Wits & Weights Podcast

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Interviews Philip Pape Interviews Philip Pape

Why Most Fitness & Nutrition Apps Fail People Over 40 (And What Actually Works) | Ep 401

Tired of fitness and nutrition apps that track but don’t really “coach” you? Discover how to turn your data into decisions, avoid plateaus, and finally make progress without hiring a coach.

Get early access to Fitness Lab before the official launch! Join my email list at witsandweights.com/email (if you’re already on just reply and ask for the “secret link”)

Get Cozy Earth bamboo-derived sheets (use code WITSANDWEIGHTS for 20% off) that regulate temperature for better sleep and recovery

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Even if your tracker or workout/nutrition app logs everything, it still can’t tell you WHAT to do when progress stalls.

We dig into the hidden gap sabotaging results... the missing interpretation layer... and show how to turn raw data into smart, timely decisions that finally help you get unstuck.

If you’ve hit a wall with MyFitnessPal, MacroFactor, or your favorite lifting app, this conversation explains why the numbers look fine while your body says otherwise.

You’ll hear how midlife physiology changes the rules over 40, why plateaus are often upstream issues like sleep debt or weekend habits, and how qualitative signals like training effort, hunger, and mood complete the picture missed by most algorithms.

Learn how a coaching-style layer can synthesize your logs, photos, and health data into clear actions: training load, rest and recovery, protein and carbs, or a weekend plan that prevents backslides. 

The goal isn’t more tracking. It’s better decisions from the tracking you already do, so you can build muscle, lose fat, and sustain results with less guesswork and more confidence.

Timestamps

0:00 - Why tracking alone isn't enough for building muscle over 40
2:18 - The missing interpretation gap that keeps you stuck
5:30 - What fitness apps actually do well (and their limitations)
9:10 - When tracking algorithms miss the root cause of your plateau
14:06 - Why recovery capacity matters more in your 40s and 50s
18:56 - How identity and behavior change drive sustainable results
22:56 - Sleep and recovery optimization for strength training
25:06 - Making personalized coaching accessible and affordable
28:56 - How adaptive training decisions improve muscle-building progress
32:16 - Analyzing meal patterns beyond calories and macros for better body composition


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Interviews Philip Pape Interviews Philip Pape

15 Reflections from 400 Episodes of Evidence-Based Fitness | Ep 400

Hear 15 reflections from 400 episodes and 4 years of the Wits & Weights journey, from listeners who transformed their physiques through evidence-based training, to world-class strength coaches and researchers who've shaped the field, to fellow podcasters who understand what consistency really means.

Join the FREE Wits & Weights community and connect with other listeners, get free resources, ask questions, and be part of the next 400 episodes: https://witsandweights.com/email

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400 episodes and 4 years of challenging the fitness industry's myths and proving that building muscle and losing fat doesn't require complicated protocols or expensive interventions!

Today you'll hear 15 reflections from the Wits & Weights journey, from listeners who transformed their physiques through evidence-based training, to world-class strength coaches and researchers who've shaped the field, to fellow podcasters who understand what consistency really means.

Evidence-based fitness and body recomposition work across borders, backgrounds, and goals. Building muscle, losing fat, and getting sustainably strong comes down to consistency, systems thinking, and rejecting the industry's noise in favor of what actually works.

Episode Resources

Timestamps

0:00 - 400 episodes of evidence-based fitness and building muscle
1:43 - Jo S.: Breaking through training plateaus with strength training
3:09 - Julia D.: How muscle tissue improved chronic health conditions
8:41 - Kevin Palmieri: Prioritizing fitness while building a business
12:41 - Pam Sherman: Strength training for women over 50
14:46 - Dr. Eric Helms: Combating misinformation with evidence
16:53 - Jenn Trepeck: Consistency for sustainable fat loss
18:28 - Sam Brake Guia: Podcast growth and marketing
22:55 - Brandon DaCruz: Evidence-based physique coaching
25:42 - Carol Hanshew: From client to nutrition coach
27:43 - Allan Friedman: Food as a tool for strength training over 40
30:48 - Tony Perri: Flexible approach to building muscle
32:26 - Gabilu M.: Morning workout motivation
34:43 - Mike Millner: Consistency in fitness content
36:15 - Alana V.: Weekend diet protocol for fat loss
38:17 - Megan Dahlman: Strength training consistency
40:02 - Building a strong physique through evidence and systems


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Interviews Philip Pape Interviews Philip Pape

Q&A - Women Over 50 Strength Training and Fat Loss (Pam Sherman) | Ep 399

Struggling to build muscle or lose fat after 50, even though you’re lifting weights and eating protein? Think your metabolism or hormones are to blame? You’re not alone. This episode answers questions about body recomp, strength training, and nutrition for women over 50. We cover how to train around joint pain, boost bone density, eat enough protein, and understand what “lifting heavy” really means. You’ll learn how to manage metabolism, recovery, and hormones, and set meaningful goals that go beyond weight loss.

Join the early access list for Fitness Lab, a personalized training and nutrition app that evolves with your progress, recovery, and lifestyle so you can build muscle and lose fat over 40 with adaptive, science-based AI coaching:
https://witsandweights.com/email

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Struggling to build muscle or lose fat after 50, even though you’re lifting weights and eating protein? Think your metabolism or hormones are to blame? You’re not alone.

I team up with fitness coach Pam Sherman to answer your most pressing questions about body recomp, strength training, and nutrition for women over 50. We cover how to train around joint pain, boost bone density, eat enough protein, and understand what “lifting heavy” really means. You’ll learn how to manage metabolism, recovery, and hormones, and set meaningful goals that go beyond weight loss.

This episode of Wits & Weights blends evidence-based training and nutrition to help you feel stronger, leaner, and more confident at any age.

Today, you’ll learn all about:

0:00 – How does strength training improve bone density?
5:54 – What’s a realistic timeline to regain lost muscle after 50?
9:35 – How can I stay consistent when motivation dips?
12:11 – How do I train safely with joint issues or pain?
15:05 – Is yoga or pilates enough for strength training?
17:15 – How much protein should women over 50 eat?
21:15 – How do I calculate a sustainable calorie deficit?
28:21 – Does metabolism really slow down with age?
34:12 – Can loose skin improve with strength training?
35:20 – What’s the best way to recover as we age?
39:50 – How can women set meaningful long-term fitness goals?
46:50 – What’s the most essential home gym equipment?

Episode resources:


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Interviews Philip Pape Interviews Philip Pape

How Much Protein You Really Need to Build Muscle (Not What You Think) | Ep 398

Today we're revisiting the latest evidence on protein. Whether you're eating 250 grams daily or struggling to hit 100, this evidence-based breakdown will help you dial in your nutrition strategy for maximum muscle gains without overthinking macros or wasting money.

Optimize your recovery where it matters most—in bed. Get Cozy Earth's temperature-regulating bamboo sheets that help you sleep deeper and recover faster from training. 100-night trial, 10-year warranty. Get 20% off with code WITSANDWEIGHTS... because you can't build muscle without quality sleep:
https://witsandweights.com/cozyearth

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How much protein do you need to build and maintain muscle?

Do you need to hit the "leucine threshold" for muscle protein synthesis?

Is there an "anabolic window" after strength training?

Does per-meal distribution, timing, and amount matter?

Today we're revisiting the latest evidence on PROTEIN! Whether you're eating 250 grams daily or struggling to hit 100, this evidence-based breakdown will help you dial in your nutrition strategy for maximum muscle gains without overthinking macros or wasting money.

