Former pharmacist Josh Rimany joins Shana to explore what real healing looks like for men in midlife — beyond symptom management or quick fixes. Together they unpack how the mind-body-soul connection restores vitality, why the healthcare system often misses the mark, and how men can find wholeness, purpose, and deeper love after 40. A grounded and inspiring look at the “second mountain of life,” where success expands from professional to personal, and starts to include impact and fulfillment rather than just dollars and positions.
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How Men Really Heal After 40: The Path to Health and Purpose: Show Notes
Many men are taught to push through — to ignore stress, health breakdowns, and even heartbreak.
What if real healing happens beyond quick fixes? What if you started to listen to your body, heart, and even soul, as a compass for your most inspiring life?
In this week’s episode of Practicing Love, I talk with Josh Rimany, a pharmacist turned holistic health practitioner, about what true wellbeing looks like for men in midlife. We talked about how to navigate health beyond taking “a pill for the ill,” and actually look at root causes and true healing. We looked at how the body is interwoven with your mind, emotions, spirit and relationships, and how no part of this can be ignored.
We discussed…
- Why symptom management is NOT the same as healing
- Ways to bring body, mind, and spirit into alignment that aren’t “woo-woo”
- The deeper invitation of midlife and what it’s calling you to
- How to listen to the deeper wisdom within that guides the changes you want to make
- The small, daily choices that can rebuild vitality and reconnect you with your purpose
If you’ve been struggling to feel like your youthful, healthy self, or wondering how you can live the rest of your life feeling great, this conversation points you back to your true power. It shows you how to reconnect with yourself and create a life and love that where you are healthier and more inspired than ever.
Links:
Connect with Shana James
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Connect with Josh
Bio:
Josh Rimany, RPh, FACA, IFMCP is a pharmacist-turned-functional-medicine practitioner and wellness innovator who saw firsthand how the “pill for the ill” mindset was leaving people stuck rather than healed. He founded a wellness-forward pharmacy and coaching practice where he blends clinical training with holistic, root-cause care — integrating genomics, consciousness medicine, lifestyle support and mind-body-spirit alignment. On his podcast Beyond the Pills, he guides overwhelmed individuals and health professionals alike toward empowered, whole-person healing instead of symptom-management.
Transcript:
Shana James (00:00)
Hello and welcome to this episode of Man Alive. I’m your host, Shana James, and I’m excited for today’s conversation. We’re talking about where modern science meets ancient wisdom — and what it means to be a man in this world who feels connected to himself, authentic, vital, and alive. Also how men heal, especially after 40, and we mean really heal, in a way that men have a path to health, and purpose also.
There’s so much controversy these days about modern masculinity — fears of being weak, being too soft, being too much, not enough. And I’m thrilled to have an amazing guest today, Josh Rimany. Thank you, Josh, for being here.
Josh has been in the medical world for decades, and he’s also had his own journey into spirit and the inner world. You’ve grown in some really powerful new dimensions, Josh, and I’m excited to hear you bridge that gap between science and ancient wisdom… and support men to feel free. Really free.
Josh Rimany RPh, FACA, IFMCP (01:10)
I love building this path toward health and wellness — and more importantly, toward healing. I think healing is the key word here. I’m here as a conduit for what I’ve gone through so I can help others. That’s the calling.
Shana James (01:28)
I love that. And as we start, I’m curious if you can speak to this: healing from a Western perspective is different from healing when we start integrating ancient wisdom. Can you share a little about your journey and how you began exploring these new domains?
Josh Rimany RPh, FACA, IFMCP (01:44)
Sure. Well, the first question people always ask is, “What do you do?” But really the question should be, “Who am I? What is my being?”
I’m a pharmacist by trade — or at least I used to be. That eventually turned into functional medicine, clinical nutrition, and working on all the wellness pieces of the science.
Shana James (01:53)
Yeah.
Josh Rimany RPh, FACA, IFMCP (02:10)
And that led me down my own path of healing. Fast-forward 15 or 20 years, and it’s taken me on an amazing journey of self-discovery — moving from “sick care,” which is symptom management, into what I feel we’re all being called toward: true healing.
Healing the body, the mind, the energetic system, the spirit.
