
Loading summary
A
I want you to just focus on building muscle. Stop dieting, stop trying to lose fat and start building muscle, because you're going to have a lot easier time losing fat. That's really my mission in life for everyone.
B
Welcome to the new and completely reimagined Thyroid Fixer podcast, a podcast that refuses to sound like every other health show out there. We're here to disrupt this entire space, and now you are part of that disruption. If you're listening right now, it's because something inside you finally said, I'm done being ignored. And I'm here to tell you good. Because this is where everything changes for you. This is where you say, no more. No more being dismissed by your doctor. No more being told your labs are normal. No more recycled medical advice. No more recycled biohacking advice. No more being told to accept what you know isn't right here. You'll get truth. You'll get clarity. You'll get information you can actually use, tools, strategy, and guidance you can apply right now to take back your energy, your hormones, your metabolism, and your life. Every episode will give you something real, something that moves you forward, something that reminds you that you were never the problem, the system was. This is the Thyroid Fixer podcast. This is your turning point. This is where you rise. Get ready. We're about to disrupt everything you thought you knew about thyroid and hormone health. Let's go foreign. If you are exhausted, gaining weight, you have brain fog, you just feel off, and you're tired of doctor Hopping and wasting money. Listen closely. So many women bounce from provider to provider, trying supplements, protocols, and then functional approaches that never truly address the thyroid. Months turn into years, and you're still stuck feeling like garbage, wasting your precious life. So this is why we offer a thyroid and hormone solution call. It's not a lab review. It's not treatment. It's clarity and strategy to determine whether you're a good fit for working with our clinic. We specialize in thyroid optimization and hormone optimization together because they go hand in hand. You can't do one without the other. You have to do them both. We prescribe in all 50 states, and if you become a patient, we take care of you from start to finish. Testing, treatment, optimization, and ongoing support. You don't have months or years to waste feeling this way. And you shouldn't have to keep throwing money at people who don't truly understand the thyroid and hormones. So if you're ready for real help, go to drami.com that'S-R-A-M I e.com and click Book a call in the top right corner to schedule your thyroid and hormone solution. Call and just let us help you get your life back and be that badass human that you are meant to be. That you deserve to be. I need to talk to every woman who's been told that your labs are normal while your body is screaming at you and rebelling against you. Fatigue, brain fog, the weight that will not come off, mood swings, hair loss, feeling dismissed, frustrated and confused. I get it. And that is exactly why I wrote my new book the Thyroid Fix. The no nonsense Guide to Fix Fatigue, Fogginess and Fat that Won't Budge. That just says it all and it is now available for pre sale. So I need your help to spread the message. I am giving you an ask as my listener and a promise at the same time. If you pre order the Thyroid Fix, my promise to you is to continue delivering all kinds of free advice, information, content, education, empowerment. Because that's what I love to do. Whether it's here in the just fix your thyroid Facebook group or I'm on live. I will give you everything I possibly can if you do me one favor which will be a favor for yourself as well and pre order the Thyroid Fix. Now. This book is not another list of supplements, vague advice. It's not a diet plan. It's not filled with recipes. It is a clear, honest guide. It is the Thyroid Bible. It is the last thyroid book that you will ever need because it teaches you how to read your own labs. No other book has done that. It teaches you what medication and dose you need. No other book has ever done that. It will help you to understand why you are being misdiagnosed, why you're being under treated and why you can't talk about hormones, weight loss or menopause without talking about the thyroid. I called it the Thyroid Bible because like I said, this is going to be the thyroid book of the next few decades. When you pre order, you're not just supporting me, you're telling the publisher. This message matters and it needs to get out to the world and it needs to get into the hands of women who have been ignored for far too long. So will you go to thyroid fixbook.com and pre order a copy of yours today? It'll be shipped to you on May 12th and you will get free entry to our all day live event where I will be there answering your questions live, teaching live and bringing in amazing guests for you to also connect with and ask your questions too. So thyroid fixbook.com pre order yours. Today, the topic of fat loss, especially fat loss after 40, never gets old. You cannot talk about it enough because there are so many different ways to come at this issue that so many women struggle with. And I say women mainly because, let's just face it, women get hit harder with fat gain and the inability to lose weight, weight loss resistance in general than men. And sorry, guys, we just kind of care more too. You can walk around with your beer bellies and you look in the mirror and you go, wow, I look really good today while you're rubbing your gut. Whereas a woman, she gains five pounds, she's like, I'm not getting dressed today. I'm not going out with my friends. I feel fine. Fat. And that's what everybody says. They're like, I feel fat. Well, what is fat? You know, fat. We have to look at it from these couple different perspectives here. Number one, it is excess adipose tissue on your body that can lead to diseases of aging. And then it's also the thing that we grab when our clothes are tight. We say, I don't want this as we grab a chunk of our stomach or our thighs.
A
And.
B
And it's an aesthetic thing, but it's also a health thing. So today I brought on an expert for y' all to really unpack what is happening in our bodies as we crest 40, especially as women, what's happening to our metabolisms? What approach you really want to take? Do you want to go the quick weight loss route? And hey, don't poo poo that just yet. It might be your answer for a short term win. Or do you want to do something more sustainable? What about the quick fixes, the fads, all of it. So let's get down into some physique engineering, as Philip likes to call it. Let's unpack metabolisms and fat loss and what we can do about it after the age of 40. So welcome to the show, Philip. Thank you so much for joining me.
A
Thank you. It's so good to see you again, Amy. And I love your vivid descriptions of the chunks of fat and the differences between men and women. Because as a man, I think about that all the time, how, you know, men are dealing with some of these issues, but they don't necessarily care as much. That's an interesting frame on that.
B
Well, you guys just don't. And, you know, really, we kind of hate you for it. I mean, we hate you that you don't care as much. We hate you that I know I'm showering you with love, right now we hate you. That, that nobody on, you know, what are those Star magazines in the grocery store? You never see, like, look, Thor just gained 10 pounds and they circle his waistline with a red marker.
A
While he's low enough. Right, with his. Hanging that up. Yeah, yeah.
B
No, it's always like Jennifer Aniston or some woman that really does look hot, but they're circling that 10 pound weight gain. Oh, my God. So it really is. We're given more pressure by the media, by society. I mean, I could have told you that at the age of 14 reading Cosmo magazines. Right. There's pressure on us to look a certain way, but there's pressure on ourselves too. And this isn't the podcast to kind of unpack, like, well, where should our minds actually be? Maybe we are too hard on ourselves. But the reality is this, and it's what I said in the intro, having excess adipose tissue, I. E. Fat on our bodies, it goes beyond an aesthetic thing. It goes beyond the body positivity movement. It goes into. Is this even healthy for us to have on our bodies? I mean, yeah, we might not like it, but in addition to that, is it healthy? And I think we have to blend both of those conversations when we're talking about fat loss in general.
