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Dr. Stacy Sims

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Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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So when we start losing the higher doses and pulses of estrogen, and we have more and more anovulatory cycles, so we don't necessarily produce progesterone, every system gets affected, specifically bone and muscle. So we'll have women who are complaining about waking up feeling squishy overnight and they can't even open like the jar of pickles because they don't have the strength.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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And they're like, what's happened? That's an estrogen effect. Because when you look at how estrogen affects skeletal muscle and the feedback mechanism for strength and power development, it's in every part. It's on the satellite cell to develop more muscle fibers. It's on the nerve endings to be able to say, yep, let's create a really fast nerve conduction mechanism.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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across the gap junction to be able to fire a lot of fibers to create a strong contraction. And it's also part of the contractile proteins itself to be able to grab together to create a strong contraction. So when you lose estrogen, you're losing the impetus for those three main points of strength and lean mass development. So when I start explaining this, people are like, shit, now what do I do?

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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It's like, okay, well, now we want to look at a nervous system response. Because if we can find an external stress that's going to create the same cascade feedback mechanisms that estrogen did, then we can keep progressing. And that is strength training. But it's not lightweight, going to failure type stuff.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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We have to take a page out of the power-based work where we're looking at zero to six reps. We're doing heavy loads. We have lots of recovery between those loads because we're trying to really stimulate the central nervous system and peripheral nervous system to say, you know what?

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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I've got to have a lot of muscle fibers and I need to be able to recruit them quickly to have a very strong contraction to withstand that stress and load. So now we can build lean mass, strength and power without estrogen.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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So when we're looking at perimenopause, we have to look at all the systems that are being affected and we have to look at that external stress to apply to the body to create the adaptations that we want. So when we look at it, it's all about the intensity and the quality of the work. It's not about volume.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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So like I said earlier, where zone two is not really appropriate for women, at this point, it doesn't really do much for women at all. Because when you take away our sex hormones, we're really endurant. We're really fatigue resistant. We burn a lot of fat. So we have to look at how do we polarize it. We want to do some true high intensity work.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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So that's 30 seconds or less, as fast and hard as you can go with two to three minutes recovery to have full recovery to be able to do it again. Might do that two or three times. Or we do true high intensity interval training.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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And that is a little bit lower intensity and a little bit longer, but you're still really polarizing where when you go to do your interval, you're doing it at the intensity you're supposed to. And the recovery, you're fully recovering so that you can hit that intensity again. So the three big things there are proper strength training. and the intensity of your sprint or high intensity work.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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So like I said, it's not a lot of volume, it's the quality. Because each one of those factors affects the body in a way that will cause positive change. So strength, like I said, you know, you're going to get that central nervous system response.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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to build bone and muscle when we're looking at that high intensity interval training which is not full intensity but maybe 80 percent this is causes more of a cardiovascular and a blood glucose improvement and then when we're doing that high high intensity sprint interval work It causes a cascade of what we call myokines.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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Yeah. So I started as an athlete and an academic and an academic in sports science and nutrition. And all the things that we are learning in class didn't really apply to me as an athlete or my teammates. So that really started the question of what are we doing? And as you started digging in, realizing that there really wasn't very much research on women.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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So these are little hormone and feedback molecules that go from the skeletal muscle to the liver and the storage area of body fat and says, you know what? We don't need to store body fat. We don't need to take these circulating molecules. fatty acids and make them visceral fat. We need to use them and store them in really active tissue.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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So the aspect of doing those three things is the mainstay during perimenopause is to benefit body composition, our metabolic health, our cardiovascular health, and then most importantly, our brain health. Because if we're doing strength training and creating neural pathway plasticity, we're doing lactate training to improve brain metabolism.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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Then again, we are able to support the brain when it is starting to lose the receptor sensitivity of estrogen, progesterone, because we don't have those sex hormones anymore.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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When you look at those classes, it feeds into the mentality that we've grown up with where you have to feel smashed, absolutely smashed and burnt out when you finish a class to make it worth anything because it's about the, quote, calorie burn and the smash aspect. I think Orange Theory even has splat points or something like that, trying to navigate how hard it is.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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But the length of those classes and the speed at which those movements are done is really a precursor for injury with how fast the movements are underweight. And you can't really recover well enough to hit that 80 plus percent for your interval. Because if you're looking at a 45 to an hour long class, you cannot hold high intensity for that long. That puts you in moderate intensity.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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Now, the problem with moderate intensity is our bodies, when we're perimenopausal, are already under a significant amount of sympathetic stress. So this means we're tired but wired. We have a really difficult time coming down from that anxiety and that boredom. awakeness, flight or fight sensation, and moderate intensity perpetuates that.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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When we look at what it does from a metabolic standpoint, it doesn't have a post-exercise response that true high intensity does of increasing growth hormone and testosterone that drops cortisol. So when we're doing this moderate intensity stuff, we end up with a higher circulating amount of cortisol, which becomes our new baseline. And we don't get any of the metabolic change.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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We're not going to see a dissipation of our minnow bellies or visceral fat. We're going to see an increase in that. We're going to be completely tired all the time, which means we are not sleeping well. And if you can't sleep well, you're not going to invoke any change. So when we're looking at that moderate intensity work that people feel is high intensity, I feel like it's such a disservice.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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And even when you're looking at the textbooks and textbook pictures of representation, they're all male, male bodies. So that was so many decades ago. And ever since then, I've been really trying to dig into both research and the application of research to get women to understand that their bodies are different. We have different physiology from birth. We have hormone fluctuations.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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And what makes me angry about these classes is that they are really marketing to women 40 plus. And I'm like, this is just not appropriate. These women are coming, wanting help. They want to do some strength training. And the protocols you're throwing in there are specific for men. And you're not looking at what's happening when women hit 40 onwards. So when we talk about true high intensity,

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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We look at taking a page out of High Rocks or CrossFit where they're doing every minute on the minute for four minutes and then one minute full recovery. And you might do two or three rounds of that. And that is true high intensity work because each minute you're going to go as hard as you can. It might be 40 or 50 seconds, 20 seconds to get to the next one.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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Then you do that four times in a full minute to like come down. Maybe it's two minutes to come down. Repeat that again and maybe a third time. So all up, it's 20 minutes of work. And that is true high intensity work.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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It wouldn't necessarily make them worse off as you're looking at it, comparing to someone who's just doing low intensity work all the time. But what happens in those classes and low intensity or sitting around is there's a really high incidence of being skinny fat. So that means you might look lean, but you don't have a lot of really good quality lean mass and you have low bone density.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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There are so many women in the past about six months that have come saying, I don't understand what's going on. I got my DEXA scan and I go to these classes. I go to boot camp. I go to Les Mills. I go to Orange Theory. I'm osteopenic and I have a very high amount of visceral fat. I'm like, okay, well, there's two things. One, you're probably not eating enough.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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And two, you're putting yourself under this moderate intensity load almost every day and Your body has no chance to recover and polarize and understand that it needs to step up its game to be able to answer the challenge of exercise because it's not getting the feedback to actually adapt. It's getting the feedback to stay tired but wired and in a stressed state like you have to run from a bear.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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Sure. Yeah, no. I get this in too. Because of the weighted vest. So if we look at the weighted vest, that changes your biomechanics. Because like I was saying earlier, our center of gravity is down in our hips. So if you're putting a weighted vest on, you're putting all the weight up here, which is not where our center of gravity is. So that changes your biomechanics.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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And this is why you see a lot of women are like, oh, I've got a tendon issue. I've got an Achilles issue, which then develops into plantar fascia problems. It would be better to get on that treadmill without the weighted vest, but holding two heavy dumbbells and trying to do farmer's carry five minutes on, two minutes off on that incline.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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So you're getting strength, high intensity work, and then some recovery in between.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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And these affect every system of the body. And we respond to training differently than men. We respond to stress differently than men. And the more we dig into it, the more we realize there's a lot of research to be done. So the research that we do have, I'm really adamant about getting it out so women can be empowered to understand what is going on.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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Yeah. So polarized means that you go top end capacity and recovery is really low. So when you first start doing high intensity work, you might find you need more recovery in order to hit that top end capacity. And that's fine. Women underestimate recovery all of the time.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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So polarized means that you're staying out of that middle zone so you can go super hard when you need to and you recover super easy. So we look at the moderate intensity stuff as it's too hard to be easy and it's too easy to be hard to invoke change. Stay out of that. You want to be hard to invoke change and you want to go easy to recover so that you can go hard again.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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Bare minimum, we see two sprint interval sessions or one sprint and one high intensity session and three lifting sessions a week. But you can combine the sprint and the lifting for one day in the gym. So you might do lower body posterior chain work. We're doing hip thrusts and deadlifts. And then we finish off with some sprints on the bike. And then you're done and dusted.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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Or maybe you do box jumps instead of sprints on the bike as your high-intensity work, and then you're done and dusted. So like I was saying earlier, it's about the quality of the work that you're doing rather than the volume of the work that you're doing.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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When we look at how bones respond to stress, we need multidirectional stress to invoke actual bone regeneration and increasing our bone density. Jumping does that because you're landing and it's complete... stress in all the different planes that go up through the skeletal system, which then causes a cascade response of I need to be stronger through the entire bone.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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If we look at just running, it's very uni-planar and it doesn't cause that multi-directional stress. We look at walking, it doesn't either. Strength training does, but not to the extent of jump training. So if people can't jump, strength training is going to help improve bone density, especially the heavier work that you should be doing. But just plain running doesn't do it.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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You can do that. When we're looking specifically at building bone, it's a landing, not how we've been taught with soft knees, but absorbing the impact through our bones. We're not jumping really high.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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We might be on a low box and jumping off as a depth jump and landing kind of flat footed hard or doing pogo, pogo jumping where you're flat footed and absorbing the impact through your skeletal system. And it only takes 10 minutes, three times a week at the most to invoke change.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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Because face it, we put as much work into our training and we take time out of our day to really work on our health and well-being. So it should be appropriate for us. We shouldn't be fighting the battle against our own bodies because of protocols based on male data.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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but you're not getting the impact from the ground. Because our body moves when it hits the ground, the ground doesn't move. Whereas the trampoline, it moves. So you're not getting the same kind of reactive force through the skeletal system.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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If I were to use the buzzwords of fasting, I would say you do your 12-hour overnight fast. That's what you do for fasting. But when we look at it from a hormonal response, reducing stress, improving body composition, brain health, all the things that people want with fasting, for women, we need to eat within a half an hour of waking up because we have a cortisol peak and we need to drop that peak.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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We also see from circadian research that fueling throughout the day improves sleep, but it also improves the feedback for increasing lean mass development and dropping body fat. So when we have a big hole of no food and what happens for the most part is women will start a fast and they'll try to hold their fast till noon and then they end up working out fasted.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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And the brain, especially the hypothalamus, is like, what's happening here? There's no fuel for this exercise. I'm going to start breaking down lean mass because I need some amino acids for some fuel. And I can't support really metabolically active tissue when there's no fuel coming in.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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So when we start looking at what's the best way to counter the body comp changes that are happening in perimenopause... train smart, eat. Eat during the day. Stop eating after dinner so you don't have nighttime snacks and making sure that two to three hours before you go to bed was your last meal so that you can get into a deep, reparative sleep.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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And I know sleep is fleeting for lots of people in perimenopause. So we need to work on the sleep hygiene and maybe it's adding supplements like apigenin and L-theanine. Maybe it's cycling progesterone to help with sleep so that you do get into that deep parasympathetic activation so that your body knows that it can change body comp.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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Because you cannot create change without enough calories and without good sleep.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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So that's my mission across the lifespan is to get women from puberty all the way through postmenopause up to speed about what their bodies are doing and how they can modify or alter what they're doing to get the best benefits.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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Absolutely. And from a physiological perspective, women have two areas in the hypothalamus that is very sensitive to nutrient density. The two areas are the arc areas, and we have what we call cispeptin neurons that get expressed. When we don't have enough food coming in, we don't have all those pepton neurons being expressed. So we have a hit on our entire endocrine system.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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So that's not just estrogen and progesterone. It's also things like thyroid and our appetite hormones. Men have one area. So their sensitivity to nutrition density is not nearly there. as sensitive as it is for women. And I'd like to scope it down to calories per kilogram of fat-free mass.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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Women need a bare minimum of 35 calories per kilogram of fat-free mass to be able to maintain some endocrine health. Ideally, you want to see people up to 40 for minutes 15. When you start to drop below that 35 for women, we start to see a lot of subclinical disturbance in endocrine and sleep and body comp. For men... Thank you. Thank you.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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Yeah, for sure. I like to kind of start this conversation when we look at the sex differences that exist at birth. So that's like without our hormone fluctuations from our menstrual cycle and stuff. So when we look at XX versus XY, because that's the primary area of research that we have. Very binary, but that's all we have at the moment.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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If you are born XX, then you have more endurant type fibers. So your slow twitch, your oxidative, very aerobic type fibers. And with that comes a lot of mitochondria work. So that means your body's really able to take fatty acids and use it, use oxygen and go long and slow.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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Yeah, part of it's misinformation and part of it is people become inherently lazy and don't want to... And I say that and I'll take full ownership of that statement. Because when we look at exercise, regardless of intensity, duration, mode, whatever it is, it's a super powerful stress that gets put on the body and the body responds in kind.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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When we look at XY, they're born with more of the fast-twitch glycolytic power-based fibers, so good at speed, good at quick reaction time, good at doing super high-intensity work, and they have to work on developing that aerobic system.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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So yes, you're going to have inflammation after exercise, but the subsequent response is your body upregulates its anti... inflammatory and antioxidative responses. So the chronic use of exercise improves oxidation and inflammation. It also improves autophagy.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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So all the things that people are talking about by using pharmaceuticals for longevity or trying to biohack by using microdoses of this and peptides and stuff, you can use exercise. And it's just understanding what kind and dosage. It's not the blanket ACSM 150 minutes of moderate to vigorous activity, which is based on male data, right? So we have to be very nuanced in what we're talking about.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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You have to be very dedicated to the strength training and eating protein. Because when we look at protein, protein and a high protein diet induces satiation and increases our natural production of our GLP-1s. So if we are looking at using Ozempic as well as strength training and high protein, you're going to get better body composition, better appetite control, better appetite hormone regulation.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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And it's going to allow you to get off the Ozempic when you get to a certain point, which is decided by you and your doctor or whatever your lifestyle choice is.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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This is a time. Yeah. Well, this is a time where you can play. You can play a little bit. You can try a lot of things. It depends on your hormone profile. It's like what kind of if you're using hormonal contraception, what kind is it? Is it oral contraceptive? Is it a Mirena? Is it a copper IUD?

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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All of those have different responses within the body, which is going to affect the kind of training and how you feel about training. Naturally cycling, are you finding changes in your bleed pattern? Are you finding changes in the length of your cycle? Well, those are beginning stopgaps and warning signs that you're putting your body under too much stress.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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But for the most part, you want to find a goal and the basic idea of periodization of both cardiovascular and strength. is beneficial. If you're someone who wants to go the endurance route, sweet, you can. But put some strength training in there. You don't have to put it your mainstay, but you want to have a strong, resilient body regardless of where you are in your life.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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So as we feed forward and see at the onset of puberty what happens is there's another divergence where with what we call the epigenetic exposure or the situational change that happens with estrogen, progesterone, to some extent testosterone in girls, we have a change in all of our biomechanics. So our center of gravity goes from being up in the chest area down to the hip area.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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And you can pepper it in your 20s and your 30s with different adventures.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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My habits. Well, full disclosure, I tried my very first high rocks on Sunday here in Auckland. Yeah. Was it good? It was super fun. Yeah, it was super fun. Super hot. I did end up tearing my meniscus.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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Yeah. And I'll share the story is I was not strong enough in the posterior chain to do the sled pull and then run. And I went into it after being in the States under a high amount of stress and not having been able to train on the sled very much. I came back. I had 10 days before the race. So that's my full disclosure. But I'm now at a point where it's all right.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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No, I haven't seen a sports doc or surgeon yet. So I'm like, I'm doing all the rehab things that I know. And I have to get on a plane next week and fly to the States and be gone for a month. So we'll see what happens. I am going Houston and then Boston, Boston, D.C., D.C., Denver, Denver, L.A., L.A., San Francisco.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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No, I wish. It's not vacation. Doing some podcasts and some board meetings and some filming for a project and looking for houses.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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Because the L.A. trip was really fully booked until someone just canceled. So that's why we're going to try to see what we can do when I'm there in L.A. Okay, perfect.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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My habits. Yeah. So I am a kind of person that needs to get up before anyone else in the household so I can have 10 to 15 minutes of absolute no noise because that's how I can reset and recenter. Then I'd like to do some training, either go for a swim in the pool or the ocean. A couple of days a week. Strength training, definitely three to four times a week.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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After training, come home, have food, do the email thing, go through all the meetings, have some quiet time, get some work done. Then my daughter comes home from school. We do some stuff and I do some more work. Then I take the dog for a walk, make dinner, have dinner, have conversations and maybe read with my daughter. And then I try to be in bed by 9.30, 10 o'clock.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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I get up maybe 6.30, 7, but I'm also the most fatigued person at the end of the day and I want to go to bed before everyone else. But I make a priority. I'm like, I need to go to sleep now and I need to sleep. I might do some reading before falling asleep, make sure it's a cool, dark room because I don't like to be hot when I'm sleeping.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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and I get very agitated if my sleep is disrupted because I'm like, I need sleep. I need sleep.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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No, I don't. I advise people who do train. And every once in a while, I'll take someone on, especially if it's a really complex, like sticky moment where people are trying to do all the things and they're stuck. I wish I had the bandwidth to be able to get out there on boots on the ground to help more people on individual basis. But there's only one of me at the moment.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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Our hips widen, our shoulder girdle widens, but we're not told about this. So we feel ungangly in our bodies. We aren't taught how to run again, how to jump, how to swing, how to land or any of those things. They're just, well, you are at this point, you get your period. We know girls drop out of sport, but it has to do with the fact that the actual biomechanics of the body have changed.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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myth trend out there yeah i think the most underrated is the intuition i think people have forgotten what it feels like to sleep well to eat well to have energy because we've been told by wearables what we're supposed to be feeling and what we're supposed to be doing and people have lost that connection to themselves

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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So that intuition of actually understanding our body and using things like rating a perceived exertion without any of the tools, I think that's one of the most underrated, but one of the most effective means of invoking change. When I look on the other end of things, it's all those top end, like the 1% that you should be looking at, like peptides or fasting. Let's just bring it back to basics.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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How are you eating? What are you eating? When are you eating? How are you sleeping? It's like the big four is the mindfulness, the sleep, the physical activity, and the nutrition. If we focus on those, then we can start to really see change.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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It's when we start going outside the box and really focusing on all the biohacking and the bro science that's out there is when we start to lose sight of where we should be and get into the overrated trends that tend to take over everybody's mentality.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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Saunas, I love. I started as an environmental exercise physiologist. So I look at how the heat can invoke positive change on the body. It doesn't have to be a large dose. It could be 10 to 15 minutes in a finished sauna three times a week because we start to see massive cardiovascular improvements, blood pressure improvements included in that, metabolic changes.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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We have better blood glucose control. We have better gut health, brain health. So many great things happen with the heat. When we think about cold plunge for women, it's cool water. It's around 15 degrees Celsius, which is around that 56, 57 degree Fahrenheit mark. Ice is too cold and we don't get the same kind of response that men do when we get into ice.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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It's too strong of a stress and the body rebounds with too much sympathetic drive. too much constriction, where if it's cool water, we're going to invoke initially a vagal response, which is that, and then the body's going to get that more parasympathetic relaxation response that we're looking for, for cold plunge.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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So if you're a woman, you're jumping in. Yeah. So you're jumping into that icy cold water and you're getting that shock. And that shock is a sympathetic so that you have your flight or fight sensation, which is your sympathetic drive. And you have that deep relaxation, which is your parasympathetic drive.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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For women, we get that shock and that sympathetic drive, which increases cortisol, increases our blood glucose and our free fatty acids because the body's like, ah, what is this incredible shock? I've got to get out and run away. For cool water, it's not as intense. So you don't get that sympathetic. You get the initial, and then the body's like, okay, I can deal with this.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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I'm going to do some vasoconstriction. I'm going to put more blood sugar to the brain so that the brain understands what's going on and stimulates what we call the vagal nerve. So the vagal nerve is what that parasympathetic nervous system is attached to. So it invokes that calming and you can stay in it, take some deep breaths.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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So when we start looking at all of these trends that are out there and about doing like zone two work and improving our aerobic capacity and trying to do ketogenic diet for improving our fat burning capacity, all that's based on male data. Because being born that XX, you already have all of that capacity.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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But that said, heat does so much more for a woman's body than cold plunge. So if we're looking for increased parasympathetic drive, we're looking for better metabolic control, we're getting better hormonal control, it's all instigated by sauna work, not by cold plunge.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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So the thing with the infrared is it really bypasses when the initial thermoregulation control centers. If you get to a point where it's hot enough and you get that sweat onset and you feel really uncomfortable, then you're hot enough. But you don't have to like stay in there for a half an hour or more being uncomfortable. You bring it up to your sweat response and then you can get out.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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And I think that's what people don't like. They're like, oh, I get an infrared and I get warm, but I don't sweat. I'm like, but you need that. You need that uncomfortable heat and uncomfortable sweating to invoke the change.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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Yeah, my stepdad has one, but we have a finish sauna. So I use our finish and then I go to my parents' house and I'm like, I'm freezing in your sauna.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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Red. Yeah. Maybe you put on one of those sauna suits they sell in like Kmart or Walmart and you wear the sauna suit in your sauna.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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Get a new sauna. Yeah. Do that. That's the best way to do it. Yeah.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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Yeah, me too. It's great to see you. It's great to see you. And yeah, have a great day and give LA hugs for me.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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What we need to work on throughout our entire life is working on that power base and the fast twitch. And I say that because we want to be able to produce power. We want to be able to run fast, to jump, to land, to have good coordination. But more than that, when we look at longevity and we see this is really important in peri and postmenopausal that we keep producing lactate for brain health.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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And then we have Next Level that is specific for peri and postmenopause. Oh, perfect. Perfect.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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Yeah, it'll get there. It's just, there's no pain. It just catches. So there's instability, but no pain. I'll take that.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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Because if we keep producing lactate from that fast twitch and that higher intensity work that we've been trying to build throughout our life, we are slowing the rate and the risk for Alzheimer's and dementia. So when we see that sex difference in Alzheimer's and dementia, it comes down to the type of muscle fibers and the metabolism that we've been exposed to throughout our life.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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So that's why it's like, okay, if we look from birth all the way through to the end of life, There are unique things that women need to do to keep progressing and improving their health for longevity and performance, whereas men are more of a linear because they don't have all of these changes that women have with regards to biomechanics and hormone exposure.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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So, of course, it makes sense that you see all this data that comes out for men and men are scribing these protocols and they're improving, that when you take that and put it into certain points within a woman's life, they're not going to respond the same way because physiologically and biomechanically, they are not the same as where that data originated from.

