Rethinking Exercise in Perimenopause – Part 1

Dr. Kamila Hortynska is a Clinical Psychologist, Functional Medicine Practitioner, Psychotherapist, and Spiritual Guide with over 25 years of experience, specialising in perimenopause. Luna Akullo is a personal trainer and nutritional advisor based in Crete whose approach focuses on building stronger bodies and healthier minds.
In Part 1 of this conversation, Dr. Kamila and Luna explore what exercise can offer women during perimenopause — beyond weight loss, appearance or simply “staying fit.”


They discuss why maintaining and building muscle becomes increasingly important as women age, and how strength training can support everyday function, mobility and independence later in life. Luna explains why it is never too late to start strength training, while Dr. Kamila explores some of the physiological changes that can make muscle particularly important during perimenopause.


But physical strength is only one part of the conversation. Luna shares why her philosophy of training is about creating both a strong body and a healthy mind. They discuss body image, confidence and the vulnerability women can experience around their changing bodies, as well as how pushing through challenges in training can help develop resilience outside the gym.


They also explore the place of cardio alongside resistance training, why strength without mobility and flexibility is not enough, and the importance of maintaining basic movements and physical capacity as we get older.
Finally, Dr. Kamila and Luna discuss something that can easily be overlooked: recovery. Training alone does not build muscle. Sleep, adequate nutrition and giving the body time to recover all matter — particularly during perimenopause, when women may notice that their energy, strength and ability to recover are no longer as predictable as they once were.

Timestamps:

  • 00:00 Introduction
  • 02:04 Luna’s Experience Working With Women in Perimenopause
  • 04:35 Exercise, Mood & Mental Strength
  • 09:25 Why Exercise Feels Different in Your 40s
  • 11:32 How to Start When You Don’t Have Much Time
  • 14:51 Strength Training vs Cardio
  • 16:42 Mobility, Flexibility & Staying Functional
  • 20:04 Muscle, Metabolism & Perimenopause
  • 21:31 Why Recovery, Sleep & Nutrition Matter
  • 24:10 Preserving Muscle as We Age

Articles if you want to explore this topic further 

  • Strength and resistance training
  • Mobility and flexibility training
  • Plyometric training for bone health
  • Consider getting a DEXA scan to measure body composition and bone density

About the Guest

Luna Akullo

Luna Akullo is a personal trainer and nutritional advisor originally from Uganda who grew up in London before moving to Crete 11 years ago.

Her philosophy goes beyond training for aesthetics. Through her work, she focuses on helping people build stronger bodies and healthier minds, with an emphasis on strength, mobility, confidence and creating a healthier relationship with the body.

Luna works with people at different stages of life and has supported women experiencing the physical and emotional changes associated with perimenopause. Her approach recognises that personal training can be about much more than exercise — it can also create a space for people to feel supported, challenge themselves and discover what their bodies are capable of.

How to find her:

Instagram: https://www.instagram.com/your_true_body?stkn=amg3YTNtdjYxMnNm

Facebook: https://www.facebook.com/profile.php?id=100075101556216 

Gym: https://www.instagram.com/indramuaythai?stkn=MWhvdHFqeHR2bTlweA==

x

Explore Free Resources

Four free guides on perimenopause. One email unlocks every download, then you will go straight to them.

No spam. Unsubscribe anytime. Your privacy is respected.