Is walking enough? Is Pilates enough? How heavy should you actually be lifting? If you’ve ever wondered which exercise really protects your brain as you age, especially through perimenopause and menopause, this conversation gives you the exact weekly plan.

In this episode, Tamsen sits down with clinical neurophysiologist and Alzheimer’s researcher Louisa Nicola, founder of Neuro Athletics and host of The Neuro Experience podcast, to talk about why she calls exercise medicine for the brain. Louisa explains that, outside of medication, exercise is the most powerful intervention we have to lower our risk of Alzheimer’s disease and dementia, a disease that affects far more women than men.

Tamsen opens up about the short-term memory loss and brain fog that scared her during perimenopause, and Louisa breaks down what happens inside your brain when you walk, sprint and lift, from BDNF and lactate to the myokines your muscles release. Then she builds out a workout plan for your brain: two days a week of heavy compound lifting at around 80% of your one-rep max, one Norwegian 4x4 interval session, zone 2 cardio and 10,000 steps a day.

In this episode, you’ll learn:

- Why exercise is the best non-drug intervention for lowering Alzheimer’s risk

- How heavy to lift for brain health, and why compound moves like squats and deadlifts matter most

- Why Pilates is a great add-on, but not enough on its own

- The surprising link between leg strength and brain aging: “the larger the legs, the larger the brain”

- What zone 2 training (about 65% of your max heart rate) does for the hippocampus and memory

- How to raise your VO2 max with the Norwegian 4x4, how to estimate it with the 12-minute Cooper test, and why she wouldn’t rely on your wearable

- What she says about creatine for the brain, omega-3s, and the p-tau217 blood test and APOE4 gene test you can ask your doctor about

If you’ve ever wondered whether your workouts are doing anything for your brain, this episode will help you build a plan that protects your memory now and decades from now.

If you liked this episode, then you’ll like: How Getting Stronger as You Age Can Change Everything with The Muscle Doctor, Dr. Gabrielle Lyon and The #1 Pharmacist Phil Cowley: Creatine, Greens, Electrolytes, What’s Worth Buying and What Isn’t

For everything mentioned in this episode, click this link

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FOLLOW LOUISA NICOLA:

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MENTIONED IN THIS EPISODE:

- Dr. Lisa Mosconi on The Tamsen Show

- Walking and hippocampus study (Erickson et al., PNAS, 2011)

- Leg power and cognitive aging in older female twins (Steves et al., Gerontology, 2016)

- The Norwegian 4x4 interval study (Helgerud et al., Medicine & Science in Sports & Exercise, 2007)

- The 12-minute Cooper test (Cooper, JAMA, 1968)

- Creatine monohydrate pilot study in Alzheimer’s (Smith et al., 2025)

- Creatine and sleep deprivation study (Gordji-Nejad et al., Scientific Reports, 2024)

- FDA clears the first blood test used in diagnosing Alzheimer’s (p-tau217)

- APOE4 and Alzheimer’s genetics (Alzheimer’s Association)

- The 14 modifiable dementia risk factors (2024 Lancet Commission)

- Sleep regularity and mortality study (Windred et al., Sleep, 2024)

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Medical Disclaimer:

The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.

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Menopause and perimenopause can leave you with questions about belly fat, brain fog, sleep problems and whether hormone therapy could help. Your jeans fit differently. You’re losing your train of thought. You’re exhausted, but you can’t sleep. Where do you start when so much feels unfamiliar?

For World Menopause Month, Tamsen brings eight leading doctors and researchers together in one episode to help you understand what’s changing and what deserves attention. These are the conversations she wishes she’d heard before she was struggling to read the teleprompter at work, leaving herself notes and wondering why she didn’t feel like herself.

You’ll hear from Dr. Sharon Malone, Dr. Lisa Mosconi, Dr. Shelby Harris, Dr. Rocio Salas-Whalen, Dr. Vonda Wright, Dr. Kelly Casperson, Dr. Avrum Bluming and Dr. Suzanne Gilberg-Lenz. Eight experts, different perspectives and answers you can come back to—all in one place.

Inside the episode:

- Why you can still have periods and be in perimenopause—and why a single hormone blood test may be misleading

- Whether menopause brain fog can improve, and why women’s experiences vary

- Why more time in bed may not mean better sleep, and how cognitive behavioral therapy for insomnia (CBT-I) works

- The difference between visible belly fat and visceral fat around your organs

- Why bone health needs attention earlier than you might think

- How menopause can affect sexual anatomy, arousal and orgasm

- What to understand about hormone replacement therapy (HRT) and breast cancer risk

- How to evaluate menopause supplements and “hormone balance” claims before spending your money

You don’t have to remember everything or make eight changes tomorrow. Start with the moment that makes you think, “Wait, that’s happening to me.” Write down your question and bring it to your next appointment.