Habits and Hustle

Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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So women are more quad dominant, just the way our posture is and our center of gravity. So this already predisposes us to change of direction injury, soft tissue injury. That's part of the reason why we see a greater predisposition in ACL injury, because we don't have the hamstring strength to counter some of those cutting motions that causes an ACL tear.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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So when we're looking at that and what we need to do is we need to put that focus away from the knee and the lunge and all that quad dominant type work, put it posterior. So you're looking at developing the glutes and the hamstrings, a lot of extension work. And we see that when women start to do that, they reduce their injury risk and they have better posture and cutting motion.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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And when we're looking at things like what FIFAS put out for warm-up, it's all about warming up the posterior chain and trying to get those muscles firing as a counteract to some of those cutting motions that predispose women to ligamental tears. We also see that as we get into perimenopause, there is a definitive increase in plantar fascia issues and frozen shoulder or bursts in your shoulder.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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And that has to do with the changing of the tensile strength in the ligaments as well as a weakening in the muscle contraction. So again, we're looking at what do we need to do to prevent that. We need to keep the strengthening and the faster type power-based action to create an environment that reduces injury, reduces the inflammation of the tendons, and allows better range of motion.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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So when we look at men who are in their 40s, rarely do we hear about a plantar fascia issue. You look at women in their 40s, it's one of the leading issues that make them go see a physical therapist or an osteo or a chiro. It's an inherent sex difference, right? I can see you're like, you've probably experienced it.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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Yeah, so frozen shoulder has to do with we have a wider shoulder girdle because our hips have widened. But if you think about all the metrics that we've taught to do push-ups, pull-ups, they're all in a grip strength or a grip width that's based on male data.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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male physiology because you know if you go to do a pull-up and you're a bit wider like no more narrow so it puts a lot of strain where it shouldn't same with push-ups they're trying to teach you to be really tight and use more tricep but our shoulders as women we need to be wider so it's just that inherent that we're and we tend to like when we get our 40s we're like okay yeah i really i most of us have a challenge and we want to accomplish so it could be a push-up or pull-up or we start doing more up

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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and push-pull motions, and even like lifting things overhead, groceries and all that kind of stuff. It's just the mechanics that we are not taught how to actually maximize with our wider shoulders. And you couple that with changes in our estrogen-progesterone ratio, which changes tensile strength and the actual texture kind of of our tendons and our bursa, and it just comes on.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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So I'm always trying to reteach from a young age From puberty onward, how we move in these new mechanics to reduce injury risk at the onset of puberty, but also as we get older into peri and postmenopause.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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So a lot of it is you're dropping your traps and you're pulling back. So you're doing a lot of rhomboid work. You're also looking at where you're placing to be able to use more of your back muscles when you're doing a push-up. Also back muscles when using a pull-up instead of relying on the shoulders. And the same when you go to lift something up.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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Most of the time we're lifting, we're hitching our shoulders. If we're thinking about dropping our traps and we're using our back muscles to pick something up and then extending through the hips to lift it up, we're reducing the load in our shoulders and in that rotation. which reduces the whole onset of injury or soft tissue damage that can perpetuate injury.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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All the glute work where you're thinking about deadlifts, you're thinking about Romanian deadlifts, you're thinking about hip or glute bridges, hip thrusts, all of those things, right? And really focusing on getting the hips strong. And a lot of other things that can perpetuate it is we have weak and tight hip flexors.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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So really working on developing that hip flexor strength so we can lift the hip and the leg up and over instead of stumbling.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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Yeah, definitely. Yeah, absolutely. And it's scary because the conversation has not been out there. And now it's a buzzword and everybody's grabbing onto it. And there's a lot of misinformation that's being spread. And...

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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from a scientific point of view where I've been in the whole perimenopause, menopause research world for 15 or so years to all of a sudden see the conversation out there and people are misconstruing a lot of the research or they're in one camp bucket of pharmaceuticals or one camp bucket of suffering through it and none of it's actually right. And then there's just so much, it's just so noisy.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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So I'm like trying to cut through the noise and go, okay, ask me what you want to know and we're going to unpack it for you.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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Exactly. Exactly. That's it. Yeah. And I'm finding that a lot of the and I don't want to put people on the bus, but unfortunately, those with some of the loudest microphones tend to not stay in their lane. And what I mean by that is like if you're an endocrinologist or you're a medical specialist and you understand things like hormone therapy, then talk about that.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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If you're someone who's like me, who's an exercise physiologist and a nutrition scientist and understands that and environmental stress, I talk about that. I can give a high touch on hormone therapy, but I'm not going to be a definitive person on that because that is not my area.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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I'm going to refer you to Jen Gunter or Mary Claire or some of the other experts that are out there who actually know the nuances of hormone hormone therapy and how it can be applied to you as an individual.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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So that's part of the confusion, too, because everyone's kind of in their silo and trying to be an expert in everything instead of saying, you know what, this is my lane and these are the things that I know. And I can talk at a high point on some of the things I don't know. But I really want you to seek out these experts who know what it is in that lane.

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Episode 435: Dr. Stacy Sims: Workout Like a Woman Not a "Little Man" + How To Train Based on Hormones

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So as a physiologist, I'm going to explain what's happening on the undercurrent of everything. So we look at estrogen, progesterone, and testosterone, and they affect every system of the body.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

1004.763

And because it's at a point where you really need to polarize your training to get any kind of body composition change, not having any fuel before high intensity workout puts them in moderate intensity. They just can't hit the intensities they need to. Same with resistance training. Like you go in and a lot of women are now working on sessional RPE or rating perceived exertion.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

1026.63

Or you go in and say, okay, we need you to hit an eight on the squat. So you have two reps in reserve and a sessional RPE of an eight. Well, if they're not fueled, then we're seeing trends that they're missing around two to 5% of that top load. So they're not really lifting in that zone that they need to be in.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

1077.677

Okay, so if we're talking about reps in reserve, this is when you go in and if you say eight, it means you have two reps in reserve. So you finish your eight and you should be able to complete two more with a really good form and then you hit failure.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

1114.681

Exactly. And so we can correspond that with your rating perceived exertion. So if we're saying... We need you to hit an eight on our scale of one to 10, avoiding perceived exertion. We see it correlates with that eight with two reps in reserve. So it's a way of quantifying what you're doing in the moment for a squat or a deadlift or some other really heavy lift that you're trying to accomplish.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

1178.608

And then that also depends on the age of the woman. So if we're looking at the reproductive years, so 20 to 40, then it doesn't matter so much. You can periodize pretty much how normal periodization works with your mesocycles and your microcycles. So you're looking at what you're doing across a few months, what are you doing in the week, are you lifting heavy, power-based training.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

1201.061

But when we start to get to perimenopause and we're losing all the flux of estrogen, and estrogen is the woman's testosterone, the key driver for strength and power, we have to look at lifting heavy.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

1212.026

So this is where we really turn women on to, we want you to do something that is two reps in reserve, three reps in reserve, because your one rep max also changes depending on what kind of training block you're doing. So we're finding that when you're talking about reps and reserve, then it allows people to lift more on the day.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

1232.38

So we can get women to get into that strength and power-based type training rather than going, let's lift to fatigue because then it might be 20 reps.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

1241.031

and that 20 reps doesn't invoke a big central nervous system response, which is what we want, it's more of that hypertrophy and muscle tearing, you will gain some lean mass, but not as much strength as if you were to invoke that central nervous system response.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

1255.098

And that becomes really critical as women get older because we need to find that external response that's going to cause the same kind of strength and power adaptation that estrogen used to support.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

1312.85

Yeah. I mean, like I'm the kind of person that gets up and is out the door within a half an hour to go do whatever I'm going to do. So it's not like I'm going to have a full meal.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

1324.314

I wish I could, but the way my life is, it doesn't work that way. But I'm also one of the people that never really has an appetite till 11 o'clock.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

1334.994

So I make a double espresso at night and I put some almond milk and a scoop of protein powder in there. So the almond milk is sweetened and usually it's unsweetened, but sweetened for the carb. And then the protein powder for the protein, because if I'm going to go do an ocean swim, then I need some carbohydrate and protein on board.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

1353.804

If I'm going to just go to the gym, then I'll probably just have the protein powder and the coffee. Yes, I'm caffeinating, but I'm also getting the calories for the hypothalamus and getting some more circulating amino acids. Abby Smith-Ryan out of UNC did some specific work looking at carbohydrate, protein, B4, and strength or cardio.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

1373.039

And found that if you're going to do a true strength training session, you only need around 15 grams of protein before you go to really help you get into the idea that, yes, you have some fuel on board and also increases your post-exercise oxygen consumption or your EPOC so your resting metabolism stays elevated. giving you a better chance for recovery post-exercise as well.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

1397.678

If you're going to do any kind of cardiovascular type work up to an hour, then you're adding 30 grams of carb to that. So it's not a lot of food and it's not a full meal. Other people are like, I'm starving right before I go training. Then yes, you can have your meal, giving yourself about half an hour before. But it doesn't have to be major food that we're talking about.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

1420.676

But that's just enough to bring blood sugar up and stimulate the hypothalamus to say, yeah, there's some nutrition coming in. And then you have your real food afterwards. You have your breakfast afterwards within 45 minutes.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

1474.306

Yeah. And the longer someone withholds food after exercise and the greater they stay in that catabolic or breakdown state, the more the brain perceives it as being in a low energy state. So the first thing to go is lean mass.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

1486.913

When you start telling a woman that if you're going to do fasted training and or you're going to delay food intake afterwards while you're training because the first thing that goes is lean mass and it's really, really hard for women to put on lean mass.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

1499.279

So once you start really nailing that and then saying, look, you just need 15 grams of protein to really help and be able to conserve that lean mass. It's a small, simple fix. People try it and they're like, oh my gosh, I feel amazing. So small little things when you're working with the whole system. Because I get tired, especially around Christmas time when you're reading all the magazines.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

1519.444

It's like two cookies means you have to walk for 30 minutes on the treadmill. It's like it doesn't correlate like that at all. So that's why I was like I hate the calorie conversation because it's just not applicable.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

1646.317

So we know that women who are in their reproductive years need around 35 grams of good protein, high-quality leucine-oriented protein within 45 minutes. And we see that women who are perimenopausal onwards are 40 to 60 grams because we become more anabolically resistant to food and exercise as we get older.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

1668.278

When we look at the recovery window for food, there are definitely sex differences because we hear all the conversation of there's no recovery window. It's old science. But we look at the research of when women's metabolisms come back down to baseline, meaning that they have constant straight blood sugar levels versus men. Women, it's within 60 minutes. And for men, it's up to three hours.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

1692.583

So when we're looking at the data that says there's no window per se for getting food in, it's based on male data. So when we're looking at women, we have this tighter window to stop that breakdown effect and start the reparation. So yeah, it's like when we're talking about the protein intake, it's really important

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

1713.442

not only to get that leucine content up in the muscle to start the reparation and repair, but also, again, to signal that, yeah, we're in a building state. We're not holding that catabolic state and increasing all the repercussions that come with it.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

1750.876

We look at mixed, but for men it's more important because they go through their liver and muscle glycogen so much faster than women. So when we look at women, we want to get around 0.3 grams per kilo of carbohydrate within two hours of finishing. So we look at protein and people are like, well, that's a big dose of protein, how do I get it all in?

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

1771.909

It's like, yeah, well, you can look at how we mix all of these things, you're also getting carbohydrate in with that. So that's why I say you could have your next meal after your training session. Yeah, there's a time and a place for protein supplementation.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

1785.199

But if you're getting that real food and then you're also getting, you know, your magnesium and your potassium and your sodium and all the things that people supposedly lose and you're able to also repair a lot better.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

1960.902

Yeah. I think the easiest way for people to understand the basic idea of what low energy is and how this affects men and women is when we are looking at a tipping point for endocrine dysfunction. For men, we're seeing that tipping point at 15 calories per kilogram of fat-free mass. For women, it's 30.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

1983.072

So when we're looking at baseline calorie needs before you really get into that endocrine dysfunction, when you're looking at those parameters, you can see why men do better in a fasted state or a low calorie state.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

1995.176

But for women, our intake and especially our carbohydrate needs are so much higher because we have so many other functions that are reliant on that kispeptin upregulation or downregulation, preferably upregulation. So when we're just talking the basic calorie needs and what we're seeing, it's that dichotomy right there of 15 to 30.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2020.285

And when you start telling people that, they're like, oh, okay, I get it. Is that a biological aspect? It's like, well, you could trace it all the way back where men went out to get the calories in most tribes and the women were home and it wasn't advantageous to be pregnant under low calorie intake. That's why you have dysfunction when the calories are too low.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2039.733

But, you know, you can also feed forward to modern day now and you're seeing that all this perturbance of hormone and the way we regulate hormone across the circadian rhythm requires more calories for women than it does for men.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2120.779

I've seen the evolution. When I was 16, one of my friend's brothers was a bodybuilder and he took us to the gym, kind of like what you did with your sister. And so both of us were like, oh, we want to beat those guys. So we got into weight training with him, not to be a bodybuilder, but it's been like the paramount throughout all of my athletic career.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2140.086

Used to be I'd be the only woman on the lifting platform. And now it's like you have to wait because there's so many women on the lifting platforms. I love it. It's great.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2182.084

It's a central nervous system aspect. There's a lot of, like, if we look at the culture of how a lot of us grew up, and I'm saying us like 45 plus, right? The women were all the 90s supermodels, don't show muscle, that kind of stuff. So always been gravitated to cardio.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2200.334

Even now if you go to a gym and you're a new member or you're signing up for a new member and you're a woman, they'll say, hey, great, here's all of our spin classes and our box fit classes.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2210.417

Yeah. And there's the cardiovascular machines. A guy comes in like, all right, how much do you want to put on? Here are the lifting platforms, all the weight trainings at the back. starting to see a shift with boutique type gyms, but that's still the commonality there. So it's still that little bit of taboo.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2229.227

So when women start strength training, they haven't been exposed to that kind of central nervous system stress before. And the whole aspect of getting the nerve and the acetylcholine, which are little vesicles that hold the ability for the nerve to actually stimulate the muscle fiber, all that gets trained really quickly.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2251.383

So the more that you train it and the more muscle fibers that are recruited for contraction, you see an increase in strength really rapidly. And slowly building on that for increased muscle bulk, because it takes a long time for women to put bulk on. Because the driver for strength training is that central nervous system. So it's great when we see higher doses, more volume.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2277.74

We aren't seeing huge hypertrophy. We're just seeing really good increases in strength.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2343

Yeah. That's why on your physique competitions and bodybuilding competitions, they're out the back pumping before they go on stage.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2406.636

Yeah, so if we're looking at that 20 to 30-year-old, a lot of times I really try to get them to focus on the whole movement aspect first. So we phase them in. Same with older women. Phase them in, learn how to move, learn complex movements so that when you are going in to do resistance training, preferably three to four times a week,

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2427.634

You can look at moving well, and it doesn't have to be a long period of time. If you're doing to failure, which works really well when you're younger to increase strength and a little bit of hypertrophy, you're going to have to spend a little bit more time in the gym. So it might be 45 to 60 minutes.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2443.826

When we're looking at doing that four times a week, you can add in a sprint interval training at the end of one of those to get that super high intensity. Or you can look at putting in at the most two HIIT sessions on separate days if you're training specifically for something. So if I work with a lot of endurance athletes still and they're like, well, how do I fit it in? It's like,

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2466.192

Okay, well, we look at the quality and how that fits into your training. So if you're training for a marathon, you're training for a triathlon or other endurance stuff, you can take that high intensity work and put it into your training program. So ideally, we look at three to four resistance training with really good movement when we're in the younger set with two high intensities.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2489.875

When we start getting into our 30s, we start having an eye to how are we actually doing that resistance training. Instead of just going and doing a circuit, we're really focusing on let's do some compound movements. Let's look at doing some heavier work. Let's look at how we are periodizing. So we're having six-week blocks and we're building on those blocks because we want that base foundation.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2514.153

So when we get to be 40 plus, we can actually go and do our power base training. If you're in your 40s, you've never done resistance training at all, then we take between two weeks to four months to really learn how to move well because there's a higher incidence of soft tissue injury and overall injury as we get into our 40s because of perturbations of estrogen.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2539.743

And ideally when we get there, we're looking at that around three, minimum three resistance training with compound movements and either one sprint interval or two sprint intervals and one hit in a week.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2584.829

Yeah, what works for them. If you're looking for a short amount of time in the gym because of busy lives, then you can split it. If you're looking at, okay, well, I can allocate an hour to an hour and a half in the gym, then you can do total body with adequate rest. The key when you're younger is working to failure. The key when you're older is working heavy. Interesting. Yeah.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2608.384

So when we're looking at working to failure, we're trying to get more of that lean mass growth with strength. When we get older, because it's so difficult to put on lean mass, we really want to focus on the strength component first. because that becomes more important when we're talking about longevity.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2625.76

Because if you're looking at the strength component from a central nervous system standpoint, we see it feeds forward into better proprioception, attenuation of cognitive decline. And this is the other thing that you in neuroscience would understand, the sex differences in things like dementia and Alzheimer's.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2644.606

There's some really interesting research looking at strength training and that power-based stuff when we're getting into our older ages because we get more neural growth patterns and more neural pathways.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2708.64

No. The thing about it is men age more in a linear fashion. Whereas women, we have a definitive point in our late 40s, early 50s, where all of a sudden things go to shit, where it's that perimenopausal state. And I can't tell you how many emails and DMs I get in a day from women who are like, I'm 46 or I'm 47. I'm putting on body fat. I don't know what's going on. I can't sleep.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2733.192

And then we say, it's perimenopause. They're like, what is that? And so when we're looking at perimenopause, it is a huge... change in the body because you're having less and less of your sex hormones circulating. More and more anovulatory cycles means no progesterone or very low progesterone. You're having a difference in the pulse of your estradiol to those flatline aspects.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2758.24

And because every system in the body is affected by it, this is why you see more soft tissue injuries. Two of the biggest things that women who are in their 40s are going to PTs about are frozen shoulder and plantar fascia. These are two really indicative issues that are happening in perimenopause. So that whole section of mid-40s to early-50s is a definitive aging point.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2781.661

where I really tried to get women to get into the heavy lifting and get into the patterns of polarizing their training, not putting an emphasis on zone two, just really looking at how am I polarizing, how am I affecting my central nervous system, so that when they get into that one point in time of that perimenopause, their body is already conditioned for the stress that's coming.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2804.713

Whereas men, we see that kind of stuff happens in their late 50s, early 60s. So the soft tissue injuries, the change in body comp comes at a later time. So yes, looking at how we're scoping our strength training, definitely something to think about in a longevity factor. But for women, there's a better indication of the timing across the ages of when you should start implementing.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2829.453

For men, I think you have a better bandwidth of when you should start implementing.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2929.102

So I am notorious for slamming things like Orange Theory and F45 because they market specifically to that age group of women. And it's not appropriate because it's not true high intensity work.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2942.225

When we're looking at women who are really trying to maximize body composition change and longevity and unfortunately default to cardio because they think, oh, that's going to help change my body composition. It's going to help me lose body fat. It doesn't.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2967.582

Yes, there is. But it puts women squarely in moderate intensity where they're so used to leaving one of those classes feeling absolutely smashed.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

2976.793

that when you tell them, actually that training doesn't work for you because it's putting you in a state of intensity that drives cortisol up, but it's not a strong enough stress to invoke the post-exercise growth hormone and testosterone responses that we want to dampen that cortisol. So this is why we have that hyperbole of women who are in their 40s plus shouldn't do high-intensity work.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3000.369

It's like, well, actually they shouldn't do moderate intensity. They need to avoid that. Polarizing, absolutely. That's what we want. We want true high-intensity work, which is one to four minutes of 80% or more. Or if you're doing sprint interval, it's full gas for 30 seconds or less. And you're doing that a couple of times a week.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3020.303

You're not doing it every day because you need to have enough recovery to hit those intensities truly because those are the intensities that are going to give you those post-exercise hormonal responses to drop cortisol. When we're looking at women who are like, oh, well, I love going out for hours and hours on my bike and I love doing my spin classes.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3043.275

It's like, okay, but we need to look at the big rock here. If you are looking for longevity and body composition change and cognition and all those things, you have to polarize your training and that has to be the focus. But soul food, like I come from a long background of endurance.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3060.208

I now love riding my gravel bike on the weekends for long periods of time, which is not optimal for me, my age, that kind of stuff for all the things that I want to see improvements in. But mentally, it's great. So we talk about going out for that long stuff. Zone two is that low conversation, and that's fine for mental health and being out in nature.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3083.705

But for optimal health and well-being, we don't want to do that. We want to look at resistance training as a bedrock and true high-intensity work. to help with body composition change, metabolic control, insulin sensitivity, brain health, and dropping that cortisol?

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3215.939

Yeah, this is where I love technology for one thing. But if we're staying really basic, I look at some of my family members and I've gotten them started with just body weight stuff or loading a backpack with cans to add a little bit of resistance so they feel comfortable in their own house and they might be doing lunges or squats.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3234.503

Um, just keying them up of like where foot placement and knee and that kind of stuff. So they're getting used to that kind of movement. Um, I love Kelly Starrett's stuff with mobility. So show them like, here's how we do some of the mobility to find where the sticking points are.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3250.052

And then you can either direct them to some of the programs that are out there that, um, like Haley happens has some really good ones for women who are 40 plus. So does, um, Brie and then Sonny Webster down in Australia, you can send in a video of what you're doing and he can critique you and tell you things to do. There are other programs like that too.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3276.65

So there's lots of ways of getting help if you seek it. The personal trainer is very much a stumbling block for a lot of people. And as much as I am not a fan of Planet Fitness, I am a fan of the fact that they've made it really easy for someone to walk in who's interested in resistance training.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3296.847

And they can go to a circuit, one of the circuit things that they have at the back, and they can start resistance training on machines, which is another level up to learning compound movements. There's lots of ways of breaking that barrier to entry.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3309.699

You just have to find the motivation factor of what's going to incentivize the person to give up their time walking every day and taking time to go to the gym or taking time to do garage-based stuff that's going to improve their lean mass.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3371.905

I'm also a fan of kettlebells in the garage or like lighter dumbbells that you can do like thrusters or hang cleans or something like that to get the momentum and movement feeling because that's another good learning curve for people. So like I said, there's lots of ways that you can implement things based on someone's intuitive like or dislike of resistance training.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3441.138

When I talk about polarizing, I look at the high intensity strength, like that's really hard on the central nervous system. And then we look from a cardiovascular standpoint of doing true high intensity work. So the walking is more of the recovery. So if you're going to go out and do something long, it has to be very, very easy.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3461.354

If you are looking at cardiovascular and you want that big sweat, then we are talking true sprint interval training. So what I have a lot of women do is a 20-minute lower body heavy set, and then they'll go on the assault bike and do as hard as they can for 30 seconds and then recover as much as they need to to go then do another 30 seconds as hard as they can.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3486.036

Most people go, oh, I can do four or five of those. After two, they're completely gassed. because it's that hard of work. And that's what I mean by polarizing. You have very, very low intensity for recovery and super, super high intensity for metabolic and cardiovascular changes is what we're after.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3574.875

So this is the sticky point of recent science because we see all these research studies and meta-analyses that are coming out of the sports science literature saying that there is no effect of the menstrual cycle on anything. When you look at that population, it is specifically eumenorrheic women might have a subject pool of 10, if you're lucky, 12.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3599.645

Supposedly ovulating. So they have a definitive low hormone and high hormone phase.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3614.894

Right. Okay. And they look at performance, meaning that one point in time. And we know that psychologically you can perform at any point. in the menstrual cycle unless you have something like heavy menstrual bleeding.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3626.287

When we're looking at a higher touch and looking not only from a molecular aspect but also pulling in mixed methods and looking at the qualitative, we need women to track their own cycle and find their own patterns because we know that there are times where you feel like crap and you can't push intensity. but that might be on day eight for one woman, it might be day 18 for another.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3653.156

From a molecular standpoint, we know that the low hormone phase being day one is the first day of bleeding up through ovulation, which is midway through your cycle, you have a greater capacity for pulling in and accommodating stress, physical and mental stress. So if we're looking at doing heavier loads, we're looking at doing high intensity work, we're looking at motivation,

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3677.743

then that low hormone phase is really optimal for trying to hit a PR or trying to hit a new speed because you can take on that stress and your immune system handles it, your muscles handle it, your core temperature, everything handles it.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3710.509

The sticky point comes not every woman ovulates. And this is a thing when we're looking at general pop. We have lifestyle stress, we have nutrition stress. We know that women, for the most part, have four to five anovulatory cycles a year. So this is where when you're looking at that high hormone phase... we can't say you're definitively in the high hormone phase.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3735.225

So this is where we need women to track their own cycles and understand their own patterns. Because in an ideal world, we know that in the luteal phase, this is where we have the most change, where we have a pro-inflammatory response from the immune system. We have inability to access carbohydrate as well. We have a higher sympathetic drive.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3757.639

So there's lots of things in there that aren't so fantastic for accommodating stress.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3784.437

Yeah, absolutely. I mean, core temperature goes up, but the whole goal of the luteal phase is to build tissue. So this is where we're seeing a lot of shuttling of carbohydrate and amino acids to go to build that endometrial lining, and that's the whole goal. So yes, you need to eat more protein, you need to eat more carbohydrate, But again, the sticking point is, did you ovulate or not?

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3804.526

So if you aren't aware of if you ovulated or not, you're tracking your own patterns, then just be acutely aware that in about the week before your next period comes, you really need to be amping up carbohydrate and protein. because that's going to help you hit intensities. It's going to kind of level that playing field, especially on days where you feel like you can really hit those intensities.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3825.501

You feel great, but then you go to do something and your heart rate's higher than it should be. You don't feel that you can hit those. If you're offsetting it with some increased carbohydrate beforehand, you're going to hit it.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3837.535

So again, it's really dialing it back down to the individual now because we don't have enough robust research to make generalized ideas because of the nuance of have you ovulated or not? What are your ratios of estrogen and progesterone in that luteal phase?