Episode Resources

Timestamps

0:00 - What the research actually shows about protein intake
5:28 - Daily protein targets for muscle building
10:56 - Why more protein doesn't mean more muscle gains
14:40 - Per-meal protein distribution and the leucine threshold
21:06 - The anabolic window myth and when timing actually matters
24:40 - Protein quality - animal vs plant sources for strength training
28:17 - When high protein intake backfires (and steals your gains)
31:42 - Common protein mistakes lifters make (and easy fixes)


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Interviews Philip Pape Interviews Philip Pape

The Most CRITICAL Meta-Skill for Fitness Consistency (Alan Lazaros) | Ep 397

Why do so many people who know how to lift weights, track macros, and prioritize recovery still struggle to stay consistent long term? How do you design a fitness system that actually survives the chaos of real life? And what hidden “meta skills” separate lifelong success from endless restarts? Alan Lazaros, CEO and co-host of Next Level University, joins me to break down the architecture of consistency, how to build muscle, lose fat, and achieve lasting results through evidence-based fitness and self-mastery.

Want to build your fitness meta-skills? ⁠⁠⁠Join Physique University ⁠⁠ and get a FREE custom nutrition plan using code FREEPLAN at:
https://physique.witsandweights.com/

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Why do so many people who know how to lift weights, track macros, and prioritize recovery still struggle to stay consistent long term? How do you design a fitness system that actually survives the chaos of real life? And what hidden “meta skills” separate lifelong success from endless restarts?

Alan Lazaros, CEO and co-host of Next Level University, joins me to break down the architecture of consistency, how to build muscle, lose fat, and achieve lasting results through evidence-based fitness and self-mastery. We explore the difference between skills and meta-skills, why consistency is a mental framework, and how engineering principles apply to sustainable strength training, body recomp, and weight loss.

If you’ve ever felt stuck between knowing and doing, this conversation will rewire how you think about fitness forever. Tune in to Wits and Weights with Philip Pape, your go-to fitness coach for evidence-based nutrition and training.

Today, you’ll learn all about:

0:00 – Intro
2:40 – The concept of meta skills
5:50 – Flow and the challenge-skill sweet spot
9:10 – The compound effect and daily progress
12:00 – Redefining consistency as a meta skill
19:00 – Minimum viable habits for long-term success
26:00 – Alan’s seven pillars of fitness
37:00 – Why engineers struggle with fitness
47:00 – Focus as the ultimate meta skill

Episode resources:


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Interviews Philip Pape Interviews Philip Pape

The Hypertrophy Hierarchy (Which Training Variables Actually Matter) | Ep 396

Tired of lifting hard with no results? We break down the 5 training variables that drive 80% of muscle growth and the hidden foundation that multiplies them. Steal the playbook, fix your bottleneck, and grow. Which variable is your weak link?

Get your free Strength Training for Hormone Health guide at witsandweights.com/free to learn how to structure your training to support healthy hormone levels as you age, applying the principles from this episode.

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Every week there's new advice about training. Train to failure. Don't train to failure. Do more volume. No, you're overtraining. Meanwhile, you're stuck making zero progress because nobody's telling you what actually matters.

Today, Philip ranks the 5 training variables that drive 80% of muscle growth, plus one hidden foundation that amplifies them all. Using the concept of Leverage Points from systems thinking, you'll discover which variables create disproportionate results and which ones are just noise distracting you from real progress.

This is an evidence-based blueprint to stop spinning your wheels and start building the physique you want.

Episode Resources

Timestamps

0:00 - Why you're stuck and overwhelmed by conflicting training advice
3:18 - Variable #1: Training volume (the primary driver of muscle growth)
8:02 - Variable #2: Training effort and proximity to failure
12:54 - Variable #3: Progressive overload (the adaptation mechanism)
20:37 - Variable #4: Exercise selection and mechanical efficiency
25:14 - Variable #5: Frequency (how to distribute weekly volume)
30:05 - Bonus variable


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Interviews Philip Pape Interviews Philip Pape

5 Body Recomp Mistakes (Why You're Not Losing Fat or Building Muscle) | Ep 395

Still training hard with nothing to show? Your body isn’t stubborn—your signals are. Learn the 5 biggest recomposition mistakes and the exact fixes for food, training, and recovery. Listen now and tell us which mistake you’ll fix first.

Get Cozy Earth temperature-cooling sheets at witsandweights.com/cozyearth and use code WITSANDWEIGHTS for 20% off

Join the 6-Week Strong Finish Challenge starting November 18th at witsandweights.com/physique and use code FREEPLAN for a custom nutrition plan. Learn to maintain your strength and body composition through the holidays using flexible systems (optimal, minimum, and bailout strategies) instead of rigid plans that collapse under pressure.

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Your body isn't listening. You train consistently, watch your protein, do everything the evidence says, but body recomposition isn't happening.

The problem isn't your effort. It's the signal between your actions and your physiology.

Discover the 5 biggest body recomp mistakes keeping intelligent, hard-working lifters stuck at the same body fat and muscle mass for months.

You'll get specific fixes to align your training, nutrition, and recovery so your body can actually build muscle and lose fat simultaneously... even if you're over 40.

Episode Resources

Timestamps

0:00 - Why your body ignores your effort despite consistent training
2:49 - Mistake #1: Eating like you're dieting instead of building muscle
8:17 - Mistake #2: Training to burn calories instead of build muscle
13:42 - Mistake #3: Ignoring recovery and sleep
23:20 - Mistake #4: Tracking the wrong metrics
28:25 - Mistake #5: Expecting rapid results


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Interviews Philip Pape Interviews Philip Pape

The RAW TRUTH About Fitness, AI, and Influencers (Adam Schafer of Mind Pump) | Ep 394

Drowning in fitness tips but stuck on results? Adam Schaefer of Mind Pump reveals how to filter AI noise, pick timeless lifts, and build a plan you’ll actually follow. Hear the framework and steal the wins. What’s your biggest training confusion right now?

Love what you’re hearing from Adam? Take the guesswork out of training with the MAPS workout programs from Mind Pump.

Ever feel like the more fitness podcasts you listen to, the less you know about how to build muscle, lose fat, and actually see progress? Are AI tools and influencers helping your nutrition and fitness goals, or just creating more noise? If you want real results with body recomp and strength training, this episode cuts through the confusion.

I sit down with Adam Schafer, co-founder of Mind Pump, one of the best fitness podcasts out there, to uncover what truly matters in building muscle and mastering your metabolism. We break down how to stay consistent, filter evidence-based training from fitness fads, and focus on the habits that last. Adam shares how to simplify lifting weights, fuel your body with the right macros, and make progress that sticks.

If you’re ready to think clearly, train smarter, and make fitness fit your life, join me, Philip Pape, on Wits and Weights.

Today, you’ll learn all about:

0:00 – Intro
2:25 – Setting the stage for scientific thinking
10:50 – Why critical thinking beats blind belief
15:07 – The meaning of epistemology
25:01 – How empiricism changed modern science
34:52 – What black swans teach us about truth
48:27 – Cynicism vs. healthy skepticism
59:50 – Making sense of the hierarchy of evidence
1:12:56 – Turning data into practical results
1:28:50 – Where to find credible fitness research

Episode resources:


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Interviews Philip Pape Interviews Philip Pape

Why Now Is the PERFECT Time to Build Strength and Muscle | Ep 393

Think you missed your window to build muscle? You didn’t. The muscle-building window never closes, it just changes inputs. In this episode, I break down why midlife may actually be your best time to get strong, the science behind muscle responsiveness at any age, and the simple steps to start compounding your strength for decades to come.

Get your free Muscle-Building Nutrition Blueprint to optimize your protein intake, calories, and meal timing for maximum muscle growth at any age:
https://witsandweights.com/muscle

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Can you still build that much muscle in your 40s and beyond?

