December 23, 2025
Episode #235 – Menopause Explained for Men and Women: Hormones, HRT and Midlife Health with Debra Atkinson
“It is not cheating to supplement. With the quality of our soil and the lives we live, there is almost no way to eat enough to get everything we need from food alone.” – Debra Atkinson
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- In this episode of The Everyday Millionaire, host Patrick Francey sits down with Debra Atkinson, exercise physiologist and founder of Flipping 50, to reframe menopause as the gateway to a stronger, more powerful second half of life. Debra explains that for decades, most exercise and sports medicine research was done on men, leaving women in perimenopause and menopause to “fly blind” when it comes to what actually works for their changing hormones, bones and muscles. Flipping Fifty+1
- Debra breaks down the menopause transition in clear, practical language. She defines menopause as a single point in time, 12 months after a woman’s last period, and outlines how perimenopause can last up to 11 years with fluctuating estrogen, progesterone, testosterone and rising cortisol. These shifts drive common symptoms like weight gain, belly fat, insomnia, brain fog, low libido and joint pain, and can dramatically affect mood and identity.
- The conversation dives into strength training for women over 40, why only about 20 percent of adults lift weights at least twice a week, and how building and preserving muscle is the single biggest lever for better blood sugar, bone density and long term independence. Debra also highlights the importance of early bone density testing, plus smart supplementation with vitamin D3 with K2, magnesium, omega 3s and creatine to support muscle, bone and brain health. World Osteoporosis Day+2Flipping Fifty+2
- Patrick and Debra explore the emotional side of aging, the guilt many women feel about prioritizing themselves, and how men can better support the women they love by approaching menopause with curiosity instead of fear. Debra closes by sharing her own leap at 49 to start Flipping 50 and her core message that it is never too late to get stronger, feel better and change the way you age.
- This episode is essential listening for midlife women, the men who love them, and anyone who wants to stay strong, sharp and vibrant as the years go by.
- Timestamps & Key Topics:
- [00:00] Opening & Guest Intro
- Patrick sets up the show and introduces guest Debra Atkinson, exercise physiologist and founder of Flipping 50, the first fitness membership created exclusively for women in and around menopause.
- [02:50] Why Men Should Care About Menopause
- Patrick asks if men will get value from a menopause focused episode. Debra explains that if you love or work with a woman over 40, you need to understand menopause because it affects relationships, mood, health and longevity.
- [04:22] What Debra Does Today
- Debra describes Flipping 50 as the first and only menopause specific fitness membership in the world and shares her belief that this generation of women can change how everyone ages by changing how women go through menopause. Flipping Fifty+1
- [05:15] Why Menopause Is Finally Being Talked About
- Debra credits Baby Boomers for refusing “that is just aging” as an answer. She unpacks the historic lack of research on women in exercise science because fluctuating female hormones made trials “inconvenient,” and how that is finally changing as more studies include women and specifically menopausal women. Flipping Fifty
- [08:40] What Menopause Actually Is
- Clear definition of menopause as a point in time, 12 months after a woman’s last period, followed by post menopause “till death do you part.” Debra explains perimenopause usually starts in the 40s, can last up to 11 years, and experiences vary as much as a thumbprint.
- [10:00] Hormones in Perimenopause and Beyond
- Debra breaks down declining estrogen, progesterone, testosterone and growth hormone, along with rising cortisol, and how that affects blood sugar, stress responses, and body composition.
- [14:24] Identity, Loss of Control and Body Changes
- Conversation about emotional and identity shifts: fatigue for women who never had it, body shape changes, loss of muscle and libido, painful intimacy, insomnia and brain fog. Patrick connects this to what he has seen with his wife and friends.
- [19:15] HRT, Confusion and Misinformation
- Patrick asks whether women today better understand hormone therapy than in the past. Debra explains how outdated fear based messaging from older studies still lingers, how physician education varies, and why more women are now asking, “Is it too late for me to start hormone therapy?” She distinguishes Western trained versus functional medicine approaches.
- [23:45] Is It Ever “Too Late” to Start Hormone Therapy?
- Debra shares that menopause experts she interviewed say it is often still possible to start hormone therapy later, just with lower doses and careful monitoring.
- [26:30] Can You Prepare For Menopause Early?
- They talk about Patrick’s wife being proactive and how women in their 20s and 30s can stack the deck: lift weights, protect bone density, build muscle and eat for long term health.
- [29:28] Bone Density, Baselines and Peak Bone Mass
- Debra explains peak bone density by around age 30, why she now wishes young women would get baseline bone scans, and how hard it is to rebuild bone later compared to maintaining it.