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3855.433

So when we bring it back down to the general pop, it's like the best thing to do is to track your menstrual cycle over sleep, over how you're feeling, find your own patterns and dial in your training in your days according to what your pattern is.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3881.806

It depends on how she feels. What we can't rely on are things like heart rate variability, because we know that changes with the autonomic nervous system change of progesterone. It's a good indication that you've ovulated because your heart rate variability tanks, but it's not a good indication of what your body can do. If you wake up, I always say it's the 10 minute rule.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3898.72

You wake up and you feel awful and you're like, I really want to do this workout, but I don't know how it's going to go. Give yourself 10 minutes. If after 10 minutes, you can't hit those intensities or you just feel horrible,

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3910.829

change it, drop it down, do something that's more recovery, do something that's not going to be so taxing because we do have a limited amount of that stress acumen of how much stress we can handle. So if you're going to try to exert it all in a high-intensity workout, what do you have left over for the rest of the day?

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3928.762

And then that compounds because if you're always fighting it, then you're going to increase this baseline stress. sympathetic drive because you're fighting the training, you're fighting life. So give yourself that 10-minute rule. If it happens three days in a row, that's okay because it's a very short period of time. It's not going to last forever.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

3947.914

So a lot of women have this internal conversation of, I have to do this. And it's really based on some kind of external motivation. They think everyone's watching them. But internally, you don't have to. If you give yourself permission, you end up training better, recovering better, and getting better gains.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4009.75

It's not true. We see it comes from a misstep in food intake. And we also see that it's a cultural influence. Because if we think about how sports started, it started as a way for men to demonstrate how powerful and aggressive they are. And this is the original Olympics, right? There were no women allowed. And as we feed forward into sport and how it became okay for women to be involved, it

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4034.544

At the high performance level, if a woman walks in and shows any fallibility, then she's immediately put on a lower stool, right? You can't play with the boys because you have a menstrual cycle. You're bleeding. You're a woman. You're a delicate flower.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4048.053

So women would walk into that professional sports space and be excited if they were amenorrheic or didn't have periods or they trained hard enough and their period went away. because then they were more like men and they could play with the boys.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4060.051

If you start bringing up menstrual cycle in professional sport, now as of the past about four or five years, it's okay to talk about, which is, you know, what, 2020. So that myth of high intensity resistance training causing issues with the menstrual cycle, one, it's a cultural nuance for pushback against women being in that space.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4083.13

But then the reality is women weren't eating enough to accommodate for that stress, which then feeds forward to low energy availability, maybe relative energy deficiency in sport, perturbations in all of our menstrual cycle hormones. So it's not the act of the high intensity resistance training.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4100.635

It's the act of not fueling appropriately for it and then getting the okay to not have your period because, yeah, now you're in with your training hard enough. You've lost it. You're more like a man.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4142.079

fuel for the task at hand, because some people want to have a slight calorie deficit, even in high training. And if that deficit is at night away from training, maybe 150 to 200 calories, then it's going to help perpetuate body fat loss, not lean mass loss, and it's not going to interfere with recovery.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4162.545

It's the fueling in and around the stress, meaning the exercise stress, it's really important, but women have been so conditioned to not eat and not take up space, to be small, you know, all of these sociocultural things that women are afraid to admit the fact that they want to eat and they should be eating.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4182.151

So this is a nuance within the fitness community that we're really trying to change and get the mindset around you train hard, you eat well, and your body responds in kind.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4240.816

Yeah. As estrogen starts to come up right before ovulation, that estrogen surge really dampens appetite. It also has an interplay with our appetite hormones, which is part of the reason why we don't have that great of an appetite.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4256.254

It holds after ovulation, estrogen dips, you get hungry, it comes up and people are like, I have some cravings which are driven by progesterone because your body needs more calories. But at the same time with the elevation of estrogen, you're not hungry. You have cravings, but you're not hungry. Interesting. Yeah. So it's trying to disconnect those. It's like your appetite is something that

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4279.833

We'll come back, of course, once you eat. But cravings are more of that psychological capacity of, yeah, my body needs more, but I'm not quite sure what. So to get women to understand what's happening across the board, it's always coming back to let's fuel appropriately for the exercise. And even if you're not hungry, if you are fueling appropriately at that point in time,

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4306.07

If you end up with less, at least you've stopped that breakdown state, that catabolic state. So we don't get those perturbations in the hypothalamus. That's my biggest concern for women, is really taking care of that signaling from the brain to the rest of the body.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4321.539

And if we have fuel on board, even though we have appetite perturbations, and if you go do a really hard workout in the heat, you're not going to be hungry either. But if you're having a cold protein drink after that hot workout, you're taking care of that immediate need to shut down the signals that we need to break down things.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4384.654

All right. I just gave a talk at home to some young athletes on contraception because someone might be on the depot and if they're on it for more than two years, they get bone mineral density loss. So then the question of, okay, well, how does the oral contraceptive pill come up? How does that affect things? It's like, well, let's look at the history of it. Initially came from Stanford.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4407.882

It was funded by Catherine McCormick from McCormick family and a feminist activist, Margaret Singer. But because they were women, they couldn't get in the lab. So they got a guy from Stanford to develop the pill. And he's like, you know what? We need to put in a placebo week so that women feel like they're having a bleed.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4426.508

So if we're looking at the three active pills and then the one sugar pill week, it was by design to make women feel like they are having control over their menstrual cycle and they would still have a bleed. But it's not a true bleed, it's a withdrawal bleed. So this becomes the confusing point for people who are on an oral contraceptive pill. They're like, I get my period.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4447.324

It's like, no, you don't. Because the idea of the hormones that are in an oral contraceptive pill is to downregulate your ovarian function so that you don't ovulate. So you have a whole different hormone profile from someone who naturally cycles. So this depends on the type of oral contraceptive pill you're using. For the most part, monophasic is the one that's most prescribed.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4473.28

So that means the three weeks of the active pill is the same dose of estrogen, progesterone, and then you have your sugar pill week or your withdrawal week, and then you start again. When we look at the repercussions of using oral contraceptive pill in active women, there's a higher amount of inflammatory responses and oxidative responses.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4493.611

So from a training standpoint, no one's done the study yet, but I would be interested in doing this, of looking at how that impacts adaptation. You do end up with a new baseline of this when you start taking the pill, we're not really sure how that impacts adaptation. We also look at the progestin component of the oral contraceptive pill because we have four generations of progesterone.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4517.236

The first generation was a really high dose and has a lot of risk factors, not really prescribed that much. Second generation is the most prescribed. And this is the one that people just take. It's in your IUD. It's in your OC. It has the least amount of side effects. And then we have a third and a fourth generation.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4536.165

The fourth generation is primarily used for women who have really bad PMS or PMDD, which is your premenstrual dysphoria disorder. So significant mood issues because that progestin has a direct effect on a lot of the dopamine receptors in the brain as well. The third generation is very androgenic.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4559.056

So we see that in some preliminary research that improves speed and power by the second week of intake because it's accumulated. So when we're looking directly at an oral contraceptive pill, We can't make generalizations because you have low dose, high dose estrogen. We see that a 30 microgram dose increases hypertrophy but not strength because estrogen increases the satellite cell aspect.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4586.411

So for my power and Olympic athletes, Olympic lifting athletes, that's a detriment because they'll put on muscle mass but no strength. So we've had to look at changing their OC or getting them off. for women who have breakthrough bleeding, that higher incidence of or that higher intake of estrogen is really beneficial. So when we look overall at how it impacts women from an athletic standpoint,

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4610.02

It's so variable in the hormone profile that we can't make generalizations. We only look at the very high performance athletes and what's happening up there because that can make or break an athlete. So from the general touch point, we don't know enough.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4624.543

Like the beginning of this year, 2024, there was a study that came out looking at changes in the amygdala that happens with oral contraceptive use. It's reversible in adults, but for young girls, we don't know because their brain is developing. And unfortunately, physicians will pass out OCs as if it's candy.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4682.49

It increased fear. in women who were on the OC or a contraceptive pill made them less willing to take chances. And when they went off it, they're like, well, why couldn't I do that before? So that's why they started looking at the amygdala.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4700.892

And when I say we're looking at young girls, and again, we don't know what's happening, is it reversible in young girls that are put on it or not because of the brain structure changes that are happening? So when we talk about an oral contraceptive pill, I want people to understand that it has a significant effect on the body, not just reproductive.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4721.44

We don't know enough about all the other effects. So I have parents who say, my daughter wants to go on the oral contraceptive pill. She's having irregular periods. She's an athlete. We want to be able to control it. And it's like, if there's an issue with your menstrual cycle now, it's still going to be there when you get off it. So we have to look and see what's going on here.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4742.552

If you're looking to get on it to control your menstrual cycle, why? Because we know that you can have an increase in your VO2 max and other anaerobic capacity when you're not on it. So you have a better top-end capacity when you're not being blunted by these hormones. And then the other conversation is, oh, my skin.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4763.169

It's like, well, they have really good dermatologists that can help you with that. You don't have to go on an oral contraceptive pill. But unfortunately, GPs don't understand all of that. And if a girl comes in and says, I'm having irregular cycles, heavy menstrual bleeding, I want to go on the OC, here you go. So it is a huge conversation still we had.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4781.244

I put it in the same category as menopause hormone therapy because there isn't enough research to address all the population needs. And we see these big pendulum switches. So before it was like, everyone be on the OC. And now it's like, maybe not. And then it was no one be on menopause hormone therapy. Everyone should be on it.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4799.137

But we need to land in the middle and understand more of what's happening with these exogenous hormones.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4816.656

Copper IUD and the Mirena or your progestin-laced IUD, those are what a lot of my tactical athletes will use because it doesn't have a systemic effect on adaptation or inflammation, mood, any of those things. And it's a fit and forget. So you can put it in for up to three to five years.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4837.339

If you have a really heavy bleeding, it really dissipates because the whole idea of an IUD is to thin the endometrial lining. And so then you have autophagy that takes care of the endometrial lining, so you don't necessarily have a bleed. The copper IUD is different because you do have really heavy bleeding for the first three cycles and then it attenuates.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4898.717

Yeah, well, if you think about menstrual fluid, everyone thinks about it as a discard product, but it's a very good indicator of what's happening from an endocrine standpoint. It gives a really good indication of what's happening from an endometrial standpoint.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4913.343

So if you're looking at all the cytokines and the proteins and the tissue that comes from it, it's a huge indicator that's naturally discharged that we're now looking at for determining... HPV, do you have it or not? What about proteins for PCOS? Can we really identify PCOS or endometriosis?

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4956.98

It does and I think it's a combination of both. We also see some rebound PCOS that happens when someone gets off an oral contraceptive pill. It's not necessarily true PCOS because what's happening now your ovaries are producing eggs that have been down regulated for so long. So under ultrasound it might look like PCOS but it's not necessarily true indication.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

4982.754

The other is more and more women are starting to eat more, and so they're coming out of low energy availability. If you have more carbohydrate, you end up with greater follicular stimulation, which also shows up as PCOS. So the true PCOS, yes, there is a high incidence from a reporting standpoint, but is it that rebound where it's not having all the androgenetic changes?

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

5004.646

That's still kind of up in the air at the moment. But it is a big concern for women because it is an indication that something's going on and they might have some fertility issues. We see a really high incidence of PCOS in Olympic level athletes because of the higher androgenic aspect of PCOS. So better recovery time, a little bit higher baseline testosterone.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

511.38

Yeah. That's a short answer. Great. Yeah, yeah. So I'll put some parameters around it, right? So if we talk about intermittent fasting, that's where you have like the 20-hour non-feeding window or you're holding a fast until noon or after. Yeah.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

5118.203

They haven't done any specific studies like that in women. We do see that under stress, the cortisol increases. And if you have an adequate response to it and your body can overcome it, then yes, you get a boost in testosterone for women. We see this in a lot of the night mission shift changes in tactical athletes.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

5137.552

There is also, I guess, a lessening of circulating estrogen, so the pulse changes when we start getting to the end of a really strong training block, because we're starting to have a little bit of a down regulation of our luteinizing hormone pulse and estrogen. but it shouldn't be severe enough to cause menstrual cycle dysfunction.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

5161.784

What we want people to do is look at the ratio of their estrogen progesterone and keeping track of luteinizing hormone if they're at that point where they are going to have a really big training block So we look at pre-season, during season, end of season. And people who might be at a higher risk factor for becoming amenorrheic, then we keep track that way.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

5183.438

Because it is the stress component that can downregulate, not actually causing a permanent change.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

5202.253

It's interesting because we have a change in hepcidin or hepcidin, depending on which part of the world you come from, because it is increased under times of inflammation and decreased under times of iron loss. So we see a significant change across the menstrual cycle.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

5219.805

So I tell women, if you are concerned with low ferritin, then we want you to take an iron supplement every other day, starting at the first day of your bleed for 10 days. Because that's going to really allow your body to absorb it and stay on top of it. After that, every other day, yeah, but you're not going to be absorbing as much of it because hepcidin starts to come up.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

5245.325

After ovulation, again, you have a pro-inflammatory response. You have greater inflammation. Do women blanket need to supplement? No. No. Because we see fatigue isn't necessarily just iron related. There's so many other reasons why women are fatigued. The one problem is the baseline levels for like ferritin.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

5268.38

For active women, if you go in and you have a ferritin level of 20 to 25, they're going to say it's normal. But we'd rather see you up around 50. So if you are in that low end of normal, then supplementing will help you get up into that 50 and see if it makes a difference.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

527.849

And then we have time-restricted eating, and that's the fancy way of saying normal eating, where you're having breakfast and then you stop eating after or you don't have anything after dinner, right? So you're eating with your circadian rhythm during the day.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

5310.034

If I'm limited to say that, then I would say five to seven days before her next period starts. So mid luteal, because then you get a good indication of estrogen progesterone peak. Testosterone doesn't fluctuate as much as those two. So you're going to get a good idea what baseline testosterone is. And we know that there's a greater inflammatory response.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

5329.958

So anything that's outside of the norm of that upper elevation of inflammation, you're going to be able to pick out. So yeah, I would say if you could only do it at one point in time, that would be the time to do it.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

5350.689

Day two of the menstrual cycle, second day of bleeding, to get a really good indication of what your true estrogen level is at baseline.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

539.819

If we look at intermittent fasting where you're holding the fast up till noon or you're having days of really low calorie restriction, we see in active women it's very detrimental, right? unless you have PCOS or you have some other subclinical issue. And the reason for that is we, as women, have more oxidative fibers.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

5444.632

Yeah. It's more of a genetic factor than it is a sex factor. So, I mean, both men and women will be fast metabolizers, slow metabolizers, or not have an effect. That becomes the bigger rock of them. What we do find is in that perimenopausal state, women will become more sensitive to the blood sugar fluctuations that happen with caffeine.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

5467.966

So they're used to having coffee in the morning with something, then halfway through their workout, they become a little bit hypoglycemic because there's changes in...

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

5478.61

insulin sensitivity insulin responses so there's changes also in blood sugar control and caffeine can exacerbate that so if you are someone who's like oh i always have a double espresso before i go work out and then halfway through i'm really hypoglycemic i'm really dizzy and lightheaded i don't know what to do feel sick or nauseous yeah yeah eat some food eat some food with it what about sipping caffeine through the workout um you know taking that coffee in and just having a sip between sets can that offset some of that

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

5557.057

Never would have known because I'm not a nicotine person.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

5591.317

Shishandra. Yeah. So it is an adaptogenic plant. So, you know, like ginseng, Siberian ginseng, maca, ashigonda, all those buzzwords out there. Shishandra is another really well-studied adaptogen plant. And I have friends who say it's like Adderall where you take it and it's immediate focus and function because its main goal is to regulate dopamine, serotonin, and cortisol.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

5618.459

So it gives you, gets women and men out of that brain fog, gives them incredible focus.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

563.316

So we hear about all the things about fasting to improve our metabolic flexibility, to improve telomere length, to improve parasympathetic activation. But by the nature of women having more oxidative fibers, we are already metabolically more flexible than men.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

5735.649

I recommend it for open water swimmers who might experience a vagal response when they first dive into the cold. I prefer heat for women. Everyone's a responder to the heat. You get better adaptations.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

5750.908

Yeah. Preferably a true finished sauna. Infrared doesn't, it warms the skin, but not the core.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

5772.355

Yeah, I'm still working on metric. Let me do the conversion.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

5788.345

Yeah. Look it up. So the thing with cold water exposure is the whole conversation about ice cold, ice baths, and how cold it is, it's too cold for women. Because when we're looking at that severe immediate jump into that icy cold, it causes such severe constriction and shutdown. Right.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

5811.101

So women do really well and get that whole dopamine response and everything if the water is around 16 degrees C, which is 55 to 56 degrees Fahrenheit.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

5825.453

No, it's go dive in San Francisco Bay, right? And that is enough to offset that severe constriction survival, but it is cold enough to invoke all the changes that we want with cold water exposure. So it's a temperature nuance that sets that difference. And like I said, when I have open water swimmers who are going to do a long swim or they're going to do a triathlon and the water is colder,

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

5856.112

I have them do cold water exposure, especially face exposure into the cold water to get them habituated to that initial severe constriction and sympathetic activity that we don't want to happen before a race. With heat being the true heat that we're talking about with sauna, we see... a lot of metabolic changes for women. So we're having better insulin and glucose control.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

588.033

Sure, sure. So oxidative fibers are muscle fibers that are more aerobic capacity. So those are the ones that you can go long and slow for very... long period of time because it uses a lot of free fatty acids, you need a little bit of glucose in order to activate those free fatty acids.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

5884.876

We're seeing a better expression of our heat shock proteins and the uncoupling and the rebuilding of those proteins that are cardiovascular responses. And then for women as we get older and have the offshoot of hot flashes, night sweats, that kind of stuff.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

5905.562

If you're doing heat exposure, you're sending a stronger stimulus to the hypothalamus and you're also getting a better serotonin production from the gut because we have 95% of our serotonin produced from the gut, which lends to better temperature control and shuts down hot flashes.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6003.984

Is that right? We did a pilot study looking because Wim Hof has been down to New Zealand quite a bit. And so, you know, his breathing and ice bath stuff. has been making the rounds and working in the high performance, people wanted to do that. But we have few athletes that have really severe endometriosis. It's like, well, we could look at using cold exposure to help control that.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6026.235

And what we found over the course of this study was that if we were to do deliberate cold exposure around ovulation and then hold it for 10 days, over the course of three menstrual cycles, it attenuated the endometriosis. Because endometriosis is an inflammatory disease, right? So if we're looking at inflammation process and growing the tissue,

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

604.43

So when we look when a woman starts to exercise, she goes through blood glucose first and then gets into free fatty acid use, she doesn't tap so much into liver muscle glycogen, which is I think another misconception that happens. So when we're talking about fasting or fasted workouts, trying to improve that metabolic flexibility, it increases stress on the woman.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6050.436

if we can dampen that inflammation and create a response that learns that inflammation and dampens it, then it helps with endometriosis. So that's another avenue that we really want to take when we're looking at deliberate cold exposure.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6123.341

Yeah. We didn't incorporate any of the Wim Hof breathing. We just incorporated the deliberate water, cold water exposures.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6194.862

Which is different from heat exposure because heat exposure you want to do afterwards.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6199.885

Yeah, because it extends that training stimulus. And also the passive dehydration from training will stimulate greater blood volume improvements.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6221.226

You want slow rehydration because part of it is that dehydration and the decrease of oxygen at the level of the kidney to stimulate more EPO. So with more red cell production, you have natural increase in plasma volume, so it's a blood volume expander.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

623.324

And so when we're talking about overall stress, we're talking about cortisol increase, and they can't hit intensities high enough with no fuel to be able to invoke the post-exercise responses of growth hormone and testosterone, which then drop cortisol. So from an overall stress perspective, that fasted workout and holding that fast for a long period of time increases cortisol.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6303.352

And people will put a towel over so that when they breathe, it doesn't burn the inside of their nose and their mouth either. I'm always like, if you're going to be in and it's that hot, just move down a level. Down on the floor. Yep.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6327.878

You have an increase in your cardiovascular effort. And because you have a greater amount of blood volumes, you have a greater amount of pretty much blood circulating. So you have more available for muscle metabolism, heat loss. So it's akin to going to altitude.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6346.752

So people will go to altitude to get that blood volume boost, but not everyone responds to altitude because you have responders, non-responders, over-responders. Really?

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6366.025

True. This is, I was telling the guys before we started that I've been in our sauna at home in preparation for going to Park City because I live at a beach town and going to Park City, I am a significant responder to altitude and I won't be able to have coherent meetings at altitude if I am not adapted. So- Okay.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6407.421

Yeah. And you can use it post-cardio as well. So anything that is giving you that passive dehydration from training, because you're not because you will become passively dehydrated when you're training, right? You can't keep in as much fluid. So I'm saying passive as in you're not able to stop that dehydration.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6428.111

And then you go into the sauna and you are extending that training stimulus because your heart rate is elevated. You're putting your body under stress from dehydration and the body responds in kind of, we need more blood volume. So let's jumpstart that.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6477.274

I'm a fan of what I call the track stack that we used to use for track athletes, but then for really significant high intensity work. So track stack is kind of the idea from the old bodybuilding set where you're taking 200 milligrams of caffeine, low dose baby aspirin, but then I add beta alanine.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

648.296

But then when we look from like a hypothalamic point of view and we're looking at how the brain reads it, so we know that there's one area of cis-peptin neurons in the brain for men, but there are two for women. So the two areas are distinct where one controls appetite and luteinizing hormone and the other one is looking at estrogen and thyroid.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6510.296

Hey, it came back on the market in New Zealand last week.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6520.67

Yeah. But the track stack, which has beta-alanine and not ephedrine, is really good at encouraging an extra top-end effect because you're having the caffeine, you're having a little bit of the blood thin from the aspirin, and then the vasodilatory properties and the carnosine aspect for muscle contraction from the beta-alanine.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6544.806

And so like training for gravel races in the top end sprint, you do a couple of sprint sessions with that and it's increasing your training stress during the training. So your adaptation is to that higher stress.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6565.063

Yeah. Just making sure that you're not stacking two days in a row of high intensity work, like really making sure that you're recovering well, because it is a significant stress on the body.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6598.935

Yeah. Part of it is the obvious, like when you're talking about sleep temperature, right? Women and men have variations in their sleep temperature and what's optimal. So looking at that, like you need to create an environment for you that is cool, comfortable, which is probably going to be different from your partner who might be sharing your bed. So that becomes a sticky point.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6620.786

When we talk about the menstrual cycle, there are definitive changes in sleep architecture. We're seeing that in around the mid luteal to the premenstrual. So you know that about 10 days before your period starts. Significant change in your slow wave sleep. There's less of it. Latency is increased. So you have a longer time to get to sleep and you have more light sleep.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6645.643

So overall, you know, less of that deep recovery sleep. And this is where women tend to have more of their mood issues, too, because of estrogens play with serotonin in the brain. So we really need to nail down our sleep hygiene in that time period. So looking at things like L-theanine and estrogen.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6667.613

and looking at your room temperature and the screens and all the things that you've talked about for the most part about sleep and sleep hygiene, super important. And then of course, as you get older in both men and women becomes more difficult to sleep, but we see a significant issue with insomnia in women who have really bad hot flushes and significant menopausal symptoms.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

667.915

So if you start having an exercise stress or a daily stress of getting up and going on with your day without fuel, you perturb those caspeptin neurons and downregulate them.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6691.916

And again, this has to do with lots of the perturbations from temperatures, night sweats, increased sympathetic load, not being able to get into a parasympathetic state. So this is where working with a specific sleep specialist might come into play. We can also look at using some adaptogens, the rhodiola stacked with theanine, and looking at the cold temperature.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6715.137

getting people to use the non-sleep deep rest or yoga nidra or some other kind of meditative property that they can then access when they're in bed. So there's a lot of different things that we have to be aware of. And again, in that perimenopausal state, we see that significant change in sleep and sleep architecture and quality of the sleep, but men don't have the same thing.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6737.385

So women have to be a little bit more aligned with what's happening from a hormonal profile standpoint because it does definitively affect serotonin, melatonin, and sleep architecture because of the interplay that estrogen has on the brain and the receptors.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

678.687

And so when you start down-regulating them, we see that after four days you have a dysregulation of thyroid, we have a change in our luteinizing hormone pulse, which is really important to maintain endocrine function, and we'll hear this, oh, I've been fasting for so many years and it does great for me, but the other side of the question is, well, how much better would you be if you were to actually pay attention to your circadian rhythm and fuel according to the stress at hand

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6824.889

Okay. The number one is creatine. Creatine for women, doesn't matter what age, it's really important. We're seeing a lot for brain mood and actually gut health.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6841.663

Yep. Preferably, of course, CreaPure because of the way it's produced. So if you're looking at CreaPure, it's the German company that produces it. It uses a water-based wash to produce the creatine.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6853.593

Whereas others use an acid-based wash and we see a lot of side effects with the acid-based wash.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6859.759

So people are like, oh, I'm really bloated and I have nausea and stuff from taking creatine. I'm like, is it CreaPure? Actually, no. It's like switch to CreaPure. And so they switch and they're like, oh my gosh, I feel so much better.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6869.968

Yeah. And then vitamin D3, really important. especially when we're looking at all the information that's coming out from cardiovascular, muscle, brain, everything that goes with vitamin D, also with iron. So vitamin D is really important for absorbing and maintaining iron stores. So those are the two big ones. And then

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6934.175

It's not a given. There are some women on the lower dose of three that don't experience the water gain.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

6975.116

No evidence. We see that women who start taking it midlife are complaining about it, but it's actually a progestin driven thing. We see progesterone and fluctuation progesterone can exacerbate any hair loss. So if women are experiencing that and they're saying, oh, it's creatine, I've read all this stuff on creatine. No, it's not.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7003.35

Yeah. Being very close to Antarctica in the southern hemisphere in the winter, very low sunlight exposure, looking around the 5,000. Same with upper northern hemisphere, UK, that kind of stuff. The closer you get to the equator, the less you need.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7021.996

The one concern is like a day here where it's foggy and it's supposed to be sunny and people are like, great, I don't have to worry about going out in sun exposure, but then the next day it's bright and sunny and they're like, ooh, sunscreen. So they put sunscreen on and not getting the right sun exposure. So then again, it is a lifestyle thing. So basic is two to 5,000.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7055.034

Yeah, so protein powder, really good high quality because the amount of protein that women should be getting is often difficult to eat. So again, supplementing, not using it as the mainstay. That's one to consider. And then again, I'm about adaptogens. So looking at the different adaptogens, ashwagandha is a good one. Holy basil or tulsi is another one.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

706.81

And knowing that you're going to garner less stress that way, and if we're really tying in nutrition according to that profile instead of following a fast, we see better brain improvements as well. We see more cognitive function. We see less thyroid dysfunction. And overall, a woman does much better when we're not in that fasted state.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7079.348

Shashandra and then getting into some of your medicinal mushrooms, lion's mane. Reishi. Those are the two big ones that I look to and often have women use.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7133.075

Yep. And I think the problem is people think that they don't want any cortisol. And they think that would be bad. They don't understand that the body has fluctuations of cortisol throughout the day and that's normal. If we're looking at having issues with sleeping and that anxiety provoke...

