Highlight Epsiodes of 2024 [Ep. 128]

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This is the heat well think, well live well podcast.

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I'm Lisa Salsbury.

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And this is episode 128.

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Highlight episodes of 2024.

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Welcome to eat well.

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Well, the podcast for busy women who want to lose weight without constantly counting, tracking, or stressing over every bite.

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I'm Lisa Salsbury, a certified health weight loss and life coach, and most importantly, a recovered chronic dieter here.

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You'll learn to listen to your body and uncover the reasons you're reaching for food.

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When you're not truly hungry, freeing you to focus on a healthier, more fulfilling approach to eating.

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Hey everyone happy new year today that this is going to be published actually on January 1st, 2025, which is super exciting.

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I also had a super exciting episode planned for you this week and I'm having incredible technical difficulties with My podcasting software.

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So I wasn't sure if I was actually going to tell you that to, I didn't want to be like, oh, so then I came up with this other thing because that episode wasn't going well, but I really am excited for you to hear from Dr.

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Sarah Ballantine, that will be coming out next week.

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I'd come hell or high water.

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I will get that episode fixed for you.

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But, um, right now it is completely unlistenable.

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So hopefully I'm going to be able to get, that edited properly for you.

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So instead, what I decided to put together for you today was the highlight reel of 2024 episodes.

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When I went and looked at what were the most popular episodes.

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Um, they were a lot of my interviews, a lot of the ones that I had some really great guests this year.

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So I pulled the top five guests and I'm going to play some highlight reels from those episodes.

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The most popular episode last year was episode 103.

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Weaning off obesity medications with Elisa, olive and Kelly Bader.

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They coach on helping folks that are on obesity, medications come off of them, but it was just really a fascinating conversation because so much of what they coach on is the same thing I do, which is just the proper lifestyle to maintain.

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So we talked a lot about portion sizes and food noise.

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So let's hear a little bit from that episode.

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I always wonder too, if when you're on these medications and you start to see some of the portions that are actually, you're fine with basically, you're like, Oh, I guess I don't need an entire, like a whole sandwich.

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I guess really what is fine for me is a half sandwich or three quarters of a sandwich.

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And I actually feel fine as far as energy levels and concentration and those kinds of things, not like all of the other things that are.

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Not associated with hunger, because a lot of times I think, well, if I don't eat enough, I'm going to have low energy, or I'm going to have this afternoon slump, or I'm going to, like, other reasons besides I'm going to be hungry if I don't eat enough, and so I wonder if it helps people realize, like, wow, I really don't need as much food as I thought I did.

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Do you find that to be true?

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I think that sometimes people on the medications do struggle with getting enough, and we really have to work on that.

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So, making sure that you're not it.

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just eating 800 to 1200 calories.

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So getting enough so that you have those energy levels so that you're not losing your hair.

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So like all those side effects, disrupting your hormones that can come along with not eating enough.

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It's very important.

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So, but yes, you're also seeing that like, okay.

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This is maybe what a correct portion could look like and I now I have the time because I don't have this enormous food noise to look at the label and see what's the serving size even what what does that mean and how much is that because a lot of time like before.

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I started looking at labels.

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I thought peanut butter was a great source of protein.

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I was like loading up on the peanut butter.

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And then when I started looking at the label, it's like, Oh, wow.

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Okay.

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No wonder I was gaining weight.

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so it gives you that opportunity to slow down, look at those food labels.

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And another, you know, points that I want to make is This is your opportunity while you're on medication and you don't have as much food noise to address some of those, like, emotional eating things that come up that we deal with as coaches, stress eating.

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Why are we stress eating?

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Because that's, that's a possibility that it still happens even with the medication.

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And so when you can identify it and start making those changes while you're on medication, it'll make coming off of the medication so much easier.

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You can go, okay, when I was on the medication.

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When I was in this super stressful situation, what did I turn to?

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Because I wasn't hungry.

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How did I deal with my stress in a different way then and starting to, um.

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Pick up on some of those things is certainly, I think, an advantage and is another way that the medication can make you gain some momentum.

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If that makes sense.

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I think the food noise, it has so many levels to it.

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Like, I don't know that there's like a true.

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Exact definition of it, but I think it's a combination of emotional eating stress, you know, which is also stress cravings and hunger.

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Like it's this combination, this triad of all the things.

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And so if we can, while we're on medication, we don't feel that.

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And so we can start to, okay.

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Okay.

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I don't feel hungry now.

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If I go off medication, some of the food noise is going to come back.

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But how can we prevent as much as possible with your fiber with your protein?

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kind of like spacing out your meals.

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Another thing to go along is while you're on medication, we don't want you skipping meals because that's not something that's going to be done in the future because otherwise it's going to cause that food noise to be even higher.

