hormones and heart healthThe Connection: Your Hormones and Heart Health

During this Heart Health Month post, I look at the hormones and heart health connection. It’s no secret that you are an integrated being. The health of your bones is related to hormones. Your fat storage and fat burning ability are related to hormones. Your muscle definition is related to hormones.

Your heart health too is related to hormones.

There are over 70 hormones in the body. If any of them are too low or too high you have imbalance. It might seem logical we’re always in some kind of imbalance, right? How can 70 hormones always be well behaved?

But some have a bigger impact than others. The rate and speed of damage from hormone imbalance depends on which hormone and how much it’s out of balance.  Some matter more than others and some affect other hormones causing a cascade reaction.

High estrogen levels are most related to your risk of heart disease. 

Yet, it’s integrated. Every hormone is influenced or influenced by another. Just as exercise is influenced or influences hormones.

The After 50 Fitness Formula

Exercise for many of us is the catalyst for making other positive health-impacting changes. So in this post about heart health and hormones I address how the After 50 Fitness Formula (used in all my programs) is used in an If-This, Then-That approach.

You, of course, have to know two things:

1) What those positive changes are – you may need not more information, but more specific data about you. Whether you do this through a course, an elimination diet, a food sensitivity test, a stool test or a combination of these, (and I encourage more than one for many of the individuals who have “tried everything” but still don’t have answers), you have to define what “healthy” choices are for you in the right now of your life.

2) What exercise supports hormone balance based on your signs of imbalance- whether you’ve tested with lab work or not. I very recently was surprised to be asked whether “extensive lab testing” needed to be done to tell you the status of your hormones. The answer is no!

The fitness formula for women over 50Labs or Life Clues?

Your body doesn’t lie. If you’re not digesting well, you’re losing your hair, you’re tired all the time, you’re hungry right after meals, you’re craving sugar or salt, you can’t remove belly fat even with exercise and healthy eating… these are all signs and can all be usedto adjust your habits for more natural hormone balance.

Exercise more and harder is the intuitive response for both too many trainers, and women who aren’t getting results. That “do more of what’s not working” approach will make matters worse. From hormone imbalance you can go to adrenal fatigue and complicate matters with thyroid disruption, if you don’t listen and respond.

With a little understanding about your hormones, your hormones and heart health connection, and how to achieve a better natural balance, exercise can be an integral part of your overall health. Without it, you could be unintentionally be doing harm.

Hormones and Heart Health

Cardiovascular disease rates increase significantly after menopause and becomes the number one cause of death in women. The need to have adequate and balanced estrogen levels becomes especially important.

Some of the research does suggest negative effects of hormone therapy. You need the full story though. Non-oral estrogens don’t result in the pro-coagulant effect. Natural or bio-identical (not synthetic) progesterone doesn’t interfere with beneficial effect of estrogen in blood vessels. Estradiol and progesterone therapy can have beneficial effects on lipoprotein and cardiovascular health.

Cortisol, estrogen, progesterone, and testosterone are the most important pieces of heart health. Positive change in estrogen happens by improving cortisol and progesterone.

hormones and heart health The Integration

Progesterone is important for helping balance testosterone and estrogen, and it’s important in strengthening the heart. While getting breathless does help the cardiovascular system and heart muscle, so too do you need to think about what happens at the cellular and hormone level.

Food and exercise both affect your hormones. It’s pretty clear there’s no neutral: the right food helps the wrong food hurts. Consuming foods with hormones in them (whether added or the animals were fed them or not – since the animal itself has hormones) can negatively affect your levels. Gut health alone is not the only reason to reconsider your milk and dairy consumption.

Hormones and Heart Health: Progesterone

Optimal progesterone levels support optimal cortisol levels, which in turn support the body’s anti-inflammatory process. That is especially important in cardiovascular disease, which is initiated by inflammation. Your hormones and heart health are as intertwined as that yarn around your high school boyfriend’s class ring.

A “progesterone steal” occurs when stress levels elevate (your perceived level as well as too much exercise, too little sleep, or a poor diet). That depletes progesterone stores since progesterone can be used to make cortisol when it’s needed. If your stressors are chronic and continued for a long period of time (hello, overachieving woman of 2019) this has a good chance of happening.
That sets you up for a hormone imbalance (estrogen dominance) caused by that low level of progesterone.