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7149.99

from that sympathetic drive and elevation of cortisol, let it peak in the morning after you're waking up and look late afternoon, like four o'clock when it starts to dip, to take your adaptogens then, because then it feeds forward to being able to relax more, which feeds forward to better sleep.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7168.494

For something like Shoshandra, where you're looking for that brain focus, you can have it in the morning. It doesn't necessarily have as big an impact on cortisol that you see with something like Tulsi or Ashiganda because Shoshandra is more stimulatory. The other two are more calming.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7186.903

I put some in my morning coffee and then in the afternoon when I need to pick me up instead of more caffeine, I'll use Shashandra because it gives you that boost without the effects of caffeine and it doesn't interfere with sleep. So there's a time and a place to take them. And yes, some need to be cycled on, some need to be cycled off. But I tell women, what are your main symptoms?

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7205.896

What are the things you're looking to control? And we can look and see what kind of adaptogens we can use and how we place them.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7235.646

The human body is really interesting. And when you get pregnant, your body tells you what you can do. So we see that you have a reduction in your anaerobic capacity on purpose. Your body's trying to be protective. You do have an expansion of your blood volume. So endurance is really good, but you can't do high intensity.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7254.916

When we're looking at the general guidelines that are out there, they've gotten rid of the heart rate rule. They are now telling women to be as active as they can be without creating injury and without trying to make gains. So that means if you're in the weight room, you're not looking to improve, you're looking to maintain.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7274.493

If you're doing cardiovascular work and you have a specific class that you love to go to, yeah, but don't beat yourself up that you can't hit that high intensity. You're going for the social aspect. You're not trying to gain fitness. You're trying to maintain.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7287.738

I think the very worst possible scenario is someone is super active and stops doing everything because they're afraid because then they get deconditioned and then they end up in a worse state than someone who was sedentary who's now encouraged to walk during exercise. It hasn't been well researched because you can't get ethics to study pregnant women very well.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

729.69

Then when you look at population research that's coming out now, they're showing in both men and women who hold their fast till noon and then have an eating window from noon to maybe 6 p.m. have more obesogenic outcomes than people who break their fast at 8 and finished their eating window by 4 or 5 p.m.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7309.185

So we go on a lot on case studies and case study notes. And the bottom line of it all is you stay active and you can do resistance training, you can do all the cardiovascular work and your body will tell you what you can and can't do.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7352.54

Yes, so we see women who have a high risk for miscarriage, that anything that they do that's incredibly stressful for the first 12 to 20 weeks will put them at a higher risk for it. So being very cautious, especially with cold, because we know that there are so many different nuances. Doing something like hot yoga when you're pregnant is not, there is research, so it's not detrimental.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7378.944

Yeah. Because when we're looking at blood flow diversion that way, when you have slight hypoxia to the placenta and to the baby, there is a rebound effect that increases the vascularization of so that the baby has better nutrients. We see this also with exercise and exercise intensities.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7401.14

This is why people are now saying you need to have some kind of blood flow change and increase in core temperature to create these vascular effects within the placenta to improve nutrient and nutrient delivery to the developing fetus. So heat's good. Cold, I'm not so sure of.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7421.187

Not extreme heat. So that's why I mean like hot yoga is not going to the sauna. Hot yoga sits around 40 degrees Celsius. So what is that? Just around 100 degrees Fahrenheit. And in that situation, if you're feeling too hot, you leave, you lie down on the floor, don't try to stay for the whole class. But it's not going to be detrimental unless you're pushing yourself too much.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7445.568

Again, everything in moderation, especially when you're pregnant.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

748.955

So it's coming back to the chronobiology of we need to eat when our body is under stress and needs it. Unless we have a specific issue like obesity, inactivity, PCOS, or other metabolic conditions, then we can look at using fasting as a strategic intervention to help with those modalities.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7529.908

And I should make full disclosure, I started as an environmental exercise physiologist and my PhD was all in heat and heat research. So I'm a little bit biased towards heat, but I've done a significant amount of research in the hot and cold.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7617.161

I love this question because I get it all the time. We have to turn our brains away from everything that's been predicated before to this point. So if we're looking for longevity and we're looking at what we want to do when we're 80 or 90, we want to be independently living. We want to have good proprioception balance. We And we want to be strong.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7636.913

So this is where we look at 10 minutes, three times a week jump training. So this isn't your landing softly in our knees. This is like impact in the skeletal system. A colleague and friend of mine, Tracy Klissel, did a PhD and post, not a postdoc, but post research on this and is developing an app on it to show women how to jump to improve bone mineral density.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7662.539

Over the course of four months of this type of training, people have gone from being osteopenic to normal bone density. So it's a different type of stress. So if your concern is that, which a lot of women do have a concern because they lose about one-third of their bone mass at the onset of menopause. Wow. Yeah, significant amount.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7685.038

If you don't do something as an intervention. So we see a lot of women are like, oh, I'm going to go on menopause hormone therapy to stop bone loss. Yeah, it can be a treatment, but I always look at an external stress that we can put on the body that's going to invoke a change without pharmaceuticals. So jump training. Heavy resistance training. and sprint interval training.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7707.923

Those are the three key things. And from a training standpoint, and then from a nutrition standpoint, getting protein. Protein is so important. When you start telling women they need to look at around one to one point one grams per pound, which is around that two to 2.3 grams per kilo per day. They're like, whoa, that's a lot of protein. It is because we haven't been conditioned to eat it.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7738.519

Right, exactly. And it doesn't all have to be animal products. I mean, you're looking at all the different beans and things that you can put together. And that's the other big thing, that in order to build the muscle and to keep the body composition in a state that we want it to keep going for longevity, those are the big rocks.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7755.173

The sprint interval training, the heavy resistance training, the jump training, and the protein.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7799.096

Making things fun for the most part. I don't want people to think that it's a chore. So if you're someone who's been told you need to run and you hate running, then don't run. That's common sense. And I say that because I see little kids in non-US countries that have to run across country.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7816.004

And you see these kids when they're six years old and all running around the field, and they're the kids that hate running, that aren't natural runners, and then they hate physical activity for the rest of their life. So I put that in like when you are exercising, you want to find something that you find fun.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7831.272

When you're in your 20s to 40s, you have more room to get away with things that might not be optimal for you when you start to get older. Big rock again is resistance training. It doesn't have to be heavy resistance training. Like I said earlier, to failure, you're periodizing. If you want to do a block of Olympic lifting, go for it.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7849.224

If you're like, I'm not comfortable doing that kind of lifting, I want to do more machine stuff. Great. Great. But we want to make sure that you're changing it up all the time to keep things moving and shaking with regards to strength and hypertrophy. And then it becomes more of, are you training for something that's endurance? Are you looking for just longevity for brain health?

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7869.545

We need to have some lactate production. Because women, as I said at the beginning of the podcast, are more oxidative, we don't have as many of those glycolytic fibers. So what we're finding in older research is that there's a misstep in brain lactate metabolism because the brain hasn't been exposed to it, especially if we're looking at women who are being studied now.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7888.599

It hasn't been in a societal context to do that kind of work. The younger we are and the more that we can keep our glycolytic fibers going by doing high-intensity work, the more we're exposing our brain to lactate.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7902.168

the better we see fast forward to attenuating cognitive decline and reducing the plaque development of alzheimer's this is why women who are in their 40s plus i want them to do the sprint and the high intensity work for that lactate production start early because then you can take some of those type 2b fibers that could either go more aerobic or anaerobic and make them more anaerobic

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7924.165

So those are the two big things for women who are younger. And then you can play around with the other things if you want to be an ultra endurance athlete. Yeah, not really ideal, but yeah, you can do that. That's fine. You'll recover well.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

795.376

Yes, because we're looking at the way cortisol responds. We know cortisol has lots of fluctuations throughout the day, and it peaks about half an hour after you wake up, right? So if you're having that cortisol peak half an hour after you wake up, but you're not eating, then that is that higher baseline sympathetic drive for women. For men, it's not the same.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7978.349

Okay. So if I talk about true high intensity interval training, if you're a runner, it's going to the track and doing sets of 400 to 800s.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

7992.155

Right. So you're looking at between a minute and four minutes of hard work at 80% or more with variable recovery. So that's why I use a track as an example. So if you do one lap and you're like, oh, I'm going to walk half a lap and then do it again, that's adequate recovery.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

8011.631

But it's not like you're going to be there for 90 minutes doing as many 400s as you can. Because you have that variable recovery, it might take half an hour to 40 minutes max. And then you're gassed out. You can't do it anymore. If we're looking at a gym situation, I like to look at something like every minute on the minute where you might be doing 10 deadlifts at moderate intensity weight.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

8037.973

So it takes you 50 seconds to complete that. Then you have 10 seconds to move to the next exercise that might be thrusters. So, you know, a squat, clean thruster. So it's a squat, pulling the weight up overhead. So you're doing maybe eight of those in that minute and you might have 10 second recovery. You go to the next exercise that might be

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

8059.041

kettlebell swings, and you're doing explosive kettlebell swings, and you'll finish, you know, 10 seconds to go, you go to the fourth exercise, I don't know, toes to bar or some other kind of V up some other high intensity. And then you have one minute completely off.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

8074.872

So you've had four minutes of really heavy work with maybe 10 seconds to move to the next exercise, one minute completely off, and then you repeat that three times.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

8104.292

Correct. So this is the cardiovascular high intensity interval training. And the subset of that is sprint interval training. And this is something that's really, really hard and people don't get it. I don't necessarily mean running. It can be whatever mode of activity, but it's 30 seconds or less as hard as you can go. So this is your nine or 10 on your rating and perceived exertion, 110%.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

8140.351

No, no. You want to, because now we're looking at that top end where we want regeneration of your ATP, you know, all of that system and central nervous system recovery. So this is 30 seconds all out. It could be two or three minutes of recovery.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

8157.975

Because I'm not looking at Tabata, where you're 20 seconds on, 20 seconds off, because that's not the intensity we want. We want you to go all out and recover well enough to be able to go all out again. You're not leaving anything in the tank. So those are what I mean by high intensity interval training or when you're looking at polarizing your cardiovascular work, that's the top end.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

816.234

So when we're looking at that obesogenic outcome, the actual timing hasn't been tested yet. to see how can we expand or contract that eating window for men. But for women, because of that cortisol peak right after waking up, women tend to be already sympathetically driven. So then they walk around more tired but wired.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

8180.325

Those are the two examples of your top end. And then your recovery is that long, slow walking on another day. where you're not going and doing a tempo run. You're not doing a 5K easy jog because that puts you in that moderate intensity.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

8242.352

Because I look at the general consensus of what's out there in the fitness world is all based on aesthetics and body composition. So people have this mentality of I need to be hypertrophy to get swole and I need to do long, slow stuff on the cardio machine to lose body fat. But that isn't what we're after.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

8260.899

We're after let's create really strong external stress to create adaptations not only from a neural and a brain standpoint that's understanding it, but also feeding down to metabolic change. Because if you have a really significant high stress, we see epigenetic changes within the muscle that increase the amount of what we call the GLUT4 gates.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

8282.609

So, you know, the proteins that open up that allow carbohydrate to come in without insulin. So we're expanding that acute glucose uptake through an epigenetic change. The other thing that it does is it causes an acute inflammatory response that your body learns to overcome.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

8299.082

And it's really important for women to do that because as we start to lose estrogen, we lose a significant anti-inflammatory agent. So this is why we see that increase in the visceral fat, especially when we're hitting your mid-40s onwards, is because now you have this increase in free fatty acids and the inability for inflammation to come down.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

8322.323

So the muscle cell is going, I don't know what to do with this. So it gets circulated to the liver, And the liver stores it as visceral fat. Whereas if you do that high intensity work, it creates that change within the muscle to understand, pull that in, let's use it. Let's also bring more carbohydrate in and more glucose in, use that, which helps use free fatty acids.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

8344.013

And it also creates a significant increase anti-inflammatory response at the level of the mitochondria and within the cell itself, which is what estrogen used to do. So if we look at those external stresses, it's not about body comp and aesthetics per se.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

8360.404

It's about the molecular changes that we want to invoke to get that body composition and the brain health that allow us to be 80 or 90 and independently living.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

839.181

and have a really, really difficult time accessing any kind of parasympathetic responses down the way. Where if you have something really small where you're bringing blood sugar up, then it's signaling to the hypothalamus, hey, yeah, there's some nutrition on board, then we can start our day.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

8410.056

It depends on who I'm working with. I have some people who love Coco Pops and kid cereal.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

8424.4

I'm guilty of that. But there are some people who like the ultra-processed stuff. So I'm like, okay, if you really, really need it, then you can put it on top of your yogurt after training as part of your carbohydrate uptake. It's the only time.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

8439.767

Yeah. But ideally, carbs are all the different colorful fruit and veg and if we're looking at sweet potatoes or kumara if you're from other parts of the world, yams, all those kinds of things, sprouted bread, fantastic, quinoa, amaranth, all of those different types of things, it's just staying away from the ultra processed.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

8465.093

And when we look at women, it's really important to have a very significant diversity in the gut microbiome. So we see there's a definitive decrease when we start to have hormonal shifts because of the way the gut bugs help deconjugate or unwrap some of our hormones and shoot them back out into circulation. So as much fiber, colorful fruit and veg as you can, but also it's the 80-20 rule, right?

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

8489.469

80% of the time you're spot on, 20% is life. Because otherwise, where do we get our chocolate and our whiskey?

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

8500.663

Well, look, it is how it makes you feel. It makes you feel good.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

8513.263

Again, I'll do a full disclosure. I have been vegan since I was in high school because of an incident of a field trip to a pig slaughterhouse and driving down the five, but that's my own preference. So when we're looking at fats, it can be from a lot of different sources.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

853.572

So again, it has to look at that circadian rhythm and those hormone fluxes, which people don't really either understand or talk about, because all of our hormones flux through the day. So you have to look at where's the peak of cortisol, how does estrogen flux, how does luteinizing hormone flux, progesterone, all of these things that have this tight interplay.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

8530.629

I prefer women to have most their fats from plant-based stuff, not because I am plant-based, but because of the effect it has on the body. But there is a time and a place for animal fats too. The whole fear mongering of saturated fatty acids from dairy has been disproven.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

8546.64

So if we're looking at what kinds of fats, you want a conglomerate, but you want most of them to come from whole food plant-based, not from ultra-processed. And then, of course, you're reaching for some real butter, you're reaching for some 4% fat yogurt or something like that to complement your avocados, your nuts, your seeds, and your olive oils.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

8633.487

I think I would have everyone understand their intrinsic selves because we have been inundated so much with sociocultural rhetoric and so much external noise that women have forgotten what it means to listen to themselves and their bodies. I mean, that's the one thing that I have to reteach women to do so often.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

8653.559

So if I could have a magic wand and have every woman understand what their bodies are saying and what their cycles are saying, and perimenopause is normal. Everyone's going to go through it if you have had a menstrual cycle, just to intrinsically understand what their body is. So then they have the tool to be able to implement external stressors that's going to be beneficial for them.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

872.126

And the more we're doing the hormone research and the more we're understanding these perturbations and how important it is to fuel for it to stay out of any kind of low energy availability stance.

Huberman Lab

Dr. Stacy Sims: Female-Specific Exercise & Nutrition for Health, Performance & Longevity

984.674

And it gets worse as you get older. Because if we're seeing, as women are getting into perimenopause, which is in their 40s, and we have more fluctuation of those hormones and an increase in baseline cortisol anyway, then when you look at fasted training, it increases that cortisol drive and that sympathetic drive.

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0.309

A lot of women come with their partners to see me and say, I don't understand. We're both doing the same training. He's leaning up and getting fitter. I'm putting weight on and getting slower. And that is because we have puberty. We have our reproductive years. We don't have pregnancy in there. We have perimenopause. We have postmenopause and menstrual cycle.

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1017.321

So this all perpetuates in a sociocultural as well as a biological change with regards to exercise.

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1034.025

Yeah. So if we see essential fat for men is around 4% to 8%, so that means what we need for our nerves and just survival. For women, essential fat is around 12%. So this is for nerves and looking around our essential organs to survive.

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1054.178

We look at body composition itself, we see that women tend to sit around 20% as a normal healthy individual, although the data's changed over the years, and men sit around 15%.

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1071.343

So women have smaller heart and lungs relative body size to men. We also have less hemoglobin. So that means our oxygen carrying capacity is lower. Because if we are looking at our red cells and we have four different what we call heme molecules in a red cell and each one carries oxygen. Our red cell count is lower as compared to men because the red cell count is driven by testosterone.

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1099.151

So men have around 100% more aromatized testosterone as compared to women. So this increases the carrying capacity of oxygen, which means it goes to the muscles, can deliver more fuel to the muscles to be able to contract better. have more power and more strength.

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1125.117

Not that they breathe more. When we're talking about oxygen carrying capacity, this is... The amount that you're taking into the lungs, how it transfers to the red cells to then be able to go to the working muscles to give the muscles the available fuel to do a contraction. So it's not a respiratory rate. It's the ability for you to breathe in and how fast that can be conducted to the muscle.

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1175.925

So when we're looking at, I guess, world records, right, that have been kept, and we see there's a gender gap there. And this is slowly closing in the endurance world, but that has to do with muscle morphology with regards to being able to go long and slow.

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1191.632

When we're looking at the sprint capacity, where we have to have a quick transference of oxygen and quick muscle contraction, that gap isn't closing. And that is because we have smaller, long, smaller heart. We have less blood volume. We have less red cells. So the overall capacity for quickly developing power and speed is at a smaller, I guess it's a limited capacity in women versus men.

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1236.444

So we're looking at resistance training itself. We see that women relative to men can accommodate and develop muscle just as well as men in the lower body, but upper body, not so much.

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1305.366

Yeah, because your forces are going to be in a more linear fashion. So you have more even distribution of the force through the knee. But for women, as you're going to describe, our hips are wider. So we have more of an angle to the knee. And the forces aren't distributed evenly when we land. So when we look at that, as well as the quad dominance that develops for women.

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1330.42

So that means that we use our front muscles of our legs, our quads, a lot more than our hamstrings, our posterior chain. So we don't use our glutes and our hamstrings by default as well as men do. We're being pulled forward more and we put more emphasis on the front of our body because the quads tend to take the bulk of the muscle work that we're trying to do.

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1357.356

Unless we're really trying to train hamstrings and glutes to fire, which isn't the default for women's bodies because center of gravity again is lower and you tend to lean forward. So when we're looking at ACL injury, again, it comes down to one, training stress, two, mechanics.

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1374.512

And if we're not taught again how to land, how to run, how to jump with the new angles, it predisposes people to severe ACL injury.

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1388.709

It is a higher rate, but the thing about the research is that there hasn't been a direct comparison because we hear incidentally that women tear their ACL. And so we see a lot of observational studies that women have torn their ACL. And we have lots of retrospective studies that are going back to, oh, where are we in our menstrual cycle when we chore ACL?

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1415.019

But there hasn't been a definitive comparison between men and women. If we were to look at the current research, we see a three to four to one ratio of ACL tears of women versus men.

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1428.946

So either three to one or four to one, depending on the research that you look. So three women for every one man or four women for every one man.

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144.235

I look at sex differences in exercise and nutrition because when we think about everything that we know for protocols from training to eating, recovery, it's based on male data. And as a female athlete. And working with women across all ages, just trying to maximize their potential, you have to lean into different data. But people aren't aware of it.

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1469.293

In professional sport, it's not as much as when we're looking at recreational sport. Because when we're getting into professional sport, we have specific warm-ups, especially for football, put out by FIFA to prevent ACL tear, to make sure that you are actually properly warmed up

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1484.813

and engaging the right muscles and learning how to stop pivot because it's a mechanism in action usually is a twisting angle. But if we're looking at more age group or grassroots sports, because people aren't aware of this Q angle, they aren't aware of the quad dominance, women haven't been taught again how to work with these new mechanics. Then we're seeing a greater incidence of ACL tear.

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15.555

Each one of those is a different hormone profile that can affect the way we eat and the way we train. But no one told us this or what we can do.

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1538.078

It's all about being strong. So if we're looking at what is the biggest thing for ACL prevention, and I'll bring in one of my PhD students who's graduated, looked at... ACL rehab after surgery. And it comes down to the definitive difference between quad and hamstring strength.

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1556.187

So if we're looking at improving the strength capacity of the hamstrings, then it offsets some of the default strength that the quads are taking. So if we're able to balance it from being front-loaded to being more even-loaded, it comes down to how we were talking about distribution of forces through the knee with men being more linear and women having an angle.

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1580.683

Well, if we're able to take that angle and we can evenly distribute the load between the muscles of the hamstring and the quads of the front and the back, then it pulls the forces more centrally, which reduces the stress more. of one point of contact.

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1595.345

So for developing the strength through the whole posterior chain, we're looking at glutes, we're looking at hamstrings, we're doing a lot of calf work, and we can develop that whole posterior part. It reduces the incidence of being pulled in one direction and the misalignment of forces. The other is the cutting motion where we're looking at lateral movement.

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1616.248

So a lot of times when we're looking at warmups and you're observing on like kids sports, there's not a lot of lateral development. So if we're looking at prevention of ACL tear, we have to work a lot of the explosive lateral movements as well as jumping and single leg jumping. And these are things that aren't really done in grassroots.

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1636.3

But as we start to get more into professional sport, it's becoming more and more apparent that we have to do specific mechanism of injury prevention. So they're looking at the sport. We're a football player. We have a high incidence of ACL potential. So we have to really develop our posterior chain. We have to work on our power for our lateral movements, our step and our jump.

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1658.849

So this is part of what FIFA has put in for the warm-up because there is such a draw. And as you were saying, that 33 women in the World Cup tore their ACL. Part of it is loading. Part of it is a little bit maybe overtrained before they go into the World Cup. But a lot of it has to do with this imbalance between the muscles and now having to address it.

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166.421

So as I'm looking at what I do and trying to empower women to understand their own bodies, realize that there's a lot of research that still needs to be done. So if we think about something... like caffeine and caffeine intake, right? And people are talking about how it either boosts them or not.

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1692.277

Yeah, for the most part. Because, I mean, a lot of the stuff when I was going through school, even now, textbooks. So I was standing in the metro in D.C. a few months ago and there was a young girl who has just gotten into exercise physiology and I overheard a conversation saying,

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1709.529

And she was talking about some of the experiments that they were doing, but it never, she never talked about like, we have to make, you know, we're doing women specific, we're doing men specific. And I asked her, I was like, has anyone ever, talk to you about how women's bodies are different than men's from angles and muscle morphology. And she's like, no, what are you talking about?