I’ve been through my own journey, and now I love blending the science and technology we have today with the timeless wisdom we’ve carried — and forgotten — as humans. That blend is what brought you and me together.
Shana James (02:57)
Yeah, absolutely.
Josh Rimany RPh, FACA, IFMCP (02:59)
So the question becomes: how do we treat the whole? Wholeness is a popular word these days, along with authenticity. But from a health and wellness perspective, the mind-body connection is real. The mind-body-soul-spirit connection is real. This is the mind-body connection we were never taught, and there are real embodied healing practices.
That’s the foundation of epigenetics — all the ways our environment, upbringing, traumas, and generational experiences affect our actual biology.
We’ve compartmentalized everything for so long. The invitation now is to remember how to treat the whole human — while still honoring the science we’ve gained.
So I always say the big word “and.” It’s not one or the other. It’s both.
Shana James (05:27)
Yes, it’s not one or the other.
And when I was on your podcast, we talked about how relationships are also part of that wholeness. When I’m working with people on relationships, symptoms show up — aches, pains, emotional suffering — when their relationships don’t feel connected, when they don’t feel seen or understood.
Josh Rimany RPh, FACA, IFMCP (05:51)
Exactly. In lifestyle medicine we look at nutrition, movement, sleep, stress — and relationships. And relationships are the most overlooked piece of health and wellness.
Your relationships with the people you love, with your community, with your colleagues, with yourself, with the world as a whole — if those aren’t healthy, the whole body can fall out of balance.
Shana James (06:01)
Yes.
Josh Rimany RPh, FACA, IFMCP (06:17)
We all have one of those categories that slides the most. None of us is perfect — we’re all imperfectly perfect. But we have to bring attention and awareness to them.
I was talking to someone the other day and said, “We can’t work on anything until we work on your sleep.” If you’re not sleeping well, everything else is off.
You literally can’t survive without sleep — and even one bad night throws your entire day. It’s our number one longevity tool. I can add three and a half years of good health to your life simply through better sleep. But people want the pill for the ill.
Shana James (07:15)
Totally. I woke up this morning and my partner asked, “What are you thinking about?” And I said, “I’m thinking about how I’m so much happier when I sleep.” I want connection. Everything works better.
Josh Rimany RPh, FACA, IFMCP (07:38)
Exactly. And sleep is about quality, not just quantity. That’s why I wear an Oura ring — we now have technology to measure deep sleep, REM, all of it.
Back in the day, the sun went down and you slept; the sun came up and you woke. That was our natural rhythm. Everything is more complicated now.
Shana James (07:51)
Yes, it is.
So, going back to your personal journey — when you started discovering the body-mind-soul connection, what shifted for you? For men who are listening and might be on the edge but not quite there yet, what made it safe for you to open?
Josh Rimany RPh, FACA, IFMCP (08:31)
I’ve been doing men’s groups and men’s circles for about a decade, so I was used to having open conversations. But what really called me was what I call the second mountain of life.
It’s when you start asking deeper questions:
Is this it? What am I here for? Something feels off… but I can’t name it.
That knowing comes from inside — intuition. You can call it health intuition, relational intuition, or purpose intuition.
Shana James (09:01)
Yes, that internal scratching.
Josh Rimany RPh, FACA, IFMCP (09:21)
Exactly. So I went on a pretty courageous journey. I knew what I needed to do — I just didn’t know the path. I knew what I wanted and why I wanted it. The “how” and “when” were unclear.
That’s hard because we get stuck in our analytical minds. I’m very analytical — it’s both my gift and my shadow.
But I followed the what and the why, and that led me all over the world learning from healers, doing plant medicines, exploring all sorts of things.
Shana James (09:54)
Before you go on — what did you know you wanted? And what was the why?
Josh Rimany RPh, FACA, IFMCP (10:08)
Ooh… I didn’t feel complete. I didn’t feel whole. I had a great business, I had success, I had this identity of being “self-made,” but something was still missing. There was a calling — not a literal voice, but an essence, a whisper. And if you’re not paying attention, it’ll pass right by.
Shana James (10:34)
Yeah, it’s more of a sense.
Josh Rimany RPh, FACA, IFMCP (10:37)
Exactly. That quiet internal pull.
