Fourth Trimester x Mornings with Megan: Postpartum Recovery After 38 episode artwork

EPISODE · Apr 29, 2026 · 41 MIN

Fourth Trimester x Mornings with Megan: Postpartum Recovery After 38

from Mornings with Megan · host Megan Pfiffner

Postpartum after 38 is metabolically different. Here's why, and what to do about it.If your body isn't bouncing back after having a baby the way you expected, you're not imagining it. Recovery is genuinely harder in your late 30s and 40s, and for a growing number of women, the reason is the overlap between postpartum recovery and early perimenopause.I joined Sarah Trott on the Fourth Trimester Podcast to talk about the physiology behind this, the labs that get missed during the six to 24 month postpartum window, and the practical interventions that help.We cover the Fuel, Move, Recharge, and Regulate pillars of the Perimenopause Matrix and dig into:Why insulin resistance increases as estrogen and progesterone decline, and how that affects postpartum recoveryHow to tell whether your symptoms are typical postpartum recovery or early perimenopauseWhat MHT is and why the conversation looks different when you're also breastfeeding or trying to conceiveThe testing gap: why fasting insulin shows metabolic changes up to 10 years before fasting glucose movesWhat elevated triglycerides are signaling about your carbohydrate toleranceThe cortisol-blood sugar connection and what it means for sleep-deprived new mothersProtein targets, plate building, and nutrient-dense food strategies for postpartum recoveryStrength training, pelvic floor timing, and how muscle is your best longevity investmentCircadian light, morning sunlight, and the 10-minute daily regulation habit that supports cortisol and melatonin balanceThis episode is for you if you've had a baby after 38, if you're navigating both fertility and perimenopause, or if you're supporting women in this unique life overlap.Find show notes and resources at 👉 HereSubscribe to Mornings with Megan for weekly perimenopause nutrition conversations every Wednesday morning.About the Perimenopause Matrix:The Matrix is my framework for navigating perimenopause across 6 pillars: Fuel, Move, Recharge, Regulate, Connect, and Clean. But this episode isn't about optimizing all 6 - it's about choosing the ONE that matters most in YOUR current reality.🧬 Ready to stop guessing?I help women interpret their labs so they can make nutrition decisions based on data, not diet trends.👉 Book your personalized Lab Review here🎁 FREE RESOURCE: Download the free Perimenopause Decoder . It helps you understand what's happening during perimenopause so you can make decisions from a place of clarity, not chaos.📱 CONNECT WITH ME:Website⁠⁠Instagram⁠⁠LinkedIn⁠Facebook ⁠YoutubeYou're not crazy. You're not broken. You're not alone. And you absolutely deserve to feel like yourself again.Listen to Mornings with Megan Podcast 🎧 New episodes drop every Wednesday!AppleSpotifyAmazonYoutube

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Fourth Trimester x Mornings with Megan: Postpartum Recovery After 38

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