A
Yeah. And I think there's nothing wrong with that. I mean, most of my episodes are about fat loss, but then I hit you with a one, two punch with some things that are, you know, dismantling the concepts in the fitness industry today that I think are holding people back and making it worse. And how can we do things in a simpler, more structured, more focused way that's aligned with us as individuals and maybe even have some fun doing it and having a more, you know, well, fueled, well, like, enjoyable lifestyle while we get there. So, yeah, I want to get into some of that with you and you. I know we wanted to talk about metabolism first. Yep. Because that's kind of the root of all evil. So I don't know if you want to start somewhere there. You want me to just jump in?
B
Well, I want you to start with what is happening to our metabolism after 40, because, you know, that is a phrase that a lot of people use to, like, I have a low metabolism, I don't have a metabol. People are using the word metabolism and they know what it means.
A
Yeah. Or slow down or whatever. Yeah. This is a huge area of misunderstanding because on one hand, I could put the nerd hat on and say, like, here's what the research shows. And then gaslight Everybody to death in your audience. Which is a common thing that happens women, isn't it? Everywhere. I have a wife in her 40s and I have a lot of the ladies that I work with. That, that's constant thing. But when we do look at the science, cause it's good to start there. We know from some really cool studies by Herman Poncer with like doubly labeled water, looking at tribes and Western civilization and blue zones and all of this, that it seems that the metabolic rate stays pretty flat from the age of 20 to 60. And you're like, well, wait, that doesn't make sense because I start gaining my weight, gaining weight in the 40s and I have weight loss resistance even when I try to do everything. You know, I go on deficits, I lift weights, I walk, and then you get belly fat that we were just talking about where you might even weigh the same, but your body distribution changes and now you have a different shape. All of those things are generally tied to lifestyle, as you know and you talk about on your show a lot. We're not even going to get into hormones yet, but I would say one of the biggest factors is the decline in muscle loss. It's so huge. It's so huge. And people miss the devil for the details when they talk about the metabolic research. It's accounting for lean mass. So now when you say, oh, okay, if you're comparing a 20 year old to a 60 year old at the same lean mass, they might have a similar metabolism. But guess What, I'm now 45, I'm now 50 years old, I haven't quite been lifting consistently. I'm stressed. I have kids, I have adults that are, you know, getting injured or sick or in a nursing home that I have to take care of with my parents. Right. Like it stacks on itself. And then we realize the combination of all those things leads to a loss of muscle, a lack of movement, crazy stress, more psychological perceived stress. And all of the things that tie to this is why my metabolism is low without even getting into thyroid or hormones yet. So that's the foundation.
B
Okay, well that, that's interesting because I've never actually heard that before, that we can actually look at the metabolism through the ages, a person's metabolism through the ages. And then it's so similar. Okay, so then start unpacking with thyroid, with hormones. Why do we lose our muscles? Is it because we're lazy and we're not hitting the gym as hard or what's going on?
A
It's, there's two sides of the equation, right one side is just with aging we have sarcopenia, loss of muscle, loss of function, roughly 3 to 8% per decade starting at the age of 30.
B
And so wait, wait, do we have any control over this? Leaning is just going to happen and
A
we're screwed or no, no, of course. So that, so then the other side of the equation is the, those who do lift weights, those who do give themselves the chance to hold onto that muscle or build it back, can absolutely do that quite successfully. One of the myths I like to bust, Amy, is that women and men can gain muscle at the same rate and women can gain roughly the same percentage rate at any age. So when you combine both those things, an 80 year old woman who's never lifted weights can still put on muscle mass. And we see this in nursing home studies. So right there that kind of gets rid of one of our excuses, doesn't it?
B
It does. Oh my gosh, my mind's a little bit blown here. Wait, wait, we need to, we need to repeat this and drive this point home.
A
Sure.
B
So the listeners can no longer use an excuse of their age as to why they just, oh, they just can't put on that lean muscle. There's no point in going to the gym and lifting because I'm getting older and you know, I can't put that lean muscle on like I once did. That's not true.
A
It's not true. And that's empowering, right? Like that is super, super empowering. And yeah, so that, that's the, that's the muscle mass side of it right there. That's probably a large part of the equation. The other side is, you know, non exercise activity or neat, which I've, I think is like a catch all for everything that happens as we age. That is lifestyle related and for many of us in the western world, that is desk jobs and the stress I mentioned earlier, sitting in your car, scrolling on your phone, we know what we're doing, we're walking less, we're moving less, we're not chasing each other around like we were when we were younger, we're not playing sports anymore. And the list goes on and on. And a lot of these things are compensatory. So that for example, when you try to diet all the time, which a lot of listeners are doing, that dieting makes you a little more lethargic, have less energy, move less, your body adapts more. So it just compounds on on top of itself. So between a little bit more activity and lifting weights, we can move the needle back the other direction. And I think that accounts for the vast majority of decline in your metabolism.
B
Okay, okay. So this is good news though, that at least we can do something about it. This is fun. Now, the other decline, I'm just going to toss it out there. I'm kind of thinking as you were talking, so many women, I'm picking on women mainly as they age, they start eating less because your appetite does decrease and it's almost like they kind of start to flow with that appetite reduction, if not even celebrate it to a point because they think, oh, now you know, I'm not as hungry, I'm not going to eat as much. We're going to tiptoe our way into the GLPs as well. Pros and cons there. But same thing, if you're taking a, a pharmaceutical that makes you not as hungry. Okay, you're not going to eat as much. But there's a point at which the starvation principle does apply and our bodies shut down our metabolism even further when we're not eating, correct?
A
Yes. And that gets confusing as well as metabolic adaptation, thermogenesis, whatever we want to call it, depending on what that pattern looks like. So the archetype you just mentioned is a woman who has always been dieting purposely or not. Usually it's purposely at times when you've, your weight has drifted up or you're not happy and you go on a diet. The pattern I tend to see, and the evidence shows this, is people slowly gain weight. The net weight gain occurs over a long time and it tends to occur in patterns, seasonal patterns, oftentimes around the holidays and things like that. Right. And so then you go on these more extreme diets that could last six or eight or nine months or you don't even know if you're in a diet and you are constantly now suppressing all of the hormones. Right. Thyroid is probably 6% on average, depressed. When you go on a 500 calorie deficit diet, I think is what the evidence shows right off the bat. All your reproductive hormones compensate. Right. And all your hunger hormones go out of whack because your body's telling you you need to eat more. And the GLP1 production goes down because you don't want to be considered satiated because you need to find food in the environment because you are kind of starving yourself slowly over time. So when you're doing that and you're never out of a diet, you're always doing carnivore or keto or something because you've, from your history notice that's the thing that makes you eat less. You're always in that adapted state. And now you feel like there's nowhere to go. Like you can't go down from there. And then if I go up, I'm gonna gain a bunch of weight and I'm gonna get fat. And that is like a huge aspect I deal with, with. With women especially, and the psychology behind that.
B
Okay, so let's actually paint this picture. So here you have a woman, she's moving into her 40s, losing muscle, maybe not working out as hard as well, going into starvation because she's frustrated that she. She doesn't know that she's lost muscle and therefore changed body composition and added SAP. Right. She doesn't actually realize that this is happening. She knows her body's changing. She knows the scales may be going up. She knows her clothes are tighter, but she doesn't know what. What's happening inside. So the natural thing is, oh, you know what? I'm gonna. When you eat less and exercise more, that's what I'm going to do to fix this. So that's what she does. Now, her body now she's. She's compounding it. So now her body's in that starvation mode now. It's starting to affect her thyroid and her hormones. So now turn it back over to you. Now tell me what you're seeing. You already mentioned like a 500 calorie deficit. He's not talking about. For the, for the listeners. He's not saying eating 500 calories a day. He's saying just reducing your caloric intake. Am I right, Philip?