So that’s what led me down a path of self-discovery where, for the first time, I put me first. And that’s what I’d had backwards for a long time. You and I were talking about this earlier — intellectually we know to “put your oxygen mask on first,” but actually doing it is a whole different thing.
Shana James (11:19)
Sort of. We know it intellectually, but most of us don’t live it. And it’s tricky — you had a family, a health profession, responsibilities…
Josh Rimany RPh, FACA, IFMCP (11:37)
Right. I was working really hard in my business, believing that if I worked hard enough, I could create a good marriage, provide for my kids, hold everything together. And then I was what was left over.
Even though I was in the wellness space and took pretty good care of myself, there was still this voice saying: “Josh, you need to flip this. You need to do you first.”
And that principle — that shift — is what allowed me to finally make the harder decisions.
Shana James (12:21)
And I want to get more concrete with that, because for many men, putting yourself first feels terrifying. I know you went on a journey where you actually traveled without your wife and kids…
Josh Rimany RPh, FACA, IFMCP (12:35)
I did. I had to step out of my “normal life.” Not because I didn’t love them, but because I had to separate in order to hear myself again.
Shana James (12:42)
And I just want to emphasize — that doesn’t have to be the path for everyone. Opening to yourself can look like a weekend, a retreat, a daily practice. It’s really about no longer living on scraps and starting to ask, “What do I need to feel sane, alive, connected?”
Josh Rimany RPh, FACA, IFMCP (12:52)
Exactly. There’s no one formula.
For me, it had been building for years and I hit a point on that “first mountain” where I couldn’t keep going the same way. I didn’t know how it would work or when, but I knew what I wanted and why. That clarity was enough.
And it’s important — doing it from love, compassion, and wholeness.
It wasn’t a “screw you” to anyone.
It was a boundary that said:
“This is important to my wellbeing, and I’m choosing it from love.”
We all do this in relationships — we make decisions based on how someone might react. I did that for years. And it disconnected me from myself.
Shana James (13:37)
A loving boundary instead of a “fuck you.” Yes.
Josh Rimany RPh, FACA, IFMCP (14:04)
Right. And it shows up everywhere.
Like my wife came home from a conference recently, clearly sick, and immediately went into mom-mode, doing dishes. I’m thinking, “Why are you doing this when you feel awful?”
But she wasn’t thinking — she was acting out of identity: I’m the one who does everything.
Shana James (14:13)
Women do that all the time. And men too — just in different ways.
Josh Rimany RPh, FACA, IFMCP (14:34)
Exactly. And underneath it is this belief:
“If I don’t do it, what other choice is there?”
This is where the micro-moments matter.
This isn’t about one giant life overhaul. It’s about tiny daily shifts — the “no’s” you say, not just the “yeses.”
Shana James (14:48)
Yes. And those micro-moments also have to happen in a collaborative way in a relationship. If “putting yourself first” becomes disconnected from the people you love, it pushes them away.
Josh Rimany RPh, FACA, IFMCP (15:09)
Totally. That’s why communication matters.
I think in very divergent ways, so I have to really massage my communication to make it simple, clear, loving. I don’t always nail it, but the intention is what guides me:
Does this align with my spirit?
Does this feel true?
Is this ethical?
Is this loving?
And people forget — you know when you’re out of alignment. Just like a car pulling on the highway. It still drives, but you know something’s off.
Shana James (15:26)
If you’re listening. Many people aren’t listening because we’ve been trained out of it.
Josh Rimany RPh, FACA, IFMCP (16:07)
Exactly.
We’ve forgotten how to listen because we’ve been conditioned to live in our heads. Technology, the speed of life — it drowns out the whispers.
That’s why grounding, meditation, breathwork… all these practices are becoming more needed. Especially for men, who stay in “fix mode” and think the answer is here taps head.
But the real question isn’t, “What’s wrong?”
It’s: “What’s out of alignment with my truth?”
Shana James (17:04)
Yes — you’re pointing men back to the internal.
Josh Rimany RPh, FACA, IFMCP (17:07)
Right.
My work now is aligning this taps head with this taps heart.
Leading from the heart.
Shana James (17:19)
For people listening — aligning the head with the heart.
Josh Rimany RPh, FACA, IFMCP (17:23)
Exactly. My intention on my journey was to get out of my head and into my heart.
What I didn’t realize was that I had to release what was blocking my heart before it could open.