If a woman in your life keeps telling you she doesn’t feel like herself, share this episode with her. And if these conversations have helped you, follow The Tamsen Show and leave a rating and review.

This episode provides general education. Speak with a qualified healthcare professional about your symptoms and treatment decisions.

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Medical Disclaimer:

The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.

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Why do we keep choosing emotionally unavailable partners? And why is it so hard to break unhealthy relationship patterns, even when we know better? In this episode of The Tamsen Show, dating and relationship expert Sabrina Zohar joins Tamsen Fadal to explain anxious attachment, avoidant attachment, relationship anxiety, and how childhood experiences shape the way we love, date, and connect with others.

Tamsen opens up about her own history of chasing unavailable men, including her real-life Mr. Big, and how finding a secure relationship later in life changed her understanding of love.

Sabrina, author of Why Am I Like This?, breaks down the four attachment styles, why anxious and avoidant partners get caught in painful relationship cycles, and why some of us keep choosing people who can’t give us what we need. More importantly, she explains how to recognize these patterns and start changing them.

You’ll learn:

- The four attachment styles and how they affect your relationships

- Why anxious and avoidant partners get caught in a painful push-and-pull cycle

- Why you keep attracting emotionally unavailable people

- How childhood experiences can influence your adult relationships

- The question to ask yourself when rejection or abandonment triggers you

- How to build a more secure attachment style

- What to know before dating again after divorce or heartbreak

- Why choosing to stay single can sometimes be rooted in fear

Whether you’re single, dating, married, or starting over, this conversation will help you understand the patterns you bring into relationships and how to stop repeating the ones that hurt you.

If you liked this episode, listen to: The Narcissist Decoder: How Smart Women Get Trapped in Emotional Abuse

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Stay connected with Tamsen:

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⁠⁠⁠⁠Free Resources⁠⁠⁠⁠ from Tamsen 

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Get Sabrina's book, Why Am I Like This?

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Medical Disclaimer:

The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.

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Women learn early which parts of themselves make other people comfortable. After enough years, that performance can begin to feel like our identity, and the intuition underneath it goes quiet.

Dr. Ellen Vora spent much of her life inside that worldview. A Yale- and Columbia-trained psychiatrist, she built her life around science and skepticism. Then, during an acupuncture treatment, Ellen received a message she couldn’t explain away, and it opened a question her training couldn’t answer: When someone dies, does the relationship actually end? That experience forced her to reconsider what she believed about grief, intuition, and the limits of what we can prove.

Today, Ellen shares the full story behind her new book, Season of the Witch: A Psychiatrist’s Case for Magic, and why women are taught to give up essential parts of themselves in order to be taken seriously. She argues that we’ve been missing something, and the way back starts in the body.

In this episode, you’ll learn:

- How being agreeable and low-maintenance can become a form of self-abandonment

- Why women have been taught to distrust their intuition

- How to distinguish intuition from anxiety, and the ways the body signals yes and no

- Why menopause can represent a rebirth rather than a disappearance

- What grief can teach us about continuing relationships with the people we have lost

- Why the “witch” archetype has always been connected to women who are no longer easily controlled

- Simple ways to become more receptive to meaning, guidance, and magic in everyday life

This is a conversation about returning to the parts of ourselves we learned to suppress, and letting life become a little more mysterious and alive.

If you liked this episode, then you’ll like: Why You Feel So Lost Right Now (And How to Finally Heal)

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Medical Disclaimer:

The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.

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What do women need to know about menopause care, menopause treatment, insurance coverage and their rights in the workplace?

Jennifer Weiss-Wolf, attorney, women’s health advocate and author of When in Menopause, joins me to talk about the systems surrounding perimenopause and menopause that most of us never think about until we need them.

Jennifer has spent years fighting for women, from helping lead the movement to end the tampon tax to advocating for better menopause care, research, treatment access and workplace protections. In this conversation, we break down what is changing, where women are still falling through the cracks and what we can actually do about it.

In this episode, you’ll learn:

- Why menopause care and treatment still aren’t uniformly covered by health insurance

- Why vaginal estrogen isn’t currently covered by Medicare

- What states are doing to expand access to menopause treatment

- What rights women actually have when it comes to menopause in the workplace

- Why workplace accommodations without discrimination protections can be complicated

- What to consider before disclosing menopause symptoms at work

- How to better advocate for yourself in the doctor’s office

- How to navigate the explosion of menopause supplements, creams and products being marketed to women

- Why Jennifer believes better care, education, research and treatment access could make a bigger difference than workplace accommodations alone

- How women can get involved in menopause advocacy without becoming policy experts

This is one of those conversations that makes you realize how much of the menopause experience is shaped by systems most women have never been taught to think about. The more we understand how they work, the better equipped we are to ask for what we need.

