I hear a version of the same story from coaches all the time. A client in midlife arrives with a new supplement, recovery device, or hormone-support product and wants to know whether it works. For you as her coach, the harder question is which claims deserve attention and which deserve skepticism. Then comes the hardest part: having that conversation without dismissing her.
Midlife women are being sold solutions to nearly everything they feel. In the menopause recovery marketplace, poor sleep has a supplement. Soreness has a recovery device. Fatigue has a hormone-support product, and stress has a product that promises to regulate cortisol. For changes in performance, body composition, energy, mood, or recovery, a menopause-specific product is almost certainly waiting in the wings.
Women Are Being Sold Certainty the Science Cannot Provide
Mish Wright is Head of Graduate Education at Women’s Fitness Education. She created the Menopause Training Matrix™ and the GRACE™ midlife movement framework. For Wright, the problem is not simply that some of these products lack convincing evidence. Nor does she believe coaches should respond by becoming cynical about everything marketed to women in midlife.
The problem is that women are often being offered certainty that the science itself cannot provide.
“Women are being sold precision by an industry that has barely studied them,” Wright says. “So, when a product tells me it was designed for menopause, my first question is which women were actually in the trial?”
That question opens a bigger conversation about evidence-informed coaching when the evidence itself has gaps. It also raises a practical challenge. The client asking may be tired, uncomfortable, and frustrated. She may also be willing to spend real money trying to feel like herself again.
Your job is not to become the product police. It is to get better at asking what sits underneath the purchase.
The Product Is Often Not the Most Important Part of the Conversation
When a client says, “I bought this because I heard it helps with menopause,” it is tempting to evaluate the product right away. Does it work? Is there research? Is it worth the money?
Wright would start somewhere else. “Start with curiosity rather than a verdict,” she says. “She has just told you something useful—she is uncomfortable enough to spend money on it. That is the information in the sentence.”
That reframes your job. The product may have been marketed for sleep, recovery, cortisol, inflammation, or hormones. Either way, the purchase tells you something mattered enough that she went looking for an answer.
Dismiss the product too quickly and you may dismiss the experience that drove her toward it. “Dismiss the product and you dismiss the discomfort underneath it,” Wright says, “and she will stop telling you things.”
Instead, she recommends starting with questions:
- “What were you hoping it would do?”
- “What made you start looking for something?”
- “Have you noticed anything since you began using it?”
- “What else changed around the same time?”
Those questions shift the conversation away from whether you approve of the purchase. They move it toward the client’s actual experience. A conversation that starts with a supplement, device, or recovery treatment may reveal disrupted sleep, rising stress, or changes in training tolerance. It may also surface a symptom the client has never mentioned before.
Her experience matters, Wright notes, even when it is not evidence. That idea matters in a wellness environment that often pits “evidence-based” against “client-centered.” One does not have to come at the expense of the other.
Recovery Really Can Change in Midlife
There is another reason not to dismiss a client’s concerns. Some aspects of recovery can change during the menopause transition. Wright points particularly to sleep and tissue tolerance.
Sleep can become more fragmented during perimenopause. Vasomotor symptoms such as hot flashes can contribute to nighttime waking. But the sleep story is not only about hot flashes, Wright emphasizes. The transition itself can change how rested a woman feels and how well she tolerates demands she once handled.
“A woman running the same program on broken sleep is not the same athlete she was two years ago,” she says.
Wright also points to changes in connective tissue as estrogen declines. That does not mean every ache in a midlife client should be blamed on menopause. It means a client may genuinely respond to or recover from training differently. Telling her nothing has changed can be just as unhelpful as blaming every symptom on hormones.
That is where individualized programming matters. A program that worked several years ago is not automatically the right program now. Recovery should evolve with the person doing the recovering.
What Gets Attention Is Usually What Can Be Sold
The modern menopause recovery conversation has an uncomfortable mismatch. The practices that get the most attention can be packaged, photographed, measured, subscribed to, or bought. The foundations of recovery are far less marketable.
“What gets attention is whatever can be bought, measured or photographed,” Wright says. “What actually moves recovery is unglamorous: going to bed earlier, eating enough protein, taking a recovery week before the body demands one.”
This does not mean recovery products have no place. It means they need a place. For Wright, that place comes after the larger recovery picture: sleep, adequate nutrition, and a training load the individual can absorb. It also includes the life load that rarely shows up in a training log. That last piece is easy for coaches to miss.
