Midlife doesn't have to mean slowing down, feeling out of control, or resigning yourself to being frumpy & invisible. On the Total Health in Midlife Podcast, seasoned health coach Elizabeth Sherman cuts through the noise of fad diets and contradictory wellness advice. In warm, relatable chats, you'll discover straightforward strategies for managing hormonal shifts, optimizing nutrition, and prioritizing emotional wellness—so you can experience genuine energy and comfort in your body.Whether you're juggling an empty nest, a changing career, or simply trying to keep up with everyday demands, each episode offers practical insights that fit into your real life. Tune in to hear expert interviews, personal stories, and encouraging tips designed to help you embrace this stage with confidence. It's time to unlock sustainable habits that support your physical health, nurture your mental well-being, and truly bring you peace of mind in your 40s, 50s, and beyond.Visit https://elizabethsherman.com/habits to download the 8 Basic Habits that Healthy People Do Guide & Checklist to start your journey focusing on the basics of good health for your body today!
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293: There Are Facts, And Everything Else Is Drama
2026/10/20
There's a sign in Elizabeth's office. It says there are facts, and everything else is drama. She looks at it almost every day, and in this episode, she's finally putting it into words.
Here's the idea. Your brain is a story making machine. When you don't have all the facts about something, your brain doesn't sit comfortably with the not knowing. It fills the gap with an explanation, and it hands you that explanation like it's the truth. Elizabeth walks through a wild real-life example of this happening to her and her husband Gary on House Hunters International, and how a total stranger built a confident, completely wrong story out of almost nothing.
Then she brings it home to the place most women in midlife actually live this pattern: the scale that won't move, or the jeans that don't fit the way you expected, even when you've been doing everything right. The number is a fact. What you decide it means about you, that's the story. And there's a whole set of real, physical conditions behind that number, hormones, digestion, water retention, your own biology, that you don't have access to and never chose.
There's also a pizza oven, a Neapolitan pizza obsession, and a full meltdown over a mechanical issue that had nothing to do with anyone's worth as a person. By the end of this one, you'll have two simple tools you can use the next time your mind starts spinning about your body, your relationships, or anything else you don't have the full picture on.
WHAT YOU'LL LEARN
Why your brain automatically fills in a story anytime it doesn't have the full facts, and why that story usually isn't kindWhat's actually behind a scale number or a pair of jeans that don't fit the way you expectedWhy advice that worked for someone else's body might not work for yours, and why that's not a failure on your partThe two tools Elizabeth uses to catch herself the moment a fact turns into drama
The Listener Takeaway: Why This Episode Matters
Most of what you've been carrying about your health, the shame about a number, the frustration with your body, the quiet belief that you're the one doing something wrong, was never a fact. It was a story your brain built to fill a gap. This episode gives you a way to see that in real time, and a real place to put your energy instead.
Seeing the story clearly is real relief. But it's not the same as knowing what your specific body, running on your specific conditions, actually needs. This episode leaves you with a way to catch the story and a clear next step if you're ready to understand what's underneath it.
RESOURCES
Free Diagnostic Call
RELATED EPISODES YOU MIGHT LOVE
53: Measuring Progress - Elizabeth breaks down exactly why the scale can be the last thing to move, and what to track instead so you're not left feeling like you're failing.215: Preparing for Plateau - A deeper look at why a plateau is proof your body is working, not a sign that something's wrong, with a real client story about trusting the process through a six-week stall.Hey! I love hearing from you. Send me a text. Let me know what resonated with you.
Free Diagnostic Session
If you know what to do but struggle to keep it all together when life starts to life, this call is for you. It's free, it's 30 minutes, and you'll walk away with a clear look at what's actually in your way instead of another generic plan.
Tap Here to Book Your Session
If you’re a woman in midlife who wants better health without obsessing over weight, you’re in the right place. I’m Elizabeth Sherman, a life and health coach and host of the Total Health in Midlife Podcast.
After coaching hundreds of women, I know the real problem usually isn’t “not enough information” – it’s too much of it, and not knowing where to start. With close to 300 episodes, this show can feel that way too.
To make it easy, I created a free Listener’s Roadmap that helps you figure out which episodes are right for you right now. Tell me what you’re struggling with – low energy, emotional eating, stress, sleep, exercise, or all of the above – and I’ll point you to a curated path of episodes and resources to get you moving.
Download your free roadmap at https://elizabethsherman.com/roadmap.
292: How Dopamine Explains Why Your Motivation Disappears Midway
2026/10/13
You know the feeling. Something is actually working. The scale moved, your sleep got better, you can run further than you could a month ago. And then, without anything going wrong, it just stops feeling like a big deal.
That's not you losing your grip. That's not the plan failing. That's dopamine doing exactly what it's built to do, and this episode breaks down the mechanism behind it: why the first time you hit a marker feels enormous and the tenth time barely registers, even though the accomplishment didn't shrink.
This is also the episode where we get honest about program hopping. Not as a discipline problem, but as a chemistry problem. New feels exciting because it's new. Repeating something that's working doesn't manufacture the same hit, and if you've spent years reading that quiet feeling as proof something's broken, you've been working from bad information the whole time.
By the end, you'll understand why the mundane stretch of any health change isn't a warning sign, and why what you do in that stretch, when nobody's clapping and there's no new result to post, is actually the part that determines whether any of it sticks.
WHAT YOU'LL LEARN
Why a plan that's genuinely working can suddenly start to feel like it stoppedThe real reason program hopping feels so productive while it quietly keeps you stuckHow to tell if you're someone who mistakes boredom for a sign the plan is wrongWhat's actually happening in your body between the excitement of week one and the flatness of week sixThe Listener Takeaway: Why This Episode Matters
If you've ever quietly wondered whether something is wrong with you because you can't stay excited about a habit that used to feel thrilling, this episode gives you a different explanation. Not a character flaw. Not a discipline gap. A predictable shift in your own chemistry that happens to everyone, in every kind of change, health or otherwise.
Understanding why the drop happens doesn't automatically make it easier to sit inside. But it does mean you can stop treating a quiet week as proof you're failing, and start recognizing it for what it actually is: the part of the process that was always going to come.
RESOURCES
Free quiz: find out specifically what's getting in the way of your habits sticking8 Habits That Healthy People Do and Why They Don't StickRELATED EPISODES YOU MIGHT LOVE
Episode 70: River of Misery — the emotional middle of any habit change, for when this episode's chemistry makes sense but the mundane stretch still feels hard to sit inside.Episode 34: When Motivation Fades — goes further into what to actually do once you recognize the dip this episode names.Episode 20: Growth in the Plateau — a real client story of a six week plateau and what she built by staying in it instead of quitting.Hey! I love hearing from you. Send me a text. Let me know what resonated with you.
Free Diagnostic Session
If you know what to do but struggle to keep it all together when life starts to life, this call is for you. It's free, it's 30 minutes, and you'll walk away with a clear look at what's actually in your way instead of another generic plan.
