The Sleep Doctor: The 4 Hormones Wrecking Your Sleep & What to Do About It

The Sleep Doctor: The 4 Hormones Wrecking Your Sleep & What to Do About It

If you're in perimenopause or menopause, sleep has probably become something you think about all the time. Falling asleep, staying asleep, waking up at 3am, feeling exhausted, waking up anxious even when you did fall asleep. Perimenopause sleep disruption and menopause insomnia are real, they are hormonal, and they are not your fault. The nights can feel endless. That's why Tamsen Fadal invited Dr. Andrea Matsumura on The Tamsen Show. A board-certified sleep medicine physician, menopause expert, and creator of the D.R.E.A.M. Sleep Method, Dr. Matsumura breaks down exactly what is happening in the body when sleep falls apart in midlife and gives you the tools to get better sleep in perimenopause starting tonight. We cover: - Why waking up at 3am is a cortisol event, not an anxiety problem, and what to do when it happens - The sleep apnea statistic that will stop you cold: up to 90% of women in midlife who have it don't know, because they don't look like the textbook patient - What melatonin actually is, why taking it at bedtime is usually the wrong move, and what happens to production by age 50 - How alcohol is disrupting your REM sleep, and why one glass hits completely differently now - The D.R.E.A.M. Method: the five-part framework Dr. Matsumura built because treating one thing at a time only ever gets women halfway there - The ferritin level behind restless legs that most providers aren't checking - Why getting out of bed at 3am is the right call, even though it feels like the worst one - How every additional 15 minutes of sleep compounds into something significant over time This episode will help you get your sleep back on track because it’s the foundation of everything. When your sleep goes, it starts to unravel the rest of your life. Check out Andrea’s essentials [https://shop.andreamatsumuramd.com/collections/all] If you liked this conversation, check this out: How to Finally Get to Sleep in Menopause [https://bit.ly/tts-tf-shelby-andrea] Sign up for your $1 per month trial today at https://www.shopify.com/tamsen [https://www.youtube.com/redirect?event=video_description&redir_token=QUFFLUhqbE9kUTVPX0RFT2dXM1pLUE5XcC1YWWF6anhCUXxBQ3Jtc0trOG82Skd5Z0Z6Wmd0OUQ3bUlmNnZ0aWN3RllJRHdLemx2bVMxbjNqQVk4VXF6QmRUUUUyeHpFNVFGSG5aek91ak9pUnlSYlFjaThnWTctcHNpVUtIQ2l3eTNhd2FkUTl2YzVHMW43N0Q5cWNnLWlpdw&q=https%3A%2F%2Fwww.shopify.com%2Ftamsen&v=85EY75K3Z2k]! Get 15% off OneSkin with the code TAMSEN at https://www.oneskin.co/TAMSEN [https://www.youtube.com/redirect?event=video_description&redir_token=QUFFLUhqbmktdWlVanhyWnRMTkRFb05nck5EQ3hUQ2tnUXxBQ3Jtc0tsbjg1QlpSYWlfd0FJbkIySzkycEtyRHR3SEdXRVRjMmtJSVVpbURyMmVoU25LbUxRcDhxVk5LVWlMUUVFSnVaSEh0Um1xR0NXOUJKTDJVX3VrSFBhS3pnbV9OaTdneWdTZjVycHFQeC1UWlpFZVI2cw&q=https%3A%2F%2Fwww.oneskin.co%2FTAMSEN&v=85EY75K3Z2k] #oneskinpod [https://www.youtube.com/hashtag/oneskinpod] #ad [https://www.youtube.com/hashtag/ad] Stay connected with Tamsen: ⁠⁠⁠⁠Get ⁠Tamsen's newsletter⁠⁠⁠⁠ [https://bit.ly/tts-audio-newsletter] filled with free tools⁠ to living better, feeling stronger, and knowing you’re never alone Get Tamsen’s NYT instant bestselling book, ⁠⁠⁠⁠How To Menopause⁠⁠⁠⁠ [https://bit.ly/tts-audio-htm] ⁠⁠⁠⁠Free Resources⁠⁠⁠⁠ [https://bit.ly/tts-audio-hub] from Tamsen  Watch all the episodes on ⁠⁠⁠⁠YouTube⁠⁠⁠⁠ [https://bit.ly/tts-audio-yt] Follow Tamsen on ⁠⁠⁠⁠Instagram⁠⁠⁠⁠ [https://bit.ly/tts-audio-ig1]  The Tamsen Show on ⁠⁠⁠⁠Instagram⁠⁠⁠⁠ [https://bit.ly/tts-audio-ig2] Follow Tamsen on ⁠⁠⁠⁠TikTok⁠⁠⁠⁠ [https://bit.ly/tts-audio-tt]  Medical Disclaimer: The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show. Learn more about your ad choices. Visit podcastchoices.com/adchoices [https://podcastchoices.com/adchoices]