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what I've heard people explain that come off the medication, they still have the food noise.

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They've learned to deal with it better while they were on medication and they've improved their relationship with food.

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So, I think that that piece of it is really important.

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That's why, that's why coaching while you're still on medication is really, really valuable and while you're transitioning off because we've got to get past that.

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This is me in the past.

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I'm either on a diet or I'm F it.

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It's either one of those two, right?

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And so it's like, on or off, the food is good or bad.

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And you can discover while you're on the medication that like, Oh my gosh, I still can have some of these things and still lose weight.

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Oh my gosh.

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That means that I should be able to maintain my weight while still having, you know, 20 percent some fun foods and, and then making sure I'm getting enough.

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I like to use the word enough and getting nourishment.

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Because getting that enough, getting all that protein, that fiber and those vitamins from fruits and vegetables and all those good things, that's going to reduce that food noise a little bit because your body is nourished the right way.

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Ah, that was such a good episode.

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I really love talking with Elisa and Kelly.

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The next most popular episode was episode 91 from April, and it was called midlife fat loss and brain health principles with Barbie bulls.

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She is such a fabulous coach.

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She is a brain health coach.

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If you know her on Instagram, she goes by the cognition dietitian.

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We laid out the four pillars of fat loss within this episode that we discussed specifically for midlife women.

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And what's different about that time and what's not different.

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And.

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We also talked about some brain health and how to really prevent some cognitive decline.

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So here are a couple of my favorite clips from that episode with Barbie.

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one of the things that happens with a decline in estrogen is a redistribution of fat to the belly.

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So even if you don't gain any weight, the fat from your butt, hips, thighs, arms, face, you know, can start to accumulate in the belly area and any new fat is going to favor that area.

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And it does become, I want to be very clear about.

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The fact that menopause and the menopause transition does not directly cause weight gain.

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It creates an environment where fat gain is more likely because it's easier to get into a calorie surplus, meaning it's easier to to be consuming more calories than our body needs to thrive.

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And that will end up as excess fat.

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And this can happen because of that decline in muscle mass, which does begin at age 30, between 30 and 35.

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But by the time you're 50, unless you've been consuming enough protein and strength training, you will have lost a significant amount of muscle.

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That's going to change your metabolic rate.

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not favorably.

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Um, we are, we may also be struggling with energy.

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We may not have what we used to have, you know, to work out.

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We're not sleeping very well.

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That can impact our insulin sensitivity, our appetite and our desire to work out.

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Uh, we're not, I mean, a lot of women get very upset about this comment, but it kind of It typically bears out that we are, we are less active, um, and that doesn't mean that we're not working out because a lot of us are maybe even more than ever, but our NEAT non exercise activity thermogenesis tends to decrease as we get older.

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We're not chasing around small children.

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We're not lifting them.

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We're not going out dancing Friday and Saturday nights.

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We're not walking on our errands.

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That's partly modern convenience too.

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I mean, I remember when I was.

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35.

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I was not ordering things on my smartphone.

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And, you know, it was I had to move to

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I go to Target way less than I used to.

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I know that's silly, but like, I

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no, it's not

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out more when they were younger and just having to run them back, you know, run them around, generally speaking,

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right.

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And we tend not to think about this, but little moves like that, that unintentional movement can add up to thousands of calories a week.

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So, and over time, it's very gradual, but it accumulates, and then suddenly we're 10, 15, 20 pounds outside of our comfort zone at 55.

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But, the good news is, we can, you know, combat it, um, with some strategy.

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Oh, you were asking about kind of the difference.

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The truth is, there's no real difference in terms of recommendations between your 20s and your 50s.

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It's just that in your 50s, it becomes that much more important.

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Does that make sense?

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So like, we can like kind of get away by with doing like 75 percent in our twenties in our fifties, it's gotta be like 95, a hundred percent with the exercise, the non exercise activity, thermogenesis, getting really high quality sleep, managing our stress in a non food way.

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Um, and eating in a way that.

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that is going to translate into keeping our cholesterol healthy, keeping our blood sugar healthy, keeping intra, intra abdominal fat at bay.

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So it's, it's not that it's anything new, all that low hanging fruit still applies very, very much.

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It's just that you gotta do it and you have to be consistent about it.

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That's what's different.

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Does that make sense?

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There are just core principles and they're actually Well known across the board and every diet you've ever been on is feeding on those core principles, but also feeding on your insecurities and trying to make you think it's easier than, than it is, but it is simple, right?

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So tell us, what would you consider the low hanging fruit for weight loss, fat loss?

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So obviously there's the nutrition piece can't get around that piece, but you are far better off.

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going slowly than trying to go too rapidly for lots of reasons, but the primary being, it's not going to be sustainable and you're wasting time.