A
Just like 500 calories below your maintenance.
B
Yes, below your maintenance is going to drop your thyroid function significantly. Significantly. So talk to me about that and hormones.
A
Yeah. So when you're in this mode that your body is fighting back, you think about it this way. You have. You have only so many resources coming in for all of your functions, right? And that's everything from digestion to. To keeping your organs going to, hey, I need to be able to have and support a baby, ladies. That's reproductive hormones. And your thyroid as well, which is the metabolic regulator. And you talk about that ad nauseum on the show. That's why I love this show. It's great. It's thyroid, right? All of those things are your body just saying, these aren't that important. These are not that important as finding food in the environment and keeping you as efficient as we can and using as few resources as possible and actually going back to the original Research by Poncer that I mentioned. He wrote a book called Burn about the constrained model of energy expenditure, which gets misinterpreted all the time. But essentially it shows that once you move too much, then your body compensates to save the energy elsewhere. Right. And that's where it can start to dig into your hormones. So when you then lose weight on top of that and you're losing muscle as part of that weight, maybe 50% of that is muscle. It's crazy. Maybe as little as 30 to 40. Depends on how aggressive. Now your body has other factors, like hyperphasia, it's called, which then leads to an extra amount of hunger from the signaling that's going on and the lack of muscle. Then even worse is when you regain it back and everyone does, 95% of people regain it back, all you're gaining back is fat. And then you lead to something called body fat overshooting, where the evidence is a little bit mixed on whether that adds extra fat cells. I think they've shown that maybe it's not happening as often, but you are definitely storing more fat. So now you have more fat versus muscle at the same or higher body weight.
B
That's a problem. Yeah, this is a huge problem. Okay, so the whole debate on calories in, calories out, does that hold true? Because, you know, I mean, listen, I listen to Lane Norton, I've had him on the podcast and he is, he is staunch. Like it is an equation, it is calories in versus calories out. But then of course you have some of us, even me a little bit on the other side going, yeah, but, but if I eat 1200 calories of Teddy Grahams versus 1200 calories of grass fed steak and, and broccoli, like there has to be some type of difference in those calories, it cannot be as simple. But what I want to ask the expert. So can you break down the calories in calories out model?
A
I think we can hold both concepts at the same time. And the reason is that you alluded to it. Even if calories in calories out is mathematically true, because it's energy and that's true. What leads to both sides of that equation has 50 different causes on both sides and they affect each other bidirectionally. Right. So in other words, even just changing the amount you eat changes what you burn. Even just changing how many calories you burn can change how much you consume. So when you talk about something like satiety, like feeling full because you're eating Teddy Grahams instead of eating high Protein, high fiber foods that even if it didn't change the equation, it would cause you to have to struggle to eat fewer calories. Right. And therefore you would simply eat more calories. That's a very simple analysis of that. But I do think there is a difference in how the body treats the nutrients. And I think we know this. I think even Lee Norton would suggest that where, how they get partitioned is going to change. So, for example, if you are eating a lot of protein and you're lifting weights and you're not in a deficit, your body's gonna partition some nutrients toward new muscle tissue. Very simple. That's a very simple example where if you are in a deficit and you're not lifting weights, everything you eat is gonna go toward fat storage. Depending on the equation. Depending on the equation. So even if you are losing weight and you're, you know, burning more than you consume, if you're not lifting weights, your body is just going to say, okay, I don't care where that energy comes from. Right. So I'm not going to rebuild muscle because that's expensive. I'm going to let the muscle atrophy. And that means I don't have to take as much from fat is kind of the way I think about it. So that's like a little slice of this discussion. I've done like dozens of podcasts on this. But what I think is even more important, Amy, is when you think of obesity and people say, look, it's a calories in, calories out problem. And then we look at GLP1 drugs and we say, yeah, see, that proves it's calories in, calories out because their appetite is reduced. It's still not solving the upstream behaviors that led to that. And ultimately that's what I care about, is that, yeah, you could tell people that till you're blue in the face. But if I can't eat less, I'm struggling. And if I'm a woman who thinks the solution to more calorie burn is to just run more and then that doesn't work, somehow the whole thing seems broken. So that's kind of my thoughts on that.
B
Okay, yes, this is, this is beautiful. And the reason why I asked you that too, is it obviously ties back to the thyroid hormone balance discussion, because even kind of pulling in other hormones to the hormone discussion, we can't forget about leptin, the sad hormone. We can't forget about insulin. So if you're insulin resistant, you're going to be, you're going to have periods of More hunger, because your glucose is on a roller coaster. It's going up and down. So you might even be in some periods of being more of a. Of a fat store rather than a fat burner. So hormones definitely play a role. How does what we eat send signals and dictate our hormone response as well?
A
Yeah, a really good example is carbs, because we never talk about carbs in this space, do we? Carbs. I'm joking. Carbs are a great example because I just did an episode about blood sugar spikes, insulin spikes, and trying to demystify what even insulin is, how the pancreas produces it, what your body does with it. And there's a very big difference in how a sedentary person who doesn't lift handles carbs versus somebody who is active and eats carbs and lifts weights. And speaking of hormones, like all of your signaling for your gut hormones, the hormones in your stomach lining, as well as things like cortisol, are integrally tied to that whole system where, if you are, for example, lifting weights, the very act of training and then having more muscle gives you a bigger sink for all that blood in your. Or all that sugar in your blood. Right. It's a sink for glucose. So I like to just simplify it and say your muscles are sucking up the sugar out of your blood. Just. That's a great way to think about it. And so that right there is an example of everything coming together as a system to use your food in a more productive way. And what you eat matters, but also what you're doing with what you eat matters. So that's just a great example. And that's why when I work with people and talk about fueling and lifting, we have to get past carb phobia for a lot of folks, because they're gonna greatly benefit their hormones, their thyroid, their. Their cortisol, everything else from, you know, more carbs. That's just a simple example.
B
So let's just actually stay there for a minute. Cause this is a huge problem. I mean, carb phobia has really become an issue. And I see it in my audience and my groups and my patients as well. They'll say, well, how should I be eating? Like, what should my macros be? When they know what the term macro means? They want to know how many grams of protein, how many grams of fat, how many grams of carbohydrates, and how many calories they should be eating in a day. Now, my answer, Philip, is always, well, your labs tell us how you should eat. So if someone is Kind of to your point, is a type of too diabetic or they're insulin resistant. Maybe we need to pull back on the carbohydrates a little bit. But I want you to unpack this. When do we know that? Hey, Susie Q over here, she can probably handle some more carbs. She probably needs some more carbs. She's been sucked into this keto carnivore mentality and now she has carb phobia, but she actually needs more. Whereas Sally over here, like she, she did not have carb phobia, probably needs to pull back on the car. How do you differentiate and make that balance?
