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CLS Physiotherapy & Nutrition, Merton Lane N, Canterbury (2026)

28/04/2026

A large BMJ study of over 800,000 women has found that menopausal hormone therapy is not associated with increased mortality. This is important, because for many women, decisions around HRT are still shaped by fear originating from early interpretations of the Women’s Health Initiative. What this study adds is large-scale, real-world data with over 14 years of follow-up, showing no clear increase in all-cause, cardiovascular, or cancer-related mortality in women using HRT . There were even signals of reduced mortality in specific groups, such as women who had undergone bilateral oophorectomy.

But the response to this kind of evidence is becoming just as problematic. There is a growing amount of noise in the menopause space, with some so-called experts claiming that HRT dramatically reduces heart disease, prevents chronic illness, and is broadly protective for long-term health. That is not what this study shows. Cause-specific mortality differences were small, inconsistent, and should be interpreted with caution .

We’ve moved from a narrative of fear to, in some spaces, a narrative of overcorrection. From “HRT is dangerous” to “HRT protects against everything.” Neither reflects the reality of the evidence.

HRT is an effective treatment for menopausal symptoms and is safe for many women when appropriately prescribed. It may also have benefits in specific contexts. But it is not a replacement for other key components of long-term health, including strength training, cardiovascular fitness, and broader lifestyle and environmental factors.

If you want more information about the latest research into HRT we will cover this in our upcoming Menopause Masterclass.

This will take place online on 11th May at 7pm. All you need to do is comment below Masterclass or hit the link in bio to purchase a ticket.

Mikkelsen AP, Bergholt T, Lidegaard Ø, Scheller NM. Menopausal hormone therapy and long term mortality: nationwide, register based cohort study. BMJ. 2026 Feb 18;392:e085998. doi: 10.1136/bmj-2025-085998. PMID: 41708152; PMCID: PMC12915068.

26/04/2026

It doesn’t get more wholesome than this.

💕🍦🎭🐥

Nothing women’s health here, just my fav bits of my weekend x

23/04/2026

Most coaches would probably laugh if they walked into my NHS menopause strength class. A few kettlebells, some chairs, and a corner of a GP waiting room. But what they wouldn’t laugh at is the consistency, the participation rates, the enjoyment, and the overwhelmingly positive feedback from the women who attend. And one of the biggest reasons they keep coming back? They feel safe to lift there.

Resistance training is often framed as an individual behaviour, something driven by motivation, discipline, or knowledge. But participation is far more complex than that. It is shaped by a dynamic interaction of biological, psychological, social, and environmental factors. For women, particularly in midlife, engagement with strength training cannot be separated from this wider context.

Experiences of gym environments, perceptions of safety, and the historical positioning of exercise all influence whether women feel able to participate. It’s not just about what we prescribe, it’s about where it happens, how it feels, and whether someone feels safe enough to even begin.

If participation is influenced by environment, then the focus cannot remain solely on the individual. It has to extend to the spaces we create, the messages we communicate, and the way we support behaviour change.

On 11th May at 7pm, and I will be hosting a Menopause Masterclass where we’ll be covering many of the often overlooked areas of menopause, including body image, disordered eating, evidence-based exercise prescription, and what is actually required for long-term consistency with exercise.

Comment MASTERCLASS below or head to the link in my bio to book your place.

20/04/2026

We’ve had a women’s health strategy since 2022… so before we get excited about the 2026 update, it’s worth asking: what actually changed?

There have been some wins cheaper HRT, a few women’s health hubs, and more awareness around menopause. But scratch beneath the surface and the bigger issues are still there: long gynaecology waiting lists, fragmented care, understaffed services and persistent inequalities.

There isn’t a strategy problem, there’s an implementation and funding problem.

Because you can write all the glossy strategies and policies you like but if services aren’t properly resourced, nothing really changes for women.

14/04/2026

🚨 Want to help shape the future of menopause & exercise research?

I’m currently recruiting women for my PhD study exploring menopause and resistance training — and I’d love to hear from you.

