In this episode of 40s Forward, Dr. Betsy Greenleaf sits down with Dr. Elliot Justin, emergency medicine physician, telehealth pioneer, and founder of FirmTech, a company developing wearable technology designed to improve sexual health and detect early signs of cardiovascular disease.

What started as a career in emergency medicine evolved into a mission to help people enjoy longer, healthier, and more fulfilling intimate lives while using sexual health data to uncover potential health risks before they become serious problems.

What You'll Learn in This Episode

• Why erectile dysfunction can be an early warning sign of cardiovascular disease
• The surprising connection between erections and overall health
• How wearable technology is changing men's health monitoring
• Why nighttime erections provide valuable health information
• The role of blood flow in sexual function and longevity
• How technology can empower people to take control of their health
• Why sexual wellness should be viewed as part of preventive healthcare
• The future of wearable devices for both men and women

The Penis as a Health Monitor

Dr. Justin explains that erectile dysfunction is often one of the earliest signs of underlying vascular disease.

Because penile blood vessels are smaller than coronary arteries, problems with blood flow may show up as erection issues years before a heart attack or stroke occurs.

Rather than viewing erectile dysfunction solely as a sexual problem, Dr. Justin encourages men to see it as a potential health signal worth investigating.

From Emergency Medicine to Sex Tech

After caring for more than 180,000 patients during his career in emergency medicine, Dr. Justin became interested in telemedicine, remote monitoring, and preventive healthcare.

His goal became simple:

Help people identify health concerns earlier while improving sexual wellness and quality of life.

This led to the creation of FirmTech and the development of wearable devices that can track erectile health and provide meaningful health insights.

Why Erections Matter

The conversation explores how erectile quality is influenced by:

• Cardiovascular health
• Blood flow and circulation
• Hormonal balance
• Sleep quality
• Stress levels
• Lifestyle choices

Dr. Justin explains that changes in erectile function often reflect broader changes occurring throughout the body.

Technology Meets Sexual Wellness

FirmTech's wearable devices are designed to collect data that can help men better understand their sexual health while also providing insights into overall wellness.

Dr. Greenleaf and Dr. Justin discuss how technology is increasingly allowing individuals to monitor important health markers from home and take a more proactive role in their healthcare.

The Future of Sexual Health Innovation

The discussion also looks ahead to future innovations, including technology designed to support women's sexual health and arousal monitoring.

Both Dr. Greenleaf and Dr. Justin agree that sexual wellness deserves the same attention and innovation that other areas of health have received.

Key Takeaways

• Erectile dysfunction can be an early warning sign of cardiovascular disease
• Sexual health is closely connected to overall health
• Wearable technology is transforming preventive healthcare
• Monitoring sexual function may provide valuable health insights
• Better data can lead to earlier intervention and improved outcomes
• Sexual wellness is an important component of healthy aging
• Technology can empower individuals to take control of their health

Who This Episode Is For

• Men over 40 concerned about sexual performance or health
• Women who want to better understand men's health issues
• Healthcare professionals interested in preventive medicine
• Biohackers and technology enthusiasts
• Anyone interested in the future of wearable health technology
• Couples seeking to improve intimacy and sexual wellness

Guest Resources

Dr. Elliot Justin
Founder & CEO, FirmTech
Website: MyFirmTech.com
Email: elliot@myfirmtech.com

Key Quote

"Erectile dysfunction is often the first warning sign of cardiovascular disease."

If this episode changed the way you think about sexual health, share it with someone who needs to hear it.

Follow 40s Forward for more conversations about hormones, longevity, intimacy, innovation, and living your best life after 40

In this episode of 40s Forward, Dr. Betsy Greenleaf sits down with Andrea Trank, somatic yoga instructor, certified integrative medicine coach, HeartMath-certified practitioner, and owner of Heavenlane Healing and Creative Arts.

Together, they explore how nervous system regulation, hormones, pelvic health, intimacy, and root-cause healing all connect after 40.

Andrea shares her personal journey from school teacher and busy mother of three to integrative wellness practitioner after years of struggling with gut issues, thyroid symptoms, chronic pain, brain fog, poor sleep, and being told her symptoms were simply anxiety, depression, or aging.

What You'll Learn in This Episode

• Why nervous system regulation is essential for healing
• How stress, inflammation, gut health, and hormones are connected
• Why hormones alone may not fix everything
• How somatic yoga and HeartMath can support midlife wellness
• Why intimacy is part of vibrant aging
• How long-term couples can reconnect after feeling like roommates
• Why pelvic floor health matters for sexual function and confidence
• How communication, play, and humor can reignite desire

The Missing Piece: The Nervous System

Andrea explains that nutrition, supplements, exercise, and reducing toxins helped her, but the missing piece was learning how to regulate her nervous system.

When the nervous system is dysregulated, even the "right" diet, hormones, supplements, and lifestyle changes may not fully work. HeartMath became one of the tools that helped her calm her body and support deeper healing.

Dr. Greenleaf and Andrea discuss why true wellness after 40 requires an integrative approach—not just protocols, but attention to stress, inflammation, gut health, hormones, lifestyle, and emotional regulation.

Reigniting Intimacy After 40

One of the most powerful parts of this episode is Andrea's honest story about her marriage.

After more than 40 years together, she and her husband went through a long season where they felt more like roommates than romantic partners. Health issues, hormone changes, pain, and life stress had pushed intimacy into the background.

After addressing her hormones, pelvic health, and overall wellness, Andrea began to feel desire again. She opened the conversation with her husband, and that honesty helped them reconnect in a new way.

