immune system.

I've been following the Fit4Mom 5k training plan A, which is just to finish a 5k. It's very accessible. Following a training plan was a great way to set goals without too much pressure. And coming up here is the Miyagithon by Jed and Ted's excellent races. I think I'm going to do the Cobra Kai 5Kai, which is the distance that is listed on the training plan that I've been following. I haven't registered yet.

I wanted to wait to register until I could see how the training cycle went. Just to see if I felt more like a 5k, 10k, or half. But honestly, with the amount of miles I've been putting in, I'm only following the 5k plan. So it's okay to just do the 5k and call it good. I was reading somewhere that underestimating the 5k is a common thing runners do. Some people feel that a 5k is a distance you can do with no training, and that's a myth.

https://riseandrunpodcast.com/ep-238

https://www.instagram.com/rundisneydpt?igsh=MzRlODBiNWFlZA==

One factor in this training cycle has been the sickness that I got after the marathon. We've been having kind of a lot of stomach blues. I had stomach flu in February. Right before the marathon. We've had another round of it now in April. And of course, that complicates training a little bit, because it's hard to stay hydrated. It's hard to stay on top of electrolytes. It's hard to eat. And your body is spending a lot of energy trying to fight the virus.

Another thing that's kind of been happening is my period has been either late or early the last 2 cycles. Additionally, I've been having just a ton of pain in my feet. And I started thinking, well, if I'm having pain in my feet, maybe I just need to run less or whatever, maybe it's just something that I'm doing, that's making this painful. But now I'm also having the pain in other joints, like my shoulders, my neck, my back, my wrists, my hips, my knees. So it's like just systemic inflammation and joint pain, and I definitely. I think it's related to perimenopause. And it's so frustrating because I want to exercise in order to feel good in my body. And I do feel good in my body. I can't say that I don't.

I've been doing a little bit more cross-training than usual. I've been doing Naughty Girl fitness. I've been doing a little bit of Run Fit Mama, Royal Core 4.0. And it's helped me notice some imbalances, asymmetries, and areas of weakness.

It is easy to overlook imbalances, asymmetries, and areas of weakness if all you're doing is running while neglecting your strength training. But I have to say it is very discouraging to have such a large degree of joint pain. Like from the moment I wake up, and my feet hit the floor. I almost can't walk to the bathroom. Today I had trouble hooking my bra because my wrists and my shoulder were hurting. Do I need to go back to my doctor for my annual physical? Yes. But I'm just kind of emotionally bracing myself for her to just say, "No, there's nothing we can do." And that's all!

I'll be honest, not every run feels like flying. I rely on music to keep me moving. But today I listened to a podcast. It feels like running with a friend. Episodes 84 and 85 helped me feel gratitude for a body that moves, however cranky and slow. How different seasons of life have different motivations. How important it is to be flexible regarding your training plan. There is no such thing as a perfect training cycle, especially when you're a mom.

https://podcasts.apple.com/us/podcast/ep-84-running-a-marathon-in-residency-finding/id1765429588?i=1000762383534

I titled this blog post "gingerbread in July" because that's how crunchy and stale my joints feel.

Wednesday, February 11, 2026

winter olympics

I had a crazy nightmare last night. I was at a base camp in the mountains. Staying at a bougie ski chalet. Having the time of our lives. Hot cocoa. Jacuzzi. Lush. Selfies. Fur coats. Glam. Good conversations with exciting strangers who also love active living and travel.

Then it dawns upon me. Why I am there. I remember that I registered for a 100 mile ultramarathon. In the cold. In the mountains. I have to stay in athlete housing. Bunks. I am the only female signed up for this race. There are only 12 people doing the race.

I take all my luggage and put it on a bunk bed. I try to sleep. I wake up and go to the bathroom. Someone had moved all my stuff to a different bed. I had to find it in the dark. The night before the race.

I got up to pee again and someone moved my stuff again and this time, like musical chairs, there were no more empty beds because more people had arrived in the middle of the night. So I just went down to the lobby.

That's when I realized all the gear I packed was for California weather, not cold gear. I didn’t even have gloves. I had a light jacket, not even a windbreaker. I started to really panic. I started beating myself up for being unprepared. I started thinking there was a very real possibility I would die out there on the mountain.

When the other participants woke up, one guy offered me his snow pants and I got a parka and some gloves from somewhere. I thought I could still do the race. I might not finish, but I wouldn't die trying. Then I find out they make you strip down naked and have all your gear checked to make sure you aren't cheating.

Mind you, I'm the only woman. So there I am, a crazy Nebraskan-Californian with back rolls and saggy boobs and a fat ass... dancing in front of the judges and other participants and spectators. I wasn't embarrassed about my body, I was embarrassed that I was so unprepared. And I didn’t want it to reflect badly on me, women, mothers, Californians, Nebraskans, Americans. It was humiliating.

Besides being stripped naked, our gear was inspected. The snow pants that someone had "kindly" loaned me contained illegal, performance-enhancing valves, which the officials cut out. So my outfit ended up with holes in it, and almost ended up getting me disqualified.

So then I was left at the decision point. Run the race with all the holy gear, or quit before I start. Then I woke up.

I think it was about the Winter Olympics. And exploitation of women. And misogyny. And working in a male-dominated field. And feeling stressed about my training cycle. And the upcoming marathon. And generalized travel stress, like for a destination race. Like worrying about having forgotten something essential. And wondering what my next big challenge will be.