And yes, that sounds esoteric, but it’s actually very real.
Shana James (17:42)
God, I wish it wasn’t that way. Can you make that less esoteric? What did you actually have to go through?
Josh Rimany RPh, FACA, IFMCP (17:50)
Well… here’s the concrete part:
We all have this thinking-feeling loop between the heart and mind. Most people assume the brain runs the show.
But physiologically, there are 80% more nerve fibers running from the heart to the brain than the other way around.
Shana James (18:06)
This being the mind, yes.
Josh Rimany RPh, FACA, IFMCP (18:17)
So the heart is the regulator.
It knows.
Your body knows.
Your intuition knows.
We just forgot how to listen.
That’s what humanity is waking back up to — making decisions from intuition, not fear.
We’ve all said, “I knew I shouldn’t have done that.”
That’s your heart talking.
Shana James (18:51)
Even Einstein and other scientists said their discoveries came during naps or showers.
Josh Rimany RPh, FACA, IFMCP (19:03)
Exactly. All the great thinkers say, “It just came to me.”
And that’s not thought — that’s accessing the field of information that already exists.
So one of the biggest things I teach is the art of non-doing. This is actually part of stress and burnout recovery, and it’s not optional if you want a regulated life.”
Shana James (19:33)
Mmm, I love that.
Josh Rimany RPh, FACA, IFMCP (19:33)
We don’t get into flow or insight by forcing it.
Flow happens when we stop doing.
When we get present.
When we have space.
Tell me the last time you had an incredible insight because you were rushing to a meeting…
Shana James (20:07)
Yeah, it’s amazing — and I fight non-doing so much, and yet I crave it so much too.
Josh Rimany (20:32)
We all do. Come on, we’re all busy people. This is why we have 10 emails and five notifications and we’re just inundated with information. It’s really difficult. I’m getting spam every day on my phone, not just email — we’re bombarded.
So what do you do? I put my phone on Do Not Disturb, or, even better, on airplane mode. I go outside. The thinking loop has to slow down. This isn’t about doing more or trying to be productive — those are focus hours. These are non-doing hours.
Try sitting with yourself, thinking about anything, almost like contemplation. I do this a lot with my Gene Keys profile — I’ll take one Gene Key and just sit with one word.
Shana James (21:07)
Yes. You can’t “do” your way out of this.
Josh Rimany (21:30)
Exactly. And whatever comes to me is what I follow. You can make this really simple: just sit, close your eyes, focus on your heart, breathe in and out of your heart three times, and stay there. Then allow whatever comes to come. Try it for 10 minutes and see what happens.
That’s a form of heart-centered mindfulness that helps people regulate quickly.
Shana James (21:51)
It’s so simple. Try even two minutes.
Josh Rimany (21:57)
I always tell clients and friends: just try it and see what happens. What usually happens is you notice how difficult it is — because you’ve been wired to go, go, go. “I’m thinking” is the automatic mode.
Shana James (22:06)
Yes. Our minds are so fast. And as we slow down and listen to our hearts…
Josh Rimany (22:14)
We’ve been so connected to constant stimulation that our attention span is now less than a goldfish. That’s a huge behavioral shift. Genetically, we’re not much different than before, but our attention spans have dropped to about seven and a half seconds. A few years ago it was in minutes.
That’s why short-form content is everywhere — we can’t pay attention for more than a minute. Just try five minutes of nothing and see what happens. Your brain will not like you.
Shana James (22:44)
It really won’t. This was actually my practice — I made a goal that I would sit outside for five minutes a day doing nothing. I did it maybe three or four times. It’s so easy not to do it, which isn’t the same as non-doing. The “doing” mechanism is so strong. So how do you fight that, or not fight it, but shift it?
Josh Rimany (23:26)
It’s a big pull. Again, it goes back to intention. If you set an intention of five minutes a day of nothing time, you can put a timer on your phone. This is such a great example of midlife mental health tools we all need. But it’s easy to hit snooze or swipe it away.
Shana James (23:46)
And keep making it ring at you…
Josh Rimany (23:49)
Exactly. So how badly do you want it? Accountability helps. I’m a high D in my DISC profile — I need a challenge. I won’t do something just because it’s good for me; I’ll do it because someone said I couldn’t, or because I’m accountable to someone, especially someone I’ve paid, like a coach.
