Threaded
Threaded: Issue Three
May 2026
In this issue of Threaded, we explore the many dimensions of energy in midlife, from fatigue and burnout to boundaries, resilience, and the small shifts that help women feel more like themselves again.
Editor’s Note
Hoda Soboh
Co-Founder and CEO
Starting in my late 30s, my body stopped negotiating. Fatigue became different. Recovery took longer. Stress hit harder. Having spent the last few years speaking with women and learning more about the realities of midlife, I know I’m far from alone in this.
New Series
Dr. Nese Yuksel
Co-Founder, Chief Health Officer, and Executive Vice-President
In our new Q&A Corner with Dr. Nese Yuksel, each column breaks down the evidence behind common symptoms and treatments. We start with fatigue—why it happens, and what the research actually shows.
Reflection
Dr. Catherine Hansen
Chief Medical Officer, MD, MPH, FRCSC, FACOG, MSCP
The planet has not slowed down post-pandemic; in fact, most things are moving faster than ever before, and women are feeling the G-forces more than men.
Practical Insight
Leanna Carriere
Performance Coach / PTS-Dip (Personal trainer specialist with honors) /Menopause 2.0 (Dr.Stacy Sims course)
Moving through perimenopause one of the most common and frustrating experiences is a noticeable drop in energy. Workouts feel harder, daily routines take more effort, and even socializing can become draining.
Feature Essay
Jacquie Court
Women's Health Writer
There’s always something to think about, something to organize, someone to support.
Team Voices
The Effica Health Team
Energy isn’t only about sleep or how full our days feel—it’s shaped by a complex interplay of hormones, stress, and overall health that can be easy to miss. In midlife, fatigue often develops gradually, becoming something we adapt to rather than question.