Thursday, September 24, 2026
big guns
Tuesday, September 22, 2026
all the time in the world
Tamiflu aka oseltamivir (antiviral)
Empagliflozin (diabetes medication) aka Jardiance
Metformin (diabetes medication)
Lipitor (atorvastatin)
LMNT (electrolyte supplement)
Klaron aka sodium sulfacetamide (antibacterial treatment for rosacea)
Azelaic acid (treatment for rosacea)
Tolnaftate (antifungal)
Clotrimazole (antifungal)
Picaridin also known as icaridin (insect repellent)
Metofluthrin (insect repellent)
Citronellal (insect repellent)
Allethrin (insecticide)
Aesculin (a toxic component of buckeye)
Phentermine (weight loss drug)
Oxytocin (the trust and bonding hormone)
Prazosin (alpha1-receptor antagonist for treatment of migraine headaches)
Guaifenesin (expectorant)
Diindolylmethane (DIM) as a nutritional supplement to enhance performance in female athletes, and also indole-3-carbinol, a related compound
N-benzyl-hexadecanamide in Lepidium meyenii (adaptogen)
withaferin A in Withania somnifera (adaptogen)
Ganoderol B in Ganoderma lucidum (adaptogen)
Fluoxetine (SSRI) aka Prozac
Citalopram (SSRI) aka Celexa
Sertraline (SSRI) aka Zoloft
Paroxetine (SSRI) aka Paxil
Escitalopram (SSRI) aka Lexapro
venlafaxine hydrochloride (SSRI) aka Effexor
Duloxetine (SSRI) Cymbalta
Alprazolam aka Xanax (tranquilizer)
anandamide (molecule responsible for runner’s high)
Jardiance (empagliflozin)
Zyrtec (cetirizine)
Claritin (loratadine)
Misoprostil
Creatine
Pepsid (famotidine) http://bitchonabike.blogspot.com/2017/01/sour-stomach.html
sitagliptin (Januvia)
Benadryl (Diphenhydramine)
Ashwagandha
Melatonin
Estroven = Soy isoflavones 60 mg + 56 mg+ Black cohosh 40 mg + CQR-300
BCAA (branched-chain amino acids)
MCT powder 6 g + Lactobacillus 1.5 B CFU
Collagen 10 g
Blood pressure-lowering medication (Diuretics, Beta-blockers, ACE inhibitors, Angiotensin II receptor blockers, Calcium channel blockers, Alpha blockers, Alpha-2 receptor agonists, Vasodilators)
- Olmesartan (blood pressure lowering, angiotensin receptor blocker)
- Nebivolol (blood pressure lowering, beta-blocker)
Wednesday, September 9, 2026
liminal space
The Structure of a Mesocycle
My sister said, "Go for it. You do not have to stop running. You can keep running because movement is good. And you're not going to do more damage by running on it."
And she gave me some very concrete tips for addressing the injury and healing it. And I started putting those steps into practice. And It's feeling better. So all is not lost.
I don't even know why I'm crying. Maybe relief. Maybe I'm relieved.
When you're in a training cycle, it's easy to get hung up on the numbers and metrics. Our phones, our smartwatches, oops accidentally forgot my watch. All of our devices give us so much data now, and it's easy to obsess about the data. I was looking at a graph of my paces and yeah, just as I suspected, as I felt, my paces are trending down down down, I'm getting slower and slower, but that's okay, I'm getting older.
It's easy to assign some value to those numbers. But it's not helpful.
You are still a runner. You're still a runner. If you have a running practice, if you have a running routine, if you lace up and go out the door, and put some miles on your feet, you're a runner, absolutely! And you don't have to get faster and faster, you don't have to constantly be making gains. You don't have to be on a trajectory of constant improvement.
Sometimes, you try a different training plan. And the training plan fails you, even if you stick to it to the best of your abilities. We all stumble. We all stumble, we hit a stumbling block and that is a true test of your character.
