{"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":"Perimenopause and the New Midlife Playbook with Dr. Alyssa Dweck (Episode 266)","slug":"perimenopause-and-the-new-midlife-playbook-with-dr-alyssa-dweck-episode-266","published_at":"2026-03-18T07:00:00+00:00","page_url":"https://stenobird.com/podcast/hit-play-not-pause-1366847/perimenopause-and-the-new-midlife-playbook-with-dr-alyssa-dweck-episode-266","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/df9fc710-4b7b-4464-8b99-0a08ec4252d2.mp3","summary":"Now that menopause is finally getting the research and medical attention it deserves, we are finally putting perimenopause in the spotlight as a pivotal period in a woman’s life that demands its own care and attention. This week, midlife gynecologist Dr. Alyssa Dweck returns to break down perimenopause care, the state of hormone therapy, and much more. We dig into how perimenopause is so variable, how to think about the pill, IUDs, hormone therapy, and the new non-hormonal drugs, plus what hot flashes may be revealing about your heart health. We wrap with a look at wearables, telehealth, and the coming era of precision menopause medicine that treats ovaries as the powerful “conductor” organ they are. (Note: Dr. Dweck accidentally misspoke regarding fezolinetant. She would like to clarify that it is an NK3 receptor antagonist not an NK1.) Alyssa Dweck MS MD FACOG MSCP is a practicing gynecologist at Well by Messer in New York City and the Chief Medical Officer at Bonafide Health. Dr. Dweck is a menopause society certified provider with a special interest and expertise in female sexual health and medical sex therapy. Dr. Dweck was recently appointed to the Board of Directors of HERmedicine, a nonprofit education organization dedicated to advancing women’s healthcare across the lifespan. This role at HERmedicine recognizes her as a distinguished leader dedicated to educating clinicians and integrating evidence-backed care into everyday medical practice. Dr. Dweck has authored three books, the most recent The Complete A to Z For Your V also co-hosts Business of the V, a podcast which focuses on unmet needs in gynecology and women’s health and the businesses created to fulfill these needsYou can learn more about her and her work at drdweck.com Sign up for our FREE Feisty 40…","meta_description":"Now that menopause is finally getting the research and medical attention it deserves, we are finally putting perimenopause in the spotlight as a pivotal p…","key_points":[],"chapters":[],"topics":[],"duration_seconds":3128,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/hit-play-not-pause-1366847/episodes/perimenopause-and-the-new-midlife-playbook-with-dr-alyssa-dweck-episode-266/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/perimenopause-and-the-new-midlife-playbook-with-dr-alyssa-dweck-episode-266.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}