A
Well, you know how with hormones, sometimes we can simply treat symptoms without even know having to get a blood test, right? You can know if somebody has hot flashes or night sweats or vaginal dryness or whatever symptom they have that, hey, maybe we need to try something or there's a deficiency. I don't even need blood work. You know, you're an expert. I don't even need. I know what you probably need. Why don't we do the same thing when it comes to our lifestyle? Why aren't we measuring our symptoms, our biofeedback, our hunger, our digestion. Digestion is a great indication of your gut health, right? Our stress, even our sleep, all of the things tied in with lifestyle are giving us those signals. And so when someone asks me how I should eat, I will give them a baseline of, hey, the evidence suggests right around here as a starting point for your protein, fats, carbs, and of course the amount of calories you have depend on your personal metabolism and your goals. But let's start at a fully fueled level. Let's balance things out. Let's not exclude any foods unless you know for a fact you already have an intolerance or some other issue with the food or histamine issues, whatever. There's so many, right? If you already don't know it, don't assume it's bad for you. And don't assume that any food is bad per se. That's the default. Now once you get there, it's a question of turning the dials based on what feedback is telling you. So if you're telling me that you are eating enough calories to not be in a deficit and you're lifting four days a week, but you're constantly wiped and you're sore all the time, food is definitely a place we can look, right? It may be that you don't have enough carbs. It may be the Timing is off. It may be not enough fats to support your hormones. So for me it's a symptom, it's a biofeedback based thing. Do this experiment come back to me in a week and let's figure out if that worked and then we'll tweak it from there. That's the simplest answer I have because you're right. There's. There's a million diets, there's a million ways to eat.
B
Yeah. And then why. So with the carbohydrate phobia, I really think, and I want to get your opinion too, I really think this came about as processed foods became more and more abundant and hyper palatable foods became more and more abundant to where we were seeing people grab carbohydrates, which we know that the whole category of carbohydrates is vast and wide and let me even back up. I gotta tell you, Philip, I remember years ago someone asked me, what is a carbohydrate? And it took me back because you automatically assume that with the talk in the media, on social, everywhere that I don't. Everybody knows what a carbohydrate is. I don't have to break it down. But then it hit me to be. It really, it kind of punched me in the face with that question that, you know what? There are groups of people who think carbohydrates are not what they are, or they group them all together like a grape is as bad as, you know, Teddy Grahams.
A
I'm gonna go back to that.
B
Or pizza or, or that processed box of whatever the hell it is with a bunch of Frankenstein ingredients in it. And I think we need to actually break down what is a carbohydrate. And when it's in its pure whole food form, what it can actually provide for the body beneficially.
A
Yeah. So I mean a carbohydrate is, is a type of sugar. Right. Car. It's, it's carbon, hydrogen, oxygen. Right. Hence the, the phrase. And when I, when I say carbs, this is a good point. Right. I'm not talking about donuts and pizza. I'm talking about rice and fruit and oats and even carb containing multi macro foods like beans, legumes and things like that. So yes, sugars are part of that equation. And then we can talk about the amounts of things in certain foods being totally unnatural. Right. When we have added sugars or we have fat and carbs combined, that's a very unnatural combination. Just fats and carbs combined is highly unnatural. In nature, I think very few foods, you know, avocado and, you know, you could probably name a handful that have them, but definitely the punczkies in the grocery store from. For Polish Celebrations have a lot more than you would find in nature. So, yeah, if we start there, we can then say, okay, well, what's the benefit of it anyway? Like, even if you're telling me to eat more rice or fruit or whatever, the huge benefit if you lift weights is energy performance recovery. Carbs get stored as glycogen in your muscles and liver, and that is a source of energy. And when we talk about energy systems, when you do a really heavy rep or even multiple reps, that's a glycolytic activity, just like CrossFit, just like Endurance sports as well. But lifting weights does that, and it's going to draw a lot of demands from your body. If you have a little bit of extra glycogen and you have a little bit extra ATP, which, by the way, creatine can enhance that a little further, you're just going to get a few more reps, you're going to have a little more longevity in the gym, a little bit more work capacity when you go lift weights. And that just adds up over time to the evidence showing us that when you take two groups that are in a calorie surplus, one is low carb, one is moderate to high carb. The moderate high carb tends to have a better time building muscle faster, but doesn't mean you can't build muscle on a lower carb diet. So that's really. I try to frame it in terms of benefits. And also to our previous conversation, Amy, if you are always low carb and you're wiped and your energy's low, and I say, hey, just try a banana before you work out. Let me know how. How it feels. You're like, oh, my God, I'm. It's like rocket fuel. And now I went to the gym and it felt great. All right, you better just keep eating bananas now because it's working for you,
B
you know, or don't beat yourself up if you did add a banana. Like, that does not mean that you need to do another 45 minutes on the step mill. Like, I'm just. It's okay. It's okay to eat the banana. Have you ever wished your brain would just, like, cooperate? Yeah, same here. So that's why I've been using something that actually works. Troscription, specifically blue canadine for focus and then Trocalm for stress, which there's been a lot of lately and let me tell you, these are not your average supplements. They actually work. They are buccal trochees, little blue squares that you place between your cheek and your gum. And they're absolutely effective. So let's start with blue canadine. It's like this amazing fuel for your brain. Clean, controlled, zero crash. And within 15 to 20 minutes I am locked in. No fog, no distractions, just crystal clear focus. I'm actually going to go get some right now. I use it when I need the power through a big project, record back to back podcasts or just get out of my squirrel brain add mode. It contains methylene blue, which you've heard so much about. Nicotine, caffeine and hemp crystal. All precision dosed, pharmaceutical grade and formulated by physicians. Now I know what you're thinking. Wait a minute, I'm supposed to be avoiding nicotine and caffeine. No, no, no. Nicotine in and of itself, when combined with methylene blue actually helps protect against cancer. Lights up your brain. I've been using it throughout my cancer journey as well. And a little bit of caffeine does not hurt. There's no reason why we avoid caffeine in the correct amounts in the right form. Then there's Trocom, which is saving more times than I can count, especially before a high pressure meeting. Podcast those days when my nervous system is just on edge. I can feel my cortisol surging and one trochee and I feel like I can breathe again. No sedation, just grounded calm where I'm still productive but no longer buzzing with anxiety. And that's thanks to ingredients like B3 and GABA and calming mushrooms. Delivered in a way that actually hits fast, like 20 minutes because it bypasses your gut, goes straight into your bloodstream. That's the magic of troscriptions. Physician created precision dose delivered in a way that works. So no guessing, no waiting around for hours for maybe something to kick in. So if you're doing all the right things and you feel like your brain is lagging behind or your stress is through the roof, try the blue canadine and the tro Calm. You will feel the difference. So you're going to go to troscriptions.com forward/dramy. You're going to use the code Dr. Amy at checkout for 10 off your first order. Let me spell it for you. T R O S C R I P T I o n s.com forward/d r a M I E and use the Code D R A M I E at checkout. Because midlife, the time we're in right now, not a time to guess, just a time to feel good. Because there's so much carb fear, you know, and you have that carb phobia you ingrained in people. And they will literally over exercise to burn off the carbohydrate that they ate, where it might actually be doing good and giving them a better workout to help them body. Body recomp, which is essentially what we want to talk about next is, is can we do that? So before we go into women over 40 recompositioning their body, which I know the listeners are hearing it now, and we look, it was ingrained in us a long time ago that you can't build muscle after the age of. I want to say 40 is in my head somewhere. So when I was younger, I thought, all right, well, I have till 40. Then after that, it's all going to hell in a hand basket and forget about actually putting on any more muscle. I'll be lucky if I can just maintain what I build. So I got to build it all now. Now, you already gave us stats that debunk that, but I do want to talk more about how women over 40 can literally transform their bodies before we get there. I still want to stay on the fat loss and quick fixes now on Instagram, on Facebook, on Tik Tok. I mean, if you open it for five minutes, you are bombarded with some Instagram influencer with some kind of protocol promising you a quick fix. And it. What's funny? I. I just. Philip, I just did a video because I was so pissed off on Friday. I just did a video. I'm just in my car driving. I'm like, here's how to avoid scams. And, you know, there's. There's just so many scammers out there. Including in there is, you know, lose 10 pounds in a week. I had some patient, like, send me a supplement that has reindeer balls in it, and I'm like, no, I. No, I don't think this is going to help you lose weight, per se. It's. It's reindeer testicles. But I'm just saying there's so many fads out there with grandiose promises. But the flip side of that is sometimes we can do maybe a really hardcore quick weight loss plan that does jumpstart people. So. So let's start there before we get into body recomp.
