The Hormonal Hotline
She ran 250km through Tanzania with undiagnosed PMDD. Now she's helping other women stop fighting their bodies - and start working with them instead. Frankie Smyth is an ultra runner, resilience and wellness coach, and PMDD advocate who has spent the last few years learning the hard way that understanding your hormones isn't a limitation - it's a superpower. In this episode, Ellisha sits down with Frankie to talk about what it actually looks like to push your body through some of the world's most extreme endurance events while navigating PMDD, fatigue, anxiety, and the very real mental battle of the luteal phase when life doesn't pause for it. This one is full of honesty, practical tools, and genuine hope for anyone in the PMDD community who has ever wondered if achieving big things is still possible for them. Spoiler: it absolutely is. What we cover Frankie's journey from couch to 5k to ultra marathons — and what that taught her about resilience and self-belief How she was diagnosed with PMDD in early 2024, and why she felt lucky compared to the many women who wait years What her symptoms actually look like: fatigue, anxiety, panic attacks, brain fog, and emotional lows that didn't feel like her The moment she realised her struggles were cyclical — and how tracking gave her a sense of control back How she completed 15 national parks in 15 consecutive days during her luteal phase (yes, really) How to start training with your cycle, not against it — including the Stardust app, follicular vs luteal phase training, and why rest counts as progress The prep strategy she uses in her good phase to set herself up for the harder days How to communicate your PMDD to partners, family, and employers — and why that conversation is worth having Her number one piece of advice for anyone who feels like their condition is standing between them and the life they want Sponsor Evelyn Health is dedicated to helping those struggling with PMS and PMDD through expert-led, science-backed supplements and functional foods. Having used them for over a year to manage my own hormonal health, I'm so proud to have them as a partner. Get 20% off your first order with code HOTLINE20 at evelynhealth.com Connect with Frankie Smyth Instagram: @runningwithfrankie_ Timestamps 00:02:15 — Running 15 years, leading a run club, and travelling the world with it 00:04:00 — From couch to 5k to marathons — the setbacks that shaped her 00:06:54 — Running 250km through Tanzania: the multi-day ultra that changed everything 00:08:03 — Doing all of that with undiagnosed PMDD 00:10:06 — Cycle syncing as a superpower: follicular phase confidence and luteal phase reality 00:11:22 — What to do when a race falls in your luteal phase 00:16:15 — What triggered Frankie's PMDD — and the road to diagnosis 00:30:10 — Practical tools for training with your cycle: tracking, Stardust, and phase-by-phase guidance 00:36:13 — Why rest is not failure — and having a baseline for your worst days 00:44:15 — Luteal phase cravings, meal prep, and why there's no such thing as naughty food This podcast explores research and lived experience around women's health and chronic conditions. Our discussions aim to reflect current evidence while acknowledging that understanding in this field continues to evolve. The content is intended for educational purposes only and is not a substitute for personalised medical advice, diagnosis, or treatment. Listeners experiencing significant or distressing symptoms should seek guidance from a qualified healthcare professional. Subscribe and connect If this episode resonated with you, please leave a rating and hit follow — it means the world and helps more women find the Hormonal Hotline. Edited and produced by @the32collective / the32collective.co Resources mentioned in this episode Stardust cycle tracking app (female-led, privacy-focused, highly recommended by both Ellisha and Frankie)
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