<?xml version="1.0" encoding="UTF-8"?><rss xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:atom="http://www.w3.org/2005/Atom" version="2.0" xmlns:itunes="http://www.itunes.com/dtds/podcast-1.0.dtd" xmlns:googleplay="http://www.google.com/schemas/play-podcasts/1.0"><channel><title><![CDATA[Symptoms Leave Clues]]></title><description><![CDATA[Helping women over 40 understand what their symptoms may be trying to say, so they can ask better questions and feel heard in their care.]]></description><link>https://www.tinahergertrn.com</link><image><url>https://substackcdn.com/image/fetch/$s_!GE_W!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe55fec13-6822-4723-b6ad-0dd013cb5ac9_1254x1254.png</url><title>Symptoms Leave Clues</title><link>https://www.tinahergertrn.com</link></image><generator>Substack</generator><lastBuildDate>Tue, 14 Jul 2026 14:27:45 GMT</lastBuildDate><atom:link href="https://www.tinahergertrn.com/feed" rel="self" type="application/rss+xml"/><copyright><![CDATA[Tina Hergert, RN]]></copyright><language><![CDATA[en]]></language><webMaster><![CDATA[tinahergertrn@substack.com]]></webMaster><itunes:owner><itunes:email><![CDATA[tinahergertrn@substack.com]]></itunes:email><itunes:name><![CDATA[Tina Hergert, RN]]></itunes:name></itunes:owner><itunes:author><![CDATA[Tina Hergert, RN]]></itunes:author><googleplay:owner><![CDATA[tinahergertrn@substack.com]]></googleplay:owner><googleplay:email><![CDATA[tinahergertrn@substack.com]]></googleplay:email><googleplay:author><![CDATA[Tina Hergert, RN]]></googleplay:author><itunes:block><![CDATA[Yes]]></itunes:block><item><title><![CDATA[Grief Hits Different After 40...]]></title><description><![CDATA[Some honest thoughts from the bottom, and the slow climb back up.]]></description><link>https://www.tinahergertrn.com/p/grief-hits-different-after-40</link><guid isPermaLink="false">https://www.tinahergertrn.com/p/grief-hits-different-after-40</guid><dc:creator><![CDATA[Tina Hergert, RN]]></dc:creator><pubDate>Tue, 16 Jun 2026 18:43:33 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/dea53497-d4b1-4a48-b01e-a4866a34eb9d_1122x1402.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>I said goodbye to someone I loved today.</p><p>Her name was Mia. But I am not here to carry on about my loss. You have your own. The person, the place, the animal, the version of life you did not get to keep. If you have loved something that much and lost it, the rest of this is for you.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.tinahergertrn.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Symptoms Leave Clues! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p>It is not the loss itself, it is what the loss cracks open.</p><p>Because grief hits different after 40.</p><p>When you are young, loss feels like an interruption. Something terrible happens, and then, eventually, life resumes. By the time you reach midlife, you start to understand the truth. Loss is not an interruption. It is the price of admission for loving anything at all.</p><p>And the older we get, the more the bill comes due. We lose parents. We lose friends. We lose pets. We lose the ones who knew us better than we knew ourselves. The losses start to stack, one on top of the next, until grief stops feeling like an event and starts feeling like a season we keep returning to.</p><p>Somewhere in there, the math changes.</p><p>Because grief in midlife is never only about the one who is gone. It holds up a mirror. And in that mirror is the question most of us spend our whole lives avoiding.</p><p>How much time do I have left. And what am I actually doing with it.</p><h2>First, the permission</h2><p>Let me say this plainly, because someone needs to.</p><p>You are allowed to grieve. You are allowed to fall apart. You are allowed to sit in the dark and not be okay for as long as it takes.</p><p>There is no medal for rushing through it. Anyone who tells you to be strong or to move on quickly has never loved something enough to be leveled by losing it.</p><p>So feel it. All of it. Grief is not a problem to be solved. It is love with nowhere left to go.</p><p>Take the time. Take more than feels reasonable. There is no clock on this.</p><h2>What the bottom is really for</h2><p>Here is the part I have to be honest about, even while it still hurts.</p><p>Grief will take you all the way down. That is its job. The bottom is a brutal, airless place, and while you are in it, it feels like it might be permanent.</p><p>It is not. The bottom is not where you live. It is where you get stripped down to what is true.</p><p>Because grief burns off the noise. All at once, the things you were stressing about last week look like nothing. The grudges you have been carrying. The image you have been protecting. The conversations you keep avoiding. The dreams you filed away under someday, as if someday were a real place on the calendar.</p><p>Loss has a way of showing you, with brutal clarity, what actually matters and how little of your time you have been giving it.</p><p>That clarity is the cruelest kind of gift. You never asked for it. You would hand it back in a heartbeat to get them back. But it is real, and it is rare, and once you have seen it you cannot unsee it.</p><p>The only question left is, what will you do with it.</p><h2>Living on purpose, not by default</h2><p>Here is what grief keeps trying to teach me, and what I keep half forgetting until the next loss arrives to remind me.</p><p>Most of us are living by default.</p><p>We let life happen to us. We react. We cope. We answer the emails and run the errands and fall into bed and call it a life. We tell ourselves we will slow down, reach out, take the trip, mend the relationship, chase the thing that scares us, once things finally settle down.</p><p>But things do not settle down. That is not how any of this works. The only thing guaranteed to arrive on schedule is the ending.</p><p>Living by default is letting the current carry you wherever it happens to go. Living with intention is choosing your direction first, steering towards it, and then letting the current help carry you there.</p><p>It means deciding where your time goes instead of wondering where it went. It means choosing who gets your energy and being honest about who has been quietly draining it. It means looking square at this one short, unrepeatable life and asking what it is actually for, then having the nerve to live like the answer matters.