Tuesday, December 2, 2025

Sparkle Season

I am already exhausted. The pressure to create the holiday magic is so real. I don't know if it actually brings me joy or am I a product of my culture. Like, am I just acculterated to feel like I must do these things:

Bake cookies

Decorate a tree

Buy gifts for people

Wrap the gifts

Hang stockings

Get stocking staffers

Plan a holiday meal / menu

Plan holiday experiences

Watch holiday movies

Drink holiday drinks

All while teaching six classes, leading a run club, and doing normal stuff like laundry, dishes, grocery shopping, meal prep, and trying like hell to drink enough water and not forget to do anything important.

I surround myself with calendars and to do lists. I am literally terrified of forgetting something. Thoughts flit into my consciousness and then right back out again just as quickly. I can't write them down fast enough and I can't remember what I already forgot.

I want the holidays to sparkle but I am not home enough to enjoy the decor. I have no idea what gifts I have already. I may have sent gifts to people. I bought holiday cards and stamps but I don't know when I will have the chance to address them, write a message, and put them in the mail.

My eye is twitching. It has been doing this for about 4 days. I'm worried it's due to stress and dehydration.

Thursday, November 13, 2025

Fever Pitch

Fever pitch means a state of extreme excitement or agitation, and its origin is related to the high temperature of a fever. The earliest known use of the noun was in the 1830s, appearing in print in 1837, likely referencing the high temperature of a fever to describe intense emotions. The phrase is commonly associated with sports.

I have been working so hard since I got these new classes. Breakneck pace is a phrase that comes to mind. My mind is endlessly cycling through the "to do" list. Doing what absolutely needs to get done. Just putting out fires. Not really able to think about long-term strategy or even simple housekeeping.

Hot take versus hot flash

And I had such a bad PMS and hormone rollercoaster this cycle. My flow finally arrived this weekend but the past two weeks were either anger, anxiety, or overheating. It was hard to run and it was hard to be nice. I had to apologize to my family on more than one occasion.

The foot pain is real and I purchased a couple of things to try to address it. I bought lock laces, which are kind of like a bungee, stretchable laces. I also got some toe spreaders, to straighten out my little pinky toe. My sister said the pain that I was getting on the outer part of my foot is most likely due to my shoes being too pointy in the toe box. I guess it's called a bunionette, which is acute sounding name, but it didn't feel very cute.

Bad News Update

I think I'm starting to process through my grief, after I got the bad news that my cousin died last friday. It hasn't even been a week. I told my best friend from college. And I also told my best friend from high school. And just today I told the crossing guard that stands in front of my child's elementary school. It has been hard to go to work and pretend like I'm fine. I've done a lot of sobbing at my desk.

I've been trying to think of ways that I can honor her. But so far nothing feels right. The only thing that feels logical is to reach out to the tough mamas in my life that are still out there doing the work, fighting the fight, parenting, being an athlete, being a strong member of their community. Just reaching out to them and saying how much I appreciate them. How much the world needs them. How much their family and friends benefit from their presence and strength.

I feel like this tragedy has helped me just take my foot off the gas pedal, a little bit with work stuff. Reevaluate my priorities. Ask myself what things are worth stressing about, and what things are really just small? And I can let them go. It's really terrible to read the obituary of a forty two year old woman.

Katherine Gogela Obituary (1983 - 2025) - Lincoln, NE

https://www.legacy.com/us/obituaries/journalstar/name/katherine-gogela-obituary?id=60019271

Lincoln doctor dies after being hit by SUV https://share.google/98sVPQD924YHBW3kx

Stanford Student Dies After Being Hit By Van While Jogging / Nebraska woman struck crossing road https://share.google/1dPeUX0emO5LUJtYb

I used to make very insensitive remarks like, "If I die while I'm out on a bike ride, at least I died doing something I loved." The truth is, at that time, I was suicidal. I was under so much strain and stress during graduate school that the thought of dying was like being able to rest, and I actually wanted to rest. Now that I'm a mom, I definitely don't want to die. I want to be able to exercise outdoors safely without fear of being killed by a vehicle.

The other thing I said, right when it happened, is, "I don't even know what she was training for." My mom said, "She was probably just out enjoying the day, because it was the last beautiful day before winter weather hits." But still in my mind, I had a feeling she was training for something. A mother of four doesn't just go out for a walk because she feels like it. Katie was an accomplished physician and a busy working mom. To be so high-achieving, she was a type A personality.

I looked her up on Athlinks. I found out what name she uses to register for races. I found out that she had already completed two marathons: Panama City Beach Marathon in 2022 and Grandma's Marathon in 2023. But that still didn't answer the question, on that day, on that run, what was she training for?

The answer came over the weekend, Katie was training for The Good Life Halfsy. A half-marathon in Lincoln, which Katie had run before. She was well into her two-week taper period. She was killed on a Friday, the half-marathon she had been training for was on Sunday. I cried a lot on Monday, on what should have been her Medal Monday. Somehow, it brings me peace to know that she was training for something.

Friday, September 12, 2025

perimenopause or not?

I have been having such pain in my feet lately. I don't know if it's perimenopause or not. Maybe I did too many miles too quickly. But what I wonder about is my mom and my aunt saying that they stayed active until a certain age until their feet and lower joints hurt too much. Then they put on weight until they lost most all of their mobility. I feel scared that this will happen to me now that I am approaching midlife. I can't help but wonder if HRT would fix this.

