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    <description>The Peri &amp; Pause Podcast is for women in midlife who know something in their body has changed—but haven’t been given real answers, or have been left overwhelmed by conflicting information.

Hosted by Jamie Gallagher, DNP, FNP-C, MSCP, a nurse practitioner specializing in perimenopause and menopause care, the show explores hormones, metabolism, mental health, sleep, sex, weight changes, and chronic conditions through an evidence-based, deeply practical lens. We unpack the physiology of midlife alongside the lived experience of women navigating careers, relationships, finances, and identity during this transition.

Every woman deserves this conversation—and the clarity, language, and confidence to advocate for better care.

Because “Your Labs Are Normal” Is Not the Whole Story.</description>
    <copyright>© 2026 Peri &amp; Pause</copyright>
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    <itunes:summary>The Peri &amp; Pause Podcast is for women in midlife who know something in their body has changed—but haven’t been given real answers, or have been left overwhelmed by conflicting information.

Hosted by Jamie Gallagher, DNP, FNP-C, MSCP, a nurse practitioner specializing in perimenopause and menopause care, the show explores hormones, metabolism, mental health, sleep, sex, weight changes, and chronic conditions through an evidence-based, deeply practical lens. We unpack the physiology of midlife alongside the lived experience of women navigating careers, relationships, finances, and identity during this transition.

Every woman deserves this conversation—and the clarity, language, and confidence to advocate for better care.

Because “Your Labs Are Normal” Is Not the Whole Story.</itunes:summary>
    <itunes:subtitle>The Peri &amp; Pause Podcast is for women in midlife who know something in their body has changed—but haven’t been given real answers, or have been left overwhelmed by conflicting information.</itunes:subtitle>
    <itunes:keywords>perimenopause, menopause, midlife women, women’s hormones, hormone health, menopause care, women’s health podcast, midlife wellness, menopause symptoms, hormone replacement therapy, women’s healthcare advocacy, metabolism and hormones, mental health midlife women, menopause education</itunes:keywords>
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      <itunes:name>Jamie Gallagher</itunes:name>
      <itunes:email>joew@relevantmediasolutions.com</itunes:email>
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    <itunes:complete>No</itunes:complete>
    <itunes:explicit>No</itunes:explicit>
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      <title>What Actually Works for Menopause Weight Gain</title>
      <itunes:episode>13</itunes:episode>
      <podcast:episode>13</podcast:episode>
      <itunes:title>What Actually Works for Menopause Weight Gain</itunes:title>
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        <![CDATA[<p>In this follow-up episode of Perimenopause the Podcast, Jamie Gallagher moves beyond the "why" behind menopause weight gain and inflammation and focuses on the "how."</p><p>After explaining the science behind hormonal changes, inflammation, belly fat, insulin resistance, and metabolic slowdown in the previous episode, Jamie now shares practical strategies women can use to interrupt the cycle and regain control of their health. </p><p>This episode explores resistance training, high-protein nutrition, the Mediterranean diet, menopausal hormone therapy (MHT), GLP-1 medications, and why traditional approaches to weight loss often stop working during perimenopause and menopause.</p><p>If you've been doing all the "right things" but still struggling with weight gain, inflammation, low energy, or changes in body composition, this episode offers a science-based roadmap for navigating this transition. </p><p><br></p><p>00:00 – Welcome back and recap of the previous episode<br>00:45 – Why understanding the "how" matters<br>01:15 – Pillar One: Rebuilding your metabolic engine<br>01:45 – Why endless cardio isn't the answer anymore<br>02:00 – Resistance training and reducing inflammation<br>02:30 – HIIT workouts and visceral fat reduction<br>03:00 – Why protein becomes more important during menopause<br>03:30 – Protein recommendations explained<br>03:45 – The Mediterranean diet and obesity prevention<br>04:15 – Alcohol's impact on belly fat and metabolism<br>04:45 – Pillar Two: Menopausal Hormone Therapy (MHT)<br>05:15 – How estrogen influences fat distribution<br>05:45 – Hormone therapy and inflammation reduction<br>06:15 – What happens when hormone therapy stops<br>06:30 – Pillar Three: GLP-1 medications explained<br>07:00 – Semaglutide, tirzepatide, and women's health<br>07:30 – Why women often respond differently than men<br>07:45 – Protecting muscle while losing weight<br>08:00 – The importance of strength training during GLP-1 use<br>08:15 – Building a complete weight-loss strategy<br>08:30 – The role of nutritionists, trainers, and clinicians<br>08:45 – Changing your strategy instead of blaming yourself<br>09:00 – Final thoughts and encouragement</p>]]>
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        <![CDATA[<p>In this follow-up episode of Perimenopause the Podcast, Jamie Gallagher moves beyond the "why" behind menopause weight gain and inflammation and focuses on the "how."</p><p>After explaining the science behind hormonal changes, inflammation, belly fat, insulin resistance, and metabolic slowdown in the previous episode, Jamie now shares practical strategies women can use to interrupt the cycle and regain control of their health. </p><p>This episode explores resistance training, high-protein nutrition, the Mediterranean diet, menopausal hormone therapy (MHT), GLP-1 medications, and why traditional approaches to weight loss often stop working during perimenopause and menopause.</p><p>If you've been doing all the "right things" but still struggling with weight gain, inflammation, low energy, or changes in body composition, this episode offers a science-based roadmap for navigating this transition. </p><p><br></p><p>00:00 – Welcome back and recap of the previous episode<br>00:45 – Why understanding the "how" matters<br>01:15 – Pillar One: Rebuilding your metabolic engine<br>01:45 – Why endless cardio isn't the answer anymore<br>02:00 – Resistance training and reducing inflammation<br>02:30 – HIIT workouts and visceral fat reduction<br>03:00 – Why protein becomes more important during menopause<br>03:30 – Protein recommendations explained<br>03:45 – The Mediterranean diet and obesity prevention<br>04:15 – Alcohol's impact on belly fat and metabolism<br>04:45 – Pillar Two: Menopausal Hormone Therapy (MHT)<br>05:15 – How estrogen influences fat distribution<br>05:45 – Hormone therapy and inflammation reduction<br>06:15 – What happens when hormone therapy stops<br>06:30 – Pillar Three: GLP-1 medications explained<br>07:00 – Semaglutide, tirzepatide, and women's health<br>07:30 – Why women often respond differently than men<br>07:45 – Protecting muscle while losing weight<br>08:00 – The importance of strength training during GLP-1 use<br>08:15 – Building a complete weight-loss strategy<br>08:30 – The role of nutritionists, trainers, and clinicians<br>08:45 – Changing your strategy instead of blaming yourself<br>09:00 – Final thoughts and encouragement</p>]]>
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      <pubDate>Tue, 30 Jun 2026 04:00:00 -0700</pubDate>
      <author>Peri &amp; Pause</author>
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      <itunes:author>Peri &amp; Pause</itunes:author>
      <itunes:duration>591</itunes:duration>
      <itunes:summary>
        <![CDATA[<p>In this follow-up episode of Perimenopause the Podcast, Jamie Gallagher moves beyond the "why" behind menopause weight gain and inflammation and focuses on the "how."</p><p>After explaining the science behind hormonal changes, inflammation, belly fat, insulin resistance, and metabolic slowdown in the previous episode, Jamie now shares practical strategies women can use to interrupt the cycle and regain control of their health. </p><p>This episode explores resistance training, high-protein nutrition, the Mediterranean diet, menopausal hormone therapy (MHT), GLP-1 medications, and why traditional approaches to weight loss often stop working during perimenopause and menopause.</p><p>If you've been doing all the "right things" but still struggling with weight gain, inflammation, low energy, or changes in body composition, this episode offers a science-based roadmap for navigating this transition. </p><p><br></p><p>00:00 – Welcome back and recap of the previous episode<br>00:45 – Why understanding the "how" matters<br>01:15 – Pillar One: Rebuilding your metabolic engine<br>01:45 – Why endless cardio isn't the answer anymore<br>02:00 – Resistance training and reducing inflammation<br>02:30 – HIIT workouts and visceral fat reduction<br>03:00 – Why protein becomes more important during menopause<br>03:30 – Protein recommendations explained<br>03:45 – The Mediterranean diet and obesity prevention<br>04:15 – Alcohol's impact on belly fat and metabolism<br>04:45 – Pillar Two: Menopausal Hormone Therapy (MHT)<br>05:15 – How estrogen influences fat distribution<br>05:45 – Hormone therapy and inflammation reduction<br>06:15 – What happens when hormone therapy stops<br>06:30 – Pillar Three: GLP-1 medications explained<br>07:00 – Semaglutide, tirzepatide, and women's health<br>07:30 – Why women often respond differently than men<br>07:45 – Protecting muscle while losing weight<br>08:00 – The importance of strength training during GLP-1 use<br>08:15 – Building a complete weight-loss strategy<br>08:30 – The role of nutritionists, trainers, and clinicians<br>08:45 – Changing your strategy instead of blaming yourself<br>09:00 – Final thoughts and encouragement</p>]]>
      </itunes:summary>
      <itunes:keywords>perimenopause, menopause, midlife women, women’s hormones, hormone health, menopause care, women’s health podcast, midlife wellness, menopause symptoms, hormone replacement therapy, women’s healthcare advocacy, metabolism and hormones, mental health midlife women, menopause education</itunes:keywords>
      <itunes:explicit>No</itunes:explicit>
      <podcast:person role="Host" href="https://periandpause.com" img="https://img.transistorcdn.com/E2E2ISp_1FA9mMJZByz6-mVb3tW68xq9w6t9VAO5W5w/rs:fill:0:0:1/w:800/h:800/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS82ZDE2/NzE2ZWUyNzI4ODJi/YzJjMjUwYTQzODNh/YjU5Ni53ZWJw.jpg">Jamie Gallagher DNP, FNP-C, MSCP</podcast:person>
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    </item>
    <item>
      <title>Why Menopause Weight Gain Isn't Your Fault</title>
      <itunes:episode>12</itunes:episode>
      <podcast:episode>12</podcast:episode>
      <itunes:title>Why Menopause Weight Gain Isn't Your Fault</itunes:title>
      <itunes:episodeType>full</itunes:episodeType>
      <guid isPermaLink="false">baeff680-5850-4794-8960-45f021326f36</guid>
      <link>https://share.transistor.fm/s/bf1fd3d2</link>
      <description>
        <![CDATA[<p>In this episode of Perimenopause the Podcast, Jamie Gallagher tackles one of the most frustrating and misunderstood challenges women face during perimenopause and menopause: weight gain and inflammation that seem to appear out of nowhere.</p><p>If you've found yourself eating the same foods, exercising the same way, and still noticing stubborn belly fat, increased inflammation, joint aches, brain fog, or changes in your metabolism, you're not imagining it—and you're not alone.</p><p>Jamie breaks down the science behind hormonal changes, estrogen decline, FSH spikes, insulin resistance, visceral fat accumulation, muscle loss, and chronic inflammation. Most importantly, she explains why this transition is not a failure of willpower or discipline, but a biological shift happening inside the body.</p><p>This episode is packed with practical insights and validation for women who have been blaming themselves for changes that are often driven by hormones, metabolism, and immune system changes beyond their control.</p><p><br></p><p>00:00 – Introduction to today's Ask Us Anything episode<br>00:45 – The frustration of midlife weight gain and inflammation<br>01:20 – Why this isn't a willpower problem<br>01:45 – The connection between inflammation and weight gain<br>02:00 – Estrogen's role in metabolism and immune health<br>02:30 – The body's "internal thermostat" explained<br>03:00 – Why women feel puffy and inflamed during perimenopause<br>03:15 – Understanding follicle-stimulating hormone (FSH)<br>03:45 – How FSH contributes to belly fat accumulation<br>04:15 – Why weight gain often begins before menopause<br>04:30 – The vicious cycle of visceral fat and inflammation<br>05:00 – How belly fat acts like its own endocrine organ<br>05:20 – Insulin resistance and blood sugar changes<br>06:00 – Why normal labs don't always tell the full story<br>06:30 – Muscle loss and metabolic slowdown<br>07:00 – Sleep disruption, cortisol, and cravings<br>07:30 – Why you're not lazy, broken, or failing<br>08:00 – The power of resistance training and muscle building<br>08:20 – Why lifting weights helps fight inflammation<br>08:40 – Changing your strategy, not blaming yourself<br>08:55 – Preview of next episode: practical solutions</p>]]>