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You are just wasting a giant chunk of time.

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If you try to go down to like a 1200 calorie diet or something, you're not going to be able to sustain, sustain that.

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And you will regain the weight.

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Secondly, Rapid weight loss also causes muscle loss, and that's antithetical to a healthy body composition and healthy blood sugar metabolism and being strong and functional independence and all the things that we want later on in life.

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So what I always tell people is give yourself a year.

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at least, you know, and if it's significant amount of weight, maybe two years, stop trying to do the six weeks to your summer body because it's just never going to work.

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Forget about the timeline and just approach it as if what you're really concerned about is your health and not just your physical appearance.

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I am all about women looking like whatever they want to look like and rocking bikinis.

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I'm all about it.

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I don't have a problem anything against that whatsoever, but you'll get there a lot faster in the long run if what you're focused on is the health of your brain, healthy blood sugar, healthy lipids and healthy blood pressure.

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Okay.

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I just love Barbie so much.

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I still follow her obsessively on Instagram and you should too.

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Um, my next, my third, most popular episode.

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And I'm realizing now that I'm halfway through, most top three or top five lists go from the least popular to the most.

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But in any case, this is how I'm doing it.

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So we're just going to go with it.

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Um, but it was a episode about home cooking and it was with food blogger, Mel gunnel.

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It was episode 111 home cooking made easy with Mel gunnel.

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I had her on the podcast because home cooking is such an essential skill.

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And in fact it is a weight loss skill.

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Because there are several studies showing that the more we eat at home.

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the healthier wood that we can become essentially.

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So, I talked to Mel about how to get dinner on the table fast and easy.

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And you guys loved this episode, So let's hear a little bit from that episode with Mel.

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If we're like trying to, trying to cook from home, but It's sounding overwhelming.

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What are some of your favorite, shortcuts that maybe you can kind of combine with, things you buy at the store and things you homemake?

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Like, I don't know if she's still on the Food Network, but one of those original Food Networks girls was, like, semi homemade, I don't

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Oh, I totally remember Sandra Lee.

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Oh yeah.

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Yeah.

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remember.

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And, like, half her stuff was using, like, a can of soup, which I'm like, eh, no, not

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so much hate too.

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And I was like really like, it was such a brilliant.

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It's such a brilliant way to view things.

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So I really feel like if people are overwhelmed with cooking at home, this, this diverges just a little bit from your question, but I would say the very first thing to do is to just sit down and plan a menu.

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I think, I think one of the biggest reasons it's overwhelming to a lot of people is What on earth do I even cook?

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And, and most of us are cooking, even if it's for ourselves, we have schedules, right?

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We have a work schedule and we have busy lives.

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And so when five o'clock rolls around is not the time.

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I mean, all of us are going to jump to something quick and easy and fast food or whatever in those moments.

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So, Planning a menu, I think is huge.

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It takes the guesswork out of what to eat.

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And, and I don't think it has to be like Monday meeting this Tuesday meeting this, but I really encourage people to say, look at your week and just plan even three to four meals, get the groceries for them.

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And then on that day, say, Oh, this meal slides into this day really well.

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So that you don't get to Tuesday and you're like, I actually don't have time or I'm not in the mood for, you know, chicken Alfredo or whatever it is.

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So I think planning a menu is really important,

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Sorry, let me, let me just interject here.

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That's exactly how I plan, by the way.

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And I love

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yeah,

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plan a grouping of meals, and then when it comes to the day, you pick, okay, so today this meal will fit best with my schedule.

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I love that way of planning.

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It's like, I call it like the fluid menu planning, where I think sometimes too rigid of menu planning is actually a curse and can turn people off to wanting to cook from home or even menu planning in the first place.

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But I do the same.

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I have these meals as if I have the ingredients.

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The other thing is, I, I would say don't over menu plan, don't plan seven meals in a week.

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Um, generally not many of us are.

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Cooking maybe seven homemade meals in a week, but you can include a leftover night, you know, pulling out the leftovers or, you know, something, something easy, but to your original question about how to help it not be overwhelming, I think starting really simply.

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So some of those like.

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I think what we have to say is we don't have to make every single thing from scratch, right?

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So if we decide that dinner needs to be like, let's say, you know, barbecue pulled pork sandwiches by the buns.

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You know what I mean?

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We're not, we're not having to like make homemade buns or homemade barbecue sauce.

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I think some of it is Especially if you're starting out is to start out into that slowly.

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And then if it becomes something that you want to do, or it becomes a hobby where you want to learn to bake the bread, bake the bread, but otherwise there's so many things I would say in any given meal, there's things that you're going to be able to do to.

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Like for lack of a better term, cut corners a little bit to make it a little bit more doable.