A program does not exist apart from the rest of someone’s life. A session that looks right on paper may land very differently during a week of broken sleep, caregiving, work pressure, or significant menopausal symptoms.
Recovery cannot be reduced to what happens after the workout. In Wright’s GRACE™ Midlife Movement Protocol, regulation is built into the week. It is not treated as something earned after enough hard work.
“Recovery is not the reward,” she says. “It is part of the training.” That mindset shift changes how you program for women in midlife.
The Evidence Ladder Matters More Than the Marketing Claim
Clients will still ask whether a particular product works. Wright’s approach is simple. First, look carefully at what the product promises. Then ask who was actually studied.
A narrow claim is generally more useful than a sweeping one. A plausible mechanism means more when research shows an actual outcome. Research in women, ideally women like the ones being targeted, tells you more than evidence borrowed from a very different population.
Wright also watches what a company is willing to say its product cannot do. That can be revealing. Her concern grows when claims turn broad and hard to define, such as “supports hormonal balance,” “reduces inflammation,” or “optimizes recovery.” She is also cautious when testimonials carry more weight than data. The same goes for an elaborate biological mechanism presented as proof of an outcome, or urgency and scarcity used to push a sale.
To help coaches sort through these claims, Wright describes an evidence ladder:
- Plausible mechanism: a reasonable explanation for why something might work.
- Early research: signs of an effect in a small or specific group.
- Stronger clinical evidence: shows whether something works, for whom, and by how much.
A testimonial sits somewhere else entirely. It shows that one person felt better, but it cannot establish why.
“Most menopause marketing is standing on rung one and charging for rung three.”
— Mish Wright, Head of Graduate Education, Women’s Fitness Education
That line is worth remembering because it separates plausibility from proof. A mechanism can be interesting. It is not the same as showing that a product produces a meaningful outcome in the people being asked to buy it.
But Skepticism Can Become Lazy, Too
It would be easy to stop here and turn this into another warning about menopause marketing. Wright does not. This is where her position becomes more nuanced.
“This is the part I care most about, because the sceptical position can be every bit as lazy as the credulous one,” she says.
Women’s health has historically been understudied. Midlife women have been particularly underrepresented in many areas of exercise and health research. A 2021 analysis of 5,261 sport and exercise science studies found that only 6% focused exclusively on female participants. If coaches demand decades of highly specific evidence first, they risk turning that research gap against the same women who were never adequately studied.
“Absence of evidence, in a field that never got around to studying women, is not evidence of absence. It is evidence of neglect, and I am not willing to let that neglect be used against women a second time.”
— Mish Wright
Her approach holds two ideas at once: be hard on claims and soft on curiosity. Being hard on claims means asking exactly what is promised, to whom, and on what basis. Being soft on curiosity means accepting that a woman may reasonably want to explore an option while the research is still emerging.
For something low risk and low cost, Wright sees nothing inherently wrong with a woman choosing to try it. She encourages a more intentional experiment:
- Decide beforehand what the product is supposed to change.
- Use it for a defined period.
- Stay genuinely willing to conclude that it did nothing.
That position respects both evidence and autonomy.
A Coach Does Not Need an Opinion on Every Product
Coaches often feel that expertise means always having an answer. A client mentions a supplement you have never heard of. She asks whether a hormone product is safe, or whether something will interact with her medication. Suddenly, “I don’t know” feels inadequate. It is not. Knowing where your expertise ends is part of professional competence.
When safety or medication interactions could be relevant, Wright suggests asking whether the client’s physician or pharmacist knows what she is taking. Questions about diagnosis, dosing, prescriptions, or other medical decisions belong with qualified healthcare professionals.
You do not need to endorse the product. You also do not need to tell the client to stop taking it. Wright’s suggested response is simple:
“I don’t know enough about that one to have an opinion, however I am really interested in what you said about your sleep.”
That sentence does something important. It names the boundary without ending the conversation. The product moves out of the center, and the client’s experience moves back in.
Put the Symptom First and the Product Last
When you need a way to think through these conversations, Wright uses a sequence of questions rather than a list of approved products:
- Identify what the client is trying to change. Name the symptom or concern, not the product.
- Ask whether it is yours to address. If the conversation moves into diagnosis, medication, or dosing, refer out. Explain why you are referring instead of shutting the conversation down.
