My body feels different, but my labs say I'm fine
Sleep, mood, cycles and energy are shifting, and you keep hearing that it's just stress. Let's start with what's changing, and why.
I'm a nurse practitioner, and twice a week I sit down with researchers and clinicians to make midlife hormones, gut health, metabolism and muscle make sense. Science, soul and strategy for the women living it.
768 episodes is a lot of listening. Tell me where you are, and I'll point you to the conversations, chapters and tools I'd start with.
Not sure yet? Take my free 2-minute Self Check and get a starting point that fits your stage. Take the Self Check
Sleep, mood, cycles and energy are shifting, and you keep hearing that it's just stress. Let's start with what's changing, and why.
Bloating, slower digestion, a waistline that won't budge. Estrogen and the microbiome talk to each other more than most of us were ever taught.
Fasting at 45 isn't fasting at 25. Timing, protein and your stage of life all change the plan.
Protein, lifting and a few foundational supplements. This is where midlife strength gets built.
Long-form conversations with physicians and researchers, plus my short Midlife Minute episodes where I answer your questions.

Fan favorite Dr. Tom Dayspring is back. He's a fellow of the American College of Physicians and the National Lipid Association, certified in internal medicine and clinical lipidology, and he has deep experience caring for women through perimenopause and menopause. We get into insulin resistance and the lipid testing worth asking about.

I earned my BSN and MSN at Johns Hopkins and spent my clinical career in emergency medicine and cardiology. The longer I worked there, the more I wanted to reach people before they needed emergency care.
In 2019, on the way home from a vacation in Hawaii with my husband, I was hospitalized with a ruptured appendix. I spent 13 days in the hospital, and our two boys kept me going. Twenty-seven days after I got home, I gave my TEDx talk, and it went viral.
I went on to train in advanced nutrition and functional testing, and I've spent the years since helping women in midlife understand what's changing in their bodies. I do not believe that women have to accept weight gain as a normal function of aging.

Balance your microbiome to reclaim your health in midlife and beyond
Your gut and your hormones are in constant conversation, and in perimenopause that conversation changes. I wrote this book to walk you through what's happening, from fiber and circadian rhythm to gut barrier health, HRT literacy and bone, and what you can do about it.
Published April 2026
The 45-day program for women to lose stubborn weight, improve hormonal health and slow aging. An individualized fasting plan built around your hormonal stage, whether you're cycling, in perimenopause or past menopause.
When you're ready for more than a podcast, these are the ways we can work together, from a monthly community to one-on-one care.
I knew things weren't right in my body, but I couldn't find a doctor that understood […] She didn't overwhelm me, but she supported me.
Mandy H., Wholistic Blueprint™ clientMy monthly group for women in midlife. Ongoing teaching and a community of women who get it.
A gentle place to startA guided group program for perimenopause and menopause, with an optional functional-testing add-on.
Group programMy intermittent fasting masterclass and coaching certification, for women and for the practitioners who support them.
FastingOne-on-one work with functional testing, to see what's going on with your gut, your hormones and your metabolism.
Personalized careThe Midlife Pause is my supplement line: foundational supplements formulated for women in midlife. It starts with MLP Creatine+, in grab-and-go stick packs, because you told me that's how you want to take it.
"It is probably the most important supplement in my supplement stack without question."Cynthia on creatine, in conversation with Dhru Purohit
*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
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I'm a two-time TEDx speaker. My talk, Intermittent Fasting: Transformational Technique, went viral, and I've shared this work on ABC, FOX 5, KTLA, The CW and The Megyn Kelly Show.
I speak with conference audiences, clinicians and communities about the topics I teach every week:
Two-time TEDx speaker
Episode notes, the research I'm reading and what I'm trying in my own life. Join about 6,000 readers.