- [32:57] Muscle Memory vs Bone Density and World Osteoporosis Day
- Patrick asks if bone has “memory” like muscle. Debra says not in the same way and notes how osteoporosis only really hit the radar in the mid 1990s and is now important enough to have World Osteoporosis Day on October 20 each year. World Osteoporosis Day+1
- [36:24] Supplements That Actually Matter
- Deep dive into evidence aligned supplements
- Vitamin D3 with K2 for bones, muscles, and hormones
- Magnesium for absorption and muscle function
- Omega 3 and 6 balance for inflammation, muscle, bone and brain health
- Creatine for strength, bone support and cognitive performance at any age World Osteoporosis Day+1
- Deep dive into evidence aligned supplements
- [40:20] Why Food Alone Often Is Not Enough
- Debra cites research showing many top “healthy” diets would require enormous daily calories to hit basic RDAs, making smart supplementation almost essential with modern soil quality and lifestyles.
- [45:00] Inflammation, Aging and Aches
- Patrick shares his own experience of training pain and wonders what is just aging versus fixable. Debra connects inflammation, omega 6 heavy diets, and joint issues, and explains how changing the omega 3 to 6 ratio can reduce pain.
- [50:00] Motivation, Dopamine and Why Workouts Feel “Flat”
- Debra explains that after menopause women have fewer dopamine receptors, so the post workout “high” can be muted. Her prescription: stack feel good inputs like music, sunshine, walking with a friend, and social connection to re spark motivation and mood.
- [55:00] The 80 Percent Who Are Not Lifting Weights
- They discuss that about 80 percent of adults are not strength training twice a week, and how much fitness messaging unintentionally intimidates the people who need it most.
- [1:03:10] Influencer Culture vs Real Expertise
- Debra worries people cannot tell the difference between true experts with thousands of coaching reps and newer “influencers” who only coach via social media. Patrick adds how lived experience in your 50s and 60s is crucial for coaching midlife clients.
- [1:05:00] Women, Caregiving and Guilt Around Self Care
- Patrick shares how women often feel guilty investing in themselves and how partners can actively create space for them to rest, train and receive care. Debra confirms that in her memberships and retreats, caregiving responsibilities are usually what pull women off track.
- [1:10:00] Body Image, Extremely Low Body Fat and GLP 1 Drugs
- Debra flags concerns about very low body fat, loss of menstrual cycles and over reliance on GLP 1 weight loss drugs, and the risk of sliding into frailty or disordered patterns.
- [1:13:41] Letting Go of “Getting Back to Who I Was”
- Debra sees many women obsess over getting back to a younger version of themselves instead of asking “What if it could be this or better now?” Patrick loves that reframe.
- [1:14:09] How Men Can Support Women in Menopause
- Top tips: approach with curiosity, ask “What is this like for you” rather than fixing or dismissing, and be patient with the emotional and physical roller coaster.
- [1:15:41] Debra’s Turning Point at 49
- Debra shares the moment she realized the fitness industry was failing midlife women. Inspired by a line from National Treasure about responsibility when you see a better way, she quit her safe university and private sector jobs and started Flipping 50, eventually building a thriving business and training other coaches. Flipping Fifty+1
- [1:20:00] Early Life, Entrepreneurship and Late Start in Fitness
- She was not a natural athlete, chose sports where she could mostly stand still, started walking and jogging around college, then switched majors into physical education after experiencing the power of movement personally.
- [1:22:30] Why Fitness Makes Everything Better
- Patrick reiterates that he works out more for quality of life than longevity. They agree that physical health sharpens mental performance, emotional resilience and enjoyment in every role.
- [1:25:00] Discipline, Habits and Keeping Promises to Yourself
- They riff on discipline versus habits, and Debra shares a client who unlocked consistency by realizing she was “lying to herself” whenever she skipped promised workouts.
- [1:30:22] Rapid Fire Questions
- Fun wrap up: Apple vs Android, music preferences, favorite swear word, childhood books and what she hopes to hear from God at the end: “Well done.”
- [1:33:14] Closing
- Patrick shares his gratitude, invites feedback and reminds listeners to connect via CEO@reincanada.com and reincanada.com.
Episode Full Transcript
Length: 1:34:37
Host: Patrick Francey
Guest: Debra Atkinson
- Resources Mentioned & Links
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- Flipping 50 – Main Site
https://www.flippingfifty.com Flipping Fifty - Flipping 50 Membership
https://www.flippingfifty.com - About Debra Atkinson
https://www.flippingfifty.com/about-debra - Exercise During Menopause – Flipping 50
https://www.flippingfifty.com/exercise-during-menopause - The Flipping 50 Show (Apple Podcasts)
https://podcasts.apple.com/ca/podcast/the-flipping-50-show/id903871206 - World Osteoporosis Day – Official Site
https://www.worldosteoporosisday.org - Bone Health and Osteoporosis Foundation – World Osteoporosis Day
https://www.bonehealthandosteoporosis.org/world-osteoporosis-day/ - Otter.ai (Transcription Service)
https://otter.ai - Real Estate Investment Network (REIN) – Main Site
https://reincanada.com
- Flipping 50 – Main Site
- Connect with REIN Canada
- REIN Canada
- CEO@reincanada.com
- REIN Channel
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