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Second Opinion

Second Opinion

De : Rosemarie Beltz
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Get the clarity you need on the hottest topics in health and wellness with Second Opinion. Hosted by Rosemarie Beltz, this podcast brings you fresh perspectives from experts, innovators, and disruptors tackling life-changing issues. Each episode unpacks the latest research, debunks the hype, and delivers insights to help you make informed decisions. If you're ready for engaging, enlightening, and occasionally unexpected takes on health and wellness, tune in and discover your second opinion.© 2026 Rosemarie Beltz Hygiène et vie saine Sciences sociales
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    Épisodes
    • Estrogen After the Black Box Era: Menopause Medicine Reclaimed in 2026
      Feb 18 2026
      Menopause Medicine Reclaimed.A Second Opinion on Hormone Therapy After the Black Box Era — Why Estrogen Was Misunderstood and What Modern Care Looks Like in 2026Episode DescriptionThis episode explores menopause medicine and hormone therapy after decades of confusion—not from a trend-driven perspective, but through evidence, lived experience, and thoughtful analysis.In this conversation, Rosemarie Beltz sits down with Dr. Betsy Greenleaf, a triple board-certified physician and leader in women’s pelvic, hormone, and integrative health, to examine how the Women’s Health Initiative reshaped menopause care, why estrogen was widely misunderstood, and what is changing in 2026.Together, they unpack the “black box era,” the institutional blind spots in women’s midlife health, and why individualized hormone care still struggles inside a standardized medical system.This episode is for listeners who value clarity over noise, nuance over extremes, and insight that actually applies to real life.What You’ll Learn in This EpisodeIn this episode, we discuss:Why “it’s just aging” deserves a second lookWhat the research — and clinical experience — really show about hormone therapyHow the Women’s Health Initiative shaped decades of fearWhy the FDA’s 2025–2026 updates to boxed warnings matterThe difference between bio-identical hormones, synthetic hormones, and birth controlWhy labs alone can mislead in perimenopauseHow estrogen receptors influence brain, heart, bone, and vascular healthThe intersection of menopause and cardiovascular riskWhen SSRIs are appropriate — and when they may miss the root issueWhy gut health, stress, and cortisol affect hormone responseHow to advocate for yourself when you feel dismissedPractical next steps for finding competent, current careWho This Episode Is ForThis episode is for:Midlife listeners who want credible, grounded health insightProfessionals tired of surface-level menopause adviceWomen navigating perimenopause, menopause, or post-menopausePartners who want to better understand hormonal transitionsAnyone seeking informed, individualized care rather than ideologyThis episode may not be for listeners looking for quick fixes, hype, or one-size-fits-all answers.Key TakeawaysMenopause is not a malfunction — it is a physiological transitionContext matters more than headlinesHormone therapy is a tool — not a cure-allEvidence evolves — but bias can lingerLabs guide, but symptoms tell the storySustainable change begins with understanding, not urgencyThe best decisions are informed — not reactiveAbout the GuestDr. Betsy Greenleaf is a triple board-certified physician specializing in uro-gynecology, hormone health, and integrative medicine. She is a national voice in menopause education and the founder of the PAUSE Institute, dedicated to individualized, root-cause care for women and men in midlife and beyond.Learn more:PAUSE Institute https://pauseinstitute.com Pelvic Floor Store https://pelvicfloorstore.comWomen’s Pelvic Meditation: https://femversity.com/pelvicmediation-sign-upHormone Quiz: https://link.apisystem.tech/widget/quiz/Xxe3hNPG5Iora9LqUILT Follow Dr. Greenleaf on social media for ongoing education https://www.instagram.com/drbetsygreenleafAbout the HostRosemarie Beltz is a cardiovascular perfusionist with nearly 30 years of clinical experience and the host of Second Opinion — a platform dedicated to thoughtful conversations at the intersection of health, reinvention, and lived experience.She blends medical literacy with human insight, asking better questions so midlife decisions become clearer — not louder.Listen & SubscribeIf this episode resonated, subscribe to Second Opinion on Apple Podcasts, Spotify, Amazon or your preferred platform.Share it with someone who values credible conversation and wants a smarter discussion about menopause medicine.ConnectWebsite: RosemarieB.com Instagram: @RosemarieBeltz LinkedIn: Rosemarie BeltzSecond Opinion is created, written and produced by Rosemarie Beltz 🔗 Follow & Subscribe to never miss an episode. If you love the show, leave a review—it helps others get a second opinion!💡 Have a topic you’d love for us to cover? Reach out at www.rosemarieb.com.
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      1 h et 25 min
    • Do You Need a Mental Health Day? Loving Yourself Enough to Manage Stress
      Feb 11 2026

      What if the heaviness you’re feeling isn’t a flaw to power through — but a signal worth respecting? In midlife, stress doesn’t just live in your head. It lives in your sleep, your patience, your body, and sometimes… your heart.