Progesterone has been credited to opening up blood vessels (less resistance due to bigger pathways means less blood pressure), reducing cholesterol and triglycerides, and it regulates collagen. If your skin is just not the same in spite of adding collagen in bone broth or a collagen powder, low progesterone may be a part of it.

Progesterone then is clearly a player in the hormones and heart health game.

What’s the answer to better progesterone levels?

Everything that supports your optimal diet, your optimal sleep will help create the sweet spot of cortisol, and balance blood sugars. If your cortisol is at adequate levels progesterone levels are positively influenced. Start there.

What’s the wonder drug for that?


Exercise as Medicine

Not “more” exercise but the right kind, the right time, and the right dose. In fact, long endurance training tends to increase cortisol (anything in fact over 75 minutes is more associated with negative affect on cortisol than positive) and decrease progesterone.

Meditation* and relaxation techniques through exercise or breathing sans exercise depending on your status support optimal cortisol. Walking in nature as opposed to a treadmill offers more benefit to your hormones. Leaving the cell phone behind and just being quiet in what’s recently been coined “forest bathing” promotes stress reduction.

That’s not to say that if you’re an exercise enthusiast you have to completely stop. That too is likely to increase cortisol for you. Temporarily (a few weeks) create a new challenge for yourself (focus on yoga, acquire a new skill as opposed to slamming your body with long or hard or both bouts of exercise) in order to support balance without going crazy.


Short high intensity bouts can be appropriate for you. Cortisol needs to be OPTIMAL, not non-existent. It’s supposed to be used for acute situations. We’ve just failed that in our always-connected, superwoman thinking lives. If you think you don’t need to rest, to recover, to take care of yourself… or that doing so is bad, you’re the girl-most-likely to… get dinged by fatigue and issues from real burnout.

That is, interval training for 10 or 15 minutes (plus warm up and cool down) and intense weight training (also short in duration with quality to-fatigue sets and repetitions).

The answer is not all yoga all the time. You are not a delicate flower or broken. It’s also not all intervals all the time. You need to assess several things. What have you been doing that’s not working? What are your signs and symptoms? Could you take a nap after you finish your cool down? Or do you have more energy all day naturally when you’ve exercised?

You have to know if your cortisol levels are too high (when they should be low) or too low (when they should be high) in order to navigate the appropriate exercise prescription. If you can’t get up in the morning (reduce your exercise intensity) or if you’re staring at the ceiling at 2am, or you’re unable to get to sleep and stop that monkey mind (try short bouts of high intensity) you have clues about the best exercise for you right now.

Realize that all humans get comfortable thinking about themselves in a certain way. You may identify with “I like to go hard” or “I’m competitive” or “I’m on the go all the time” and if you find yourself saying, “That’s who I am,” you’re attached to that. It’s defining you. What if you had a different definition? Would that be so bad?

To heal your hormone imbalance you may have to break ties to what you thought made you special.

Nutritional changes benefit cortisol too. Adaptogens, herbs that naturally offer hormone support, like Ashwaganda, Rhodiola, and maca can support optimal cortisol and progesterone levels. I use these, maca, most often in my daily smoothie.

hormones and heart healthHormone and Heart Health: Testosterone

You need testosterone for your heart too. Yes, your libido and romance are a part of that but low testosterone doesn’t just kill a romantic evening. It can increase cardiovascular disease and is closely connected to blood sugar issues (like insulin resistance, and diabetes).

For most women testosterone reduction is associated with inability to gain lean muscle, fatigue, and low libido.

Clinically, testosterone is given to female patients with chronic heart failure and shown to improve functional capacity, muscle strength, and improve insulin sensitivity without any negative side effects.

Vitamin D supports testosterone levels. Yet another reason to be sure you’ve tested and you’re supplementing appropriately for Vitamin D. I have clients who are in need of more than the daily-recommended doses for several reasons. If you’ve been insufficient for a long time or have other things going on – not limited to sun exposure, meet with a physician for recommendations. Taking doses of 5000 or 10,000IU a few times a week is not unusual. It’s important to be tested, have supervision getting a prescription level supplement if needed.