</p><p>Not someday. Now. While you still have the very time you are so afraid of losing.</p><h2>The truest way to honor what we lose</h2><p>This is the part I hold onto when the grief gets loud.</p><p>The deepest way to honor the ones we have lost is not to freeze in our sorrow. It is to rise.</p><p>To take every bit of love they gave us and pour it back into the life we still get to live. To love harder. To waste less. To live so fully and so deliberately that the living itself becomes the tribute.</p><p>They do not need our suffering. They never did. What honors them is our blossoming.</p><p>So that is the choice set in front of all of us, again and again, for the rest of our lives. We can let grief bury us, or we can let it wake us up.</p><p>Grieve hard. Honor it. Take all the time you need.</p><p>And then, when you are ready, rise.</p><p>Not because you are over it. You never get over the ones who mattered, and you are not meant to. But because the truest way to carry them with you is to live a life worthy of the love they gave you.</p><p>Intentionally. On purpose. Like it matters.</p><p>That is how we honor them. And in the end, it is how we honor ourselves.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.tinahergertrn.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Symptoms Leave Clues! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div>]]></content:encoded></item><item><title><![CDATA[You Weren't Imagining Any Of It]]></title><description><![CDATA[For every woman who has been told she is &#8220;fine&#8221; when her body is telling a different story.]]></description><link>https://www.tinahergertrn.com/p/you-werent-imagining-any-of-it</link><guid isPermaLink="false">https://www.tinahergertrn.com/p/you-werent-imagining-any-of-it</guid><dc:creator><![CDATA[Tina Hergert, RN]]></dc:creator><pubDate>Wed, 27 May 2026 14:37:57 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!GE_W!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe55fec13-6822-4723-b6ad-0dd013cb5ac9_1254x1254.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Somewhere between your third &#8220;your labs look normal&#8221; and your fifth &#8220;have you tried losing a little weight,&#8221; something shifted.</p><p>Not in your body. In your trust.</p><p>You stopped raising your hand. You started downplaying. You walked into the next appointment with a smaller voice, a shorter list, an apology already half-loaded before you sat down.</p><p><em>Maybe it really is just me. Maybe I&#8217;m being dramatic. Maybe this really is just part of getting older.</em></p><p>Because here&#8217;s what nobody tells you in those seven-minute appointments: your body has been talking to you this entire time. Loudly. Persistently. In every symptom you&#8217;ve been told to ignore.</p><p>The brain fog that makes you re-read the same email four times. The exhaustion that no amount of sleep touches. The weight that doesn&#8217;t move no matter how clean you eat. The 3am wake-ups. The mood swings that don&#8217;t feel like yours. The hair in the shower drain. The libido that quietly left the chat.</p><p>That isn&#8217;t you being dramatic. That isn&#8217;t you &#8220;just getting older.&#8221; That isn&#8217;t a personality flaw you need to push through with one more green smoothie and a better attitude.</p><p>That&#8217;s a body running out of polite ways to get your attention.</p><p>The problem was never that your symptoms weren&#8217;t real. The problem is that most of us were never taught to speak the language they&#8217;re written in. Most conventional appointments were not built for this kind of pattern recognition. Not the slower, whole-woman version that connects the dots before things become obvious enough for a diagnosis, a prescription, or another referral.</p><p>I&#8217;ve sat with this story enough times to stop pretending it&#8217;s rare.</p><p>So we end up here. Smart, capable, accomplished women, crying in our cars after appointments, doubting the body we&#8217;ve lived in our entire lives because someone with a clipboard told us we are &#8220;fine&#8221;.</p><p>Symptoms leave clues. Every single one of them. The bloat is a clue. The night sweats are a clue. The racing heart, the joint pain, the rogue cycle, the exhaustion you cannot explain.. they are all clues. And when you line them up, they begin to tell a story.  A real one. About your hormones. Your thyroid. Your blood sugar. Your gut. Your stress load. Your nutrient status. Your nervous system.</p><p>The pieces have been there the whole time. We just haven&#8217;t been taught how to read them.</p><p>That&#8217;s what this space is for.</p><p>Not another newsletter telling you to drink more water and try magnesium. Not another expert talking at you from a stage. Not another list of things you&#8217;re already doing.</p><p>This is the kitchen table. Coffee in hand. Where we sit down together and start translating what your body has been trying to say. Where &#8220;your labs are normal&#8221; stops being the end of the conversation and becomes the beginning of a much better one.</p><p>You&#8217;ve been carrying this a long time. The dismissals. The self-doubt. The quiet grief of not feeling like yourself anymore. Of looking in the mirror and not quite recognizing the woman looking back. Of remembering what you used to have the energy for, and not being able to find your way back to her.</p><p>She&#8217;s not gone. You&#8217;re not broken. And you weren&#8217;t imagining any of it.</p><p>We&#8217;re going to take it apart together. Piece by piece. Symptom by symptom. Clue by clue. Until the language your body has been speaking starts to make sense. Until you feel informed. Until you feel prepared. Until you become confident in your own authority again.</p><p>This is the path of the VITAL Woman: informed, not handled; supported, not rushed; heard, not dismissed.</p><p>You&#8217;re not alone here.</p><p>Every symptom you&#8217;ve been carrying has been telling you something real. Let&#8217;s begin listening differently.</p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.tinahergertrn.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.tinahergertrn.com/subscribe?"><span>Subscribe now</span></a></p>]]></content:encoded></item></channel></rss>