My doctor suspects that I am now sensitive to high salt. I don't know about that.

OKAY I can confirm that my hormones were officially completely jacked up this cycle. It's been 6 days since my predicted day 1 of my period and nothing so far. It felt like my body tried to ovulate on cycle day 24 or 25. Now it's cycle day 32 and I'm crying for no reason, very emotional like PMS. I don't know if and when I will menstruate this cycle. I also don't know how to count the cycle days unless I just assume this period skipped and just count cycle day 1 from the fitbit app's prediction of September 12.

June 27-July 2 brown blood and very light flow / spotting whole menstruation

July 22-27 normal period

August 17-22 normal period

September 12-17 skipped (or very late period)

Monday, July 21, 2025

Perimenopause Beauty Routine

Cleanser

Ponds Cold Cream
Facial Cleansing Wipes for sensitive skin from Target
Johnson's Head-To-Toe Baby Wash and Shampoo
Clinique Redness Solutions Soothing Cleanser
Jurlique Nourishing Cleansing Oil For Face

Moisturizer

Clinique dramatically different moisturizing lotion+
Pond's Dry Skin Cream
Dr. Mercola's Organic Acai Night Moisturizer
Clinique Moisture Surge Intense 72H Lipid-Replenishing Hydrator Moisturizer
Jurlique - Nutri-Define Supreme Restorative Rich Cream

SPF

Sun Bum Baby SPF 50 Sunscreen Stick, Mineral Roll-On
Eucerin Sun Sensitive Mineral Baby Sunscreen Lotion SPF 50
Neutrogena Pure & Free Baby Mineral Sunscreen Lotion with Broad Spectrum SPF 50 & Zinc Oxide
Think Everyday Face Sunscreen Lotion, Naturally Tinted, SPF 30+

On my 45th birthday, surrounded by loved ones, two family members that I haven't seen in awhile commented "gee your face looks red, it looks like you've gotten some sun." I was kind-of taken aback, like geez people I hardly ever see you and this is the first comment you want to say. This is what you're leading with? Well, I suppose it's just their observation, and I didn't mean to take offense.

But when you're dealing with hormone fluctuations, you get bad skin. And then I thought about the use of face tune, filters, and skin smoothing on photos. If people are keeping up with you on social media, and you're doctoring every photo you post, then when you are greeted in person, people are going to ask you if you're okay when your skin doesn't look like it does in the photos.

Generally, I do wear sunscreen every day and on special occasions I wear the tinted one that is kind of like foundation. But I didn't bring it. And I had gone for a difficult 6 mile run that morning so I guess I was looking flushed. And this is the best routine I can do at the moment for my aging skin. I'm seeing a dermatologist today so we'll see what they say.

I tried this at my parents' house, and it was nice:

https://www.amazon.com/dp/B0DMW79VM4/

https://www.amazon.com/Seborrheic-Face-Cream-Dermatitis-Moisturizing/dp/B0D8RNX734/

supplement

Honestly, I didn't have much faith in the herbal remedy recommended to me by my doctor (estroven). But I started taking it anyway because I was desperate. I had been taking a variety of supplements to support mood and milk supply, but it was time to adjust them since I have weaned. This is the new list. I tried to document them so that it would be easier to remember when restocking my pill organizer.

AUVON Weekly Pill Organizer Arthritis Friendly, BPA Free Travel 7 Day Pill Box Case with Spring Open Design and Large Compartment to Hold Vitamins, Cod Liver Oil, Supplements and Medication

💜Menopause multivitamin (A, C, D, E, B1, B2, B3, B6, B9, B12, B7, B5, iodine, Zn, Se, Cu, Mn, Cr, Mo)

One A Day Women's Menopause Multivitamin with Vitamin A, Vitamin C, Vitamin D, Vitamin E and Zinc for Immune Health Support, Bone health, 50 Count

💛Vitamin D3 5000 IU

NatureWise Vitamin D3 5000iu (125 mcg) 1 Year Supply for Immune Support, Healthy Muscle Function, and Bone Health - Non-GMO, Gluten Free in Organic Extra Virgin Olive Oil, (Mini Softgel), 360 Count

💗Vitamin B12 2512 ug

EZ Melts B12 Sublingual Vitamin 2,500 mcg, Methylcobalamin, Sugar-Free, 3-Month Supply

🐠Fish oil 2000 mg

NOW Foods Supplements, Omega-3 180 EPA / 120 DHA, Molecularly Distilled, Cardiovascular Support*, 200 Softgels

💕Estroven = Soy isoflavones 60 mg + 56 mg+ Black cohosh 40 mg + CQR-300 300 mg

Estroven Pre-Menopause Relief, 30 Ct., Clinically Proven Ingredients, Provides Menopause Relief plus Night Sweats & Hot Flash Relief, Drug-Free or Estrogen Free

💊💊Creatine 2.5 g

Optimum Nutrition Micronized Creatine Monohydrate Capsules, Keto Friendly, 2500mg, 100 Capsules

🤍🤍Ca 1300 mg / Mg 550 mg

NOW Foods Supplements, Calcium & Magnesium 2:1 Ratio, High Potency, Supports Bone Health*, 250 Tablets

This is what I put in my coffee:

🐄Collagen 10 g

Vital Proteins Collagen Peptides Powder Supplement, Hydrolyzed Collagen Peptides Travel Pack, 20 Individual Packets

