Middling Along

Joining me this time on the podcast  is Sarah Williamson, co-founder of Women Wise. Sarah is a nutritional therapist and researcher: with first hand experience of the limitations of current menopause support and after getting increasingly frustrated and worried about friends' difficult menopause experiences, she was determined to do something about it.

She carried out two and half years of research in the process of designing the Women Wise product from the ground up - motivated by her fascination with why people experience menopause symptoms in such different ways, and determined to create a solution that would also include those who could not use HRT, chose not to, or found that it provided no significant benefit when they tried it.

As part of my research for this episode I trialled the full Women Wise service, which includes a comprehensive symptoms questionnaire, testing for cortisol levels, insulin sensitivity, Vitamin D levels, thyroid function (TSH, T3 and T4) and iron/ferritin levels, plus the (optional) genetic tests which offer additional insights including an assessment of how well we metabolise and clear oestrogen from our bodies (tune in to find out exactly why that part is so important!). 

I found the whole process fascinating and insightful - not least because I was lucky enough to go through all my results with Sarah herself and got a detailed understanding of what my test results meant and what I could do to improve my health outcomes. 

The results include a detailed action plan - which I’m gradually starting to implement - and ongoing support for 12 months afterwards. 

To find out more about what Women Wise offers go to 

https://womenwise.health/ 

https://www.instagram.com/womenwise_health/ 

 

 

If you enjoy the podcast please help us grow by sharing this episode, or writing a review.

You can also find me at www.thetripleshift.org 

connect with me at https://www.linkedin.com/in/emmacthomas/ 

follow along on Instagram at https://www.instagram.com/middlingalong_podcast/

or subscribe to my Substack at https://middlingalong.substack.com/ 

 

Join me this time as we chat to Dr Zoe Schaedel: Zoe is a GP and an accredited British Menopause Society Menopause Specialist.  She is currently a member of the British Menopause Society’s Medical Advisory Council, the Primary Care Women Health Foundation’s Education Committee and NHS England’s Menopause Improvement Programme Clinical Reference Group. She has developed a special interest in sleep and sits on the British Sleep Society Education Committee, is the co-founder of The Good Sleep Clinic, and has published articles on Menopause in The Lancet and Post Reproductive Health.

 

What a great, informative episode this is: did you know that sleep disturbances are one of the most common symptoms of the perimenopause? 40-60% of women report difficulties staying asleep, and waking more during the night! 

 

We’ll cover:

• How our bodies need to stay at a low and stable temperature to stay asleep
• The impact of our symptoms (such as anxiety, needing to wee more, and hot/cold flushes and night sweats) on sleep and getting back to sleep between our 90 minute sleep cycles
• Sleep hygiene tips (including light, temperature, and bedtime routines - bath, book and bed isn’t just for the kids!)
• Why alcohol (yet again) is not our friend and leads to less REM sleep and more ‘micro-wakings’
• What is sleep drive and why is it important? 
• The role of adenosine in sleep drive, how to increase it, and how caffeine acts on adenosine levels
• How ‘putting the day to rest’ can help stop our busy brains keeping us awake and running through the mental load list at 4am!
• How HRT can help with sleep in perimenopause
• How CBTi works even on chronic insomnia

 

You can find Zoe at https://goodsleep.clinic/ and www.mylahealth.co.uk and on Instagram at https://www.instagram.com/zoemenopausedr/ 

 

The CBTi based sleep apps we discuss in this episode are Sleepio and Sleep Station.

You can also find us over on Instagram https://www.instagram.com/middlingalong_podcast/ and you can listen to past episodes at https://middlingalong.com  

 

If you enjoy the podcast please help us grow by sharing this episode, or writing a review.

You can also find me at www.thetripleshift.org 

connect with me at https://www.linkedin.com/in/emmacthomas/ 

follow along on Instagram at https://www.instagram.com/middlingalong_podcast/

or subscribe to my Substack at https://middlingalong.substack.com/ 

 

In this episode I chat to Tracy Acock, founder of The Wellbeing Wisdom Club. Tracy retired from a career in breast cancer nursing and retrained as a women’s life coach with a focus on health and wellbeing. Whilst maybe not an obvious career pivot, she uses many of the same tools to work with her coaching clients - such as mindfulness, meditation and EFT (emotional freedom technique, or tapping).