      </description>
      <content:encoded>
        <![CDATA[<p>In this episode of Perimenopause the Podcast, Jamie Gallagher tackles one of the most frustrating and misunderstood challenges women face during perimenopause and menopause: weight gain and inflammation that seem to appear out of nowhere.</p><p>If you've found yourself eating the same foods, exercising the same way, and still noticing stubborn belly fat, increased inflammation, joint aches, brain fog, or changes in your metabolism, you're not imagining it—and you're not alone.</p><p>Jamie breaks down the science behind hormonal changes, estrogen decline, FSH spikes, insulin resistance, visceral fat accumulation, muscle loss, and chronic inflammation. Most importantly, she explains why this transition is not a failure of willpower or discipline, but a biological shift happening inside the body.</p><p>This episode is packed with practical insights and validation for women who have been blaming themselves for changes that are often driven by hormones, metabolism, and immune system changes beyond their control.</p><p><br></p><p>00:00 – Introduction to today's Ask Us Anything episode<br>00:45 – The frustration of midlife weight gain and inflammation<br>01:20 – Why this isn't a willpower problem<br>01:45 – The connection between inflammation and weight gain<br>02:00 – Estrogen's role in metabolism and immune health<br>02:30 – The body's "internal thermostat" explained<br>03:00 – Why women feel puffy and inflamed during perimenopause<br>03:15 – Understanding follicle-stimulating hormone (FSH)<br>03:45 – How FSH contributes to belly fat accumulation<br>04:15 – Why weight gain often begins before menopause<br>04:30 – The vicious cycle of visceral fat and inflammation<br>05:00 – How belly fat acts like its own endocrine organ<br>05:20 – Insulin resistance and blood sugar changes<br>06:00 – Why normal labs don't always tell the full story<br>06:30 – Muscle loss and metabolic slowdown<br>07:00 – Sleep disruption, cortisol, and cravings<br>07:30 – Why you're not lazy, broken, or failing<br>08:00 – The power of resistance training and muscle building<br>08:20 – Why lifting weights helps fight inflammation<br>08:40 – Changing your strategy, not blaming yourself<br>08:55 – Preview of next episode: practical solutions</p>]]>
      </content:encoded>
      <pubDate>Tue, 23 Jun 2026 04:00:00 -0700</pubDate>
      <author>Peri &amp; Pause</author>
      <enclosure url="https://media.transistor.fm/bf1fd3d2/ded5f647.mp3" length="8963869" type="audio/mpeg"/>
      <itunes:author>Peri &amp; Pause</itunes:author>
      <itunes:duration>557</itunes:duration>
      <itunes:summary>
        <![CDATA[<p>In this episode of Perimenopause the Podcast, Jamie Gallagher tackles one of the most frustrating and misunderstood challenges women face during perimenopause and menopause: weight gain and inflammation that seem to appear out of nowhere.</p><p>If you've found yourself eating the same foods, exercising the same way, and still noticing stubborn belly fat, increased inflammation, joint aches, brain fog, or changes in your metabolism, you're not imagining it—and you're not alone.</p><p>Jamie breaks down the science behind hormonal changes, estrogen decline, FSH spikes, insulin resistance, visceral fat accumulation, muscle loss, and chronic inflammation. Most importantly, she explains why this transition is not a failure of willpower or discipline, but a biological shift happening inside the body.</p><p>This episode is packed with practical insights and validation for women who have been blaming themselves for changes that are often driven by hormones, metabolism, and immune system changes beyond their control.</p><p><br></p><p>00:00 – Introduction to today's Ask Us Anything episode<br>00:45 – The frustration of midlife weight gain and inflammation<br>01:20 – Why this isn't a willpower problem<br>01:45 – The connection between inflammation and weight gain<br>02:00 – Estrogen's role in metabolism and immune health<br>02:30 – The body's "internal thermostat" explained<br>03:00 – Why women feel puffy and inflamed during perimenopause<br>03:15 – Understanding follicle-stimulating hormone (FSH)<br>03:45 – How FSH contributes to belly fat accumulation<br>04:15 – Why weight gain often begins before menopause<br>04:30 – The vicious cycle of visceral fat and inflammation<br>05:00 – How belly fat acts like its own endocrine organ<br>05:20 – Insulin resistance and blood sugar changes<br>06:00 – Why normal labs don't always tell the full story<br>06:30 – Muscle loss and metabolic slowdown<br>07:00 – Sleep disruption, cortisol, and cravings<br>07:30 – Why you're not lazy, broken, or failing<br>08:00 – The power of resistance training and muscle building<br>08:20 – Why lifting weights helps fight inflammation<br>08:40 – Changing your strategy, not blaming yourself<br>08:55 – Preview of next episode: practical solutions</p>]]>
      </itunes:summary>
      <itunes:keywords>perimenopause, menopause, midlife women, women’s hormones, hormone health, menopause care, women’s health podcast, midlife wellness, menopause symptoms, hormone replacement therapy, women’s healthcare advocacy, metabolism and hormones, mental health midlife women, menopause education</itunes:keywords>
      <itunes:explicit>No</itunes:explicit>
      <podcast:person role="Host" href="https://periandpause.com" img="https://img.transistorcdn.com/E2E2ISp_1FA9mMJZByz6-mVb3tW68xq9w6t9VAO5W5w/rs:fill:0:0:1/w:800/h:800/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS82ZDE2/NzE2ZWUyNzI4ODJi/YzJjMjUwYTQzODNh/YjU5Ni53ZWJw.jpg">Jamie Gallagher DNP, FNP-C, MSCP</podcast:person>
      <podcast:transcript url="https://share.transistor.fm/s/bf1fd3d2/transcript.txt" type="text/plain"/>
    </item>
    <item>
      <title>Hormone Testing During Menopause: What Every Woman Should Know</title>
      <itunes:episode>11</itunes:episode>
      <podcast:episode>11</podcast:episode>
      <itunes:title>Hormone Testing During Menopause: What Every Woman Should Know</itunes:title>
      <itunes:episodeType>full</itunes:episodeType>
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      <link>https://share.transistor.fm/s/d2ff88d3</link>
      <description>
        <![CDATA[<p>Women often hear conflicting information online about estrogen, progesterone, and hormone testing. Jamie explains why hormone levels fluctuate dramatically during perimenopause, why a single blood test rarely tells the full story, and why symptoms often provide more useful information than lab values alone.</p><p>This episode also covers stopping birth control pills in midlife, hormone testing after pregnancy, when hormone testing is appropriate, and why some women may still benefit from lab work in specific situations.</p><p>If you've ever wondered whether hormone testing can confirm perimenopause or menopause, this episode will help you understand what hormone tests can, and can't, tell you.</p><p><br></p><p><strong>00:00</strong> – Welcome back to Perimenopause the Podcast<br><strong>00:25</strong> – Listener questions about hormone testing<br><strong>00:55</strong> – Should women routinely check hormone levels?<br><strong>01:15</strong> – Why hormone levels fluctuate so dramatically<br><strong>01:40</strong> – Understanding hormone changes during perimenopause<br><strong>02:00</strong> – Why symptoms matter more than a single lab test<br><strong>02:15</strong> – Stopping birth control in your 40s: what to expect<br><strong>02:40</strong> – How birth control affects hormone testing<br><strong>02:55</strong> – Could birth control be masking menopause?<br><strong>03:10</strong> – Hormone testing after pregnancy and childbirth<br><strong>03:35</strong> – When hormone testing may be appropriate<br><strong>03:50</strong> – Testosterone monitoring and hormone therapy<br><strong>04:10</strong> – New research on estrogen and bone health<br><strong>04:35</strong> – Why hormone testing is trending online<br><strong>04:50</strong> – The better question to ask about your symptoms<br><strong>05:15</strong> – Final thoughts and listener questions</p>]]>
      </description>
      <content:encoded>
        <![CDATA[<p>Women often hear conflicting information online about estrogen, progesterone, and hormone testing. Jamie explains why hormone levels fluctuate dramatically during perimenopause, why a single blood test rarely tells the full story, and why symptoms often provide more useful information than lab values alone.</p><p>This episode also covers stopping birth control pills in midlife, hormone testing after pregnancy, when hormone testing is appropriate, and why some women may still benefit from lab work in specific situations.</p><p>If you've ever wondered whether hormone testing can confirm perimenopause or menopause, this episode will help you understand what hormone tests can, and can't, tell you.</p><p><br></p><p><strong>00:00</strong> – Welcome back to Perimenopause the Podcast<br><strong>00:25</strong> – Listener questions about hormone testing<br><strong>00:55</strong> – Should women routinely check hormone levels?<br><strong>01:15</strong> – Why hormone levels fluctuate so dramatically<br><strong>01:40</strong> – Understanding hormone changes during perimenopause<br><strong>02:00</strong> – Why symptoms matter more than a single lab test<br><strong>02:15</strong> – Stopping birth control in your 40s: what to expect<br><strong>02:40</strong> – How birth control affects hormone testing<br><strong>02:55</strong> – Could birth control be masking menopause?<br><strong>03:10</strong> – Hormone testing after pregnancy and childbirth<br><strong>03:35</strong> – When hormone testing may be appropriate<br><strong>03:50</strong> – Testosterone monitoring and hormone therapy<br><strong>04:10</strong> – New research on estrogen and bone health<br><strong>04:35</strong> – Why hormone testing is trending online<br><strong>04:50</strong> – The better question to ask about your symptoms<br><strong>05:15</strong> – Final thoughts and listener questions</p>]]>
      </content:encoded>
      <pubDate>Tue, 16 Jun 2026 04:00:00 -0700</pubDate>
      <author>Peri &amp; Pause</author>
      <enclosure url="https://media.transistor.fm/d2ff88d3/a7bd8ae5.mp3" length="6003086" type="audio/mpeg"/>
      <itunes:author>Peri &amp; Pause</itunes:author>
      <itunes:duration>372</itunes:duration>
      <itunes:summary>
        <![CDATA[<p>Women often hear conflicting information online about estrogen, progesterone, and hormone testing. Jamie explains why hormone levels fluctuate dramatically during perimenopause, why a single blood test rarely tells the full story, and why symptoms often provide more useful information than lab values alone.</p><p>This episode also covers stopping birth control pills in midlife, hormone testing after pregnancy, when hormone testing is appropriate, and why some women may still benefit from lab work in specific situations.</p><p>If you've ever wondered whether hormone testing can confirm perimenopause or menopause, this episode will help you understand what hormone tests can, and can't, tell you.</p><p><br></p><p><strong>00:00</strong> – Welcome back to Perimenopause the Podcast<br><strong>00:25</strong> – Listener questions about hormone testing<br><strong>00:55</strong> – Should women routinely check hormone levels?<br><strong>01:15</strong> – Why hormone levels fluctuate so dramatically<br><strong>01:40</strong> – Understanding hormone changes during perimenopause<br><strong>02:00</strong> – Why symptoms matter more than a single lab test<br><strong>02:15</strong> – Stopping birth control in your 40s: what to expect<br><strong>02:40</strong> – How birth control affects hormone testing<br><strong>02:55</strong> – Could birth control be masking menopause?<br><strong>03:10</strong> – Hormone testing after pregnancy and childbirth<br><strong>03:35</strong> – When hormone testing may be appropriate<br><strong>03:50</strong> – Testosterone monitoring and hormone therapy<br><strong>04:10</strong> – New research on estrogen and bone health<br><strong>04:35</strong> – Why hormone testing is trending online<br><strong>04:50</strong> – The better question to ask about your symptoms<br><strong>05:15</strong> – Final thoughts and listener questions</p>]]>