Tap Here to Book Your Session
If you’re a woman in midlife who wants better health without obsessing over weight, you’re in the right place. I’m Elizabeth Sherman, a life and health coach and host of the Total Health in Midlife Podcast.
After coaching hundreds of women, I know the real problem usually isn’t “not enough information” – it’s too much of it, and not knowing where to start. With close to 300 episodes, this show can feel that way too.
To make it easy, I created a free Listener’s Roadmap that helps you figure out which episodes are right for you right now. Tell me what you’re struggling with – low energy, emotional eating, stress, sleep, exercise, or all of the above – and I’ll point you to a curated path of episodes and resources to get you moving.
Download your free roadmap at https://elizabethsherman.com/roadmap.
291: Why Every New Goal Comes With a Cost Nobody Warns You About
2026/10/06
You already know what you say you want. A closer friendship. A workout that sticks. A launch that actually goes somewhere. And yet the moment any of those things asks something of you, your schedule, your comfort, your Tuesday morning, some part of you thinks, why can't this be something I want?
That reflex isn't a sign you picked the wrong goal, or the wrong week to start. It's the actual cost of wanting something. In this episode, Elizabeth walks through three real situations from her own life right now, a new friendship that keeps asking her to show up on nights she'd rather not, a class launch that has her doing things that don't come naturally, and a doctor's visit that sent her back to the gym ten minutes earlier than she wants to be there.
Each one runs into the same wall. The obstacle was never about timing. It's built into the goal itself.
By the end, you'll have a different question to ask yourself the next time resistance shows up, one that has nothing to do with whether it's worth it.
WHAT YOU'LL LEARN
Why the obstacles you keep hitting were never a timing problemThe one question that matters more than "is this worth it"What a surprising number at the doctor's office taught Elizabeth about the real price of a health goalHow small, inconvenient choices quietly build (or erode) your self-trustThe Listener Takeaway: Why This Episode Matters
If you've been waiting for a version of your goal that doesn't cost you anything, this episode is going to name why that version never shows up, and why that's not a personal failing. You'll walk away seeing your own resistance differently: not as proof you're not built for this, but as the exact spot where wanting something and being willing to pay for it become the same decision.
Seeing that clearly is real progress. What you do with it next is where the actual work lives.
RESOURCES
Free quiz, "Why Do Your Healthy Habits Keep Falling Apart?"Dear Nina: Conversations About Friendship, hosted by Nina Badzin (dearnina.substack.com)RELATED EPISODES YOU MIGHT LOVE
241: Making and Keeping Friendships with Nina Badzin - The full conversation behind the friendship story in this episode, on why adult friendship gets harder, not easier, and what to do when you're always the one reaching out.181: Reducing Friction - Goes deeper into the motivational triad and the real reasons behind your resistance to healthy habits, convenience, time, and discomfort.222: Learning to Trust Yourself with Dawn Ledet - Picks up exactly where this episode leaves off, on why missed goals are feedback instead of failure and how to actually rebuild self-trust.21: Discomfort Now or Later - An earlier look at the same trade-off, discomfort now or discomfort later, from Elizabeth's own procrastination story.Hey! I love hearing from you. Send me a text. Let me know what resonated with you.
Free Diagnostic Session
If you know what to do but struggle to keep it all together when life starts to life, this call is for you. It's free, it's 30 minutes, and you'll walk away with a clear look at what's actually in your way instead of another generic plan.
Tap Here to Book Your Session
If you’re a woman in midlife who wants better health without obsessing over weight, you’re in the right place. I’m Elizabeth Sherman, a life and health coach and host of the Total Health in Midlife Podcast.
After coaching hundreds of women, I know the real problem usually isn’t “not enough information” – it’s too much of it, and not knowing where to start. With close to 300 episodes, this show can feel that way too.
To make it easy, I created a free Listener’s Roadmap that helps you figure out which episodes are right for you right now. Tell me what you’re struggling with – low energy, emotional eating, stress, sleep, exercise, or all of the above – and I’ll point you to a curated path of episodes and resources to get you moving.
Download your free roadmap at https://elizabethsherman.com/roadmap.
290: Why It Feels Like You Woke Up in a New Body at 50
2026/09/29
If you've noticed you're hungry an hour after a full meal, wide awake at 2am after doing everything right, or flat after a workout that used to leave you energized, you're not imagining it, and you're far from the only one.
This episode features Krista Scott-Dixon, a coach and educator with decades of experience in behavior change and health coaching. Krista spent years as director of curriculum at Precision Nutrition and now does similar work with Girls Gone Strong's menopause coaching materials, alongside a private coaching practice that includes clients ranging from everyday women to search and rescue teams. Her new book brings real counseling and therapy tools into nutrition and health coaching, built on the idea that most coaches, and most women, were never actually taught how change happens.
Together, we get into why hunger, energy, mood, and sleep can all stop feeling reliable somewhere in your 40s and 50s, and why treating perimenopause as one hormone problem misses what's actually going on. Krista makes the case that this stage belongs in the same category as a major illness, a career change, an identity shift, or the end of a relationship. She also introduces the idea of self-trust as a skill, one that gets socialized out of most women long before hormones ever enter the picture.
If you've been white-knuckling your way through a body that no longer responds the way it used to, this conversation will change how you think about what's actually happening, and what to do with it.
WHAT YOU'LL LEARN
Why your hunger, fullness, and energy signals can suddenly feel unreliable in your 40s and 50sWhy perimenopause belongs in the same category as a major illness, career change, or relationship ending, and why that reframe mattersWhat self-trust actually is as a skill, and when most women lose access to itWhy the health advice that used to work on your body stops working, and what that has to do with trust rather than effort
The Listener Takeaway: Why This Episode Matters
If you've started to wonder whether something is wrong with you because your body stopped responding the way it used to, this episode gives you a different way to understand what's happening. You'll walk away seeing your hunger, your energy, and your mood as information instead of a malfunction, and understanding that self-trust is a skill you can rebuild.
This conversation is for the woman who's exhausted from trying to force an old rulebook onto a body and a life that have both changed, and who's ready to stop treating that as a personal failure.
RESOURCES
Krista Scott-Dixon's new book, Applied Nutrition Coaching and Counseling: Theory to Practice (link to follow once Krista sends final details)Girls Gone Strong's menopause coaching materialsKrista's website, kristascottdixon.com
RELATED EPISODES YOU MIGHT LOVE
256 - Fearing Hunger: How Dieting Trained You to Overeat (elizabethsherman.com/256) — If today's episode made you rethink your hunger signals, this one breaks down exactly why fear of hunger got installed in the first place.254 - How to Trust Yourself Around Food Again in Perimenopause (elizabethsherman.com/254) — Krista talked about self-trust as a skill you can rebuild. This episode gives you a perimenopause-specific starting point for actually doing it.Hey! I love hearing from you. Send me a text. Let me know what resonated with you.
Free Diagnostic Session
If you know what to do but struggle to keep it all together when life starts to life, this call is for you. It's free, it's 30 minutes, and you'll walk away with a clear look at what's actually in your way instead of another generic plan.