The Closet Clean Out Guide: Declutter Your Life and Get Your Confidence Back

Have you ever stood in front of a full closet, said “I have nothing to wear,” and reached for the same safe outfit one more time? You are not alone, and it is not really about the clothes. Tamsen’s viral closet clean out started as a simple declutter and spiraled into one of the most transformative things she has done in midlife, pulling in everything she had been avoiding about who she is now and the body she is in today. In this deeply personal solo episode, Tamsen shares why she really did it and what she learned once she stopped negotiating with herself in front of the mirror. You’ll learn: - How to make a fast yes-or-no call on every piece without talking yourself back into it - Why you get stuck doing this alone, and exactly who to bring into the room with you - How to spot the clothes you are keeping out of grief instead of love - Why holding onto clothes in multiple sizes quietly works against you every morning - How to tell the difference between what is weighing you down and what is holding you up This is the episode that will make you finally open the door you have been avoiding. The woman on the other side of that closet is already there, waiting for you to make room for her. Download the Your Free Closet Glow Up Guide here [https://www.tamsenfadal.com/menopause-education-hub/your-closet-glow-up-guide] For all the tools Tamsen uses in her closet organization, click here [https://www.amazon.com/shop/tamsenfadal/list/3C6YDQLN91B89] If you liked this conversation, check this out: Stacy London: Reinvent Yourself (and Your Style) in Midlife [https://bit.ly/tts-tf-stacy-closetsolo] Stay connected with Tamsen: ⁠⁠⁠⁠Get ⁠Tamsen's newsletter⁠⁠⁠⁠ [https://bit.ly/tts-audio-newsletter] filled with free tools⁠ to living better, feeling stronger, and knowing you’re never alone Get Tamsen’s NYT instant bestselling book, ⁠⁠⁠⁠How To Menopause⁠⁠⁠⁠ [https://bit.ly/tts-audio-htm] ⁠⁠⁠⁠Free Resources⁠⁠⁠⁠ [https://bit.ly/tts-audio-hub] from Tamsen  Watch all the episodes on ⁠⁠⁠⁠YouTube⁠⁠⁠⁠ [https://bit.ly/tts-audio-yt] Follow Tamsen on ⁠⁠⁠⁠Instagram⁠⁠⁠⁠ [https://bit.ly/tts-audio-ig1]  The Tamsen Show on ⁠⁠⁠⁠Instagram⁠⁠⁠⁠ [https://bit.ly/tts-audio-ig2] Follow Tamsen on ⁠⁠⁠⁠TikTok⁠⁠⁠⁠ [https://bit.ly/tts-audio-tt]  Medical Disclaimer: The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show. Learn more about your ad choices. Visit podcastchoices.com/adchoices [https://podcastchoices.com/adchoices]

The #1 Pharmacist: Creatine, Greens, Electrolytes, What's Worth Buying and What Isn't

Managing menopause and perimenopause symptoms is hard enough without a supplement market flooded with products promising to fix hair loss, trouble sleeping, hot flashes, mood fluctuations, skin changes, and so much more. It can feel impossible to know what actually helps and what is just a waste of money. Today's guest on The Tamsen Show, Phil Cowley, has spent 22+ years behind a pharmacy counter watching people walk in confused, overwhelmed, and chronically under-informed. He has seen firsthand which treatments work, which are a waste of money, and what the medical system has been getting wrong about hormones since 2002. Now he is joining Tamsen Fadal to tell the truth that women deserved to hear decades ago. In this episode, Tamsen and Phil cover: - The three supplements worth actually spending money on in midlife and why they will not break the bank - Why anxiety is a depletion of something, not an excess, and what that means for how you treat it - What the 2002 Women's Health Initiative got wrong and why women who came off hormone therapy die younger than those who stayed on it - The real reason your body odor changes in menopause, what is happening at a bacterial level, and exactly how to fix it - Why hair loss in menopause is never one problem and why treating only one cause never works - Why losing lean muscle mass is the single strongest predictor of early death and what to do about it - The $7 estrogen alternative your pharmacist already knows about - Why caffeine does not give you energy, it just hides that you are out of it - The one question to ask your pharmacist that most people never think to ask - Generic versus name brand medications and the manufacturer variance that could be affecting your results This episode is full of answers to questions most women have never thought to ask, but absolutely need to know. You can find everything Phil mentioned in this podcast here [https://shopmy.us/collections/5742090]! Follow Phil on Instagram [https://www.instagram.com/philsmypharmacist/?hl=en] Follow Phil on TikTok [https://www.tiktok.com/@philsmypharmacist] If you liked this, check this out: The #1 Hair Loss Doctor: The Truth About Minoxidil, Supplements + Hormones [https://bit.ly/tts-tf-doris-phil] Stay connected with Tamsen: ⁠⁠⁠⁠Get ⁠Tamsen's newsletter⁠⁠⁠⁠ [https://bit.ly/tts-audio-newsletter] filled with free tools⁠ to living better, feeling stronger, and knowing you’re never alone Get Tamsen’s NYT instant bestselling book, ⁠⁠⁠⁠How To Menopause⁠⁠⁠⁠ [https://bit.ly/tts-audio-htm] ⁠⁠⁠⁠Free Resources⁠⁠⁠⁠ [https://bit.ly/tts-audio-hub] from Tamsen  Watch all the episodes on ⁠⁠⁠⁠YouTube⁠⁠⁠⁠ [https://bit.ly/tts-audio-yt] Follow Tamsen on ⁠⁠⁠⁠Instagram⁠⁠⁠⁠ [https://bit.ly/tts-audio-ig1]  The Tamsen Show on ⁠⁠⁠⁠Instagram⁠⁠⁠⁠ [https://bit.ly/tts-audio-ig2] Follow Tamsen on ⁠⁠⁠⁠TikTok⁠⁠⁠⁠ [https://bit.ly/tts-audio-tt]  Medical Disclaimer: The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show. Learn more about your ad choices. Visit podcastchoices.com/adchoices [https://podcastchoices.com/adchoices]