This isn’t about how “fit” you are or whether you lift weights already.
 It’s about your experiences, thoughts, and perceptionsaround strength-based exercise during the menopause transition.
Because right now?
 We don’t have enough real-world insight from women themselves — and that’s exactly what needs to change.

🧠 The goal: build better, more realistic, evidence-based support for women navigating exercise in midlife.  ✅ You can take part if you: • Are aged 40–60 • Are in perimenopause or early post-menopause • Identify as female • Speak English • You do not need to be currently strength training 
📩 If that’s you (or someone you know), I’d love you to get involved. Link is in my bio to read more and register your interest.

And if this isn’t you, sharing this post genuinely helps research like this reach the women who need to be heard.

07/04/2026

Menopause is a marketing goldmine.

Specific workouts. New diets. Endless supplements. “Specialist” coaches.

And yet… most of it is just a repackaging of the basics with a nicer label (and a higher price tag) or complete and utter rubbish!

The reality?
Women don’t need fixing at this stage of life.
They need better information, less noise, and support that actually fits into their lives.

And that’s exactly why and I are running our Menopause Masterclass.

No hormone hacking, no complicated protocols, no selling women a completely new way of existing, no golden bullets.

Just honest, evidence-based conversations about:
– training (including why resistance training and cardiovascular exercise matters)
– nutrition (what actually matters vs what’s just marketing)
– body image and relationship with food
– and the real barriers to change (because it’s not laziness or lack of discipline)

🗓 11th May
⏰ 7pm
💻 Online

If you’re a woman navigating this stage of life or a coach/clinician who actually wants to understand it properly, this is for you.

Comment ‘IN’ below and I will send you the link or sign up via the link in bio.

31/03/2026

Last week my consultancy client and I had a conversation about anterior pelvic tilt that inspired this reel.

Anterior pelvic tilt is one of the most over-“corrected” postures in rehab and fitness.

It’s a common, normal resting position and not something that inherently needs to be “fixed.”

Even in people with low back pain, attributing symptoms to a single static posture is reductionist.

Pain is multifactorial, and the evidence does not support a consistent relationship between posture and pain.

Your pelvis is designed to move, between anterior/posterior tilt and rotation, and this variability is essential for load management and pelvic floor function.

The problem isn’t the position itself.
�It’s the inability to access and control movement outside of it.

Instead of chasing a “neutral” posture, we should be focusing on:
�• Full range of motion�• Movement variability�• Strength across multiple planes�• Load tolerance

Postures aren’t good or bad, they’re just positions.

PMID: 21658988.
PMID: 31092123.

17/03/2026

As a bit of a resistance training and exercise physio geek, this update felt like a big moment.

I remember learning the ACSM guidelines during my physio degree over a decade ago and they’ve shaped so much of how we prescribe exercise.

Fast forward 17 years and we now have an update based on over 130 systematic reviews.

And the key message is simple:

Most resistance training works

Strength is driven by heavier loading
Hypertrophy by total volume
Power by lighter loads moved quickly

But many of the things we’ve been taught to prioritise show limited additional impact

Which means the conversation needs to shift

Not towards more complex programming
But towards helping more people access and stick to resistance training

Especially women in midlife

Complex programming is not the necessity, encouraging more participation is!

08/03/2026

I have mixed feelings about International Women’s Day. That probably sounds strange given that I work in women’s health and spend a lot of my time advocating for better support, recognition and investment in women’s wellbeing.

The intention behind the day is clearly positive and I genuinely enjoy opportunities to speak about women’s health, particularly when it creates space for meaningful conversations that otherwise might not happen. I am also always happy to support friends, colleagues and organisations that I genuinely care about.

What has been more challenging over the last few years is how often women with expertise are asked to contribute to events without being paid. When speaking fees are mentioned the response is often that there is no budget, that the event will provide exposure, or sometimes the conversation simply stops altogether. This is not just my experience. It is a story that is echoed frequently by many of the women I work alongside.

There is an uncomfortable contradiction in celebrating women publicly while simultaneously expecting their professional expertise to be provided for free. Many of us have spent years developing our knowledge, building careers and in many cases accumulating significant student debt along the way. Asking women to donate their labour in these contexts quietly undermines the very values International Women’s Day is supposed to represent.