Tap Here to Book Your Session
If you’re a woman in midlife who wants better health without obsessing over weight, you’re in the right place. I’m Elizabeth Sherman, a life and health coach and host of the Total Health in Midlife Podcast.
After coaching hundreds of women, I know the real problem usually isn’t “not enough information” – it’s too much of it, and not knowing where to start. With close to 300 episodes, this show can feel that way too.
To make it easy, I created a free Listener’s Roadmap that helps you figure out which episodes are right for you right now. Tell me what you’re struggling with – low energy, emotional eating, stress, sleep, exercise, or all of the above – and I’ll point you to a curated path of episodes and resources to get you moving.
Download your free roadmap at https://elizabethsherman.com/roadmap.
289: Why Habits Aren't the Answer to Your Health Problem
2026/09/22
You've cleaned out the pantry. You've laid your workout clothes out the night before. You've followed the plan, more than once, and it still hasn't held. If you've ever wondered why healthy habits don't stick, even when you're doing everything the experts tell you to do, this episode explains exactly why.
In this episode, Elizabeth Sherman breaks down a framework she's used with clients for years, adapted from Neuro-Linguistic Programming's Logical Levels of Change, that explains why some changes hold for good and others quietly fall apart. Most diet and fitness advice only ever touches the top three layers of that framework: environment, habits, and skills. This episode goes underneath that, into the layers that actually decide whether change is permanent.
You'll hear the full story of Elizabeth's client Chris, who lost a hundred pounds and still spent years afraid she'd revert back to her old patterns, the way every previous diet had ended. What let that fear go wasn't another habit. It was a shift much deeper than that.
This episode is for any woman in midlife who feels like she knows exactly what to do for her health and still can't get it to hold. By the end, you'll understand the real difference between protecting a plan and simply becoming someone whose healthy choices take care of themselves.
WHAT YOU'LL LEARN
Why building better habits and cleaning up your environment hasn't been enough to make your health changes last, and what's actually missing underneath themThe six-layer framework, adapted from NLP's Logical Levels of Change, that explains why some changes stick for good and others fall apartThe identity shift that let Elizabeth's client Chris stop fearing she'd revert back to her old patterns after losing 100 poundsThe Listener Takeaway: Why This Episode Matters
If you've spent years believing that lasting health just requires a better habit or a cleaner kitchen, this episode offers real relief: nothing has been wrong with your effort. You've likely just been working at the layer of change that was never built to hold on its own.
By the end, you'll have language for something you've probably felt for years but never had a name for: the difference between managing a health plan you're constantly defending and simply living as the healthy version of yourself. That distinction alone can lift years of quiet dread about reverting back to old patterns.
RESOURCES
8 Habits That Healthy People Do, and Why They Don't Stick (free guide)Episode 279: 100 lbs Down: A Client StoryRELATED EPISODES YOU MIGHT LOVE
Episode 287: How Your Environment Impacts Your Ability to Take Care of You - This is the episode that brought the layers framework back to Elizabeth's mind. Go deeper on the layer most people start with and stop at.Episode 260: 8 Habits & Why They Don't Stick - The original breakdown of the 8 habits behind today's free guide, and why knowing them isn't the same as doing them.Episode 222: Learning to Trust Yourself with Dawn Ledet - A deeper look at the beliefs layer from today's episode, and how self-trust gets rebuilt after years of "falling off track."Hey! I love hearing from you. Send me a text. Let me know what resonated with you.
Free Diagnostic Session
If you know what to do but struggle to keep it all together when life starts to life, this call is for you. It's free, it's 30 minutes, and you'll walk away with a clear look at what's actually in your way instead of another generic plan.
Tap Here to Book Your Session
If you’re a woman in midlife who wants better health without obsessing over weight, you’re in the right place. I’m Elizabeth Sherman, a life and health coach and host of the Total Health in Midlife Podcast.
After coaching hundreds of women, I know the real problem usually isn’t “not enough information” – it’s too much of it, and not knowing where to start. With close to 300 episodes, this show can feel that way too.
To make it easy, I created a free Listener’s Roadmap that helps you figure out which episodes are right for you right now. Tell me what you’re struggling with – low energy, emotional eating, stress, sleep, exercise, or all of the above – and I’ll point you to a curated path of episodes and resources to get you moving.
Download your free roadmap at https://elizabethsherman.com/roadmap.
288: The Anti-Aging Secret the Skincare Industry Won't Tell You
2026/09/15
You've been told that looking older is a problem, and that the fix is a shelf full of serums, creams, and a morning-and-night routine that eats your money and your time. In this episode, Elizabeth Sherman makes a different case: the thing that actually shows up on your face as you age isn't a missing product. It's stress. And the skincare industry will never say that out loud, because there's nothing to sell you against it.
Elizabeth pulls this apart from a mall in Boston, where she catches her own brain deciding a new dress and a new couch will make her life better. That same pull, she explains, is exactly what happens when you look in the mirror at 55 and reach for the next bottle. She then does something most people in the wellness space won't: she lays out her own privilege honestly, including the cosmetic work she's had done and the reasons she looks the way she does at 57, so you can see clearly what's actually driving how a face ages.
The turn in this episode is the part that matters most. Some of your stress is structural and you can't change it. But a second layer, the worrying, the anxiety, the resentment about things you can't control, is yours, and it's costing you more than the circumstance itself. Elizabeth connects this to what chronic stress does to your body over time and to research on how your beliefs about aging affect how long and how well you live.
This isn't a stress-management protocol, and it isn't another product to buy. It's a clear look at why you're spending money and mornings on something that was never going to work the way it promised, and what to pay attention to instead.
WHAT YOU'LL LEARN
Why two women the same age can look a decade apart, and why it has almost nothing to do with their skincare shelfThe difference between the stress you can't change and the stress you're adding on top, and which one is aging youWhat Elizabeth has actually done to her own face, and the surprising reason she did most of itThe Listener Takeaway: Why This Episode Matters
If you've ever stood at a counter and handed over real money for a small bottle because someone told you what it would do for the lines around your eyes, this episode is going to feel like a weight coming off. You are not failing at aging, and you are not behind. You've been sold a fix for a problem that a product can't touch.
What you'll walk away with is permission to stop, and something more useful than another routine: a clear-eyed way to see where your stress is actually coming from, what part of it is yours to work with, and why the resentment you're carrying about the rest is quietly doing more damage than the circumstance ever could. That awareness is where real change starts, and it costs you nothing.
RESOURCES
The 8 Habits That Healthy People Do (And Why They Don't Stick) — free guide and checklist: https://elizabethsherman.com/habitsBecca Levy, "Longevity Increased by Positive Self-Perceptions of Aging" (2002), and her book Breaking the Age Code (2022)RELATED EPISODES YOU MIGHT LOVE
198: Stress: The Hidden Saboteur of Your Health (https://elizabethsherman.com/198) — If today's turn toward stress hit home, this one goes deeper on why bubble baths and breathing exercises miss the root of the problem entirely.205: How Body Image Changes in Midlife (https://elizabethsherman.com/205) — For the woman who's noticed the reflection change and felt the pressure to fix it, this episode unpacks where that pressure really comes from.158: The Ripple Effect of Self-Care (https://elizabethsherman.com/158) — A companion to the idea that caring for yourself isn't vanity or indulgence, and reaches further into your life than you'd expect.Hey! I love hearing from you. Send me a text. Let me know what resonated with you.