How do you respond to that? How do you recover from a little stumble? My identity has become centered around running, being a mother runner. To such an extent that when I'm encountering resistance, when I'm feeling pain in my feet, when I'm feeling injured, instead of just quitting, my instinct said, "reach out to your coach." And I did, and I got some advice, and I'm following that advice.
And I'm feeling more optimistic now. I was feeling kind of down. I mean, I was not feeling optimistic before I talked with my sister. I was feeling like this whole training cycle is screwed. I had gone so far down the rabbit hole that I thought, "I'm not gonna be able to complete the marathon or the marathon training cycle. I probably won't do another marathon after this." I mean, I was really Putting the kibosh on the whole thing, for the future, for infinity of time, that's how bummed I was. My sister said, just double down on your ibuprofen, you're taking it. Warm up adequately, so you don't do more damage. Do some rehab before bed. Simple stuff, it's not rocket science. It does require some additional planning and care. And believe me, I wanted to skip it last night. I wanted to go to bed or chill watching TV. But I did it any3ay.
It's not a big deal, but just a little workout. 4 minutes run, 2 minutes walk, repeat 4 times. I'm switching from LA Road Runner's plan to Fit4Mom 10k plan.
I'm just gonna start on the easy day, the easier free day. For the 10k trading plan, I'm on week 2. I'm getting ready for the Bimbo Global Race 10k and Mission Inn Run 10k. So I see 10k's in my future. The training cycle is not ruined. I have a plan. And I'm feeling optimistic again. And I'm at the end of my warm up here. So I'm gonna just get into it.
Friday, August 28, 2026
hot take on hot flashes
I have been saying for a while now that the list of ailments the medical establishment has yet to help me with is more than I can count on my two hands.
What they don't know about me is that I'm a scientist. And I keep the receipts. I keep notes like a lab notebook with dates.
https://bitchonabike.blogspot.com/2025/06/hello-june.html
It's not like I haven't been asking for help. I went to my doctor right after my first LA Marathon finish, calm and confident. I said, "I'm an athlete. I've been training. I know my body. Something is wrong."
The first symptoms I cited were uncontrollable itching. Itchy skin. Not because I'm sunburnt, or allergic, or haven't showered. Just EVERY DAY. The palms of my hands and my feet and legs itch so much I want to scratch until they bleed. A cream compounded with steriods did absolutely nothing, if anything, it got worse.
https://bitchonabike.blogspot.com/2024/12/christmas-eve.html
Insomnia, night sweats, anxiety, rage. They didn't come out of the blue. They have been there for some time. Initially, I treated myself with Benadryl because it was already in my medicine cabinet; it stopped the itching, and it helped me sleep through the night.
https://bitchonabike.blogspot.com/2024/01/mom-rage.html
It really gets me mad to look back on these old posts and see how long I was having symptoms before I even asked my doctor about it. Spoiler alert, she didn't offer any solutions. Feeling like an insane person, with this rage that can't be calmed no matter how much I try to meditate. No strategy that has worked in the past is working now. I think that's a really common thread.
https://bitchonabike.blogspot.com/2023/11/rundisney.html
The musculoskeletal symptoms are pervasive, and I wrote about that. Also, the terrible PMS has been going on for years. I don't think people in menopause are weak or can't stick to a training schedule; I think we're genuinely in pain. And doctors either don't know how to help or won't help for some reason.
https://bitchonabike.blogspot.com/2024/11/moving-on.html
The weight gain is unreal. Honestly, I've had times in my life where I dropped a lot of weight. In my 20s, I did Weight Watchers and successfully lost 60 pounds. In my early 30s, I ran and cycled and probably dropped 30-35 pounds. In my late 30s, I counted macros, did HIIT, and lost ~35 pounds. It's not like I don't know what to do or how to do it. It's just not working now.
https://bitchonabike.blogspot.com/2025/04/5-days-until-rose-bowl-half.html
Mood swings that make your head spin. I've been on hormones for about two-and-a-half weeks. I feel this is the first time I'm clear-headed enough to write this post. It really was like Oprah says, with the first hit of estrogen, the sky is blue again. For me, it was immediate return of sex drive. I hadn't wanted or felt the desire to have sex with my partner for years. Every time I go near my labia, I end up with a yeast infection.