How Exercise Helps:

If you display symptoms of low testosterone levels you want to dump long slow endurance exercise in favor of short high intensity intervals. Limit that to a few times a week. Strength training should be based not on the time you spend doing it but that your workouts have adequate intensity. Hour-or more-long sessions are overkill for you. If you have intensity you can do more good in a half hour or less a couple times a week. The majority of my personal strength training workouts are 10-to-20 minutes. But I don’t put the weight down after a set until I’ve reached muscular fatigue.

Eat and Drink Well

Reduce your stress level to support testosterone levels. Eat the highest quality of calories. Dump or significantly reduce sugar and alcohol while you’re struggling with testosterone levels.

Your cardiovascular health is dependent on your hormone balance and exercise plays a key role in that. The balance of estrogen, cortisol, progesterone, and testosterone are important in heart health. The integrated nature of hormones means that targeting the right one or two hormones with exercise and lifestyle habits can create a positive affect on the overall system.

Overcoming Society

Exercise for hormones and heart health is more thoughtful and less intuitive for women over 50. The culture of work harder, do more, pain is weakness leaving your body, doesn’t align with hormone balance. It’s often a relief to discover less exercise is more rewarding.

What have you identified as your hormones to target with exercise changes? I’d love to hear from you!








Additional Resources:

Exercise and Progesterone podcast

Flipping 50 TV episode 3

The After 50 Fitness Formula for Women course

In the exercise for hormone balance scheme of things you are not a textbook exercise prescription. Progesterone is a trick to figure out sometimes. The signs can be similar to adrenal fatigue, premenstrual syndrome, or just the chronic fatigue you’ve learned to tolerate. This episode I dive into exercise for hormone balance and how it relates to progesterone.

What it is and what it does:

  • Anti-inflammaty hormone
  • Calming, soothing effect
  • Raises serotonin levels in the brain
  • Helps cope with depression and insomnia

Poor progesterone could be the forgotten hormone. Estrogen and testosterone and cortisol steal the attention. Because of that, this may be news to you. During menopause low progesterone levels can occur.

Estrogen dominance occurs when progesterone is low – since these two need to be on a balanced relationship.

Symptoms of low progesterone:

  • Tiredness
  • Irritation
  • Anxiety
  • Weight gain
  • Bloating
  • Depression
  • Headaches
  • Body not functioning well, more seriously, cancer
  • Spotting before your period should start. That can be caused by other things so you may want to check with a physician about the reason.

Therapeutic solutions:

Progesterone therapy, pills or oil compounds

Taking your temperature daily can help if you’re still ovulating.

Progesterone rises after ovulation, and stays up until your next period (about 11-14 days). If your temperature doesn’t rise or stay up (a short phase), then you could have a progesterone deficiency.

In You Still Got It, Girl and the After 50 Fitness Formula for Women course you will chart your temperature (along with half a dozen other measures) for 30 days to check hormone fluctuations and thyroid function. In addition to seeking exercise for hormone balance, it’s important first to know which hormones need balancing.

You can test using progesterone strips.

Reasons for low progesterone:

  • High estrogen
  • Lack of physical activity and unhealthy nutrition
  • Insulin resistance
  • Chronic stress
  • Medications – hormone therapies and steroids, oral contraceptives, and some other medications block production of progesterone.
  • Age – between 35 and 50 estrogen levels drop by 35 percent but progesterone levels plummet by as much as 75 percent.

Estrogen dominance can cause:

  • Stomach pains
  • Hot flashes
  • Mood swings
  • Weight gain

Progesterone oils can be massaged into the skin, injected into muscle, or taken in pill form. Like most things, more is not better. Work with a doctor if you’re at the point lifestyle modifications haven’t helped to you have medical supervision.

Natural progesterone boosts

  • Eat more foods with zinc, selenium (brazil nuts), magnesium (details below)
  • Herbal remedies
  • Vitamin supplements – especially B and C
  • Rest to deal with stress – focus on yoga, restorative exercise to replace all or most of your high intensity training. Shorter and fewer bouts of HIIT and short but effective weight training along with nurturing walks, restorative yoga, and rest is best.
  • No foods contain progesterone but you can eat foods that help your body increase progesterone levels.
  • Eat foods that help reduce excess estrogen.
  • Reduce your stress levels and you naturally increase progesterone.
  • Body fat produces excess estrogen, so losing fat is a focus, but avoiding high stress means of doing it is key.