      </itunes:summary>
      <itunes:keywords>perimenopause, menopause, midlife women, women’s hormones, hormone health, menopause care, women’s health podcast, midlife wellness, menopause symptoms, hormone replacement therapy, women’s healthcare advocacy, metabolism and hormones, mental health midlife women, menopause education</itunes:keywords>
      <itunes:explicit>No</itunes:explicit>
      <podcast:person role="Host" href="https://periandpause.com" img="https://img.transistorcdn.com/E2E2ISp_1FA9mMJZByz6-mVb3tW68xq9w6t9VAO5W5w/rs:fill:0:0:1/w:800/h:800/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS82ZDE2/NzE2ZWUyNzI4ODJi/YzJjMjUwYTQzODNh/YjU5Ni53ZWJw.jpg">Jamie Gallagher DNP, FNP-C, MSCP</podcast:person>
      <podcast:transcript url="https://share.transistor.fm/s/d2ff88d3/transcript.txt" type="text/plain"/>
    </item>
    <item>
      <title>Surgical Menopause: The Missing Piece Many Women Never Hear About</title>
      <itunes:episode>10</itunes:episode>
      <podcast:episode>10</podcast:episode>
      <itunes:title>Surgical Menopause: The Missing Piece Many Women Never Hear About</itunes:title>
      <itunes:episodeType>full</itunes:episodeType>
      <guid isPermaLink="false">eb5b2b92-dd74-4860-b3c3-f2c3c0f2ec2c</guid>
      <link>https://share.transistor.fm/s/b19ee440</link>
      <description>
        <![CDATA[<p>In this Ask Us Anything episode of <em>Perimenopause the Podcast</em>, Jamie Gallagher answers a heartfelt question from Tammy, a woman struggling to feel like herself after a total hysterectomy and bilateral salpingo-oophorectomy (removal of the ovaries and fallopian tubes).</p><p>One and a half years after surgery, Tammy describes feeling like her hormones and body are "a wreck." Jamie explains the difference between natural menopause and surgical menopause, the health impacts of ovary removal, and why many women continue to struggle when the right hormone therapy has not been explored.</p><p>This conversation covers estrogen therapy, long-term health risks, surgical menopause recovery, and practical ways women in rural communities can access menopause specialists through telehealth and professional networks.</p><p>If you've experienced ovary removal, hysterectomy, surgical menopause, or persistent hormone symptoms, this episode offers education, validation, and hope.</p><p><br></p><p><strong>00:00</strong> – Welcome to Ask Us Anything<br><strong>00:30</strong> – Tammy's question: "My hormones are a wreck"<br><strong>01:15</strong> – What is a bilateral salpingo-oophorectomy?<br><strong>01:50</strong> – Why the reason for ovary removal matters<br><strong>02:30</strong> – Understanding surgical menopause<br><strong>03:00</strong> – Long-term health effects of ovary removal<br><strong>03:45</strong> – Heart health, bone health, brain health, and libido<br><strong>04:15</strong> – Why estrogen therapy matters<br><strong>04:45</strong> – The hormone Tammy didn't mention<br><strong>05:00</strong> – Why you don't have to accept feeling miserable<br><strong>05:20</strong> – Finding menopause specialists through telehealth<br><strong>05:40</strong> – How to use Menopause.org to find care<br><strong>05:55</strong> – Why it's not too late to feel better<br><strong>06:15</strong> – Final encouragement and closing thoughts</p>]]>
      </description>
      <content:encoded>
        <![CDATA[<p>In this Ask Us Anything episode of <em>Perimenopause the Podcast</em>, Jamie Gallagher answers a heartfelt question from Tammy, a woman struggling to feel like herself after a total hysterectomy and bilateral salpingo-oophorectomy (removal of the ovaries and fallopian tubes).</p><p>One and a half years after surgery, Tammy describes feeling like her hormones and body are "a wreck." Jamie explains the difference between natural menopause and surgical menopause, the health impacts of ovary removal, and why many women continue to struggle when the right hormone therapy has not been explored.</p><p>This conversation covers estrogen therapy, long-term health risks, surgical menopause recovery, and practical ways women in rural communities can access menopause specialists through telehealth and professional networks.</p><p>If you've experienced ovary removal, hysterectomy, surgical menopause, or persistent hormone symptoms, this episode offers education, validation, and hope.</p><p><br></p><p><strong>00:00</strong> – Welcome to Ask Us Anything<br><strong>00:30</strong> – Tammy's question: "My hormones are a wreck"<br><strong>01:15</strong> – What is a bilateral salpingo-oophorectomy?<br><strong>01:50</strong> – Why the reason for ovary removal matters<br><strong>02:30</strong> – Understanding surgical menopause<br><strong>03:00</strong> – Long-term health effects of ovary removal<br><strong>03:45</strong> – Heart health, bone health, brain health, and libido<br><strong>04:15</strong> – Why estrogen therapy matters<br><strong>04:45</strong> – The hormone Tammy didn't mention<br><strong>05:00</strong> – Why you don't have to accept feeling miserable<br><strong>05:20</strong> – Finding menopause specialists through telehealth<br><strong>05:40</strong> – How to use Menopause.org to find care<br><strong>05:55</strong> – Why it's not too late to feel better<br><strong>06:15</strong> – Final encouragement and closing thoughts</p>]]>
      </content:encoded>
      <pubDate>Tue, 09 Jun 2026 04:00:00 -0700</pubDate>
      <author>Peri &amp; Pause</author>
      <enclosure url="https://media.transistor.fm/b19ee440/c3d262f6.mp3" length="6003092" type="audio/mpeg"/>
      <itunes:author>Peri &amp; Pause</itunes:author>
      <itunes:duration>372</itunes:duration>
      <itunes:summary>
        <![CDATA[<p>In this Ask Us Anything episode of <em>Perimenopause the Podcast</em>, Jamie Gallagher answers a heartfelt question from Tammy, a woman struggling to feel like herself after a total hysterectomy and bilateral salpingo-oophorectomy (removal of the ovaries and fallopian tubes).</p><p>One and a half years after surgery, Tammy describes feeling like her hormones and body are "a wreck." Jamie explains the difference between natural menopause and surgical menopause, the health impacts of ovary removal, and why many women continue to struggle when the right hormone therapy has not been explored.</p><p>This conversation covers estrogen therapy, long-term health risks, surgical menopause recovery, and practical ways women in rural communities can access menopause specialists through telehealth and professional networks.</p><p>If you've experienced ovary removal, hysterectomy, surgical menopause, or persistent hormone symptoms, this episode offers education, validation, and hope.</p><p><br></p><p><strong>00:00</strong> – Welcome to Ask Us Anything<br><strong>00:30</strong> – Tammy's question: "My hormones are a wreck"<br><strong>01:15</strong> – What is a bilateral salpingo-oophorectomy?<br><strong>01:50</strong> – Why the reason for ovary removal matters<br><strong>02:30</strong> – Understanding surgical menopause<br><strong>03:00</strong> – Long-term health effects of ovary removal<br><strong>03:45</strong> – Heart health, bone health, brain health, and libido<br><strong>04:15</strong> – Why estrogen therapy matters<br><strong>04:45</strong> – The hormone Tammy didn't mention<br><strong>05:00</strong> – Why you don't have to accept feeling miserable<br><strong>05:20</strong> – Finding menopause specialists through telehealth<br><strong>05:40</strong> – How to use Menopause.org to find care<br><strong>05:55</strong> – Why it's not too late to feel better<br><strong>06:15</strong> – Final encouragement and closing thoughts</p>]]>
      </itunes:summary>
      <itunes:keywords>perimenopause, menopause, midlife women, women’s hormones, hormone health, menopause care, women’s health podcast, midlife wellness, menopause symptoms, hormone replacement therapy, women’s healthcare advocacy, metabolism and hormones, mental health midlife women, menopause education</itunes:keywords>
      <itunes:explicit>No</itunes:explicit>
      <podcast:person role="Host" href="https://periandpause.com" img="https://img.transistorcdn.com/E2E2ISp_1FA9mMJZByz6-mVb3tW68xq9w6t9VAO5W5w/rs:fill:0:0:1/w:800/h:800/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS82ZDE2/NzE2ZWUyNzI4ODJi/YzJjMjUwYTQzODNh/YjU5Ni53ZWJw.jpg">Jamie Gallagher DNP, FNP-C, MSCP</podcast:person>
      <podcast:transcript url="https://share.transistor.fm/s/b19ee440/transcript.txt" type="text/plain"/>
    </item>
    <item>
      <title>From Military to Menopause: A Partner's Perspective</title>
      <itunes:episode>9</itunes:episode>
      <podcast:episode>9</podcast:episode>
      <itunes:title>From Military to Menopause: A Partner's Perspective</itunes:title>
      <itunes:episodeType>full</itunes:episodeType>
      <guid isPermaLink="false">43f13a06-1f0b-4b6e-b795-b3fe5432f485</guid>
      <link>https://share.transistor.fm/s/9e90ce3e</link>
      <description>
        <![CDATA[<p>In Part 2 of the Meet the Founder series on Peri &amp; Pause, Jamie is joined by her husband and co-founder, Stu, to discuss his background in international business and a 26-year military career, his transition into civilian life, and how mission, purpose, and service shape his leadership. They explore what Stu saw in Peri &amp; Pause early on, the parallels between military mission-focus and building a menopause care company, and the persistent midlife women’s health care gap he witnessed through his mother’s experience and Jamie’s own perimenopause. Stu describes how perimenopause can strain relationships when symptoms are misunderstood, emphasizes addressing root causes rather than just symptoms, and encourages partners to show patience, seek help, and support women through care that can improve families, work, and overall quality of life.</p><p>00:00 Meet Stu Intro</p><p>01:33 Military Roots</p><p>03:17 Leaving Service</p><p>04:47 Vision For Peri Pause</p><p>06:10 Mission Parallels</p><p>07:47 Care Gap Reality</p><p>09:32 Partner Perspective</p><p>13:40 Mom And Family Impact</p><p>17:39 Advice For Partners</p><p>18:31 Thick Skin and Support</p><p>18:55 Men Asking for Help</p><p>20:39 Building Together Talk</p><p>22:51 Napkin to Launch</p><p>23:58 Balancing Risk and Caution</p><p>26:17 Mission Bigger Than Us</p><p>28:06 Scaling the Impact</p><p>30:11 Gratitude and Outro</p><p>------<br>This podcast exists to normalize, explain, and elevate the midlife healthcare conversation—so women feel informed, believed, and empowered to demand better care for their bodies and lives.</p><p>Visit https://periandpause.com for more info</p>]]>
      </description>
      <content:encoded>
        <![CDATA[<p>In Part 2 of the Meet the Founder series on Peri &amp; Pause, Jamie is joined by her husband and co-founder, Stu, to discuss his background in international business and a 26-year military career, his transition into civilian life, and how mission, purpose, and service shape his leadership. They explore what Stu saw in Peri &amp; Pause early on, the parallels between military mission-focus and building a menopause care company, and the persistent midlife women’s health care gap he witnessed through his mother’s experience and Jamie’s own perimenopause. Stu describes how perimenopause can strain relationships when symptoms are misunderstood, emphasizes addressing root causes rather than just symptoms, and encourages partners to show patience, seek help, and support women through care that can improve families, work, and overall quality of life.</p><p>00:00 Meet Stu Intro</p><p>01:33 Military Roots</p><p>03:17 Leaving Service</p><p>04:47 Vision For Peri Pause</p><p>06:10 Mission Parallels</p><p>07:47 Care Gap Reality</p><p>09:32 Partner Perspective</p><p>13:40 Mom And Family Impact</p><p>17:39 Advice For Partners</p><p>18:31 Thick Skin and Support</p><p>18:55 Men Asking for Help</p><p>20:39 Building Together Talk</p><p>22:51 Napkin to Launch</p><p>23:58 Balancing Risk and Caution</p><p>26:17 Mission Bigger Than Us</p><p>28:06 Scaling the Impact</p><p>30:11 Gratitude and Outro</p><p>------<br>This podcast exists to normalize, explain, and elevate the midlife healthcare conversation—so women feel informed, believed, and empowered to demand better care for their bodies and lives.</p><p>Visit https://periandpause.com for more info</p>]]>
      </content:encoded>
      <pubDate>Tue, 02 Jun 2026 04:00:00 -0700</pubDate>
      <author>Peri &amp; Pause</author>
      <enclosure url="https://media.transistor.fm/9e90ce3e/6ced44f6.mp3" length="29858083" type="audio/mpeg"/>
      <itunes:author>Peri &amp; Pause</itunes:author>
      <itunes:duration>1863</itunes:duration>