🥥MCT powder 6 g + Lactobacillus 1.5 B CFU

Garden of Life Dr. Formulated Keto Organic MCT Powder - 30 Servings, 6g MCTs from Coconuts Plus Prebiotic Fiber & Probiotics, Certified Organic, Non-GMO, Vegan, Gluten Free, Ketogenic

✨Creatine Powder

Optimum Nutrition Micronized Creatine Monohydrate Powder, Unflavored, 60 Servings, 300 Grams (Packaging May Vary)

💙Melatonin (this didn't work for me)

Vitamatic Melatonin 10 mg Tablets | Vegetarian, Non-GMO, Gluten-Free | 1-Year Supply | Natural Berry Flavor - 365 Tablets

🧂Venture Pal electrolytes (Na, Ca, K, Mg, Zn, Cl, Vitamins B3, B5, B6, B12, C)

perimenopause

Here's what I wrote in January

Having drama in my head about perimenopause. My period came early and with a vengeance. I get itchy palms that are so bad, it wakes me up. I can't sleep 3 or 4 nights out of 7. I wonder if going through IVF brought on early menopause. I don't know if hormone replacement is a good thing or not, and I don't know if it will "fix" my symptoms. Also have high cholesterol now. Still breastfeeding Marchling. Haha, saying that out loud is scary, and also, I wouldn't want to tell a doctor b/c it's so uncommon. Running a marathon in March because I thought it would help dry up my milk and facilitate weaning, given the many long runs and early morning training sessions. Geez.

And like reconsidering if a repetitive activity like running is really the best thing for my body. Like I am starting to feel like the accumulation of pounding is taking its toll on my joints and muscles. The development is somewhat limited. I'm not sure if I could motivate myself to lift weights alone if it weren't for supporting some other goal.

And here's what I experienced in my last menstrual cycle (June)

I don't think I ovulated. I can usually feel the process of ovulation. During perimenopause, the ovulation seems like it's delayed about a week from whatever my period tracker says. I think it's always been that way, but ever since my egg retrieval, I can feel when I ovulate really badly from my right side. Sometimes I don't really feel the left one, but this last cycle I really couldn't feel it, and the hormones that usually ebb and flow seemed like they weren't even flowing.

Then when it came to my period, the blood was brown for the first few days and the last few days. I have never seen anything like that in my life. Since my pregnancy, my periods have been really intense. Like a lot of red blood for a whole day and then the period is nearly done. But the blood has always come out red. I feel like it was definitely an anovulatory cycle.

The good news is that I had a Dexa Scan and Mammogram on Friday, May 23rd. The breast scan came back normal and the bone density scan came back normal also. I'm having an appointment with a dermatologist today. I don't know what to expect because I really wanted help with a skin tag but this dermatologist said specifically that they don't deal with skin tags. So I guess it will be another cancer screening. I requested a referral for a colonoscopy but I haven't got the paperwork yet so maybe it wasn't approved. I will follow up.

I've had my new glasses for more than a month. They messaged me on June 5th to let me know that they were ready. I enjoy the new prescription and the bifocals. I had absolutely no problem adjusting to them. I guess my old glasses prescription was so out of date that it was a relief for my brain to have one that was more correct. Albert went to his pediatrician appointment on June 17th and he was 37th percentile for height and 32nd percentile for weight. The doctor asked if he could brush his teeth twice per day.

Now that I've done my health gauntlet, it's hard to believe that I was so scared. I mean yes, doctors don't listen and they don't always do what you ask, but it wasn't really that bad. Yes it was a pain to schedule everything and required being on hold for sometimes 45 minutes.

I remember that

Menopause is worse than puberty because adults have already formed a stronger sense of self. Menopause changes you in profound ways, in your body, skin, fat, and brain. Probably skeleton too, just like puberty. But as a 13 year old, I was still forming my personality and identity, I was more malleable. I feel my adult self is being destroyed and re-formed by menopause, perhaps more profoundly than matrescence. I guess it's scary because I don't know what the final state will feel like or look like and I'm afraid it will be worse than the state I have been in for more than 30 years, the childbearing years.

It is interesting having this realization in the house I grew up in, the house I went through puberty in. The most valuable part of spending time with family has been reinforcing my childhood memories. Hearing a sister say, "I remember that," is so validating. I have a big fear of losing my grip on reality and having no memories. Like is my body already primed for dementia? Is it tied to the brain fog of motherhood and menopause? I have enjoyed reminiscing with my sisters this trip, sharing memories from our childhood, reinforcing things that happened as facts and not made-up fantasy from my silly failing brain. I feel like I'm grasping at a mist that can't be held but my sisters help me retell the story and reinforce it with concrete cinder blocks with rebar. Love those gals.

Running through Elmwood Park, Memorial Park, near the Keystone trail, through UNO and along Happy Hallow Blvd made me think moving to Omaha was a good idea.

Tuesday, June 3, 2025

Hello June

Here are two blogs that I had stored in my Google Keep. They're not directly related, but what they have in common is that I didn't have time to type them out. They were all dictated using a voice-keyboard. Mostly while walking. I decided that when I got done with teaching I would subject myself to a health gauntlet and visit all the doctors that I had been procrastinating. I was confident that I would be able to convince someone to prescribe me some hormone replacement therapy (HRT). But I was unsuccessful.

Here's what the doctor sent me. https://www.medicalnewstoday.com/articles/322587

And here's what I sent back:

High cholesterol (even with fasting) and pruritus (hands, feet, and vulvar) together are perimenopause symptoms. I don't want to ignore the cholesterol issue, which concerns me. Additionally, mood swings have been severe with unexplained crying mid-cycle and 10-days of PMS now.