Learn more about menopause advocacy, policy, and how to drive change HERE

If you liked this episode, you'll love: Estrogen 101: What I Learned From the World’s Top Menopause Doctors

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⁠⁠⁠⁠Free Resources⁠⁠⁠⁠ from Tamsen 

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Medical Disclaimer:

The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.

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If you’ve been searching for how to strengthen your feet, improve your balance, walk better, help bunions, choose the right shoes, or stay mobile as you age, this episode is for you.

Your feet could be telling you more about your health than you realize.

Today, Tamsen sits down with foot and gait specialist Dr. Courtney Conley to break down the simple things you can start doing now to build stronger feet, improve the way you walk, and protect your mobility as you age.

You’ll learn:

- Why your walking speed can reveal important information about your health

- The simple test that can show you how strong your toes actually are

- What to do about bunions before considering surgery

- Why balance and foot strength become so important as you age

- Whether you actually need arch support or orthotics

- The truth about max-cushion sneakers, barefoot shoes and walking barefoot

- How to tell if your shoes are changing the shape of your feet

- The simple foot exercises Dr. Conley recommends for strength and mobility

- Why toe spacers can help and how to use them correctly

- What Dr. Conley rates orthotics, insoles, compression socks, bunion correctors, massage balls, slant boards and toe spacers

Your feet are carrying you through your entire life. This episode will show you how to start taking care of them now so they can keep carrying you for decades to come.

Get your pink toe spacers HERE

If you liked this episode, then you’ll like: The Foot Expert: The 6 Shoe Mistakes That Are Hurting Your Body

For everything mentioned in this episode, click this link

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Medical Disclaimer:

The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.

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Breast cancer is rising in younger women, but why? And what do plastics, alcohol, fragrance, deodorant, PFAS, pesticides, and other everyday exposures actually have to do with breast cancer risk?

In this episode of The Tamsen Show, Tamsen Fadal sits down with medical oncologist Dr. Eleonora Teplinsky to separate breast cancer facts from fear and misinformation.

They break down what the science actually says about everyday products and environmental exposures, plus the breast cancer risk factors women should be paying attention to.

You’ll learn:

- Why breast cancer rates are rising in women under 50

- What we know about plastics, PFAS and environmental exposures

- The connection between alcohol and breast cancer risk

- Why dense breasts can increase risk and make breast cancer harder to detect

- What women should know about mammograms, ultrasounds and breast cancer screening

- How family history and genetic testing affect your risk

- How to better understand your personal breast cancer risk

- The lifestyle changes that actually matter

If you’ve ever wondered what you can actually do to lower your breast cancer risk, what’s worth worrying about, and what the science says you can stop stressing about, this episode is for you.

If you liked this episode, you'll love The Truth About Mammograms, Hormones and Dense Breasts

If you want a say on our upcoming guests, fill out ⁠this form

Stay connected with Tamsen:

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Medical Disclaimer:

The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.

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When you lose a word, forget why you walked into a room, or struggle to retain what you just read, it can be unsettling. It can also make you wonder whether your brain is beginning to change.

In this episode, Tamsen sits down with memory and learning expert Jim Kwik to explore what affects our ability to remember and why attention may be one of the most important parts of the equation. Jim, author of Limitless and the new book Limitless Daily: 366 Keys to Train Your Brain, Master Your Mind & Win Every Day, shares his journey from being labeled “the boy with the broken brain” to becoming one of the world’s best-known memory coaches—and offers practical ways to strengthen your focus, keep learning, and begin trusting your mind again.

They discuss:

- How attention determines what becomes a memory

- Why mental overload can make us feel more forgetful

- A 60-second grounding exercise to use when you feel scattered or anxious

- Simple techniques for remembering what you read

- How to keep challenging and training your brain as you age

- The small daily practices that build focus, memory, and self-trust

If you liked this episode, then you’ll like: The ADHD Psychiatrist: How to Get Your Focus Back After 40

If you want a say on our upcoming guests, fill out ⁠this form

Stay connected with Tamsen:

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⁠⁠⁠⁠Free Resources⁠⁠⁠⁠ from Tamsen 

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Grief doesn’t only happen when someone dies. We can grieve a divorce, a changing body, an aging parent, a career, a relationship or even the person we used to be.

In this episode of The Tamsen Show, Tamsen Fadal sits down with grief therapist and expert Meghan Riordan Jarvis to unpack what grief actually does to the body, why the five stages of grief don’t tell the whole story, and how to process loss instead of simply pushing through it.