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1729.765

I was like, this is a second year in ex-vis now. And if you look at the textbooks, it's still a representation of men in the textbook with regards to images. You have him or they, you never have her. They might have a very small section in there about the female athlete, but usually it's about the female athlete. And anemia or relative energy deficiency in sport.

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1751.911

It's never about how we can empower women to use their bodies and their physiology to their advantage. And it's what, almost 2025 now.

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1770.219

I don't think so. I mean, I always explain it from historical perspective. We're looking at the history and when we started seeing the modernization of medicine. Prior to the modernization of medicine, it used to be women who were the caretakers. If you're thinking about you get sick, you go and someone has an herbal remedy for you.

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1788.973

But when we started medicalizing and becoming more nuanced in the medical education, we Women were excluded. So when we start looking at the origins of medicine and who was in the room, it was men. When we start looking at the origins of science and science development, it was men. So all the scientific experiments and everything have always been a default to men. We look at AI now.

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1811.963

And they're learning from algorithms based on male data. So even now, healthcare is still heavily male-oriented. So when we start looking at why women haven't been included or why women have been generalized to male data, it's just been the nature of how things have developed.

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1828.447

Now that we're aware of it and now we have more research money coming into women's health, we're starting to see a change. And part of the two definitive moments in healthcare research that really invoked this change, one was when we started seeing a lot of incidences with Ambien and the dosage of medicines where women were getting into a lot of accidents, car accidents.

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185.963

If we look at all the data on performance about caffeine enhancing performance, there isn't anything that's been done on women. So if we're looking at How does that work for a woman? We have to look and say, okay, how much exercise have you done? Where are you using caffeine? When are you using it? Because we fuel differently during exercise. We go through blood sugar quickly.

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1850.755

after they take an Ambien because it was still in their system the next morning.

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1854.497

It's a sleep aid. Okay. It's a prescription strength sleep aid. So then people are like, whoa, what's going on here? Oh, the dosage for 180-pound man is the same as 120-pound woman. And we also know that there's differences in body composition and metabolism. So a 180-pound man can take this dose and be fine in the morning, but a 120-pound woman can't take that same dose and be fine in the morning.

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1878.243

And then we have COVID and the outcomes of long COVID and the differences between the sexes with regards to women ended up with more long COVID, men ended up dying. So then during the COVID time period, people were like, whoa, there's sex differences in the outcomes of this disease. We have to really start looking at that.

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1898.141

So there are slow things that are really impactful on society that now people are starting to step and say, wait, we have to really look at women as women. We have to look at men as men.

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1913.949

There's always an impact of hormones. When we're looking at the overlay of hormones and sex hormones and then the protocols that have been developed, they don't take into account estrogen, progesterone, and to some extent testosterone.

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1931.141

So if we're looking at injury and the way that estrogen makes more laxative ligaments, so that means that our ligaments become more lax when estrogen comes up, which is why people assume that around ovulation is when people will have more ACL tears. It's not because we also see that progesterone comes in and can have a different effect on the tendons.

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1954.354

But that isn't accounted for in a lot of the protocols that are out there for training and prevention of overtraining. We see that when we're looking at male and testosterone, there tends to be the more testosterone, the better for developing muscle and recovery. But that's not necessarily true either.

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1972.964

So there's nuances in the sociocultural idea around sex hormones that also impact on our actual guidelines and protocols.

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1991.693

Absolutely, absolutely would. And it comes down to a lot of... We see this on social media all the time, calories in, calories out, right? So when we're looking at calories in, calories out, that idea of that algorithm can work well in men. And the reason for that is the hypothalamus.

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2011.33

So if we're looking at the hypothalamus, which is an area in the brain that controls appetite, it also controls our endocrine system. So for men... they don't have as many of what we call our kispeptin neurons activated. So this is neurons that are responsible for when we have nutrients coming in.

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2032.561

They fire, they're like, yeah, okay, we got enough nutrition coming in that we can now accommodate for developing muscle and losing body fat. For women, we have more areas that are very sensitive.

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2044.905

To nutrient density. So when I say this, when we're talking about four grams of carbohydrate that come in and say they're carbohydrate from fruit and veg, not from ultra processed stuff, those four grams of carb will affect the bodies differently between being a man and a woman. For a man, those four grams of carb coming in primarily will go blood sugar and then be stored as liver muscle glycogen.

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207.589

Caffeine clears blood sugar. So a woman is going to have to eat when she uses caffeine, whereas a man doesn't have to.

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2070.904

For women, it's blood sugar. It doesn't get stored because for women, in order to store muscle and liver glycogen, you have to have an activation of some enzymes from the liver as well as some enzymes within the skeletal muscle itself to say, yeah, okay, we want to store this. We don't want to circulate it. So then we start looking at how the brain is perceiving that.

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2094.7

So if the brain is saying, yeah, we can store this because there's still enough muscle tissue around, there's still enough blood glucose that we can keep going and we can survive the day. But for women, it sits there, the blood glucose sits there.

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2107.048

And when it starts being used, the hypothalamus is like, okay, where's the extra food that's coming in so we can keep going and countering the stress that's coming in. And the best way from a numbers perspective to look at it is when we are looking at calorie baseline calorie intake just to exist and not get into any kind of endocrine or hormone dysfunction and appetite dysfunction.

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2131.22

For men, it's 15 calories per kilogram of fat-free mass. For women, it's 30. So we start to see men do really well on things like fasted training. We see men do really well on calorie restriction. Because the hypothalamus is not as sensitive to lower calorie intake or to low carb intake or to high protein and high fat intake.

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2157.212

But for women, because the hypothalamus has more areas that are sensitive to nutrient density.

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2170.183

And it's just sensing. So you have blood that circulates through the brain. It senses temperature, how hot your blood is.

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2179.048

Yeah. So it's, yeah, it is a thermostat. It's the appetite control center. It's how your body responds to salt, how your body responds to protein, carbohydrate. Do I need more? Do I need less? So it's like the control center for the most part. So for women who come in and they're doing fasted training, the hypothalamus is like, wait a second, we don't have any blood sugar.

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2202.498

We don't have enough carbohydrate to actually do this kind of training. So what I'm going to do is I'm going to create a little bit of a dysfunction here, and I'm going to start downturning all the other systems that need the same kind of fuel. because I don't have enough just to do these muscle contractions.

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2222.293

Absolutely. So if a woman comes to me and is like, I want to lose weight, and I've been doing fasted training, I get up, I have a black coffee, I go to the gym, I do my lifting, I do some of my cardio.

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And then I'm not that hungry because I did a hard workout at the gym. I might have a protein recovery shake. And then I'll hold off eating my first meal until noon. I always turn to them and go, well, why did you go to the gym? Because all you've effectively done is burn through your lean mass. So your body needs to have some fuel.

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So if we're looking at sports science research, and I'll just bring it down to sports science because that's the exercise and nutrition research. If we're looking at who's around the room when we're recruiting for studies, for the most part, the language around recruitment is geared for people getting men because we're using a lot of aggressive language in sport.

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And the first thing that goes is lean mass because it's a very active energy. component of the body. So it would be better for you as a woman to have maybe 15 grams of protein.

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If you're going to do strength or 15 grams of protein with 30 grams of carb, which isn't a lot before you go do cardio and strength, because this is just enough to raise your blood sugar to circulate to the hypothalamus that yes, there's some nutrition coming in. I'm able to get that blood sugar working. I'm able to get that blood sugar into the muscle.

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I'm able to stimulate the mitochondria in the muscle to actually use some more free fatty acids. I'm able to tell the liver that I can actually get through this and use these free fatty acids instead of storing them. It only takes a little bit of food to then have benefit for what you're doing. For a man, if he's like comes in, I have a black coffee. I go to the gym. I do my strength.

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I might do a little cardio, have my protein afterwards. And then I might delay my meal. That's all right. Because you have a longer window for recovery. The hypothalamus isn't as sensitive. You're not burning through a lean mass. You're developing a stress on the body.

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And we know that it's really good that you had that protein post-exercise because that's going to create some muscle protein synthesis and hold you over till you have your meal.

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It can also tap more into our liver and muscle glycogen stores. Okay, so it's going to say, okay, well, we have a little bit of blood glucose. We need a little bit more. So let's tap into the stores and pull them out.

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When we look tribally, I might get hit by some sociologists who are like, wait, this isn't completely true. But for the exception, there are some tribes that didn't fit into this. But for the general idea from a biological evolutionary standpoint.

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So it's off-putting to a lot of women. The other aspect about sports science research is there's limited funding. So then we're looking at, okay, how can we get people in that can come in for day after day or week to week? Most often it's men. When we look at what we're doing, we might be doing muscle biopsies, we might be doing blood draws.

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when we had times of low calorie intake so we had to go find the beast or we had to go out and find calories it was at a disadvantage for the woman to be pregnant or to have a baby an extra mouth to feed so in times of low food intake the reproductive system or the endocrine system of a woman would wind down so she would become amenorrheic or lose her menstrual cycle for a while

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But it didn't affect men in that same way because they had to lean up and get fitter and faster because they had to go fight the beast where they had to go find the calories and bring it back. So when we're looking from that evolutionary standpoint, in times of low calorie intake or low food intake, a woman's body will start to conserve and wind down because it thinks there's a famine coming.

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But for men, they're not as sensitive and the body's like, oh, not a lot of calories coming in. That must mean there's a fight that I have to prepare for. So I'm going to lean up. I'm going to address all of my fuel systems so that I can tap into all these alternative fuel systems so that I will have the energy to be able to go and fight the beast to bring the calories back.

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So when there's adequate calories available, we see that women will lean up. they'll become more acutely aware, cognitive function comes up, carbohydrates are really important. So we see that there is a development of egg maturation.

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We have better endocrine pulse, so that means that our hormones that pulse on a daily basis, they actually have the full pulse and return to baseline to encourage the body to have a really robust endocrine system. So that's thyroid, that's our menstrual cycle, it's all of the things. But when we start pulling the calories back, all that stuff winds down.

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So this is the big debate, right? So we look at fasting and we're at first... came out and was like, okay, we see that obese, sedentary individuals who had to lose weight rapidly for surgery, they're put on a fasting-type program. to lose weight quickly in order to survive surgery.

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And unfortunately, a lot of those times we look at clinical research and it gets transposed over to health and fitness without actually asking if it's viable. So then we look at the lower end of the fitness population, people who are just learning to move and wanting to move. And like, I also want to lose more body fat so that I can move better. Oh, I'll start fasting.

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And when we see a lot of the like push on it, it comes from male data again. So when we start looking at women and a lot of women used to come with their partners to see me and say, I don't understand. We're both doing the same kind of fasted training. He's leaning up and getting fitter. I'm putting weight on and getting slower. I'm like, okay, well, we have to separate it out, right?

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If you're a woman, you want to fast for all the health reasons that we hear about with regards to telomere length, improving longevity, improving our body's metabolic control. Then we work with our circadian rhythm where we stop eating at dinner. So we have dinner and we don't eat two to three hours before bed. We have the overnight fast.

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And then you want to have food within a half an hour of waking up to blunt that cortisol peak that's natural upon waking. For men, you can have variations of fasting. You can do intermittent fasting, you can do warrior fasting, and you can still have benefit. But for women, when we look at the data, and if we were to do a warrior fast, which is a 20-hour fast, four-hour eating window,

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And if that's not explained in advance, it's a little off-putting to people. So when we're looking at the major recruitment strategies and the people that will say, yes, I'll come and do this study, it's 18 to 22-year-old college-age men. And that's just been the norm.

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For men, we see more parasympathetic drive, so they get that more focus. They have better blood glucose control. They get an acceleration of body fat loss. They become more metabolically flexible, meaning their body is able to transfer between carbohydrate and fat utilization. For women, it doesn't happen that way. For women who do a warrior fast, so that's a 20-hour fast,

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Whose best-selling books and over 100 peer-reviewed studies is revolutionizing how women can optimize their health, fitness, and longevity by working with their unique physiology.

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fasting and four hour eating window, they end up with less blood sugar control. We have higher resting blood glucose. We have more fat storage. We have more sympathetic drive. So that means the body's under stress and you're not going to be able to sleep or recover well. And we see a downturn of the thyroid within four days of doing this.

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So when we're looking at the data of fasting, again, it's pulling from the men and generalizing to the women. But when we start really looking and narrowing it down and looking at female specific data, the type of fasting that's out there in the health and fitness world is not appropriate for women.

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Exercise is a stronger stimulus for autophagy than fasting. So we look at exercise in itself as a fasting state. What happens during exercise? You start exercising, your body is trying to provide fuel. So it's breaking down fat, it's breaking down glucose, it's breaking down amino acids.

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It's also creating in a recovery standpoint, a boost of growth hormone, a boost of testosterone in both men and women that creates the cell cleanup, which is autophagy. So if we're looking at the difference between fasting and exercise, exercise is a stronger stress. All the things that we hear about fasting and longevity, exercise does the same. It's a stronger stimulus for it.

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But the problem is we've become a lazy society and people think exercise is too hard. As an exercise physiologist, it breaks my heart to see people who are struggling to walk down the street because we are so used to being conditioned to a certain temperature in a room, to having a car automatic opener or Uber come so we don't have to walk down the road.

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And when we look at how studies are designed, and we're looking again at who's in the room who's designing studies, primarily it's men. Why? Because we see that most of the PIs on the studies and most of the, I guess, scientists that are coming up in academia are primarily men.

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And I bring up that movie WALL-E from the early 2000s with the little robot who's like wandering around society. And you see all these people on these floating beds watching a screen. And one of the guys gets kicked off by WALL-E accidentally. Falls down, he can't get up. And he's looking around going, well, why can't I get up? What's going on?

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I'm like, that's today's society where people are not able to actually pull their own body weight around for a significant amount of time because it feels too difficult.

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Whereas we look at all the stuff that comes out with nutrition and all the trends that come out with nutrition from fasting to carnivorous diet to the old-fashioned paleo, all of these things that people are trying to do, we turn to exercise and we change the modalities of exercise. Are we doing intense exercise? Are we doing low intensity? Are we doing resistance training? Are we doing cardio?

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What are we doing? All of these things in exercise are significantly stronger stress on the body that create more adaptive changes than all these crazy diets. But people find exercise too hard where they don't have time.

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Yep, absolutely. So when we're looking at regardless of age for women, because we see that women don't age in a linear fashion like men. So we have definitive points. We have puberty. We have our reproductive years. We don't have pregnancy in there. We have perimenopause. We have postmenopause. Each one of those is a different hormone profile that can affect the way we train.

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For men, you know, you just kind of go, and we start to see a decline of testosterone when we get into our late 50s. So we're talking about women and training. If someone is coming in and they're in their mid thirties and they're like, I want to lose weight. Okay. Resistance training. If someone comes in and they're in their mid forties and perimenopause resistance training doesn't matter.

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Resistance training is key for mobilizing abdominal fat. and for creating more lean mass and also increasing the amount of crosstalk between their skeletal muscle and our stored fat through little things called myokines, which are hormone signals that are released during exercise and released from the skeletal muscle. So if we say, okay, let's do resistance training to really recomp the body.

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We also want to increase our protein intake because we see if you're doing a resistance training with a higher protein intake, then we have complete recomp over the course of 12 weeks. And it's a very powerful, motivating tool for women because for the most part, women have been excommunicated from the strength world until recently. It wasn't kosher for women to have a lot of muscles.

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We see, like I grew up in the 90s with the supermodels that were super skinny. And it wasn't kosher for women to be in the gym lifting weights. But we're seeing this evolution change, and so we're starting to see more research come out in women in resistance training. And it's so imperative for body composition change to invoke that resistance training.

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A Zimpec, yeah. So I find it interesting because of all the impact it's having on society. And it is a very powerful tool. The problem with it is no one is being necessarily taught how to come off it. So if we look at Ozimpec and how powerful the GPL-1 is, we see it does invoke an appetite switch where it mutes the appetite. It dampens cravings.

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The first time I realized it from an academic standpoint was when I was a second year at university. And I was a participant in a metabolism lab, and I was one of the only women. And I standardized properly. I did all the things I was supposed to do because I come from a military family. I know how to follow rules. And at the end of the two weeks of experiments, they threw my results out. Why?

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So we see it as rapid weight loss, but that rapid weight loss is lean mass. So that comes back to the Wally picture where you can't get up because you don't have lean mass. I fear for society who doesn't have the opportunity to learn how to come off it. through proper strength training, exercise modalities, and nutrition to support the weight loss that comes with those impact use.

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It's absolutely a brilliant tool. It's absolutely a brilliant tool, but we're falling on the behavior change. If we were to really teach people how to create that behavior change while they're using the tool, then they can come off it and not be afraid of putting weight back on.

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No, because most of the people that come to see me have those 10 vanity pounds they want to lose. I call them vanity pounds because they're the ones that creep up and you can instigate little changes within the...

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daily life to actually lose them and keep them off for people who are struggling who have severe obesity they're pre-diabetic they have other medical conditions and exercise is definitely in the too hard basket because they get breathless just getting up out of their chair we need to lose some weight first so that we can then implement some of the adaptive changes of exercise

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There is a variance because when we look at what we call metabolism coming back down to baseline, so that's your overall body coming back down to its resting state. For women, it happens within 30 to 40 minutes after exercise. For men, it's two to 18 hours, depending on the intensity. So in that, we see that if we want to maximize our body's

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resistance training and muscle building capacity, we need to give it some food. We need to give it some really good hit of protein. For women who are in their reproductive years, we see 35 grams of protein post-exercise within 45 minutes. We'll tip the muscle into muscle protein synthesis. For men, it's 20 grams and it can be two, four, whatever hours later.

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When we're looking at returning our muscle glycogen back to normal, we don't need as much carbohydrate post-exercise as a woman, as men need more because they tap more into their stores. So the window of opportunity for women post-exercise is around that 45-minute mark, but for men it's open a lot wider.

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I am kind of anti-keto for both sexes. And I say this because when we look at the gut microbiome, that is so important. We see a decrease in diversity as we become more and more, I guess, city dwelling. And we are having less and less of a variety in our food chain. We have to take care of the gut microbiome. If we look at the ketogenic diet,

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And the high fat intake that comes with it significantly decreases that gut microbiome diversity, which reduces the body's ability to synthesize vitamins, to produce serotonin, to have this conversation between the gut and the brain. And for women, we're already metabolically flexible by the nature of being born with more of those endurant fibers.

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No. If you're eating a lot of fibrous fruit and veg, then that's how we increase the diversity. Taking a probiotic pill just affects the upper intestines. But even that is a little bit suspect because there's only two to three companies that are making all the probiotics that are B2B. So that means business to business. And we don't really know the long-term outcome.

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Exactly. So I asked why. And they're like, well, your results don't jive with what we thought we were going to see. They don't mesh with the results that we got from the men. So they're an anomaly. So we're not going to put them in for the context of talking about how carbohydrate metabolism was going. And I thought that was very strange. I was like, well, I've done everything properly.

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And we can have the overgrowth of some probiotics that, again, can cause some dysbiosis.

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It is, but you also need some protein that comes from a wide variety of different sources. And the amount of fat that is taken in through a true ketogenic diet is 70 to 80% of your total intake coming from fat. And then that will cause the overgrowth of the bacteria that relies primarily on fatty acids, which down-regulates all the good bacteria that relies on our fibrous fruit and veg.

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Because you're not going to be able to consume as much fiber as you need on a ketogenic diet to really invoke this diversity. If we're thinking about invoking diversity, you want 30 different plants across the week. And on a ketogenic diet, you're just not capable of being able to eat as much to create that diversity.

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And the reason why it's really important for women to have that diversity is because we have some gut bugs that are responsible for our sex hormone metabolism. So we think about estrogen, progesterone, people think, oh yeah, well, it's released from the ovaries and the adrenals and it goes and hits our target tissues.

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But we have this thing called the second pass where our sex hormones will be taken up by the liver bound by sex hormone binding globulin. shot into the intestines through bile, unconjugated or unpacked by these little gut bugs, and then shot back out in the circulation to work.

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If we have a lower diversity of the gut microbiome, we don't have those bugs that will help with our sex hormone, I guess, reactivation and the ability for the sex hormones to work optimally.

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Absolutely. So if we're looking at cold plunge and it's all the rage, right? So we're seeing, let's get into ice water. It's going to invoke this massive parasympathetic response. I'm going to have lots of cognition and focus. It's going to create a hormonal response that improves my blood glucose. It's going to invoke a lot of autophagy and all the things that we see with fasting as well.

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And it gives me this incredible sense of being in control. Male data. We look at women who were in ice bath. It's too cold to invoke those responses. And the reason for that is we have differences in... our skin sensation between men and women with regards to thermoregulation. So women have more subcutaneous fats and more fat under the skin. And we tend to vasoconstrict and vasodilate first.

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So that means that blood vessels will constrict tightly and then we'll start to have some internal changes. Or if we're too hot, we'll vasodilate first and then we'll have internal changes to create sweating. So we look at a cold plunge, there's too much constriction and it becomes too much of a threat to women and their bodies don't have the same response to ice water.

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We see that 15 to 16 degrees C or around 55 degrees Fahrenheit is optimal temperature for women to experience the same effect that men have with ice. So there's a sex difference in the temperature to invoke the same response between cold water immersion responses. In the sauna, everyone responds. And we see that the adaptation for sauna is different, again, for men and women.

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How come mine are the anomaly and those guys aren't the anomaly? How do you know that? And they didn't have an answer for it. So that was like the sticking point for me to understand why would my results be an anomaly when I've done exactly the same thing as what the men had done?

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Because for women, with the difference of the vasodilation in the heat before they start sweating, it takes a longer time for core temperature to come up. So women can spend more time in the heat before they start to get changes in their hormone responses and blood volume adaptations. For men, they can go in and I kind of laugh.

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My husband will come in with me in the sauna and I'll sit there for like 10 minutes. I'm not sweating yet. And he's like pouring. He's like, I got to get out. And it takes me like 20 or 30 minutes in order to get the same response.

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So when we look at the actual research and data that looks at acclimatization and looks at sauna invoking changes, we see again that women need more time, both longer time for an acute bout and longer time across the weeks in order to get the same cardiovascular adaptations as men.

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36.25

We're looking at sports science research. Everything from training to eating, recovery, it's based on male data. And women have been generalized to that data. Things like we see men do really well on calorie restriction and fasting. But for women, it doesn't happen that way. and we'll talk about that.

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366.787

And it came down to menstrual cycle, came down to understanding that one week I was in a low hormone state and then the next week I wasn't. So when I started talking about that, this is where the professor who was in charge of the metabolism lab was like, well, we don't study women because they have a menstrual cycle.

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3691.428

Yep. That is the prevailing myths around creatine. And what's the expression people use? The dose or the poisons in the dose, right? So that's part of the creatine. So if we're looking at the bodybuilding set and how it increases muscle capacity and training status. So if we're using a lot of creatine, the dosing for bodybuilding is five grams, four times a day with creatine.

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3714.765

one gram of carbohydrate and we see that creatine helps store water within the muscle with glycogen and we want that for muscle performance because the idea of being able to train harder with creatine is to enhance the amount of of enzymes that are available for muscle contraction And creatine is part of the buffering system of that.

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3738.014

If we're looking at creatine for health and for women, the dose is three to five grams only once a day without carbohydrate. And the reason for that is women have around 70% of the stores that men have by the nature, for the most part, don't eat as much creatine-filled food as men. And we see that we use it for a lot of our fast energetics.

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3761.091

So like for our gut health, for our brain health, and then also for muscle performance. So if we're having women take three to five grams once a day, it does not have the same side effects as the bodybuilding set of taking five grams four times a day.

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3783.081

So this is all the bodybuilding stuff, right? So if you want to load, we see loading protocols over the course of two weeks, and you're starting to really saturate the body with those five grams four times a day. But for women, we see that three to five grams will fully saturate the body over the course of three weeks.

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3799.692

So that means that all our fast energetics, like I said, our gut, the intestines, and we're looking at the integrity of the intestinal cells and the mucosal lining. And we see that there is a greater incidence of GI distress in women. I think it's something like a five to one ratio of women to men having GI distress running.

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3819.716

And it has to do with estrogen, but also has to do with what we call the mucosal lining of the intestines. So we want to maintain the integrity of the mucosal lining and creatine is really important for that. So if we're looking at saturating the body over three weeks with three to five grams, we improve that integrity so we have less GI distress.

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3838.69

We also see that there have been randomized control trials looking at mood and specifically with regards to depression and anxiety. And women who are taking three to five grams of creatine will come out of a depressive episode more so than women who are just using an SSRI. So it's really important for brain metabolism.

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3860.287

And when we're looking at that whole loading strategy for men, that's all about muscle performance. It's not about gut health. It's not about brain health. It's about muscle performance.

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387.314

And we just study men because they're easier and we don't have to worry about hormone fluctuations interfering with our results. And at that point, I was like, excuse me? What? What are you talking about? So that was a defining point from an academic standpoint.

