771: Beyond Hot Flashes: The 103 Symptoms of Perimenopause No One Talks About with Andrea Donsky

Have you ever looked at the same life you were managing a year ago and wondered, “Why does everything suddenly feel so hard?” You’re still ambitious. You’re still capable. You’re still the woman everyone depends on. But the stress you once brushed off gets under your skin. Your brain doesn’t feel as sharp. Sleep is changing. Your patience is shorter. And keeping all those plates spinning suddenly requires far more energy. In this solo episode, Dr. Mariza explores what happens when the profound hormonal and neurological changes of perimenopause collide with decades of over-functioning. She introduces what she calls the midlife capacity gap: the disconnect between the enormous load many women are carrying and the biological capacity they currently have to sustain it. You’ll learn why simply pushing harder may widen that gap, how Dr. Mariza is redefining resilience, and why supporting your hormones, brain, metabolism, muscle, and sleep is only part of the conversation. Because the goal isn’t to make your life smaller. It’s to build a body capable of sustaining the life you actually want while becoming far more discerning about what deserves your energy. Listen now to rethink what resilience looks like in midlife and start protecting your capacity for what truly matters. IN THIS EPISODE Why high-functioning women can feel blindsided by perimenopause What happens when the woman who always handles everything suddenly has less capacity How estrogen and progesterone shifts can affect your brain, sleep, mood, and stress response What over-functioning looks like and why it often gets rewarded The midlife capacity gap between the load you carry and your biological capacity Why pushing harder and becoming more disciplined may not be the answer How to redefine resilience around adapting, recovering, restoring, and thriving The question Dr. Mariza wants you asking: “Is this actually mine to carry?” QUOTES “Perimenopause doesn’t arrive in a vacuum.” “Endurance is not resilience.” “Doing less isn’t the same as caring less.” RESOURCES MENTIONED Order my newest book: The Perimenopause Revolution Stop surviving and start thriving, join Midlife on Fire Collective now The High Functioning Woman on Substack RELATED EPISODES  771: Beyond Hot Flashes: The 103 Symptoms of Perimenopause No One Talks About with Andrea Donsky 769: Is It Perimenopause or Something Else? How to Finally Connect the Dots with Dr. Mariza 764: Why Your Nervous System Feels Dysregulated (Even When You’re Doing Everything Right) with Roseann Capanna-Hodge 750: The Underlying Cellular Cause of Midlife Fatigue, Brain Fog & Low Motivation with Andrew Salzman

What if the symptoms disrupting your life are connected to perimenopause, even if you’ve never had a hot flash? Andrea Donsky spent 14 years in perimenopause and 11 of them with no idea what was happening to her body. Now, as a seven-time published menopause researcher, nutritionist, and bestselling author of Nourishing Menopause, she’s helping women put language to experiences that have been overlooked for far too long. In this episode, Andrea joins Dr. Mariza to unpack her research into 103+ reported symptoms of perimenopause and menopause and why hot flashes aren’t even among the most common. Fatigue ranks #1, while nine of the top 10 symptoms are cognitive or mental-health related. They also discuss why women are still being dismissed by healthcare providers, the foundational role of nutrition, blood sugar, sleep, movement, and stress management, and why perimenopause deserves to be viewed as an opportunity to protect your long-term health. Most importantly, you’ll learn why this transition rarely looks the same from one woman to the next and why having the right vocabulary can completely change how you advocate for yourself. Listen now to better understand what your changing body may be trying to tell you and the tools that can help you feel like yourself again. ANDREA DONSKY Andrea Donsky is a nutritionist, menopause researcher, bestselling author, and co-founder of We Are Morphus. She has worked in health and wellness for 26 years and has spent nearly a decade focused specifically on perimenopause and menopause. Her research explores women’s real-world experiences during the menopause transition, including more than 100 reported symptoms and women’s experiences seeking care. She is the author of Nourishing Menopause, a research-backed guide combining nutrition, lifestyle, holistic health, and conventional approaches to help women feel their best through this transition. IN THIS EPISODE Why Andrea spent 11 years in perimenopause without realizing it The 103+ symptoms women have reported during perimenopause and menopause Why