The Primal Menopausal Diet & Rewriting Women’s Longevity | Dr. Mindy Pelz
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Aging isn’t a decline - it’s a recalibration. And for women, it requires an entirely different conversation than the one the longevity world has been having.
In this episode of The Art of Being Well, I talk with Dr. Mindy Pelz about what truly happens inside the female brain and body during perimenopause and menopause. Dr. Pelz explains how estrogen acts as a master regulator for more than a dozen neurochemicals - including dopamine, serotonin, GABA, and acetylcholine - and why its natural decline reshapes motivation, mood, sleep, cognition, and identity.
We unpack why irritability and brain fog are neurological signals, not personal flaws; why ketones become the preferred fuel for the menopausal brain; and how fasting, novelty, storytelling, tuber-rich foods, and circadian alignment can naturally restore balance.
We also discuss hormone replacement therapy, metabolic flexibility, the “Primal Menopausal Diet,” the Grandmother Hypothesis, and what it means to move from biohacking to bio-harmonizing.
This is a conversation about freedom, physiology, and the power women gain - not lose - as they age.
A few of my favorite things we cover in this episode:
- Dr. Pelz’s new book Age Like a Girl and why women need a different longevity roadmap
- The difference between biohacking and bio-harmonizing - and why women require rhythm, not hacks
- How estrogen shapes over a dozen neurochemicals (“Estrogen’s Girl Gang”) and what happens when it declines
- The real drivers of irritability, brain fog, and personality changes during perimenopause and menopause
- Why the menopausal brain becomes less sensitive to glucose - and why ketones become a preferred fuel
- What ancient tuber-heavy diets reveal about feeding the menopausal brain
- Fasting windows, metabolic flexibility, and the “Primal Menopausal Diet”
- How novelty, storytelling, and light exposure can naturally stimulate dopamine, acetylcholine, and melatonin
- Hormone replacement therapy: Who may benefit and why labs alone aren’t the answer
- Why lifestyle - not just prescriptions - must be foundational in menopause
- The Grandmother Hypothesis and what ancestral living reveals about movement, fasting, and intuition
- Concerns around exogenous ketones and why fasting provides a cleaner approach
- Controversial but important conversations around vaccination, methylation, and bio-individuality
- Dr. Mindy’s favorite peptides, supplements, and wellness practices (methylene blue, cerebral lysin, fasting)
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Happy listening and we hope you learned a little bit more on the art of being well!
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In Health,
Dr. Will Cole
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BY DR. WILL COLE
Dr. Will Cole, DNM, IFMCP, DC is a leading functional medicine expert who consults people around the globe, starting one of the first functional medicine telehealth centers in the world. Named one of the top 50 functional and integrative doctors in the nation, Dr. Will Cole provides a functional medicine approach for thyroid issues, autoimmune conditions, hormonal imbalances, digestive disorders, and brain problems. He is also the host of the popular The Art of Being Well podcast and the New York Times bestselling author of Intuitive Fasting, Ketotarian, Gut Feelings, and The Inflammation Spectrum.