A
Yeah. Have you. You. You've had Dr. Campbell on the show, Bill Campbell, or Have you or not?
B
I've had. Wait, you've had everybody. Jake Campbell.
A
I've not. Usf.
B
No, I have not.
A
Okay. Oh, you should have him on Dr. Bill Campbell. The physique lab at USF where, like, Lauren Conlon is from and, like, a whole bunch of other folks are or from the. You know, when I first met him, when I first got into nutrition science, he was talking about this rapid fat loss stuff and got me down a rabbit hole of, you know, Lyle McDonald and protein modified fasts and all this fun stuff. Yeah.
B
And.
A
And I used it in a. In a sense with some clients who were very advanced. And it taught me that there was a nonlinear way that you could approach fat loss. Nonlinear meaning not only does the duration change, but even how you approach it within the fat loss can change. And everybody responds a little bit differently. Where, if you can find just the right approach for you, it can alleviate a lot of the challenges people have. Okay. Ravenous hunger or feeling like I never get a break. Even if it's not that long of a diet, it, like, never ends. A lot of the psychological aspects, let alone some physiological recovery. And that led me to realize, hey, there. There is an approach for everyone. And if I am a client of mine is hitting her head on the wall because maybe she has some mild thyroid dysfunction that's not treated. Right. Because you can reveal that she needs treatment potentially through a process like this that's not treated, and yet her metabolism adapts so quickly when she goes into a modest deficit. What would happen if we go into a bid deficit but only make it last two weeks or three weeks, and just knock off, like, three pounds of actual body fat, not fluid, or the 10 pounds in a week, which is water weight, you know, literally, like from beginning to end, after weeks, we see that she's truly down three pounds, and that's three pounds of body fat. Yeah. And. And I realized it was a cool. It's a cool approach because some women, if they're on a prolonged diet that's moderate, will have continued dysfunction that affects everything negatively with the hormones, even though it's modest, versus doing it in three or fours, even six weeks, like a mini cut, and just taking the hit a short period, and the body never really even catches up. And before you know it, you're done. So that's where I come from. But you have to do it the right way. Fat loss, not weight loss, not quick fix, not detoxes. None of the. It's none of that. It's true fat loss. So that's my general thoughts and then we can dive in. Whatever question you have, Amy.
B
Okay, so where would you use something like a quick weight loss plan that's a little bit more. More intense? Who would you use that on and where would you implement it?
A
I would definitely start with making sure someone is ready for fat loss in general, which itself is probably a four to eight week process for most people who've been chronically dieting. And that is start to lift, start to walk. You know, do the pillars that we talk about all the time. You know, make sure your sleep is pretty good. Like we don't have to be perfect folks, but just get into things, into a, into a steady state with your sleep, with your stress, with your step count, and also your nutrition, of course. And that is sufficient protein, whether you're tracking or not. I have all my clients tracked. Because you're gonna do something this precise, the tracking makes it actually easier, right? Because then you have targets to go after and you know that it's working. But have all that stuff more or less dialed in for a month, let's say, which might take you a few weeks to get going, and then takes you a month to study. And then your metabolism is fairly steady, everything's feeling okay. That's the prerequisite. But the more aggressive it is, the more you should have probably gone through a traditional fat loss phase in the past. In other words, if it's a two week, very, very, very aggressive, rapid fat loss phase, I wouldn't do that with a new person ever like that. You've at least done it once before and you know how your body responds. But something like a six week mini cut, I think even a new ish person could try something like that and aim for probably 8 to 10 pounds of fat loss. If you're like an average sized person. So I'm talking in generalities, a lot of women will be more like 5 or 6 pounds. A lot of men it'll be more like 12 or 13 pounds, you know what I mean? Because different sizes, so that, that's the prerequisite. And then once you've got that set up now, you know you can be successful with, okay, I need to cut my calories quite a bit, but I need to keep the protein high, I need to be lifting consistently and I need to track everything. So I know that it worked.
B
Well, the interesting thing that you said in all of that, well, it was all interesting, but when, when the piece that I pulled out that stuck with is you're saying, oh, you know, it's about an 8 to 10 pound loss in. What was the, what was the amount of that was like six weeks.
A
Yeah.
B
So this is not lose ten pounds in a week.
A
Right.
B
This is eight to ten pounds over the course of six weeks, Philip is saying, is fast weight loss. And that really drives the point home that anything greater than that, like more fat loss in a shorter amount of time, it's too fast. You're going to lose muscle if you do that.
A
Yeah. And you know what happens is if you start from day one and you take your weight and then you take the weight at the end of the diet, but before you've recovered out of the diet, you're going to have an extra like 2 to 4 pounds of weight loss built into that difference because of all the fluid you've lost at the beginning. And so people could also twist the numbers or sell their program and say you're going to lose £16 or you're going to lose £20. But a lot of that's water weight. I'm telling you, the true fat loss, once you get past that initial three pounds of water weight, then you lose, let's say eight pounds. It looks like you've lost 11, but give it another few weeks. When you come out of the diet, you're going to gain those three pounds back. The net change is eight. The number doesn't matter so much as the fact that it's sustainable on a short term. It's a short term sustainable fat loss program that you can then recover out of without binging back and going hog wild when you're done.