https://bitchonabike.blogspot.com/2025/09/perimenopause-or-not.html
Let's talk numbers. Blood pressure. High cholesterol.
https://bitchonabike.blogspot.com/2022/11/how-is-weaning-going-update.html
Heavy periods. Unpredictable cycle length. Passing clots.
https://bitchonabike.blogspot.com/2025/07/perimenopause.html
Anovulatory cycles. Painful ovulation. Needing bifocals. I understand; perimenopause is confounded with aging, so it's hard to tell which is causing the symptoms. Hair loss.
http://bitchonabike.blogspot.com/2011/10/formula.html
http://bitchonabike.blogspot.com/2019/12/pregnancy-part-18.html
https://bitchonabike.blogspot.com/2020/05/postpartum-part-10-beauty.html
https://bitchonabike.blogspot.com/2023/02/beauty-regimen-for-toddler-mom.html
https://bitchonabike.blogspot.com/2025/07/perimenopause-beauty-routine.html
Dry skin. Flushing. Rosacea.
https://bitchonabike.blogspot.com/2019/06/fertility-part-14.html
At least it seems like my monthly migraines have gone away.
https://bitchonabike.blogspot.com/2013/09/impatient-scientist.html
It seems like the last time I felt grateful to be a woman was in 2023.
https://bitchonabike.blogspot.com/2023/07/i-am-creator.html
Meno belly. The shift from fat storage in the hips and butt to the belly. I have had an hourglass figure for most of my life, I've never been an apple or pear shape. Now I have these huge tender breasts, and I'm no longer breastfeeding. I've discussed breast reduction surgery with my chiropractor, asking if he can write me a letter of support to have the insurance company pay for it. He's not a fan.
https://bitchonabike.blogspot.com/2012/03/between-sheets.html
Brain fog. Forgetting words. Feeling stupid. Like being educated and feeling like, oh I used to be so smart. Now I can't speak or spell.
https://bitchonabike.blogspot.com/2025/07/we-do-not-accept-skinny-bitch-season.html
Flat feet. Big feet. Collapsed arches. Feet that are 1.5 sizes larger than they have been your entire adult life. No wonder we don't recognize ourselves.
https://bitchonabike.blogspot.com/2026/04/gingerbread-in-july.html
Crunchy joints. A general lack of lubrication throughout the body. Pain everywhere: shoulders, back, hands, feet.
https://bitchonabike.blogspot.com/2026/08/marathon-shoes.html
And it feels like I'm a broken record. Nobody wants to hear about it (again). I'm screaming into the void.
https://bitchonabike.blogspot.com/2024/11/mental-load-of-motherhood.html
Fuming. Unreasonable. Not wanting to take care of other people anymore. I'm starting to think the patriarchy should love birth control because it regulates unruly women. You'd think they would want to hand out hormones like candy to keep us all copacetic.
https://bitchonabike.blogspot.com/2025/04/priorities.html
Luteal misery. Completely lacking the capacity to regulate body temperature. Imagine being trapped in a closet with a radiator that you can't shut off.
https://bitchonabike.blogspot.com/2025/08/new-shoe-new-you.html
Blood pressure surge so extreme I went to the urgent care for an EKG because I thought it was a heart attack.
DO YOU KNOW HOW I KNOW THAT ALL THIS SHIT WAS REAL?
Because in less than a month, some of the symptoms have been fixed.After 3 days "And you didn't yell at me. I didn't know you were on a new medication. You should get more of that medication. Because it's really helping you." ~ my son
After 2 weeks "It's really working. You're so calm." ~ my husband
Also, I feel like my belly fat is going down, although the scale weight is still going up.
And I feel my hair loss is slowing. I can take a shower and not create a huge hairball.
And why am I making this list now? Because I have an appointment with an OB/GYN on September 24th that may actually help.
