Dr. Mary Pines joins pelvic floor physiotherapist Lindsay Geddes for a no-BS conversation about hormone replacement therapy and vaginal estrogen — what they actually do, why the old fear messaging is outdated, and how they can transform bladder, pelvic, and sexual health for women in perimenopause and menopause.

Links & Resources

Learn more about Dr. Mary’s work at DrMaryPines.com and her signature Better Beyond 40 Formula program.

Follow her on Instagram at @drmarypines for day-to-day inspiration, wellness insights, and a behind-the-scenes look at her life and practice.

You can watch each episode on YouTube.

Transcripts of all episodes can be found here.

If you've been doing all the right things and your body still isn't cooperating, your hormones have probably just changed the rules on you. In this episode, Dr. Mary Pines breaks down the three stages of perimenopause so you can finally understand what's happening — and where you're headed.

Links & Resources

Learn more about Dr. Mary’s work at DrMaryPines.com and her signature Better Beyond 40 Formula program.

Follow her on Instagram at @drmarypines for day-to-day inspiration, wellness insights, and a behind-the-scenes look at her life and practice.

You can watch each episode on YouTube.

Transcripts of all episodes can be found here.

Bladder leaks, painful sex, urgency, and constant bathroom trips are incredibly common for women over 40 — but they are not something you have to live with. In this episode, pelvic floor physiotherapist Lindsay Geddes joins Dr. Mary to debunk Kegel myths, explain what’s really happening in the pelvic floor during midlife, and share how women can restore bladder confidence without surgery or medication.

Links & Resources

Learn more about Dr. Mary’s work at DrMaryPines.com and her signature Better Beyond 40 Formula program.

Follow her on Instagram at @drmarypines for day-to-day inspiration, wellness insights, and a behind-the-scenes look at her life and practice.

Transcripts of all episodes can be found here.

You can watch each episode on YouTube.

Where to Find Lindsay Geddes

• Follow her on Instagram at @lindsaygeddespt
• Join her Free Facebook Community: Women’s Natural Bladder Support: Leaks, Incontinence, OAB, Urge, Frequency
• And check out her Free Masterclass: The Bladder Confidence Solution
  
  

Dr. Mary sits down with functional medicine health coach Danna Levy Hoffman to unpack gut health, food freedom, and why dieting keeps failing women over 40.

From bloating and migraines to emotional eating and weight struggles, they explore how so many symptoms start in the gut — and why the real path forward isn’t restriction, but better sleep, more protein, and learning to trust your body again.

Links & Resources

Learn more about Dr. Mary’s work at DrMaryPines.com and her signature Better Beyond 40 Formula program.

Follow her on Instagram at @drmarypines for day-to-day inspiration, wellness insights, and a behind-the-scenes look at her life and practice.

Transcripts of all episodes can be found here.

You can watch each episode on YouTube.

Where to find Danna Levy Hoffman

• Website: Organilicious.ch
• Podcast: So Frickin’ Healthy
• Podcast: Becoming a Health Coach (with Megan McCrory)

Mentions in this Episode

• Mel Robbins’ book, The “5 Second Rule”
• LMNT (Element) electrolytes

Feel addicted to sugar or constantly thinking about food? In this episode, Dr. Mary breaks down why cravings after 40 aren’t about willpower — and how to retrain your metabolism and nervous system for real food freedom.

Links & Resources

Find episode transcripts, links, and resources on Mary’s website: https://drmarypines.com/podcast

Learn more about Dr. Mary’s work at DrMaryPines.com and her signature Better Beyond 40 Formula program.

Follow her on Instagram at @drmarypines for day-to-day inspiration, wellness insights, and a behind-the-scenes look at her life and practice.

Transcripts of all episodes can be found here.

You can watch each episode on YouTube.

Mentions in this Episode

The "famous" 7-minute workout video. Description: "In 12 exercises deploying only body weight, a chair and a wall, it fulfills the latest mandates for high-intensity effort, which essentially combines a long run and a visit to the weight room into about seven minutes of steady discomfort — all of it based on science." [Original NYT article here showing the workout in pictures.]