Anxiety 101: What I Wish I Knew Before I Hit Perimenopause + How I Got My Life Back

Menopause anxiety and mood changes can creep up so slowly you don't even notice. You're avoiding things you used to do, snapping at people you love, waking at 3 a.m. with your heart racing. It's not in your head, and it often starts years before a single hot flash. This episode is part of Tamsen's series breaking down the topics from her New York Times bestselling book How to Menopause, one conversation at a time. This week it's anxiety and mood. Tamsen starts with the moment she caught herself avoiding driving in LA, a city she used to drive without a second thought. When she posted about it, the floodgates opened. She breaks down what the top doctors she's interviewed have taught her about why this happens and what actually helps, including the hormonal piece almost every doctor skips. She's not a doctor. She's a journalist who has lived this, including a panic attack on a live news set that started her down this whole path. Inside the episode: - The two hormones behind your mood, and why the calming one disappears first - Why anxiety here so often shows up as avoidance or rage instead of obvious panic - The reason so many women get handed an antidepressant before anyone checks their hormones - What actually helps, from body identical progesterone to the therapy approaches with real evidence behind them - How Tamsen got back behind the wheel, and why facing the fear gradually breaks the loop - The single shift that helped her more than any pill The first step is recognizing this has a name and you're not making it up. If you like this episode, then you will love: The 4 Tools That Rebuild Your Confidence Fast [https://bit.ly/tts-tf-confidence-anxiety101] If you liked this conversation, check out the rest of the How To Menopause series: ⁠⁠Estrogen Down There 101: Here's Everything You Need to Know⁠⁠ [https://bit.ly/tts-tf-htm-estrogen-101%E2%81%A0] ⁠Testosterone 101: Everything You Need to Know in 20 Minutes⁠⁠ ⁠Relationships 101: Is It Him or Is It Menopause? Here's How to Tell⁠ ⁠Perimenopause 101: The Symptoms, Tests & Fixes No One Tells You About⁠ Alcohol 101: Belly Fat, Bad Sleep and the Long-Term Cost of Drinking [https://bit.ly/tts-tf-htm-alcohol101] Coming up: Anxiety, Mental Health, Estrogen 101 and more! Stay connected with Tamsen: ⁠⁠⁠⁠Get ⁠Tamsen's newsletter⁠⁠⁠⁠ [https://bit.ly/tts-audio-newsletter] filled with free tools⁠ to living better, feeling stronger, and knowing you’re never alone Get Tamsen’s NYT instant bestselling book, ⁠⁠⁠⁠How To Menopause⁠⁠⁠⁠ [https://bit.ly/tts-audio-htm] ⁠⁠⁠⁠Free Resources⁠⁠⁠⁠ [https://bit.ly/tts-audio-hub] from Tamsen  Watch all the episodes on ⁠⁠⁠⁠YouTube⁠⁠⁠⁠ [https://bit.ly/tts-audio-yt] Follow Tamsen on ⁠⁠⁠⁠Instagram⁠⁠⁠⁠ [https://bit.ly/tts-audio-ig1]  The Tamsen Show on ⁠⁠⁠⁠Instagram⁠⁠⁠⁠ [https://bit.ly/tts-audio-ig2] Follow Tamsen on ⁠⁠⁠⁠TikTok⁠⁠⁠⁠ [https://bit.ly/tts-audio-tt]  Medical Disclaimer: The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show. If you’re struggling, you don’t have to do it alone. In the US, call or text 988 anytime to reach the Crisis Lifeline. Learn more about your ad choices. Visit podcastchoices.com/adchoices [https://podcastchoices.com/adchoices]

