Dr. Jila Senemar is a board-certified OB-GYN in Miami who's integrating longevity medicine with menopause care. After nearly two decades in traditional practice, part of her work is catching women in their 30s and 40s before chronic disease develops.

We discuss why your standard annual labs are missing the markers that actually predict heart disease and diabetes, how to finally break free from the cardio-only mentality that's keeping you from building muscle, and why eating more protein feels impossible when you've been trained to restrict food your entire life. Dr. Senemar reveals the advanced testing she runs on every patient and explains why most women are being managed reactively instead of proactively.

We cover transitioning out of insurance medicine to actually spend time with patients, why strength training won't make you bulky, and when peptides and longevity treatments fit into your health plan. Plus, we talk about what it means to optimize your health span, not just your lifespan.

Highlights:

The critical biomarkers your doctor isn't checking (ApoB, Lp(a), fasting insulin, inflammatory markers).
Why perimenopause accelerates your risk for heart disease and metabolic problems.
How to shift from endless cardio to building muscle that protects your bones and metabolism.
The real reason getting enough protein feels so hard and why it matters.
When peptides, NAD, and supplements belong in your health plan.
Starting health optimization in your 30s instead of waiting for disease in your 50s.

This show has grown over nearly two years thanks to viewers and listeners like you. While menopause and sexual health have become more mainstream, too many women still aren't getting the help or education they need. I'm working to change that. If you found this episode helpful, please subscribe to the show and leave a review on Apple Podcasts.

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