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So some of that is, um, one of my favorite hacks right now that's saving me is, um, Costco and I've seen him at Walmart and Albertson sells those microwavable rice packets and rice is not that hard to cook, but being able to pull out that microwavable rice packet and know that I'm just going to focus on the main component of dinner and we're just going to microwave the rice.

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Means we're still going to get a meal.

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Do you know what I mean?

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But it doesn't, it doesn't have to be every component.

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The other thing I would say, is not every weeknight meal or even a week weekend meal needs to have a million side dishes.

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So my favorite thing to do is what's in season.

00:18:11.994 --> 00:18:13.424
So we just chop up fresh fruit.

00:18:13.434 --> 00:18:18.845
I mean, very often like our side dishes, like fresh fruit and vegetables and, and then like a main dish.

00:18:18.845 --> 00:18:22.134
And so I think taking out this, this.

00:18:22.569 --> 00:18:26.279
Maybe expectation that every meal needs to have so many different components.

00:18:26.529 --> 00:18:32.109
A well rounded meal doesn't have to include five different homemade recipes, if that makes sense.

00:18:32.109 --> 00:18:36.059
I think we can include just fresh cut up vegetables with branch.

00:18:36.059 --> 00:18:47.759
If you want, you know, some dipping something in there and then taking a look at each recipe and saying, what of this can I buy and what of it can I, can I make and kind of go from there?

00:18:48.397 --> 00:18:50.258
Ah, such great advice from Mel.

00:18:50.587 --> 00:18:53.887
And if you didn't know that is Mel of Mel's kitchen cafe.

00:18:54.218 --> 00:18:59.258
And so that is her blog and also the name of her cookbook, which I also own love it.

00:18:59.647 --> 00:19:06.397
The next episode I wanted to highlight is episode 115 intermittent fasting and women's health.

00:19:06.428 --> 00:19:08.228
The impact on hormones, digestion.

00:19:08.528 --> 00:19:10.958
And circadian rhythm with Jillian Greaves.

00:19:11.228 --> 00:19:17.948
She caught my eye and I approached her to be on the episode because she's a functional dietician women's health specialist.

00:19:18.397 --> 00:19:22.317
And I knew that she was an expert on intermittent fasting and.

00:19:22.867 --> 00:19:26.107
Spoiler alert how damaging it is for women.

00:19:26.107 --> 00:19:33.367
So we really got into that and I will let this clip do the talking on that because it was really fabulous.

00:19:34.549 --> 00:19:41.539
So the first thing that we really, we really wanted to hit on today and really discuss is intermittent fasting.

00:19:41.940 --> 00:19:47.369
This is such a huge, huge deal in the dieting world right now.

00:19:47.430 --> 00:19:54.565
And there's so many people that are like, Oh, You know, it's the best way.

00:19:54.585 --> 00:20:00.075
And if you're eating, you're aging and all of these like mixed messages.

00:20:00.105 --> 00:20:03.375
And it's honestly, it's super confusing.

00:20:03.565 --> 00:20:04.775
It is just super confusing.

00:20:04.795 --> 00:20:11.634
And I know from my own research that a lot of the intermittent fasting studies have been done on men.

00:20:11.934 --> 00:20:15.964
And so then you get authors that are like, no, here's how to do it as a woman.

00:20:15.974 --> 00:20:16.974
You know, like a girl.

00:20:16.974 --> 00:20:25.880
I'm not, not naming any names, but, you know, Where, where does that information come from though, because the studies haven't been done.

00:20:26.420 --> 00:20:37.769
So tell us where, why intermittent fasting can possibly have, negative health repercussions on women and, what you know about that and what you advise for that.

00:20:38.434 --> 00:20:40.714
Yeah, I love this topic and you're spot on.

00:20:40.714 --> 00:20:47.164
The large majority of research we have on intermittent fasting has been done on men, you know, and or animal models.

00:20:47.194 --> 00:20:54.525
And that's a problem because, you know, these studies aren't accounting for female physiology and female hormones.

00:20:54.964 --> 00:20:59.472
And at the end of the day, women and men are very different.

00:20:59.576 --> 00:21:00.263
Well, as Dr.

00:21:00.263 --> 00:21:02.203
Stacey Sims says, women are not small men.

00:21:02.423 --> 00:21:03.644
women are not small men.

00:21:03.663 --> 00:21:04.413
Exactly.

00:21:04.423 --> 00:21:05.084
Exactly.

00:21:05.094 --> 00:21:11.534
And, you know, ultimately at the end of the day, women's bodies respond very differently to stressors than men's do.

00:21:12.023 --> 00:21:18.173
And, you know, At the end of the day, also, you know, intermittent fasting is a stressor.

00:21:18.683 --> 00:21:28.223
It's a hermetic stressor, meaning in the right context, a tool like intermittent fasting or time restricted eating could have some potential health benefits for the right population.