Discover why strength training over 40 might actually be your BEST opportunity to build serious muscle and strength.

Learn the evidence-based science showing that muscle tissue remains highly responsive to training well into old age, why midlife gives you strategic advantages younger lifters don't have, and the engineering framework that explains how building capacity now expands your margin of safety for decades to come.

Let's discuss muscle building, metabolism, aging, and what's actually possible when you apply the right nutrition and fitness strategies at any stage of life.

Timestamps:

0:00 - Why building muscle over 40 is still possible
3:50 - The science of muscle growth and aging
6:50 - Why muscle loss isn't inevitable
9:20 - How older adults respond to resistance training
12:15 - Adjusting protein and recovery with age
16:16 - Why midlife gives you a strength training advantage
22:30 - Building your long-term muscle reserve
27:18 - The nutrition and training inputs for muscle growth
31:16 - Tracking strength gains and body composition
36:24 - Your simple strength training plan to start today
43:25 - Consistency and asking for help
47:05 - The cost of delaying your muscle building goals 

Why It’s Never Too Late to Build Strength and Muscle

You’ve probably heard that building muscle gets harder as you age and that you should have started “back when you were younger.” But that idea leaves out one huge truth: muscle doesn’t expire. It deconditions. And deconditioning can be reversed at any age.

Whether you’re 40, 50, or 65, your muscles still respond to training the same way they always have. The results might take a little more recovery time or protein, but the payoff is just as big—and arguably more meaningful now than ever.

The truth about muscle loss

Studies show a typical 3 to 8 percent loss of muscle per decade after age 30, accelerating after 60. But that number mostly applies to people who aren’t strength training. When older adults begin progressive resistance training, the results can be dramatic—muscle size and strength increase even into the 80s and 90s.

This tells us the “decline” is driven by three things:

  1. Disuse (not training)

  2. Deficiency (not eating enough protein or nutrients)

  3. Deconditioning (lack of stimulus over time)

The fix is the same for everyone: mechanical tension, progression, recovery, and consistency.

Why midlife might actually be your advantage

If you’re in your 40s, 50s, or 60s, you might be better equipped to build lasting muscle than when you were younger. Here’s why.

You have experience and focus. You’ve tested what doesn’t work and built the discipline to apply systems that do. You track progress, make adjustments, and think long-term instead of chasing fads.

You have more resources. Maybe that means access to a better gym, coaching, recovery tools, or simply more control over your schedule and environment.

You have deeper motivation. It’s not about chasing aesthetics (though that’s a great bonus). You’re training for independence, vitality, and longevity. You want to stay strong enough to travel, lift your grandkids, or hike pain-free well into your later years. That’s a different kind of fuel—and it lasts.

The compounding effect of starting now

Think of your muscle as structural capacity and your strength as performance output. Every pound of muscle you add increases your body’s “margin of safety” for the decades ahead. The strength you build today is your protection against decline, frailty, and dependence later.

You can’t go back in time to start earlier, but you can decide not to lose another year to inaction. Waiting means compounding loss. Starting now means compounding progress.

What to do right now

You don’t need perfection to begin. You just need consistent inputs that work.

  1. Train progressively.
    Lift two to four times per week using compound movements. Push close to failure, track your weights, and add small increments over time.

  2. Eat for growth.
    Aim for 0.7 to 1 gram of protein per pound of body weight daily. Ensure you’re eating enough calories to support muscle recovery and growth.

  3. Prioritize recovery.
    Sleep seven to nine hours, manage stress, and take rest days seriously. Older lifters often need more recovery, not less.

  4. Stay consistent.
    Progress beats perfection. Missing a day isn’t failure, but long gaps are. Create minimum habits you can sustain through busy weeks.

  5. Measure and adjust.
    Track strength progress, body composition, and energy levels. Use that data to make informed tweaks to your training or nutrition.

  6. Get help if needed.
    A good coach can save years of trial and error and keep you accountable when motivation dips.

The real opportunity cost

Every year you delay building strength isn’t neutral—it’s a year of gradual loss. But every year you train adds to your strength reserve for the future. The earlier you start, the longer that reserve compounds.

Whether you’re 45 or 75, your muscles are ready to respond right now. You just have to give them a reason to.

Keep using your wits, lift those weights, and remember: the best time to build muscle is always right now.