Potentially, the intuitive option of cutting calories, trying to exercise more may contribute to worsening symptoms as you increase cortisol and chronic stress on your body. It’s a collective measure of your mental, physical, and emotional stress that matters. Exercise for hormone balance often means rest before movement or light movement before exercise.

What I find works well for women who love to exercise is having a plan. Exercise for hormone balance is not random. It will take discipline to either slow down or change your routine. When you’re sick and tired of being sick and tired, or putting on belly fat and bloating, it is easier to accept that what you’re doing isn’t working. Surrender to a plan that supports you feeling better – filling that hole that’s been dug – so you can get your energy back by balancing your hormones.

Be sure your diet is rich in foods containing these micronutrients:

  • Magnesium: dark leafy greens, pumpkin seeds, fish (mackerel), brown rice, dark chocolate
  • Vitamin C: kiwi, dark green leafy veggies, yellow peppers, broccoli
  • B6: sunflower seeds, pistachio nuts, fish, turkey
  • Zinc: cooked oysters, lean beef, pumpkin seeds, cashews
  • L-Arginine: turkey, chicken, pumpkin seeds, chickpeas
  • Vitamin E: almonds, sunflower seeds, shrimp, olive oil

Other things to consider:

The herb Chasteberry: Avoid if you’re taking hormonal birth control or trying to get pregnant

Progesterone cream: natural with no plant estrogens, Mexican yam cream or wild yam, and look for something enriched with vitamin E

Foods that increase estrogen dominance: (avoid these)

  • Sugars
  • Sweeteners
  • Preservatives
  • Artificial colorings
  • Plastics – including bottled water, plastic wrap on food, never microwave food in them or leave water bottles in the car exposed to sunlight and redrink, Just sitting for a long time plastics start to break down and the chemicals leech into foods. Store your foods in glass rather than plastic.
  • Hormone-laden meat Buy hormone-free meat and organic foods whenever you can. When something is “huge in size but very cheap and potentially if you’ve tried it, has very little flavor, it’s been treated with hormones and pesticides.

Another reason for fiber.

The amount of time food has to pass through your body can influence how much excess estrogen you have. The longer food sits in your bowel the more estrogen is re-absorbed into your body. Definitely exercise for hormone balance will get things moving too but get that fiber in.

Your liver filters all the chemicals you might have eaten or are still eating. Help it by reducing chemicals and increasing foods that help the liver function:

  • Onions
  • Garlic
  • Egg yolk
  • Spinach
  • Brussels sprouts
  • Lemons
  • Limes

Another reason to whine about wine

  • Alcohol impacts your estrogen metabolism. If you’re waiting for the other shoe to drop, here is:
  • So does coffee.


Get into flow. Lose your sense of time. (Wouldn’t that be nice?) Stressors and stressful events are not going to go away. If however, you’re good at making them worse through worrying or making them all your business though they’re not, then this is where you need to spend time. You don’t have to sit and meditate. You don’t have to do yoga. You do have to identify what makes you truly lose your sense of time and do more of it. For some it is a hobby like knitting or scrapbooking.

Fat cells convert testosterone into excess estrogen.

So yes, exercise, and eat right. Crash dieting or missing the valuable nutrients above though will worsen not help. Over exercising will also cause a downward spiral.

Reducing cortisol and stress overall is part of a hormone balancing exercise reset. That means temporarily less exercise– a lot less – is going to be your best friend. What you may also realize is to get back to the kind of shape you were once in you can’t do the kind of exercise you once did.

SAMPLE Week 1 of exercise for hormone balance:

  • Walk /hike
  • Yoga
  • Garden
  • Spring Clean your house (oddly- the act of doing this is exercise AND organizing your environment helps you reduce clutter mentally too)

Avoid & reduce:

  • Screens
  • Processed food, sugars, artificial sweeteners
  • Plastics


  • Your bedtime routine
  • Take responsibility and plan your actions.

Small weekly changes can make a big difference in your energy. 

Resources mentioned:

You Still Got It, Girl book

After 50 Fitness Formula for Women course

Progesterone test strips

exercise for hormone balanceRIGHT NOW… FIT U is 50% off 


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