This is what I want to ask for versus what I'm taking now ( marked with a 🤩)
From July 6 & 13 2026, of The New Yorker (print version)Estrogen patch (estradiol, 75 mcg)
Vaginal ring (Estring, 7.5 mg)
Estrogen cream (estradiol, 0.01 per cent)
🤩 10 mcg ethinyl estradiol
Oral progesterone (Prometrium, 100 mg)
🤩 1 mg norethindrone acetate
Compounded testosterone cream (start at 1 mg, then move up to 2 mg - up to 10 mg)
Delestrogen (Estradiol Valerate) 20mg/mL x 0.1 or 0.2 mL injection
Endometrin 100mg vaginal capsule
Blood pressure medications: Clonidine, typically used for high blood pressure, might offer relief from hot flashes for some individuals.
NK3 inhibitors: A non-hormonal medication, fezolinetant, targets brain receptors to help manage body temperature and decrease hot flashes.
On August 9, 2025 I wrote this list:
high blood pressure
anxiety
hot flash
heat intolerance
Panic attack
Racing pulse
Estrogen and Progesterone:
Anovulatory cycles are often characterized by reduced estrogen and progesterone levels. However, estrogen production may still be sufficient to stimulate some uterine lining growth, leading to bleeding.
7 stages of perimenopause
STRAW Stages:
Reproductive Phase:
Stages -5, -4, -3: Represent early, peak, and late reproductive stages, characterized by regular menstrual cycles.
Menopausal Transition:
Stage -2: Early transition, with menstrual cycles becoming variable (cycle length differing by 7 or more days).
Stage -1: Late transition, with skipped periods or amenorrhea (absence of menstruation) for at least 60 days, and increased FSH levels.
Postmenopause:
Stage +1: Early postmenopause (first year after last period).
Stage +2: Late postmenopause (following the first year after the last period).
On July 30, 2026 I wrote:
Wouldn't it be nice if the doctor took your VO2 max and counted the number of sit-to-stands you could do in a minute, or the weight you could curl or press, or any other fitness metric before recommending the ambiguous "diet and exercise" as a program to address high cholesterol or high blood pressure. Some of us are already doing the work.
On August 13, 2026 I wrote:
Focus on diet and exercise
But don't do high intensity exercise
But don't just sit on the couch
Make sure you get enough protein
But don't eat anything to raise your cholesterol
Take estroven with black cohosh
But also, this is just a normal part of aging
Avoid salty foods, you don't want to raise your blood pressure
But also, it's probably genetic, and there's nothing you can do about it
I can offer you some Paxil
I can't give you hormones until you complete all your cancer screenings
I did all the screenings [radio silence]
Here's a 2-month supply of birth control [with no instructions for what to do when the freebies run out]
Do I take this list of symptoms and what I want, or do I let him ask the questions? Will he be suspicious if I come in with a laundry list? Will he even listen to me? Stay tuned. I will surely write about it.
Atma Health ARx - MedSpa: Located at 10242 Reseda Blvd, Northridge, CA (Phone: 818-626-9552). They offer bio-identical hormone therapy and menopause management options. Dr. Vineeta Keswani
Dr. Ara Poladian, MD, FACOG 10718 Riverside Dr. North Hollywood, CA 91602 (818) 763-2992 : An obstetrician-gynecologist serving the Northridge area who manages reproductive health, perimenopause, and menopause care. https://www.drpoladian.com/ We accept many types of insurance.
Monday, August 17, 2026
hormones
Estradiol: Ranges from 30 to 400 pg/mL during reproductive years, but drops significantly to 0 to 30 pg/mL postmenopause.
Adult Female Range
Follicular phase 12.5 - 166.0
Ovulation phase 85.8 - 498.0
Luteal phase 43.8 - 211.0
Postmenopausal <6.0 - 54.7
Me = 16.2 pg/mL
Follicle-stimulating hormone (FSH): A normal premenopausal level falls between 5 and 21 mIU/mL. In postmenopause, the brain works harder to stimulate the ovaries, pushing levels to 25.8–134.8 mIU/mL.