Their intimacy became more playful, connected, frequent, and joyful.

Intimacy Is More Than Sex

Andrea shares that reigniting physical intimacy improved far more than the bedroom. It strengthened communication, compassion, emotional presence, and daily connection.

Dr. Greenleaf also explains that many couples give up on intimacy because they assume loss of desire is "normal aging"—but it does not have to be the end of that part of life.

Desire is emotional, mental, relational, and biological.

Pelvic Health & Sexual Wellness

Andrea opens up about being diagnosed with advanced pelvic organ prolapse and preparing for surgery.

Dr. Greenleaf explains why pelvic floor health matters for sexual function, confidence, and aging well. They discuss prolapse, pelvic support, and why sexual wellness should be part of the midlife health conversation.

Key Takeaways

• Healing after 40 requires supporting the gut, hormones, nervous system, and lifestyle
• Hormones can help, but they are not the whole answer
• Nervous system regulation is essential for deeper healing
• Intimacy can be reignited after years of disconnection
• Long-term love can become more playful with intention
• Pelvic health is a major part of aging well
• Midlife can be a time of renewal, not decline

Guest Resources

Andrea Trank
Somatic Yoga Instructor
Certified Integrative Medicine Coach
HeartMath-Certified Practitioner
Owner of Heavenlane Healing and Creative Arts

Website: heavenlanecreations.com
Facebook: facebook.com/Heavenlanecreations
YouTube: youtube.com/@AndreaTrank
LinkedIn: linkedin.com/in/andreatrank-health-yoga-coach
Instagram: instagram.com/heavenlanecreations

Key Quote

"People don't realize you have so much life to live—and it can be such a better life."

If this episode resonated with you, share it with someone who needs to hear that intimacy, vitality, and healing are still possible after 40.

Follow 40s Forward for more conversations on hormones, pelvic health, relationships, root-cause healing, and living vibrantly in midlife and beyond.

In this episode of 40s Forward, Dr. Betsy Greenleaf sits down with Julie James, functional health practitioner and founder of the Wholistic Health Method, to explore what it truly means to heal from the inside out.

This conversation dives deep into the root-cause approach to health—moving beyond symptom management and into understanding how hormones, gut health, lifestyle, and mindset all intersect to impact how we feel after 40.

If you've ever been told "everything looks normal" but you still don't feel like yourself… this episode will open your eyes to what might be missing.

What You'll Learn in This Episode

• What "root cause medicine" really means—and why it matters
• Why symptoms are signals, not problems to suppress
• The connection between gut health, hormones, and energy
• How stress and inflammation disrupt the entire body
• Why many people feel dismissed in traditional healthcare
• The role of functional testing in uncovering hidden imbalances
• How small daily habits create long-term health outcomes

Why This Matters After 40

Midlife is often when symptoms start stacking up:
• Fatigue
• Weight gain
• Brain fog
• Hormonal shifts
• Digestive issues

Julie explains that these are not random—they are clues.

Your body is constantly communicating. The challenge is learning how to listen instead of masking the message.

The Root Cause Approach

Rather than asking, "How do we fix this symptom?"
The better question becomes: "Why is this happening?"

Julie shares how a functional approach looks at:
• Gut health and microbiome balance
• Hormone signaling and detox pathways
• Nutrient deficiencies
• Chronic inflammation
• Stress and nervous system regulation

Because when the root is addressed… symptoms often resolve naturally.

The Gut–Hormone Connection

One of the biggest takeaways from this episode is how deeply connected the gut is to everything:

• Hormone metabolism
• Immune function
• Mood and brain health
• Energy production

If the gut is inflamed or imbalanced, hormones cannot function properly—no matter what therapies you try.

Why "Normal Labs" Don't Mean Optimal Health

Julie and Dr. Greenleaf discuss a common frustration:

Being told your labs are "normal" while you still feel exhausted, disconnected, or unwell.

Key insight:
👉 Normal is based on population averages—not optimal function.

This is where personalized, functional testing and symptom tracking become critical.

The Role of Stress & Lifestyle

Chronic stress isn't just emotional—it's biochemical.

It impacts:
• Hormones (including cortisol and sex hormones)
• Digestion and gut health
• Sleep quality
• Inflammation levels

Julie emphasizes that healing is not just about supplements—it's about:
• Sleep
• Nutrition
• Movement
• Nervous system regulation
• Daily habits

Healing Is Not a Quick Fix

One of the most important reminders:

There is no "magic pill."

Healing is a process that requires:
• Consistency
• Awareness
• Personalization
• Patience

But the payoff?
Feeling like yourself again—energized, clear, and in control of your health.

Key Takeaways

• Symptoms are signals—not problems
• Root cause healing addresses the "why," not just the "what"
• Gut health is foundational to hormone balance
• Stress plays a major role in chronic symptoms
• "Normal" labs do not equal optimal health
• Sustainable habits create lasting change

Who This Episode Is For

• Women and men over 40 seeking deeper health answers
• Anyone struggling with fatigue, hormone imbalance, or gut issues
• Individuals frustrated with conventional "quick fixes"
• Those interested in functional and integrative medicine
• People ready to take control of their health journey

Connect with Julie James

Instagram: https://www.instagram.com/wholistichealthmethod/
Pinterest: https://www.pinterest.com/juliejames1992/
Facebook: https://www.facebook.com/wholisticfunctionalhealthJJ

Key Quote

"Your symptoms are not random—they are messages from your body asking for attention."

If this episode resonated with you, share it with someone who's been searching for answers.

Follow 40s Forward for more conversations on hormones, gut health, and thriving after 40.