fatigue is the #1 reported symptom, not hot flashes The surprising dominance of brain, cognitive, and mental-health symptoms Why 40% of women in Andrea’s research reported feeling dismissed by healthcare providers How nutrition, blood sugar, sleep, movement, and stress support women through this transition Why HRT can be one valuable tool alongside foundational lifestyle strategies How perimenopause can become a window of opportunity for protecting long-term health QUOTES “I was in perimenopause for 14 years total, 11 of which I had no idea.” “We know that there’s 103 different symptoms of perimenopause and menopause.” “The number one symptom across the board is fatigue.” RESOURCES MENTIONED Use code DRMARIZA and get 10% off on your Womeness Order Nourishing Menopause by Andrea Donsky Sign up now to receive your bonus: "The Nourishing Menopause Bonuses" Andrea Donsky Website Andrea Donsky Instagram Andrea Donsky Youtube RELATED EPISODES  770: The Heart Disease Risk Factor Most Women Aren’t Watching: What Your Blood Sugar and Insulin Can Reveal with Dr. Philip Ovadia 769: Is It Perimenopause or Something Else? How to Finally Connect the Dots with Dr. Mariza 768: Why Your Period Gets So Weird in Perimenopause + What Actually Helps with Kaya and Yasmin Purohit 750: The Underlying Cellular Cause of Midlife Fatigue, Brain Fog & Low Motivation with Andrew Salzman

What if the cholesterol numbers you’ve been watching aren’t telling you the whole story about your heart? In this episode, Dr. Mariza sits down with cardiothoracic surgeon Dr. Philip Ovadia to explore why he believes metabolic dysfunction and insulin resistance deserve far more attention when assessing cardiovascular risk, especially for women entering perimenopause and menopause. Dr. Ovadia shares what he’s learned after 25 years in heart surgery, including why he’s now routinely operating on patients in their 40s and even 30s. They break down the metabolic warning signs that can appear decades before advanced heart disease, from rising blood pressure and waist circumference to fasting insulin, glucose, triglycerides, and HDL. You’ll also hear their discussion about cholesterol and advanced lipid testing, how changing hormones can affect women’s cardiometabolic health, and why resistance training, real food, muscle, sleep, and blood sugar stability matter. Plus, Dr. Ovadia explains how continuous glucose monitors can provide real-time insight into your metabolic health and the heart imaging he recommends women discuss with their healthcare providers. Listen now to discover the metabolic clues your body may be giving you today and how to start protecting your heart for decades to come. DR. PHILIP OVADIA Dr. Philip Ovadia is a board-certified cardiothoracic surgeon, founder of Ovadia Heart Health Center, and author of Stay Off My Operating Table and Stay Off My Kitchen Table. After performing thousands of heart surgeries, Dr. Ovadia shifted part of his work toward prevention, helping patients identify and address metabolic dysfunction before it progresses to advanced cardiovascular disease. His virtual practice focuses on improving metabolic health as a strategy for reducing heart disease risk. IN THIS EPISODE Why Dr. Ovadia believes insulin resistance deserves more attention in heart disease prevention The five basic metabolic markers he wants women tracking Why your personal blood pressure baseline matters in midlife What fasting insulin can reveal before blood sugar becomes obviously abnormal Why cholesterol alone may not give you the complete picture of cardiovascular risk How muscle and resistance training support metabolic and heart health What a continuous glucose monitor can teach you about food, energy, and blood sugar When Dr. Ovadia recommends considering coronary artery calcium imaging QUOTES “It's never too early to start thinking about this, but it's also never too late.” “Cholesterol is not the main thing driving heart disease.” “Low-fat diets, they simply don't work.” RESOURCES MENTIONED Order my newest book: The Perimenopause Revolution http://drmariza.com/book Stop surviving and start thriving, join Midlife on Fire Collective now https://drmariza.com/trial Stay Off My Operating Table by Dr. Philip Ovadia Dr. Ovadia Website Dr. Ovadia Facebook Dr. Ovadia Instagram Dr. Ovadia Youtube RELATED EPISODES 769: Is It Perimenopause or Something Else? How to Finally Connect the Dots with Dr. Mariza 750: The Underlying Cellular Cause of Midlife Fatigue, Brain Fog & Low Motivation with Andrew Salzman 650: Unlock Your Health: The Ultimate Biomarker & Lab Blueprint to Thrive in Midlife and Beyond