00:21:28.493 --> 00:21:29.663
in the right context.

00:21:30.023 --> 00:21:34.503
In the wrong context, this is going to be, you know, like throwing, throwing gasoline on the fire.

00:21:34.503 --> 00:21:42.554
And something I also want to point out is that there's a lot of different formats when it comes to how intermittent fasting has been studied in research.

00:21:43.023 --> 00:21:55.463
What I see, I'm curious if you see this as well, but what I see in practice with women is a lot of women just interpreting intermittent fasting as skipping breakfast or, you know, delaying eating for, you know, the first part of the day is, do you see that also?

00:21:56.223 --> 00:21:56.713
Yeah.

00:21:57.013 --> 00:22:11.483
And, and the different models, you know, especially the most popular, well, I think it's the most popular is like the 16, eight eating window where it's eight hours of eating and 16 hours of fasting that came about because of a research assistant schedule.

00:22:12.243 --> 00:22:15.493
That was the most convenient time for them to come in and be eight hours on.

00:22:15.493 --> 00:22:17.104
So that's when the subjects got fed.

00:22:17.294 --> 00:22:18.364
Like there was no.

00:22:19.173 --> 00:22:24.594
It's like the 10, 000 steps a day was a marketing gimmick when a pedometer came out in Japan.

00:22:24.604 --> 00:22:28.584
Like, you have to look at the source of where these numbers came from.

00:22:28.604 --> 00:22:32.584
It wasn't because it was a magical, good for you number.

00:22:32.604 --> 00:22:36.763
It was based on convenience and paying an hourly employee.

00:22:37.814 --> 00:22:39.473
Which is, is wild when

00:22:39.733 --> 00:22:39.884
It is

00:22:40.354 --> 00:22:41.384
that down, right?

00:22:41.894 --> 00:23:02.884
And, and in terms of the, the, you know, kind of skipping breakfast piece in particular and, you know, delaying that overnight fast, we, we definitely still need more research here across the board, but in, in women in particular, with the small studies we do have, we are seeing different results than we are seeing in, you know, the, the men in the animal models.

00:23:02.913 --> 00:23:24.913
And, it's thought that you know, different responses to fasting in men and women may be due to, and Stacey Sims is actually someone who talks about this research a lot, it may be due to something called Kisspeptin, which is a neuropeptide that plays a really important role with the regulation of the menstrual cycle and, you know, our fertility, our sex hormones.

00:23:25.433 --> 00:23:30.763
And it also plays a really important role with appetite regulation and insulin sensitivity.

00:23:31.243 --> 00:23:42.179
So in some small studies, Kisspeptin secretion is altered or decreased when women are skipping breakfast or delaying breakfast.

00:23:42.479 --> 00:23:52.888
And this is having a negative ripple effect on, you know, the communication between the brain and the ovaries, and kind of having a snowball effect on hormones.

00:23:53.229 --> 00:24:02.489
It's also, Leading to, dysregulation with appetite hormones as well as decreased insulin sensitivity.

00:24:03.048 --> 00:24:04.269
So ultimately,

00:24:05.449 --> 00:24:10.578
that's also wild, because your intermittent fasting people tell you that it increases your insulin sensitivity.

00:24:11.068 --> 00:24:19.618
right, right, and, and there are animal studies and there are, you know, studies on men that do show that, that benefit.

00:24:19.969 --> 00:24:28.848
But again, these, you know, studies are not meant to be, you know, kind of translated to women where our physiology is very different

00:24:29.801 --> 00:24:36.761
jillian, as you can tell was a great guest and really started some conversation about the intermittent fasting debate.

00:24:36.791 --> 00:24:43.332
And it's a really good listen, if you want to listen to that whole episode, of course, I'll link all of these episodes in the show notes.

00:24:43.751 --> 00:24:55.981
The last episode that I wanted to highlight for you as one of my most popular episodes was back in may it's episode 93, and it's called the DEXA scan and VO two max with Ken.

00:24:56.342 --> 00:24:57.061
Apperson.

00:24:57.301 --> 00:25:03.932
So Ken is the owner of the ducks of fit that I went to to get my own DEXA scan and VO two max.

00:25:03.961 --> 00:25:06.541
And we had such a great conversation when I was there.

00:25:06.842 --> 00:25:08.942
That I was like, Hey, let's let's record.

00:25:08.942 --> 00:25:09.571
Let's get this.

00:25:09.675 --> 00:25:12.105
out there because he was really fun to talk to.

00:25:12.165 --> 00:25:14.715
So that episode is all about data.

00:25:14.925 --> 00:25:17.715
It's the data you can get about your health and body.

00:25:17.715 --> 00:25:21.826
And it just goes so much deeper than, you know, your bathroom scale.