- If the issue is within scope, define success. What would change if the product worked, and over what period? If no one can name the outcome, judging whether it helped is nearly impossible.
- Weigh the cost, both financial and mental. Ask whether the product is standing in for something that is missing.
- Set a date to review whether it was useful.
Wright sums up the order simply: “symptom first, scope second, product last.” It is less a product-evaluation framework than a way to keep your focus on the person.
The Final Few Percent Belongs at the End
For a woman in perimenopause, Wright sees recovery as a much larger picture than anything for sale. It includes sleep and food. It includes a training load her body can absorb and the life load nobody is measuring. When appropriate, it includes an informed conversation about menopausal hormone therapy with a healthcare professional who understands menopause. Products come after that.
“They are the final few percent,” Wright says, “and the final few percent only pays out when the rest is already in place.”
There is something refreshingly ordinary about that answer. It does not promise that women can optimize their way out of menopause. It does not suggest every symptom should be tolerated. And it does not ask coaches to become clinicians, supplement experts, or professional debunkers. It asks them to notice what the client is actually telling them.
A client asking about a recovery product may really be asking why she no longer recovers from training she used to handle. A client asking about a sleep supplement may be telling you she has been awake at night for months. A client asking about cortisol may be telling you her life feels unmanageable. The product deserves an evidence-informed response. The person deserves your curiosity.
That is why “hard on claims, soft on curiosity” is a useful philosophy for coaching women in midlife. You do not have to believe every claim to believe the woman telling you she is struggling. You do not have to dismiss emerging approaches because the research is incomplete. And you do not have to know everything to ask the question that gets closer to what she needs.
Sometimes that leads back to the training program. Sometimes it leads to sleep or nutrition. Sometimes it requires referral. Sometimes a product stays in the picture because she enjoys it, can afford it, and believes it adds something worthwhile.
But the product stays where it belongs. After the person.
Related: Mental Wellness Coaching for Fitness Coaches
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Frequently Asked Questions
Should coaches recommend menopause recovery products?
Coaches should first consider their scope of practice and the specific concern the client wants to address. Wright recommends starting with the symptom or desired outcome, not the product. Questions about diagnosis, medication, dosing, or prescriptions should go to a qualified healthcare professional.
How can a coach tell whether a menopause wellness claim is credible?
Wright looks for four signals. The claim should be specific and narrow. The mechanism should come with outcome evidence. The research should involve relevant women, and the company should be clear about what the product does not do. Broad promises, heavy reliance on testimonials, mechanisms without outcome evidence, and sales urgency deserve closer scrutiny.
What should a coach say when a client asks about a supplement or recovery product they don’t know?
It is appropriate to say you do not know. Wright recommends staying curious about why the client bought it and redirecting attention to the symptom underneath the purchase. When medications or safety questions are involved, encourage the client to talk with her physician or pharmacist.
Does a lack of research mean a menopause product does not work?
Not necessarily. Wright stresses that major research gaps remain in women’s health. Absence of evidence should not automatically be read as proof that an intervention has no effect. At the same time, incomplete evidence should not be marketed as certainty. Coaches can stay open to emerging evidence while holding specific claims to an appropriate standard.
What should coaches prioritize for recovery during perimenopause?
Wright emphasizes the larger recovery picture: sleep, adequate nutrition, an absorbable training load, life stress, and healthcare conversations when symptoms warrant them. In her view, products should come after those foundations, not replace them.
About Erin Nitschke
Dr. Erin Nitschke, NSCA-CPT, NFPT-CPT, ACE Health Coach, ACE-CPT, Fitness Nutrition Specialist, Therapeutic Exercise Specialist, Pn1, FNMS, and DSWI Master Health Coach, is a seasoned college professor in health and human performance. She is a nationally recognized presenter, industry writer for IDEA, NFPT, Fitness Education Online, and Youate.com, and an active member of the ACE Scientific Advisory Panel. With extensive experience in health and exercise science, Erin specializes in holistic, evidence-based approaches to wellness. Her passion lies in empowering individuals to lead healthier, more vibrant lives through personalized coaching. Erin’s philosophy centers on education, accountability, and sustainable behavior change—guiding clients to achieve long-term success in nutrition, fitness, stress management, and overall well-being. To connect with Dr. Nitschke, email her at erinmd03@gmail.com or on Instagram: @nitschkeerin









