CONDITIONS WE SUPPORT
9 conditions. Training built around your biology.
Not a one-size-fits-all approach. Every condition gets its own programming logic.
Menstrual Cycle
Menstrual cycle: the phase doesn't set the session.
The best-designed studies find cycle phase does not meaningfully change strength performance or muscle adaptation (Colenso-Semple 2023, 2025; D'Souza 2026). So Salerna does not periodize by phase which is a position most of this category is built on doing.
What drives the session is what she reports today. The daily check-in reads sleep, energy, cramps, bleeding and mood, and adapts volume, intensity and warm-up to those. Symptoms are real and individual. The calendar prediction is neither.
Endometriosis
Flare-aware. Not a fixed protocol.
Endometriosis requires programming that adapts to flare severity, not a fixed protocol. Flare-day mode drops to restorative work automatically. Pelvic floor muscle training is integrated throughout, supported by recent RCT evidence (Del Forno 2023; Gabrielson 2025). We support training in the presence of endometriosis. We don’t treat the disease itself.
Postpartum
Five-phase return. Medical clearance aged.
Five-phase return to training, not a single “6 weeks and go” cutoff. Phase 0 (0-6 weeks: walking only. Phase 1 (6-12 weeks): bodyweight, core reconnection. Phase 2 through Phase 4: progressive loading back to full programming. Medical clearance gated at each transition. Pelvic floor integration throughout.
Menopause
Bone density focused. Fall-prevention integrated.
Post-menopausal women need heavier loading, not lighter. Our menopause programming prioritizes 80-85% 1RM compound lifts with 3-5 rep ranges and longer rest periods. Bone density preservation, sarcopenia prevention, and fall-risk reduction are built into every session. This is a strength training that treats menopause as a training context, not a limitation.
Celiac Disease
Flare-day mode after gluten exposure.
Celiac disease is an autoimmune condition that drives malabsorption, chronic low-grade inflammation, and elevated osteoporosis risk. Our celiac engine scales sessions on flare days (after a gluten exposure), prioritixes bone-loading compound lifts calibrated celiac BMD risk, and compounds adaptations when perimenopause overlaps. Diet is no the only adaptation. Training has to respect the condition too.
PCOS
10-15% of reproductive-age women.
Polycystic ovary syndrome affects 10-15% of reproductive-age women and changes how the body responds to training. Our PCOS engine adapts training frequency and intensity to support insulin sensitivity, with recovery windows that account for the hormonal disruption PCOS creates. Programming is layered on top of cycle-phase awareness when applicable.
Pregnancy
Trimester-aware. ACOG-aligned.
Trimester-aware modifications aligned with ACOG Committee Opinion 804 (2020), the 2019 Canadian guideline (Mottola et al), WHO 2020, and the 2025 BJSM resistance-training-in-pregnancy meta-analysis (Prevett et al.). Evidence-based programming, not anxiety-driven avoidance. Every exercise filters through pregnancy safety logic before it reaches your next session.
Perimenopause
Heavier loads. Not less intensity.
The fitness industry tells perimenopausal women to “take it easy”. The research says the opposite. Our perimenopause engine prioritizes heavy compound lifts for bone density preservation, with extended recovery windows and cortisol-aware intensity caps. Joint-protective exercise selection. Higher intensity, smarter recovery.
GLP-1 Medications
Muscle preservation protocols on semaglutide and tirzepatide
Women on semaglutide, tirzepatide, and similar GLP-1 receptor agonists face accelorated muscle loss alongside fat loss. Our GLP-1 protocols prioritize muscle preservation through appropriate training volume and intensity, adapted for common medication side effects including fatigue, nausea, and reduced appetite.
ON THE ROADMAP
What’s Coming Nexy
Our condition engine is designed for expansion.
Hypothyroidism
Training adaptations for metabolic and energy disruptions caused by thyroid conditions.
Cancer Surviors
Return-to-exercise protocols for women post-treatment, developed with clinical input.
Pelvic Floor Dysfunction
Expanded pelvic floor integration beyond pregnancy and endometriosis contexts.
Your Condition Shouldn't Limit Your Training
It should inform it. That's what Salerna does.