      <itunes:summary>
        <![CDATA[<p>In Part 2 of the Meet the Founder series on Peri &amp; Pause, Jamie is joined by her husband and co-founder, Stu, to discuss his background in international business and a 26-year military career, his transition into civilian life, and how mission, purpose, and service shape his leadership. They explore what Stu saw in Peri &amp; Pause early on, the parallels between military mission-focus and building a menopause care company, and the persistent midlife women’s health care gap he witnessed through his mother’s experience and Jamie’s own perimenopause. Stu describes how perimenopause can strain relationships when symptoms are misunderstood, emphasizes addressing root causes rather than just symptoms, and encourages partners to show patience, seek help, and support women through care that can improve families, work, and overall quality of life.</p><p>00:00 Meet Stu Intro</p><p>01:33 Military Roots</p><p>03:17 Leaving Service</p><p>04:47 Vision For Peri Pause</p><p>06:10 Mission Parallels</p><p>07:47 Care Gap Reality</p><p>09:32 Partner Perspective</p><p>13:40 Mom And Family Impact</p><p>17:39 Advice For Partners</p><p>18:31 Thick Skin and Support</p><p>18:55 Men Asking for Help</p><p>20:39 Building Together Talk</p><p>22:51 Napkin to Launch</p><p>23:58 Balancing Risk and Caution</p><p>26:17 Mission Bigger Than Us</p><p>28:06 Scaling the Impact</p><p>30:11 Gratitude and Outro</p><p>------<br>This podcast exists to normalize, explain, and elevate the midlife healthcare conversation—so women feel informed, believed, and empowered to demand better care for their bodies and lives.</p><p>Visit https://periandpause.com for more info</p>]]>
      </itunes:summary>
      <itunes:keywords>perimenopause, menopause, midlife women, women’s hormones, hormone health, menopause care, women’s health podcast, midlife wellness, menopause symptoms, hormone replacement therapy, women’s healthcare advocacy, metabolism and hormones, mental health midlife women, menopause education</itunes:keywords>
      <itunes:explicit>No</itunes:explicit>
      <podcast:person role="Guest" img="https://img.transistorcdn.com/nIWUQrBDY8GP8ycCwmT_tXyCqcJ_oLo-sLux-j4ONeQ/rs:fill:0:0:1/w:800/h:800/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS8zYTYz/MTkzNzM2NmM2MTMy/N2UxNjI2NmRmYjEz/NzRiNS5wbmc.jpg">Stuart Gallagher</podcast:person>
      <podcast:person role="Host" href="https://periandpause.com" img="https://img.transistorcdn.com/E2E2ISp_1FA9mMJZByz6-mVb3tW68xq9w6t9VAO5W5w/rs:fill:0:0:1/w:800/h:800/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS82ZDE2/NzE2ZWUyNzI4ODJi/YzJjMjUwYTQzODNh/YjU5Ni53ZWJw.jpg">Jamie Gallagher DNP, FNP-C, MSCP</podcast:person>
      <podcast:transcript url="https://share.transistor.fm/s/9e90ce3e/transcript.txt" type="text/plain"/>
    </item>
    <item>
      <title>Empowering Midlife Health: The Origin of Peri and Pause</title>
      <itunes:episode>8</itunes:episode>
      <podcast:episode>8</podcast:episode>
      <itunes:title>Empowering Midlife Health: The Origin of Peri and Pause</itunes:title>
      <itunes:episodeType>full</itunes:episodeType>
      <guid isPermaLink="false">5f529a14-1129-4a68-a598-c1ff5d5e3a43</guid>
      <link>https://share.transistor.fm/s/53948c93</link>
      <description>
        <![CDATA[<p>Kristen wraps the nurse practitioner series and launches the founder series with Peri &amp; Pause founder Jamie Gallagher, who shares what drew her into nursing, her critical care background, and why she became a nurse practitioner and later earned her DNP. Jamie explains how time limits, metrics, and fragmented, symptom-by-symptom care pushed her to rethink how midlife women are treated, especially after her own perimenopause experience revealed a major healthcare gap. She describes Peri &amp; Pause’s model as relationship-driven, evidence-based whole-woman care through the perimenopause/menopause lens, including proactive prevention, collaboration with other clinicians, and referrals when needed. Jamie discusses misinformation and clinician shaming around hormones, the need for better clinician education, core values like integrity and humility, and her vision for continued growth to meet ongoing demand.</p><p>00:00 Podcast Welcome</p><p>01:09 Jamie Nursing Origins</p><p>02:47 Becoming Nurse Practitioner</p><p>04:46 Healthcare System Friction</p><p>08:27 Perimenopause Wake Up Call</p><p>11:13 Seeing the Bigger Pattern</p><p>13:11 Biggest Care Gap</p><p>14:20 Founding Peri and Pause</p><p>18:25 Building Patient First Practice</p><p>19:21 Whole Woman Care Approach</p><p>20:20 Coordinated Care Promise</p><p>20:46 Preventive Deep Dives</p><p>21:56 Proactive Treatment Mindset</p><p>22:19 Patient Wins That Matter</p><p>23:12 Word of Mouth Growth</p><p>24:12 Building a Mission Business</p><p>25:41 Imposter Syndrome and Connection</p><p>26:57 Misinformation and Clinician Shame</p><p>30:00 Why Education Still Lags</p><p>31:13 Values Purpose and The Future</p><p>36:45 Closing Thoughts and Wrap Up</p><p><br></p>]]>
      </description>
      <content:encoded>
        <![CDATA[<p>Kristen wraps the nurse practitioner series and launches the founder series with Peri &amp; Pause founder Jamie Gallagher, who shares what drew her into nursing, her critical care background, and why she became a nurse practitioner and later earned her DNP. Jamie explains how time limits, metrics, and fragmented, symptom-by-symptom care pushed her to rethink how midlife women are treated, especially after her own perimenopause experience revealed a major healthcare gap. She describes Peri &amp; Pause’s model as relationship-driven, evidence-based whole-woman care through the perimenopause/menopause lens, including proactive prevention, collaboration with other clinicians, and referrals when needed. Jamie discusses misinformation and clinician shaming around hormones, the need for better clinician education, core values like integrity and humility, and her vision for continued growth to meet ongoing demand.</p><p>00:00 Podcast Welcome</p><p>01:09 Jamie Nursing Origins</p><p>02:47 Becoming Nurse Practitioner</p><p>04:46 Healthcare System Friction</p><p>08:27 Perimenopause Wake Up Call</p><p>11:13 Seeing the Bigger Pattern</p><p>13:11 Biggest Care Gap</p><p>14:20 Founding Peri and Pause</p><p>18:25 Building Patient First Practice</p><p>19:21 Whole Woman Care Approach</p><p>20:20 Coordinated Care Promise</p><p>20:46 Preventive Deep Dives</p><p>21:56 Proactive Treatment Mindset</p><p>22:19 Patient Wins That Matter</p><p>23:12 Word of Mouth Growth</p><p>24:12 Building a Mission Business</p><p>25:41 Imposter Syndrome and Connection</p><p>26:57 Misinformation and Clinician Shame</p><p>30:00 Why Education Still Lags</p><p>31:13 Values Purpose and The Future</p><p>36:45 Closing Thoughts and Wrap Up</p><p><br></p>]]>
      </content:encoded>
      <pubDate>Tue, 19 May 2026 04:00:00 -0700</pubDate>
      <author>Peri &amp; Pause</author>
      <enclosure url="https://media.transistor.fm/53948c93/a0310a63.mp3" length="33429135" type="audio/mpeg"/>
      <itunes:author>Peri &amp; Pause</itunes:author>
      <itunes:duration>2086</itunes:duration>
      <itunes:summary>
        <![CDATA[<p>Kristen wraps the nurse practitioner series and launches the founder series with Peri &amp; Pause founder Jamie Gallagher, who shares what drew her into nursing, her critical care background, and why she became a nurse practitioner and later earned her DNP. Jamie explains how time limits, metrics, and fragmented, symptom-by-symptom care pushed her to rethink how midlife women are treated, especially after her own perimenopause experience revealed a major healthcare gap. She describes Peri &amp; Pause’s model as relationship-driven, evidence-based whole-woman care through the perimenopause/menopause lens, including proactive prevention, collaboration with other clinicians, and referrals when needed. Jamie discusses misinformation and clinician shaming around hormones, the need for better clinician education, core values like integrity and humility, and her vision for continued growth to meet ongoing demand.</p><p>00:00 Podcast Welcome</p><p>01:09 Jamie Nursing Origins</p><p>02:47 Becoming Nurse Practitioner</p><p>04:46 Healthcare System Friction</p><p>08:27 Perimenopause Wake Up Call</p><p>11:13 Seeing the Bigger Pattern</p><p>13:11 Biggest Care Gap</p><p>14:20 Founding Peri and Pause</p><p>18:25 Building Patient First Practice</p><p>19:21 Whole Woman Care Approach</p><p>20:20 Coordinated Care Promise</p><p>20:46 Preventive Deep Dives</p><p>21:56 Proactive Treatment Mindset</p><p>22:19 Patient Wins That Matter</p><p>23:12 Word of Mouth Growth</p><p>24:12 Building a Mission Business</p><p>25:41 Imposter Syndrome and Connection</p><p>26:57 Misinformation and Clinician Shame</p><p>30:00 Why Education Still Lags</p><p>31:13 Values Purpose and The Future</p><p>36:45 Closing Thoughts and Wrap Up</p><p><br></p>]]>
      </itunes:summary>
      <itunes:keywords>perimenopause, menopause, midlife women, women’s hormones, hormone health, menopause care, women’s health podcast, midlife wellness, menopause symptoms, hormone replacement therapy, women’s healthcare advocacy, metabolism and hormones, mental health midlife women, menopause education</itunes:keywords>
      <itunes:explicit>No</itunes:explicit>
      <podcast:person role="Guest" href="https://periandpause.com/about" img="https://img.transistorcdn.com/xWOQh1JWEGXHbsIAraXWGxWIRfKcwhfeO2ZWhyDJvJ8/rs:fill:0:0:1/w:800/h:800/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS8xN2Nl/YTFmMmZmN2I4NWM1/ZDMyOWMyZDQ3MTA5/MGIyNi53ZWJw.jpg">Kristen Nawyn</podcast:person>
      <podcast:person role="Host" href="https://periandpause.com" img="https://img.transistorcdn.com/E2E2ISp_1FA9mMJZByz6-mVb3tW68xq9w6t9VAO5W5w/rs:fill:0:0:1/w:800/h:800/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS82ZDE2/NzE2ZWUyNzI4ODJi/YzJjMjUwYTQzODNh/YjU5Ni53ZWJw.jpg">Jamie Gallagher DNP, FNP-C, MSCP</podcast:person>
      <podcast:transcript url="https://share.transistor.fm/s/53948c93/transcript.txt" type="text/plain"/>
    </item>
    <item>
      <title>Breaking the Silence: Women's Healthcare Insights with Jaime Davis</title>
      <itunes:episode>7</itunes:episode>
      <podcast:episode>7</podcast:episode>
      <itunes:title>Breaking the Silence: Women's Healthcare Insights with Jaime Davis</itunes:title>
      <itunes:episodeType>full</itunes:episodeType>
      <guid isPermaLink="false">352c904c-c7b9-4de9-ba17-e91ef1e131b9</guid>
      <link>https://share.transistor.fm/s/0e0cddb0</link>
      <description>
        <![CDATA[<p>In this Meet the Nurse Practitioner episode of Per and Pause, nurse practitioner Jaime Davis shares how her background in primary care and labor and delivery shaped her patient-centered approach and her focus on midlife women’s care. She discusses how perimenopause is often missed because symptoms can look like stress or anxiety, and highlights early signs such as brain fog, insomnia, word-finding difficulty, and menstrual changes influenced by hormone fluctuations like declining progesterone. Jaime recounts her own experience of years of severe pain after a traumatic C-section that was initially dismissed, later diagnosed as subcutaneous endometriosis and resolved with a short surgery, underscoring the importance of trusting your body and finding providers who listen. She explains her commitment to connecting symptoms, tailoring plans to patient goals, and helping women feel heard, supported, and empowered.</p><p>00:00 Meet Jaime Davis</p><p>00:54 Labor and Delivery Lessons</p><p>02:24 Path to Midlife Care</p><p>03:50 Why Perimenopause Gets Missed</p><p>06:47 Dismissed Pain Story</p><p>11:08 Finding the Real Cause</p><p>13:29 What Listening Really Means</p><p>15:27 Beyond Rigid Guidelines</p><p>16:56 Early Perimenopause Clues</p><p>17:06 Brain Fog Sleep Anxiety</p><p>19:46 Symptoms Are Connected</p><p>21:29 Menopause Education Gaps</p><p>23:45 Care After Dismissal</p><p>25:10 The Peri Pause Experience</p><p>26:15 Closing Thanks Farewell</p><p><br>------<br>This podcast exists to normalize, explain, and elevate the midlife healthcare conversation—so women feel informed, believed, and empowered to demand better care for their bodies and lives.</p><p>Visit https://periandpause.com for more info</p><p><br></p>]]>
      </description>
      <content:encoded>