The Heart Doctor: 5 Warning Signs Your Heart Is in Trouble

This is a conversation we should have had decades ago, because we're talking about a part of women's health that's been overlooked for too long: heart health. Heart disease is the leading cause of death in women, but most don't even know it. In this episode, Tamsen Fadal sits down with cardiologist and Chief Medical Correspondent for ABC News, Dr. Tara Narula to break down how cardiovascular disease develops in women, why heart attack symptoms look different than they do in men, and the cardiac risk screening tools (including the calcium score and the Lp(a) test) that could save your life. Tamsen and Dr. Narula discuss: - Why heart disease risk builds earlier than most women think, and the life stages where it quietly accelerates - The calcium score test that tells you exactly how much plaque is in your arteries - The Lp(a) blood test that 1 in 5 women have elevated, is not controlled by diet or exercise, and almost nobody knows to ask for - Why women are regularly sent home from emergency rooms with chest pain and told it is anxiety - How pregnancy complications like preeclampsia and gestational diabetes predict future cardiac risk - What GLP-1 medications are actually doing for the heart beyond weight loss - The PREVENT calculator you can run online today to see your 10 and 30 year cardiovascular risk - What the research actually says about hormone replacement therapy and heart health - Why resilience after a cardiac diagnosis is not about going back to who you were Plus, Tamsen explains why heart disease was never on her radar, and what Dr. Narula told her in this conversation that she wishes someone had said years ago. Resources mentioned in this episode: PREVENT Risk Calculator [https://professional.heart.org/en/guidelines-and-statements/prevent-calculator%20] Centrum Silver: here [https://www.amazon.com/dp/B09KCCVL9V?linkCode=ssc&tag=onamztamsenfa-20&creativeASIN=B09KCCVL9V&asc_item-id=amzn1.ideas.3VLM3AEIF6VC0&ref_=aip_sf_list_spv_ons_mixed_d_asin] and here [https://www.amazon.com/dp/B0BPPX6LRS?linkCode=ssc&tag=onamztamsenfa-20&creativeASIN=B0BPPX6LRS&asc_item-id=amzn1.ideas.3VLM3AEIF6VC0&ref_=aip_sf_list_spv_ons_mixed_d_asin] Follow Dr. Narula on Instagram [https://www.instagram.com/drtaranarula/?hl=en]‍ Follow Dr. Narula on Facebook [https://www.facebook.com/drtaranarula/] If you liked this conversation, check this out: The Menopause Heart Doctor Reveals the 3 Warning Signs Doctors Dismiss with Dr. Jayne Morgan [https://bit.ly/tts-tf-jayne-tara] Find all The Tamsen Show expert picks here [https://www.amazon.com/shop/tamsenfadal/list/3VLM3AEIF6VC0?ref_=aip_sf_list_spv_ons_mixed_d] Stop putting off those doctor's appointments! Go to https://www.zocdoc.com/TAMSEN [https://www.zocdoc.com/TAMSEN%20]to find and instantly book a doctor you love today! Learn more about your ad choices. Visit podcastchoices.com/adchoices [https://podcastchoices.com/adchoices] Stay connected with Tamsen: ⁠⁠⁠⁠Get ⁠Tamsen's newsletter⁠⁠⁠⁠ [https://bit.ly/tts-audio-newsletter] filled with free tools⁠ to living better, feeling stronger, and knowing you’re never alone Get Tamsen’s NYT instant bestselling book, ⁠⁠⁠⁠How To Menopause⁠⁠⁠⁠ [https://bit.ly/tts-audio-htm] ⁠⁠⁠⁠Free Resources⁠⁠⁠⁠ [https://bit.ly/tts-audio-hub] from Tamsen  Watch all the episodes on ⁠⁠⁠⁠YouTube⁠⁠⁠⁠ [https://bit.ly/tts-audio-yt] Follow Tamsen on ⁠⁠⁠⁠Instagram⁠⁠⁠⁠ [https://bit.ly/tts-audio-ig1]  The Tamsen Show on ⁠⁠⁠⁠Instagram⁠⁠⁠⁠ [https://bit.ly/tts-audio-ig2] Follow Tamsen on ⁠⁠⁠⁠TikTok⁠⁠⁠⁠ [https://bit.ly/tts-audio-tt]  Medical Disclaimer: The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show. Learn more about your ad choices. Visit podcastchoices.com/adchoices [https://podcastchoices.com/adchoices]