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3887.537

Yes. So Abby Smith-Ryan is a colleague at of UNC and she's done a lot of work in creatine for women. And yes, we see that there is an improvement in muscle capacity because you're increasing the amount of buffer that's available for muscle contractions. But it doesn't have to be the same loading dose as men.

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3907.482

If you are looking for performance enhancement because you want to improve a training block or you're In physique building or you're going to do something like high rocks and you need to have greater muscle capacity, you might want to try the loading strategy. Yes, you will gain water weight because you're also storing more within the muscle.

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3926.675

But for the general woman who's looking for health and performance benefits, you don't have to do a loading strategy. You just have to do that three to five grams a day.

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3962.685

So if we're looking at vitamin D, especially vitamin D3... What's the difference? So you have vitamin D2 and vitamin D3. Vitamin D2 is more of a storage form. It's not converted to being a functional form. So if you take D3, it's already a functional form. So it means your body is going to take it in and use it as it should be. So we're looking at a vitamin D3 supplement.

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3982.379

Then we are able to boost circulating levels of vitamin D3 or vitamin D that's usable. And it's used for every system in the body. And it's really important now, especially I'm coming from the southern hemisphere just out of winter. You're in the upper parts of the northern hemisphere in the middle of winter, and we don't get enough sun.

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4002.75

And when we're looking at now all the worries for skin cancer, people are slip, slap, slop, you know, sunscreen, hat, clothes, and we don't get enough. And then if we're looking at our food supply, there's not a lot of proper vitamin D rich foods. You're looking at mushrooms or fortified dairy products. And those tend not to be consumed a lot nowadays.

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4022.348

So if we're improving the amount of vitamin D3 that we're taking in and the amount of vitamin D that's circulating, we have better recovery. We have better muscle function. We have better brain health. We have pretty much every system is affected in a positive way.

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4038.271

Yeah, omega-3s are good, especially as we get into peri and postmenopause. We want to look at how inflammation affects the cells. So we look at using a really good vitamin, or sorry, a really good omega-3 and omega, I guess we're looking at the types of omega-3s that are in there. Then we're enhancing cellular integrity that our estrogen used to help with anti-inflammatory properties.

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404.041

But the seed had been planted two years prior when my dad, who was a colonel in the Army, was like, so what do you want to do when you graduate from high school? And I said, I wanted to be an Army Ranger or a Navy SEAL. And he said, well, you can't. And I said, well, why can't I? And he said, because you're a girl. I was like, what does that mean?

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4066.656

It's not something that everyone needs to take. It's something that we have to consider when we start getting into our late 30s, early 40s. Maybe get a blood test for it, see how your omega-3 levels are, and then consider dosing with a really good fish oil.

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4088.633

This is common. And we see that there's the incidence of... A change in the norms when we're looking at the reference ranges. And I find it really interesting that the reference ranges that we have for all of our blood markers are shifting to a sicker population.

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4113.057

So if we're looking at the bell curve and we're taking population data, overall our society has become sicker. So now we're seeing that the norms for iron used to be a ferritin of 50 or lower was considered low ferritin. Now it's 26 for women. We look at testosterone. Lower testosterone now for men is normal. And it is because that is just what a sedentary population now presents.

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4141.441

but if someone is active and comes to me and says, you know, I had my iron tested and it's sitting at 26 and they say that it's normal, but I feel awful. It's like, that is not normal. If you were part of my high performance athletic crew, we want to see minimum 50, preferably a hundred. So we have to supplement you to bring it up.

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4160.432

And it's a really specific area of how we supplement and supplementing every other day with a very high bioavailable iron. And again, when we start looking at how we are supplementing every other day with either a carbonyl or a glyconate, then we're really able to boost that ferritin and people start to feel better.

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4186.3

So iron is responsible for those heme groups that I was talking about with oxygen carrying capacity.

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4194.281

Yeah, they're blood cells. So iron is responsible for allowing those heme groups to carry oxygen. If we have low iron, then we don't have enough oxygen circulating throughout the body or being used by the body. So you feel very flat, very tired. You start to get really dark circles under your eyes. Yeah. It's a mission to do anything. So it's like a dead end fatigue.

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4219.007

And people are like this, this isn't stress oriented fatigue or jet lag oriented fatigue. This is fatigue where I can't even walk up the stairs without getting winded.

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4231.787

So primarily red meat is where a lot of people turn to. But if you are more plant-based, then we look at leafy greens, we look at nuts and seeds, but using a lot of vitamin C with that. Preferably adding a little bit of olive oil on our salads. Maybe cooking in an iron skillet to improve the amount of iron that comes into the food.

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424.753

And he said, well, they don't accept women in the SEALs or the Rangers. It's a special ops and they don't accept women. And that was the first time in my life I've ever heard that I was limited because I was a female and I didn't match what the norm was. Because my whole life I'd been playing with boys, competing against boys. I mean, like it was just a normal.

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4256.5

And we also know that we have to time it with what we call hepcidin or hepcidin, depending on where you come from in the world. It's an enzyme that decreases the body's availability of iron absorption. It increases with inflammation. So it's higher after training. for about five hours in men and in reproductive women.

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4277.915

And it can be elevated for up to 24 hours in late peri and early postmenopausal women. So basically, how do I supplement? Supplement before training or at night away from training.

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4327.358

So this is the interesting part. So when we're looking at blood glucose and insulin sensitivity, it changes across the menstrual cycle. So it depends on, is she in the high hormone phase or not? If she's in the high hormone phase, which is after ovulation, we have more insulin resistance.

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4346.965

And the reason for that is when progesterone comes up, it's trying to take in everything as a building block for the uterine lining.

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4356.796

So insulin is the hormone that is a signal for your muscles to uptake glucose, to store it.

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4373.424

Exactly. When progesterone is in the picture, insulin doesn't do its job very well.

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4378.748

Because progesterone wants to have more carbohydrate available to be able to then send it to the developing uterine lining, the endometriosis. Because the endometriosis becomes a really thick layer of tissue that is really rich in glycogen. So progesterone increases lean mass breakdown or... you increase your protein intake to have more circulating amino acids.

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4407.039

It also makes your body less apt to store glucose because it wants both amino acids and glucose to build this lush uterine lining. When we get into perimenopause, we have more insulin resistance because there's confusion across all systems of the body. And the body is like, I don't know if I'm going to need this glucose or not. So I'm not going to store it.

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4430.522

And there's a misstep in the liver and a misstep in the mitochondria, which is responsible for tapping into using free fatty acids with carbohydrate. So the body's having a higher level of blood glucose because the body doesn't know if it should store it or not. So when your partner gets tested, depends on how old she is and what phase of the menstrual cycle, or if she's well beyond that.

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444.944

It didn't matter if you were a boy or a girl. It just was what you wanted to do. And then when my dad said, well, you can't because you're a girl. That was the first seed that had been planted and really made me upset and said, well, this doesn't make sense.

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4477.448

And unfortunately, we're seeing in the modern fertility literature that women are having more and more anovulatory cycles. But you won't necessarily know that because you'll still have a bleed.

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4491.337

They're looking at a lot of the stress that's coming on today's society, the food system, a lot of the, um, I guess, trendy diets that are out there. A lot of women aren't eating enough to support their immune or their menstrual cycle function to allow the egg to actually develop, to then instigate ovulation. And it's not just an active women it's across the board.

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4567.085

So right at that peak. 12 to 13. Oh, yeah. Yeah, yeah. There. So this is where the immune system is really robust. And we're really resilient to stress. And we can have a lot of carbohydrate and protein intake, and we're not going to be that affected. We're more sensitive to glucose. It's going to be pulled into places it needs to be.

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459.702

And then when I got to university and that happened, that was the definitive seed that just really pushed me into the whole academic and sporting career that I've led over the past 20 some years.

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4590.188

If we ovulate, after ovulation, like I said, progesterone comes up. It's only produced if we ovulate because progesterone is produced from the breakdown of the housing of the egg. Progesterone, like I said earlier, will hold everything in the blood. It will tell the body we need more blood glucose and we need that glucose to come to the endometrial lining. We also need more amino acids.

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4613.421

So we're going to break down lean mass or I'm going to make this person crave more protein-oriented foods so that I can have amino acids to come in. So if we're looking at adapting, right, the only real thing that we need to be aware of is after ovulation, if we're going to do a high-intensity workout, we need to make sure that we have some more carbohydrate.

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4632.216

So we're actually eating before and after having some good carbohydrate that comes in.

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4650.065

Yep. And then we have around a 12% increase in our protein needs because we have a higher amount of amino acids that are needed. One, because we're developing tissue, but two, we also have skeletal muscle turnover that we need to keep up with.

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4673.652

That's individual. So it used to be early days when menstrual cycle research was coming out. We saw on a molecular level that the low hormone phase was where we could really push it and we could really get really good adaptations because our body was really responsive to stress. Then after ovulation, we see a fuel shift. Like I said, progesterone is really conserving or pulling glucose away.

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4699.138

Estrogen's also sparing it and saying, you know, you need to go to the uterine lining. So with the change in hormones, we have a change in our fueling system. We also have a change in our core temperature where it goes up by about 0.5 degrees Celsius or around 1 degrees Fahrenheit. So our heat tolerance isn't as great.

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4718.295

But because we're seeing more and more anovulatory cycles, we have to rely on the woman to track her own cycle.

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4725.974

Well, it doesn't have to be as hard as what people think. It's the nuance of how do I feel today? So I tell women, instead of really dialing it in and saying, oh, well, I think I ovulated today, so that means I should back it down. When you go to the gym, use what we call a sessional rating of perceived exertion.

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4743.15

So I tell people most of the time you're going to go in, you're going to have a physical and a mental, right? Physical, how are you on a one to 10? Mental, how are you on a one to 10? If physically you're an eight and mentally you're a two, warm up really well and see if that mental capacity comes back up. If not, then we're not going to push too hard.

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4760.48

We're not going to work on technique because mentally you're just not there. Physically, maybe you are. If you go in and you're low on both of them, then it's going to be a technique and recovery day. You're not... wasting time at the gym, you're going to make it work for you by really working slow under the bar, nailing technique, not getting the heart rate up so much.

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4779.49

And as we're going through and tracking how we feel, we're going to start to see patterns across our cycle and we can anticipate those patterns. And say, okay, well, I know on day 21, I always feel flat. So I'm not going to schedule a high-intensity workout that day. I'm going to sleep in, maybe do some mobility, recover, and really know that I'm not going to nail it that day.

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478.433

I've been a competitive athlete most of my life. So I would, I race bikes professionally. I did Ironman, I did XTERRA, and I'd have teammates who would ask me questions of how am I fueling? How am I going to perform my best? So we'd take those questions into the lab.

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4802.819

So I'm not going to go push myself because I don't want to beat myself up mentally. Because women do this. They're like, I suck. I don't know why. but it comes down to that physiological variability and for a woman to track her own cycle, understand her own nuances.

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4817.246

If you're really onto it and you know when you ovulate, then you can take those molecular structures into play where you know you can hit your PR and you can really push it in the low hormone phase. After ovulation, you're going to, switch it to more endurance, maybe not so high intensity, but more tempo type work.

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4835.656

And then about the four or five days before your period starts where your immune system's more compromised, you just kind of want to dial it down and use it as deload. So we can take the strength and conditioning ideas of building up macro, micro cycles and deload across the menstrual cycle.

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4855.06

So if we're looking from a cognitive and a physicality aspect, it's right around where that estrogen starts to come up. So around day six.

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4872.127

From about day 23. Yeah. Yeah. Yep. As those hormones start to come down. Yeah. To 28. 28.

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4883.58

Yeah, the very end. And the variation of those hormones coming down is what instigates a total inflammatory response. So if we're looking at inflammation, which drives the menstrual cycle to start the bleeding phase, we have a change in our immune system.

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49.102

And we also know that during puberty, girls' hips widen, shoulders widen, which changes our angle of the native hip, what we call the Q angle, so they don't feel comfortable running or swimming or jumping. And because they're not taught this stuff, we see that by the age of 14, girls who previously were sporty, over 60% of them drop out of sport.

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4912.105

Well, you know, the questions that are never asked is like, what is a typical menstrual cycle? Yes, we have a textbook, like from 1 to 28. That's very, very rare. Most women have a cycle that might be 21 to 40 days. The bleed cycle is something that's never talked about. What does a bleed cycle look like? Is it really six days? No, every woman has a different one.

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4934.937

And if you're tracking what that bleed is, maybe you have two heavy days, a light day, and another couple of days of spotting, and then a heavy day. That's your norm. When you start having changes in the norm, that's when you want to look and say, am I getting into low energy availability? Am I not recovering well enough? Or am I in my late 30s, early 40s and I started getting into perimenopause?

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The bleed pattern is so important for people to understand because that's how we have a true inherent identification of stress. So we see changes in the bleed pattern as well as the length of the menstrual cycle itself when the body's not adapting to stress. And stress isn't just our daily life stress. It's exercise stress.

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So we were looking at how do we optimally fuel or how do we optimally acclimatize the heat when we're at a point in our menstrual cycle where we don't have as much heat tolerance. So that we see when progesterone comes up after ovulation or core temperature comes up, we don't have as much heat tolerance. So how do we adjust for that?

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Working out too much, not eating enough is the big one. We've done some really interesting research looking at recreational female athletes. So people who go to the gym three or four times a week, right? They're not training specifically for anything but life.

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And they tend to fall into some of these trendy diets like fasted training or maybe they're eating too low carbohydrate because they're on a low carb, high fat or high protein diet and they're missing on the carbs. And again, that interrupts the hypothalamus. So we call it low energy availability.

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When someone isn't eating enough for the hypothalamus to say, yeah, all of our systems can work and we can adapt to exercise. So we see on the upwards of 55% of recreational female athletes in a low energy state or subclinical low energy state, and it comes out as changes in the bleed cycle or a missed period.

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That's why I tell women, look, if you're tracking, you can do sessional RPE, but really track that bleed pattern and the length of the cycle. Because if you start to see changes in the length and changes in the bleed pattern or just changes in the bleed pattern, it's an opportunity for you to take a pause.

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Say, what have I done from a training perspective or a sleep perspective or somehow increased my stress that my body's not adapting well? Because if we do that first, then we don't get into a clinical position of amenorrhea, which is no menstrual cycle and poor bone health and psychological issues and things that all come with endocrine dysfunction.

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When we see bone, it is driven by estrogen and progesterone and interplay between estrogen and progesterone. We see a peak velocity or a peak bone mass hitting around the time we're 20-ish, and then we'll start to degrade it if we're not creating multi-directional stress on the bone through jumping, through resistance training.

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And if we start to lose bone density and we become osteopenic or osteoporotic, meaning we have very thin bones, they break easily. And it's really, really difficult for someone who is in their reproductive years to be able to do all the things they want to do if they don't have a really strong, robust skeletal system.

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Men have thicker bones and tend to not have as much degradation of the bone because they don't have estrogen, progesterone perturbations that are changing the signaling to progesterone.

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increasing bone density or stopping the growth of bone right so women have this perturbation throughout their menstrual cycle that will change how their bones are responding and then when we don't have a menstrual cycle or we get put on an oral contraceptive pill we have changes in that signaling which changes our bone density and you mentioned sleep a second ago yeah how is sleep relevant and what's the variance between men and women as it relates to sleep

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So there are a lot of questions that would come through just by the nature of being surrounded by competitive athletes and being a competitive athlete. So we look at things like, we know now that when you want to do... acclimatization to the heat.

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Sleep's really important because that's where we have our parasympathetic drive and our ability to recover. So the whole, I shouldn't say the whole reason, because nobody really knows why we need to sleep other than the fact this is where our physical and our mental capacities become solidified.

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So that means that our body fully repairs while we're sleeping, our memories get solidified, our brain becomes a little bit relaxed and can repair itself while we're sleeping. For women, we see changes across the menstrual cycle in our sleep phases. So when we are slow sleep phases, meaning our deep sleep versus our late sleep versus our dream sleep.

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And we need to get in that really super deep sleep in order to have optimal reparation. When we are getting close to the bleed phase, then we see more interruption in the sleep. And it's really, really apparent for women who have really bad PMS or other conditions that happen to affect estrogen and progesterone. We have an increase in our core temperature from progesterone.

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We have changes in melatonin pulse because of estrogen. So when women are talking about having really poor sleep right before their menstrual cycle, it is because we have these sex hormones that are interfering with our sleep phases. For men, they don't have that perturbation. For men, we see that chronologically they tend to have a melatonin peak that's later than women.

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So they tend to want to stay up later and they can sleep in, but they can also have shorter sleeps. So there's a chronobiology aspect that comes to it with regards to how our body actually falls asleep and wakes up. And there's a sex difference in that chronobiology.

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Because if we're looking at our circadian rhythms and how long they are, like I said, melatonin peaks earlier for women than men. And we have a slightly different... What does that mean? Sorry, melatonin. So melatonin is what allows our body to actually get into sleep. And our wind down for that is melatonin production. Okay.

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And I bring this up because if I live in New Zealand in the wintertime and I'm trying to train for something like Kona, that happens in Hawaii, and we max out at 10 degrees Celsius in the winter, but we have to face 40 degrees Celsius to race Ironman. And we get into a sauna and we want to accommodate for that heat. We know that men can go seven days in a row and be fine to then race in the heat.

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So a lot of people will start to feel really sleepy at like 4 in the afternoon. It's just a natural occurrence. Our core temperature comes up. We start to have melatonin production. And for women, a melatonin peak for sleep onset hits around 9 p.m. on average. For men, it's about 10 or 11 p.m. because our circadian rhythms are different. So women are on a shorter side than men.

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So we're talking about jet lag. For women going east, it's a little bit easier because it's shorter. For women going west, it's a little bit harder because it's longer. So there's a difference. Men will do better going west and worse going east. Women go better east than going west.

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Yeah, so this comes down to our hormone and metabolism. pulses throughout the day. So we see that cortisol, which everyone talks about, as being a bad thing. It's not a bad thing. We have a peak about a half an hour after we wake up. And for women, we need to eat in order to dampen that peak. For men, it just naturally dampens. So you don't need the food to instigate dampening of that peak.

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We see a luteinizing hormone pulse in both men and women, but the amplitude of that pulse is greater in women because it's responsible for how our body responds to developing an egg so that it can be fertilized. We also see estrogen pulses again to pulse throughout the day and then throughout the week before we can come to one of those estrogen peaks.

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So our body is a line for these pulses, and we have a 24-ish hour clock. And within that, we have cellular clocks. So we have a cellular clock that's telling us to pulse luteinizing hormone every so often. We have an internal cellular clock that's telling us estrogen to pulse every so often.

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And we can change that through differences in sleep, change that through our light wake time and through food intake.

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It's pretty important if we're looking about how our clock is aligned and how we are repairing while we're sleeping. Because if we're eating late and we've shifted everything late because people eat late, they go to bed, they wake up, they're not hungry, they don't dampen that cortisol peak for women.

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And then they don't sleep very well because if you are eating right before bed, your body is using parasympathetic response to digest instead of invoke really good sleep. So we see a lot of this circadian misalignment that's occurring. We see it a lot in shift workers. We see it a lot in our global society of staying up late and working and having screens.

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And the impact on metabolism is that it changes appetite hormones for women, where it will increase the craving for carbohydrates and the desire to eat more. And they don't ever feel full. For men, it's just a craving aspect. And so they'll eat according to cravings. It's called hedonistic eating rather than a true change in appetite hormones.

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But for women, it depends on which phase of the menstrual cycle. And if you are going in the high hormone phase, then we say, okay, well, you don't need a primer. You can just go in and do nine days in a row.

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So people who are having difficulty sleeping and difficulty changing body composition for overall health, we shift it. We're like, okay, we want to shift to be able to eat during the day and to have regular food at regular intervals so that our body has fuel to do what it needs during the day. We stop eating regularly.

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at dinner time, which is around six or seven, have a good two to three hours before we go to bed so that when we do go to bed, all our parasympathetic responses can go into getting really good sleep architecture. So that means that we get really good phases of sleep for optimal physical mental recovery. Because if we have that, then we have better blood glucose control.

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So better insulin responses. We're able to have more energy during the day and all of our systems work better.

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Your brain is perceiving a stress. And this is that hedonistic where you're like, my brain is like, I'm under stress and I need fuel.

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But if you start in the low hormone phase, you actually have to go into the sauna for five minutes, come back out, and then go back in and do that during the low hormone phase for nine days in a row.

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Mm-hmm. If you're really worried, then you can have like a protein shake or protein water. You can sip protein water while you're having a podcast. So then you're getting amino acids circulating. Your hypothalamus is like, sweet, okay, we're all good to go. But I hear you because I don't like to have a lot of food in my stomach when I'm going to be concentrating a lot or trying to articulate.

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It's something that I'm really excited is coming into conversations now because three years ago, no one would say the word. I knew we had made it as women in society when the nightly news was talking about menopause. So let's go. I'm excited.

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So there are different nuances in the way that your body responds to the heat and is able to accommodate for those heat shifts versus a man can just go in and accommodate for that and be ready for the race.

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Well, I know this guest, and she's very good at articulating, but also we have seen this upsurge of women like myself, my age group, put myself out there. We all grew up on the understanding that we were women, we were a little bit different from men, but no one told us about menopause. And now all of a sudden—

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there are these extreme changes that are going on and people are like, what's going on? And if I were to take a typical case scenario of a woman who's in her forties and goes to a doctor and goes, you know what? I can't sleep. I am trying to exercise, but I'm so tired. I can't do it. My body is changing and I just don't know what's going on.

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The general response to her three years ago would have been, well, look, you're a woman in her 40s who's highly stressed. You have kids on one side. You have older parents on another. You're right in the middle of your career. You have a really busy life. Here's an SSRI for anxiety and depression. It's going to help you sleep.

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But now with all the conversations that have been going on, a woman in her 40s will go to a GP and for the most part will be told, well, you're in your 40s, it might be perimenopause. And this is such a relief to so many women because they're not being gaslit anymore. They're not being told that what they're feeling isn't true. It's just something to do with stress.

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Now they're being told, you know what? All your systems in your body are being affected because your sex hormones are changing. So remember puberty, when everything was changing and no one wants to live through puberty anymore? You're on the other side of that. You're in reverse puberty, where all of your hormones are starting to downregulate. So every system in your body is being affected.

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Let's unpack it. Let's see what's going on. So when Mary Claire comes on and talks about menopause as an MD and talks about all the things that she's seeing in her clinic, women are like, that's me. Now I understand I'm not alone. And that's the power that's coming through all of these conversations and all of these groups like Naomi Watts Swell Group, right? They're talking about menopause.

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So now women are listening and keying in and going, wait a second. There actually are things that are occurring to me and I can get information, which is why these podcasts are taking off because now women are like, I'm not just crazy. There are actually things happening to me and people understand that. Now, what can I do to help myself? Because it isn't being taught in med school.

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A lot of the doctors that are out there are getting information because they are seeking it out themselves, right? And looking to people like Mary Claire and other like Louise Newsome in the UK, who are actually talking about and saying, these are the things that are happening. And these are the things that we know that we can do.

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Well, the other side is women who are in their reproductive years who have something like PCOS or endometriosis or they're having irregular periods and they're put on an oral contraceptive pill because the doctors don't understand that there are other things that are going on that will cause a misstep in menstrual cycle.

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So I get frustrated when teenage girls go to a doctor with irregular cycles and they're handed OCs like Skittles. It's like, that's not appropriate either. We have to actually understand what's going on. We know that there's irregularity in a menstrual cycle until people are around three years post the onset of their first menstrual cycle. It's not unusual. And OC is not the answer.

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If someone's still having irregularity, we have to look at lifestyle and say, hey, what's going on? They're having really heavy menstrual bleeding. It's not about using an OC to control it. Let's look and see why is that happening? Maybe we use an IUD or maybe we use some other medication to help.

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And then got into ultra running when I was doing my master's at Springfield. And then I started getting into more Ironman distance stuff before I started my PhD.

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But there's a lot of things that are not taught in med school that women are having to find out for themselves. And so when we listen to podcasts and we're hearing information from medical doctors who now have like a vocal aspect of being able to touch so many people, it resonates. So now doctors are trying to find that information if they have the time.

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But we know the healthcare systems in most countries, doctors are so pressed for time, they don't have that opportunity.

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So around age 35 up to, I think they say now the average age of menopause is 52 years old.

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So what's happening in that 15 to 17 year span is you're having such a change in the ratio of estrogen and progesterone. Early days, a lot of it appears as I'm not adapting to my training. It's not working well. I'm putting on more body fat. I'm becoming squishy. I'm not sleeping well. I'm having lots of mood changes.