I have been using Ultimate Hydration Body Cream for my hands and feet, which was one of your suggestions. I've tried Bounce Back Muscle Recovery Body Butter for my legs, sometimes a lotion with cooling menthol can distract my mind from the itching long enough to fall asleep. I have tried aloe vera aftersun with lidocaine, which does not seem to help. I have even tried Moisturizing Coconut Shea Butter Lotion on my vulva when it gets bad. It's so hard to sleep when I can't get any relief.

Yes, antihistamine diphenhydramine HCl at 50 mg does help, but I worry about its long-term side effects. It carries a risk of dependence, and I am 4321 days sober as of today (one day at a time). I don't want to rely on anything that can lead to dependency. This information is relevant to my concerns.

I'm not sure which type of Estroven is recommended; several types exist. I cannot see how much black cohosh is in each tablet. A review article suggests taking up to 120 mg of the drug/day, which is actually three tablets. Some studies showed that black cohosh increased HDL and lowered LDL, but not all studies showed this. More studies showed that black cohosh had no effect on cholesterol.

Now here are some more thoughts that I didn't share with the doctor:

Since meeting with my GP, I started taking a Menopause formula as a daily multivitamin. It contains soy isoflavones. How much of that is recommended for a daily allowance of isoflavones? Is there a danger of overdose? Will these new supplements together help regulate my symptoms? I don't have time to look into all these things!

How much calcium is too much calcium? Should I add a fish oil supplement? If black cohosh has efficacy comparable to low-dose transdermal estradiol, why can't I take estradiol instead? It seems more prudent to take regulated substances instead of botanicals not regulated by the FDA. Estradiol plus intermittent micronized progesterone had a significant impact on LDL cholesterol.

And furthermore, can we trust the government right now anyway? Why is our country being run by influencers and funding is being slashed for women's health initiatives? We can't win right now! It was a very heavy Month of Mama this year. With my units being cut at CSUN, I can't afford to hire an outside doctor right now and pay for hormones out of pocket.

Mother's Day Musings

I feel like as women we are taught to accept less. To do more with less. To work with scarcity. And create magic. And that's how we are incrementally left with nothing. The gift we want is to be left alone. We're so tired of creating all the magic for others.

I am dictating this while wearing a bra that I bought 6 years ago that's totally falling apart. It doesn't fit well. It's not supportive. This should be totally unacceptable. Why is it that advertising can make such big promises? But in the end most garments don't even do the bare minimum in terms of fit and function.

I was doing so well in my Motherhood Maternity era, both during pregnancy and early Postpartum. In my Kindred Bravely era. In my Latched Mama era. In my LuLaRoe era. My Levi's jeggings era. Now that I'm in my Sweatpants era, I really don't give a crap about how other people perceive me in terms of what I'm wearing. Melani Sanders or “justbeingmelani” Instagram started a WDNC club. I appreciate what I learned during my Sarah Wells era and my Ceres Chill era. And I'm ready for whatever is next.

You don't matter

What I hear the medical establishment saying to me right now is your pain is not real. You're suffering is insignificant. Your problems are imaginary. This is what people have dealt with for thousands of years. We don't care about you. We don't care that you're suffering. We do not care that your life is impacted. We do not care that you're not able to sleep. We don't care about your history of substance abuse. We don't care to actually help you. We don't think you matter enough to focus on your problem. Your contributions to society are insignificant or are largely in the past. You do not have enough value to warrant our attention.

We will address each of your symptoms as individual problems, not look at the total sum of what these clues point to. We are going to dismiss your concerns one at a time, chalk it up to a lack of healthy diet, a lack of exercise, and simply a family history of high cholesterol. We're not going to look at the bigger picture and say that this is a new problem that has arisen in the last 5 years. We're going to say that your numbers are borderline anyway, therefore no action is required.

At what time do you realize you aren't going to be able to fall asleep? At what point do you cancel tomorrow's workout? When do you shut off the alarm you had set for tomorrow? At what point do you realize it's too hot in your bedroom? At what point do you start googling symptoms? At what point do you lean into online providers and telehealth? At what point do you give up? I don't want to be the person who has given up on myself. I want to keep moving forward. I want to realize I am only at midlife. I have 45 more years to go. Family tree roots run deep.

References

C. Castelo-Branco, M. Gambacciani, A. Cano, M. J. Minkin, D. Rachoń, X. Ruan, A.-M. Beer, J. Schnitker, H.-H. Henneicke-von Zepelin & S. Pickartz (2021) Review & meta-analysis: isopropanolic black cohosh extract iCR for menopausal symptoms – an update on the evidence, Climacteric, 24:2, 109-119, DOI: 10.1080/13697137.2020.1820477

Gordon JL, Rubinow DR, Watkins L, Hinderliter AL, Caughey MC, Girdler SS. The Effect of Perimenopausal Transdermal Estradiol and Micronized Progesterone on Markers of Risk for Arterial Disease. J Clin Endocrinol Metab. 2020 May 1;105(5):e2050–60. doi: 10.1210/clinem/dgz262.

On the plus side, I got results back from the pap smear (normal), the mammogram (normal), and the bone density scan (normal). I got a new eyeglass prescription but there has been a delay. The glasses should be ready for me to pick up in a few days. I am still waiting on the referral for colonoscopy.