00:25:22.155 --> 00:25:28.546
So I have a couple of clips here, one about the ducks and one about the VO two max test that I did.

00:25:29.056 --> 00:25:31.125
Um, so let's listen to those.

00:25:32.431 --> 00:25:35.431
Let me tell a little bit about why I decided to do this.

00:25:35.570 --> 00:25:40.871
So as my listeners know, I, do not mind getting on a scale.

00:25:41.371 --> 00:25:42.760
It is not a problem for me.

00:25:42.790 --> 00:25:44.340
I have entire episodes about.

00:25:44.820 --> 00:25:52.530
Why we can weigh ourselves without the drama that when we get on the scale, it is simply our gravitational pull at that moment in time on our bodies.

00:25:52.790 --> 00:25:53.461
It is math.

00:25:53.480 --> 00:25:54.161
It is data.

00:25:55.131 --> 00:26:00.351
So it doesn't bother me to get on the scale and look at my number for a long time.

00:26:00.351 --> 00:26:03.441
I've just realized it just doesn't tell me enough.

00:26:03.776 --> 00:26:04.215
Data.

00:26:04.645 --> 00:26:08.046
I actually wanted more data than that.

00:26:08.326 --> 00:26:14.526
So it's not that I wanted the scale to tell me something different or that I think my scale numbers should change.

00:26:14.556 --> 00:26:16.506
I just wanted more data.

00:26:16.506 --> 00:26:31.016
So the DEXA scan is fascinating because we get that on a medical, on a medical side, but not until typically, it depends on your insurance, but typically you'll see that ordered around the age of 65.

00:26:31.036 --> 00:26:31.905
Would you agree, Ken?

00:26:31.905 --> 00:26:31.990
Ken.

00:26:32.240 --> 00:26:34.711
That's when typically people see it medically,

00:26:35.550 --> 00:26:40.391
medically, the only time you're ever going to see a DEXA scan is for a bone density

00:26:40.750 --> 00:26:41.090
right?

00:26:41.111 --> 00:26:41.681
That's what they're

00:26:41.715 --> 00:26:46.375
it's just looking at this much bone in the femoral neck of your hip or your lumbar spine.

00:26:46.915 --> 00:26:51.016
But that machine is used for what you have the whole body comp.

00:26:51.605 --> 00:27:01.096
And I got to tell you, Lisa, you know, it kills me that Western medicine and health insurance companies do not pay for 110 DEXA scan that we do.

00:27:01.596 --> 00:27:02.086
It's different.

00:27:02.115 --> 00:27:02.915
Bone density is different.

00:27:02.965 --> 00:27:03.445
And you're right.

00:27:03.476 --> 00:27:03.806
65.

00:27:04.016 --> 00:27:04.306
Yes.

00:27:04.355 --> 00:27:12.982
because the only thing that the medical system that your insurance is going to look at is your bone density, but this machine.

00:27:13.597 --> 00:27:18.907
Actually does all of those other things that Ken mentioned, and that's what I was interested in.

00:27:18.998 --> 00:27:24.958
He looked at my, and we, we can go over some of my numbers, but he looked at my bone density and he's like, not a problem.

00:27:25.008 --> 00:27:26.178
And I'm only 48.

00:27:26.188 --> 00:27:31.708
So I expected that my mom is 78 and her bone density is still really great.

00:27:31.738 --> 00:27:35.748
So from a genetic standpoint, I expected my bone density to be good.

00:27:36.357 --> 00:27:44.488
I didn't really come for the bone density, which I find fascinating because that's what you see it for only on the medical side.

00:27:44.897 --> 00:27:47.627
And so it's a little early, but it's good to see a baseline.

00:27:47.647 --> 00:27:49.548
I was, um, a two.

00:27:50.248 --> 00:27:51.218
Tell me what that means.

00:27:51.468 --> 00:27:53.708
What was, what, what the two mean in the,

00:27:54.107 --> 00:27:57.367
me let me relook at your report that that's outstanding.

00:27:57.367 --> 00:27:58.417
Yeah, you were a two.

00:27:58.548 --> 00:28:00.988
So yeah, your skeleton weighs 5.

00:28:00.988 --> 00:28:07.708
8 pounds, which which always blows my mind that our skeletons way so little, you know, carrying a whole beings on that.

00:28:08.057 --> 00:28:12.740
But your your your T score was a two, which is really, really good.

00:28:12.760 --> 00:28:15.310
And you kind of touched on something that's important.

00:28:15.320 --> 00:28:17.510
There is a hereditary component to this.

00:28:18.288 --> 00:28:19.817
But that speaks to two things.

00:28:19.817 --> 00:28:20.857
Your number's outstanding.