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Transcript

Philip Pape: 0:00

You've probably heard that you should build muscle while you're young because you'll lose it when you're older. And sure there is science behind that, but what nobody's talking about is the flip side of this advice, which is the dangerous myth that once you hit your 40s or 50s, you've already missed your chance. Today I'm showing you three things. First, why the muscle building window never actually closes. Second, why midlife might actually be your best opportunity to build serious strength. And third, the engineering framework that explains why starting now gives you a compounding advantage for the next several decades. If you've ever felt like you're behind or you should have started earlier, this episode will change how you think about muscle, aging, and what's actually possible when you apply the right inputs at any age. I'm your host, Philip Pape, and today we're going to tackle a topic that comes up constantly with my listeners, our clients, especially those in their 40s, 50s, and beyond. I was recently listening to Peter Atia talk about building what he calls a strength reserve early in life. And while I completely agree with this concept, I noticed something missing from the conversation. That is the practical message of hope for anyone who didn't start lifting in their 20s. This episode is about reframing that narrative, that story around muscle building and age, especially for strength training over 40. Not to dismiss the science, which is real, but to show you why the moment you're in right now, whatever your age, is the perfect time to start building strength and muscle. It's a little bit of an inspirational episode, but it's also one of the most important things to wrap our head around and say, hey, I am where I am today. What should I do going forward to give me the best chance and an amazing rest of my life for decades to come? So let's get into it. And I actually want to start with part of a testimonial I received from someone in Physique University. And I'm not going to read her whole testimonials. It's actually quite long. I'm going to focus on what's relevant to today's episode. She said, I asked him if this program was appropriate for a 65-year-old mostly beginner. I've been lifting for a while, just trying to figure out, figure things out on my own, but I really wanted to be doing things right. I feel like I'm doing things right now because I haven't felt this good in a long time, maybe ever. I have a workout program with instructional videos, nutrition app, a community of like-minded people whom I can reach out to anytime I need. I love how Philip and his program gives me a lot of leeway in the things I want to eat and my fitness workouts. Not that I'm a control freak, but this program enables me to feel in control. I don't have to rearrange my entire diet and eat things I don't like. I'm getting results with strength training without killing myself. As a matter of fact, one morning I skip my workout to get an extra hour's sleep, guilt-free, because that's what I needed. And Philip suggests we get our sleep dialed in, is one of the first things we do. The program takes care of my whole person. I'm feeling really good and I'm getting stronger. I feel empowered emotionally and physically because I get to make my own decisions with guidance from Philip. I like his engineering mindset and the fact that he backs up his exercise science with facts. And she goes on from there. But really, the point is she's 65 doing this for the first time. And listen to the kinds of things that are possible again at any age. And I think that is so, so powerful. I love to see when someone who's never done this before, finds the show, finds our program, whatever, reaches out, sends me an email, and says, like, I feel at my wit's end. I'm whatever age, I feel like I can't do it anymore. Perimenopausal hormones, you know, these issues, that issues. It's possible. Okay. And that's what we're going to talk about. So jumping into the topic, let's start with what the research shows because understanding the mechanism helps us engineer the solution. I've talked about it a lot on the show, but I'm kind of bringing it all together today and talking about muscle mass and the decline of muscle mass with age, but that's not something to fear. In fact, it's something that really gives us power. It's something that's at the crux of what many people out there discussing obesity and weight loss and health are missing. So, what does the data say? Let's start with the quote unquote bad news, and then we'll jump from there. The data shows a roughly 3% to 8% loss per decade after age 30, and that accelerates after 60. We also think that's why your metabolic decline accelerates around that age, because of the muscle mass. Because in reality, people's metabolisms tend to stay stable from the age of 20 to 60. I know it sounds insane. There, I did a whole episode on this. I'm not going to go into that piece of it, but from the muscle mass piece, it really starts to decline 30s through 60s and then accelerates after 60. This goes back to studies back to the late 80s by researchers like Lexel and others who measured muscle fiber counts. They mess measure cross-sectional area in looking at aging populations. However, the critical part that gets left out from a lot of these conversations, right? They're like, okay, muscle mass declines. That sucks. The decline is not primarily driven by aging itself. It is driven by what I'm gonna frame as three D's for this episode to make them easy to remember. Three D's, D as in dog. Disuse, deficiency, and deconditioning. Okay, disuse, deficiency, and deconditioning. Most people in these studies, first of all, weren't strength training. I mean, that's just the average general population is not strength training. And they weren't eating enough protein and they weren't providing their muscles with the mechanical tension needed to maintain, let alone build muscle, because they weren't training. And when you actually look at studies where older adults, okay, we're talking 60 to 80 years old, engage in progressive resistance training, the results look like magic and they are remarkable. And I wish we had even more studies like this. There was a landmark study published in the New England Journal of Medicine by Fiat Fiat, I don't know how to pronounce his name, but F-I-A-T-A-R-O-N and colleagues in 1990 that showed that frail nursing home residents in their 80s and 90s had 10 to 20% increases in muscle size and even bigger improvements in strength after 12 to 16 weeks of training. That's it. That's it. That is incredible in their 80s and 90s. And of course, not surprisingly, they saw better metabolism and functional capacity. Functional being a more important word than the word itself. In other words, that's living your life and daily living. Very important when you get into your 80s and 90s. Their muscles didn't know they were old, right? Muscles muscle, no matter how old you are. They respond to stimulus the same way that younger muscles do. They might have different kinetics behind them, different support structures like your bones and connective tissue, but they're still muscle tissue. And the mechanism is very straightforward. When you apply that mechanical tension to muscle tissue, this is understood probably to be the most important driving factor in muscle growth. When you do resistance training, you trigger a cascade of responses at the cellular level. Very important. Satellite cells activate, protein synthesis ramps up, your muscles adapt. We don't have to get into the biology of it. I half understand it myself. I will be honest. I'm still learning this stuff. But I understand that it works and you get stronger, your muscles get bigger, and it doesn't stop when you're 40 or 50 or 60 or 70 or 80 or 90. And unless you're out there listening to this and you're 120, 130, you've already cracked the code, most likely, anyway. What does change with age, though, is how efficient this response is. And this is one of these things we just have to understand and live with. It's okay. Older adults might need a little more protein to overcome a little bit more anabolic resistance, which is kind of that blunted response to protein. They may need more recovery between sessions. The neuromuscular adaptations, like the motor unit recruitment that occurs, might take a little longer to develop. Now, is this because you're older and your body is so trained in one way and your brain is less pliable and plastic and all those? Maybe. Again, I'm not a biologist, but it all makes a little bit of sense, doesn't it? The good thing is, none of this means the window is closed. It just means the inputs have to be adjusted for you, which you would want to do anyway at any age, male, female, you know, different situations, different lifestyles. And so we're going to talk about that throughout today's episode. The takeaway from this first part is really simple, though. Muscle doesn't expire. It does, however, decondition. Okay. And deconditioning can be reversed by conditioning with the same physics that you use to build it in the first place, which again, mechanical tension, progressive overload, adequate nutrition recovery, the basics. Those are the principles. So that's kind of the underlying what's going on, right? And again, I meant remember the three D's disuse, you haven't used it, deficiency, okay, because you haven't used it, you don't have the function, and deconditioning, you haven't trained your muscles. So of course they are doing what they do best, and that is wither away because you don't need them. And we are gonna turn this around. We are gonna flip this entire conversation around and look at why starting now, whether you're in your 40s, your 50s, your 60s, I really don't care, might give you advantages that younger lifters don't have. Ooh, pretty cool, right? I've thought about this a bit. I've thought there's certain things that I have an advantage over younger lifters because I started later. Certain things I don't, but let's focus on the positives. Okay. First, you've got a lot of data and you have some level of discipline. Now, I don't want to over-emphasize discipline for its own sake. I'm not asking people to quote unquote be disciplined. What I'm talking about is that at this stage of life, you've tried lots of things. You're listening to this podcast, you're collecting lots of data, you've learned a lot about your body, your life, you've gone through the school of hard knocks, you've created and developed wisdom. Let's be honest, you have wisdom. Now, there's a lot of stupid people who are 45 that I've met, and yet they still have more wisdom than they did when they were 25. So laugh at that or think about that what you will. Okay. And granted, some people don't have the mindset to develop wisdom, and that's a whole different conversation. But you're listening to this podcast, so I'm gonna say that you've self-filtered into the group that I'm talking to. So you're you're probably not winging it in the gym on YouTube videos. I hope you're not by this point. But if you are, great. That's something we're gonna start from and say there's a more structured approach, a system-based approach. But you kind of understand that it usually takes a little bit of effort, a little bit of a system in place, some form of tracking or measuring, right? You know this from your money over the years. Think about the jobs you've had, the businesses you've had, making money, spending money, losing money, investing money in risky ventures that didn't pay off, whatever it is in your past has probably taught you things that there's some level of awareness, knowledge, discipline, consistent application of some sort of principle that gets you a result. And so think about the areas where you have been successful over the years and you have the years behind you to give you some of that wisdom. Again, to use that word, right? There's lots of things I did I wish I didn't do when I was young, but then I reframe it and say, you know what, I'm glad I did, because it taught me early on what I should and shouldn't do. Okay. This is like the engineering mindset that I talk about on this show, where younger lifters are chasing novelty. And to be frank, some older lifters as well, but they know there's something different that they need to do. And so I see people program hopping, getting distracted by trends. I think you being in your 40s, 50s, 60s, dear listener, you and me, we're we're we've got a little more wisdom. We can take a structured approach. We can track the inputs and outputs, we can make adjustments based on feedback rather than emotion because we know all that other stuff hasn't worked. We know it hasn't worked. So we have that behind us. All right. So I just kind of give you props for that. Give yourself props for being just the fact that you're older means you're wiser in some ways. The second thing I I think here is you've got hopefully more resources than you when you were younger. And there are a lot of