B
Yeah, exactly. Okay, well, since we're here talking about rapid weight loss, I'm gonna, I'm just gonna tiptoe over into the GLP space and then we'll come back to recomposition the body. So since we are talking about fast weight loss, you know, a lot, a lot of people are using GLPs and man, it's such. Phil. I'm so, I, I feel like a schizophrenic with this because I'm so torn. On the one hand, I have seen, I talk about, I utilize GLPs at a microdose form inflammation, fatty liver, neurological disease, mood. I mean, we're really seeing some, some massive shifts in a boatload of different categories. But then over here, there's the users, there's the abusers, there, it's the Beverly Hills soccer mom drug of choice for weight loss. We're losing muscle or losing facial fat. People are looking 10 years older. They're entering Sarcopenia at an earlier age. Because we now know that 40% of the weight that you lose on a GLP1 is going to be lean muscle mass and it's just gone too far. Can you lose five to ten pounds in a week?
A
Sure.
B
That's going to be water, fat and muscle. It's not going to be a good sustainable weight loss. And then the most recent article is something like I forget the stat. Maybe you know it but it was like 90, maybe 95% of those on a GLT once they stop and stopping can be your doctor pulls it, your insurance doesn't cover it or big pharma wins and takes it away from your compounding pharmacy which is looking like it's going to become truer and truer by the day. So you lose access. Now we are you gonna do when you gain all of that fat back. But oh by the way, you lost 40% of your muscle.
A
Yeah, I see it as the same, I see it as just another rapid weight loss done the wrong way phenomenon that it's even faster and even more uncontrolled just because that's how it works with the appetite suppressant. And I've had a lot of clients come in or in my group program that we have to kind of help them eat more because they don't have the appetite and yet they want to eat more. And sometimes that's just titrating down the dose and that they, they see that as a win too. Or we do tricks like hey, if you're going, if you know you're going to have no more access to it or you want to come off of it, we need to time that with eating more into maintenance or even going to a muscle building phase. But the 40% stat is actually not much different than would occur if you did the same diet, not on GLP1s and also didn't lose weight. Which again is empowering because if you are on GLP1 and do lift weights, you're not going to have that 40% loss. That, that's my point. So. And now we have retatrutide like tirzepatide was the next generation and it's all just making it more and more incredible is one word. But you know what I mean, you get the abusers and stuff too. I don't know where how you want to dig into that but my, my thought on it is simply do all the lifestyle things we talk about anyway and be on GLP1 and you'll, you'll have it covered. Just like if you're gonna take thyroid medication to optimize your thyroid. Don't just do that. You need to be doing the lifestyle. And if I had to pick one or the other, I'd probably pick the lifestyle to rule out hormone treatment that you don't need. But you can't just take, get your hormones treated and think everything's great if you don't also do the lifestyle. You know what I mean? Same thing kind of applies to GLP1s.
B
Well, I love that you work it into your program as well, though. So that makes me happy that it's not an all or nothing. And it's not, you know, even in the, in terms of, no, you cannot be on a GLP1. If you do my program, you're working with people, meeting them where they're at, but maybe saying like, you know, again, hey, Sally, you're not eating enough. Your body is in starvation mode. The only reason you're still losing weight is because you're literally overriding it with a severe caloric deficit because of the GLP1 killing your appetite. Let's nurture you back. Let's maybe reduce the dose, add inside some food, reduce the dose, add in some food. Let's work on your lifting, let's add in some protein, let's, you know. And you're literally nurturing them back to what is a sustainable weight loss mode as opposed to, okay, this is a quick fix, but it is not sustainable and will have repercussions at the end if you continue.
A
Yeah, I'm also schizophrenic on this because there are some people who are, who have such, I don't know, dysfunctional. I shouldn't use the word, but like their appetite signals are so dysregulated and it could be genetic in many cases. We know brain related genes are a big part of this that we're starting to learn that even if they did everything right and came off of it, they would still now have a big appetite again. That might be a problem for the rest of their life. That's some percentage. Then there's another percentage that you alluded to who you know, they'll come off of it because they want to. Or maybe they lost access to it and without any guardrails in place, they're going to just be ravenously hungry. Even more so because it's kind of that rebound where you've been suppressing your own natural hormone production. So now it takes a little bit. It's not like insane, it's not like months. But I Understand, it could be a few weeks before your natural GLP1 upregulates back to where it should be. Now, there's a cool tool that I have been using with some people. It's callocurb. Right. And they're a country. A company out in New Zealand. I had her on my podcast, Sarah Kennedy. They're funded by the government over there. So it's a very different situation. It's not like a pharma thing. That's great. And some of those. I found that some people can take a little bit of that and then get off some of the GLP1 because it kind of upregulates your GLP1 to offset it. So, yeah, I think you have to get the lifestyle stuff in place and figure out how low you can go and make it work is. Is the way I put it.
B
Yeah, yeah, I agree. Well, I think too, we're forgetting about things now. I don't know if you use this with your clients, but berberine, that stabilizes your blood sugar. Well, that alone is going to help curb carbohydrate and sugar cravings when you have a more stable blood sugar level through the day. It's like we're getting away from, you know, those compounds that have been around for centuries. I mean, berberine is a traditional Chinese medicine or herb used in Chinese culture. So I think we're getting too far away from what actually works. Even food timing, additional protein for sa, increasing SA that. Yeah, yeah. We're just relying on the GLP ones too much. Okay. So I kind of went down a rabbit hole with that shift.
A
I was gonna. I was gonna do a quick. I was, I was. It's funny you mentioned berberine, cuz just today someone asked if it would prevent them from. That would hurt their muscle building for. For some reason. I'm not sure where they heard this. Maybe because they have a genetic disposition to like impaired insulin sensitivity. And then they were take. Told to take berberine. Right. Cause there's a lot of different reasons you would. And we're told that, hey, it's gonna prevent glucose uptake to your muscles. And I'm like, no, it actually has the opposite effect, so. Cause you mentioned it actually helps glucose uptake. It activates something that triggers the glute for. I'm not gonna get. I'm not gonna know right now. Ampk. I think it is or mtor one of those.
B
Yes, yes, yes, yes.
A
I don't have that stuff memorized. Like Eric Trexler or some of these guys have all the Term, you know, what's his name? Brandon d'. Cruz. I don't know if you've had him on. He, like, has all the literature memorized in his head, but. No, I should have digress.
B
Yeah, yeah, no, that'd be awesome. Yeah, well, no, because it's the opposite. Like, metformin can actually impair muscle building. Like, you never want to take metformin around a workout. But berberine, although it works synergistically on insulin and glucose, like metformin, it does not have the same MTOR pathway where it shuts down your muscle building thing.
A
Yeah, it's very subtle. Right. Like, even if it is slightly in opposition like metformin, it's not enough to overtake the benefits, so.
B
Right, right. Okay. Transitioning to building muscle after the age of 40, you're saying it's possible. You're saying we can body comp without a traditional bulk.
A
So let's talk about that body recomp. So just to define what we mean, we're talking about the holy grail of building muscle and losing fat at the same time.
B
I always heard it with a myth. It's like a unicorn. Yeah, it can't be done. It doesn't exist.