Wednesday, April 2, 2025

priorities

Yep it's cycle day 20. Luteal misery. I fell on my run this morning and cut my knee and the palms of my hands. It got me thinking about my priorities. Should I have cut back the volume of today's run considering I'm a bit sick and on a difficult part of my cycle? Should I have done a shorter workout since my husband and I overslept? Was I rushing to get home and therefore not watching my footing? Was I pushing my pace too hard? Is it too soon after the marathon to be doing speed work again?

Mom

Wife

Teacher

Athlete / Coach

Dog Mom

Friend / Sister

Human Being

Woman

Artist / Gardener

The identities listed above define my priorities. Scheduling my time and doing the most important thing first is a struggle. Minute-by-minute, day-by-day, week-by-week, etc. I do count down the weeks of the semester. I count my parenthood duties as foremost in my mind. I cannot skip these. If my child is sick with a fever, I must drop everything else and take care of him until he is well again.

I guess my wife's duties are to my household and my husband. We took vows to care for each other in sickness and in health. As we strive to reach a more optimized state of health, these duties look like creating shopping lists and meal plans, cleaning kitchens and bathrooms, vacuuming and wiping down common areas, cooking and transporting food, restocking important household supplies, organizing items at the house so they can be inventoried and located, purging items that are no longer used. This is a long list. I also spend many hours per week just putting stuff away, sorting trash from treasures, and resetting areas to be useable again.

Next set of duties that I cannot skip, but also are not my top priority, are the things that I get paid for. Teaching duties, lesson planning, grading, sending emails, posting announcements, following up with absent students, etc. Writing quizzes, making copies, drawing on the board, communicating with colleagues in person and online, reading emails, and scheduling things. I put these things lower on the priority list when I need to, and then higher again when things at home are settled. I work ahead when I feel healthy and balanced, but I fall behind when other higher priorities become urgent.

My duties as an athlete/coach are sometimes higher and sometimes lower, but lately, they have been pretty high. I've let my health take a back seat to parenting and work for half a decade, and now I want to put it higher so that I don't skip workouts and backslide into more significant obesity than I currently am. I spend time creating content for YouTube to educate myself and my runClub. I program and track my workouts using spreadsheets and mileage trackers on Canva. I compare the data on my Samsung Health app to Strava Athlete Intelligence to keep myself motivated and moving forward. As Coach Bennett of the Nike Running app says, You're your best coach. Talk to yourself kindly as you would want your coach to talk to you.

I have a new identity as a dog mom again, which means that I have to fit dog walks into my life. I need to do some dog training and grooming, and remember to add her food to the shopping list, refill her water dish, talk nicely to her, and watch for her under my feet when I'm carrying something large so I don't step on her.

As a friend, this may look like hour-long phone calls to check in on the women in my life. Or it may look like sharing something funny or motivational on Instagram messages. It doesn't have to take up a lot of time when I'm busy, but it is a steady stream of back-and-forth to let those women know they are important, significant, loved, and cared for. It's similar to sisterhood. It's curating the village. This may be a separate post, but I'm leaning into paying for my village. I paid to join the run club. I paid to join the Sparkle Squad. But I get a lot out of it too.

How the "human being" tasks ended up so far down, I don't know. This is stuff like eating, sleeping and pooping. Stuff all humans do. Getting sick, getting well, breathing, digesting, the things we take for granted when it is going well. Maybe we should also put hydration in this category. Also shopping for stuff like supplements, vitamins, and tracking macros. I mean, this could also be a separate post. I've reconsidered the supplements I'm taking. After some bloodwork before my marathon, which I begrudgingly agreed to do, I briefly stopped taking all my supplements. But since then, I've started retaking most of the supplements I had paused.

I guess I would put "woman" in here in a general way to say self-care. Beyond friendships. Stuff like pampering. Spa time. Being alone. Thinking your own thoughts. Blogging like I'm doing now. Doing something I enjoy. The other day I heard a podcast about Disney stuff and they mentioned that Bath and Body Works was doing a line of Disney Princess fragrances. I had to go to the mall and smell it for myself. I'm not sure why this resonates with me in the category of women, but I guess princesses are women and women are taught to be conscious of smelling good, not sweaty, and having soft skin, not rough. So this type of self-care is associated with femininity. It also falls under the Wife category since it involves keeping the lotions and soaps stocked. It is Woman, though, because this dry skin due to perimenopause is something else. And I'm hoping the lotions help with that.

Artist is the last, lowest, and least of my identities. But it's still there! This may be visual with crafting, or it may be kinesthetic with roller disco and dance. I had vowed that when I finished the marathon season, I would do something else in the off-season and get back into dance or rollerskating. And then I went ahead and signed up for another marathon! Yes, I'm doing the LA Marathon 2026. But I still have a lot of semester left to finish, and most of the summer will pass by before training starts again in earnest. Naughty Girl Fitness is $14.44 a month, and it's app-based.

I'm still paying for my Fit4Mom instructor membership, which is $9.99 per month, not even covered by the amount I get paid for coaching the RunClub. After talking with my husband over the long weekend, we may have concluded that I might not continue coaching the RunClub. I might get more out of the season if I commit fully to LARR. The good discount with Fit4Mom is that you do not have to pay for the monthly membership as an instructor and you can still attend classes. I think I was paying $69 per month for Fit4Mom, and at one time, I was paying hundreds of dollars for a monthly membership and Body Well.