different types of resources. One may be money. Not everybody, I understand, but one may be, you know, that you've earned some more income, you've saved some more money, you're probably making more than you did when you were younger. At least you should be, right? And maybe you can afford some more of the tools or coaching or equipment or gym memberships or whatever food, you know, that you need to make it happen. I think that's an advantage of being older, is that you've got, you know, I think of all the things I had college debt, I had lots of, you know, I had credit cards when I was younger, things that I've had to kind of scrape out of. But you also have access to tools and people, a lot more people than probably when you were younger. You can invest in different recovery strategies. You probably have your own place to live where you're, you know, in charge of your bed and your sleep hygiene and your supplements and stress management, your schedule. All of those things, it just what comes to mind for me is just as we get older and we get more responsibilities, the flip side to responsibilities is you generally have resources as well. Okay, maybe that's not everyone, but it's it's a thing that comes to mind to me versus like a 20-year-old. And then the third thing, and I think this is huge, is your motivation is different at this age. Okay, you're not lifting just to look good at the beach, although that could be a great side effect. I always say that. Like the vanity piece, the visual, the physique is a pleasant side effect. But what you're really doing is you're lifting for longevity, for function, for independence. You're lifting so you can pick up your grandkids, so you can hike without pain, so you can live the second half of your life with strength, with vitality instead of decline and dependence and decrepitude. And this kind of motivation is far deeper and more sustainable than vanity. Again, not to knock vanity, but we need the deeper motivations as well that are tied to meaning, values, quality for your future. And if you have children like I do, it enhances it even more. Not to say, not having children, you can't have deep meaning. Absolutely, you can't. Everybody can have meaning in their life, no matter what, no matter your religion, you know, your family situation, whatever. But do you have those things in your life that you're anchored to that makes you far less likely to quit when things get hard? And I would ask you to seek that out if you're not sure what it is. You've got to reflect on that and identify what that is for you, right? For me, that is absolutely my family, my wife, my kids. But it's also their kids when I get older and if I have grandchildren, I don't want to do to depend on them. I want to be the one there helping them stack wood, you know, move into their new house, right? Run around and play sports when I'm 70. Absolutely. And you know what? I see 70 and 80-year-olds who have done this the right way and focus on getting strong, do that. Absolutely. Even if they were already on the path toward frailty. And that's my point of this episode. It's never too late to start. That is why strength training over 40 is not just effective, but can be more strategic. And one little side tangent of this, which actually wasn't in my notes, but I was thinking is you haven't beat yourself up from 20 years of strength training already, whether it was done correctly or not. So that's another advantage of starting late. You're a little bit fresher in some ways. In other ways, not so pliable. I get it. But again, we're focused on the positive. And then the fourth, I guess, advantage of doing this over 40 is, and I think nobody talks about this, is that you can not only build but preserve tons and tons of muscle as if you were young. I mean, I'm gonna be honest, your amount of muscle you can build is still not that far off from what you could have when you started young. It's a little bit less, but not much. And guess what? Most people take a long time to get to their genetic potential anyway. And so I wouldn't even worry about that. I wouldn't even worry about, oh, I only have so much muscle to build. If your problem is that you're running out of new muscle to add, you've already won, you've already won the game. I'm you've already won the game. In that case, you're just you're you're trying to optimize and you're trying to go after that next level, right? And by doing this now, I don't care if you're 55, 65, like the person whose testimonial I read. I don't want to say her name because I didn't get permission to say her name, but yet. But just like her at 65, she is front loading her reserves for the next few decades. I mean, at 65, and if you live to 95, that's 30 more years of health span, wealth span, whatever word you want to use. And you think of it like this if you build your strength and muscle now, okay, over the next couple of years, you build that. We're not, we're not always dieting, right? We want to build muscle. It doesn't have to be in a big surplus, it could be at maintenance. That's a whole separate topic. How do you build? How do you lose? That's other episodes. But if you do that now and then you maintain it, and by the way, it's a lot easier to maintain than build. So, in other words, once you've built some muscle in the first few years, you have a lot more flexibility on how much volume you need in the gym to hold on to it. And then you're holding on to like 90% or more of that new tissue that everyone else is losing their muscle mass. You've built muscle mass and you're holding on to that muscle mass in your 70s and 80s, because you can definitely just keep training. Compare that to someone who never built that reserve in the first place. Even a small amount of that age-related decline is what is going to lead to them being frail and dependent. They're gonna be, they're gonna fall, they're gonna break their hip, they're gonna have joint issues, they're gonna have dislocations. Okay, they're not gonna be able to get off the toilet one day. I know it's it's a terrible, grim view of the future, but it's kind of like in Christmas story where the ghost of Christmas past says you have a choice and this is gonna lead to one future or the other. That's your choice right now. Okay, you're not trying to turn back the clock, you're changing the future clock. And if you want to think of it as getting younger every year, I'm cool with that because I do that myself. I'm turning 45, joking with my wife. I'm like, since the time I was 40, every year, I've actually gotten a year younger. Now, I'm not turning back the clock. I'm still that many years old on this earth. But from the age of 40 to 45, I feel like I've gone from 40 to 35 in age and how I feel and how I function. And and I was joking with my daughters. I said, so I'm gonna do that another five years. When I'm 50, I'll be like I'm 30. Now, at some point, I don't think I can really be like a 20-year-old ever again because of the hormone situation. Although, you know, there is TRT. But I said, you know, at least if I I'm I'm 30, I'm like a 30-year-old when I'm 50. That's 20 years of biological advantage over my peers. And then I just maintain that. And now when I'm 60, 70, 80, 90, I'm far younger in spirit and physique and fit and physical capability than my peers, right? And that's where we want to be. So if you're realizing now it's your time to start building serious muscle and strength, but you're like, look, I listened to your podcast or I'm gonna binge the show, whatever, and it's a lot of information. It's very confusing. I don't want to figure it out on my own, or it's gonna take me a long time to do that, which is super common. And don't beat yourself up for it because that's exactly where I was until I started following people and working with coaches and asking for help. If you're in that situation now, I want to invite you to join Wits and Weights Physique University. This is my semi-private group coaching program. Okay, I'm just laying it out there, being transparent. You get evidence-based nutrition and training, strategies, courses, help, accountability, live calls, all that fun stuff. It's not really about the stuff, so much as the clarity to know what to do for you and quickly be able to get an answer from experts. So that would be myself as well as Coach Carol. She's an expert, especially for women and hormones and thyroid issues, uh, especially. She's also a personal trainer. And you get immediate help from one of us. You also get direct nutrition support. There's training templates and programs designed for every level, every level of equipment, days per week. There's live coaching calls. One of the most value-added things we've been doing is monthly workshops that go really, really deep on things like body recomp and recovery dieting. And the one coming up in November before we get to the holidays is how to finish strong with a year, how to have a bailout strategy rather than trying to do more than is realistic during the end of the year. It's those kinds of things. And of course, the community that binds it all together of like-minded, ambitious people who are all ages. I mean, we have people as young as in their 30s, maybe even late 20s, to be honest, but most people are in their 40s, 50s, beyond, who are focused on doing this, on trying to reclaim their muscle, build it up, become stronger, and just more badass people. Okay. That's excuse my French. That's the the closest to swearing you're going to get on this podcast. And the best part is because you're listening to the podcast, if you use my code FREEPLAN, you'll get a custom nutrition plan as well for free at the beginning. And what that's gonna do is give you an accelerator for what to do, when to do it, how to do it. Right? We don't do meal plans. We don't do anything that's generic. We personalize it for you in a group setting. And you're like, how does that work? Well, come check it out. Go to physique.wits and weights.com. I have a demo in there. You can read all about it. You can ask me questions if you're if you're not sure. Some people will ask 10 questions before they join. I'm cool with that. If you're serious about making this the decade that you build that real lasting strength, because that's what it's about, is strength, guys. It's not about YouTube workouts, it's not about mobility, it's not about you know yoga and mindfulness and all that. All that's great, but it's really about strength and function and fitness that all ties to the rest of it. I want you to go to witsandweights.com slash physique, use my code FREEPLAN to get the free plan, link in the show notes. All right, let's keep building this framework for this episode. Because next, I want to give you a mental model. I think mental models are a great way to understand why starting now is optimal and kind of tie into the the deeper why of why we do this and then how to do it. So I want you to think of your muscle mass as structural capacity, structural, as in your structure of your body. And I want you to think of your strength as the output, kind of like the gas engine, the throughput, the output. Okay. If in any system we design, if you designed a system in life, like a physical product or system, you would design it for future demand, right? You wouldn't just design for the current you current use, you want it to last. Right? When a civil engineer builds a bridge or designs a bridge, they don't build it to handle just the traffic today. They say, okay, we need a safety margin, extra capacity, increased load over time, unexpected stress, wind and hurricanes and all that fun stuff. Your body works the same way. The muscle and strength that you build now is not just for today. It is your margin of safety for the next three, four, five decades. Every pound of muscle you add, every unit of strength you gain, expressed by, you know, weight on the bar, weight on the machines, weight on the dumbbells, expands that margin. And even if you start later in life, the act of building capacity is still going to pay an equivalent dividend across your remaining lifespan. And therefore, by starting today, you're retrofitting your system with far better materials and greater load-bearing capacity. You're increasing your whole capability of your body. Someone who started at 25, they have a longer runway, sure. But you can still build substantial capacity in a short period of time and then maintain it because that's the key. It doesn't actually take a long time to build it up. And as I mentioned before, maintenance requires a lot less work and stimulus than growing. So we want to focus on that growth. Once you build the muscle, holding on to it becomes easier. And that's why I always tell you, dear listener and our clients, that building, if you if you're not sure if you should build muscle or lose fat, I err on the side of building muscle. Now, you're gonna build muscle regardless if you've never done it before, whether you're losing fat or not, because you've never done it before. Your body's gonna respond really well. So don't get hung up on that. Okay, don't