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by Claudia Petrilli
Perimenopause Simplified is the no-BS podcast for women 40+ who are doing everything right — and still feel off. Hosted by Claudia Petrilli, Functional Health & Nutrition Coach and creator of The Perimenopause Method, this show breaks down what's really happening with your hormones, metabolism, and body during perimenopause — without the noise or oversimplified advice. Claudia covers real perimenopause symptoms, tools like hormone therapy (HRT) and GLP-1s, building muscle and body composition in midlife, sleep and recovery, and the nutrition and lifestyle shifts that actually work for this phase of life — not the ones that worked in your 20s. This isn't about doing more. It's about doing what works for perimenopause and midlife health.
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If you've started hormone replacement therapy (HRT) but still feel exhausted, anxious, bloated, moody or worse – you're not alone. In this episode, I'm breaking down why hormone therapy alone isn't enough for many women over 40, why it really requires a whole body, holistic approach, and what your provider may be missing. In this episode, you'll learn: Why HRT is a process - not a quick fix Common mistakes providers make with perimenopausal women How mineral imbalances and nervous system dysregulation affect HRT Why you may feel worse after starting hormones What we assess in every client before addressing hormones If you want to learn more, my course Perimenopause HRT Roadmap is on sale this month through September 25th. CLICK HERE to save $25 with code: SAVE25. CONNECT WITH CLAUDIA: Website YouTube Instagram Facebook Inquiries SHOP: Products We Love
Starting hormone replacement therapy can feel both exciting and overwhelming. What should you expect? How do you find the right provider? Which delivery method is best? And how long does it take before you actually start feeling better? In this episode of Perimenopause Simplified, Claudia Petrilli walks you through what the HRT journey can look like, from finding a hormone-savvy provider to understanding different delivery methods and the importance of starting low and going slow. Claudia discusses why simply finding someone who can prescribe HRT isn't always enough, what questions to ask when interviewing a provider, and why finding the right dose and combination of hormones can take some patience and fine-tuning. She also breaks down progesterone, estrogen, testosterone, DHEA, and several different delivery options, including patches, creams, pills, troches, injections, and pellets. Plus, she shares some of her own experiences with HRT, including the changes she noticed when starting testosterone and the difference estrogen made for her period-related body aches. If you're considering HRT or have already started and aren't sure what to expect, this episode will help you better understand the process and feel more prepared to advocate for yourself. In this episode, we covered: How to find an HRT provider Different deliveries of hormone replacement therapy Why hormone injections and pellets are not recommended Side effects of hormone replacement therapy Progesterone hormone replacement therapy Estrogen hormone replacement therapy Testosterone & DHEA hormone replacement therapy Sources: Women's International Pharmacy Institute of Bioidentical Medicine (IOBIM)-trained providers The Academy for Preventive and Innovative Medicine (Worldlink Medical) Institute for Functional Medicine Carol Petersen, RPh, CNP Dr. Phyllis Bronson _______________________________________________________________________________ To learn about hormone therapy, grab Claudia's FREE resource: 3-Day HRT Crash Course. In just 3 quick emails, you'll learn: 📌 What HRT is + how it works to improve symptoms 📌 The different types + how to choose for you 📌 Common mistakes (and how to avoid them) _______________________________________________________________________________ CONNECT WITH CLAUDIA: Website YouTube Instagram Facebook Inquiries SHOP: <a class= "ql-link"
Confused about when to start hormone replacement therapy? You're not alone. In this episode of Perimenopause Simplified, we're cutting through the mixed messages and breaking down when to consider starting HRT, what symptoms to look out for, and how to know if it's the right move for you. If you're in your 40s and feeling dismissed, overwhelmed, or unsure where to begin…this one's for you. We cover: Why hormone replacement therapy (HRT) is so confusing and what's changed since the 2002 WHI study The difference between perimenopause and menopause & why that matters for HRT timing Common early symptoms that may signal hormone shifts (and which hormone to start with first) When estrogen might be added - it's earlier than you think The risks of waiting too long to start HRT Why and when I started HRT myself Sources: Hormone Therapy & Cardiovascular Disease: The Role of Timing Hormone Therapy & Cognition Prevention of Osteoporosis NAMS Hormone Therapy Position To learn about hormone therapy, grab Claudia's FREE resource: 3-Day HRT Crash Course. In just 3 quick emails, you'll learn: 📌 What HRT is + how it works to improve symptoms 📌 The different types + how to choose for you 📌 Common mistakes (and how to avoid them) Connect with Claudia: Website YouTube Instagram Facebook Inquiries Free resources: 👉Perimenopause Daily Checklist 👉HRT Crash Course: What Every Woman 40+ Needs to Know Before Starting Hormone Therapy
Blood sugar and carbohydrates can feel incredibly confusing—especially in midlife, when changes in estrogen, muscle mass, sleep, stress, and body composition can affect metabolic health. In this episode, we're breaking down what your glucose, HbA and fasting insulin actually tell you, why you don't need to fear carbohydrates, and why constantly chasing a perfectly flat glucose curve may be doing more harm than good. What "blood sugar balance" means—and why glucose spikes aren't always bad Why carbs aren't the enemy and how to build meals with all macronutrients How stress, under-eating, exercise, poor sleep, and midlife hormone changes can affect glucose regulation Why building muscle, moving regularly, eating enough, and looking at lab trends over time matter more than obsessing over one number or wearing a glucose monitor Ready to stop guessing about your health & hormones? The Perimenopause Method is my 12-week personalized, private coaching experience for women 40+ who are tired of conflicting advice and want a clear plan tailored to their body. Apply HERE. ⏰August enrollment ends soon! Connect with Claudia: Website YouTube Instagram Facebook Inquiries Free resources: 👉Perimenopause Daily Checklist 👉HRT Crash Course: What Every Woman 40+ Needs to Know Before Starting Hormone Therapy