        <![CDATA[<p>In this Meet the Nurse Practitioner episode of Per and Pause, nurse practitioner Jaime Davis shares how her background in primary care and labor and delivery shaped her patient-centered approach and her focus on midlife women’s care. She discusses how perimenopause is often missed because symptoms can look like stress or anxiety, and highlights early signs such as brain fog, insomnia, word-finding difficulty, and menstrual changes influenced by hormone fluctuations like declining progesterone. Jaime recounts her own experience of years of severe pain after a traumatic C-section that was initially dismissed, later diagnosed as subcutaneous endometriosis and resolved with a short surgery, underscoring the importance of trusting your body and finding providers who listen. She explains her commitment to connecting symptoms, tailoring plans to patient goals, and helping women feel heard, supported, and empowered.</p><p>00:00 Meet Jaime Davis</p><p>00:54 Labor and Delivery Lessons</p><p>02:24 Path to Midlife Care</p><p>03:50 Why Perimenopause Gets Missed</p><p>06:47 Dismissed Pain Story</p><p>11:08 Finding the Real Cause</p><p>13:29 What Listening Really Means</p><p>15:27 Beyond Rigid Guidelines</p><p>16:56 Early Perimenopause Clues</p><p>17:06 Brain Fog Sleep Anxiety</p><p>19:46 Symptoms Are Connected</p><p>21:29 Menopause Education Gaps</p><p>23:45 Care After Dismissal</p><p>25:10 The Peri Pause Experience</p><p>26:15 Closing Thanks Farewell</p><p><br>------<br>This podcast exists to normalize, explain, and elevate the midlife healthcare conversation—so women feel informed, believed, and empowered to demand better care for their bodies and lives.</p><p>Visit https://periandpause.com for more info</p><p><br></p>]]>
      </content:encoded>
      <pubDate>Tue, 05 May 2026 04:00:00 -0700</pubDate>
      <author>Peri &amp; Pause</author>
      <enclosure url="https://media.transistor.fm/0e0cddb0/7a2b9799.mp3" length="26468465" type="audio/mpeg"/>
      <itunes:author>Peri &amp; Pause</itunes:author>
      <itunes:duration>1651</itunes:duration>
      <itunes:summary>
        <![CDATA[<p>In this Meet the Nurse Practitioner episode of Per and Pause, nurse practitioner Jaime Davis shares how her background in primary care and labor and delivery shaped her patient-centered approach and her focus on midlife women’s care. She discusses how perimenopause is often missed because symptoms can look like stress or anxiety, and highlights early signs such as brain fog, insomnia, word-finding difficulty, and menstrual changes influenced by hormone fluctuations like declining progesterone. Jaime recounts her own experience of years of severe pain after a traumatic C-section that was initially dismissed, later diagnosed as subcutaneous endometriosis and resolved with a short surgery, underscoring the importance of trusting your body and finding providers who listen. She explains her commitment to connecting symptoms, tailoring plans to patient goals, and helping women feel heard, supported, and empowered.</p><p>00:00 Meet Jaime Davis</p><p>00:54 Labor and Delivery Lessons</p><p>02:24 Path to Midlife Care</p><p>03:50 Why Perimenopause Gets Missed</p><p>06:47 Dismissed Pain Story</p><p>11:08 Finding the Real Cause</p><p>13:29 What Listening Really Means</p><p>15:27 Beyond Rigid Guidelines</p><p>16:56 Early Perimenopause Clues</p><p>17:06 Brain Fog Sleep Anxiety</p><p>19:46 Symptoms Are Connected</p><p>21:29 Menopause Education Gaps</p><p>23:45 Care After Dismissal</p><p>25:10 The Peri Pause Experience</p><p>26:15 Closing Thanks Farewell</p><p><br>------<br>This podcast exists to normalize, explain, and elevate the midlife healthcare conversation—so women feel informed, believed, and empowered to demand better care for their bodies and lives.</p><p>Visit https://periandpause.com for more info</p><p><br></p>]]>
      </itunes:summary>
      <itunes:keywords>perimenopause, menopause, midlife women, women’s hormones, hormone health, menopause care, women’s health podcast, midlife wellness, menopause symptoms, hormone replacement therapy, women’s healthcare advocacy, metabolism and hormones, mental health midlife women, menopause education</itunes:keywords>
      <itunes:explicit>No</itunes:explicit>
      <podcast:person role="Guest" href="https://periandpause.com/about" img="https://img.transistorcdn.com/3HQCmXYNkHrv3Dr4T0662N4n8-ep2A6QQO8JSZOD6tA/rs:fill:0:0:1/w:800/h:800/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS81OTJi/OTM5ZGY0ZDc3ZDcw/MmJjZTU4ZWZlNmRk/Mzk3Ny5qcGVn.jpg">Jaime Davis</podcast:person>
      <podcast:person role="Host" href="https://periandpause.com" img="https://img.transistorcdn.com/E2E2ISp_1FA9mMJZByz6-mVb3tW68xq9w6t9VAO5W5w/rs:fill:0:0:1/w:800/h:800/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS82ZDE2/NzE2ZWUyNzI4ODJi/YzJjMjUwYTQzODNh/YjU5Ni53ZWJw.jpg">Jamie Gallagher DNP, FNP-C, MSCP</podcast:person>
      <podcast:transcript url="https://share.transistor.fm/s/0e0cddb0/transcript.txt" type="text/plain"/>
    </item>
    <item>
      <title>Empowering Women Through Midlife Transitions: A Conversation with Amanda Maingi</title>
      <itunes:episode>6</itunes:episode>
      <podcast:episode>6</podcast:episode>
      <itunes:title>Empowering Women Through Midlife Transitions: A Conversation with Amanda Maingi</itunes:title>
      <itunes:episodeType>full</itunes:episodeType>
      <guid isPermaLink="false">c93708f9-8f32-4843-a333-dab2977d5655</guid>
      <link>https://share.transistor.fm/s/6c557272</link>
      <description>
        <![CDATA[<p>On Peri and Pause the podcast, host interviews women’s health nurse practitioner Amanda Maingi, who shares why she chose women’s health, her education at Georgetown, and how menopause and perimenopause received limited focus in training despite women spending a third of life in this stage. Amanda describes noticing gaps while working in a fast-paced traditional GYN clinic, where time constraints and protocol-driven care could miss the “whole woman” experience. She contrasts younger patients’ typically more straightforward visits with the complexity of midlife, highlighting under-research, life stressors, and chronic conditions. Common perimenopause symptoms often mislabeled as anxiety or depression include sleep disruption, heart palpitations, brain fog, irritability, overwhelm, and feeling out of control. The episode emphasizes validation, individualized high-touch care beyond algorithms, and addresses misconceptions that hormone therapy is inherently dangerous, stressing risk-benefit tailoring and comprehensive evaluation.</p><p>00:00 Welcome and Guest Intro</p><p>00:53 Why Womens Health</p><p>02:17 Academic Journey Highlights</p><p>04:09 Menopause Education Gap</p><p>05:24 Clinic Reality and Missing Care</p><p>08:57 Midlife vs Younger Patients</p><p>13:14 Symptoms Mistaken for Anxiety</p><p>17:43 Beyond Protocols Individual Care</p><p>19:34 Patch And Pill Problem</p><p>21:21 Telehealth Versus High Touch</p><p>22:56 Layered Whole Woman Care</p><p>26:03 Validation First Visit</p><p>28:42 Hormone Therapy Myths</p><p>30:07 New Patient Expectations</p><p>31:53 Outro And Sign Off</p><p>32:23 Recording The Closing Script</p><p>34:16 Final Takeaway Message</p><p><br>------<br>This podcast exists to normalize, explain, and elevate the midlife healthcare conversation—so women feel informed, believed, and empowered to demand better care for their bodies and lives.</p><p>Visit https://periandpause.com for more info</p><p><br></p>]]>
      </description>
      <content:encoded>
        <![CDATA[<p>On Peri and Pause the podcast, host interviews women’s health nurse practitioner Amanda Maingi, who shares why she chose women’s health, her education at Georgetown, and how menopause and perimenopause received limited focus in training despite women spending a third of life in this stage. Amanda describes noticing gaps while working in a fast-paced traditional GYN clinic, where time constraints and protocol-driven care could miss the “whole woman” experience. She contrasts younger patients’ typically more straightforward visits with the complexity of midlife, highlighting under-research, life stressors, and chronic conditions. Common perimenopause symptoms often mislabeled as anxiety or depression include sleep disruption, heart palpitations, brain fog, irritability, overwhelm, and feeling out of control. The episode emphasizes validation, individualized high-touch care beyond algorithms, and addresses misconceptions that hormone therapy is inherently dangerous, stressing risk-benefit tailoring and comprehensive evaluation.</p><p>00:00 Welcome and Guest Intro</p><p>00:53 Why Womens Health</p><p>02:17 Academic Journey Highlights</p><p>04:09 Menopause Education Gap</p><p>05:24 Clinic Reality and Missing Care</p><p>08:57 Midlife vs Younger Patients</p><p>13:14 Symptoms Mistaken for Anxiety</p><p>17:43 Beyond Protocols Individual Care</p><p>19:34 Patch And Pill Problem</p><p>21:21 Telehealth Versus High Touch</p><p>22:56 Layered Whole Woman Care</p><p>26:03 Validation First Visit</p><p>28:42 Hormone Therapy Myths</p><p>30:07 New Patient Expectations</p><p>31:53 Outro And Sign Off</p><p>32:23 Recording The Closing Script</p><p>34:16 Final Takeaway Message</p><p><br>------<br>This podcast exists to normalize, explain, and elevate the midlife healthcare conversation—so women feel informed, believed, and empowered to demand better care for their bodies and lives.</p><p>Visit https://periandpause.com for more info</p><p><br></p>]]>
      </content:encoded>
      <pubDate>Tue, 21 Apr 2026 04:00:00 -0700</pubDate>
      <author>Peri &amp; Pause</author>
      <enclosure url="https://media.transistor.fm/6c557272/4cc224f2.mp3" length="25576148" type="audio/mpeg"/>
      <itunes:author>Peri &amp; Pause</itunes:author>
      <itunes:duration>1595</itunes:duration>
      <itunes:summary>
        <![CDATA[<p>On Peri and Pause the podcast, host interviews women’s health nurse practitioner Amanda Maingi, who shares why she chose women’s health, her education at Georgetown, and how menopause and perimenopause received limited focus in training despite women spending a third of life in this stage. Amanda describes noticing gaps while working in a fast-paced traditional GYN clinic, where time constraints and protocol-driven care could miss the “whole woman” experience. She contrasts younger patients’ typically more straightforward visits with the complexity of midlife, highlighting under-research, life stressors, and chronic conditions. Common perimenopause symptoms often mislabeled as anxiety or depression include sleep disruption, heart palpitations, brain fog, irritability, overwhelm, and feeling out of control. The episode emphasizes validation, individualized high-touch care beyond algorithms, and addresses misconceptions that hormone therapy is inherently dangerous, stressing risk-benefit tailoring and comprehensive evaluation.</p><p>00:00 Welcome and Guest Intro</p><p>00:53 Why Womens Health</p><p>02:17 Academic Journey Highlights</p><p>04:09 Menopause Education Gap</p><p>05:24 Clinic Reality and Missing Care</p><p>08:57 Midlife vs Younger Patients</p><p>13:14 Symptoms Mistaken for Anxiety</p><p>17:43 Beyond Protocols Individual Care</p><p>19:34 Patch And Pill Problem</p><p>21:21 Telehealth Versus High Touch</p><p>22:56 Layered Whole Woman Care</p><p>26:03 Validation First Visit</p><p>28:42 Hormone Therapy Myths</p><p>30:07 New Patient Expectations</p><p>31:53 Outro And Sign Off</p><p>32:23 Recording The Closing Script</p><p>34:16 Final Takeaway Message</p><p><br>------<br>This podcast exists to normalize, explain, and elevate the midlife healthcare conversation—so women feel informed, believed, and empowered to demand better care for their bodies and lives.</p><p>Visit https://periandpause.com for more info</p><p><br></p>]]>
      </itunes:summary>
      <itunes:keywords>perimenopause, menopause, midlife women, women’s hormones, hormone health, menopause care, women’s health podcast, midlife wellness, menopause symptoms, hormone replacement therapy, women’s healthcare advocacy, metabolism and hormones, mental health midlife women, menopause education</itunes:keywords>
      <itunes:explicit>No</itunes:explicit>
      <podcast:person role="Guest" img="https://img.transistorcdn.com/wBQosoyo3vMcxsk4AoUq1gJonvSGEyjR34sh0G-oZaU/rs:fill:0:0:1/w:800/h:800/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS8zOWY0/MWU1ODY2ODIwMzc0/N2I2MjVhOGZkZTE4/YmI3NS5qcGVn.jpg">Amanda Maingi</podcast:person>
      <podcast:person role="Host" href="https://periandpause.com" img="https://img.transistorcdn.com/E2E2ISp_1FA9mMJZByz6-mVb3tW68xq9w6t9VAO5W5w/rs:fill:0:0:1/w:800/h:800/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS82ZDE2/NzE2ZWUyNzI4ODJi/YzJjMjUwYTQzODNh/YjU5Ni53ZWJw.jpg">Jamie Gallagher DNP, FNP-C, MSCP</podcast:person>
      <podcast:transcript url="https://share.transistor.fm/s/6c557272/transcript.txt" type="text/plain"/>
    </item>
    <item>
      <title>Meet Nurse Practitioner Nancy Chen: From Exercise Physiology to Midlife Women’s Hormone Care</title>
      <itunes:episode>5</itunes:episode>
      <podcast:episode>5</podcast:episode>