get hung up on Phillip saying you need to gain weight. I'm not saying that. I'm just saying you need to build muscle. All right. Not five years ago because you don't have a time machine. Okay, that's not the best time. You can't go back in time. But think of the opposite. Every year you delay is another year it gets harder. Your margin of safety decreases, and your health span decreases. Okay. Again, not to fear monger what's happened in the past. If you're 70 today listening to this, this is not a negative story. This is a positive story. You're listening to this and hearing this message now. Amazing. Now do something about it. Now, what do you do about it? Let's talk about the inputs and outputs because this is where we get practical. All right. On the input side, you have, I'll say, four primary variables for today. And I say for today because I always go on podcasts and I talk about the pillars of health. And sometimes it's four, five, six. I kind of move them around. But today we're gonna talk about four. The first one is training. You have to progressively resistance train, ideally three or four times a week, but for some of you, two is gonna be amazing, better, way far better, infinitely better than zero, that's for sure. And you have to have enough volume and intensity to create the adaptation where you build that muscle. And that means primarily using compound movements. So these are exercises that involve major natural movement patterns, squats, deadlifts, pressing, and so on. You have to progress, meaning you're not jumping around doing YouTube workouts. You're doing whatever you did on Monday, you're doing it the next Monday, and you're going up in weight or going up in reps, right? That's just simple examples. You're progressing. And the real first principle here is you're training close enough to failure that your muscles, muscles have to respond and get bigger. Okay. Lifting weights with progression in that way, that is what signals your body to build and maintain muscle tissue. So if you've been doing this for 20 years and going to the gym, you're like, Philip, I love all what you're saying, but I just don't can't seem to build muscle. Well, you're not doing a progressive program. I guarantee it. If I looked at what you were doing, that is not what you're doing. If you still have the same 15-pound dumbbells, and that's the heaviest dumbbells you have in your home gym, that's the problem, right? That's the problem. Now, if you're 80 years old, you've never worked out before, 15-pound dumbbells might be super heavy. So it's all relative. So that's the first variable is training. The second variable is nutrition. And this is why it's four today, because I'm kind of lumping them into big categories. Nutrition. Adequate protein is the underwriting factor here, overriding factor here. And we're just gonna hammer it home the message again. 0.7 to 1 gram per pound of body weight a day. That's it. Optimal muscle protein synthesis is closer to that higher end, but at least 0.7 grams per pound, you're golden. Okay, older people tend to need more than than younger, but that range covers pretty much anybody, and it's good enough. It's plenty good enough. Don't sweat it. All right. At the same time, you need enough energy. So energy is calories. And for some of you, that might be a slight surplus or even a you know, more aggressive surplus to really focus on growth. If you're trying to recomp, I would keep it more toward a very slight surplus. If you're overweight, if you have extra weight to lose, you're gonna have a slight deficit. But the point is you have to have enough energy where your body feels like it has the resources to build the muscle in response to your training. A fat loss phase, specifically lose body fat, is a trade-off to that. And I'm not discussing that today. But if you have extra body fat to lose, there is a place for fat loss phases for sure. They're not very long, they're moderate too aggressive. You get them over and done with, you get out, and you go back to building muscle. Third, the third input here is recovery. Sleep is non-negotiable. I can't tell you enough how sleep is probably the biggest other than alcohol for some of you. Sleep is the thing that many of you should focus on first. Now, I don't mean first to the exclusion of training. You've got to train as well. But if you had to pick all the other things that could be having the biggest impact on your metabolism and your muscle building, it's probably sleep, quantity of sleep, quality of sleep, you know, managing your fatigue and recovery between your sessions, using the right workout program depending on the phase you're in, all of that fun stuff. You know, even managing your stress, like can be connected to this. All of that supports your ability to adapt. And I'm not, I'm not, I'm not gonna talk about movement today and neat and all of that. I do think it's very, very important that you're walking and getting up. I'm not gonna put that as one of the one of the primary variables for muscle building, but I probably should. Now that I think about it, I probably should. But we're gonna go to the fourth variable, and that is consistency. I wanted to I wouldn't include a process-related input here because this is the multiplier. It's also the thing that you succeed or fail by because you can have perfect programming, perfect nutrition, but if it's sporadic, you're not gonna build anything. If you have adequate nutrition and adequate training and do it consistently, oh, that is gonna compound into such an amazing transformation. Now, it may take longer than if you did it more optimally, but so what? It's gonna happen. It's gonna happen. All right. I briefly mentioned earlier we're gonna be doing a challenge in physique university in November before the holidays. It's to close out the year. I'm mentioning it because part of that strategy is having a bailout option. What I what I mean by that is we all want to be optimal. We all want to train five days a week, you know, eat our protein every day, sleep nine hours, all those things. We want to, we want to do those, but in reality, we don't do those. And rather than saying, well, okay, I'm not doing them, so I'm a failure, we have minimums that we try to hit. And I've talked about that many times, having a minimum. But I'm gonna take it one further and say, why don't you have a bailout strategy as well? Even if you can't do the minimum, do you have a bailout strategy that still gives you a win? That's my point when I talk about consistency is doing something every day, a non zero in all the things you care about. On most days, if you're optimal or even minimum, you're gonna be good. Even if some days are bailouts, as long as you don't have any zeros. Now, are you never, ever, ever, ever, ever gonna have a zero? No. But this sets up your mindset and the way you approach your process to give you tons and tons of flexibility. I could be optimal, I could be minimum, or I can go with the bailout strategy. Anyway, that's something we're gonna teach in the workshop. Let's get back to this, talking about consistency. I think it's super important as probably the number one principle. And remember, consistency and intensity often battle each other. So if you're trying to go all out and be too intense, you know, David Goggin's style and everything, that's a sure recipe for failure. If you're all or nothing, sure recipe for failure. Let's pick one thing, training. Let's pick two things, training and sleep, whatever makes sense for you, and build up over time. Okay, that's the inputs. On the output side, well, now you have to see how all those inputs are translating to what you're doing. And that's where you track metrics that give you feedback. You're like, oh, data, numbers, you know what? All life, all existence can be reduced to math. I don't whether you like to hear that or not, it's true. Math is a universal language. And that's because math is simply, is simply an abstract representation of reality. That's all it is. And by reality, I mean the empirical, observable things that happen, the cause and effect that happens. Okay, and if you can figure out the cause and effect, ooh, you've got it made because that gives you control and confidence. That's what we are all about. So, for example, weighing yourself on the scale every day is a perfectly normal thing to do. It is not obsessive and it's associated with high positive outcomes in not only weight and fat loss, but main maintaining that. There's so many myths in the fitness industry about tracking, being somehow obsessive or calling causing OCD type behaviors. It's not true. If you are if you are prone to those to begin with, certain things may trigger that, but it's not because you're tracking itself, it's because you've got other issues to resolve. So take scale weight, for example. You weigh yourself every day and then you average it out or you smooth it out over time to see if your body mass is moving in the right direction. Now that's one example where there could be confusion because you're like, okay, Philip just said I need metrics. I'm weighing myself every day and it's going up and down two, three, four pounds. Can't do anything with that data. You're right. You can't do anything with that data because the daily fluctuations are meaningless. But over time, the amount of energy you have stored in your fat is going to be indicated by the trend in your weight over time. Once you've smoothed it out for that noise with the water weight fluctuations, right? So you kind of have to have a level of understanding of these things. Obviously, that's where a coach can help. You know, we can help. Listening to this show can help. There's things I had to figure out not till I was four years old. So that's trend weight. Strength progression in your lifts, your big lifts, your accessory lifts, really anything you're trying to progress to confirm that you are adapting. And again, you have to know what to measure. What do I measure? Okay, I need to measure the exercises, the sets and reps, the weight. Really, it's just the numbers and track that they are changing over time. Measurements for your physique, your body composition can be helpful to understand where the weight's going, whether you're achieving your goal for losing body fat, visceral fat, et cetera, and health. And then there's all the subjective markers that become more objective over time of your biofeedback, recovery, energy, soreness, right? Hunger, sleep stress, et cetera. And I could go on, I've done entire episodes about this, but this is a closed loop system. Your body's a closed loop system. So when you apply inputs and you measure the outputs, you can reasonably determine what should be adjusted. Okay. And I say reasonably because it's it's a practical thing, it's not a perfect thing. You're not going to get down to the third decimal on stuff. You're just going to know that, okay, the way I'm eating right now is leading me to slowly drift up in weight. Okay, great. So I need to eat a little bit less. Like that's a simple way to close the loop. The precise amount of calories you need, you'll never truly, truly know. And I'm sorry if you're a perfectionist and feel like you have to know, you don't. It's just good enough. It's not mystical. It's not dependent on luck. It's not dependent on genetics either. The genetics establish the baseline. Once you measure yourself, it's it's baked in. The genetics are baked in, but you need to measure yourself for you. Then the genetics are baked in. At that point, it becomes engineering everything. Right? Now I get it, things change over time. As we get old, if you're in your 50s, if you're a woman, you're like, wait a minute, I've got my hormones are all changing. So how can you say that it's just inputs and outputs and it's a closed system? Because at any given point, what's happening is still a result of what's going on in your body. And it may be because of some combination of hormones and nutrient deficiencies and your behavior and your brain genetics, but it's still measurable to a good enough extent that you can do something about it. Now, some of you may need to measure more things than others. Some of you may need blood work, right? We do performance blood work for a reason. Go to witsandweights.com slash blood work, just to give ourselves a plug here on that, because that can be a massive game changer for anybody who has done the things or they're starting to put all this in place and there's still something else that seems a bit mysterious. But anyway, the beautiful thing is this works at any age as long as you provide the right inputs, right? Stimulus, recovery, nutrition, consistency, and measure the outputs. All right, so this episode's going longer than I than I anticipated, but I think it's important. And now we get to the practical stuff. So let's make this concrete. What should you do if you want to start building muscle and strength right now, regardless of your age? First is start with a structured training program. When it comes to lifting weights after 40, it's no different than