A
No, it totally, totally can be done. In fact, there's coaches that build their whole business on this now. And there's a lot of the bodybuilders today who have been involved in the literature on surpluses and including, like, Dr. Eric Helms and folks like that. You know, the more we look at, hey, how much surplus do you need to build? How much muscle? The closer and closer that window gets to not really much more over maintenance, it gets closer and closer to where you're practically in maintenance. And then you could argue, well, if you're not really gaining much fat and you're slowly gaining muscle, that's effectively body recomp. It's kind of what people want. And so when I talk about body recomp, I talk about it in three directions, depending on the client and what they want. There's, hey, let's main gain. Let's maintain whatever word the bros want to use. Where, you know, you maybe you've built something already and you're just trying to stay there, and the goal is to just keep a stable body weight and just keep doing what you're doing. Okay. Most people, that's not what they're looking for. They're looking for a change. Right? They're looking for a change. So then we say we can go in two different directions. We can go the down direction, which Historically has been the most common way that body recomp has been framed, because when you're a coach, you want these quick wins for your clients and you want them to have, you know, weight loss as well as fat loss. And so that tends to be marketed more and foreshadowing. This is not the approach I generally use. So. But what this means is going into a very, very slight deficit of somewhere between 0 and 500 calories below your maintenance. So we mentioned that 500 calorie mark earlier for thyroid. A lot of the literature suggests that tends to be a breaking point where muscle loss starts to accelerate and a lot of the other adaptations start to accelerate. Kind of like a curve. It's like this and then, you know, drops off a cliff. But it depends relative to your body weight and your metabolism. So like, if you're a smaller female, it might be 300 calories for you. So a body recomp could occur in a very slight deficit where over many, many months, you're just slowly trickling out that release of body fat from your body and you're not harming any ability to build muscle because your body barely perceives it as a deficit. So that could be a nice option for people. But the downside of that is it doesn't really push the muscle building side as much as I like to see for people, especially you women ladies listening, who, like, I want you to just focus on building muscle. That's one of the takeaways from today. We didn't really say explicitly, but stop dieting, stop trying to lose fat, and start building muscle, because you're going to have a lot easier time losing fat. That's really my mission in life for Hanlyn. So I do something called aggressive maintenance. And all it is is if you know what your maintenance calories are, you go over that by like 50 to 100 calories and just keep doing that for like six to nine months. What it effectively does is your metabolism should slowly increase as it adapts upward. If you're doing it right, you will see a tiny trickle of increase on the scale. But vast majority of that is going to be muscle. In fact, more of it then that might be muscle. What do I mean? If you gain a pound, you might have actually gained two pounds of muscle and lost a pound of fat. And so it plays tricks with the mind. Okay, okay, okay. So this is bot. So now this gets into why this is body recomposition. We're trying to gain muscle, we're trying to lose fat. And this is when the scale is the Worst tool right here. This is when the scale is the worst tool. This is why I tend to have people focus on. Are your lifts going up in the gym?
B
Yep.
A
Is your waist roughly stable or going up? A very small amount only. I mean, if it goes down, that's. That's golden. And that happens, too. Are your biceps and your thighs going up just a little bit along with your strength? And then is all your biofeedback really good? Like, better than it's ever been? Because if you're in a slight surplus, pretty much all that stuff should feel great compared to when you're not including your hormones. You're supporting your hormones. So you've pushed past that threshold where everything is flooding into your body, but you're not really gaining much fat. You might be losing fat, and then you're gaining muscle. So that's. That's the idea of behind body recon.
B
Okay, so this brings me back to a time I always tell a story, and I think you just explained it for me, that for six weeks during a show prep, a figure competition. Show prep, the scale didn't move. And I'm working with Mike Davies, you know him, trainer to the pros. And he's like, is your body changing? Like, yes, but damage the scales on me. Is your body changing? Yeah, but I was like a little kid throwing a tantrum. I want to see the scale change. Is your body changing? And I couldn't wrap my mind around, because it had been embedded in me as well, that you can't lose fat and gain muscle at the same time, especially not as a woman. And I wasn't taking steroids at the time, so that didn't. You know, it's like I had no help. I just had to lift heavy and hope for the best and eat well. But so what you're saying is that probably is what was happening, is that I was putting on maybe two pounds of muscle, losing a pound of body fat, or maybe putting on a pound of muscle, losing a pound of body fat, and the scale literally stayed the same for six weeks.
A
Yeah. And you know what? I'm the worst coach. If you judge my transformations based on pure scale weight loss, for example, or scale weight gain. Because I'll have clients that say after three or six months, they're like, just like you. They're like, well, I wanted to lose 10 pounds, but I've only lost seven. I'm like, okay, I'm glad we've been doing all your measurements, because let me just show you something. Okay. You actually lost 10 lbs. Of fat, but you gained 3 lbs of muscle or something like that. And again, that's on the going down side. But the same idea holds. I'm like, is your body have more definition? Are you actually leaner? Yes, yes, yes. It is definitely a mind game. The gaining side of it though, is even harder for women in my experience because they're afraid of gaining too much fat. And that's exactly why I like keeping it super, super lean. Some people call it a lean gain, whatever you want to call it. A lot of experienced trainers now and bodybuilders, physique competitors will say, look, you don't really need to be in that much of a surplus and you can gain decent muscle.
B
Now, is this the same as refeeding as well? Like if you're taking something, someone who has been in such a caloric deficit for so long or over over dieting for so long and you're refeeding them, is that the same concept of slowly increasing?
A
So there's two concepts that come to mind when you say refeed. So for me, a refeed is just a day that you eat more food, like more carbs, usually all the way up to your maintenance. Right. Like a diet break. That for me is a refeed, which could be a couple days or it could be longer. You might also be thinking of reverse dieting.
B
Reverse dieting. Yeah, yeah, yeah. Another R. Yeah, that's.
A
No, no. And you're. It's fine. So many terms. And so, you know, on your podcast, like we try to bust myths and like talk about how a phrase everyone uses is not really what we. So reverse dieting is that. For me, I think people don't need to do reverse dieting. Reverse dieting is when you increase your calories a little bit at a time and you kind of guess your way up to recovery metabolism. But we've seen from physique competitors, like when you were in a show, when you're super, super lean, at the end of the show, what do you want to do? You want to recover as fast as you can. And the evidence shows that the faster you recover, the better everything is. And that if you take time to recover, it's just gonna prolong the recovery. So the conclusion from that is if you know what your met, your maintenance calories are throughout the diet and when you're done with it, my advice is try to come back to those maintenance calories as quickly as you can. Don't try to guess your way up, but you don't wanna go much past that until your body has recovered. So that's where if you're going to do what I'm talking about, you still want to do that pre fat loss type prep work that we already alluded to where you're just getting to maintenance and staying there for like four to six weeks, four to eight weeks, lifting, doing all the things just so you have good baseline information so you don't over undershoot. Because the last thing I want you to do is try to body recomp in an aggressive maintenance but actually be constantly dieting.
B
Right.
A
And you know, and you're like, what now? That makes it even worse. Worse. So yeah, recovery diets are good. Refeeds can help in a different context. We could actually talk about non linear dieting and refeeds and then aggressive maintenance for body recomp.