In this episode, you’ll learn:

- Why grief can show up after divorce, career changes, aging and other non-death losses

- How grief can affect sleep, brain fog, anxiety, mood and the body

- The truth about the five stages of grief

- How to recognize grief you may not realize you’re carrying

- Meghan’s six-part Grief Mentor Method for processing loss

- What to actually say and do when someone you love is grieving

- Why perimenopause, menopause and midlife can bring unexpected grief

- Practical ways to process grief instead of ignoring it

- How mindfulness, movement, nourishment, nature, rest and ritual can support the grieving process

Whether you’re grieving the death of someone you love, a divorce, an aging parent, a changing body or a version of your life that no longer exists, this conversation offers a different way to understand what you’re feeling and what to do with it.

If you liked this episode, then you’ll like: What No One Tells You About Grief After Losing Your Mother

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Stay connected with Tamsen:

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Get Meghan's book, Can Anyone Tell Me?: Essential Questions about Grief and Loss

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Rula patients typically pay $15 per session when using insurance. Connect with quality therapists and mental health experts who specialize in you at https://www.rula.com/TAMSEN #rulapod

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Medical Disclaimer:

The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.

Learn more about your ad choices. Visit podcastchoices.com/adchoices

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Have you ever looked at your age, your responsibilities, or how long you’ve been putting something off and wondered if you missed your chance?

Captain Carole Hopson dreamed of becoming a pilot from the time she was four years old. Then life got full. She built a successful corporate career, became an executive at Foot Locker, and raised two sons. The dream never left her. At 50, Carole began flying for the airlines. Today, she is a Boeing 737 captain for United Airlines.

In this conversation, Carole breaks down what starting over actually required and shares how she turned “someday” into a plan she could follow.

In this episode. they get into:

- The deadline that turned Carole’s childhood dream into a real goal

- How she prepared financially for a major career change

- Why she waited until her children were older to fly professionally

- What it felt like to be the oldest person in the classroom

- How to build a personal “board of directors” for your next chapter

- What pioneering aviator Bessie Coleman taught her about possibility

- Her mission to help 100 Black women attend flight school through the Jet Black Foundation

If there is something you keep telling yourself you’ll do one day, Carole’s story will push you to get honest about what you’re waiting for and finally give that dream a date.

If you liked this episode, then you’ll like: Thinking About a Career Change? Start Here

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Medical Disclaimer:

The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.

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Why do your joints suddenly hurt more than they used to?

In this episode of The Tamsen Show, Tamsen Fadal sits down with orthopedic surgeon Dr. Jason Snibbe to talk about joint pain, muscle loss, bone health, frozen shoulder, and what women can do now to stay strong and mobile as they age.

Dr. Snibbe explains why changing hormones can affect inflammation and recovery, why muscle is so important for protecting your joints, and how to know when normal soreness has turned into something you should actually get checked out.

In this episode, you’ll learn:

• Why joint pain and stiffness can increase in midlife
• How muscle helps protect your knees, hips, shoulders and back
• The strength training habits that support mobility and bone health
• What to know about frozen shoulder
• When joint pain is a sign it’s time to see a doctor
• What Dr. Snibbe says about PRP, cortisone, weighted vests, supplements and avoiding unnecessary surgery

If your body feels achier, stiffer, or slower to recover than it used to, this episode will help you understand what may be changing and what you can start doing about it.

For everything mentioned in this episode, click this link

If you liked this episode, you will love: The #1 Longevity Doctor: How Women Can Burn Fat, Build Muscle & Age Strong

If you want a say on our upcoming guests, fill out ⁠this form

Stay connected with Tamsen:

⁠⁠⁠⁠Get ⁠Tamsen's newsletter⁠⁠⁠⁠ filled with free tools⁠ to living better, feeling stronger, and knowing you’re never alone

Get Tamsen’s NYT instant bestselling book, ⁠⁠⁠⁠How To Menopause⁠⁠⁠⁠

⁠⁠⁠⁠Free Resources⁠⁠⁠⁠ from Tamsen 

Watch all the episodes on ⁠⁠⁠⁠YouTube⁠⁠⁠⁠

Follow Tamsen on ⁠⁠⁠⁠Instagram⁠⁠⁠⁠ 

The Tamsen Show on ⁠⁠⁠⁠Instagram⁠⁠⁠⁠

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Follow Dr. Snibbe on Instagram

Sponsors:

Head over to Bombas.com/TAMSEN and use code TAMSEN for 20% off your first purchase!

Unlock your best skin with @iRestorelaser and save on the new Laser Face Mask Pro! Use code TAMSEN at iRestore.com/TAMSEN. #irestorepod

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Medical Disclaimer:

The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.

Learn more about your ad choices. Visit podcastchoices.com/adchoices