lifting weights under 40. But the difference is how you respond and understanding that your nutrition and training need to work together. So if you're new to lifting or if you're coming back after a long break and you're detrained, a very simple full-body program, three times per week with the big compound movements can get you 80, 90% of the way there. Absolutely. In fact, it's probably what you should do. All right. Programs like Starting Strength, uh, we have different novice strength programs in Physic University that also uh play on this concept of keeping it simple. It's boring, but basic. You focus on learning the movements, getting in touch with your body, building that base of strength, and establishing consistency. And you'll start to pack on wins after win after win after win as you see how strong you can get pretty quickly. Even if you're 80 years old starting this, I guarantee it. Doesn't mean you have to use a barbell. It might be a dowel, it might be body weight, it might be dumbbells. It depends on where you are. Now, if you're more advanced, if you're intermediate or advanced, well, then we have to look at having enough volume to continue growing. Okay, that could be splitting into four days a week, even five days a week, using things like upper lower body splits, body part splits, push-pull legs. There's so many varieties. It you almost can't go wrong if you're just sticking to the principle of progression. I've known people who almost do random gym workouts, but they actually tracked what they were doing and did more of that as they went, and they even had progress. It's not optimal, but the principle is they train close to failure and they progressed. That's it. You have to increase the demands on your muscles over time, whether that's more weight, more reps, or more sets. You have to. So that's the first one is training. Second is your nutrition. Again, we're tying these back to the inputs that I mentioned earlier, but being a little practical. For nutrition, the best thing to do is to track it. Okay. Just track it. If you're like, oh, here he goes again. It's because how do you know where your money is going without tracking your spending? How do you know where your food and your body mass is going with track without tracking your food and your body mass? I mean, it's just, it's, it's almost self-evident. But if you're not doing it, don't complain that you don't know your metabolism or don't know why you're gaining weight. And don't say, I think I'm eating this or I think my metabolism is this, because that means you don't know. Just to be honest about it and honest with yourself. So start tracking your food, which includes your macros and your calories, and hopefully also your micros. I love MacroFactor, my favorite app. I use it myself. Use my code WITS and Waits, all one word, to get a free trial on that app. And that app is not only going to track your food, it's going to give you an estimate of your metabolism. And then you'll know how much you need to eat for what you're trying to do. You have to be tracking for two or three weeks before you could really get enough data. And that's why you have to be consistent about it. And then you adjust your calories based on if you want to lose fat, you want to maintain, you want to build muscle or recomp, whatever. Now, underlying all this is how do I eat? And that goes down to eating consistently, having enough meals throughout the day, having enough protein in every single meal and fiber. If you start there, the rest is going to slowly fall in line as you realize what it takes to reach your goals and the quality of foods needed and what it takes to not be hungry and and and things we've covered in other episodes on this show, I'm not going to go into, but it's eating whole foods, eating fiber, eating consistently, not doing things like fasting and keto and all these restrictive diets. You don't need them. If you want to do them and they feel great for you, I've always said go for it, but you don't need them. Third is again recovery. And this is where a lot of people at our age screw up because you're training like you're younger without recovering adequately, and then you get injured or you get burned out, or you don't focus on form, or you're trying to progress really quickly and you don't dial in the movement pattern. In my opinion, getting the movement pattern right, but not dragging it on for months is probably a good approach. Okay. Being mindful, getting a coach. I don't care if it's a personal trainer in the gym, hopefully somebody that knows what they're talking about, reach out to us, join physique university, whatever it is, to get that help. I've had multiple coaches as I've learned to train, and I still go and I talk to coaches, and I still will occasionally hire a personal trainer who I respect to do form checks for me. Because it's and I've got friends who are really good lifters, so we can do the same. We can send it to each other. I'm in a barbell club that I pay for where there's a coach who can do that. You know what I mean? So I do it myself. I walk the walk. I suggest you do the same, or else you're gonna screw something up and you're at best, or yeah, at best, you're just not gonna progress, but at worst you're gonna injure something. We don't want to do that, especially with the age-related stuff. And then fourth, well, how many points do I have here? I have five points, practical points. Fourth, I want you to think long term. This is the mindset piece about consistency and patience. It's not a 12-week challenge. I'm sorry if you think this is a short-term thing, like I need to improve my physique, I'm gonna take 12 weeks and I'm gonna move on with my life. That's not. This is the next chapter of your life. This is your new life. This is the system you're gonna use for decades. And that means this is the fun thing about it, this is the positive thing about it. The choices you make for that system should be things you want to make on a day by day, by week, by month, by year basis. Things that are sustainable, not just effective in the short term. Listen that to that carefully. Choose things that are sustainable, not just effective in the short term. What that means is you're gonna choose things that have some level of effectiveness, but are also sustainable. So you're actually making a little trade-off most of the time to do that. The trade-off is you're not picking something that's 100% effective, you're picking something that's 90% or 80% or even 70% effective, but you can do it. And when you take effectiveness, modest effectiveness from I'm gonna do it, you get the transformation. You get it on whatever timeline it's gonna happen, but you get it. If you're going for 100% effective, but you don't do it, that's a zero. That's a big goose egg. So get that into your thick skulls. And I'm talking to myself here, guys. Okay, I'm talking to myself here. And then lastly, here, get help if you need it, and pretty much everybody needs it. It's insane that people will go to all of these specialists for healthcare, but they won't talk to one person when it comes to the preventative, functional, lifestyle nutrition stuff, right? Personal trainers, coaches, nutrition coaches, friends who know about this stuff, you know, programs, groups, free groups, paid groups. I don't care. Whatever your resources allow that makes the most sense, get help. Work with someone who could give you objective feedback and keep you accountable. It's not not only does it accelerate your results, which I know a lot of you, you know, because you're a little bit of impatient, impatient for this, that kind of piques your interest. But but more importantly, it prevents the legion costly mistakes that you're gonna make otherwise, which you're gonna learn from, but it might take you 10 years, 20 years, 30 years. We want to learn these now, okay? Especially when injury is at stake or your health's at stake. So the point to all of this is there are clear actionable steps you can take starting today. This is not theory. This is something, this is not something you have to wait for the perfect time or even wait till Monday. The perfect time is right now. If you have to go back and listen to this episode over and over to get it in your head, please do. Use the timestamps, share it with a friend, talk about it with a friend, post it on social media and say, this is the thing that I learned, and I'm gonna do this today because I want to live a great life. The last thing I want to leave you with is a concept called opportunity cost. Okay, this is for all my engineering and finance folks out there, business people, but really this is for everyone. Opportunity cost is the value of the next best alternative that you give up when you make a choice. Okay, it's the value of the next best choice that you gave up when you made another choice. And here's what I've realized about opportunity cost regarding building muscle later in life. Every day you delay is not just a day that you don't build muscle. It's a day that you lose muscle because your baseline is not neutral. You don't just stay the same. The baseline, if you do nothing, is decline, is muscle loss, is strength loss, is reduced metabolic health, is decreased functional capacity, is age-related disease. So the question is not whether you should have started earlier. The question is what are you going to do now? Here's the truth you can spend the next five years regretting that you didn't start 10 years ago. Or you can spend the next five years building something remarkable so that five years from now you look back and realize this was the turning point right now, today. The muscle building window never closes. It never does. It is always open to you. You have to choose to walk through that door. And what I've seen over and over with clients in their 40s, their 50s, their 60s, in this age grain, which is the vast majority of people I work with and I identify with, is that when they do start, when they commit to the process, when they trust the system, the results are life-changing. They change your life. I'm almost in tears thinking about this and how many people could be helped by just taking this message to heart. And it's not just how you look. Great, that's a side effect. It's how you feel, it's how you move, it's how you show up for yourselves and for the people you care about. I'm choking up here. This is the this is it. This is the decade you take control, this is the decade you build that reserve, this is the decade you engineer the body, the life that supports what you want to do for the next 20, 30, 40 years. And how powerful is that? So let's just recap what we've covered today because it was a long episode. First, muscle loss with age is not inevitable. It's driven by inactivity, inadequate nutrition, lack of stimulus, and your muscle remains very responsive to all of these things well into old age, which means you can do something about it. Second, midlife is an ideal time to start because you have a little bit more discipline than the young ones, you have some more resources, you have some more motivation to apply a longer-term approach. You're thinking about longevity, you're thinking about your kids, your grandkids, you're thinking about the future generations and your own health and not being in a nursing home. You're not chasing just the short-term vanity. And again, I'm okay if you want to be good looking, but you are building that foundation for longevity, for independence, for metabolic health. Third, doing this today is gonna expand your margin of safety for the next few decades. You're not trying to reverse time, you're trying to change the future of your time on this earth, right? And it all compounds. So you've got to start today, just like with money for retirement. And then finally, the practical steps are actually clear. We know what to do. You train the right way, you eat enough protein, you recover, you think long term, have patience, be consistent, and get help if you need it. All right, so I always like to leave you with some clear action or something simple that's gonna be helpful. And I thought for today's episode that sharing my muscle building nutrition blueprint could be a fun thing to grab because it's one of the more comprehensive guides I have. It tells you how to set everything up for muscle building, but it also has a real life example. When I did this myself a few years back during a muscle building phase, I gained 10 pounds of muscle and how I did it. And so it kind of gives you the numbers, gives you the thought, gives you the process and the really practical stuff. And that's totally free. Okay, you can download it for free. Go to witsandweights.com slash muscle. A link will be in the show notes. Witsandweights.com slash monk muscle to set up your nutrition plan for building muscle. And that is it today, guys. I hope you were inspired. I hope you take action. Please do. Until next time, keep using your wits, lifting those weights. And remember, the best time to build muscle always, always, always is right now. Talk to you next time.