      <itunes:title>Meet Nurse Practitioner Nancy Chen: From Exercise Physiology to Midlife Women’s Hormone Care</itunes:title>
      <itunes:episodeType>full</itunes:episodeType>
      <guid isPermaLink="false">17a75580-c9ec-42ee-bd57-7aa9f0f7f6f4</guid>
      <link>https://share.transistor.fm/s/32557c2e</link>
      <description>
        <![CDATA[<p>In this episode of Peri &amp; Pause - The Podcast, the second in the “Meet the Nurse Practitioner” series, the host interviews nurse practitioner Nancy Chen about her path from studying exercise physiology at Meredith College to working as a personal trainer, then becoming a nurse and moving into critical care, urgent care during the pandemic, and traditional primary care. Nancy explains how limited appointment times and “moral injury” pushed her toward specializing in perimenopause and midlife women’s health, after seeing patients struggle with symptoms, chronic disease changes, and feeling dismissed due to gaps in training. She emphasizes the importance of education, validation, realistic expectations, individualized treatment, and helping women feel heard and hopeful, including reviewing complex medication and supplement “cocktails” and supporting women through the fluctuating “moving target” of perimenopause.</p><p>00:00 Meet Nancy Chen</p><p>00:53 Exercise Physiology Roots</p><p>01:24 From Trainer to Nurse</p><p>01:52 Critical Care Wake Up</p><p>03:11 NP Path and Pandemic</p><p>04:22 Primary Care Time Crunch</p><p>05:58 Midlife Symptoms Puzzle</p><p>07:32 Personal Perimenopause Realization</p><p>09:42 Hormones and the Care Gap</p><p>15:23 What Patients Need First</p><p>16:22 Follow-Up Wins</p><p>16:59 Building the Foundation</p><p>20:59 Grace in Perimenopause</p><p>24:08 Finding Your Care Team</p><p>24:33 Medication Cocktail Reset</p><p>25:35 Message to Midlife Women</p><p>27:17 Thanks and Disclaimer</p>]]>
      </description>
      <content:encoded>
        <![CDATA[<p>In this episode of Peri &amp; Pause - The Podcast, the second in the “Meet the Nurse Practitioner” series, the host interviews nurse practitioner Nancy Chen about her path from studying exercise physiology at Meredith College to working as a personal trainer, then becoming a nurse and moving into critical care, urgent care during the pandemic, and traditional primary care. Nancy explains how limited appointment times and “moral injury” pushed her toward specializing in perimenopause and midlife women’s health, after seeing patients struggle with symptoms, chronic disease changes, and feeling dismissed due to gaps in training. She emphasizes the importance of education, validation, realistic expectations, individualized treatment, and helping women feel heard and hopeful, including reviewing complex medication and supplement “cocktails” and supporting women through the fluctuating “moving target” of perimenopause.</p><p>00:00 Meet Nancy Chen</p><p>00:53 Exercise Physiology Roots</p><p>01:24 From Trainer to Nurse</p><p>01:52 Critical Care Wake Up</p><p>03:11 NP Path and Pandemic</p><p>04:22 Primary Care Time Crunch</p><p>05:58 Midlife Symptoms Puzzle</p><p>07:32 Personal Perimenopause Realization</p><p>09:42 Hormones and the Care Gap</p><p>15:23 What Patients Need First</p><p>16:22 Follow-Up Wins</p><p>16:59 Building the Foundation</p><p>20:59 Grace in Perimenopause</p><p>24:08 Finding Your Care Team</p><p>24:33 Medication Cocktail Reset</p><p>25:35 Message to Midlife Women</p><p>27:17 Thanks and Disclaimer</p>]]>
      </content:encoded>
      <pubDate>Tue, 07 Apr 2026 04:00:00 -0700</pubDate>
      <author>Peri &amp; Pause</author>
      <enclosure url="https://media.transistor.fm/32557c2e/422ef271.mp3" length="40558548" type="audio/mpeg"/>
      <itunes:author>Peri &amp; Pause</itunes:author>
      <itunes:duration>1688</itunes:duration>
      <itunes:summary>
        <![CDATA[<p>In this episode of Peri &amp; Pause - The Podcast, the second in the “Meet the Nurse Practitioner” series, the host interviews nurse practitioner Nancy Chen about her path from studying exercise physiology at Meredith College to working as a personal trainer, then becoming a nurse and moving into critical care, urgent care during the pandemic, and traditional primary care. Nancy explains how limited appointment times and “moral injury” pushed her toward specializing in perimenopause and midlife women’s health, after seeing patients struggle with symptoms, chronic disease changes, and feeling dismissed due to gaps in training. She emphasizes the importance of education, validation, realistic expectations, individualized treatment, and helping women feel heard and hopeful, including reviewing complex medication and supplement “cocktails” and supporting women through the fluctuating “moving target” of perimenopause.</p><p>00:00 Meet Nancy Chen</p><p>00:53 Exercise Physiology Roots</p><p>01:24 From Trainer to Nurse</p><p>01:52 Critical Care Wake Up</p><p>03:11 NP Path and Pandemic</p><p>04:22 Primary Care Time Crunch</p><p>05:58 Midlife Symptoms Puzzle</p><p>07:32 Personal Perimenopause Realization</p><p>09:42 Hormones and the Care Gap</p><p>15:23 What Patients Need First</p><p>16:22 Follow-Up Wins</p><p>16:59 Building the Foundation</p><p>20:59 Grace in Perimenopause</p><p>24:08 Finding Your Care Team</p><p>24:33 Medication Cocktail Reset</p><p>25:35 Message to Midlife Women</p><p>27:17 Thanks and Disclaimer</p>]]>
      </itunes:summary>
      <itunes:keywords>perimenopause, menopause, midlife women, women’s hormones, hormone health, menopause care, women’s health podcast, midlife wellness, menopause symptoms, hormone replacement therapy, women’s healthcare advocacy, metabolism and hormones, mental health midlife women, menopause education</itunes:keywords>
      <itunes:explicit>No</itunes:explicit>
      <podcast:person role="Guest" href="https://periandpause.com/about" img="https://img.transistorcdn.com/gJBvYSr0bkDg9DBnjy70yBWT1J0fClDPUZmzIW0GUlI/rs:fill:0:0:1/w:800/h:800/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS9hNjZl/Y2E2M2E4ZjdkYTQ1/ZDJkMzZhOWY1NGI1/YzIyMi53ZWJw.jpg">Nancy Chen MSN, FNP-C</podcast:person>
      <podcast:person role="Host" href="https://periandpause.com" img="https://img.transistorcdn.com/E2E2ISp_1FA9mMJZByz6-mVb3tW68xq9w6t9VAO5W5w/rs:fill:0:0:1/w:800/h:800/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS82ZDE2/NzE2ZWUyNzI4ODJi/YzJjMjUwYTQzODNh/YjU5Ni53ZWJw.jpg">Jamie Gallagher DNP, FNP-C, MSCP</podcast:person>
      <podcast:transcript url="https://share.transistor.fm/s/32557c2e/transcript.txt" type="text/plain"/>
    </item>
    <item>
      <title>Navigating Menopause: A Conversation with Nurse Practitioner Kristen Nawyn</title>
      <itunes:episode>4</itunes:episode>
      <podcast:episode>4</podcast:episode>
      <itunes:title>Navigating Menopause: A Conversation with Nurse Practitioner Kristen Nawyn</itunes:title>
      <itunes:episodeType>full</itunes:episodeType>
      <guid isPermaLink="false">789eedbe-1f03-4d32-af1a-bbede1597c74</guid>
      <link>https://share.transistor.fm/s/6c71db47</link>
      <description>
        <![CDATA[<p>In this episode of The Peri and Pause podcast, Jamie Gallagher launch the “Meet the Nurse Practitioner” series by introducing Kristen Nawyn, a board-certified adult gerontology nurse practitioner and Menopause Society–certified menopause specialist. Kristin shares her path from ICU nursing through the pandemic to palliative care interests focused on goals, values, and quality of life, and explains how a family medicine preceptorship revealed the gaps in menopause care and shifted her career. She discusses limited menopause education in graduate school, her oncology research on chemotherapy-induced early menopause in premenopausal cancer survivors, and how sudden induced menopause differs from natural menopause. Kristin describes common “loss of self” experiences in perimenopause, the biology of hormonal fluctuations, the need for anticipatory guidance, and how she builds trust with patients, addresses long-term hormone therapy concerns, and advocates for whole-person, time-rich menopause care.</p><p>00:42 Podcast Intro and Guest Spotlight</p><p>02:08 Kristin’s Nursing Origin Story</p><p>03:10 What Palliative Care Really Is</p><p>04:35 From ICU to Nurse Practitioner</p><p>05:52 Discovering the Menopause Care Gap</p><p>08:43 Graduate School vs Real Menopause Care</p><p>10:37 Thesis on Chemo Induced Menopause</p><p>13:04 Losing Your Sense of Self</p><p>15:05 Natural vs Induced Menopause</p><p>16:52 Better Care for Cancer Survivors</p><p>17:46 Staying On Hormones</p><p>18:57 Risks Of Stopping</p><p>21:02 ICU Lessons On Aging</p><p>22:50 Earning Patient Trust</p><p>25:52 Midlife Women Carrying It All</p><p>28:24 You Are Not Crazy</p><p>29:00 Whole Person Menopause Care</p><p>30:43 Emotional Weight And Guilt</p><p>32:36 Closing Thanks And Wrap</p><p>------<br>This podcast exists to normalize, explain, and elevate the midlife healthcare conversation—so women feel informed, believed, and empowered to demand better care for their bodies and lives.</p><p>Visit https://periandpause.com for more info</p>]]>
      </description>
      <content:encoded>
        <![CDATA[<p>In this episode of The Peri and Pause podcast, Jamie Gallagher launch the “Meet the Nurse Practitioner” series by introducing Kristen Nawyn, a board-certified adult gerontology nurse practitioner and Menopause Society–certified menopause specialist. Kristin shares her path from ICU nursing through the pandemic to palliative care interests focused on goals, values, and quality of life, and explains how a family medicine preceptorship revealed the gaps in menopause care and shifted her career. She discusses limited menopause education in graduate school, her oncology research on chemotherapy-induced early menopause in premenopausal cancer survivors, and how sudden induced menopause differs from natural menopause. Kristin describes common “loss of self” experiences in perimenopause, the biology of hormonal fluctuations, the need for anticipatory guidance, and how she builds trust with patients, addresses long-term hormone therapy concerns, and advocates for whole-person, time-rich menopause care.</p><p>00:42 Podcast Intro and Guest Spotlight</p><p>02:08 Kristin’s Nursing Origin Story</p><p>03:10 What Palliative Care Really Is</p><p>04:35 From ICU to Nurse Practitioner</p><p>05:52 Discovering the Menopause Care Gap</p><p>08:43 Graduate School vs Real Menopause Care</p><p>10:37 Thesis on Chemo Induced Menopause</p><p>13:04 Losing Your Sense of Self</p><p>15:05 Natural vs Induced Menopause</p><p>16:52 Better Care for Cancer Survivors</p><p>17:46 Staying On Hormones</p><p>18:57 Risks Of Stopping</p><p>21:02 ICU Lessons On Aging</p><p>22:50 Earning Patient Trust</p><p>25:52 Midlife Women Carrying It All</p><p>28:24 You Are Not Crazy</p><p>29:00 Whole Person Menopause Care</p><p>30:43 Emotional Weight And Guilt</p><p>32:36 Closing Thanks And Wrap</p><p>------<br>This podcast exists to normalize, explain, and elevate the midlife healthcare conversation—so women feel informed, believed, and empowered to demand better care for their bodies and lives.</p><p>Visit https://periandpause.com for more info</p>]]>
      </content:encoded>
      <pubDate>Tue, 24 Mar 2026 04:00:00 -0700</pubDate>
      <author>Peri &amp; Pause</author>
      <enclosure url="https://media.transistor.fm/6c71db47/7cf430a4.mp3" length="42337764" type="audio/mpeg"/>
      <itunes:author>Peri &amp; Pause</itunes:author>
      <itunes:duration>1762</itunes:duration>
      <itunes:summary>
        <![CDATA[<p>In this episode of The Peri and Pause podcast, Jamie Gallagher launch the “Meet the Nurse Practitioner” series by introducing Kristen Nawyn, a board-certified adult gerontology nurse practitioner and Menopause Society–certified menopause specialist. Kristin shares her path from ICU nursing through the pandemic to palliative care interests focused on goals, values, and quality of life, and explains how a family medicine preceptorship revealed the gaps in menopause care and shifted her career. She discusses limited menopause education in graduate school, her oncology research on chemotherapy-induced early menopause in premenopausal cancer survivors, and how sudden induced menopause differs from natural menopause. Kristin describes common “loss of self” experiences in perimenopause, the biology of hormonal fluctuations, the need for anticipatory guidance, and how she builds trust with patients, addresses long-term hormone therapy concerns, and advocates for whole-person, time-rich menopause care.</p><p>00:42 Podcast Intro and Guest Spotlight</p><p>02:08 Kristin’s Nursing Origin Story</p><p>03:10 What Palliative Care Really Is</p><p>04:35 From ICU to Nurse Practitioner</p><p>05:52 Discovering the Menopause Care Gap</p><p>08:43 Graduate School vs Real Menopause Care</p><p>10:37 Thesis on Chemo Induced Menopause</p><p>13:04 Losing Your Sense of Self</p><p>15:05 Natural vs Induced Menopause</p><p>16:52 Better Care for Cancer Survivors</p><p>17:46 Staying On Hormones</p><p>18:57 Risks Of Stopping</p><p>21:02 ICU Lessons On Aging</p><p>22:50 Earning Patient Trust</p><p>25:52 Midlife Women Carrying It All</p><p>28:24 You Are Not Crazy</p><p>29:00 Whole Person Menopause Care</p><p>30:43 Emotional Weight And Guilt</p><p>32:36 Closing Thanks And Wrap</p><p>------<br>This podcast exists to normalize, explain, and elevate the midlife healthcare conversation—so women feel informed, believed, and empowered to demand better care for their bodies and lives.</p><p>Visit https://periandpause.com for more info</p>]]>