Is this perimenopause… or is something else going on? It’s one of the most common questions Dr. Mariza hears from women in their late 30s and early 40s, especially when their periods are still regular and they’ve never experienced a hot flash. In this solo episode, Dr. Mariza breaks down why early perimenopause can be so difficult to recognize and the less obvious signs that often appear first, including exhaustion, anxiety, irritability, brain fog, sleep changes, worsening PMS, migraines, and changes in stress tolerance. She shares three important clues for identifying a possible perimenopause pattern: looking for clusters of symptoms, noticing changes from your normal baseline, and tracking how symptoms change throughout your cycle. But hormones aren’t always the entire story. Dr. Mariza also explains why thyroid dysfunction, low iron, metabolic issues, nutrient deficiencies, sleep problems, and other conditions deserve investigation, even when perimenopause is part of the picture. Plus, you’ll learn how to track your symptoms and walk into your next healthcare appointment prepared to ask better questions. Listen now to connect the dots, understand what your body is telling you, and get clearer on your next steps. IN THIS EPISODE Why so many women over 35 aren’t sure whether they’re in perimenopause The early perimenopause symptoms women often mistake for stress or burnout Why you can be in perimenopause while still having regular periods The three clues Dr. Mariza uses to recognize a perimenopause pattern Why tracking changes from your personal baseline matters How your menstrual cycle can reveal patterns in mood, sleep, migraines, and energy What else to investigate, including thyroid, iron, metabolic health, and sleep How to advocate for yourself when your labs look “normal” but you don’t feel like yourself QUOTES “Stop looking at the one symptom that proves you’re in perimenopause. Start looking at the collection of clues and patterns that your body is exposing.” “Perimenopause doesn’t usually show up with a giant flashing sign.” “Hormones may be a huge part of the picture without being the entire picture.” RESOURCES MENTIONED Order my newest book: The Perimenopause Revolution http://drmariza.com/book Comprehensive Perimenopause Lab Guide Stop surviving and start thriving, join Midlife on Fire Collective now https://drmariza.com/trial RELATED EPISODES  768: Why Your Period Gets So Weird in Perimenopause + What Actually Helps with Kaya and Yasmin Purohit 764: Why Your Nervous System Feels Dysregulated (Even When You’re Doing Everything Right) with Roseann Capanna-Hodge 750: The Underlying Cellular Cause of Midlife Fatigue, Brain Fog & Low Motivation with Andrew Salzman 650: Unlock Your Health: The Ultimate Biomarker & Lab Blueprint to Thrive in Midlife and Beyond

Has your period suddenly started behaving completely differently? Maybe your cycles are shorter or longer. PMS hits harder. Your breasts are sore, cravings are stronger, your mood changes dramatically, or your libido seems to have disappeared. In this episode, Dr. Mariza sits down with Beeya co-founders Kaya and Yasmin Purohit to explore what your changing cycle may be telling you, especially as you move into your late 30s and 40s. Yasmin shares her experience coming off birth control after 15 years and struggling for two years with anxiety, painful cramps, breast tenderness, and acne. Together, they explore why these symptoms deserve attention and how foundational habits like sleep, movement, whole foods, and blood sugar stability can support hormone health. They also unpack seed cycling, including exactly how it works, the nutrients different seeds provide throughout the menstrual cycle, what the research currently supports, and why women in perimenopause have become an especially important part of Beeya’s community. Most importantly, this conversation is a reminder that your changing cycle is information. Listen now to learn how to recognize the clues your body is giving you and support your hormones without making wellness another overwhelming job. KAYA & YASMIN PUROHIT Kaya and Yasmin Purohit are the co-founders of Beeya, a women’s wellness brand focused on helping women support their bodies through PMS, perimenopause, irregular cycles, fertility, and beyond. After Yasmin struggled with severe symptoms following 15 years on birth control, she and Kaya discovered seed cycling and set out to make the practice simpler and more accessible for modern women. Their work combines nutrition, education, and practical daily rituals designed to help women better understand and support their cycles. IN THIS EPISODE Why changing periods can be an early clue that you’re entering perimenopause Yasmin’s experience after coming off birth control following 15 years on the pill How sleep, movement, and whole-food nutrition can affect your cycle The surprising connection between blood sugar, progesterone, PMS, anxiety, and rage What seed cycling