Adult Female Range
Follicular phase 3.5 - 12.5
Ovulation phase 4.7 - 21.5
Luteal phase 1.7 - 7.7
Postmenopausal 25.8 - 134.8
Me = 7.3mIU/mL
Testosterone in women normally ranges between 15-70 nanograms per deciliter (ng/dL).
Premenopausal 10.0 - 55.0
Postmenopausal 7.0 - 40.0
Me = 18.4ng/dL
Luteinizing hormone (LH) During weeks one and two of the menstrual cycle, LH levels are normally between 1.37 to 9 IU/L. After menopause, levels of LH rise dramatically. The average range is 19.3 to 100.6
Adult Female Range
Follicular phase 2.4 - 12.6
Ovulation phase 14.0 - 95.6
Luteal phase 1.0 - 11.4
Postmenopausal 7.7 - 58.5 IU/L.
Me = 3.5mIU/mL
Thyroid-stimulating hormone (TSH) normally between 0.5 and 4.0 mIU/L.
Me = 0.949 uIU/mL
Progesterone below 1 ng/mL in the menstrual and follicular stage. Between 2 to 25 ng/mL in the luteal stage of the menstrual cycle. Postmenopausal below 0.2 ng/mL.
Follicular phase 0.1 - 0.9
Luteal phase 1.8 - 23.9
Ovulation phase 0.1 - 12.0
Postmenopausal 0.0 - 0.1
Me = 0.3 ng/mL
Prolactin
Normal 4.8-33.4 ng/mL
Me = 11.8 ng/mL
Calculating Hormonal Dominance - Progesterone to Estrogen | Testmottagningen
https://www.testmottagningen.se/en/kalkylatorer/progesteron-ostrogen-ratio/
Me = 18.52 P/E2
Progesterone levels should normally be between 200 to 400 times higher than estradiol.
A calculated result below 100 indicates possible estrogen dominance.
A calculated result above 500 indicates possible progesterone dominance.
Expect a postmenopausal progesterone-to-estrogen ratio of nearly zero without supplementation.
Perimenopause: During the transition years, ovulation becomes erratic, causing progesterone to plummet while estrogen levels can still spike. This leads to relative estrogen dominance, which triggers symptoms like weight gain, heavy periods, and breast tenderness
Target Ranges: For symptom relief, optimal target ranges are generally 50 pg/mL for estrogen and 10 ng/mL for progesterone, though these vary by individual need.
Given all this information, and using the Flo app, I determined that since I am still having periods every 13-38 days (roughly every 27 days) I am not yet a candidate for hormone replacement therapy (HRT). What I can do is take hormonal birth control to deliver a consistent dose of hormones to my body. For the last week, I've been taking Lo Loestrin Fe.
24 Blue Tablets: Active pills containing 1 mg norethindrone acetate and 10 mcg ethinyl estradiol. These molecules are a synthetic progestin and a synthetic estrogen, respectively.
Ethinyl estradiol binds to estrogen receptor alpha (ERα) and estrogen receptor beta (ERβ), which stops the secretion of gonadotropin-releasing hormone (GnRH), luteinizing hormone (LH), and follicle-stimulating hormone (FSH).
Norethindrone acetate binds to the nuclear progesterone receptor (PR), which prevents the endometrium from proliferating excessively, thickens the cervical mucus, and suppresses ovulation. Norethindrone acetate also inhibits the secretion of gonadotropins, specifically luteinizing hormone (LH) and follicle-stimulating hormone (FSH).
Taken together, these active pharmaceutical ingredients help in managing the symptoms of menopause by providing hormonal stability.

It does feel better to know that I'm not making these symptoms up. I really did have low estrogen and low progesterone. I've been taking the pill for a week now, and it does seem to be helping.