An under-desk walking pad or exercise bike can really help if you work at a desk or it's really cold outside.

If you're interested, some powerful breath practices:

• Box (or equal ratio) breathing
• 4-7-8 breath
• Kapbalabhati breath

Lab Markers & Testing

• Hemoglobin A1c (HbA1c / A1c) – 3-month average blood sugar marker
• Fasting Insulin – less commonly run, but critical for assessing insulin resistance
• Fasting Glucose
• Triglycerides
• Cholesterol markers
• Continuous Glucose Monitors (CGMs) – now available over the counter

If you’ve ever been told “it’s just your hormones,” this episode is for you. Dr. Mary breaks down what your hormones are really trying to communicate—and why balance, not perfection, is the key to feeling like yourself again.

She explains how estrogen, progesterone, cortisol, thyroid, and insulin work together like an orchestra, what happens when one instrument falls out of tune, and how factors like inflammation, liver detox, blood sugar, and gut health all play a role. You’ll also learn simple, evidence-based ways to support your hormones naturally through movement, sleep, nutrition, and stress management.

Links & Resources

Learn more about Dr. Mary’s work at DrMaryPines.com and her signature Better Beyond 40 Formula program.

Follow her on Instagram at @drmarypines for day-to-day inspiration, wellness insights, and a behind-the-scenes look at her life and practice.

Transcripts of all episodes can be found here.

You can watch each episode on YouTube.

Mentions in this Episode:

• “Blood Tests All Women Need” - Free PDF download
• Oura Ring — Track sleep, readiness, and recovery data to understand your body.
• Rethinking Hypothyroidism by Dr. Antonio C. Bianco

Dr. Mary Pines breaks down the truth about why most midlife wellness advice fails women over 40 — and what actually works instead. In this essential episode, she unveils the four key pillars of her Better Beyond 40 Formula — Sync, Recalibrate, Soothe, and Satisfy — to help women understand their shifting hormones, beat fatigue and inflammation, and finally feel at home in their bodies again. It’s the science, strategy, and compassion your doctor never had time to explain.

Links & Resources

Learn more about Dr. Mary’s work at DrMaryPines.com and her signature Better Beyond 40 Formula program.

Follow her on Instagram at @drmarypines for day-to-day inspiration, wellness insights, and a behind-the-scenes look at her life and practice.

Transcripts of all episodes can be found here.

You can watch each episode on YouTube.

Mentions in this Episode:

• Yuka App — Scan food and skincare products to check for toxins and additives.
• MyFLO® Cycle Syncing App by Alisa Vitti — Learn how to align your habits with your hormone cycle.
• Dr. Stacy Sims — Exercise and nutrition science for women.
• Dr. Mary Claire Haver — Menopause education and the creator of The Galveston Diet.
• Dr. Andrew Huberman — Neuroscience-backed performance and wellness education.
• Dr. Peter Attia — Longevity and health optimization.
• Oura Ring — Track sleep, readiness, and recovery data to understand your body.
• Ultrahuman Ring — A metabolic fitness tracker focused on glucose and recovery.
• RingConn — A no-subscription health tracking ring for sleep, heart rate, and recovery.

Dr. Mary Pines gets candid about the messy, emotional, and physical chaos of perimenopause and menopause — and how this season of life can become your midlife metamorphosis instead of a meltdown. Through honest storytelling and science-backed insight, she reframes midlife as a time of transformation, helping women move from exhaustion and overwhelm to clarity, confidence, and calm.

Links & Resources

Learn more about Dr. Mary’s work at DrMaryPines.com and her signature Better Beyond 40 Formula program.

Follow her on Instagram at @drmarypines for day-to-day inspiration, wellness insights, and a behind-the-scenes look at her life and practice.

Transcripts of all episodes can be found here.

You can watch each episode on YouTube.