is and how to use different seeds throughout your cycle Why women in perimenopause may benefit from additional nutritional support How postpartum and perimenopause can overlap for women having children later Why community, joy, and flexibility belong in the conversation about women’s health QUOTES “Your cycle is information. It’s always giving you information.” “Not every day is going to be a winner.” “Annoyance is the price you pay for community.” RESOURCES MENTIONED Stop surviving and start thriving, join Midlife on Fire Collective now https://drmariza.com/trial Beeya Wellness Website Beeya Wellness Instagram Beeya Wellness Youtube RELATED EPISODES  767: The Longevity Secret We Rarely Talk About: The Healing Power of Friendship, Joy & Being Fully Expressed with Samantha Hollingsworth 766: The Weight You Lose Isn’t Always the Biggest Transformation: The Part of GLP-1s Nobody Talks About with Dr. Alexandra Sowa 764: Why Your Nervous System Feels Dysregulated (Even When You’re Doing Everything Right) with Roseann Capanna-Hodge 763: Why So Many High-Functing and Achieving Women Miss the Signs of Hormone Imbalance with Anastasia Sartan

Have you ever caught yourself thinking, “I miss me”? Somewhere between taking care of everyone else, keeping life moving, and getting everything done, it’s easy to lose touch with the parts of yourself that make you feel creative, connected, joyful, and fully alive. In this deeply personal conversation, Dr. Mariza sits down with one of her best friends, artist, jewelry designer, and Fully Expressed co-host Samantha Hollingsworth, to explore female friendship, creativity, and what it means to become fully expressed. They talk about why women need friendships where they can stop performing and feel completely seen, what makes a relationship feel safe and reciprocal, and why deeper connections become especially meaningful in midlife. Samantha also shares her unconventional journey through multiple careers and creative pursuits, and why women don’t have to choose one passion or stay on one path forever. Plus, she and Dr. Mariza dive into their shared love of fiction and how books can reconnect us with imagination, possibility, and joy. If you’re craving deeper friendships, more creativity, or simply want to feel more like you again, this episode is for you. Listen now for a heartfelt conversation about friendship, creativity, and finding your way back to yourself. SAMANTHA HOLLINGSWORTH Samantha Hollingsworth is an artist, creative, jewelry designer, Pilates instructor, and co-host of the Fully Expressed podcast and community. After exploring careers in film, movement, voiceover, and other creative fields, Samantha found her way into jewelry design and now creates custom pieces while preparing to launch her own line, Slater by Samantha. At the heart of her work is a passion for storytelling, creativity, deep female friendship, and creating spaces where women feel truly seen. IN THIS EPISODE What it actually means to live a fully expressed life Why you don’t have to choose just one passion or path How safe female friendships help us become more ourselves What to look for when building deeper friendships in midlife Why friendship requires vulnerability, discernment, and accountability How books can provide escape, imagination, and connection Why creativity belongs to everyone, not just artists Giving yourself permission to start over and write a new story at any age QUOTES“Women need women. Like, that’s how we thrive.” “Friendship is messy.” “You can make whatever life you want.” RESOURCES MENTIONED Find inspiration, connection, and meaningful reads. Join the Book Club now! https://drmariza.com/bookclub Use code DRMARIZA and get 10% off on your Womeness Order https://www.womaness.com/DRMARIZA The Fully Expressed Website The Fully Expressed Community The Fully Expressed Podcast Samantha Hollingsworth Instagram Samantha Hollingsworth Website RELATED EPISODES  766: The Weight You Lose Isn’t Always the Biggest Transformation: The Part of GLP-1s Nobody Talks About with Dr. Alexandra Sowa 765: How Do You Hold It Together When You’re Falling Apart Inside with Amy Morin 764: Why Your Nervous System Feels Dysregulated (Even When You’re Doing Everything Right) with Roseann Capanna-Hodge 761: Finding Your Way Back to Pleasure and Feeling Fully Alive with Gabriella Espinosa