Free Diagnostic Session
If you know what to do but struggle to keep it all together when life starts to life, this call is for you. It's free, it's 30 minutes, and you'll walk away with a clear look at what's actually in your way instead of another generic plan.
Tap Here to Book Your Session
If you’re a woman in midlife who wants better health without obsessing over weight, you’re in the right place. I’m Elizabeth Sherman, a life and health coach and host of the Total Health in Midlife Podcast.
After coaching hundreds of women, I know the real problem usually isn’t “not enough information” – it’s too much of it, and not knowing where to start. With close to 300 episodes, this show can feel that way too.
To make it easy, I created a free Listener’s Roadmap that helps you figure out which episodes are right for you right now. Tell me what you’re struggling with – low energy, emotional eating, stress, sleep, exercise, or all of the above – and I’ll point you to a curated path of episodes and resources to get you moving.
Download your free roadmap at https://elizabethsherman.com/roadmap.
Bonus Episode: Why You Know What To Do, But Just Don't Do It
2026/09/11
You already know what to do. Eat better, move your body, all of it. So why does the plan fall apart again by Wednesday?
This episode is pulled straight from a live class I recently taught, close to word for word, because the response from the women who attended was strong enough that I wanted to bring it to you too.
Inside, I walk through five real, often invisible reasons healthy habits quietly stop working for smart, capable women in midlife, and almost none of them have anything to do with willpower. You'll meet four different women along the way. One is fighting a rule about food she never actually chose. Another has exactly one hour in her day that belongs to her and no one else, except it never seems to survive contact with a Tuesday. There's a good chance you'll recognize a piece of yourself in more than one of them.
By the end, you won't walk away with a new meal plan or a new morning routine. You'll walk away with something more useful: a much clearer sense of where your own particular friction point actually lives.
WHAT YOU'LL LEARN
Why "just try harder" was never actually a strategy, and what's genuinely been missing insteadThe five specific places where midlife health habits quietly break down, and why more than one might sound familiarHow to tell the difference between the friction point that's loudest in your life and the one that's actually driving everything elseThe Listener Takeaway: Why This Episode Matters
If you've spent years quietly assuming something was wrong with you every time a health plan fell apart, this episode is going to feel like relief. It explains why the plans you've already tried were solving for the wrong thing in the first place.
You'll leave with language for a pattern you've probably lived inside of for years without ever being able to name it, and having the words for it tends to change how it feels to keep going.
RESOURCES
Schedule your Free Diagnostic Call with ElizabethRELATED EPISODES YOU MIGHT LOVE
265: "Just Do It" and Why We Don't - This is the episode where the five-friction framework got introduced. Start here for the fuller breakdown of where it came from.227: The Thing Before the Thing - Goes deeper into why the symptom you can actually see is so rarely the thing driving it, the same idea behind the self-diagnosis section of this episode.221: Menopause, Sleep, Stress & Recovery - A full episode on the rest and recovery piece specifically, for anyone who saw themselves in the wine-and-pantry story.Hey! I love hearing from you. Send me a text. Let me know what resonated with you.
Free Diagnostic Session
If you know what to do but struggle to keep it all together when life starts to life, this call is for you. It's free, it's 30 minutes, and you'll walk away with a clear look at what's actually in your way instead of another generic plan.
Tap Here to Book Your Session
If you’re a woman in midlife who wants better health without obsessing over weight, you’re in the right place. I’m Elizabeth Sherman, a life and health coach and host of the Total Health in Midlife Podcast.
After coaching hundreds of women, I know the real problem usually isn’t “not enough information” – it’s too much of it, and not knowing where to start. With close to 300 episodes, this show can feel that way too.
To make it easy, I created a free Listener’s Roadmap that helps you figure out which episodes are right for you right now. Tell me what you’re struggling with – low energy, emotional eating, stress, sleep, exercise, or all of the above – and I’ll point you to a curated path of episodes and resources to get you moving.
Download your free roadmap at https://elizabethsherman.com/roadmap.
287 - How Your Environment Impacts Your Ability to Take Care of You
2026/09/08
You start Monday with a plan. Eat the vegetables, take the walk, get to bed at a decent hour. And by Thursday it's come apart, and you're standing in your kitchen at night wondering what is wrong with you that you can't just do the thing you already know how to do. If you've been quietly deciding that you're the problem, this episode is going to hand you a very different place to look.
Elizabeth opens with a client who couldn't manage to drink water all day, until she changed one small thing about her setup and the problem disappeared without her trying any harder. From there, she gets into a story about an entire city that dropped its smoking rate sharply without making a single person quit. The thread running through both is the one almost no health advice will tell you: your surroundings are shaping what you do all day long, whether you're paying attention to them or not.
Then she walks through the places this actually shows up in your life. The food within arm's reach and the clutter and noise you've stopped noticing. The partner who comes home with pizza the night you planned to cook, the friend you only ever see over a bottle of wine, the mother you love best over a big plate of food. The schedule that runs you into the ground for everybody but you. This is the layer women are least likely to examine, because we've been taught that our health is a personal responsibility, so when it slips, we point the finger inward.
The honest part, and the reason this episode matters, is that you can't really see your own environment from the inside. It's too familiar. The very things making this hard are the ones you'll walk right past. This episode helps you start seeing them, and points you toward the quickest way to find out which one is costing you the most right now.
WHAT YOU'LL LEARN
Why an entire city's smoking rate dropped sharply without anyone being told to quit, and what that has to do with your water and your walkThe three layers of your environment quietly deciding how hard your healthy habits feel, and which one women almost never look atWhy changing your social environment can feel like abandoning the people you love, and what to do with that fear instead of ignoring itThe reason what's in your fridge might be telling you a much older story than you thinkWhy you genuinely can't assess your own environment from the inside, and what actually helps you see it clearlyThe Listener Takeaway: Why This Episode Matters
If you've spent years believing you're the reason your health keeps sliding, this episode offers something closer to relief than another plan. You are not missing some amount of grit that everyone else was handed. You've been trying to run your health inside a life that was quietly working against you, and no one ever told you that the setup was fair game to question.
When you stop treating your follow-through as a character flaw and start treating it as a set of conditions you can actually see and change, the whole thing gets lighter. You get to keep the people you love and still take care of yourself. You get to change your surroundings instead of waging war on yourself every single day. And once you can see clearly which piece of your environment is costing you the most, you finally have somewhere useful to start.