 

We cover such a wide range of topics including:

• the benefits of cold water swimming
• how we are often disconnected from ourselves in midlife and how to get back to who we are and what we want
• changing our mindset to break free of negative self-talk and our cosy comfort zones
• looking for the things that light us up
• building more movement into our lives 
• Tracy’s own menopause experience ten years ago and why the conversation is so different now…

You can find Tracy at  https://wellbeingwisdomclub.com and on Instagram https://www.instagram.com/thewellbeingwisdomclub/ - but be warned, all those beautiful photos of Cornish beaches will make you want to move there if you don’t already!

 

If you enjoy the podcast please help us grow by sharing this episode, or writing a review.

You can also find me at www.thetripleshift.org 

connect with me at https://www.linkedin.com/in/emmacthomas/ 

follow along on Instagram at https://www.instagram.com/middlingalong_podcast/

or subscribe to my Substack at https://middlingalong.substack.com/ 

 

This time on the podcast I’m joined by Victoria Hardy (otherwise known as @GingeUnhinged on Instagram) as she talks us through her experience of medical and surgical menopause aged just 33, the breakdown that followed, and how she has used her experiences to help others going through the same situation feel less alone. 

 

She has now gone one further and written a book ‘My Menopause, My Journal, My Rules’ to be the friendly guide and confidante that she would so dearly have loved 7 years ago…  

 

We cover:

• The process of going through first medical, and then surgical menopause in her early 30s, and how ill-prepared she was by the medical establishment
• How the lack of support led her to a breakdown, then to therapy, where she turned her creative flair and a way with words into an outlet for processing her grief and trauma, that ultimately became a source of support for others on social media
• Why connection to community on social media is so important
• How and why she decided to write her book and why it’s different from most other menopause books out there already…not least because it’s partly a book you write yourself (40% of the books is journaling space - you’re even encouraged to rip out certain pages if you feel the urge!)
• What was the hardest chapter to write - it might not be what you’d expect

 

You can find Victoria on Instagram at https://www.instagram.com/ginge_unhinged and the book is now available to preorder from gingeunhinged.com 

 

If you enjoy the podcast please help us grow by sharing this episode, or writing a review.

You can also find me at www.thetripleshift.org 

connect with me at https://www.linkedin.com/in/emmacthomas/ 

follow along on Instagram at https://www.instagram.com/middlingalong_podcast/

or subscribe to my Substack at https://middlingalong.substack.com/ 

 

This time we go all in on testosterone with Dr Katie Barber.

Katie is the Clinical Lead for the NHS Community Gynaecology Service in Oxfordshire where she continues to work as a Women’s Health GP and Menopause Specialist alongside her work as Clinical Director of Oxford Menopause. She’s also part of the British Menopause Society Advisory Council.

 

We do a deep dive on everything you might want to know about testosterone including: 

• what being prescribed ‘off license’ actually means
• why there are no products here in the UK designed for use by women and whether that is that likely to change
• why testosterone is only licensed to treat low libido
• why doctors don’t prescribe testosterone on its own without systemic HRT
• the three products available here in the UK on the NHS
• why low libido is a multifactorial issue and why that is important
• what blood tests and checks are routinely carried out before and after prescribing
• future research planned to look at testosterone use for other symptoms
• what to do if your GP is reluctant to prescribe testosterone 

You can find Katie at https://www.oxfordmenopause.com/ and on Instagram @oxfordmenopause 

 

If you enjoy the podcast please help us grow by sharing this episode, or writing a review.

You can also find me at www.thetripleshift.org 

connect with me at https://www.linkedin.com/in/emmacthomas/ 

follow along on Instagram at https://www.instagram.com/middlingalong_podcast/

or subscribe to my Substack at https://middlingalong.substack.com/ 

In this episode of the podcast I’m joined by New York Times bestselling author Kirsten Miller to talk about her debut adult novel The Change – described on her website as “Big Little Lies meets The Witches of Eastwick—a gloriously entertaining and knife-sharp feminist revenge fantasy about three women whose midlife crisis brings unexpected new powers—putting them on a collision course with the evil that lurks in their wealthy beach town.” 