B
Oh my gosh, this is amazing. Okay, well, Philip, we're gonna have to have you on as a part 2. I cannot even believe that an hour went by I could keep going with this. So we still have you back on for a part two.
A
Awesome.
B
I just love that you are, are you're there, you're available. I mean, so even some of my patients really need to be working with you because we got them covered on the hormones, the diet. Like we can give you somebody hormonally optimized and then you can work with them on the, the body recomposition. Because it is important that women as they're aging are building muscle on keeping their fat to a healthy level. Not too low, not too high, but just in that really nice healthy range. So gosh, I just love your brain. I love, I love your knowledge. I love what you're doing. For midlife women, this is fantastic. You have a free Download, a free 14 day Rapid Start Fat loss guide. So we're going to put that into the show notes. But can you also tell people where they can find you and where they can work with you? Because this information is so juicy and everybody needs a coach. Let me say that before you dive in, we all need a coach. I needed a coach. There was no way in hell I would get ready for a show. Actually, I don't even, I don't do my own hormone therapy. I let someone else do it because it's so hard to think for yourself when it's yourself. And even if you have the knowledge and you think you have the knowledge and know you have the knowledge, it's hard to implement that yourself. You need someone looking at you going, no, no, no, just trust me, just trust me and trust the process and I will get you there. I don't care if you close your eyes and go, I got your hand, I'll hold it. I'll make sure you get there. And that is what I love about you. So now you can tell people where they can find you.
A
I really appreciate it. You're right. Coaches need coaches. So I totally believe that. Yeah, you can go to wait to wait.com and you can contact me there. I'm on Instagram at Wits and weights and then check out the podcast. I would start there. You could easily find me through those sources.
B
Yep, that's wits and weights. W I T S Wits and W E I G H T s Wits and yeah, yeah.
A
Super, super easy, right? I say it all the time, but you're right for weights. It might be a little bit of a tongue twister.
B
Amazing. Well, Philip, thank you so much for your unpacking your brain today. So that was a ton of fun. A lot of fat loss myths debunked. So we'll have you back on and in the meantime, everyone please click the show notes, go down there, follow. Reach out to Philip if you need help. I love this guy. He's full of knowledge so we will definitely have him back on. So thank you so much for listening. I appreciate you the information shared on the Thyroid Fixer Podcast is intended solely for informational and educational purposes. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult with your physician or other qualified healthcare provider with any questions you may have regarding a medical condition, treatment or before making changes to your healthcare regimen, including medications, supplements, or other therapies. Use of the information provided in this podcast does not establish a doctor, patient, or client provider relationship between you and the host or between you and any other healthcare professionals featured on on the show. Any medical opinions or statements made by guests are their own and do not necessarily reflect those of the host or affiliated parties. Statements regarding dietary supplements or health related products mentioned in this podcast have not been evaluated by the fda. These products are not intended to diagnose, treat, cure, or prevent any disease. Some episodes of the Thyroid Fixer Podcast may include sponsorships or affiliate links. The host may receive compensation for for discussing or promoting certain products or services. Any such sponsorships or affiliations will be clearly disclosed during the episode. All opinions expressed are those of the host or guests and do not necessarily reflect the views of any sponsors. The inclusion of a product or service does not imply endorsement by any healthcare professional featured on this podcast.
Episode 608: The Fat Loss Talk That Will BLOW Your Mind and Change How You Think About Weight Loss Programs
Host: Dr. Amie Hornaman
Guest: Philip Pape, physique engineer, nutrition coach, and host of the Wits & Weights podcast
Date: February 27, 2026
This episode dives deep into the realities and myths surrounding fat loss—especially for women over 40. Dr. Amie and her guest Philip Pape challenge conventional wisdom about metabolism, dieting, muscle building, and weight loss, emphasizing the importance of muscle mass, sustainable habits, and hormone health. Together, they bust common myths, explore the science behind body recomposition, discuss the nuanced impacts of dieting and medications like GLP-1 agonists, and provide practical strategies for long-term results.
Metabolic Rate Doesn’t Plummet With Age:
Loss of Muscle (Sarcopenia):
Lifestyle Effects:
Chronic Dieting Harms Hormones:
Starvation Mode and Regain:
Both Calories & Quality Matter:
Hormones and Blood Sugar:
Not All Carbs Are Equal:
Carbs, Exercise, and Muscle:
Biofeedback & Personalization:
Fat Loss Programs & Rapid Approaches:
Smart Use of Short, Aggressive Cuts:
Not a Myth: You CAN Build Muscle Over 40
What Is Recomp?
Scale ≠ Progress:
Reverse Dieting & Recovery:
GLP-1 Drugs: Pros/Cons:
Risks of Quick-Fix Medications:
Lifestyle Always First:
Supplement & Natural Aids:
| Time | Segment / Topic | |----------|----------------------------------------------------------------------------------------------------------| | 00:00 | Focus on muscle: why building muscle trumps endless dieting | | 10:34 | BMR through the ages and the misconception of slowing metabolism | | 13:11 | Age is not an excuse: anyone can build muscle, at any age | | 16:09 | Chronic dieting, metabolic adaptation, and hormonal suppression | | 21:34 | Calories in vs. calories out—why context and food quality matter | | 24:36 | Carbs, insulin, and muscle: how hormones and diet interact | | 30:21 | Carb phobia debunked: whole vs. processed carbs | | 37:54 | Fat loss “quick fixes” and the search for sustainable change | | 42:12 | What is “fast” fat loss, and what’s actually sustainable? | | 44:51 | GLP-1 agonists (Ozempic, Wegovy): pros, cons, misuse, and what happens when you stop | | 51:36 | Body recomposition after 40: how to actually build muscle and lose fat simultaneously | | 55:50 | Scale obsession is counterproductive—look at other metrics | | 58:07 | Reverse dieting, refeeds, and recovery after diet phases |
Prioritize Strength Training:
Build and maintain muscle at any age, especially after 40. This is the biggest lever for metabolism, fat loss, and health.
Ditch Chronic Dieting:
Avoid extended calorie deficits; they cause muscle loss and hormonal dysfunction. Cycle phases of maintenance, strength gain, and (short) fat loss.
Track More Than the Scale:
Use measurements, photos, gym progress, and biofeedback over weekly weigh-ins to monitor true progress.
Get Over Carb Phobia:
Embrace whole-food carbs as performance and hormone allies, especially if you train.
Medications Aren’t Magic:
GLP-1 drugs should be paired with strength training and proper nutrition to prevent muscle loss and rebound weight gain.
Personalize Your Approach:
Tune diet and training to both lab data and “biofeedback” (hunger, recovery, sleep, digestion).
Work with a Coach:
Even professionals need an external perspective to see the full picture and optimize their own plan.
Dr. Amie and Philip’s conversation is an empowering, myth-busting guide for anyone feeling stuck in the metabolism and dieting rabbit hole—especially women facing midlife hormonal changes. Their tough-love, evidence-based approach stresses that muscle is your metabolic currency, sustainability trumps fads, and long-term results come from strategic lifestyle design, not shortcuts.
For a full-fat loss jumpstart, see Philip’s free 14-Day Rapid Start Fat Loss guide (link in show notes).