RESOURCES
Free Quiz: Why Do Your Healthy Habits Keep Falling Apart? → https://elizabethsherman.com/quizEpisode 283: Your Diet History (companion episode in this series, referenced when we talk about what's stocked in your fridge) → [link to add once published]Episode 285: Your Capacity (companion episode in this series, referenced when we talk about the life built around everyone else) → [link to add once published]Episode 269: The 5 Things Quietly Wrecking Your Health Habits in Midlife → https://podcasts.apple.com/us/podcast/269-the-5-things-quietly-wrecking-your-health-habits/id1551184515 (this is where Elizabeth introduces the Total Health Systems Audit, the natural next step after this episode)Episode 267: Why Putting Yourself Last Is Making Your Health Worse → https://elizabethsherman.com/why-putting-yourself-last-is-making-your-health-worse/ (goes deeper on the structural layer, the life built around everyone else)Episode 265: "Just Do It" and Why We Don't → [confirm site slug] (the overview episode that introduces all five pillars, including environment)Hey! I love hearing from you. Send me a text. Let me know what resonated with you.
Free Diagnostic Session
If you know what to do but struggle to keep it all together when life starts to life, this call is for you. It's free, it's 30 minutes, and you'll walk away with a clear look at what's actually in your way instead of another generic plan.
Tap Here to Book Your Session
If you’re a woman in midlife who wants better health without obsessing over weight, you’re in the right place. I’m Elizabeth Sherman, a life and health coach and host of the Total Health in Midlife Podcast.
After coaching hundreds of women, I know the real problem usually isn’t “not enough information” – it’s too much of it, and not knowing where to start. With close to 300 episodes, this show can feel that way too.
To make it easy, I created a free Listener’s Roadmap that helps you figure out which episodes are right for you right now. Tell me what you’re struggling with – low energy, emotional eating, stress, sleep, exercise, or all of the above – and I’ll point you to a curated path of episodes and resources to get you moving.
Download your free roadmap at https://elizabethsherman.com/roadmap.
286: How Running on Empty Wrecks Your Ability to Stick to Your Health
2026/09/01
You finish the busy stretch. The launch, the deadline, the holidays, the season where everyone needed something from you. You held it all together. And then, the second you finally stop, you get sick. Or your back goes out reaching for a sock. If that pattern sounds familiar, this episode explains what your body has been doing to you for years, and why it keeps happening the moment you slow down.
Here's the part almost no one connects: the reason you can't follow through on the healthy stuff you already know how to do might have nothing to do with willpower. You're running on empty. And a body running that low on reserves can't hold a good choice in place at six o'clock when you're wiped out. In this episode I walk you through the real cost of never actually stopping, using a client I call Chris whose evening probably looks a lot like yours.
We get into why you don't rest even though you know you should, the family rule that taught you to earn it, and the quieter belief running underneath that says the need for rest applies to everyone except you. I talk about how you multitask your own downtime until it stops counting, and why sleep is the first thing you cut even though your body doesn't work on credit.
By the end, you'll see the pattern clearly. And you'll understand why seeing it and changing it are two different things, which is exactly where most smart women get stuck.
WHAT YOU'LL LEARN
Why you get sick or hurt the moment a busy stretch ends, and what your body was doing the whole timeThe real reason knowing what to do hasn't turned into doing it, and why "try harder" was never going to workThe childhood rule about rest you're still living by, and the belief underneath it you've probably never said out loudWhy you can't bank sleep on the weekend, and where the bill for skipping it actually shows upRESOURCES
Take the quiz: Why Do Your Healthy Habits Keep Falling Apart? → elizabethsherman.com/quiz8 Habits guide → elizabethsherman.com/habits265 - "Just Do It" and Why We Don't 260 - 8 Habits & Why They Don't Stick 257 - The Truth About Step Goals, Belly Fat, and Burnout Hey! I love hearing from you. Send me a text. Let me know what resonated with you.
Free Diagnostic Session
If you know what to do but struggle to keep it all together when life starts to life, this call is for you. It's free, it's 30 minutes, and you'll walk away with a clear look at what's actually in your way instead of another generic plan.
Tap Here to Book Your Session
If you’re a woman in midlife who wants better health without obsessing over weight, you’re in the right place. I’m Elizabeth Sherman, a life and health coach and host of the Total Health in Midlife Podcast.
After coaching hundreds of women, I know the real problem usually isn’t “not enough information” – it’s too much of it, and not knowing where to start. With close to 300 episodes, this show can feel that way too.
To make it easy, I created a free Listener’s Roadmap that helps you figure out which episodes are right for you right now. Tell me what you’re struggling with – low energy, emotional eating, stress, sleep, exercise, or all of the above – and I’ll point you to a curated path of episodes and resources to get you moving.
Download your free roadmap at https://elizabethsherman.com/roadmap.
285: How Being the Capable One Is Costing You Your Health
2026/08/25
You said you'd make dinner. Then you got home, opened the freezer, saw the chicken still frozen solid, and thought: I cannot do this. So you grabbed the rotisserie chicken from the deli case, put it on plates, and sat there feeling like a fraud for not cooking it yourself. Sound familiar?
If you're a capable woman who runs a department, a household, or both, and can handle almost anything, except being reliable with your own health, this episode is going to hit close to home. You've probably decided you're lazy, or that you haven't found the right plan yet, or that something is wrong with you specifically. None of that is true, and this episode explains what's actually happening.
Here's the sentence at the center of it: "I just need one more hour in the day." You've said it in the car, to your sister, to yourself at 11pm. Elizabeth makes the case that it's a lie, not one you're telling on purpose, but one you need to be true because the real answer is harder. She walks through exactly where that hour would go if someone handed it to you tomorrow, and why your health keeps getting cut while everything else on your list survives.
This is the episode for the woman who is loved, needed, and running on empty, and who's starting to suspect that her follow-through problem was never about time or discipline at all. It won't hand you a system to fix it in five easy steps. It will show you the pattern so clearly you won't be able to unsee it.
WHAT YOU'LL LEARN
Why your health is the first thing to get cut from your day, and what it has in common with every other thing you drop when you're overloadedThe hidden second half of "I just need one more hour" that you never say out loud, and what it reveals about where your time actually goesWhy saying no fills you with guilt and requires a "good enough" excuse, when the men around you can decline without explaining themselves at allThe Listener Takeaway: Why This Episode Matters
If you've spent years quietly ashamed that you can hold together a career, a household, and everyone else's needs but can't stay consistent with a walk or a real dinner, this episode will lift an enormous weight off you. You are not lazy and you are not broken. You are full. And the relief of finally understanding that is real.
You get one body and one life, and nobody is coming to hand back the hours you've been giving away. That's a hard thing to hear, and this episode says it with love, not a lecture. You'll walk away seeing your own pattern with a clarity you've never had, and understanding that recognizing it is the first honest step toward actually changing it.
RESOURCES
Take the free quiz: Why Do Your Healthy Habits Keep Falling Apart? → https://elizabethsherman.com/quizEpisode 243: High Functioning Co-Dependency with Sara Fisk → https://elizabethsherman.com/243Episode 224: When We Ignore Our Own Boundaries → https://elizabethsherman.com/224Hey! I love hearing from you. Send me a text. Let me know what resonated with you.