Tuesday, August 11, 2026
Marathon shoes
I got an idea from the show Inside the Factory, Season 2, Episode 6. In the sneaker business, the model for a foot is called a LAST and there are separate ones for men and women. The men's is wider. So a regular men's is a wide women's. Since perimenopause is wreaking havoc on my feet, they have become longer and wider. So I got the genius idea to order men's shoes.
https://tv.apple.com/us/episode/shoes/umc.cmc.4w3gt3naq1999at1wxqeo09oq
I looked for runDisney x Brooks collaboration and found out that those shoes from previous race weekends were still available and on sale. Also, by looking for men's and knowing that my foot is smaller than an average man, I was able to find my size(s) in stock. I got the larger size in Ghost Max 2 because of availability and also when I read the reviews, people suggested to size up.
Ordered July 7, 2026
$99.95, Ghost 17 Men's Chip & Dale, 8.5 Wide, 10mm drop, slightly more tapered performance fit and a flared heel tab
- Ghost 17: Best for a traditional daily trainer feel that handles steady miles and moderate uptempo paces with equal ease.
- I've run in a Ghost before.
- https://bitchonabike.blogspot.com/2024/10/consumables.html
- Not sure why I stopped. Maybe once I switched to a stability shoe, I never went back.
$119.95, Glycerin 22 Men's Stitch, 8.5 Wide, softer heel and more responsive forefoot, 10mm drop, slightly roomier toe box.
- Glycerin 22: Best for long recovery miles, easy runs, and standing for hours due to its ultra-soft impact absorption
- Yes, I can agree with the pillowy description. The thing I dislike most is there is a part of the toe box that bends and irritates my toes.
$104.95, Ghost Max 2 Men's Mickey, 9 Wide, Rocker shape, 6mm drop, stable platform with a secure midfoot and generous volume to accommodate orthotics.
- Ghost Max 2: Best for walking, high-protection cruising, and easing stress off the forefoot and joints via the rocker geometry.
- Actually of the three new pairs, this is my favorite.
Retired shoes (teaching only)
- Dec 12, 2025, $125.67, Adrenaline GTS 24, 10 extra wide (grey/pink) 76.9 miles
- Aug 15, 2025, $301.82, Brooks Ariel GTS 24, 10 wide, (black) 127.5 miles
- Aug 15, 2025, $301.82, Brooks Ariel GTS 24, 10 wide, (purple) 101.7 miles
- Feb 8, 2026, $164.63, ASICS Gel-Kayano 32, 10.5 wide, 89.5 miles (black)
- Dec 14, 2025, $181.03, ASICS Gel-Kayano 32, 10 wide, 141 miles (white)
Some older posts about running shoes
Add-ons and modifications
- $6.24 pink lock laces
- $10 brown & black lock laces
- $17.20 toe spacers & purple lock laces
I thought the lock laces would be the answer to my foot pain. Turns out no. The pain across the top of my foot may have been caused by running downhill. When I stopped doing that, the pain went away. But I do love the ease of lock laces for getting out of the house quickly. I would definitely consider continuing to replace the laces of my retired shoes with elastic.
https://www.amazon.com/dp/B07Q331MT4
The other great thing about these lock laces is that they have reflectors in them. When I photographed my shoe collection, the runDisney shoes didn't light up at all. It's hard to believe the designers would have taken such care to include characters but neglected a safety feature as important as high-vis reflective panels. So adding lock laces would give a bonus of increased visibility.
I wasn't able to run with toe spacers, they ended up causing a pinch blister on the pad of my baby toe. It was a good concept to try to keep running in shoes with too narrow a toe box, but ultimately not a permanent solution.
I'm reading that rotating more than one pair (different styles) of shoes is a good idea. And I tried that. But I tend to find a favorite and keep going back to that one. So I ended up seeing the Brooks Men’s Ghost Max 3 on sale for $109.95. It's not a runDisney design, but that's okay. I bought two pairs. So it's possible the Ghost 17 Chip & Dale and Glycerin 22 Stitch will be more glamour shoes than running shoes. It gave me an opportunity to try a few different styles that I wouldn't have otherwise. I probably would not have tried a Ghost Max without Mickey Mouse on it.