      </itunes:summary>
      <itunes:keywords>perimenopause, menopause, midlife women, women’s hormones, hormone health, menopause care, women’s health podcast, midlife wellness, menopause symptoms, hormone replacement therapy, women’s healthcare advocacy, metabolism and hormones, mental health midlife women, menopause education</itunes:keywords>
      <itunes:explicit>No</itunes:explicit>
      <podcast:person role="Host" href="https://periandpause.com" img="https://img.transistorcdn.com/E2E2ISp_1FA9mMJZByz6-mVb3tW68xq9w6t9VAO5W5w/rs:fill:0:0:1/w:800/h:800/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS82ZDE2/NzE2ZWUyNzI4ODJi/YzJjMjUwYTQzODNh/YjU5Ni53ZWJw.jpg">Jamie Gallagher DNP, FNP-C, MSCP</podcast:person>
      <podcast:person role="Guest" href="https://periandpause.com/about" img="https://img.transistorcdn.com/xWOQh1JWEGXHbsIAraXWGxWIRfKcwhfeO2ZWhyDJvJ8/rs:fill:0:0:1/w:800/h:800/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS8xN2Nl/YTFmMmZmN2I4NWM1/ZDMyOWMyZDQ3MTA5/MGIyNi53ZWJw.jpg">Kristen Nawyn</podcast:person>
      <podcast:transcript url="https://share.transistor.fm/s/6c71db47/transcript.txt" type="text/plain"/>
    </item>
    <item>
      <title>Decoding Menopause: Beyond Misunderstandings</title>
      <itunes:episode>3</itunes:episode>
      <podcast:episode>3</podcast:episode>
      <itunes:title>Decoding Menopause: Beyond Misunderstandings</itunes:title>
      <itunes:episodeType>full</itunes:episodeType>
      <guid isPermaLink="false">d7d91aee-ec5e-4f9a-a05b-353e837443ce</guid>
      <link>https://share.transistor.fm/s/76eb0543</link>
      <description>
        <![CDATA[<p>Jamie, founder of Peri &amp; Pause—the Menopause Center—and a board-certified nurse practitioner, explores why many women feel dismissed during perimenopause and menopause, emphasizing it’s often rooted in history and training rather than lack of care. She explains how menopause was long framed as a “normal” transition not requiring intervention, despite wide-ranging effects on brain, sleep, mood, metabolism, and cardiovascular health. Jamie highlights limited menopause education in medical training and how normal lab results can lead clinicians to default to stress or mood explanations. She details how the 2002 Women’s Health Initiative study—often misinterpreted, focused on older women and specific hormone formulations—drove widespread fear of hormone therapy, shaping practice for decades. She notes newer, more nuanced evidence is slowly changing care and previews upcoming episodes introducing the clinic’s nurse practitioners.</p><p>00:00 Why Women Feel Dismissed</p><p>02:14 Menopause Is Natural Not Simple</p><p>05:40 Training Gaps In Menopause Care</p><p>07:43 Defaulting To Stress And Labs</p><p>09:46 WHI Study Changed Everything</p><p>10:50 Who WHI Actually Studied</p><p>12:24 Hormone Types And Nuance Lost</p><p>14:05 Breast Cancer Risk Explained</p><p>15:31 Aftermath And Reassessment</p><p>19:23 Where Menopause Care Is Now</p><p>20:24 Next Series Meet The NPs</p><p><br></p>]]>
      </description>
      <content:encoded>
        <![CDATA[<p>Jamie, founder of Peri &amp; Pause—the Menopause Center—and a board-certified nurse practitioner, explores why many women feel dismissed during perimenopause and menopause, emphasizing it’s often rooted in history and training rather than lack of care. She explains how menopause was long framed as a “normal” transition not requiring intervention, despite wide-ranging effects on brain, sleep, mood, metabolism, and cardiovascular health. Jamie highlights limited menopause education in medical training and how normal lab results can lead clinicians to default to stress or mood explanations. She details how the 2002 Women’s Health Initiative study—often misinterpreted, focused on older women and specific hormone formulations—drove widespread fear of hormone therapy, shaping practice for decades. She notes newer, more nuanced evidence is slowly changing care and previews upcoming episodes introducing the clinic’s nurse practitioners.</p><p>00:00 Why Women Feel Dismissed</p><p>02:14 Menopause Is Natural Not Simple</p><p>05:40 Training Gaps In Menopause Care</p><p>07:43 Defaulting To Stress And Labs</p><p>09:46 WHI Study Changed Everything</p><p>10:50 Who WHI Actually Studied</p><p>12:24 Hormone Types And Nuance Lost</p><p>14:05 Breast Cancer Risk Explained</p><p>15:31 Aftermath And Reassessment</p><p>19:23 Where Menopause Care Is Now</p><p>20:24 Next Series Meet The NPs</p><p><br></p>]]>
      </content:encoded>
      <pubDate>Tue, 10 Mar 2026 04:00:00 -0700</pubDate>
      <author>Peri &amp; Pause</author>
      <enclosure url="https://media.transistor.fm/76eb0543/ff0e0f20.mp3" length="26852943" type="audio/mpeg"/>
      <itunes:author>Peri &amp; Pause</itunes:author>
      <itunes:duration>1117</itunes:duration>
      <itunes:summary>
        <![CDATA[<p>Jamie, founder of Peri &amp; Pause—the Menopause Center—and a board-certified nurse practitioner, explores why many women feel dismissed during perimenopause and menopause, emphasizing it’s often rooted in history and training rather than lack of care. She explains how menopause was long framed as a “normal” transition not requiring intervention, despite wide-ranging effects on brain, sleep, mood, metabolism, and cardiovascular health. Jamie highlights limited menopause education in medical training and how normal lab results can lead clinicians to default to stress or mood explanations. She details how the 2002 Women’s Health Initiative study—often misinterpreted, focused on older women and specific hormone formulations—drove widespread fear of hormone therapy, shaping practice for decades. She notes newer, more nuanced evidence is slowly changing care and previews upcoming episodes introducing the clinic’s nurse practitioners.</p><p>00:00 Why Women Feel Dismissed</p><p>02:14 Menopause Is Natural Not Simple</p><p>05:40 Training Gaps In Menopause Care</p><p>07:43 Defaulting To Stress And Labs</p><p>09:46 WHI Study Changed Everything</p><p>10:50 Who WHI Actually Studied</p><p>12:24 Hormone Types And Nuance Lost</p><p>14:05 Breast Cancer Risk Explained</p><p>15:31 Aftermath And Reassessment</p><p>19:23 Where Menopause Care Is Now</p><p>20:24 Next Series Meet The NPs</p><p><br></p>]]>
      </itunes:summary>
      <itunes:keywords>perimenopause, menopause, midlife women, women’s hormones, hormone health, menopause care, women’s health podcast, midlife wellness, menopause symptoms, hormone replacement therapy, women’s healthcare advocacy, metabolism and hormones, mental health midlife women, menopause education</itunes:keywords>
      <itunes:explicit>No</itunes:explicit>
      <podcast:person role="Host" href="https://periandpause.com" img="https://img.transistorcdn.com/E2E2ISp_1FA9mMJZByz6-mVb3tW68xq9w6t9VAO5W5w/rs:fill:0:0:1/w:800/h:800/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS82ZDE2/NzE2ZWUyNzI4ODJi/YzJjMjUwYTQzODNh/YjU5Ni53ZWJw.jpg">Jamie Gallagher DNP, FNP-C, MSCP</podcast:person>
      <podcast:transcript url="https://share.transistor.fm/s/76eb0543/transcript.txt" type="text/plain"/>
    </item>
    <item>
      <title>It’s Not “Just Stress”: How Perimenopause Affects Your Brain, Sleep, Mood &amp; Stress Tolerance</title>
      <itunes:episode>2</itunes:episode>
      <podcast:episode>2</podcast:episode>
      <itunes:title>It’s Not “Just Stress”: How Perimenopause Affects Your Brain, Sleep, Mood &amp; Stress Tolerance</itunes:title>
      <itunes:episodeType>full</itunes:episodeType>
      <guid isPermaLink="false">f45dd63d-350a-40e4-be1b-5ac7d79aaebe</guid>
      <link>https://youtu.be/tMVmP92ozk4</link>
      <description>
        <![CDATA[<p>The episode explains that while stress in midlife is real, many symptoms blamed on “stress” are actually driven by perimenopause physiology. The speaker describes how perimenopause and menopause affect far more than periods and hot flashes, impacting brain function, sleep, mood, energy, focus, and emotional regulation. She reframes perimenopause as a neuroendocrine transition, noting estrogen’s role in brain energy, neurotransmitters, sleep regulation, stress response, metabolism, and glucose use, and explains that early progesterone changes can worsen mood and sleep. Common experiences include unfamiliar anxiety, brain fog, word-finding issues, emotional reactivity, rage, and fatigue. She emphasizes that “normal” labs can be misleading due to hormonal fluctuations, and encourages symptom-based care, self-compassion, and preparation to advocate in healthcare in the next episode.</p><p>00:00 Stress vs Physiology</p><p>01:08 Band-Aid Advice</p><p>02:17 Perimenopause Brain Shift</p><p>03:43 Early Symptoms Explained</p><p>04:35 Reframing Stress Tolerance</p><p>05:12 Why Labs Look Normal</p><p>06:11 Symptom-Based Support</p><p>06:50 Recalibration Not Breakdown</p><p>07:46 Closing and Next Steps</p><p><br></p>]]>
      </description>
      <content:encoded>
        <![CDATA[<p>The episode explains that while stress in midlife is real, many symptoms blamed on “stress” are actually driven by perimenopause physiology. The speaker describes how perimenopause and menopause affect far more than periods and hot flashes, impacting brain function, sleep, mood, energy, focus, and emotional regulation. She reframes perimenopause as a neuroendocrine transition, noting estrogen’s role in brain energy, neurotransmitters, sleep regulation, stress response, metabolism, and glucose use, and explains that early progesterone changes can worsen mood and sleep. Common experiences include unfamiliar anxiety, brain fog, word-finding issues, emotional reactivity, rage, and fatigue. She emphasizes that “normal” labs can be misleading due to hormonal fluctuations, and encourages symptom-based care, self-compassion, and preparation to advocate in healthcare in the next episode.</p><p>00:00 Stress vs Physiology</p><p>01:08 Band-Aid Advice</p><p>02:17 Perimenopause Brain Shift</p><p>03:43 Early Symptoms Explained</p><p>04:35 Reframing Stress Tolerance</p><p>05:12 Why Labs Look Normal</p><p>06:11 Symptom-Based Support</p><p>06:50 Recalibration Not Breakdown</p><p>07:46 Closing and Next Steps</p><p><br></p>]]>
      </content:encoded>
      <pubDate>Tue, 03 Mar 2026 04:00:00 -0800</pubDate>
      <author>Peri &amp; Pause</author>
      <enclosure url="https://media.transistor.fm/c5922dd7/d777e940.mp3" length="12709927" type="audio/mpeg"/>
      <itunes:author>Peri &amp; Pause</itunes:author>
      <itunes:duration>528</itunes:duration>
      <itunes:summary>
        <![CDATA[<p>The episode explains that while stress in midlife is real, many symptoms blamed on “stress” are actually driven by perimenopause physiology. The speaker describes how perimenopause and menopause affect far more than periods and hot flashes, impacting brain function, sleep, mood, energy, focus, and emotional regulation. She reframes perimenopause as a neuroendocrine transition, noting estrogen’s role in brain energy, neurotransmitters, sleep regulation, stress response, metabolism, and glucose use, and explains that early progesterone changes can worsen mood and sleep. Common experiences include unfamiliar anxiety, brain fog, word-finding issues, emotional reactivity, rage, and fatigue. She emphasizes that “normal” labs can be misleading due to hormonal fluctuations, and encourages symptom-based care, self-compassion, and preparation to advocate in healthcare in the next episode.</p><p>00:00 Stress vs Physiology</p><p>01:08 Band-Aid Advice</p><p>02:17 Perimenopause Brain Shift</p><p>03:43 Early Symptoms Explained</p><p>04:35 Reframing Stress Tolerance</p><p>05:12 Why Labs Look Normal</p><p>06:11 Symptom-Based Support</p><p>06:50 Recalibration Not Breakdown</p><p>07:46 Closing and Next Steps</p><p><br></p>]]>
      </itunes:summary>
      <itunes:keywords>perimenopause, menopause, midlife women, women’s hormones, hormone health, menopause care, women’s health podcast, midlife wellness, menopause symptoms, hormone replacement therapy, women’s healthcare advocacy, metabolism and hormones, mental health midlife women, menopause education</itunes:keywords>
