Friday, September 25, 2026

fall morning musings

Sorry for the brain dump. I have no time to edit this into a more coherent post. But I do think it's important to check in on how training is going. We're post-liminal space now. We're "in season." I've been relying on B-vitamins and ginseng to give me the energy to get through semester weeks 4 and 5. I'm starting to really look forward to the Mission Inn Run.

Decorative border around diplomas mounted above my computer in my office at work

9/14 Morning run routine and motivation for consistent workouts

Good morning, runners of the world. I'm now here, it's a Monday morning. My feet are already hurting. This workout is kind of questionable. Don't know if I should be doing this right now. But I'm up. My husband woke me up. I'm ready to get my workout in and get on with my day. It's not a big deal, right?

People everywhere get up, do a workout, and get on with their day. I try to keep it simple. Follow the training plan. I trust the training plan. Sometimes life gets in the way. My son has been saying every food tastes like something else. Cucumbers taste like lime. Blueberries taste like dirt. I'm pretty convinced it's the sickness that we're dealing with. And as usual, my husband got it really bad. I'm in denial. And our child is just turning into a tiny Tasmanian devil. Because he doesn't know what to do with himself. He's sick and tired, and he's just running on adrenaline.

I don't know what I'm doing. I do know. I'm okay. Doing my little warm-up here. I'm getting my heart rate up walking up a big hill. I know how to do this. I trust my body. I trust my instincts. Although, my instincts today told me I just need to stretch, and not do a workout, but here we are.

At least the weather's kind of nice, 66°. I'll take that. Better than it has been. One morning last week it was 80 degrees at this time, so 66 feels nice. I felt really good after yesterday's run. I felt a lot of positive vibes. Which is why I decided to go out today.

I did my first upper body workout with my friend, Erik. That was good. I'm not that sore. I feel like I did something, I really did. I did something different. I did something brave. I did something that I would normally not do. And I'm okay. I don't feel so sore that I would never do it again. I will do it again. I will do it again. I will do it every Saturday. I will put it into my schedule. Do it. I gotta take a closer look at Coach David's plan.

I am at the top of this hill. Keep going. I tried to listen to a podcast, but it didn't really inspire me today. So I'll probably listen to music. Catch you next time.

9/22 Recovery and training routine after illness and donation

It's a good morning, it's a good morning to not get hit by a car. Hopefully these cars stop, they have a red light. You just never know with people, but I'm here, I'm out here training.

It's 24 weeks till the marathon. And despite all the foot issues that I've been having, I figured out that I just need to sleep with my feet in a flexed position. And that has helped greatly. Yesterday at work, my feet were feeling really good. Of course, I didn't run yesterday, but I'm gonna try a run today. See how that tracks.

I've had a lot going on in the past two weeks with my foot issues. We got sick. We got the flu. We've got diarrhea, nausea. I couldn't heal properly, I'm so tired. And this weekend, I donated blood. So we're gonna see how we feel going into the Bimbo race this weekend. Do a little couple laps around the Rose Bowl just for funzies.

I kind of switched up Monday and Tuesday. My husband got a little agitated by that. He likes it when I do my rest day on Tuesday. I wrote about how I felt like I was in a liminal space. A liminal space between 2 training plans. At the end of summer, the beginning of school, I almost feel like I'm probably in the groove of school. I don't say I'm thriving yet, but starting to get some traction. Trying to figure out what I can do. What I can do comfortably. And not have a total body breakdown. Because we want to train productively. My husband reminded me I usually find my groove mid-semester, like week 8 or 10 and then the semester ends. And I get a whole new schedule. And then it's chaos again.

By training, we want to cause adaptations in our body that lead to greater fitness. And what we don't want to do is break down to the point where we can't go on. I don't know how, but I was kind of there. If your body's not recovering, then you're just digging a deeper and deeper hole. Can't rest your way out of it. Can't eat your way out of it.

I've added on some other recovery things. I try to do it every single night. Magnesium foot soak and athlete's foot cream (1% clotrimazole NOT tolnaftate). Foam roll a bit. A little bit more on the muscle scraping right now to remove adhesions. I'm putting a lot more time and energy into recovery now. But it is pushing bedtime back by 30 minutes.