      In this solo episode of Second Opinion, Rosemarie Beltz unpacks what a “mental health day” actually is (and what it isn’t), why high-functioning people are often the last to take the break they’ve already earned, and how a planned reset can be a form of prevention — not a collapse. Drawing on Harvard Health’s reporting on mental health days as a “pre-charge” before burnout, and Mayo Clinic Health System guidance on intentional time away to recharge, this episode reframes rest as leadership.


      In this episode, you’ll hear:

      • How to recognize when your psychological load is quietly tipping into burnout (before it becomes a crisis)
      • Why “pushing through” can worsen stress physiology — including impacts on blood pressure, sleep, and health behaviors
      • The workplace reality: nearly one-quarter of U.S. workers report taking zero vacation days — even when they have PTO
      • A simple self-check framework: exhaustion, apathy, and dread — rated honestly
      • How to plan a mental health day that restores your baseline instead of leaving you more depleted


      This episode is for you if you’ve been “fine” a little too convincingly — and you’re ready to treat recovery like a real part of your health strategy.

      Listen, reflect, and share this with someone in midlife who’s been carrying a lot quietly.

      Better questions lead to better decades — because in midlife, age is an advantage.


      🔗 Follow & Subscribe to never miss an episode. If you love the show, leave a review—it helps others get a second opinion!

      💡 Have a topic you’d love for us to cover? Reach out at www.rosemarieb.com.

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      22 min
    • Experience as Leverage, A Second Wind Conversation: From Perfusion to Property — Work, Wealth, and Choice After 40
      Feb 4 2026

      Midlife isn’t a breakdown. It’s a data point. When you’ve built a life that looks solid on paper—but your body, bandwidth, or curiosity says “there’s more”—it’s time for a different kind of conversation. In this Second Wind episode, Rosemarie Beltz sits down with Teri Trifiletti, a former cardiovascular perfusionist who quietly leveraged her clinical career into real estate ownership, greater autonomy, and a life designed with intention.

      In midlife, the question isn’t whether you’re capable. It’s whether the life you built still fits.

      In this episode of Second Opinion, Rosemarie Beltz launches Second Wind—conversations for high-functioning adults who aren’t broken, but ready to evolve. The focus isn’t dramatic reinvention. It’s strategic expansion: using your experience as leverage, not a limitation.

      Rosemarie is joined by Teri Trifiletti, a former cardiovascular perfusionist who spent more than two decades in high-acuity cardiac surgery before transitioning fully out of the OR. While still practicing, Teri began investing in real estate, learning through ownership and building a portfolio over time. A relocation to Charlotte became the pivot point that helped her step into full-time property management—creating more flexibility, more control, and a different relationship with work.

      This conversation is about what many professionals quietly carry: the golden handcuffs of stability, the invisible toll of constant readiness, and the moment you realize success is not the same as freedom.

      Key themes explored:

      • Why “successful on paper” can still feel misaligned in real life
      • How clinical skills transfer directly into ownership, entrepreneurship, and leadership
      • The hidden courage required to leave certainty—even when you’re good at it
      • What perfusion teaches you about risk, pressure, documentation, and decision-making
      • A grounded entry point into real estate that doesn’t require a license or hype
      • How to get unstuck by separating real constraints from mindset loops

      This episode is for you if you’re grateful for what you’ve built—but you’re ready for more choice, more autonomy, and a life that supports your nervous system, not just your résumé.

      Listen in, then take five quiet minutes afterward to ask: What would change if your experience worked for you—fully?

      Second Opinion is where science meets story—and better questions lead to better decisions.


      🔗 Follow & Subscribe to never miss an episode. If you love the show, leave a review—it helps others get a second opinion!

      💡 Have a topic you’d love for us to cover? Reach out at www.rosemarieb.com.

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      39 min
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