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It must be, this is why a lot of doctors say, oh, it's because you're busy and stressed out. Here's a serotonin reuptake inhibitor. But no, it's changes in the ratios. Hecoine dilatant, we look at menstrual cycles and is it becoming shorter or longer? What's our bleed phase? We get into our mid to late 40s. It's very apparent because there are a lot of different changes that are occurring.

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We're seeing a change in our blood lipids. There's an increase in our low density lipoprotein, which is the quote bad cholesterol. Even if a woman's never had an issue with it, now all of a sudden she's having issues with her cholesterol. We see A1C coming up, which is a marker for diabetes, prediabetes.

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without any real change in what they're doing, other than the fact that their exercise isn't working, their sleep is a little bit disrupted, and their body composition is completely changing.

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And when we're looking at what's happening, we see that decrease in gut microbiome diversity, because we don't have as many sex hormones, so that impacts serotonin, that impacts vitamin production, that impacts parasympathetic drive. And we're also seeing a misstep in the way liver is reading fat and fat circulation. So we're seeing free fatty acids that are coming around.

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And because we don't have as much estrogen, we don't have as much anti-inflammatory responses. So we can't pull as many free fatty acids into the mitochondria and the skeletal muscle to be used as fuel. So they circulate and the liver has a signal that goes, we're going to change that

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free fatty acid into what we call esterified fatty acid which then gets stored as visceral fat and visceral fat is that dangerous fat that gets stored around the organs which is why women start to get like a minnow pot or develop a lot of abdominal adiposity so people will start seeing this and going i don't understand what's going on over the past six months i put on 10 pounds or or i put on four stone right what's going on my training's not working become very despondent

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And if they don't know they're in perimenopause, then they don't know that that's what's happening.

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Well, it's really symptomatic because we can't use blood tests. There isn't a definitive blood test to say, hey, you're a perimenopausal. You have to have a history of everything, of getting blood tests like every week. And no one does that.

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So we have to go on symptomology, really using the sociocultural aspect of how a woman is experiencing life with her symptoms and really listen and say, okay, well, here are the things that are going on. And we try to instigate non-hormonal options. There's exercise, there's lifestyle. And then if all else is really going to shit, then we can look at using some menopause hormone therapy.

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Just like we were talking about a Zympak being a tool, so hormone therapy can also be a tool.

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It can. Yeah, it can. We see that there is a greater incidence of vasomotor symptoms or hot flashes for women who have a greater amount of body fat. We also see that if you have more lean mass, then you're going to have less of an incidence of insulin resistance. So body composition has a huge play in symptomology. And then you also have to look at what your mom went through.

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Because if your mom had a really, really horrible time with lots of vasomotor symptoms and body composition change, there's a genetic link. Doesn't necessarily mean that you're going to experience the same thing, but you have a greater predisposition to having more severe symptomology.

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So my PhD was looking at differences between men and women in heat performance and how you acclimatize to it and how you hydrate for it, as well as looking between menstrual cycle phases and oral contraceptive pill use in women. And again, all of these topics were designed because of questions I had for myself or teammates had. And then from PhD, I went to Stanford and was working –

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So we look, as I said earlier, exercises are really good stress for adaptive change. So when we start getting into all these ratio shifts of estrogen and progesterone, we can't rely on our hormones to create those adaptive changes. And so what I mean by that is like estrogen is responsible for muscle protein synthesis and strength and power for women.

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Progesterone and estrogen are responsible for bone, bone growth, bone density. We can't rely on our hormones for that anymore. We have to look for an external stress. So this is where exercise comes in. So we're looking specifically at how to invoke a stress to change our insulin sensitivity. In other words, improve our blood glucose control. We need to do proper high intensity work.

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So that sprint interval or it's true high intensity work to create a stress that's high enough to have the brain say, hey, this is a really, really, really strong stress. I need to invoke changes within the skeletal muscle to be able to store more glucose. I also need to invoke more changes in the mitochondria so that it can use and store more free fatty acids.

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And I'm going to have more myokine released from the skeletal muscle to tell the liver, don't esterify those fatty acids. I want to use them at rest so we don't get visceral fat gain.

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Absolutely. Weights, right? Yeah. But specific to the type of weights that you're doing.

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So we're not going to the gym for an hour and a half every day. We're looking at doing short, sharp, high intensity cardio, or we're looking at doing power-based resistance training three times a week. And the cardio can be two to four times a week.

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We're looking at intensity. So if we're doing long, slow stuff, or we're doing moderate intensity zone two stuff, that's not really going to create the kind of stress that we need to invoke change.

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Yeah, absolutely. We see that women who go into the sauna get better control over things like hot flashes because it's all about temperature and temperature control. So if the blood going through the brain is really hot, it understands, hey, this is what hot is and can then have subsequent peripheral changes for controlling heat and understanding heat as well as central changes to understand heat.

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The problem is, it's never about how we can empower women to use their physiology to their advantage.

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We want a higher protein intake, of course, because as we get older, we become more anabolically resistant to protein. So that means our body isn't responding as much to the amino acids. So we need a higher dose to invoke muscle protein synthesis and bone regeneration, nerve regeneration.

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Also knowing that the recommended daily allowance that's out there for protein, especially for women, is based on sedentary older men. So it's not really adequate for what we're looking for. So we want higher incidence of protein at regular intervals across the day. And again, taking care of that gut microbiome. So we want a lot of colorful fruit and veg.

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That also helps with blood glucose control, as well as creating that diversity so that we are able to reduce the amount of bacteria that is responsible for storing body fat. We want to have that great amount of diversity of gut microbiomes or great diversity of the gut microbiome to have more of the bacteria that says, hey, you know what? We want more lean mass. We want to have less body fat.

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Why do you... Say something different. Yeah. I got a lot of my chops in menopause work through the Women's Health Initiative. And I'm not going to apologize for that cohort because this study was designed to look at older women going through menopause and does it work. So there's a whole issue around WHI and other things.

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But when we look at specifically women who are going through menopause or perimenopause into menopause, we're not looking to replace hormones. We're looking at a therapy to attenuate change. If we're looking at hormone replacement, that could be thyroid. That could be a premature ovarian failure that we need to have some estrogen progesterone.

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We're looking at menopause and perimenopause in itself. We're looking at using a hormone dose that is a very low physiologic level so that we don't have symptomology. So the body is not going to have vasomotor symptoms and is not going to have mood changes and is not going to really have an incredible amount of body composition change.

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in the high-performance lab and then moved over to do a postdoc with Marcia Stefanik, who was the PI for the Women's Health Initiative. So looking at hormone replacement therapy in menopausal women, but also looking at exercise as a cohort to that. And I had another hand in the high performance research in human biology. So I would mesh human performance with public health.

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If we're replacing hormones, people have the idea that it's going to be the same physiologic level as when we were in our reproductive years. And that's not the case.

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Yeah, that we are replacing our hormones to stay young and be in our reproductive years. So we look at Western society, and I like to use the cast of Friends as an example from, you know, 90s to now, right?

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And we see that the cast of Friends women all have a certain look that they've had to maintain in order to be viable in Hollywood, which means that they're thin, they have good body composition, they don't have any wrinkles, they have really good lustrous hair. And that's the image that women have now of how they're supposed to age. Where men, not so much.

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We see the images of men who are aging, becoming more demure, I guess. So they have gray hair, they have some wrinkles, they're very distinguished. And that's the image we have of men aging. There's a huge disconnect in society. So when women start to experience perimenopause, it's a definitive point of aging. And People are afraid to age. Everyone's afraid to age for the most part.

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The idea of aging gracefully or embracing it hasn't quite gotten to the mainstream. So when someone's like, here's some hormones to replace so you can stay young, people are like, great. But we look at the research and it's not about staying young. It's about slowing the rate of change that's so severe that creates quality of life distress.

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And we also see that the research isn't there for maintaining brain integrity to prevent dementia, which is the other thing that's floating around. It's not there. There's no evidence to show that taking hormone therapy is going to stop dementia. So there's lots of things out there that's a disconnect.

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And trying to say it's menopause hormone therapy is one way of getting people to understand that it's not an anti-aging agent. It's something to help with this phase of life and to help get through so that we don't have severe changes to our daily life and who we are as a person.

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It gets better on the other side. I think that's something people don't talk about is perimenopause is such the conversation now with all the conversations around hormone therapy, exercise, lifestyle, but no one talks about the other side. Once you've gotten through perimenopause, do my joints stop hurting? Do I stop having all these sleep interruptions? Do I stop having to worry about my bones?

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And if you're putting in the right lifestyle changes to maintain bone health, yes. On the other side, everything becomes a new normal without the pain and dysfunction. Because it's the shift in hormones that's creating so many different with every system of the body.

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So if we get through this with really good interventions for preventing or attenuating the changes that are happening, the other side is much better.

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Yeah, so there's, I guess, a huge misstep in the understanding that endometriosis is an inflammatory disease response yes and no there's some more emerging evidence that it could be a bacterial or a viral cause but with regards to endometriosis we see that if you're able to use some cold water therapy for the most part or a cold water plunge around the time that you think about ovulation where the

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After ovulation, you have endometrial growth. It reduces the total inflammatory response so that the endometrial lining doesn't grow as much. So you don't have as much growth of endometrial tissue outside of the uterus. So we're looking at how do we stop that extra growth? We can use environmental cues to help with that. So that's that cold therapy.

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And then that transcend into a lot of the stuff that I do now, looking at what can we do, taking some of the ideas from high performance and apply it to general population.

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If we look at PCOS, it's all about a higher androgen count. And we have more insulin resistance. And how we're training for exercise is all about how do we control that insulin resistance. So we look at high intensity. We look at using resistance training. So women who have PCOS, they have irregular cycles. So we can't use the menstrual cycle as an indication of stress.

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So we have to look at things like heart rate variability. We have to look at properly putting in intensity and resistance training to work with blood glucose levels to, again, attenuate some of the symptomology that comes with PCOS.

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That this conversation isn't just for women. I'm very grateful that you're very excited about the menstrual cycle, but I think a lot of people kind of tune out when we start to hear conversations about women and conversations about sex differences, but it's for everybody.

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Because if we're going to push forward and understand how we need to do research to improve the health of women and men, then it's a combination in the conversation. So I, yeah, I'm very appreciative to men who come into the conversation and men who are in the room and very appreciative of you for having these conversations because then it pushes it out and makes it normal across the board.

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And how does that improve people's longevity, wellbeing, but also for those who are trying to be parents who have a high performing job, who want to do well in their age group, race, whatever it is, how can we maximize some of the things we know from high performance with regards to sleep, heat, cold, and apply that to a person who's just trying to get everything done and what small things they can tweak to improve their own training and performance.

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I had a PhD student who came up to me and he's like, my partner has something to tell you and it's going to come through me. I was like, okay, what is it? He said, she said to tell you that I know more about the menstrual cycle than she does. And I was like, awesome. Because he was looking at women in the heat versus men in the heat.

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So we had to understand the menstrual cycle and how all of that came. And then that upskilled her. So it came in the opposite. Instead of her trying to upskill him, he upskilled her.

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Not anymore. It's been cut. All the health programs and everything have been cut. So yeah, it's really like I give talks and the rooms get full of parents who want to know what's happening. Like I give talks for young kids who are, you know, surf life-saving or whatever, just explaining it all. And then I'll get questions from women. Well, what about perimenopause? What about menopause?

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What about IUD? What about this? What about that? Because it's not taught.

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I have a daughter and the most important messaging that I keep giving to her is to be empowered, to ask questions and to be empowered. And she'll often say, well, what does that mean, mom? I'm like, you have a question, you ask it. Don't be afraid to ask it because if you don't know, you don't know. So society is very changing.

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I want you to be empowered and be educated and have the confidence to ask questions.

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7276.942

Thanks so much. I appreciate it. Are you going to make her eat before you go training now?

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I am a research scientist at AUT. It's where most of my PhD students are. And we have a women's health program. And then I also have an adjunct with the lifestyle medicine at Stanford. So that's where a lot of the public health research comes in.

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There are sex differences in utero. I mean, when we look at... What does that mean? So sex differences when the baby's developing.

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So we look at stress and the mom under stress. We see that there's a higher incidence of a miscarriage if it's a developing boy fetus than a girl fetus. And it has to do with XX versus XY. Okay. Then after birth, we see that there's relatively little sex difference that is apparent until the onset of puberty.

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But when we're looking at those sex differences that aren't that apparent, there are there. We see that there's a sex difference in what we call muscle morphology. So that means that men are born with more fast twitch fibers. So they have more anaerobic capacity as they get older. They have more ability to produce power. We see that girls are born with more endurant type fibers.

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So this means they have more mitochondria for oxygen consumption and oxidative stress and being able to go long and slow. Then when we get to the onset of puberty, we see an expansion of these sex differences with the exposure of the sex hormones. So what we're seeing is now the boys are getting leaner, they're getting faster, they're getting more aggressive.

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But girls' bodies completely change because center of gravity drops from the chest down to the lower abdomen area because their hips widen. And their hips widen because, you know, being XX, they have to then accommodate for getting pregnant and eventually having a baby from a biological standpoint. Hips widen, shoulders widen. This changes the angle of the knee to the hip. So we then have a, yep.

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Yeah, yeah. And so when we're looking at girls whose bodies are changing, we see that by the age of 14, girls who previously were sporty, over 60% of them drop out of sport. Because they're not taught that their bodies are changing, so they don't feel comfortable running or swimming or jumping or landing. Because they have a new cue angle, they become quad dominant.

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Their center of gravity is different. Their shoulders are wider, so they don't feel comfortable running because their whole running mechanics change. So, you know, when we're looking at girls who are eight, they can keep up with the boys, right? Their bodies haven't quite started changing yet. By the time they're 10... They're starting to see a discrepancy.

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And I say that because my daughter's now 12, and I've seen it over the course of the elementary school years where they used to be on par with the boys playing soccer and rugby and stuff on the field. And then you start seeing a morph where the boys are... becoming more aggressive and they're kicking the balls faster and running faster.

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And the girls are starting to develop a little bit more, getting a little bit more body fat, feeling a little bit more comfortable running. They can't do the monkey bars anymore because their center of gravity is lower, so they can't get up and do the monkey bars as well. But no one explains this to them.

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So then when we see this discrepancy of being sporty, not sporty, we see the changes in body composition. And all of this is in those early stages of the teen years, which is another knock because we also have brain changes where girls become more self-aware and boys don't. They're like, okay, you know what? You piss me off. I'm going to beat you up and we're going to get on with it.

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But girls are very self-aware and they hold on. things to themselves in a more negative fashion. And this creates a lot of mood changes. And this also creates a feeling of negative body positivity. So they don't feel that comfortable with how they look or who they are. And society doesn't help that either.

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The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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And it's one that's going to be really super beneficial.

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The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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And when we start looking at it, I did a competition a couple of weekends ago just for fun. And I had so many women come up and go, the first thing that you did to change my life was to tell me to eat beforehand. And now my training's better, my outcomes are better, I have more energy. And I'm like, well, of course, because your brain is like, I can handle this stress.

The Mel Robbins Podcast

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So if you are supplying fuel to the empty tank, of course, you're going to go far. If you think about trying to drive a car and rev it up and get it on the highway at speed with it on E, it's not going to get very far. So I tried to explain to women, if you're going to get up and even if you're going for a walk, Like you want to maximize what you're doing.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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You want your metabolism to fire on all cylinders. You want to get some aerobic fitness through that. You need to supply just a little bit of fuel. And it doesn't mean a full meal. It could be the protein coffee. It could be a couple of tablespoons of yogurt, half a banana. It's not a lot, but it's enough to bring your blood sugar up and tell your brain, yeah, I've got this. I've got this.

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Right. And one of the things that has come up recently in conversations where some women who've just started into strength training realm or have dropped all of their big cardio walking, because we all come from the 80s and 90s of, Let's do 90 minutes of aerobics, and that's not appropriate.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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So they've gotten out of that mentality, but they'll see other women at the gym who are on the elliptical or treadmill or out running, and they look really lean. And they're like, well, I don't understand. I kind of want to look like that, but I know that I need to be doing strength training, so I'm confused.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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The women that are 40 plus who are doing the cardio, for the most part, they're going to be what we call skinny fat. So that means that they're not going to have a lot of quality muscle. There's going to be a lot of fatty tissue within the muscle and their bones are going to be like chalk.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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Because if we are doing all that cardio work and we're not looking at how our bodies are aging and what we need, we need the food before the training, we need to put in some strength training, then we're going to continuously be breaking down the tissue that we want to keep to age well. So when we're talking about that mentality of, well, what do I do?

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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It's like these small steps of, yeah, let's have some food before. Let's look at how we are dosing our exercise, what kinds of intensities. Let's bring in some strength training because all of those are going to feed forward to having our lean mass. Having really strong bones, having really good neuroplasticity. So that means how your brain changes in a positive way.

The Mel Robbins Podcast

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So as we age, we don't get dementia. So these are all the things that I would rather women focus on than the drive from the 90s to be Kate Moss thin. Because on the outside, that drive to be super thin is killing us on the inside. Yeah.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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Yes. So a lot of women don't have an appetite first thing in the morning. I'm one of those, but I know that I need fuel. So I'm very much an espresso addict. I love it. And one of the simple things that I do is I make a double espresso at night and I mix some protein powder into my almond milk or whatever milk you want. And then I put the hot coffee in there and I put it in the fridge overnight.

The Mel Robbins Podcast

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And then it's my go-to first thing in the morning where then I'm getting my 30 grams of protein. I'm getting my caffeine. It tastes like a latte. I'm good to go. And so that's a first hit. It's a first eating opportunity to bring in some of that protein that we need. And if you're going to go do any kind of exercise, knowing that exercise mutes your appetite.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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then it also helps with that recovery part because you're going to have those amino acids circulating. Your brain's going to say, hey, yeah, okay, I've got stuff to rebuild tissue. So it's a really good way of being able to have what you need without feeling over full and still enjoying some of the good things of life like coffee.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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There's a few things to unpack there. So first we look at eating opportunities because there's so many women who are one, trying to lose weight or two, already in the fitness space and following some of the trends that don't eat enough. So if you aren't eating enough, you're not going to actually change your body composition. So we look at eating opportunities.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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First thing in the morning, 30 grams of protein, boom, that's an eating opportunity that you're not really feeling overly full, but it's such a great benefit to the body and you're ahead of the game by having 30 grams of protein. We also look at some of the newer research that's coming out about our circadian rhythms or how our body goes through 24-hour cycle.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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And for people who break their fast regularly, by around 8 a.m., and then they don't eat after 6 p.m., have all these great metabolic outcomes that you would expect from, quote, intermittent fasting. But we see that people who hold a fast till noon or after don't get any of that benefit. So if we look, well, why, why is that?

The Mel Robbins Podcast

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We have to understand that half an hour after a woman wakes up, we have a spike in cortisol. That's our stress hormone. If we don't have food to tell the brain to drop that, then we stay in this heightened stress state. And what cortisol is responsible for is that fight or flight, but also providing fuel for being able to fight or flight.

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So the first thing that goes is we start chewing into our lean mass, which is bone and muscle, and a signal to keep our body fat, especially as we start to get older.

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Are you kidding me? No. No. I mean, when we look at the trends of the fasted training, don't eat before... It's all on male data. And the difference between men and women in this situation is, again, it comes down to the brain. So a man can get by with the fasted training because...

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When we're looking at getting up and holding a fast or going training without food, for a man's body, it stimulates the little molecular structures in the muscles to use more fat because their muscle structure and the types of fibers that they have are different than women's. So men have what we call more glycolytic or fibers that use glucose and not as many oxidative or the fibers that use...

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fat as a fuel. Women, we're born with more of those oxidative fat burning fibers. So when we go and we don't provide fuel, the body's like, I'm going to store fat because I'm going to need it because that's the preferred fuel for your muscles. So men's bodies will start to adapt to be able to use more fat, which is why you see fasting and holding a fast working so well in men, but

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But for women, it doesn't do the same because we have different feedback mechanisms from the brain. We have different muscle requirements because of different morphology, we call it, or different muscle fiber types.

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Because if we're looking at decreasing our overall stress response, so that cortisol, bringing the cortisol down, over the course of time, you're gonna have a lower baseline of that cortisol. If you have a lower baseline of cortisol, then your body can get into what we call parasympathetic. So that's what you need to sleep. If you have this high elevation of cortisol all the time,

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we're always sympathetically wired. So we can't get into deep reparative sleep. So you see a lot of awakenings. The other thing that happens when women front load their food, so we have a lot of our calories in the day, which we should, then when we go to sleep, we aren't waking up with hypoglycemia. So that means we're not waking up with low blood sugar.

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Because a lot of women who under eat or hold a fast and they aren't eating enough, their awakenings at night is due to low blood sugar.

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I needed me then too. It's taken me this long to be able to acquire all the knowledge and the research. So now I'm hoping that we can hit all of the listeners and so that they will learn what we should have known decades ago.

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It's a hard one because people have different food preferences. How about an avatar? What's an avatar? A makeup person. Okay, a makeup person. Makeup person. So we'll say there's a woman who is plant-based but not vegetarian, so she has a preference for plants. Three kids, super busy, wakes up, has been waking up, tired but wired, didn't sleep well. It's like, okay, I need to make this change.

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never hungry in the morning. So we can split her breakfast. It could be overnight oats, which is chia seeds, oatmeal, some milk or oat milk to soak it. Then when she gets up, she's like, I'm going to split that in half.

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The first half, I'm going to add some berries and maybe another tablespoon of Greek yogurt, because then I'm going to get some protein, some carbohydrates, some fiber, and it's going to calm me down. It's going to tell my brain, yep, ready to go. Okay. Then you either are going out for your walk. Maybe you're going to do some home strength training. Maybe you're meeting a friend for a session.

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Maybe you're taking 15 minutes of just breath work to bring yourself down, especially if you're the avatar of three kids in a busy life, just taking that moment to put yourself first. And then when you get back, maybe it's an hour, hour and a half later, you have the second half.

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The second half of those overnight oats with a few more tablespoons of Greek yogurt and some nuts and berries, because then you're getting the protein carbohydrate. So you've actually split your breakfast, but you've given your body the benefit of food on different eating opportunities without being overfull. But at the end, you end up with 30 grams of protein over the course of a couple of hours.

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Yeah. So it's easy. You can mix it up, do it the night before. You know that I'm not that hungry, but if I have a little bit. And then over the course of a couple of weeks, you're going to find that you're going to wake up going, yeah, I need some food. And this is kind of a reset of your circadian rhythm. Your body is starting to fall in line. You're...

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hypothalamus is understanding your appetite hormones are starting to work properly. And when all of that feeds forward, then you're going to start to see changes in body composition because you're having better sleep. So we can't change anything if our sleep is perturbed.

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So the more we focus on how are we going to work with our body's natural rhythms and the way that our hormones work, the more it feeds into better parasympathetic drive for better sleep.

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Yeah. I always bring it down to what are we doing when we want to exercise, right? We're looking for better blood glucose control. We're looking for better bone. We're looking for better muscle. If you're not eating, then you are not going to get better at any of that stuff because the body again is like, I need fuel for the stress that's occurring and I need fuel for the exercise.

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You lose muscle. Thank you. Thank you. Thank you. Thank you. Thank you.

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Thank you. Thank you. Thank you. Thank you.

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Exactly. So the whole flight or fight response that people talk about with cortisol. Yes. we're flighting. We're teaching our body that flight by exercising and your body's like, this is a stress. I need to understand it, overcome it, get stronger. You could also think about it as the fight response too, because if you're in the gym and you're building the muscle and you're

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ready to go, coiled up, ready to go, your body's learning that stress. Because we're not an algorithm. We adapt to so many different things. So if we put our body into an uncomfortable or a challenged situation, it doesn't like it. So it learns how to overcome that. and get stronger in the process. So when I, as you're explaining, it's like, yes, it's all about stress resilience.

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If we're resilient to stress in a meeting, our immune system is also really resilient to stuff that's going around. And we're also resilient enough to maintain a focus if we're getting ready to lose it and our kid goes off. Like we're not gonna break down and start yelling at our partner or our kid because we have this stress resilience. We're able to take that pause.

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Yeah, I wish I had known about strength training way back when. I was introduced to it when I was 16 because my friend's brother was a bodybuilder. And I was like, oh, okay, I'll go because Michelle, you're going, I'll go with you. But I didn't really realize what that meant.

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So when we talk about the science of strength training right now, we know that with age, we lose muscle really quickly, start to lose it when we hit 30. And it's really important because one, it's an active tissue, so it helps maintain so many different systems in our body. Not only that, but we think about strength training and how it puts leverage on the bone to improve bone.

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But the big thing really is when we think about cognitive decline. So we see that there's a sex difference as we get older in Alzheimer's, dementia, cognitive decline. And it has to do with brain metabolism. So that's the fuel that your brain uses. And what we call neuroplasticity or how your brain adapts and creates neural pathways.

