68 episodes
Midlife Aches and Pains: How to Stay Strong, Mobile & Pain-Free Through Menopause
2026/09/25 | 44 mins.In this episode, Kate Willis NP-C sits down with physical therapist Emily Gilmore to discuss why aches, pains, and injuries become more common in midlife—and what women can do to stay strong, mobile, and independent for decades to come. Together, they explore how hormonal changes, pregnancy, old injuries, muscle imbalances, and modern lifestyles contribute to joint pain, stiffness, and decreased mobility.
Emily shares practical, evidence-informed strategies to prevent injuries, improve posture, build muscle, protect bone health, and maintain flexibility through perimenopause and menopause. From choosing the right strength training program to prioritizing mobility, recovery, and everyday movement, this conversation offers actionable tips to help you move with confidence and age well.
Quotes
"The body can compensate for a really long time—until it doesn't. And when it doesn't, it gives you the middle finger and says, 'I'm really tired of this.'" — Emily Gilmore
"There are a lot of things that happen in midlife that are directly related to hormones. Then there are some things that happen simply because we're more years old than we were 10 or 20 years ago." — Kate Willis NP-C
"We've got to have that parasympathetic, rest-and-digest component if we're actually going to recover from exercise instead of becoming perpetually inflamed." — Emily Gilmore
Resources
Mid back mobility series
Postural tips
Neck strengthening
Rotation based core training
Hip and spine mobility flow
Evlo Fitness
Connect with Emily Gilmore
New Patient: https://www.thriveptal.com/new-patient-inquiry-form
Website: https://www.thriveptal.com/
Instagram: https://www.instagram.com/thriveptal/
Facebook: https://www.facebook.com/thriveptal
Connect with Dr. Polly Watson and Kate Willis NP-C
Website: https://hormonewellnessmd.com/podcast
Resources: https://hormonewellnessmd.com/podcast-resources
New Patient: https://hormonewellnessmd.com/new-patient-consultation
Instagram: https://instagram.com/hormonewellnessmd
Facebook: https://www.facebook.com/hormonewellnessmd\
YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA
Disclaimer: https://hormonewellnessmd.com/podcast-disclaimer- If hormone replacement therapy made you feel worse instead of better, histamine may be the missing piece. In this episode of Menopause Rescue, Dr. Polly Watson explains how estrogen, progesterone, and testosterone affect mast cells and histamine, why some women experience worsening symptoms after starting HRT, and how mast cell activation syndrome (MCAS) can sometimes mimic menopause.
You'll learn how to recognize common signs of histamine-related reactions, understand why diagnosis can be challenging, and explore practical treatment strategies, including medications, supplements, dietary changes, and nervous system support. Dr. Watson shares a functional medicine approach to helping women successfully navigate menopause while minimizing mast cell and histamine symptoms.
Quotes
"Estrogen destabilizes mast cells, and mast cells contain histamine—that's where this connection is coming from." — Dr. Polly Watson
"A misinformed clinician might make things worse by increasing estrogen when the real problem is mast cell activation." — Dr. Polly Watson
"If hormone replacement therapy made you feel worse instead of better, don't give up—we may simply need a different strategy." — Dr. Polly Watson
Resources
Stress vs Trauma Body Responses
Connect with Dr. Polly Watson
Website: https://hormonewellnessmd.com/podcast
Resources: https://hormonewellnessmd.com/podcast-resources
New Patient: https://hormonewellnessmd.com/new-patient-consultation
Instagram: https://instagram.com/hormonewellnessmd
Facebook: https://www.facebook.com/hormonewellnessmd
YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA
Disclaimer: https://hormonewellnessmd.com/podcast-disclaimer - Are you working out but still struggling to build muscle? Do you feel like your metabolism has slowed down, your energy is fading, and your body just isn't responding the way it used to?
In this episode of Menopause Rescue, Dr. Polly Watson is joined by functional medicine practitioner Kristin Oja, DNP, to explore why muscle is one of the most important predictors of health, longevity, and resilience during perimenopause and menopause. Together, they share practical, evidence-based strategies to help women build strength, improve metabolism, prevent burnout, and support healthy aging through sustainable lifestyle changes.
🌸 Muscle is one of the greatest predictors of longevity, metabolic health, bone strength, and independence as we age.
🌸 Progressive overload—not simply exercising—is the key to building muscle and maintaining a healthy metabolism.
🌸 Recovery matters just as much as your workout, and quality sleep, stress management, and proper nutrition are essential for muscle growth.
🌸 Eating enough protein and whole-food carbohydrates helps fuel your body, improve recovery, and support strength gains.
🌸 Chronic stress, burnout, poor sleep, and under-fueling can make it harder to build muscle and may contribute to hormone imbalances.
🌸 Small daily habits like hydration, balanced meals, mindful breathing, and strength training can have a lasting impact on your health.
🌸 It's never too late to get stronger, but starting before menopause can make the transition easier and help you stay healthier for years to come.
If you're feeling frustrated by weight changes, declining energy, or the physical changes of midlife, you're not alone. This episode offers practical, realistic strategies to help you build strength, protect your metabolism, and approach menopause with confidence.
📘 Try our 10-minute new patient intro course: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course
🩺 Looking for Personalized Hormone Care in North Carolina or Alabama?
Hormone Wellness MD provides expert, evidence-based hormone care for women across North Carolina and Alabama. We care for patients in Raleigh, Charlotte, Wilmington, Chapel Hill, Durham, Greensboro, and Birmingham.
If you’re ready for expert care rooted in evidence and empathy, we’d love to support you.
