EP. 193: On this episode, I’m sitting down with my friend Cynthia Thurlow—a nurse practitioner, intermittent fasting expert, and leading voice in perimenopause and menopause. We set out to talk about intermittent fasting—and we absolutely did—but our conversation went so much deeper. We covered bioidentical hormone replacement therapy (BHRT), perimenopause, menopause, and the key strategies women need to thrive in midlife. If you’re navigating hormonal shifts, metabolic changes, or just want to optimize your health as you age, this episode is packed with practical, no-nonsense insights. Cynthia and I are completely aligned in our mission to support women through these transitions—without the fluff, confusion, or outdated advice. In this episode, we cover: How Cynthia transitioned from cardiology to intermittent fasting The serious risks of a broken hip as we age (and how to prevent them) Why giving your gut a break is crucial for longevity The impact of chronic stress on your metabolism and hormones Vaginal health and why vaginal estrogen is a game-changer Chronic health issues in older women and the different types of HRT How to find the right doctor for hormone therapy and longevity medicine What it really means to age gracefully (hint: it’s not about “anti-aging”) How fasting strategies should evolve in perimenopause and beyond The importance of metabolic flexibility and adapting nutrition over time This is a must-listen for any woman who wants to take control of her health, feel strong, and make middle age look easy. Tune in now! Timestamps: 00:00:00 - Introduction  00:03:01 - From cardiology to intermittent fasting  00:11:02 - Health risks of a broken hip  00:13:30 - You need to rest your gut  00:17:34 - Be aware of stressors  00:22:43 - Vaginal health  00:27:40 - Vaginal estrogen  00:32:26 - Chronic health issues in older women  00:35:33 - Different types of HRT 00:38:35 - Finding the right doctor 00:40:01 - Aging gracefully  00:48:39 - Fasting at different ages  00:55:51 - Flexible nutrition  Show Links:  How To Find A Good Doc Further Listening: Hormones Playlist Sponsored By: KION - Use my link to save 20% at getkion.com/drtyna Sundays - As a Listener of The Dr Tyna Show, you can Get 40% off your first order of Sundays. Go to sundaysfordogs.com/DRTYNA and use code DRTYNA at checkout. Maui Nui - Use code DRTYNA for 20% off at mauinuivenison.com Lumen - lumen.me/DRTYNA to get 20% off your Lumen. Manukora - Head to manukora.com/DRTYNA to get $25 off the Starter Kit, which comes with an MGO 850+ Manuka Honey jar,  BIOptimizers - For an exclusive offer go to bioptimizers.com/drtyna and use promo code DRTYNA Check Out Cynthia: Website Instagram Podcast Books More Cynthia Disclaimer: Information provided in this podcast is for informational purposes only. This information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional, or any information contained on or in any product. Do not use the information provided in this podcast for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before taking any medication or nutritional, herbal or other supplement, or using any treatment for a health problem. Information provided in this blog/podcast and the use of any products or services related to this podcast by you does not create a doctor-patient relationship between you and Dr. Tyna Moore. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent ANY disease.