Free Diagnostic Session
If you know what to do but struggle to keep it all together when life starts to life, this call is for you. It's free, it's 30 minutes, and you'll walk away with a clear look at what's actually in your way instead of another generic plan.
Tap Here to Book Your Session
If you’re a woman in midlife who wants better health without obsessing over weight, you’re in the right place. I’m Elizabeth Sherman, a life and health coach and host of the Total Health in Midlife Podcast.
After coaching hundreds of women, I know the real problem usually isn’t “not enough information” – it’s too much of it, and not knowing where to start. With close to 300 episodes, this show can feel that way too.
To make it easy, I created a free Listener’s Roadmap that helps you figure out which episodes are right for you right now. Tell me what you’re struggling with – low energy, emotional eating, stress, sleep, exercise, or all of the above – and I’ll point you to a curated path of episodes and resources to get you moving.
Download your free roadmap at https://elizabethsherman.com/roadmap.
284: How Ignoring Your Body Signals Impacts Your Health After 40
2026/08/18
Years ago, Elizabeth stood in a kitchen at a party complaining about brownies, and a woman she barely knew looked over and said, "I guess I just listen to my body," and walked out. Elizabeth thought she was insufferable. She also had no idea what the woman was talking about. She'd been in the fitness world for years. She knew macros and training programs and the protein content of just about anything. And she could not have told you the first thing about what her body was actually saying to her.
If you know exactly what you should be doing for your health and still can't get yourself to do it, this episode is going to feel familiar. Because the reason usually isn't a lack of information, and it isn't about trying harder. Somewhere along the way you learned to override what your body tells you, and you got so good at it that you don't even hear it anymore.
In this episode, Elizabeth walks through what that override looks like in a real day. Wanting pasta, eating the chicken and salad the plan allows, then standing over the counter eating almonds out of the bag and never feeling satisfied. Resisting the cookies all week and then eating seven of them on a Thursday night. Sitting exhausted on the couch at 8pm and deciding it's "too early" for bed. Biting your tongue for weeks and then coming unglued over a glass left on the counter. Every one of those is your body asking for something, and every one of those is a moment you talked yourself out of hearing it.
And here's the part that makes midlife women feel like they're losing it: this used to work. At 30, you could ignore your body and recover fine. Now one bad night of sleep costs you three days, and the strategy you built decades ago has quietly stopped working. Elizabeth explains why that happens in perimenopause and menopause, and what it means for whether you can actually follow through on the things you already know how to do.
WHAT YOU'LL LEARN
Why "listen to your body" has probably never meant anything real to you, and what the phrase is actually pointing atThe everyday moments you override your body without noticing, across food, movement, sleep, and unspoken stressWhy pushing through worked at 30 and quietly stopped working in your mid-40sWhat your cravings, 3am wake-ups, and afternoon crashes have been trying to tell you the whole timeThe Listener Takeaway: Why This Episode Matters
If you've been calling yourself lazy or broken because you know what to do and still don't do it, this episode hands you a more accurate explanation. Your body has been talking to you the whole time. The brain fog, the cravings, the exhaustion, the mood that turns on a dime, none of it means something is wrong with you. Your body is communicating, and you were trained to tune it out, and in midlife that costs you more than it used to.
The relief here is that this is learnable. Elizabeth didn't know how to hear her body either, and she does now, and that changed whether she could actually stick with the things she already knew. You are not a different kind of person than the women who seem to do this easily. You just haven't been taught the one thing that makes following through stop feeling like a fight with yourself.
RESOURCES
Free quiz: Why Do Your Healthy Habits Keep Falling Apart? (elizabethsherman.com/quiz)Episode 254: How to Trust Yourself Around Food Again in Perimenopause (https://elizabethsherman.com/254)Episode 256: Fearing Hunger: How Dieting Trained You to Overeat (https://elizabethsherman.com/256)Episode 252: Nighttime Cravings in Midlife: It's Not a Willpower Problem (https://elizabethsherman.com/252)Hey! I love hearing from you. Send me a text. Let me know what resonated with you.
Free Diagnostic Session
If you know what to do but struggle to keep it all together when life starts to life, this call is for you. It's free, it's 30 minutes, and you'll walk away with a clear look at what's actually in your way instead of another generic plan.
Tap Here to Book Your Session
If you’re a woman in midlife who wants better health without obsessing over weight, you’re in the right place. I’m Elizabeth Sherman, a life and health coach and host of the Total Health in Midlife Podcast.
After coaching hundreds of women, I know the real problem usually isn’t “not enough information” – it’s too much of it, and not knowing where to start. With close to 300 episodes, this show can feel that way too.
To make it easy, I created a free Listener’s Roadmap that helps you figure out which episodes are right for you right now. Tell me what you’re struggling with – low energy, emotional eating, stress, sleep, exercise, or all of the above – and I’ll point you to a curated path of episodes and resources to get you moving.
Download your free roadmap at https://elizabethsherman.com/roadmap.
283: How Old Diet Rules Sabotage Your Health Today
2026/08/11
You know what to do. You could probably teach it. You know to eat more vegetables, get to bed earlier, and move your body most days. And you still end up standing in your kitchen at nine o'clock at night, arguing with yourself about whether you're allowed to have the chocolate. If that scene feels a little too familiar, this episode is for you.
Here's the part nobody tells you. The reason you can't do the thing you already know how to do has nothing to do with how much willpower or discipline you have. It's that you're carrying a long list of food rules you never actually chose. Somebody handed them to you when you were young, before you had any way to question them, and they've been running quietly in the background ever since.
In this first episode of the pillar series, Elizabeth walks through where that second voice in the kitchen came from, why decades of dieting taught you to treat your own hunger as the enemy, and why knowing everything about nutrition has never once been enough to change what you do at night. She makes a claim that gets a little bit of pushback: if you're eating for any reason other than hunger, that's emotional eating, and there is nothing wrong with it. She also names the way exercise quietly turned into the thing you do to pay off what you ate.
This one leaves you seeing your own pattern clearly, maybe for the first time. Because once you understand whose voice is doing the arguing at nine o'clock, the whole thing looks different.
THE BIGGEST PROBLEM MIDLIFE WOMEN FACE HERE
The biggest reason midlife women can't follow through on their health has nothing to do with missing information or a shortage of willpower. It's that decades of diet history installed a set of food rules, absorbed young from a mother, a sister, a boyfriend, or a magazine, that taught them their own body could not be trusted. Hunger got labeled a problem. Cravings got labeled a weakness. Wanting a specific food got treated as proof that something was broken in them. So every food decision turns into an argument between a rule and a body signal, and the woman has already been taught to side against her own body. That is why she can know exactly what to do and still not do it. The information was never the missing piece. The unexamined rules are what's running the show.