What if the hardest part of living with obesity was never actually the weight? For so many women, it's the years of dieting, judgment, doctor's appointments, body comments, weight stigma, and quietly believing that if they could finally lose the weight, then they could start living. And when the weight finally does come off? The emotional transformation doesn't necessarily happen at the same speed. In this deeply compassionate conversation, Dr. Mariza sits down with double board-certified internal medicine and obesity medicine physician Dr. Alexandra Sowa to explore the side of GLP-1 medications that almost nobody is talking about: what happens after they start working. Dr. Sowa has spent 15 years treating obesity and was one of the earliest physicians using GLP-1 medications for obesity management. She explains why medication can be an extraordinary tool while still being only one piece of a much bigger healing process. Together, they unpack what happens when your body changes faster than your identity, why compliments about weight loss can unexpectedly trigger grief or shame, and how decades of weight stigma and childhood experiences can continue influencing the way you see yourself long after the number on the scale changes. They also explore the surprising ways GLP-1s can change relationships, friendships, food preferences, social routines, and even the amount of mental space women have available when constant food noise begins to quiet. Dr. Sowa shares the foundational practices she uses with her own patients, including logging food and feelings without obsessively tracking calories, prioritizing protein, meeting yourself where you are with movement, preserving muscle, and doing the deeper emotional work when trauma begins to surface. And for women in midlife, they tackle an especially important conversation: why changing hormones and metabolic health deserve to be taken seriously instead of dismissed as laziness or lack of willpower. Because losing weight can change your health, your mobility, and your life. But the greatest transformation may be the freedom to finally stop organizing your entire life around your weight. DR. ALEXANDRA SOWA Dr. Alexandra Sowa is a double board-certified physician in internal medicine and obesity medicine, bestselling author of The Ozempic Revolution, and one of the country's leading experts in metabolic health and GLP-1 medications. She has practiced obesity medicine for 15 years and was one of the earliest physicians to incorporate GLP-1 medications into obesity treatment. She is also the founder of SoWell, where she provides education, community, and nutritional support specifically designed for people using GLP-1 medications. Her work goes far beyond weight loss, helping patients build sustainable habits while addressing the emotional, behavioral, and metabolic complexities of obesity. IN THIS EPISODE Why losing weight doesn't automatically heal years of weight stigma and shame What happens when your body changes faster than your identity can catch up Why GLP-1 medications can change friendships, marriages, and social routines How reducing food noise can give women valuable mental space back The connection between childhood trauma, obesity, and chronic disease Dr. Sowa's non-negotiables for protein, logging, movement, and preserving muscle Why exercise doesn't have to mean an intense 45-minute gym workout Why midlife weight changes deserve better care than "eat less and move more" QUOTES “Weight loss doesn't make you happier.” “We have mistaken thinness for health.” “Start where you are. Move as much as you can, and then beyond that, we try to grow our muscles.” “I want you to mom yourself like you mom your kid.” RESOURCES MENTIONED Find inspiration, connection, and meaningful reads. Join the Book Club now! https://drmariza.com/bookclub The Ozempic Revolution by Dr. Alexandra Sowa SoWell Website Alexandra Sowa Website Alexandra Sowa Instagram Alexandra Sowa Tiktok RELATED EPISODES  765: How Do You Hold It Together When You’re Falling Apart Inside with Amy Morin 764: Why Your Nervous System Feels Dysregulated (Even When You’re Doing Everything Right) with Roseann Capanna-Hodge 763: Why So Many High-Functing and Achieving Women Miss the Signs of Hormone Imbalance with Anastasia Sartan 750: The Underlying Cellular Cause of Midlife Fatigue, Brain Fog & Low Motivation with Andrew Salzman

What if real mental strength isn't about pushing through—but knowing when you no longer have to? So many women become the person everyone depends on. They lead at work, care for their families, keep everything running, and somehow continue smiling while quietly carrying more than anyone realizes. In this deeply validating conversation, Dr. Mariza sits down with psychotherapist, bestselling author, and mental strength expert Amy Morin to redefine what it truly means to be mentally strong. Drawing from her own profound experiences of losing both her mother and her husband unexpectedly, Amy shares how resilience isn't built by suppressing emotions or pretending everything is okay. Instead, it's developed through learning how to manage our thoughts, regulate our emotions, and take intentional actions that move us forward, even during life's hardest