393. Stronger in Midlife: Muscle, Hormones, and Longevity for Women

Dr. Casperson is joined by Dr. Rebbecca Hertel, DO, MSCP, for a candid conversation about getting stronger through perimenopause and beyond. They talk about how hormonal shifts change training, recovery, and body composition. They also cover why bone health deserves your attention now, and how to read research and lab results with a critical eye.
Along the way, Dr. Hertel explains what osteopathic medicine actually is. She also shares why your pain might not be coming from where you feel it. The two dig into protein, GLP-1s, testosterone, and hormone therapy, and why finding a clinician who listens matters as much as any prescription.
In this episode:
What osteopathic medicine and osteopathic manipulative treatment (OMT) involve
Why pain can show up somewhere other than its source
How perimenopause affects muscle, recovery, sleep, and body composition
Why gaining muscle in midlife takes longer, and why it's still worth it
Bone health, fracture prevention, and the case for resistance training
Protein, hydration, and fueling your body during weight loss
GLP-1 medications and strategies to help preserve muscle
Hormone approaches in perimenopause and postmenopause
Why hormone therapy is not contraception
Testosterone: symptoms, side effects, and how to think about lab results
Health span, independence, and prevention across the lifespan
Hormone stigma and the need for better education at puberty, postpartum, and midlife
Dr. Hertel's IG
Dr Hertel's Website
As always, this podcast is for educational purposes and is not a substitute for individualized medical advice — talk to your own doctor about your own health.
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