      <itunes:explicit>No</itunes:explicit>
      <podcast:person role="Host" href="https://periandpause.com" img="https://img.transistorcdn.com/E2E2ISp_1FA9mMJZByz6-mVb3tW68xq9w6t9VAO5W5w/rs:fill:0:0:1/w:800/h:800/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS82ZDE2/NzE2ZWUyNzI4ODJi/YzJjMjUwYTQzODNh/YjU5Ni53ZWJw.jpg">Jamie Gallagher DNP, FNP-C, MSCP</podcast:person>
      <podcast:transcript url="https://share.transistor.fm/s/c5922dd7/transcript.txt" type="text/plain"/>
    </item>
    <item>
      <title>Real Conversations About Perimenopause, Menopause, and Midlife</title>
      <itunes:episode>1</itunes:episode>
      <podcast:episode>1</podcast:episode>
      <itunes:title>Real Conversations About Perimenopause, Menopause, and Midlife</itunes:title>
      <itunes:episodeType>full</itunes:episodeType>
      <guid isPermaLink="false">151e37d4-e7da-40b5-b38f-d2234ccd4b38</guid>
      <link>https://share.transistor.fm/s/a07c24ac</link>
      <description>
        <![CDATA[<p>In the first episode, Jamie Gallagher, a nurse practitioner certified in menopause care, introduces a podcast focused on thoughtful, non-flashy conversations for women who feel something is off—especially those exhausted, confused, or told their labs look normal while they don’t feel normal. She describes common midlife experiences she sees in clinical practice—fatigue unrelieved by sleep, brain fog, weight changes, mood shifts, anxiety, and feeling unfamiliar in one’s body—and explains why these symptoms can feel scary, especially with family health histories or misinformation from online searches. Jamie emphasizes that not everything is menopause, that good clinicians listen and evaluate thoroughly, and that midlife women need context, language, validation, and clear explanations. She shares how gaps in her own medical training led her to research and synthesize scattered, sometimes contradictory information on menopause, shaping her clinical work and inspiring the podcast to widen access to these conversations. The show will cover perimenopause and menopause topics like hormones, brain health, metabolism, sleep, sexuality, identity, and emotional shifts, along with relationships, parenting, aging, grief, loss, finances, and empowerment, featuring solo episodes, colleagues, trusted experts, and real stories. She clarifies the podcast is educational and not personal medical advice, encouraging listeners to advocate for themselves, and closes by reframing midlife as a transition that deserves guidance and inviting listeners to subscribe, review, share, and follow the show on Facebook and Instagram.</p><p><br>00:00 Welcome: This Podcast Is for the Women Who Feel “Off”</p><p>00:55 What I Hear in the Exam Room: “I’m Doing Everything Right—So Why Do I Feel Like This?”</p><p>01:36 Dr. Google, Real Risks, and Why Not Everything Is Menopause</p><p>02:30 Why This Podcast Exists: Context, Language, and Being Heard</p><p>03:37 Meet Jamie: Menopause-Certified NP + Why I Started Digging Deeper</p><p>04:35 The Research Rabbit Hole: Scattered Science, Nuance, and Listening to Women</p><p>05:28 What This Show Is (and Isn’t): No Fixing, No Trends, No Panic</p><p>05:49 What We’ll Cover + Who You’ll Hear From</p><p>07:05 Important Disclaimer: Education, Not Personal Medical Advice</p><p>07:31 Midlife Isn’t Failure—It’s a Transition That Deserves Guidance</p><p>08:10 Your Invitation + Closing: You’re Not Alone, You’re Right on Time</p><p><br>------<br>This podcast exists to normalize, explain, and elevate the midlife healthcare conversation—so women feel informed, believed, and empowered to demand better care for their bodies and lives.</p><p>Visit https://periandpause.com for more info</p><p><br></p>]]>
      </description>
      <content:encoded>
        <![CDATA[<p>In the first episode, Jamie Gallagher, a nurse practitioner certified in menopause care, introduces a podcast focused on thoughtful, non-flashy conversations for women who feel something is off—especially those exhausted, confused, or told their labs look normal while they don’t feel normal. She describes common midlife experiences she sees in clinical practice—fatigue unrelieved by sleep, brain fog, weight changes, mood shifts, anxiety, and feeling unfamiliar in one’s body—and explains why these symptoms can feel scary, especially with family health histories or misinformation from online searches. Jamie emphasizes that not everything is menopause, that good clinicians listen and evaluate thoroughly, and that midlife women need context, language, validation, and clear explanations. She shares how gaps in her own medical training led her to research and synthesize scattered, sometimes contradictory information on menopause, shaping her clinical work and inspiring the podcast to widen access to these conversations. The show will cover perimenopause and menopause topics like hormones, brain health, metabolism, sleep, sexuality, identity, and emotional shifts, along with relationships, parenting, aging, grief, loss, finances, and empowerment, featuring solo episodes, colleagues, trusted experts, and real stories. She clarifies the podcast is educational and not personal medical advice, encouraging listeners to advocate for themselves, and closes by reframing midlife as a transition that deserves guidance and inviting listeners to subscribe, review, share, and follow the show on Facebook and Instagram.</p><p><br>00:00 Welcome: This Podcast Is for the Women Who Feel “Off”</p><p>00:55 What I Hear in the Exam Room: “I’m Doing Everything Right—So Why Do I Feel Like This?”</p><p>01:36 Dr. Google, Real Risks, and Why Not Everything Is Menopause</p><p>02:30 Why This Podcast Exists: Context, Language, and Being Heard</p><p>03:37 Meet Jamie: Menopause-Certified NP + Why I Started Digging Deeper</p><p>04:35 The Research Rabbit Hole: Scattered Science, Nuance, and Listening to Women</p><p>05:28 What This Show Is (and Isn’t): No Fixing, No Trends, No Panic</p><p>05:49 What We’ll Cover + Who You’ll Hear From</p><p>07:05 Important Disclaimer: Education, Not Personal Medical Advice</p><p>07:31 Midlife Isn’t Failure—It’s a Transition That Deserves Guidance</p><p>08:10 Your Invitation + Closing: You’re Not Alone, You’re Right on Time</p><p><br>------<br>This podcast exists to normalize, explain, and elevate the midlife healthcare conversation—so women feel informed, believed, and empowered to demand better care for their bodies and lives.</p><p>Visit https://periandpause.com for more info</p><p><br></p>]]>
      </content:encoded>
      <pubDate>Tue, 17 Feb 2026 11:17:57 -0800</pubDate>
      <author>Peri &amp; Pause</author>
      <enclosure url="https://media.transistor.fm/a07c24ac/5ea2b839.mp3" length="17445746" type="audio/mpeg"/>
      <itunes:author>Peri &amp; Pause</itunes:author>
      <itunes:duration>544</itunes:duration>
      <itunes:summary>
        <![CDATA[<p>In the first episode, Jamie Gallagher, a nurse practitioner certified in menopause care, introduces a podcast focused on thoughtful, non-flashy conversations for women who feel something is off—especially those exhausted, confused, or told their labs look normal while they don’t feel normal. She describes common midlife experiences she sees in clinical practice—fatigue unrelieved by sleep, brain fog, weight changes, mood shifts, anxiety, and feeling unfamiliar in one’s body—and explains why these symptoms can feel scary, especially with family health histories or misinformation from online searches. Jamie emphasizes that not everything is menopause, that good clinicians listen and evaluate thoroughly, and that midlife women need context, language, validation, and clear explanations. She shares how gaps in her own medical training led her to research and synthesize scattered, sometimes contradictory information on menopause, shaping her clinical work and inspiring the podcast to widen access to these conversations. The show will cover perimenopause and menopause topics like hormones, brain health, metabolism, sleep, sexuality, identity, and emotional shifts, along with relationships, parenting, aging, grief, loss, finances, and empowerment, featuring solo episodes, colleagues, trusted experts, and real stories. She clarifies the podcast is educational and not personal medical advice, encouraging listeners to advocate for themselves, and closes by reframing midlife as a transition that deserves guidance and inviting listeners to subscribe, review, share, and follow the show on Facebook and Instagram.</p><p><br>00:00 Welcome: This Podcast Is for the Women Who Feel “Off”</p><p>00:55 What I Hear in the Exam Room: “I’m Doing Everything Right—So Why Do I Feel Like This?”</p><p>01:36 Dr. Google, Real Risks, and Why Not Everything Is Menopause</p><p>02:30 Why This Podcast Exists: Context, Language, and Being Heard</p><p>03:37 Meet Jamie: Menopause-Certified NP + Why I Started Digging Deeper</p><p>04:35 The Research Rabbit Hole: Scattered Science, Nuance, and Listening to Women</p><p>05:28 What This Show Is (and Isn’t): No Fixing, No Trends, No Panic</p><p>05:49 What We’ll Cover + Who You’ll Hear From</p><p>07:05 Important Disclaimer: Education, Not Personal Medical Advice</p><p>07:31 Midlife Isn’t Failure—It’s a Transition That Deserves Guidance</p><p>08:10 Your Invitation + Closing: You’re Not Alone, You’re Right on Time</p><p><br>------<br>This podcast exists to normalize, explain, and elevate the midlife healthcare conversation—so women feel informed, believed, and empowered to demand better care for their bodies and lives.</p><p>Visit https://periandpause.com for more info</p><p><br></p>]]>
      </itunes:summary>
      <itunes:keywords>perimenopause, menopause, midlife women, women’s hormones, hormone health, menopause care, women’s health podcast, midlife wellness, menopause symptoms, hormone replacement therapy, women’s healthcare advocacy, metabolism and hormones, mental health midlife women, menopause education</itunes:keywords>
      <itunes:explicit>No</itunes:explicit>
      <podcast:person role="Host" href="https://periandpause.com" img="https://img.transistorcdn.com/E2E2ISp_1FA9mMJZByz6-mVb3tW68xq9w6t9VAO5W5w/rs:fill:0:0:1/w:800/h:800/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS82ZDE2/NzE2ZWUyNzI4ODJi/YzJjMjUwYTQzODNh/YjU5Ni53ZWJw.jpg">Jamie Gallagher DNP, FNP-C, MSCP</podcast:person>
      <podcast:transcript url="https://share.transistor.fm/s/a07c24ac/transcript.txt" type="text/plain"/>
    </item>
    <item>
      <title>Trailer</title>
      <itunes:title>Trailer</itunes:title>
      <itunes:episodeType>trailer</itunes:episodeType>
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      <link>https://share.transistor.fm/s/dd7ae140</link>
      <description>
        <![CDATA[<p>Welcome to Peri and Pause, the podcast where midlife women get real answers about their bodies, their health, and what's actually changing because every woman deserves this conversation. </p>]]>
      </description>
      <content:encoded>
        <![CDATA[<p>Welcome to Peri and Pause, the podcast where midlife women get real answers about their bodies, their health, and what's actually changing because every woman deserves this conversation. </p>]]>
      </content:encoded>
      <pubDate>Mon, 16 Feb 2026 15:07:53 -0800</pubDate>
      <author>Peri &amp; Pause</author>
      <enclosure url="https://media.transistor.fm/dd7ae140/df00faa5.mp3" length="4631843" type="audio/mpeg"/>
      <itunes:author>Peri &amp; Pause</itunes:author>
      <itunes:duration>143</itunes:duration>
      <itunes:summary>
        <![CDATA[<p>Welcome to Peri and Pause, the podcast where midlife women get real answers about their bodies, their health, and what's actually changing because every woman deserves this conversation. </p>]]>
      </itunes:summary>
      <itunes:keywords>perimenopause, menopause, midlife women, women’s hormones, hormone health, menopause care, women’s health podcast, midlife wellness, menopause symptoms, hormone replacement therapy, women’s healthcare advocacy, metabolism and hormones, mental health midlife women, menopause education</itunes:keywords>
      <itunes:explicit>No</itunes:explicit>
      <podcast:person role="Host" href="https://periandpause.com" img="https://img.transistorcdn.com/E2E2ISp_1FA9mMJZByz6-mVb3tW68xq9w6t9VAO5W5w/rs:fill:0:0:1/w:800/h:800/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS82ZDE2/NzE2ZWUyNzI4ODJi/YzJjMjUwYTQzODNh/YjU5Ni53ZWJw.jpg">Jamie Gallagher DNP, FNP-C, MSCP</podcast:person>
      <podcast:transcript url="https://share.transistor.fm/s/dd7ae140/transcript.txt" type="text/plain"/>
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