WHAT YOU'LL LEARN
Why a woman who actually trusted her own body wouldn't be standing in the kitchen arguing with herself in the first placeWhere your food rules really came from, and why so many of them contradict each other yet still feel mandatoryThe reason knowing everything about nutrition never turns into doing it, and why more information won't fix itHow exercise quietly became a debt you pay off after eating, and what that does to your sleep, your cravings, and your moodRESOURCES
Take the quiz: Why Do Your Healthy Habits Keep Falling Apart? In about three minutes it shows you your specific pattern, the real reason your follow-through keeps breaking down, and what to look at first. Results go straight to your inbox.Episode 233: How to Eat Without Rules Episode 254: How to Trust Yourself Around Food Again in PerimenopauseEpisode 256: Fearing Hunger: How Dieting Trained You to OvereatHey! I love hearing from you. Send me a text. Let me know what resonated with you.
Free Diagnostic Session
If you know what to do but struggle to keep it all together when life starts to life, this call is for you. It's free, it's 30 minutes, and you'll walk away with a clear look at what's actually in your way instead of another generic plan.
Tap Here to Book Your Session
If you’re a woman in midlife who wants better health without obsessing over weight, you’re in the right place. I’m Elizabeth Sherman, a life and health coach and host of the Total Health in Midlife Podcast.
After coaching hundreds of women, I know the real problem usually isn’t “not enough information” – it’s too much of it, and not knowing where to start. With close to 300 episodes, this show can feel that way too.
To make it easy, I created a free Listener’s Roadmap that helps you figure out which episodes are right for you right now. Tell me what you’re struggling with – low energy, emotional eating, stress, sleep, exercise, or all of the above – and I’ll point you to a curated path of episodes and resources to get you moving.
Download your free roadmap at https://elizabethsherman.com/roadmap.
282: Why You Resent Your Health Routine Even When You're Showing Up
2026/08/04
You're showing up. You're doing the workouts, sending the emails, reaching out to friends, eating the way you're supposed to eat. And yet something feels off. The results aren't coming. The friendships aren't deepening. The business isn't growing. And underneath all of it is a quiet, low-grade resentment you can't quite name.
This episode is about what's actually driving that feeling. Not a lack of effort. Not bad luck. A belief most of us have been carrying since childhood that doing the right things automatically earns us what we want. And the way that belief quietly runs your health, your relationships, and your life without you realizing it.
Elizabeth shares a personal story from a recent night in Mexico that stopped her cold: catching herself judging her husband, then recognizing the exact same pattern in herself. What followed was an honest look at where this expectation comes from, what it costs midlife women specifically, and what it actually takes to start getting the results you want.
This one will make you uncomfortable in the best possible way.
WHAT YOU'LL LEARN
Why doing everything "right" can still leave you stuck, and what's actually missingWhere the belief that effort automatically earns results comes from, and why midlife is when it stops workingWhat self-pity actually looks like from the inside (hint: it doesn't feel like self-pity at all)The real reason women in midlife struggle to build friendships, grow their businesses, and make their health habits stickWhy seeing a pattern in yourself is not the same as being able to move through it aloneThe Listener Takeaway: Why This Episode Matters
If you've been doing the things and still not getting the results, this episode will give you a completely different explanation for why. Not a discipline problem. Not a willpower problem. A conditioned belief that was installed in you long before you had any say in it, and that has been quietly running in the background ever since. Understanding that is the first step toward something actually changing.
Most women who listen to this episode will recognize themselves in it immediately. The waiting. The quiet resentment. The sense that something is unfair but you can't quite put your finger on what. This episode names that clearly and honestly, and points you toward the one shift that makes everything else possible: recognizing that the life you want is not going to arrive on its own. You are the one who has to build it. And that is not a punishment. It's just how it works.
RESOURCES
Take the free quiz to find out what's really getting in your way: https://elizabethsherman.com/quiz Episode 245: Self-Pity, Sabotage & Self-Soothing: https://elizabethsherman.com/self-pity-sabotage-self-soothingEpisode 159: Fault vs Responsibility: https://elizabethsherman.com/fault-vs-responsibilityEpisode 160: Ex-Good Girl with Sara Fisk: https://elizabethsherman.com/sara-fisk Hey! I love hearing from you. Send me a text. Let me know what resonated with you.
Free Diagnostic Session
If you know what to do but struggle to keep it all together when life starts to life, this call is for you. It's free, it's 30 minutes, and you'll walk away with a clear look at what's actually in your way instead of another generic plan.
Tap Here to Book Your Session
If you’re a woman in midlife who wants better health without obsessing over weight, you’re in the right place. I’m Elizabeth Sherman, a life and health coach and host of the Total Health in Midlife Podcast.
After coaching hundreds of women, I know the real problem usually isn’t “not enough information” – it’s too much of it, and not knowing where to start. With close to 300 episodes, this show can feel that way too.
To make it easy, I created a free Listener’s Roadmap that helps you figure out which episodes are right for you right now. Tell me what you’re struggling with – low energy, emotional eating, stress, sleep, exercise, or all of the above – and I’ll point you to a curated path of episodes and resources to get you moving.
Download your free roadmap at https://elizabethsherman.com/roadmap.
281: Leaking, Pressure, and Hip Pain: It's Not Just Aging
2026/07/28
Leaking, pressure, and hip pain: it's not just aging.
If you've been quietly living with any of those symptoms and assuming it's just what happens to women's bodies over time, this episode is going to change that story. Dr. Mary Alice Vetter is a doctor of physical therapy who specializes in pelvic floor care, and what she sees in her practice every day is women who were told their symptoms were normal, not treatable. She calls them "the usuals." Her patients get sent home with a diagnosis, a shrug, and the expectation that they'll just manage around it. Most of them have been doing that for years.
This conversation covers the full picture of pelvic floor health in midlife, including what prolapse actually is, who it affects, what the symptoms are, and why so many of those symptoms get misread as hip problems, back problems, or just aging. It also covers the connection between estrogen, menopause, and pelvic floor dysfunction, which is something most women have never been told.
And if you've ever been told to do your Kegels and wondered why they're not helping, or suspected they might actually be making things worse, Mary Alice addresses that directly. The answer is probably not what you were expecting.
She works virtually, so geography is not a barrier. You'll find her information in the show notes below.
WHAT YOU'LL LEARN
What pelvic floor dysfunction actually looks like in midlife women, including the symptoms that have nothing to do with leaking that most women are completely missingWhy prolapse is far more common than women think, what the different types are, and what your options are beyond just "waiting to see if surgery is necessary"Why Kegels might not be the answer, and what Mary Alice actually prescribes first to every single patient regardless of what's going onThe Listener Takeaway: Why This Episode Matters
Most women over 40 who are dealing with pelvic floor issues have been told some version of "this is just what happens." They leave their doctor's appointments without a real explanation, without a path forward, and often with a low-level shame about something they didn't cause and don't know how to fix. This episode removes the information gap and replaces it with something more useful: a clearer picture of what's actually happening in the body, what the options are, and the knowledge that what feels embarrassing to talk about is actually incredibly common and very treatable.
If any part of your body has been talking to you in ways you've been ignoring, this episode gives you the language, the framework, and the permission to stop waiting.
