{"podcast":{"title":"Hit Play Not Pause","slug":"hit-play-not-pause-1366847","podcast_index_feed_id":1366847,"rss_url":"https://feeds.captivate.fm/hit-play-not-pause/","website_url":"https://www.feistymenopause.com/","image_url":"https://artwork.captivate.fm/bda8ab9d-7e6f-4666-a4c0-b9a8589fae77/Hit-Play-Not-Pause-Podcast-Cover.jpg","author":"Hit Play Not Pause","episode_count":300,"summary":"Perimenopause and menopause hit active women differently. We have a different lifestyle and different goals. And we know our bodies. Whether you run and hike or do CrossFit and ski (or a little of everything!), you’ve had a way of eating and exercising that worked…until the menopause transition, when it all goes out the window as body composition changes, fatigue, body aches, sleepless nights, hot flashes, brain fog, mood swings, and low mojo blindside you out of the blue—despite doing everything right. Your doctor may (or may not) help with hormone replacement therapy. But what about all the active stuff you love? You’re already exercising and eating well. What you want is to feel and perform like you used to. That doesn’t mean fasting, swearing off carbs for life, or just slowing down. It means adjusting your nutrition, training, recovery, and mindset to work with your changing physiology as you hit this phase of life. And we’re here for it. At Hit Play Not Pause, we know the potential of women in their 40s, 50s, 60s, and beyond, because we talk to elite athletes and everyday active women who are still hitting personal bests along with world-renowned sports dietitians, researche…","last_synced_at":null,"page_url":"https://stenobird.com/podcast/hit-play-not-pause-1366847"},"episode":{"title":"Hard Conversations in the Menopause Transition: Hormones, Testing, GLP-1s & What’s “Ideal” Now with Carla DiGirolamo, MD, PhD (Episode 260)","slug":"hard-conversations-in-the-menopause-transition-hormones-testing-glp-1s-what-s-ideal-now-with-carla-digirolamo-md-phd-episode-260","published_at":"2026-02-04T07:00:00+00:00","page_url":"https://stenobird.com/podcast/hit-play-not-pause-1366847/hard-conversations-in-the-menopause-transition-hormones-testing-glp-1s-what-s-ideal-now-with-carla-digirolamo-md-phd-episode-260","show_page_url":"https://stenobird.com/podcast/hit-play-not-pause-1366847","url":"https://www.feistymenopause.com/","audio_url":"https://pscrb.fm/rss/p/pdst.fm/e/pdcn.co/e/episodes.captivate.fm/episode/5aaa224d-ecbb-4725-9bba-67bafe2518fb.mp3","summary":"This week we welcome back our resident reproductive endocrinologist and menopause specialist, Dr. Carla DiGirolamo, for another candid conversation. We pull back the curtain on Carla’s own menopause experience—how she navigates her symptoms, what she’s learned, and what she practices herself. We also dig into the hard conversations so many of us are having as we navigate this ever-evolving space, and how years of working closely with active midlife women have shaped her thinking on hormone therapy, GLP-1 medications, testosterone, hormone testing, and what actually moves the needle for athletic women in the transition. Carla DiGirolamo, MD, PhD, is a Double Board Certified Reproductive Endocrinologist and Obstetrician/Gynecologist specializing in women’s performance and menopausal medicine. She is also a Crossfit Level 1 trainer, Certified Nutrition Coach, and member of CrossFit Medical Society. She is a MedFit Care provider and provides weekly workouts and medical updates at her Substack Athletic Aging. She is an Endocrine Consultant for Wild Health and Women’s Health Director at Eternal Health. Most recently, she has launched her own private practice specializing in helping active and high-performing women reach their performance potential from puberty through menopause. Dr. DiGirolamo is now seeing patients for virtual consultations for menopausal care and performance optimization. Visit her website www.drcarlad.com to learn more about her services and schedule an appointment. Resources Athletic Aging with Dr. Carla DiGirolamo on Substack Sign up for our FREE Feisty 40+ newsletter: https://feisty.co/feisty-40/ Join Feisty at the Grand Traverse in Duluth, MN on October 3rd! Use code FEISTY20 for $20 off when you register at https://feisty.co/events/the-grand-traverse…","meta_description":"This week we welcome back our resident reproductive endocrinologist and menopause specialist, Dr. Carla DiGirolamo, for another candid conversation. We pu…","key_points":[],"chapters":[],"topics":[],"duration_seconds":3957,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/hit-play-not-pause-1366847/episodes/hard-conversations-in-the-menopause-transition-hormones-testing-glp-1s-what-s-ideal-now-with-carla-digirolamo-md-phd-episode-260/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/hit-play-not-pause-1366847/hard-conversations-in-the-menopause-transition-hormones-testing-glp-1s-what-s-ideal-now-with-carla-digirolamo-md-phd-episode-260.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}