Kirsten spent twenty-five years as a strategist in the ad industry – an experience that inspired several memorable scenes in the book as we flash back through protagonist Harriett’s career and the events that have led her to develop some rather unorthodox new hobbies that are ruffling the feathers of Mattauk’s residents. She is soon joined by Jo, whose perimenopausal rages manifest in unexpected ways, and Nessa, who hears the voices of the dead girls who bring the trio together, sending them on the dramatic hunt for answers that puts them at odds with the powerful men of Mattauk. 

Power is the thread that runs through this book, from the new-found powers the women are learning to channel, and to live with, to the traditional male power that takes what it feels entitled to (and fully expects to get away with whatever damage it causes as it does so). 

As Kirsten points out during our interview, Gen X - the cohort of us that are now coming into our menopausal years - are the most powerful generation of women in the history of the world. We are in uncharted territory, and only really learning the full extent of that power, and how we pass it on to younger generations. As a consequence, there are many places where this has led to a backlash that will try to squash and push back those hard-won rights and powers. 

 

We talk too about shame, and how we absolutely need to be embracing conversations about our bodies without shame – Kirsten contrasts the experiences of her own teenage daughter’s generation, so much more fearless and so unwilling to put up with stigma around topics like menstruation. She likens perimenopause to “a wave you have to ride” – which I absolutely love. We also touch on the topic of rage: perhaps, Kirsten suggests, there are very good reasons for us to be angry, and instead of ‘treating’ the symptom, instead we need to channel and focus that anger, harness it and feel its power. 

Kirsten is currently working on her next two books.

Find out more about The Change at https://www.kirstenmillerbooks.com/

 

 

If you enjoy the podcast please help us grow by sharing this episode, or writing a review.

You can also find me at www.thetripleshift.org 

connect with me at https://www.linkedin.com/in/emmacthomas/ 

follow along on Instagram at https://www.instagram.com/middlingalong_podcast/

or subscribe to my Substack at https://middlingalong.substack.com/ 

 

 

This time I’m joined by Steph Douglas, CEO and founder of Don’t Buy Her Flowers. I’ve been following Steph online since the early days of her blog, and then watching DBHF go from strength to strength, so was really excited to sit down with her and talk to her not just about building a business, but a whole raft of other topics. 

 

I’m always intrigued to hear about how people launch and grow a company: DBHF launched in 2014 with three packages for new mums, but really ‘went viral’ when Sarah Turner from The Unmumsy Mum mentioned the business to her followers. The small matter of the Covid pandemic landing in all our lives right before Mothers Day in 2020 was another enormous turning point for the business, and we discuss what it was like navigating that alongside parenting three small children (remember those heady days of ‘homeschooling’ - shudder…).

 

We also touch on:

• The step-change of going from 2 kids to 3
• Mum guilt
• The pros and cons of social media and why ‘Instagram holidays’ help Steph manage overwhelm
• Why gratitude journaling ended up surprising her with its effectiveness
• The mental load and de-programming relationship stereotypes
• Parenting preteens in the social media age

 

Don't Buy Her Flowers is at https://www.dontbuyherflowers.com/  and you can also find Steph at https://www.instagram.com/steph_dontbuyherflowers/ where she presents her wonderfully unvarnished take on parenting three kids and juggling that with running her business with a big dollop of humour…

 

If you enjoy the podcast please help us grow by sharing this episode, or writing a review.

You can also find me at www.thetripleshift.org 

connect with me at https://www.linkedin.com/in/emmacthomas/ 

follow along on Instagram at https://www.instagram.com/middlingalong_podcast/

or subscribe to my Substack at https://middlingalong.substack.com/ 

Join me this time as I chat to lovely Charlotte Ellison (aka ‘Moodswings and Other Things’ on Instagram) about the hormonal roller coaster we call perimenopause! 