seasons. Together, they discuss why high-functioning women are especially vulnerable to burnout, how perfectionism and the inner critic keep us stuck, why "good enough" is often exactly what our families need, and how small daily resets can dramatically improve emotional resilience. Amy also shares practical tools for interrupting rumination, quieting negative self-talk, building self-compassion, reconnecting with your values, and creating simple habits that strengthen your mental health over time. If you've been holding everything together for everyone else while quietly wondering how much longer you can keep going, this conversation is the reminder that true strength isn't about carrying more. It's about knowing when it's safe to put some of it down. AMY MORIN Amy Morin is a licensed psychotherapist, bestselling author, keynote speaker, and host of the Mentally Stronger podcast. She is one of the world's leading experts on mental strength, and her TEDx Talk has been viewed millions of times. Her books, including 13 Things Mentally Strong People Don't Do and The Mental Strength Playbook, have been translated into more than 50 languages. Through her work, Amy helps people build resilience, manage emotions, and develop healthier habits for navigating life's biggest challenges. IN THIS EPISODE What mental strength really is—and what it isn't Why high-functioning women are especially vulnerable to burnout How to quiet your inner critic with self-compassion Practical ways to interrupt rumination and negative thought loops Why your values should guide your decisions, not your to-do list The truth about mom guilt and "good enough" parenting Simple daily resets that strengthen emotional resilience Practical tools to build mental strength one small step at a time QUOTES“Real strength is being able to experience your emotions and express them.” “You don't have to believe everything you think.” “Being the strong one doesn't mean carrying everything by yourself.” “Sometimes mental strength is about what you don't do.” RESOURCES MENTIONED Find inspiration, connection, and meaningful reads. Join the Book Club now! https://drmariza.com/bookclubUse code DRMARIZA and get 10% off on your Womeness Order https://www.womaness.com/DRMARIZA The Mental Strength Playbook by Amy MorinAmy Morin Website Amy Morin Instagram Amy Morin on X Amy Morin Spotify Podcast Amy Moring Apple Podcast RELATED EPISODES  764: Why Your Nervous System Feels Dysregulated (Even When You’re Doing Everything Right) with Roseann Capanna-Hodge 760: The Mindset Shift That Helps You Stop Feeling Stuck with Dr. Rachel Goldman 758: Why Your Body Can’t Heal Until It Feels Safe: The Nervous System Shift That Changes Everything with Dr. Dave Rabin 754: How to Find Joy When Life Doesn’t Go According to Plan with Amberly Lago

Why is it so hard to relax… even when everything is finally done? You finish work. The dishes are clean. The kids are asleep. The house is quiet. Yet your shoulders are still tight, your jaw is clenched, and your mind is already scanning for the next thing that needs your attention. In this insightful conversation, Dr. Mariza sits down with clinical psychologist and nervous system expert Dr. Roseann Capanna-Hodge to unpack why so many high-performing women feel trapped in survival mode, even when there's no immediate crisis. Together, they explore how years of chronic stress, caregiving, perfectionism, trauma, and constantly being "the one who holds everything together" can leave the nervous system stuck in a state of protection. The result? Irritability, anxiety, poor sleep, overwhelm, brain fog, and the feeling that you can never truly switch off. Dr. Roseann explains the difference between everyday stress and nervous system dysregulation, why being highly productive doesn't necessarily mean you're regulated, and how your "stress cup" gradually fills until even small challenges feel overwhelming. Most importantly, she shares practical, science-backed techniques that help retrain the nervous system to recognize safety again, from diaphragmatic breathing and somatic exercises to micro-moments of regulation throughout the day. If you've ever wondered why you can't seem to relax, even when life is technically under control, this conversation will help you understand what's happening inside your body and how to begin creating more calm, resilience, and joy. Roseann Capanna-Hodge Dr. Roseann Capanna-Hodge is a licensed clinical psychologist, mental health educator, author, and expert in nervous system regulation. With more than three decades of clinical experience, she specializes in helping children and adults overcome anxiety, ADHD, trauma, OCD, emotional dysregulation, and chronic stress using evidence-based neuroscience and holistic approaches. She is the author