9/24 LARR Coach's call

What is 80/20 for runners? 80% low intensity, 20% high intensity. But that's not the perfect plan for everyone. It is what is used in Coach David's Level 4 plan for the LA Marathon.

As you age, you need to go down a level because you have less growth hormone. Level 1 is for age 70. Level 5 is for someone in their 20s. It has nothing to do with experience.

Run so slow that you're bored. So that you need company. That is your easy pace. Easy = fat-burning, aerobic, zone 2. MRP = zone 3, could maintain this pace forever. T-pace raises the pace at which you still can use fat as a fuel source. R-pace is neurological, engaging fast-twitch muscles.

Speed, volume, hills all increase the risk of injury. Fartlek is Swedish for speed play. Choosing a random object and going fast to get to it. Something you can see.

Morning & evening runs are the best. If we could all do it. On the same day. To increase volume efficiently. You can do 30 minutes in the morning. Then eat protein to rebuild muscle. Take a nap. Do some body work (massage). Then run again in the evening. Break it up if you can. That's what the pros do.

Why is the training plan in minutes rather than miles? Your body knows heart rate. It doesn't know miles. It knows time spent in anaerobic. You don't need to rely on an expensive heart rate monitor. You can just pay attention to your breathing.

Key Takeaways

I think based on what Coach was saying, and this was one of the questions I was going to ask him, if I got injured following the level 3 plan for the Santa Monica Classic, which plan should I follow for the marathon? I think he said that if you get injured, drop back to level 1. 

Coach also said that as you get older, you may need more strength training than what is written in the plan. He said if you're Travis Kelce and you're already built like a truck, you might not need more exercises that build muscle. But if you're frail, with less muscle tissue, then you might need more strength training than what is in the training plan.

Even with all these setbacks, I only completely skipped 1 training session. The other days, I inserted stretching or yoga or walking. It took me 2 weeks to reach out to my sister and ask for help. Why am I so stubborn? haha! Next time I'll try to reach out sooner.

Thank you to summer me who decided to order new shoes. I went through all my shoes and did a test to see if they would bend easily. Even though they're new, the Ghost 17 and Glycerin 22 bend so easily. But thankfully, the Ghost Max 2 does not. I kept preferring to run in the Ghost Max 2 but I didn't really know why. So I bought two more pairs from Amazon. Amazingly I have 3 pairs of shoes that I can rotate and I wear the running shoes during the day while teaching. So I don't have any dedicated running shoes, at the moment. But at least I am getting the plantar faschiitis under control.

Thursday, September 24, 2026

big guns

 


I finally had my appointment with a menopause-informed OB/GYN that I got a referral to from my primary doctor. 

He said Lo-Loestrin is great for managing perimenopause symptoms; that's what his wife took during that time.

He said the estrogen and progesterone dose in Lo-Loestrin is 4 times what you would get if you were prescribed HRT. So it's actually stronger.

He suggested I get an A1C measurement. I called my primary doctor to order that test for LabCorp. They'll email me the form.

He said he wants to see me again in 6 months for a check-up. So I guess that would be after the marathon.

He said it sounds like I'm doing everything right, and getting older just sucks.

He said not to worry about the heterogeneous uterus.

I went to Planet Fitness by myself and did the strength-training circuit my friend Erik showed me. I can see myself getting into a routine where I do that every week.

After one cycle of birth control pills, I did notice a significantly lighter period. During the placebo time, hot flashes and brain fog return. Irritability and itchy feet are back. And hair loss returns without estrogen supplementation. I noticed that after just 2 days on placebo.

I feel like my plantar fasciitis is actually getting better. I'm sleeping in hiking boots every night. I'm scraping my muscles before bed every night. I'm taking naproxen and ibuprofen in high doses both morning and night.

I also had time to make a new video for RunClub!

Tuesday, September 22, 2026

all the time in the world

If I had all the time in the world, I would write molecular stories for all these molecules

Paxlovid aka nirmatrelvir-ritonavir (antiviral)
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)
Allegra (Fexofenadine) http://bitchonabike.blogspot.com/2018/01/insomnia-part-ii.html
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

I have to remind myself that it's okay to be in the liminal space right now. The training plan I was following from LA Road Runners is in a taper week, this is race week, the race is on Sunday.