Charlotte (Lotti on Insta) has been assiduously documenting the physical and mental challenges of perimenopause and her mixture of vulnerability, humour, honesty and a nifty turn of phrase has won her a dedicated following over there. An introvert in ‘offline world’ Charlotte talks about using Stories almost as a sounding board…

 

We also talk about:

• how our partners cope living with our meno-rage, noise sensitivity, and the abrupt shift from adept multitasker to bumbling idiot…and the only way through the confusion is total honesty
• the maelstrom of hormones living with two teenage daughters…and what her girls think of her social media exploits…
• giving up alcohol and how for so many of us it doesn't agree with us in midlife and menopause, leaving us the next day with low mood, irritable, impatient 
• the camaraderie and joy of connecting with the midlife/ perimenopause community on social media 
• How taking prescribed antidepressants made her feel 10 x worse but ultimately galvanised her to educate herself about what was going on with her hormones and what she could do to mitigate her symptoms

 

You can find Charlotte over at https://www.instagram.com/moodswings_and_otherthings

 

If you enjoy the podcast please help us grow by sharing this episode, or writing a review.

You can also find me at www.thetripleshift.org 

connect with me at https://www.linkedin.com/in/emmacthomas/ 

follow along on Instagram at https://www.instagram.com/middlingalong_podcast/

or subscribe to my Substack at https://middlingalong.substack.com/ 

 

 

Join me this time as I chat to Caroline Nokes, MP. Caroline is the Member of Parliament for Romsey and Southampton North and the current Chair of the Women and Equalities Select Committee in Parliament.

 

We discuss the government's lacklustre (and late!) January response to the recommendations in the WESC's report last year, why menopause training for GPs needs to be mandated, the current HRT shortages, the failure of the UK goverment to engage with manufacturers appropriately ahead of the introduction of the Pre-Payment Certifcate on 1st April, and why we need a National Formulary for HRT.

 

We also cover the Committee's recommendations around changes to the Equality Act to provide increased protection for those going through a difficult menopause, and why Caroline believes a pilot on menopause leave would have been a useful and insightful experiment. 

 

 

 

If you enjoy the podcast please help us grow by sharing this episode, or writing a review.

You can also find me at www.thetripleshift.org 

connect with me at https://www.linkedin.com/in/emmacthomas/ 

follow along on Instagram at https://www.instagram.com/middlingalong_podcast/

or subscribe to my Substack at https://middlingalong.substack.com/ 

Join me this week as I talk to writer and filmmaker Kate Muir. Kate’s book - Everything you need to know about the Menopause (but were too afraid to ask) has recently been released in paperback. She is also the producer of the Channel 4 documentaries with Davina McCall: ‘Sex, Myths and the Menopause’ and ‘Sex, Mind and the Menopause’ (with another instalment due for release later in 2023). 

 

Kate and I are both ‘daughters of Alzheimers’ (Kate’s mother passed away from this cruel disease and my own mother is now in the later stages) and we kick off by discussing some of the research into the impacts of HRT on Alzheimer’s risk and cognitive decline. 

Kate is a vocal proponent for HRT and we delve deep into Kate’s own experience (which included taking 5 years to get her HRT settled and stable), the various health benefits that HRT can confer, the different HRT types (including progestins vs progesterone), and the ongoing struggles of accessing appropriate treatment on the NHS. 

We talk - of course, how could we not! - about the Channel 4 documentaries, which were turned down twice “because menopause is boring and for old women” before being commissioned by Dorothy Byrne as her final project before stepping down as Head of Current Affairs. Since the first programme aired, half a million more women are now taking HRT - often dubbed the ‘Davina Effect’ - but despite (or perhaps related to) this increased awareness and uptake, there continue to be HRT shortages. 

Kate is currently working on two new books - one looking at the contraceptive pill and how this impacts on our brains, and another which looks at midlife and how we can age well. 

You can find Kate at https://katemuir.co.uk/ (including links to the book), on Instagram https://www.instagram.com/menoscandal/ and Twitter https://twitter.com/MenoScandal 

 

 

If you enjoy the podcast please help us grow by sharing this episode, or writing a review.

You can also find me at www.thetripleshift.org 

connect with me at https://www.linkedin.com/in/emmacthomas/ 

follow along on Instagram at https://www.instagram.com/middlingalong_podcast/

or subscribe to my Substack at https://middlingalong.substack.com/