For me the bigger reflection this year is that change requires collective boundaries. I will always support people and spaces that matter to me, but when large organisations ask women to contribute their expertise it should be expected that this work is valued and appropriately compensated.

Perhaps the most meaningful way to support women this International Women’s Day is not simply to post about it, but to recognise the economic value of women’s expertise and ensure that it is treated as such.

I would also be really interested to hear whether others have experienced similar contradictions around International Women’s Day. If you have a story that resonates with this, share it in the comments. ⬇️

27/02/2026

📣 Fitness Unprofessionals Live is just over 1 week away! 📣

We’ve just ended the call on one of our last meetings before the event and wow we are excited!

We have so many interesting topics to cover:

➡️ Menopause
➡️ GLP-1s
➡️ Fuelling
➡️ Neurodivergence

And all of these topics will be covered in a symposium format which means instead of just one of us giving a presentation, you’ll hear from all of us, as each of us will present on different aspects of the shared theme!

Then we also have the most incredible line of diverse topics from our speaker competition winners. Covering:

➡️Parkour
➡️Cancer
➡️Being ‘unprofessional’
➡️Inclusive spaces

Don’t miss out! Last few tickets remaining! Comment or DM ‘SYMPOSIUM’ ⬇️ to purchase your ticket!

14/02/2026

This might be my first Valentine’s as a wife ❤️
And I am forever grateful I found the love of my life.

But before I met Boss four years ago, I was single for 12 years.

For many of those years, I longed for a relationship.
I held onto sh*tty situationships just so I didn’t feel alone.
I’d reread messages trying to decode what he “meant”
when, if I’m honest, it was obvious he wasn’t that interested.

I accepted sub-par effort.
I shrank my standards.
I convinced myself confusion was chemistry.

It wasn’t.

Everything changed when I stopped chasing relationships and started investing in myself.

I poured energy into my passions.
I built my career.
I prioritised my friends and family like they were my soulmates.
I created a life that felt full without a partner in it.

And that’s when I met him.

Because by then, I was sure of myself.
Our relationship felt easy.
I never had to analyse his messages.
I never worried about when he’d text back.
I wasn’t searching for validationI already had love in my life.

So if Valentine’s Day makes you feel lonely, I see you.

You have so much love to give.
Invest it in yourself.
In your passions.
In your friendships.
In your family.

Build a life that feels so full it doesn’t need rescuing.

And if you meet someone incredible along the way? Amazing.
If you don’t? You’re already overflowing with love.

And that kind of love is never wasted. 💌

13/02/2026

You might think I was born with an innate passion for women’s health.
I wasn’t.

I grew up watching my mum slog her guts out on hospital wards as a midwife. I saw how demanding healthcare could be but also how meaningful. Still, as a teenager, all I saw were the hours and the exhaustion. When she said I’d be good in healthcare, my inflated confidence and naïvety had me thinking, mum, you don’t know what’s best for me (she absolutely did 😅).

At school, the only thing I really shone in was languages. So university felt simple: French and Spanish. Obvious choice.
Until two years in, when I had to leave to undergo two heart surgeries.

That experience changed everything. Being on the other side of the bed showed me the care, resilience and humanity that healthcare professionals bring often quietly, often unnoticed. It’s where the spark was lit.

When I changed direction completely—working as a maternity care assistant while studying physiotherapy—I assumed that language degree was a detour. Wasted time.
It wasn’t.

Because at the heart of great women’s healthcare is a clinician who can listen beyond words. Someone who can explain complex things simply. Who chooses language carefully. Who builds trust, safety and support in the room.

Those are language skills. And I use them every single day in clinic.

So no, that degree wasn’t a mistake. It shaped the clinician I am.
And I can half understand what Bad Bunny is singing about… so honestly, winning 💃🏽

What skills from an unexpected place do you use in your work now?
👇🏽 Comment below

CLS Physiotherapy & Nutrition

28/04/2026

26/04/2026

23/04/2026

20/04/2026

14/04/2026

07/04/2026

31/03/2026

17/03/2026

08/03/2026

27/02/2026

14/02/2026

13/02/2026

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