It seems the author means this thing got in the way of her busy routine, yes. And as for “coming out of the gates pretty darn hot”, it would probably be useful to have a bit more context, but it could refer to being excited, riled up, “in action”, you could say. For example, it’s often employed in police/army shooting scenarios in movies. In general, you could say it means “ready to engage”, which can be adapted to a number of contexts.
If you’d like to have a chat, send me a message and I’ll be glad to help you broaden your vocabulary through some stimulating exchanges!