00:28:20.867 --> 00:28:24.258
You'd have to throw yourself in front of an oncoming train to break a major bone.

00:28:24.478 --> 00:28:25.307
Have you broken a bone?

00:28:25.307 --> 00:28:25.867
I forget if I

00:28:26.048 --> 00:28:27.417
no, I never have.

00:28:27.708 --> 00:28:30.788
And interestingly, my mom just took a pretty hard fall.

00:28:30.807 --> 00:28:35.498
She caught her toe on a curb and went down pretty hard and did not break anything.

00:28:35.498 --> 00:28:35.538
Yeah.

00:28:36.107 --> 00:28:38.087
you know, for your mom, that's outstanding.

00:28:38.617 --> 00:28:54.467
So, uh, a T score of two is absolutely outstanding because you're two standard deviations, denser bone than who you're being compared to, which is a healthy 30 year old woman, because we stopped growing bone at 30, the factory just shuts down completely.

00:28:54.846 --> 00:28:58.287
And we're battling gravity for the rest of our lives to keep our bones dense.

00:28:59.267 --> 00:29:01.386
Your mom has weathered the menopausal storm.

00:29:01.396 --> 00:29:06.076
Menopause wreaks absolute chaos, catastrophe on bone density.

00:29:06.076 --> 00:29:21.220
I've seen that you're at a two standard deviation above I've seen women go from, uh, in your neighborhood, not as good at your next level, but close to your number and, and be diagnosed with osteoporosis after a menopausal storm.

00:29:21.609 --> 00:29:28.940
So we want to be driving that number as high as we can, even when the numbers are good And we do that with weight bearing exercise.

00:29:28.940 --> 00:29:30.309
You know, strength training is the best.

00:29:31.045 --> 00:29:31.964
walking and running.

00:29:31.974 --> 00:29:32.325
Great.

00:29:33.144 --> 00:29:40.788
The flip side, like ellipticals and, you know, the, the, the cycling and, swimming, it's great for the heart, but there's no weight bearing all that.

00:29:40.788 --> 00:29:47.588
So you're not going to ever increase your bone density, but your, your number, yeah, that's, that speaks to some good genes for sure.

00:29:47.588 --> 00:29:50.249
If your mom, you said she's 78.

00:29:50.729 --> 00:29:51.739
Yeah, I think.

00:29:53.288 --> 00:29:54.179
Yeah, that I'm sorry.

00:29:54.209 --> 00:29:54.868
I digress.

00:29:54.868 --> 00:29:59.199
The German study suggested that if we get our bone density to 2.

00:29:59.199 --> 00:29:59.358
5.

00:29:59.939 --> 00:30:03.499
we would not break a hip upon a normal fall.

00:30:03.788 --> 00:30:14.308
Now, when you reach 70 or older, I don't want to be too dramatic, but the odds aren't good to survive a full blown hip break over the age of 70.

00:30:14.729 --> 00:30:18.269
The numbers are staggering, but this study suggested if you're at 2.

00:30:18.318 --> 00:30:21.324
5, You wouldn't break a bone at that.

00:30:21.344 --> 00:30:23.443
So I can only speak to myself.

00:30:23.483 --> 00:30:24.173
I'm held up.

00:30:24.243 --> 00:30:25.483
I'm getting my number to 2.

00:30:25.534 --> 00:30:31.763
5 right now because I've had relatives that have broken a hip and declined and one of what one of them died.

00:30:31.763 --> 00:30:35.054
So I, yeah, that's a, that was a really powerful peer reviewed.

00:30:35.523 --> 00:30:54.844
I adjusted the zones on my heart rate app to match the ones that came out of the VO2 Max test, but I want to talk a little bit, I know that you're well versed in Peter Attia's work, tell us why he advocates so strongly for average people, you and I, we're not athletes.

00:30:55.213 --> 00:30:59.503
We're not, you know, I, you sound a little more competitive than I am.

00:30:59.953 --> 00:31:01.124
Um, I'm just average.

00:31:01.183 --> 00:31:04.163
Why is it important to know our VO two max?

00:31:04.193 --> 00:31:07.614
And what is it really telling us about our longevity?

00:31:07.624 --> 00:31:10.973
Cause this your answer, I'm just going to spoiler alert.

00:31:10.983 --> 00:31:12.433
This is why I had this test done

00:31:13.604 --> 00:31:28.509
Well, in a podcast of many great questions you've asked, that's the best one you've asked, and it's probably the most important, The VO2, it's the measurement of the maximum oxygen delivery and utilization for cardiovascular exercise.

00:31:29.990 --> 00:31:34.839
A better way to put it is, how efficient is your heart getting blood to your muscles?

00:31:35.619 --> 00:31:45.902
But the reason it's so important it's like, if you want to compare it to automobiles, you've got high performance vehicles, and then you've got cars with smaller engines.