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If we're strength training, then yeah, we're taking care of our bone and our muscle. But it's creating signals to the brain to increase its ability to be really active. plastic. So it's like, yeah, okay, I need to have a new pathway. Let's develop that pathway. And so it's always changing. It's like Sudoku, right?

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You're mentally working on that, but strength training does the same thing, but it also improves overall metabolism. So now your brain is very flexible and it's like, okay, well, I need glucose, but then I can use lactate. So when you start doing all of these things, it reduces your chances of developing cognitive issues.

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So for women, I'm always like, yeah, strength training is great because we're building all these things. We're changing our body composition. But for the long term, we want to have a good body and a good mind.

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So if we're doing these things and creating more pathways and developing existing pathways and making the brain very responsive and able to be flexible, then we're going to have a really good sound mind growing. when we're all doing Zimmer frame races when we're 100. What are Zimmer frame races? You know, those frames that old women have to use or old men. I've never seen those.

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I don't know what you're talking about. In the nursing homes, you haven't seen those silver walkers?

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Well, no, I'll be using a Zimmer frame. I'll be doing the races with everyone else because I can't say that my joints are all that great.

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Women are what we call more fatigue resistant. So as I was describing earlier, the differences in the muscle fiber types, right? So women have more of those fat burning, we call endurant fibers. So that means that you can do lots of work and then you recover relatively quickly.

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So when we're looking at sets and reps and things like that, women don't need as much recovery time between your sets and reps to be able to have the same kind of training stress. Now, break that down. Please, because I don't know anything that you just talked about. I was like, sets, reps. All that stuff, right. Okay, what are we doing?

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So say you have a man and a woman that go to the gym and they're like, okay, I'm supposed to do... Five sets, so that's... Five sets? So, yeah. This is... This is a lot. I know, it's an avatar here.

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Yeah, I'll get to there, but I wanted to explain the biology. Okay, you tell me the biology. I'll give you the biology, and then I'll give you the actionable where to start. Thank you, Dr. Simms. All right. So if we take a man and a woman, they go to the gym and they have this similar program where they're supposed to do five sets of five reps on the three minutes. So what does that mean?

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You do five reps of a squat in three minutes. So however long it takes you to do those and then you rest the rest of the time for the three minutes. Okay. So maybe it takes you 30 seconds to do your five squats and then you have two minutes and 30 seconds to recover. Oh, okay. And you do that five times. So that's five by five.

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So if a man and a woman both do that, and we look over time, the relative strength gain, so that means relative to sex and body weight, man will acquire better strength gains than a woman. But if we were to change that recovery for the woman to go five sets on five by five on the two minute, so she does it in 30 seconds and has a minute 30 recovery,

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Then over a course of time, she'll have the same outcomes because her body is like, I don't need as much rest. So it starts to kind of downturn with so much rest. So you can put more training stress on and less time as a woman.

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So this is one of the things that we're starting to really discover in the strength training research because it's relatively new. We're like, okay, we know that there's these sex differences in the muscle fiber types where women have more of these, you know, endurance type fibers, men have more of the fast twitch glycolytic fibers.

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So if we really want to maximize the outcome of our strength training, we need to work to women's physiology where they don't need as much rest to get the same kind of stress and outcome.

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Thanks for having me. I'm excited. We have lots of fun.

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Right. So this comes back to the, you know, the fasting. And I get really frustrated when more men will drop alcohol, they'll drop sugar, and then all of a sudden their abs are ripped, right? Yes. They're like, whew. belly fat gone. Yes. But for women, we tend to store belly fat. Correct. And if I'm not drinking, I want results. I know, but it doesn't necessarily happen. No, it doesn't, Dr. Sims.

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We have a higher percent body fat. for one. And again, it comes down to food intake and hypothalamus. So if we start taking out food and not replacing those calories with something else, then we end up in a lower energy state. So that could be a whole nother podcast, but basically we're not eating enough to support body composition change, and health outcomes.

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So if we talk about abs in the kitchen, if we're eating the same kind of grandparent diet, then we're going to have the same outcomes, right? But if we have the extra 20 bit of life where we're having chocolate and whiskey and all those fun things, man could take it out and get super ripped. Woman takes it out, there's no change. Why? Because the hypothalamus is like, where are those calories?

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I need those calories. So if we want to eat a little bit cleaner, we have to make sure that we're actually providing enough calories.

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So if we're providing enough calories and our body's like, yep, sweet, we got enough for all the things that we need to do in a day, overcome the stress, and we have enough to fuel the training and the changes we want with the exercise we're doing, you're going to get those abs. Wow.

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And then the compound movements, like working abs in a functional way, not doing sit-ups, but doing deadlifts or squats where you have to use your abs as a support mechanism, builds them faster than you see guys on the... floor doing lots of sit-ups or Russian twist, yeah, they're going to get those strong abs.

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But for women, it's better to do this compound for that torsion to be able to use it as support because then it allows us to stand upright and have better posture because our center of gravity is down in our hips, men's center of gravity is up in their chest. So if we're working to control our posture and develop the strength through our core and we're standing up taller, our abs show.

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If we're looking from an age standpoint. Okay. Okay. Let's start with our 20s. In our 20s, you can get away with a lot. What does that mean? So that means that you could do bare minimum a couple of days a week of mixed aerobic and strength training. So you don't have to do that much. Okay. So it could be a total body circuit set twice a week.

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That means like going to the gym and doing the machines? You could do that, or you could do an at-home circuit where you can do, what I say, every minute on the minute. So you warm up with stretches and mobility for five or so minutes, and then you have five minutes where one minute is jumping lunges. The next minute might be some push-ups.

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The third minute might be some overhead thrust, or you're pushing something overhead. Okay. The fourth minute might be some air squats. And then the fifth minute is completely off where you're recovering. You do that circuit two or three times. That's all you need. Wow. And you don't even need equipment. No. That's your bare minimum.

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So if we're talking about going for a walk... That's really good. Like you're walking with a friend. Perfect. Because that's going to allow you to have some metabolic change. It's going to improve your blood glucose. It's going to improve your body's stress resilience. And hey, you get to hang out with a friend. So that's great. It's community. It's connection. It's all of the great things.

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So that's one kind of cardio. If we're looking at improving our blood pressure, you can do some walking. But what we find is true high intensity work that's really directed. We call it sprint interval training where it's 30 seconds or less as hard as you can go. And it doesn't have to be running.

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It could be kettlebell swings, be air squats, jumping lunges, could be running, could be cycling, anything that's going to make you go as hard as you can for 30 seconds or less and recover for two minutes. You might do two or three of those. And that is such a strong stress that it creates this whole cascade of change that improves your entire cardiovascular system.

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I find there's two big things that often happen. One, most women become more empowered and have better body positivity. And two, they have a sense of separation from the stress and their own selves. So they're able to take that step back from the stress of everything that's happening. It's kind of like that pause moment.

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Minute and a half to two minutes because we want a full recovery from, it's more of a central nervous system recovery because we want to be able to go just as hard, if not harder for the next interval. And then how many of those am I doing? So you don't want to do any more than five. Oh, I love the minimum. That's it? Yeah. I can do that. That's the maximum. Five is the maximum.

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Now we're talking, Dr. Sims. Some people will go, I can do all five. And then they start. And if they're doing it properly after two, they're like, I can't do anymore. That's fine. You've gotten that impetus of stress. And it creates this whole cascade where all of a sudden your muscles are releasing signals called myokines that now is telling your liver, let's not store that visceral fat.

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We need that fat for other things. It's also telling your body, we don't want to store under the skin subcutaneous fat because We need that fat for other things. It's also telling your muscles to open up and bring carbohydrate in. So our insulin become, or we become more sensitive to insulin. So there's so many great things about that high, high intensity.

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And by the way, your blood vessels are going to respond really well. So you get better blood vessel compliance, vasodilation constriction, so better blood pressure control. Because again, your body responds to stress and it's such a strong stress. Your body's like, there's this whole myriad of things that I need to be able to do to do that stress again.

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So it's a really effective means of getting heart health better metabolic health and better body composition.

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No. I mean, I come from a huge endurance background and But now I'm traveling, like I live in New Zealand, I'm traveling the world. I have a daughter, I have a business, super busy. And I still want to exercise because one, it helps with stress resilient too. Yeah, I'm like, you know, there's a little aesthetics and vanity in there, of course.

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And sprint interval, it's so between lifting three days a week and some sprint training, that's pretty much what I do. Because that's all I have time for.

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Yep. And sometimes I put that on the end of my strength training because if I'm already at the gym, I might finish with some aerodyne bike, you know, 30 seconds as hard as I can go. So I'm maximizing time. So I don't spend any more than 45 minutes to an hour in the gym.

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Because when you are taking care of your body, then it feeds back into a lot of positive metrics. So the big thing that I love is watching women go through an evolution to go from being not so confident in themselves to having such empowerment to be able to stand up and say, I own this space and I'm taking it.

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So strength training across the board. The type of strength training you do is different. So when we're in our 20s and our early 30s, we can do some of the protocol stuff that is out there for men. Like you're doing your 10 to 12 reps or you're going to failure or you're going in and you're doing a full body workout. You're going to get results.

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As we start to get into our mid-30s and onward, we start to have changes in our estrogen, progesterone, and it doesn't quite work for us. Okay. Because now we need to find an external stress that's going to create the same responses that those hormones used to support. Okay. So now we want to look at more of a power-based type training. What does that mean? Yeah. So 30 and up.

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So when you're doing the higher reps, it's more of what we call metabolic stress. So that's more like muscle contraction using fuel. Yeah. But it's not an impetus to build lean mass or to become stronger. Right. So this is where I say the power base. So when we're talking about the spectrum of weights and the reps and sets and stuff, power base is zero to six to eight reps. Oh, I love that.

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I can do less? Yes, but it has to be heavy. Okay. It has to be heavy load. I like that, but okay. Yeah. So that means that you go and you pick up, say we pick up this 20, right? Uh-huh. And you're like, oh yeah, I can do 10 overhead, no problem. Yeah. Maybe I could do two more. Great. So we call that 10 with two reps in reserve. Okay. We want you to be at a six with two reps in reserve.

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So that means I would have you put the 20 down and pick up those 30s and see, can you do six? Really good. Wow. Not failing form. And then could you eke out two more? Great. That's the weight that we want you to use. Gotcha.

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Because they respond well to metabolic stress. As our bodies get older, we need more of a central nervous system.

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Yeah, but I don't want women who are listening to go, oh, I heard Mel's podcast and I have to go lift these heavy weights and do sprint training. It takes time to learn how to do things well without getting injured. Because, I mean, when we get older, we're more susceptible to soft tissue injury, joint injuries. So I always want women to learn how to move first.

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So if you've never done any kind of strength training, don't be put off by, oh, I heard I have to lift heavy weights. I better not do it at all. No, any kind of resistance is good. Maybe it's just body weight at the start. Maybe you're doing a body weight circuit and then maybe you're putting a backpack with some stuff in there to make it a little bit heavier.

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Maybe you're following somebody online that's teaching you how to move properly first. And over the course of time, you can add load because your body is learning how to move and it's becoming stress resilient. So you add load to increase that stress. And then over the course of six to eight months, you're going to be in lifting heavy weights and doing the sprints without injury.

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So it's not a training block. Like we've all been conditioned to what do I do every day in and out, in and out so I can get X results. We want to think about what am I doing to improve my overall health, my strength, my bones, my brain, so that when I'm 80, I'm self-sufficient. When I'm 90, I'm self-sufficient. It's not a training block. It's a lifestyle that we want in.

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So it takes time to build into that lifestyle.

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With machines, I want people to realize that it's hard for a woman to actually get the machines to fit well because they are designed for a 5'8 to 6' guy who's 160 to 190 pounds. So if you are outside of that norm, it's really hard to get the right fit, which can predispose you to injury. Mm-hmm. If you are just getting started, it can be a way because you're not going to put a lot of load on.

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You're not going to get as injured. For me personally, I'm not a huge fan of something like Planet Fitness, but I do appreciate the fact that they've opened the doors to so many people to make lifting accessible. So a woman can go in and use their machine circuit and get some resistance and some load.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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to start to get them self-resilient so then they can move away from those machines and get into dumbbells. I like more of the free weights where you have a barbell or a dumbbell because you have to use more of your stabilizing muscles which is how we move anyway, because you're not going to go pick up a bag of groceries just with your arm, right?

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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So if you're looking at bicep curls or tricep dips on a machine, that's not functional per se. Yes, you're adding load, but I like it when people are, okay, I've got to lift the groceries or I've got to lift this overhead. So I'm going to do a full squat, using my abs and I'm going to go from ground to overhead. Could be with a plate, could be with a dumbbell.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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It could just be that motion at start because we have to think about how we move in the day.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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Yeah, so gyms are super gendered. I sometimes get intimidated. You do? Yeah. So I'll say, like, if I go to a typical bro gym, like a Gold's Gym. Mm-hmm. I'll walk in and I'll see the lifting platforms and there's some big dudes. And I'm like, maybe I'll come back. I'll go do something else first.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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So it's still there because the gyms are so gendered and it's a fault of that industry where you walk in as a woman, the front desk person looks at you and goes, oh, okay, how much weight do you wanna lose? Here's the cardio machines. Here are our classes. If a guy walks in, they're like, yo, bro, how much weight do you want to put on? How much muscle?

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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The lifting platforms are back there and we have bumper plates and our dumbbells go up to 80 pounds. So, you know, it's all back there. But it's so gendered, even if you feel like I'm going to go to the free weights because you have to walk through all the treadmills and the ellipticals and cardio. And then you like the free weights are here and then lifting platforms are at the back. Yes. So-

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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It's not surprising that someone who's not ever been in a gym situation doesn't want to go into a gym situation. And the way that we can get started in this is put the gym out of your head at the moment, right? So we can look at, there are two main things that allow women to thrive in strength training. One is knowing what to do and two is community, right?

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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We see that working out with someone else is fun for one thing. And two, it allows you to push yourself a little bit harder, right? It's just intrinsically you want to keep up or you don't want to look like the weak link. It's just a psychological thing. So community and working out with someone is super important.

The Mel Robbins Podcast

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So if you're someone who's like, I don't want to go to the gym, I don't know what to do. Well, we can look at some of the online things that are out there. So like if you're really super, super basic and you want someone to work with, maybe one-on-one or maybe a small group, you can look to someone like Loretta Hogg who does Loretta Loves Lifting. She's very, like she trains her mom.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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She trains other people who are just trying to really understand how to do stuff in their house. So it's a very basic way of starting and you can move forward from there.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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If you're someone who's like, I got that part, but I want to work out with a friend and we want to set program, then maybe you look at someone like the Betty Rocker where she has specific programs where you can work out with her in her community or you and a friend can work out together together. And that's a way to do more stuff with dumbbells in the house.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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Then we can move forward and go to something like Haley Happens Fitness that I've partnered with where it's from the gym where you actually have an app that shows you what to do. You can go into the gym, you know exactly what machines or barbell or dumbbells to use. You bring in a friend, you can both do it together. So you're like, here's my app. This is what I do.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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You can record everything, keeps progress, and you know exactly what to do. And it's guided for 12 weeks and it's progressive overload. So you get benefit. There's lots of conversations. There's lots of community around it. Or you can even look, if you're really confident and you're like, yep, I got that too. I want to go straight to barbell with some dumbbell.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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Then you can look at something like Annie Torres Daughters Empower, which has a page from CrossFit. So there's all sorts of levels that you can find. And the big thing is grab a friend, have a friend and have that ownership to say, Say for 20 minutes, let's meet, have our conversation and do this together because we're going to get strong together and it's fun.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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I've been trying to get my daughter engaged in some strength training stuff and she's 12. We have a project coming up where she needs to know how to move properly. And I have her working with one of my friends in a high performance gym, but it's not lifting. It's moving and having fun. So she has another little friend in there who's a surfer and a soccer player, just like she is.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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And they go there and they have fun. She came back the first day fizzing going, I didn't know how fun it could be at the gym, especially when you have a friend. I'm like, exactly. It's the adult playground, but little kids are being exposed to it. It's like, come into my playground. Oh, I love going at a playground. It is absolutely a playground. Where else can you like jump up and down on things?

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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And then like there's a rope and you can pull the rope or there's a sled you can push and pretend you're a bear or whatever it is. It doesn't matter. Everyone's there sweating. Everyone's there doing stuff. It's like, make it time to play. Don't make it something that you're like, I don't want to go. This is too hard.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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So inherently, women don't need as cold. Thank you. We don't? No. Why? When we're looking at stress response, because that's how I view all of the environmental and exercise things, is what kind of stress it puts on the body.

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When a woman gets into ice cold or cold water and gets in there and invokes such a severe, strong stress response, much stronger than a male's response, that her body goes into a more of a shutdown phase where it invokes a sympathetic drive and it doesn't create the metabolic changes that we see with men.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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If you were to take a woman and put her in 15 or 16 degrees Celsius, which is around that 55 degree mark, she'll end up with the same responses that a man has because it's not as severe shock to a woman's body as it is for a man's. Why is that? Because we have more body fat. So we tend to vasodilate and vasoconstrict first for controlling our temperature or men will vasoconstrict and sweat.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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When they're cold? No, we're talking about just in general. Okay. So if we're taking a woman and putting her on ice, the body's first response to environmental change is severe vasoconstriction. And with women with Raynaud's, we have a stronger constriction response because it's a protective mechanism. For men, they'll constrict and then start shivering to induce heat. Women will just constrict.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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Okay. If we put ourselves into that 55 to 60 degree water or 15 to 16 degrees Celsius, we'll constrict and then start shivering. So we'll get the same benefit. It's just the ice is too cold for us to start that shivering. So we need the shivering for thermogenesis to get some of those responses. So we don't need ice. We need cool water. I have been doing this all wrong.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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No, just kidding. Thanks. Yeah, it does come from a lot of pushback I've had in my life. So it's like being put into a pretty male dominant situation. You have to find your feet and how do you move through that space? And I found it through exercise, strength, all the stuff that we're going to talk about.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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And do you feel uncomfortable when you get in the ice?

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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Yes. Because shivering is an automatic... a response for survival because when we're shivering, we're increasing metabolic heat. So we're able to keep our core temperature elevated so we don't die. And it's a strong response that the body has to cold. For women, when we're vasoconstricting and we're trying to hold heat in,

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The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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we don't have the capacity because water on the cold skin is pulling out the heat so fast that the body's just getting colder and colder and colder. And we won't really start shivering when it's that cold. So when we're looking at, like, if you get in the ice, it's way colder than if you get into a plunge pool that's cold.

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The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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So if we have four degrees plunge pool, four degrees Celsius, so that's about 38 degrees Fahrenheit, and you sit there in a little microclimate and you don't move at all, you'll create a warm bubble around you and then you might start to shiver.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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So that's what we say if you fall through the ice and you're trying to swim, it's like, no, just try to bob there to keep this warm microclimate around you. So if you get in cool water and you don't move, then you might start shivering. But for the most part, that doesn't happen. So for women, let's look at a little bit warmer so we get the same kind of responses and adaptations that men have.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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So when we look at a cold plunge, the whole idea again is environmental stress. So we start to see an improvement in our parasympathetic sympathetic drive. So now we're able to get into that calming phase. Because again, body becoming resilient to stress. We have an increase in our body's capacity for using glucose. So we have better insulin sensitivity, better blood glucose control.

The Mel Robbins Podcast

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We have some signals to lose some of that deep body fat. And we start to see better cardiovascular responses, but women do better in the heat. Okay. Talk to me about this. Okay. So when we look at sauna exposure, women can tolerate heat a lot more than men. So if we get into a sauna that is 80 degrees or 60 degrees Celsius, so that's on the upwards of 50%. Gosh, metric math. Hold on.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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Science is Celsius. 130 degrees. Okay. We'll go with that. A woman can sit in there, sit up high, 20 minutes or so, not sweating yet. right? Absorbing heat, vasodilate, it's great. So we're heating ourselves. Our body's responding to it by what we call heat shock protein responses. So these little proteins that will uncouple and then recouple and be better for it.

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So it's creating a whole cellular change that then is like, okay, now we have better responses within the muscle. The muscle can use glucose a lot better, can use fat a lot better. We're also increasing blood flow to the brain and

The Mel Robbins Podcast

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We're also improving our blood vessels so they respond to constriction dilation a lot faster, which is important as we get older and start hit perimenopause, we start having blood pressure problems. And it also allows us to hit higher temperatures on the outside So like summer times and things without having an undue stress because women by the nature of being women struggle more in the heat.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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So if we, environmental heat on the outside, but when you're in the sauna sitting there, it takes time for the body to heat up because of our thermoregulatory differences between what men do when they get in and they start sweating profusely and then they get dehydrated and they don't have time to adapt as well to the heat as women do because we vasodilate first and then we start sweating.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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Thank you. Thank you. Thank you. Thank you.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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Thank you. Thank you. Thank you. Thank you.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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Thank you. Thank you. Thank you. Thank you. Thank you.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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Yeah. I laugh when people say women are not small men because when we hear it, we're like, oh, yeah, that's right. But it started from when I was teaching at Stanford and wanted to wake some of the undergrads up after college. And lunch and afternoon sleepies come in and I was teaching about sex differences in training or high performance. So it started with women are not small men.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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And people are like, well, of course not. Like that's, you know, women aren't small men. But what I mean by that is everything from what happens in utero until we die is different for women than men.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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So when we talk about women are not small men and we see all the guidelines that are out there for exercise, all the guidelines out there for mental health, for the connections, the sociocultural pressures, we experience things differently as women than men do, but that's not ever really explained.

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Okay. I always look around the room and I'm like, who's that doctor person?

The Mel Robbins Podcast

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So when we say women are not small men, it makes people take that pause and ask, well, what do you mean by that? What topic? So today, what I mean by women are not small men is we're going to dive into exercise, especially how what we do should change as we move through our lives.

The Mel Robbins Podcast

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I think... When we look right now at what's being portrayed in social media, fitness trends, the medical trends, all of that data is really drawn from men and just generalized to women, which is a huge disservice.

The Mel Robbins Podcast

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So I want women, especially you as a listener on this podcast, to take a pause whenever you see a new trend come up or someone pushing something to just go, well, where does this originate? How does it appropriate for me as a woman in my phase of life?

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And when you take that pause, you begin to have an objection to some of the things that are being pushed on you and an objective view of how you should approach things to make it beneficial for you.

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Shrink and pink. So we'll take running shoes or a bicycle. All they do is they make it a little bit smaller, maybe put some pink on it and say it's a woman's product. It's so true. I know. And it's like, wait, that's not really appropriate.

The Mel Robbins Podcast

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You'll see in my book, there's some pink and that's an outage to shrink in pink because that's what people think is honoring women by making it a little bit smaller. And let's bling it up with some color and we're going to call it a woman's product. And that is not appropriate.

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They don't get any results and they end up what we call tired but wired. I mean, if you look at most women who make a point to get up, do some training, go exercise, and it happens so often after four weeks of following the same kind of training program as their male partner, their male partner has gotten leaner, fitter, better cognition, focus, all of the things that you want out of fitness.

The Mel Robbins Podcast

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And the woman's like, how come I'm fatter and tired? And I don't have any like increase in my fitness like my partner does. And I see it all the time. And I'm always explaining, well, one, your partner might get up and go fasted training. Women's bodies don't respond well to fasted training. What's fasted training? I don't even know what the heck this is. Like what is fasted training?

The Mel Robbins Podcast

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Fasted training means you're not having any food before you go do exercise.

The Mel Robbins Podcast

The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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Yep, exactly. And it comes really to the brain, right? So when we start looking at first thing you get up, and our responses are different, where women's brains will start going, okay, where's the food to come in to help bring my stress hormones down and get me started for the day? And men, by the nature of being XY, their brain's like, yeah, okay, I'm going to supply some

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amino acids and some blood sugar and let's get on with the day. Then we'll find some food. That's fine. But women's brain, specifically what we call the hypothalamus, that is really sensitive to blood sugar and food coming in. So if you get up and you start your exercise without any food, the hypothalamus is like, wait a second.

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The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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This is a stress to the body that I need to really try to figure out. But if I don't have food to counter the fuel that the muscles are needing from a contraction, I need to find a way to supply that fuel. So it goes into a little bit of a tizzy. And one of the first things that starts to get broken down is your muscle mass, because muscle is a pretty active tissue.

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The Body Reset: How Women Should Eat & Exercise for Health, Fat Loss, & Energy

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And the hypothalamus is like, well, I don't know if I'm going to be able to supply the food that this muscle needs. if I don't have any food coming in. So it's a very small amount of food that a woman needs first thing in the morning to then go be successful in her training. And it's even if you're going for a walk, a lot of women will get up and go for a walk on the auspice.