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Debra Atkinson
Exercise physiologist, TEDx speaker, and founder of Flipping 50; host of The Flipping 50 Show on fitness for women in menopause and midlife.
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Sep 8, 2026
174 // ADHD, Exercise, Menopause & more, with Debra Atkinson
0:37

Kelsey SpronkHOST
But first, can you start us off by telling us a bit more about you and about what you do?
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0:44Debra AtkinsonGUEST
Well, and I will let you know, too, it was a lot of fun to dig into preparation for this.
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0:52Debra AtkinsonGUEST
So this is my 43rd year full time as a strength and conditioning coach, personal trainer back in the day before personal training was a thing.
38 MINS LATER
Keeping Fit During Menopause with Debra Atkinson
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38:54Eric OsanskyHOST
But I guess how... slowly or quickly should they progress as far as building up that resistance training?
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39:06Debra AtkinsonGUEST
So in terms of starting, number one, those of you who are just starting, I mean, I'm jealous really, because you're a virgin and you will save results from almost anything because you're not doing anything.
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39:21Debra AtkinsonGUEST
So- Let's just say that the longer you've been doing it, the fewer changes you're going to see.
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39:31Debra AtkinsonGUEST
If you're just starting out, you will see strength gains, feel strength gains, probably within a couple of sessions.
6 MINS LATER
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45:33Eric OsanskyHOST
Yeah, but what are your thoughts about I guess those three modalities and when it comes to especially building bone density.
#62 - Eat More, Exercise Less: Rethinking Fitness After 50
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20:13Debra AtkinsonGUEST
so should we get that for your mother? And, uh, Dustin, my son, is like, "Oh no, she wouldn't eat that." [laughs] Like, you know, and so it was very clear that he had been paying attention.
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20:29Debra AtkinsonGUEST
So it was interesting, but I think it's decades later you begin to see or hear little things said.
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20:36Debra AtkinsonGUEST
You know, my son says to me, "Y- you're gonna live to 120," like [laughs] you know, and kind of nonchalantly.
28 MINS LATER
Ep. 582 Most Women Are Training Wrong After 40! – The Shocking Truth About Midlife Fitness, Muscle & Injury with Debra Atkinson Prevention | Menopause & Exercise
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2:12Debra AtkinsonGUEST
[upbeat music] I think right now we're in this moment of time where it's predictions of trends, and it is countdown, but there's a very popular thing going on with influencers who, by the way, for the most part, do or don't have any background in exercise and in exercise science.
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2:32Debra AtkinsonGUEST
Although they may be physicians, and they may see the lab numbers and what's happening on the other end, I think it's, this is just a, "I'm doing this because it's popular, and it will get me lots of views." And people are like, "Rate exercises for women." And so all of a sudden I'm seeing Pilates and walking and running and biking, and then they're giving their number out of ten, and here's a rating.
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3:01Debra AtkinsonGUEST
We can't possibly rate it with simply a- an answer like that, because walking can be done slowly, leisurely.
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3:11Debra AtkinsonGUEST
I love it out in the woods, or I'm in my dreadmill with a low-hanging basement.
18 MINS LATER
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20:54Cynthia ThurlowHOST
This occurs with loop cycles, and I find it really fascinating why estrogen plays such an important role in muscle and bone health and recovery as well.
BONUS: Muscle, Bone & Joint Health in Menopause with Debra Atkinson
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12:34Cynthia ThurlowHOST
If their desire is to change body composition, or if their desire is to get rid of some fluff, or if their desire is to be able to, you know, improve how much weight they're using in the gym, et cetera, what are some of the common things that you feel like are... women are consistently or perhaps not realizing they're doing that are undermining their, their best efforts?
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13:02Debra AtkinsonGUEST
And then if you could go deeper into that layer, it's the how to do strength training.
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13:07Debra AtkinsonGUEST
So I think many of us grew up with, as young adults, as group fitness junkies, you know, and feeling, "Well, if I'm going to BTS or Body Pump systems, you know, I can check that box off." And, you know, when I wrote You Still Got It, Girl, that was 2015, there was a study included in there that says, like, Body Pump is not proven to enhance bone density, you know.
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13:30Debra AtkinsonGUEST
And the reason for that, I don't think we could say collectively that's everybody, it's true for everybody.
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13:37Debra AtkinsonGUEST
There may be individuals in that, but there wasn't statistically on participants enough because most of us are not picking up heavy enough weights.
15 MINS LATER
Ep. 553 The Ultimate Bone Health Masterclass Series Part 1 | Menopause & Bone Health
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20:23Cynthia ThurlowHOST
What does the research show about how much strength training and how often to support our bone health?
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20:30Debra AtkinsonGUEST
And it's so exciting, actually, to be a woman post-menopause now, because we are going to create the results, the data for, again, for our daughters to come through.
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20:42Debra AtkinsonGUEST
So Think of this, in 1995, when I first personally started lecturing on osteoporosis and osteopenia, I had to define it.
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20:53Debra AtkinsonGUEST
I had to draw pictures, you know, and look at, this is modeling, this is remodeling.
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25:01Cynthia ThurlowHOST
How has HRT impacted your clients in terms of being able to build and maintain muscle, build and maintain bone? Because I'm starting to see, like I always say, my N of several hundred, if not a couple thousand, you know, the sleep piece is where I see the most benefits, you know, in terms of like consistently, if women come to me with HRT, they're sleeping through the night.
63: Stop Doing More Cardio - The Smarter Way Women Over 40 Build Strength and Confidence with Debra Atkinson
29:44
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13:55Debra AtkinsonGUEST
You know, the time we really want to start thinking about a woman's menopause or her older ages when she's a little girl.
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14:02Debra AtkinsonGUEST
You know, right now, I think we're living in a time where we do talk about children and childhood obesity and screen time.
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14:09Debra AtkinsonGUEST
So getting kids back out, getting them playing, getting them jumping, getting them experiencing different sports, number one, so that they become lifetime advocates of it.
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14:20Debra AtkinsonGUEST
And they find what they love and they become good at it so that they want to continue when they're teens.
15 MINS LATER

McCall McPhersonHOST
I was wondering what we can do to intervene on those kinds of subsets and any tips, tidbits, what you're seeing as outcomes and how they shift, just take us through it.