00:31:46.961 --> 00:31:53.084
Now, if they take off from a starting line, one car is going to completely outpace the other.

00:31:53.094 --> 00:31:56.554
The other is going to try it, but it can't, it can't keep up.

00:31:56.884 --> 00:31:57.953
And then eventually.

00:31:58.624 --> 00:31:59.894
It's gonna blow a gasket.

00:32:00.964 --> 00:32:04.724
I'm sorry to put it in such crass terms, but it really is a great analogy.

00:32:04.724 --> 00:32:05.444
And I didn't get that.

00:32:05.555 --> 00:32:07.615
I'm not smart enough to come up with that analogy.

00:32:07.615 --> 00:32:08.674
That's Peter Attia.

00:32:09.089 --> 00:32:11.289
But it really is that simple.

00:32:11.289 --> 00:32:15.480
It's like our bodies, there is a genetic component for sure.

00:32:15.920 --> 00:32:32.470
So we're not, none of us can be like, um, LU, Kip Kochi, the world record holder in the marathon or Lance Armstrong, people that have crazy high VO2s, but what, what we can do and what we can affect, and that's the important thing, we can affect this number that we get.

00:32:33.375 --> 00:32:38.384
is we, we can, we can increase that to our potential as a human being.

00:32:38.384 --> 00:32:38.664
Right.

00:32:39.375 --> 00:32:42.664
And it, yes, it's limited by our genetics, but it doesn't matter.

00:32:42.664 --> 00:32:43.815
We can get to a place.

00:32:44.345 --> 00:32:48.164
where longevity gets significantly higher.

00:32:48.445 --> 00:32:51.786
because two max is right up there with like.

00:32:52.090 --> 00:32:53.101
Not smoking.

00:32:53.111 --> 00:33:00.000
And I mean, as far as like your, your risk factor for longevity, all cause mortality VO two max is like an amazing measure.

00:33:00.020 --> 00:33:00.361
Yeah,

00:33:01.111 --> 00:33:04.520
it's the number one metric cardiologists use to gauge longevity.

00:33:04.530 --> 00:33:06.330
Hard stop, there's no close second.

00:33:06.330 --> 00:33:07.990
It's been that way for seven years.

00:33:08.391 --> 00:33:15.361
It's interesting that in seven years, think about all the technology that's happened, but one thing that hasn't changed is a VO2 max test.

00:33:16.045 --> 00:33:20.934
It's the gold standard for assessing how healthy your heart is,

00:33:21.520 --> 00:33:21.971
All right.

00:33:21.971 --> 00:33:23.560
And that is a wrap.

00:33:23.560 --> 00:33:26.351
Those are my top five episodes for 2024.

00:33:26.711 --> 00:33:30.280
I of course will put all the links to the original episodes in the show notes.

00:33:30.280 --> 00:33:35.441
If you want to listen to the full episode, let me know what you thought of these episodes.

00:33:35.471 --> 00:33:38.980
And of course what you'd like to see coming up on the podcast.

00:33:39.310 --> 00:33:41.411
Last year, I did a content survey.

00:33:41.830 --> 00:33:43.060
Four topics.

00:33:43.090 --> 00:33:44.770
And I'm going to put that together again.

00:33:44.770 --> 00:33:46.030
It'll come out next week.

00:33:46.030 --> 00:33:55.371
So be thinking about what you'd like to hear from me, and I will, have a Content survey in the show notes next week and I will be doing a giveaway.

00:33:55.701 --> 00:33:57.500
For everybody that enters that.

00:33:57.500 --> 00:34:01.151
So be thinking of what topics you'd like me to cover.

00:34:01.777 --> 00:34:03.426
I am so glad you tuned in today.

00:34:03.426 --> 00:34:09.157
If today's insights and highlights resonated with you and you're ready to make lasting changes in your health journey.

00:34:09.606 --> 00:34:10.567
I'd love to help.

00:34:10.597 --> 00:34:15.577
Don't forget to grab my new freebie, what to do when you overeat in the show notes.

00:34:16.117 --> 00:34:21.577
You can also book a free coaching session with me to dive into personalized strategies for sustainable weight loss.

00:34:21.907 --> 00:34:23.737
And a balanced relationship with food.

00:34:24.036 --> 00:34:26.797
You can schedule it at the link again in the show notes.

00:34:27.036 --> 00:34:28.626
Remember, it's not just about the food.

00:34:28.626 --> 00:34:30.577
It's about empowering yourself with choices.

00:34:30.876 --> 00:34:35.317
That truly serve you have a great week and as always, thanks for listening to the eat.

00:34:35.317 --> 00:34:35.646
Well, think.

00:34:35.856 --> 00:34:37.266
Well LivWell podcast.