of The Dysregulated Kid and founder of DrRoseann.com. IN THIS EPISODE Why high-performing women often live in chronic survival mode The difference between stress and true nervous system dysregulation How perfectionism, trauma, and caregiving overload your "stress cup" Why your body struggles to relax, even when life feels under control Simple nervous system resets you can practice throughout the day How micro-moments of regulation build long-term resilience Why awareness alone isn't enough to create lasting change The "Love Pause" technique for reducing reactivity and improving relationships QUOTES “Just because you're high-performing doesn't mean your nervous system is regulated.” “You can't heal when you don't feel safe.” “We're leaving our kids emotional wealth, not just financial wealth.” RESOURCES MENTIONED Stop surviving and start thriving, join Midlife on Fire Collective now https://drmariza.com/trial The Dysregulated Kid by Dr. Roseann Capanna-Hodge The Power Struggle Reset Plan Dr Roseann Website Dr. Roseann Instagram Dr. Roseann Youtube Dr. Roseann Facebook RELATED EPISODES  763: Why So Many High-Functing and Achieving Women Miss the Signs of Hormone Imbalance with Anastasia Sartan 758: Why Your Body Can’t Heal Until It Feels Safe: The Nervous System Shift That Changes Everything with Dr. Dave Rabin 760: The Mindset Shift That Helps You Stop Feeling Stuck with Dr. Rachel Goldman 754: How to Find Joy When Life Doesn’t Go According to Plan with Amberly Lago

Have you ever felt like you become a completely different person during the second half of your cycle? One week you're energized, focused, and confident. The next, you're battling brain fog, irritability, anxiety, exhaustion, and wondering what happened to the version of yourself from just a few days ago. In this live conversation, Dr. Mariza sits down with entrepreneur, former Snapchat executive, and founder of The Cycle, Anastasia Sartan, to explore the overlooked realities of PMDD, hormone fluctuations, and why women's changing biology has been largely ignored by the wellness industry. After struggling with debilitating PMDD while working in the high-pressure tech world, Anastasia set out to create the first functional beverage specifically designed to support women through every stage of their hormonal journey—from the luteal phase and menstruation to perimenopause and menopause. Together, they discuss how chronic stress, motherhood, the invisible mental load, nervous system dysregulation, and modern work culture amplify hormonal symptoms, leaving many women feeling like they're constantly pushing through instead of truly thriving. This conversation is a powerful reminder that your changing hormones aren't a personal failure. They are an invitation to better understand your body, prioritize rest, and finally embrace products, habits, and support systems that were designed with women in mind. ANASTASIA SARTAN Anastasia Sartan is an entrepreneur, former Snapchat executive, data scientist, and founder of The Cycle, the first functional beverage brand created to support women throughout every phase of their hormonal cycle. Inspired by her personal journey with PMDD, she is on a mission to close the gap in women's wellness by creating innovative products that help women feel supported, understood, and empowered. IN THIS EPISODE What PMDD really is and why so many women are misdiagnosed Why hormone fluctuations dramatically impact mood, energy, and resilience The hidden connection between chronic stress, motherhood, and hormonal symptoms How nervous system regulation supports women's hormonal health Why women's wellness products have historically overlooked hormonal cycles The inspiration behind creating The Cycle functional beverage Why rest may be one of the most powerful tools for hormone health How honoring your body's changing needs helps you thrive through every season QUOTES“Periods are a lifestyle, not a medical condition.” “We had the hormones to scaffold us... until we didn't.” “Women deserve products that are designed for women's biology.” RESOURCES MENTIONED Use code DRMARIZA and get 5% off on The Cycle Functional Drinks https://onthecycle.com/s/312c05 Use code ENERGIZED and get 10% off on your MitoQ Order https://www.mitoq.com/energized Use code ENERGIZED and get 10% off on your Troscription Order http://troscriptions.com/ENERGIZED The Cycle Website Anastasia Sartan Instagram RELATED EPISODES  762: Why Women Need to Stop Being “Good Patients” and Start Advocating for Better Healthcare with Dr. Mariza 761: Finding Your Way Back to Pleasure and Feeling Fully Alive with Gabriella Espinosa 760: The Mindset Shift That Helps You Stop Feeling Stuck with Dr. Rachel Goldman 717: “I Don’t Feel Like Myself Anymore”: The Mental & Emotional Reality of Perimenopause