Shana James (24:04)
Yes. Nice.
Josh Rimany (24:18)
In my men’s groups we’ll ask, “How are you actually going to do that?” And sometimes it’s like, “If I don’t do it, I owe you 100 bucks.” And I’m like, I’m not paying anybody 100 bucks — I’ll do the five minutes.
One mindset trick that helps me: once is okay, because we’re imperfect. Twice in a row — not okay. Tell yourself: If I miss it today, I’m not missing it tomorrow. That prevents the shame spiral of, “I’m so bad, I can’t even do five minutes.” No — miss it, love yourself, and recommit.
Shana James (24:25)
Right. Twice in a row not doing it, you mean?
Josh Rimany (24:45)
Exactly. That helps tremendously with my meditation practice.
Shana James (25:07)
And with my clients, if it keeps not happening — and we’re all human — then we have to look underneath it. Why am I choosing not to? What are the goodies I’m getting from not doing it?
Josh Rimany (25:26)
That’s a big one. Asking the deeper-rooted why questions. And sometimes it takes five whys to get to the root. You said this was important to you, right? But the step between knowing and doing is huge. We all intellectually know we should eat right and exercise, but we don’t.
We have an obesity crisis. And it’s not because people don’t know better — it’s because no one’s asking about their relationship with food. We’re trauma eating, soothing, coping. But the doctor just says, “You’re overweight, eat differently.” That’s not how it works.
Shana James (26:07)
And yet many people don’t. It’s so wild. I’ve had digestive issues and have been forced onto a liquid diet at times. And I knew I was emotional eating, but it wasn’t clear until I had no choice. If we don’t shift things ourselves, sometimes we get whacked upside the head with physical pain or symptoms.
Josh Rimany (26:59)
We are the only species on the planet that will consciously eat something bad for us. Squirrels don’t look for McDonald’s to soothe their inner child wounds.
Shana James (27:19)
(laughing) Soothe their inner child wounds…
Josh Rimany (27:21)
Exactly. They’ll eat it only if it’s the only thing around. But humans go, “I know this is bad for me, but I’m going to eat it anyway.” Because it feels good. And we overeat because we have constant access to food and information — it’s all excess.
Shana James (27:32)
It feels good, yeah.
Josh Rimany (27:51)
We’re all seeking pleasure — that’s a God-given right. But I believe we should feel all of the experiences, not just the good ones.
Shana James (28:04)
So if I’m hearing you, finding alignment — body, heart, spirit — means asking all of these hard questions: What’s my relationship with food? With love? With sex? With the earth? With people? These are not easy questions.
Josh Rimany (28:33)
No. But that’s who I’ve become — maybe through practice, maybe through my own ascension. I love the deep questions. I don’t love the surface stuff anymore. Not because I’m better, but because that’s my vibration.
My kids tease me. We’ll be watching a movie and some guru character says, “The part is the whole,” and they go, “Dad, that’s you.” And I laugh — you have to be able to joke about yourself.
Shana James (29:21)
Yes! That’s such a sign we’re not taking ourselves so seriously.
Josh Rimany (29:38)
Exactly. You can go deep and still not take yourself too seriously. The shamans I’ve spent time with joke constantly, even during ceremony. There’s a lightness we need in life because most day-to-day stuff doesn’t actually matter. A month later you won’t care about the traffic or the argument you had. In the moment it’s big — fight or flight kicks in. But long-term? It’s nothing.
Shana James (30:34)
(This part of our conversation dives into midlife transformation, men’s emotional health, and how intention shapes personal growth.)
What you’re saying really brings us back to intention. When your intention shifts, what matters shifts. And when you know what truly matters to you, your day-to-day life starts to feel very different.
Josh Rimany RPh, FACA, IFMCP (30:35)
I think of it like using both a telescope and a microscope. These are big decisions for men’s emotional health and midlife transformation.
And all of it brings you back to the present moment — because that’s where we create from. Not the past, not the future.
It’s funny… we take so many pictures. “Look at that sunset!” But does a picture ever feel the same as being there?
Sure, I want to capture moments, but you don’t really capture them.
