Dr. Stephanie goes "holiday-solo" for the third and final time this week to discuss the growing claim that obesity is mainly genetic, with diet and exercise only accounting for 15% of results. She explains why this messaging is scientifically questionable and potentially harmful, especially for women in perimenopause and menopause who feel powerless. In this candid solo episode, Dr. Stephanie addresses the recent trend of medical professionals suggesting that GLP-1 medications like Ozempic are more effective than lifestyle interventions, and why this approach undermines women’s agency. She acknowledges genetic predispositions but argues that resistance training and protein-forward nutrition should remain our primary tools for metabolic health.

Episode overview:
(0:00) Intro/Teaser
(2:00) The Instagram Post
(4:00) The Role of Neurochemicals in Obesity
(5:00) Glucose Metabolism and Muscle Quality
(6:00) Hormonal Changes in Midlife
(7:00) Critique of Genetic Determinism in Obesity
(12:00) The Importance of Diet and Exercise
(19:00) Teaching Healthy Habits to Children
(21:00) Final Thoughts and Action Steps

Resources mentioned in this episode can be found at https://drstephanieestima.com/podcasts/ep450/

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In this solo episode, Dr. Stephanie shares her updated thinking on fitness training for women who menstruate, including perimenopausal women with irregular cycles. Drawing from principles in the Betty Body Book and her presentation at the Health Optimization Summit in Europe, she breaks down how to strategically modify your training across the four weeks of your cycle—while emphasizing the crucial principle of autoregulation.

Episode Overview (timestamps may vary):
0:00 Intro/Teaser
3:13 Why We've Been Training Like Men
8:28 The Three M's of Muscle (Mobility, Metabolic, Menstrual)
21:00 Waist-to-Hip Ratio Longevity Test
24:29 AUTOREGULATION: The Most Important Principle
32:01 Week 1 Training Protocol: 8-12 Reps
34:16 Week 2: 5-7 Reps (POWER Week!)
40:24 Week 3: 8-12 Reps
42:47 Week 4: 15-20 Reps (Myokines!)
45:46 Training Considerations for Perimenopausal Women

Resources mentioned in this episode can be found at https://drstephanieestima.com/podcasts/ep448

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