Walking is one of the simplest—and most underrated—ways to support your health after 40. In this episode, we're talking about how daily walking can benefit cardiovascular health, metabolism, stress, sleep and your circadian rhythm, plus how to get more steps into your day without adding another "workout" to your schedule. We'll cover: Why 7,000 steps a day may be a more meaningful target than 10,000 How walking supports metabolic and cardiovascular health Why outdoor walks and natural light can benefit your circadian rhythm and sleep Simple ways to build walking into your day—even if you're busy, tired or sedentary Ready to stop guessing about your health & hormones? The Perimenopause Method is my 12-week personalized coaching experience for women 40+ who are tired of conflicting advice and want a clear plan that actually fits their body. Learn more + apply HERE. Check out the FitBit I use to track steps HERE! https://pmc.ncbi.nlm.nih.gov/articles/PMC10051082/ https://www.sciencedaily.com/releases/2025/07/250726234359.htm https://pmc.ncbi.nlm.nih.gov/articles/PMC12077053/ Connect with Claudia: Website YouTube Instagram Facebook Inquiries Free resources: 👉Mini Training: Why You're Exhausted, Moody & Gaining Weight After 40 (And What Actually Matters) 👉HRT Crash Course: What Every Woman 40+ Needs to Know Before Starting Hormone Therapy
Are you tracking the right things for your health or just the things that create more stress? In this episode, I'm sharing exactly what I track as a women's health coach over 40, what I intentionally ignore, and how focusing on the right health data can help you make better decisions about your nutrition, workouts, hormones, and overall well-being. The health metrics I actually track each week (and why) How to use data without becoming obsessive Why trends matter more than one-off numbers How tracking the right things can help you make smarter health decisions Ready to stop guessing about your health & hormones? The Perimenopause Method is my 12-week personalized coaching program for women 40+ ready to stop guessing, get a clear plan tailored to their needs, and start feeling like themselves again. Learn more + apply HERE. Check out my FitBit Inspire HERE! Connect with Claudia: Website YouTube Instagram Facebook Inquiries Free resources: 👉Mini Training: Why You're Exhausted, Moody & Gaining Weight After 40 (And What Actually Matters) 👉HRT Crash Course: What Every Woman 40+ Needs to Know Before Starting Hormone Therapy
Between supplements, protocols, and influencers all claiming to have "the answer," it's easy to end up more overwhelmed than when you started — chasing what worked for someone else instead of what your own body actually needs. In this episode, I'm sharing why I took a few weeks off from the podcast, what my twice-a-year business audit taught me about the difference between noise and real data, and how that exact same principle applies to your health in perimenopause. You'll learn: Why chasing what worked for someone else usually leaves you busier, not better What my own business data taught me about where real results actually come from Why testing that matters (bloodwork, minerals, and your whole picture) beats trends How nutrients work like the foundation of a house: skip them and nothing else holds What it actually takes to make progress consistently, instead of spinning your wheels Ready to stop guessing about your health & hormones? The Perimenopause Method is my 12-week personalized coaching program for women 40+ ready to stop guessing, get a clear plan tailored to their needs, and start feeling like themselves again. Learn more + apply to be considered HERE. Connect with Claudia: Website YouTube Instagram Facebook Inquiries Free resources: 👉 15-Minute Training: Why You're Exhausted, Moody & Gaining Weight After 40 (And What Actually Matters) 👉 3-Day HRT Crash Course
While providers often dismiss it, weight gain on HRT is a real experience for many. In this episode, Claudia explains why it happens, which hormones play a role, and what you can do to support your metabolism in midlife. What you'll learn in this episode: How progesterone can sometimes trigger water retention (even though it's a diuretic) Why estrogen balance matters for fat distribution, insulin sensitivity, and fluid shifts The risks of too much testosterone and how it impacts weight and symptoms The natural metabolic changes over 40 that make weight management harder Key nutrition strategies: prioritizing lean protein, fiber, and smart carbs while watching hidden calories from fats The importance of gut health, daily detox, and pooping regularly for hormone balance Links Mentioned: Ep. 67: Understanding Cortisol After 40: Why You Need It, Why It Becomes Imbalanced & What To Do About It Ep. 78: Undereating After 40: The #1 Habit Wrecking Your Hormones & Metabolism Progesterone Therapy & Thyroid Function Walking 7000 Steps a Day Oura Ring Optim Ring Pedometer to Track Steps Optimizing Adult Protein Intake
Perimenopause Simplified is the no-BS podcast for women 40+ who are doing everything right — and still feel off. Hosted by Claudia Petrilli, Functional Health & Nutrition Coach and creator of The Perimenopause Method, this show breaks down what's really happening with your hormones, metabolism, and body during perimenopause — without the noise or oversimplified advice. Claudia covers real perimenopause symptoms, tools like hormone therapy (HRT) and GLP-1s, building muscle and body composition in midlife, sleep and recovery, and the nutrition and lifestyle shifts that actually work for this phase of life — not the ones that worked in your 20s. This isn't about doing more. It's about doing what works for perimenopause and midlife health.
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