People say good things about Orange Theory Fitness, and 24 Hour Fitness, but for now I've got my Planet Fitness Membership. It's $25 per month for the Black Card membership, which includes massage chairs, hydromassage, tanning and Total Body Enhancement, which I have yet to try but I might do it soon. It's vibration combined with red light therapy. Again, this could be a topic of a future blog post. What I'm looking forward to most is the end of the semester and our trip to Nebraska. What I'm not looking forward to is the Rose Bowl Half because it seems so out of place in the season, finishing up all the work of grading and submitting grades, and the weather going hotter and hotter as we approach summer.

Maybe I could add to Artist also Gardener. And this is the lowest priority. At the moment completely dead. But it is generally in spring where I revive our garden. Albert has shown some interest in planting stuff for spring. It will be difficult to justify since we're traveling to Nebraska early in June, but maybe if I'm clear with my husband about care instructions, the garden won't be completely dead when we get back. And I really need to work on getting stuff OUT of our house. It's so overstuffed right now it's stressing me out.

Wednesday, February 19, 2025

26 days until the marathon

I wanted to write a quick blog about how I'm feeling. Just one long run left before the marathon. I feel ready. I know what I'm going to wear. I know what I'm going to eat. I have my pace in mind. I've trained to climb the hills of the course. I'm done listening to doubters (including myself).

I've had aches and pains in this journey. I remember one of the first things I felt was foot pain, like October or November 2023. I felt like I had a stress fracture in one foot. I remember googling "obese running problems" to see if there was any correlation between weight and running and foot injuries. What I found was that it was actually inversely proportional. Heavy runners tended to run slower and have fewer foot injuries. Lighter runners tended to do too much speed work too soon and get stress fractures. So I kept plodding along.

I don't know which of my runners it was that asked me, don't you have any injuries? and I remember saying, no because I do the proper stretching, strengthing, and rehab. But that's not entirely true. I got a mean case of shin splints around May and June 2024. It hurt so bad even to walk. I think it was probably muscle weakness in the calf that caused it. And I continued to stretch, and do strength exercises, and work through the pain, and buy new shoes! And more calf raises. And curtsey lunges without putting weight on the back leg.

I guess it was about a year ago that I went in and got assessed for new shoes. I was probably following a 5k training plan back then and didn't really look like a serious runner. Those shoes worked well for me and I ended up getting three more pairs of that style. I got reassessed last week and they recommended a pair of New Balance. More lightweight, more cushion.

I remember it must have been around October or November when I started having pain in my psoas. Or hip flexor. I ordered a dance warm-up that I thought would help. I asked on the Coach's chat for the LA Roadrunners and they said it was most likely a weak muscle. And that the solution is not more stretching or foam rolling but more strengthing. So banded marches it is. What I ended up doing is attending Fit4Mom Stroller Strides classes and then swapping out the exercises I should be doing for my rehab and running strength instead of whatever the instructor tells us.

I don't know what day it was but one morning it was really cold. I had some knee pain. But I put on my knee-high leg warmers and ran anyway. As long as my knees were covered, it was okay. If the leg warmer slipped below the knee, it hurt a bit. I'm guessing it was Lassen (January 30th). Adding speed and treadmill and hills at the same time. Probably too much.

I would love to write more about how I'm feeling, but I have to run to class. Enjoy this Venn Diagram I made about the similarities and differences between Motherhood, Marathoning and Teaching.

Wednesday, December 4, 2024

Women are not small men

The general guideline is 150 minutes of activity per week. This advice is about 20 years old.

What's important are the ratios of estrogen and progesterone, ratios change as you enter menopause.

Menopause causes a demise in sensitivity of receptors, change in gut microbiome, bone and muscle loss.

How can we do super high intensity work to cause epigenetic changes in the muscles as we become more insulin resistant?

Lifting heavy has a CNS effect. It stimulates muscle protein synthesis. Strength and power. Faster nerve signaling, stronger muscle contraction, in the absence of estrogen.

Raising cortisol is a danger zone. We already have elevated baseline cortisol. Resistance training with 10-12 exercises can just raise cortisol.

Muscle fatigue is caused by the load? or the volume? Women tend to under-load. If you want to gain lean mass, you can just do a volume to fatigue. But if you want to prevent falls, you need the heavier load to engage proprioception. Do 5-7 reps of heavier load rather than 10-12 reps of lighter load. You can do 5 sets of 5 with good mechanics.

Periodization is important for the rest of your life. It doesn't stop at one competitive event. You want cycles of building up and off-season. First 3 months is base building. Then add load.

Sprint-interval training. Not HIIT. Working at 95-110% of VO2max. You can only hold it for <30 seconds. Not more than 1 minute. HIIT is 1-2 minute intervals. In sprint-interval training, you're having longer 2-3 minute recovery periods. It yields more metabolic and CNS adaptations, which are more beneficial to perimenopausal women. More impactful than hormone therapy.

Metabolism, cardiovascular risks, bone density. Improves muscle uptake of glucose. Controls blood pressure.

Protein is super-important! For even sedentary, obese or normal-weight women. 1 gram per pound which is compared to 0.6 grams per pound. Higher protein intake allows reorganization of body composition. If you add strength training, you can do it even faster. Recomposition.

Anabolic resistance happens in perimenopause. Taking in protein every 3-4 hours is important for recomp and protein synthesis. Without taking in protein, you can't recomp your body.