We’re the only mammals who turn around and actually look at the beauty of the Earth. Squirrels aren’t like, “Wow, look at that sunset.” They’re just like, “Sun’s going down — better find food.”
Shana James (31:41)
Hahaha! Right, right. That’s something unique we get to do.
Josh Rimany RPh, FACA, IFMCP (31:48)
But do we catch ourselves appreciating that part of being human?
Presence is where life happens. The picture is for the future — but the experience is now. Go back and appreciate life.
Shana James (32:03)
Go back and actually experience the moment. Yes.
Okay — for men who are listening, or really any human listening — but especially men navigating midlife changes, or even a midlife crisis, maybe we can wrap up with this:
What helped you find the courage to take the leap and start your own journey?
Josh Rimany RPh, FACA, IFMCP (32:27)
I had a lot of friends. Coaches. A tribe behind me holding space and encouraging me. These are big decisions sometimes — a career shift, a relationship change, or saying something that might hurt someone but is true for you.
Shana James (32:55)
Right. You still know you have to say it to be honest with yourself.
Josh Rimany RPh, FACA, IFMCP (32:56)
Exactly.
There’s that moment of discomfort, but once you set it in motion, it’s done. And in my experience — and in most people’s experience — that’s when the breadcrumbs start falling. Things start aligning. Life starts aligning with you, instead of you trying to figure everything out.
Shana James (33:19)
Yes. If you’re listening deeper — not just to your mind — you start to feel guided, even if that sounds a little woo. It’s a sense of aligning with a deeper wisdom.
Josh Rimany RPh, FACA, IFMCP (33:43)
Everything takes practice — whether it’s emotional intelligence, spiritual growth, or rewiring old midlife patterns.
Setting intention is important. And having ethics.
In energy work, those are the two foundations: ethics and intention.
Intention is knowing the direction you want to go — and releasing expectations.
This is especially powerful for men doing inner work, for men’s emotional health journeys.
Shana James (33:59)
Got it. And what does ethics mean to you?
Josh Rimany RPh, FACA, IFMCP (34:08)
Ethics is easy for me. I’m a heart-centered person. Ethics means I’m not doing something to harm someone else, or with an agenda. That doesn’t match energetically.
Think of it this way: is it purpose-driven, or driven by something else?
I’m a purpose-over-profit guy. I don’t do things for money — I do them because they align with someone’s purpose.
It’s like offering your hand to someone before helping yourself. That approach helps me.
Listen — really listen. Not just hear.
Shana James (34:37)
Purpose. Yes. That makes sense.
Josh Rimany RPh, FACA, IFMCP (35:07)
You can hear words, but when you really listen — what I call million-dollar listening — you pick up so much more. This is essential in building conscious relationships.
Words are only a fraction. It’s not even just body language — it’s energy.
Shana James (35:26)
Yes. There’s energy. It’s so much deeper than the words people say.
Josh Rimany RPh, FACA, IFMCP (35:34)
Practice that. When someone walks into a room, what’s your first impression? Not from your mind — but from your body. Are you drawn in? Do you feel open?
That’s energetic alignment.
Shana James (35:53)
Thank you. Where can people find more of you?
Josh Rimany RPh, FACA, IFMCP (35:56)
I’m all about “beyond the pills.” You can find me on my podcast, on Instagram, LinkedIn — just search Josh Rimany.
I also guide men through my Alignment Arc so they don’t have to do this alone.
Go to beyondthepills.com. That’s where everything is.
Shana James (36:26)
Great. And thank you for integrating modern science with ancient wisdom. It is so powerful for men over 40 who want deeper relationships and authentic purpose.
I really believe we need both — not throwing out what works, and recognizing there’s so much more available than most people see day to day.
Integrating science with ancient wisdom Josh Rimany RPh, FACA, IFMCP (36:51)
It’s remembering what we’ve generationally forgotten — bringing it into a modern approach. That’s the key to where we’re going.
Shana James (37:09)
Thank you so much.
Josh Rimany RPh, FACA, IFMCP (37:11)
Thank you. This was fun. You’re amazing and I love what you’re doing for men, for women, for relationships. Thank you for your part in this.
Shana James (37:17)
Thank you! And thank you. I love doing it together.
Josh Rimany RPh, FACA, IFMCP (37:25)
Exactly. It’s a collective.
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