RESOURCES
Dr. Mary Alice Vetter, Cornerstone Pelvic Health: @cornerstonepelvichealth on InstagramFree 3-minute quiz: find out what's getting in the way of your health follow-throughEpisode 208: Menopause Survival Guide Pt. 1 — Why We Feel StuckEpisode 209: Menopause Survival Guide Pt. 2 — The Lifestyle Shifts That Actually WorkEpisode 205: How Body Image Changes in MidlifeEpisode 280: Why "Having to Go" Isn't Just About Water Hey! I love hearing from you. Send me a text. Let me know what resonated with you.
Free Diagnostic Session
If you know what to do but struggle to keep it all together when life starts to life, this call is for you. It's free, it's 30 minutes, and you'll walk away with a clear look at what's actually in your way instead of another generic plan.
Tap Here to Book Your Session
If you’re a woman in midlife who wants better health without obsessing over weight, you’re in the right place. I’m Elizabeth Sherman, a life and health coach and host of the Total Health in Midlife Podcast.
After coaching hundreds of women, I know the real problem usually isn’t “not enough information” – it’s too much of it, and not knowing where to start. With close to 300 episodes, this show can feel that way too.
To make it easy, I created a free Listener’s Roadmap that helps you figure out which episodes are right for you right now. Tell me what you’re struggling with – low energy, emotional eating, stress, sleep, exercise, or all of the above – and I’ll point you to a curated path of episodes and resources to get you moving.
Download your free roadmap at https://elizabethsherman.com/roadmap.
280: Why "Having to Go" Isn't Just About Water (part 2 of Chris's Story)
2026/07/21
Chris noticed the bathroom trips increasing first. More frequency, more urgency, and a ready explanation sitting right there: she'd started drinking a lot more water. Made sense. Case closed, as far as she was concerned.
Except it kept going. Her body started feeling different as she lost weight, so that got filed under weight loss too. Then constipation showed up, and she was eating more vegetables than she ever had. None of it added up on its own, and none of it seemed serious enough to mention to anyone. She's a nurse. She goes to her appointments. She was paying closer attention to her body than she ever had in her life, and she still spent years explaining away symptoms that had a name she didn't know to ask for.
That name is pelvic organ prolapse. Chris talks through what it actually felt like: the frequency, the pressure when sitting, the moment a doctor said the word and she immediately pictured women decades older than herself. She talks about trying a pessary ring and hating it, about deciding to have surgery, and about the shame that kept her from telling anyone outside her husband and her coach.
She also shares something her own doctor told her that reframed the whole thing: losing fat means losing estrogen, and estrogen is part of what supports the pelvic floor. Weight loss, perimenopause, and pelvic floor strength were all happening in her body at once, and no one had ever connected those dots for her before.
What You'll Learn:
Why urinary urgency and frequency during weight loss or perimenopause can point to something other than hydration or hormones aloneHow fat loss affects estrogen levels, and why that matters for pelvic floor supportWhat the three stages of prolapse progression can look like day to day, including symptoms that don't involve painWhy so many women, including women in medicine, never get asked about their pelvic floor at a routine examWhat You Can Do Right Now: At your next appointment, ask directly: is there any sign of pelvic organ prolapse, and how is my pelvic floor doing? Don't wait for the question to come to you. If the answer feels rushed or dismissive, that's information too, and it may be worth finding a provider who will actually engage with it. Caught early, at stage one or stage two, prolapse can often be improved with the right pelvic floor therapy. Chris's case had already progressed past that point by the time it was named.
The Listener Takeaway: Chris knew her body better than most people do. She still needed someone else to name what was happening before she could act on it. If something in your body has felt off in a way you've been quietly explaining away, that's worth a direct conversation with your doctor, not another few months of your own theories.
Resources:
Episode 279: Chris's full story, from her first appointment to over 100 pounds lostEpisode 281: pelvic floor specialist Dr. Mary Alice Vetter joins the show to go deeper on what to ask and what to doTake the Free Quiz to see what might be getting in your wayHey! I love hearing from you. Send me a text. Let me know what resonated with you.
Free Diagnostic Session
If you know what to do but struggle to keep it all together when life starts to life, this call is for you. It's free, it's 30 minutes, and you'll walk away with a clear look at what's actually in your way instead of another generic plan.
Tap Here to Book Your Session
If you’re a woman in midlife who wants better health without obsessing over weight, you’re in the right place. I’m Elizabeth Sherman, a life and health coach and host of the Total Health in Midlife Podcast.
After coaching hundreds of women, I know the real problem usually isn’t “not enough information” – it’s too much of it, and not knowing where to start. With close to 300 episodes, this show can feel that way too.
To make it easy, I created a free Listener’s Roadmap that helps you figure out which episodes are right for you right now. Tell me what you’re struggling with – low energy, emotional eating, stress, sleep, exercise, or all of the above – and I’ll point you to a curated path of episodes and resources to get you moving.
Download your free roadmap at https://elizabethsherman.com/roadmap.
Podcast reviews
Read Total Health in Midlife with Elizabeth Sherman podcast reviews
4.9 out of 5
48 reviews
★★★★★
KymCoco 2026/02/17
A best friend in your pocket with incredible insights
Elizabeth’s soothing voice and inspirational messages come through in practical ways to be your best self now. Add this to your listening rotation, st...
★★★★★
@NinaBadzin 2025/09/25
Helpful topics
I appreciate the topics covered by Elizabeth and the questions she asks. Highly recommend!
★★★★★
Jodi Silverman 2025/03/12
Hits it home in just 21 minutes
I loved episode 213: Clutter & Your Health. In just 21 minutes Elizabeth hits it all, why clutter negatively impacts our health and wellbeing, both em...
★★★★★
rlescher 2024/07/30
Important
Important information for all women to hear!!
★★★★★
Productivity Ninja 2023/11/11
I don’t want to diet
I don’t want to diet. I am happy and healthy the way I am. I want to maintain my health for the rest of my life and this podcast is a good source of i...
★★★★★
Molly Watts 2023/06/23
Just what I needed
Elizabeth combines mindset and practical tools to tackle my post-menopause image. It’s really helping me approach weight loss in a different way.
★★★★★
MrsThree 2023/05/24
I’m energized again!
Elizabeth is a great storyteller and knowledgeable coach. She has a way of explaining concepts that is clear, concise and easily understood. I’m actu...
★★★★★
Whitney “Money Coach” Morrison 2023/05/02
Elizabeth is the real deal
If you’re over dieting than this podcast is for you. The approach she takes to food feels so much better and healthier. It’s been a game changer for m...
★★★★★
KmLindell 2023/03/21
A must listen for women who are done with dieting
Elizabeth goes beyond the basic strategies for losing weight and dives into the root causes of why we can’t. Then, she helps us lose weight in a susta...
★★★★★
Full Frontal Jewdity 2023/03/11
A Healthier Approach
Elizabeth puts out solid and helpful information in a digestible, straightforward way. I’ve been working to change my approach to health and fitness, ...