The marathon is 26 weeks away, and my coach has not published the marathon training plan yet. So I just need to chill.

Plus, my feet really hurt. I didn't realize my August mileage was 189% of my July miles. Too much too soon, and now I'm injured.

I was in such a hurry to get back to training after a long break (March, April, May, June) that I just overdid it. I pushed through nagging pain and little colds when I should have followed a periodization schedule.

I'm always quick to blame hormones for everything now, but I think this was overtraining. The mesocycle I used was 9-weeks without a deload until the last week. I followed level 3 intensity, which included a lot of speedwork. It was just the wrong training plan for me, especially since I'm not even running the Santa Monica Classic this year.

A mesocycle (meso block) is a medium-term training block that typically lasts 3 to 6 weeks. It is a core component of periodization, designed to target a specific physical adaptation—like building muscular endurance, increasing peak strength, or practicing race-specific pacing.

An endurance runner training for a marathon (like the Chicago Marathon) will typically use 4-week mesocycles to safely layer on mileage and intensity without burning out.

Macrocycle (Large): Your overarching, long-term goal. This is the entire 12-to-20 week training plan leading up to your goal race day.

Mesocycle (Medium): The specific 3-to-6 week blocks inside that plan (e.g., a "Base Building" block, a "Peak Intensity" block, or a "Taper" block).

Microcycle (Small): A single week of training. It focuses on daily details like a Tuesday speed session, a Thursday tempo run, and a Sunday long run.

The Structure of a Mesocycle

A standard 4-week training block uses a step-loading pattern to safely challenge the body and allow it to recover:

Week 1 (Intro): Moderate volume and intensity to introduce the body to the block's specific focus.

Week 2 (Overload): Increased volume or intensity to push the body past its current comfort zone.

Week 3 (Peak): The hardest week of the block, maximizing stress to trigger physical adaptation.

Week 4 (Deload): Drastically reduced volume (often by 30-40%) to allow the body to repair, absorb the training, and get stronger for the next block.

So what am I doing now that an injury has happened? Besides crying because I wish I had a coach to tell me what to do, I am backing off. Limiting my movement to only what is essential to my life, my commute, and my job(s). 

JIEJUNJIE Vibrating Peanut 
Massage Ball for Plantar Fasciitis, 4-Speed Portable Massage Roller for Foot, Neck, Back, and Body - Deep Tissue Myofascial Release Mobility Ball Muscle Relaxer (Black)

I am wearing compression socks.

I am substituting yoga and other stretching and strength routines for running miles. Still keeping the time set aside, but doing lower impact activities.

I tossed two pairs of shoes that weren't supportive enough two weeks ago.

Advice from Dr. Stephanie Hamersky

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)


What I have taken before (during fertility treatments) to make a nice, perfect endometrium

Estrace (Estradiol) 2mg tablets
Delestrogen (Estradiol Valerate) 20mg/mL x 0.1 or 0.2 mL injection
Endometrin 100mg vaginal capsule


Other medications of interest

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
https://atmahealth.com/membership/  $200 / month

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

I have been holding this post back for a long time since it is so personal. And I get frustrated navigating the medical establishment. I was finally able to convince my doctor to order a hormone panel and here are the results that I got back. The blood was drawn on my cycle day 2.

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)

I know people say that you can get 300-400 miles out of one pair of shoes, and maybe that's true for some people. But for me, I do log the mileage using Strava. So these miles are just dedicated running miles, not walking or standing. I still love the Ariel for its stiff support. I dislike the Kayano because it's too soft. I don't love the Adrenaline for running but I do like it a lot for walking.

Some older posts about running shoes

The post celebrates the arrival of spring with reflections on a bike-filled Bay Area trip, staying active through hiking, running, and Zumba, and the practical challenges of traveling with a bicycle and replacing well-worn athletic shoes. Looking ahead, the author is excited about upcoming 5K races and obstacle events while finding humor, movement, and adventure helpful for staying energized through a busy semester.

The post bids a sentimental farewell to a collection of well-worn shoes, reflecting on the races, travels, teaching, cycling, and everyday adventures they supported before being recycled. A new lineup of running, cycling, teaching, and dancing shoes takes their place, with the hope that each pair will find its own specialty.

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.