Men age linearly while women have a big change point in the mid-forties. We have some anovulatory cycles. We have estrogen without progesterone. We see significant changes including loss of lean mass, increase in adiposity. We don't have signals to keep lean mass. We are confused and therefore pack on body fat to prepare for hibernation. We lose strength and power.

We have to look at gut diversity. Because our hormones are digested in the gut.

The tendency is that when women start storing fat, they just eat less. Downregulating thyroid, increasing bone catabolism, increasing muscle catabolism. You should not do fasted exercise. You should not be skipping recovery meals. Manipulating body comp is done by fueling training and eating less at night when you're not training.

If you fuel properly, you will have more energy, which will feed forward more quickly, and you will see results. Fasted training can work for men but not women, especially when we're going through menopause. Even for women who are in their reproductive years, fasted training is not good for us. We have a system for using free fatty acids in our mitochondria. We already have estrogen shuttling carbohydrates away from muscles, just by being born female.

The recommendations are 100-150 calories, 15-20g protein preworkout before strength training drops cortisol and allows the body to have access to blood glucose. Pre-workout 15-20g protein with 30g of carbs before cardio training. Which allows us to train harder and recover.

Fasted women end up with more hormone dysfunction. Kisspeptin neurons. Men have more fatty acids available if they train fasted, but this does not work for women. Kisspeptin neurons regulate metabolism (fasting leads to low energy availability). The other Kisspeptin neurons regulate appetite and nutrient density. Keto and/or fasting can be counterproductive.

ROAR was first published in 2016 and updated in 2023. Oral contraceptives and hormone replacement. Different times in the cycle have either great or poor resilience to infection. Track your cycle and heart rate variability. Biohacking can lead to better understanding. Natural vs. synthetic hormones and how they are digested in the gut.

Bleed patterns will change when you approach menopause. If there's ovarian failure, you will have an extended follicular phase. You may get heavier or shorter periods, which is indicative of approaching menopause. When you have perimenopause symptoms, you need to get into sprint-intervals. If you're training 3x per week, do 2x per week sprint-intervals. Even if you're endurance training, do some sprint-intervals for metabolic control.

Even doing a sprint-interval once every 10 days, it's better than not doing any at all. You can go to the gym and do it in a group situation. You might find it hard to get the motivation to sprint. Doing two in one session is better than not doing it at all. Within reality, go for the 80/20 rule. Try to do it all the time and then it's okay to give yourself permission to skip 20% of the workouts.

Two weeks of focused training, then one week of recovery. Do what you love. Undulating periodization. "Focusing" could be heavier load on squats. Focus could be something else in the next 3-week block. As we get into perimenopause, we need more recovery.

Estrogen without progesterone is responsible for how strong myocin bonds to actin. So we don't have as strong of a muscle contraction when progesterone is present. Acetylcholine (muscle depolarizing) is also effected by estrogen. No estrogen, less acetylcholine, less strong muscle contraction. Estrogen helps with strength and power. But progesterone limits strength and power. Progesterone is catabolic. It uses the resources to build endometrial lining. Estrogen is anabolic.

In the women's health initiative study, late post-menopausal, 8 or 10 years beyond menopause, women were studied that were manifesting major symptoms like bone loss, cardiovascular issues, and muscle loss. Adding synthetic hormones at that point had more risks than benefits. But there are lots of other things that can be done that can mitigate these things, other than taking exogenous hormones, for example in early perimenopause.

What supplements would you suggest? Adaptogens like maca, ashwagandha, reishi. SSRIs even can bring back a woman's sex drive, which is opposite of during the reproductive years if women are taking SSRIs for anxiety. Because menopause effects dopamine and serotonin signaling.

Diindolylmethane (DIM) is a natural compound found in cruciferous vegetable family, which includes broccoli, Brussels sprouts, cauliflower, and cabbage. DIM can reduce the severity of hormone swings through the menstrual cycle making it more even throughout the month. Magnesium, zinc and omega-3 fatty acids to counter prostaglandins. Shisandra can address high stress and lack of focus. Holy basil and Rhodiola can specifically be helpful for perimenopause.

Insulin resistance makes us need to be more aware of when we take in carbohydrates. They help with gut microbiome and energy. As long as you are using a wide variety of colorful fruits and veg, you're getting quality carbs. Think more about when you take in carbs. 1g/kg per hour for refueling. 3-5g/kg per hour for moderately heavy training loads. 5-8g/kg per hour for the heaviest training loads.

Creatine 1/2 tsp (3-5 grams per day) women have 70-80% as many creatine stores than men. You will have fatigue if you don't get good sleep. Creatine can address low sleep or depression symptoms. Women tend to eat less of foods that contain creatine. Men tend to go through more creatine because they have more fast twitch muscles. Women tend to eat more endurance-related foods. Get more in and have it available. Creatine helps maintain gut integrity also, by maintaining the mucosal lining of the gut.

Have a 12-h fasted window. Stop eating after dinner. Let your body focus on repair.

"Hit play not pause" group. Have conversations about normal aging. Vocalize to your doctor that you might be going through perimenopause.

The Dr. Gabrielle Lyon show (podcast)

https://podcasts.apple.com/us/podcast/can-womens-health-get-better-with-age-stacy-sims-phd/id1622316426?i=1000597402794

Dr. Sims' TED talk

Graphic from

https://www.researchgate.net/publication/350098554_Sprint_interval_training_SIT_reduces_serum_epidermal_growth_factor_EGF_but_not_other_inflammatory_cytokines_in_trained_older_men