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Energized with Dr. Mariza

725: Exhausted, Wired & Not Yourself? The Hormone Havoc Causing Midlife Burnout with Dr. Amy Shah

Energized with Dr. Mariza

Dr. Mariza Snyder

Alternative Health, Medicine, Health & Fitness

4.8 • 999 Ratings

🗓️ 3 March 2026

⏱️ 50 minutes

🧾️ Download transcript

Summary

It can take about 4 to 6 doctor’s visits for women’s symptoms to finally be connected to perimenopause and menopause.  So how do you know you’re entering this massive transition?  In today’s episode, I’m joined by women’s health and nutrition expert Dr. Amy Shah for a deep dive into midlife transitions and why our healthcare system still struggles to make these critical links.  Dr. Shah shares her own beautiful ascension, revealing how a season of life that can feel destabilizing is also deeply transformative. Through tips from her own experience combined with her well-rounded medical expertise, you’ll walk away with clarity and confidence. We also talk about intentionality in midlife—how to navigate new opportunities, say yes to growth, and still carve out space for yourself.  If you’re ready to step into your next level with purpose and self-trust, tune in here! Amy Shah, MD  Dr. Amy Shah is a double board-certified MD and nutritionist with training from Cornell, Columbia, and Harvard. She’s a gut-health expert, best-selling author, and worldwide educator in women’s health. She focuses on evidence-based research in women’s health and hormones, nutrition, fitness, and lifestyle medicine, helping people transform their health, digestion, and natural hormone balance. Her goal is to help you save yourself by prioritizing physical and mental health, even amidst the busiest of schedules.   IN THIS EPISODE Tips for recognizing when you’re in perimenopause  Finding lifestyle strategies that work best for you in perimenopause  What changes in your body in midlife, and how to best show up in this new and different way  Changing your internal narrative and improving self-talk in perimenopause  The biggest things that should change in women’s modern medicine  How to move away from a place of fear and let go of holding back in midlife  Best tips for smoothly navigating the perimenopause transition Where to get more of Dr. Amy’s best midlife recommendations  QUOTES “Once I started doing that, it improved things so much. That cortisol strategy, the cortisol reset, that is what changed everything.” “What’s taking me into the next phase of my life is that we don't have a lot of time. We are allowed to fail. We are all imperfect, flawed people. And if you just give yourself permission to do things that you really want to do in this life, this is the time.” “Go in with confidence, open eyes, and start doing things proactively because, like I said, your gut and your hormones are so connected that if you start improving your gut health, all of a sudden your brain health improves. Your hormone health is going to improve, and this rocky roller coaster of a transition will be so much smoother.” RESOURCES MENTIONED Order my latest book: The Perimenopause Revolution https://peri-revolution.com/ Dr. Amy’s Website Sign up for Dr. Amy’s Free Newsletter HERE Dr. Amy’s Podcast: Save Yourself Dr. Amy on Instagram Dr. Amy’s YouTube Channel RELATED EPISODES  721: No, It’s Not All in Your Head: The Medical Truth About Perimenopause with Dr. Jila Senemar 704: Hormone Intelligence for Women in Midlife: How to Thrive Through Perimenopause with Dr. Aviva Romm 690: The Perimenopause Revolution: Why midlife isn’t the end — it’s the beginning of your most energized, powerful, and vibrant self 490: Why We Crave The Foods We Crave and What We Can Finally Do About It with Dr. Amy Shah

Transcript

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0:00.0

Every time I try something and if it doesn't work, so why not do it?

0:06.5

You know, like that I think is what's taking me into the next phase of my life is like,

0:12.0

we don't have a lot of time.

0:13.5

We are allowed to fail.

0:15.3

We are all imperfect, flawed people.

0:18.2

And if you just give yourself permission to do things that you really want to do

0:22.0

in this life, like this is the time. Welcome back to the energized with Dr. Marisa podcast.

0:28.8

I'm your host, Dr. Marisa, and I'm here to help you rock your hormones, optimize your metabolic

0:34.4

health, and feel energized in your body so that you can age powerfully

0:38.8

and wake up feeling amazing in your body for many years to come. Let's jump on in.

0:45.0

There's a moment in midlife when you realize something fundamental has shifted. And maybe you're in

0:51.6

that moment right now. I know I have felt that moment many times where I

0:56.9

recognize that I am recalibrating. And it's not just our hormones, right? It is your margin. You can't

1:04.1

power through the way that you used to. Your body is pushing back when you ignore it. Sleep becomes

1:09.5

elusive. It's something that you deeply desire,

1:12.3

but can't seem to wrangle back into place. Your nervous system feels constantly on edge,

1:18.2

and the strategies that kept everything together stop working. What makes this moment so

1:24.3

disorienting is that many of the women experiencing that are the same women who are

1:29.6

highly capable, well informed, and are used to being in control, right? Used to running household,

1:35.8

kids, family, all the things, career, leadership roles, including today's guest. This episode

1:42.1

isn't about theory. It's not about just trends. It's definitely not

1:45.3

about pretending that just transition is not a big deal. We know it's a big deal. It's a candid,

...

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