9 conditions. Training built around your biology.

The phase doesn't set the session. The best-designed studies find cycle phase does not meaningfully change strength performance or muscle adaptation. So Salerna does not periodize by phase. What drives the session is what she reports today.

Flare-aware. Not a fixed protocol. Endometriosis requires programming that adapts to flare severity. Flare-day mode drops to restorative work automatically, and pelvic floor muscle training is integrated throughout.

Five-phase return. Medical clearance staged. Not a single "6 weeks and go" cutoff. Phase 0 through Phase 4 progressively rebuild loading, gated by medical clearance at each transition, with pelvic floor integration throughout.

Bone density focused. Fall-prevention integrated. Post-menopausal women need heavier loading, not lighter. Our programming prioritizes compound lifts, bone density preservation, and fall-risk reduction in every session.

Flare-day mode after gluten exposure. Celiac disease drives malabsorption, chronic inflammation, and elevated osteoporosis risk. Our engine scales sessions on flare days and prioritizes bone-loading compound lifts.

10-15% of reproductive-age women. PCOS changes how the body responds to training. Our PCOS engine adapts frequency and intensity to support insulin sensitivity, layered on top of cycle-phase awareness when applicable.

Trimester-aware. ACOG-aligned. Modifications aligned with ACOG Committee Opinion 804, the Canadian guideline, WHO, and the 2025 BJSM resistance-training-in-pregnancy meta-analysis. Every exercise filters through pregnancy safety logic.

Heavier loads. Not less intensity. The fitness industry tells perimenopausal women to "take it easy." The research says the opposite. Our engine prioritizes heavy compound lifts with extended recovery windows and cortisol-aware intensity caps.

Muscle preservation on semaglutide and tirzepatide. Women on GLP-1 receptor agonists face accelerated muscle loss alongside fat loss. Our protocols prioritize muscle preservation, adapted for common medication side effects.