Website: https://hormonewellnessmd.com
Email: info@hormonewellnessmd.com
Call: (919) 364-3430
📲 Follow Hormone Wellness MD:
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Podcast: https://hormonewellnessmd.com/podcast - In this episode of Menopause Rescue, Dr. Polly Watson is joined by massage therapist and somatic practitioner Audrey Burke to explore how the nervous system influences both physical and emotional health. Together, they discuss how chronic stress, trauma, and prolonged survival mode can contribute to symptoms such as digestive issues, anxiety, insomnia, fatigue, chronic pain, and other persistent health concerns—even when medical testing appears normal.
Audrey explains how somatic therapy differs from traditional talk therapy by focusing on the body's sensations and nervous system regulation rather than simply processing thoughts or revisiting past experiences. The conversation explores the science behind the gut-brain connection, developmental trauma, co-regulation, the vagus nerve, and why helping the body feel safe is often an essential step toward healing. Whether you're navigating chronic illness, recovering from trauma, or simply feeling stuck in a constant state of stress, this conversation offers practical, compassionate insights into the powerful connection between the body and the mind.
Quotes
"With somatic therapy, we don't actually have to go back to the original event in order to heal from it." — Audrey Burke
"We're not just looking at our thoughts or emotions, but also noticing what's happening in the body's experience." — Audrey Burke
"Maybe you don't need another five supplements. We need to get your nervous system to feel safe." — Dr. Polly Watson
Connect with Audrey Burke
New Patient: https://calendly.com/restorativepresence-1/
Newsletter: https://www.restorativepresence.com/newsletter
Website: https://www.restorativepresence.com/
Instagram: https://www.instagram.com/somaticswithaudrey/
Facebook: https://www.facebook.com/restorativepresence
Connect with Dr. Polly Watson
Website: https://hormonewellnessmd.com/podcast
Resources: https://hormonewellnessmd.com/podcast-resources
New Patient: https://hormonewellnessmd.com/new-patient-consultation
Instagram: https://instagram.com/hormonewellnessmd
Facebook: https://www.facebook.com/hormonewellnessmd
YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA
Disclaimer: https://hormonewellnessmd.com/podcast-disclaimer - Could your cholesterol and heart disease risk be changing during menopause without you realizing it? Have you been told hormone therapy protects your heart, but wondered what the research actually says?
In this episode, Dr. Polly Watson is joined by integrative cardiologist Dr. Regina Druz to unpack the complicated relationship between lipoprotein(a), menopause, cardiovascular disease risk, and hormone therapy in women. Together, they explain what current research shows about genetics, inflammation, cholesterol markers, and emerging treatment options so women can make more informed decisions about their long-term health.
🌸 Lipoprotein(a), also called Lp(a), is a largely genetic cholesterol particle linked to higher cardiovascular disease risk.
🌸 Women can experience spikes in Lp(a) during pregnancy and menopause, which may affect long-term heart health.
🌸 Oral estrogen may lower Lp(a) levels, but it can also increase inflammation and blood clot risk.
🌸 Transdermal hormone therapy appears safer for cardiovascular risk, but research is still evolving.
🌸 Exercise, sleep, nutrition, and muscle health remain some of the most important tools for protecting heart health during midlife.
🌸 Advanced testing like ApoB, coronary calcium scores, and genetic risk assessments may help personalize prevention strategies.
🌸 New treatments like PCSK9 inhibitors and future gene-editing therapies may change how elevated Lp(a) is managed in the coming years.
If you’ve been confused by mixed messages around cholesterol, menopause, and hormone therapy, this episode offers a more balanced and evidence-informed perspective. You’ll leave with a clearer understanding of what we know, what we still don’t know, and practical ways to support your long-term cardiovascular health.
📘 Try our 10-minute new patient intro course: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course
🩺 Looking for Personalized Hormone Care in North Carolina or Alabama?
Hormone Wellness MD provides expert, evidence-based hormone care for women across North Carolina and Alabama. We care for patients in Raleigh, Charlotte, Wilmington, Chapel Hill, Durham, Greensboro, and Birmingham.
If you’re ready for expert care rooted in evidence and empathy, we’d love to support you.
Website: https://hormonewellnessmd.com
Email: info@hormonewellnessmd.com
Call: (919) 364-3430
📲 Follow Hormone Wellness MD:
Instagram: https://www.instagram.com/hormonewellnessmd
Podcast: https://hormonewellnessmd.com/podcast
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About Menopause Rescue
Women may spend over a decade of their lives experiencing symptoms around menopause transition, while just over 10% of women’s healthcare professionals feel comfortable treating menopause. The conversation around menopause has evolved beyond hot flashes and night sweats to include how hormonal changes affect bone, brain, mood, heart and mental health. Midlife women can feel like they are drowning in symptoms. Many of them are not well served by health care providers who haven’t updated their knowledge on hormones since the WHI 20 years ago and influencers who are peddling potions and lotions which may not be effective. Menopause Rescue is here to give you a hand up.
I’m a board certified gynecologist with certification in menopausal medicine as well as functional medicine. My goal is to revolutionize the menopause dialogue, using the transition as a spark to ignite health promotion. Secondly, we will discuss solutions for low libido, weight gain, mood changes, brain fog, hot flashes and night sweats, insomnia and sexual pain and dive into the nuances of each topic, empowering women to determine what is uniquely relevant for them.
This podcast is for women who are curious about their health and curate a mindset around menopause as an opportunity for growth. Many of us at this time in our lives are at a high point in our relationships and our careers. We know ourselves and know how to create boundaries and have defined our values in a way that we simply didn’t have the wisdom to do in our 20 and 30s. Women in their 40s and 50s are at the perfect moment to take up some space in their lives and step into this transition with strength. Every other week we will gather to review topics that are relevant to menopause and take you behind the scenes with hormone specialists to help you cull and decipher health recommendations to find your unique solution.
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