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The Alcohol Cancer Report Cover Up | Ep 392

A government-funded study on alcohol and cancer was finished, then buried. Meanwhile, mounting evidence shows alcohol raises cancer risk, even at so-called “moderate” levels. In this episode, I unpack what the science already proves, why that information may have been suppressed, and how to protect your health and body composition without pretending you’ll never drink again.

Get your free Eating Out Guide to make smart nutrition choices at restaurants and handle social drinking situations while staying on track with your body composition goals:
https://witsandweights.com/free

--

Your tax dollars paid for a government study on alcohol and cancer. Scientists completed it. Then it disappeared.

Discover why a major health study was buried, what the evidence-based research actually reveals about alcohol's cancer risk, and how this impacts your nutrition choices and long-term health.

Learn the truth about alcohol consumption that affects your metabolism, body composition, and longevity goals.

Episode Resources:

Timestamps:

0:00 - The buried alcohol-cancer study
1:11 - Why this matters for your health and body composition
2:43 - How the study vanished and why
3:52 - Surgeon General's warning label push
5:46 - International evidence on cancer risk
7:04 - What the science shows about alcohol and cancer
9:19 - How alcohol damages DNA and disrupts metabolism
11:28 - Light drinking still increases cancer risk
14:41 - Industry lobbying keeps labels off bottles
17:12 - Debunking "alcohol is heart-healthy" myths
20:21 - Understanding relative vs absolute risk
23:01 - Alcohol's impact on muscle building and protein synthesis
25:45 - How alcohol affects fat loss and body composition
28:30 - Practical drinking strategies for lifters

The Hidden Truth About Alcohol and Cancer

Most people think of alcohol as a calorie issue or a willpower test, not a cancer risk. But new revelations show that connection is much stronger than most of us realized—and the government may have known it.

Back in 2022, the U.S. Department of Health and Human Services commissioned the Alcohol Intake and Health Study to update federal dietary guidelines. It was paid for with taxpayer money, completed by independent researchers, finalized… and then quietly buried.

No release. No summary. Nothing.

Fast-forward to 2025, and the Surgeon General publicly calls for cancer warning labels on alcohol bottles, citing evidence linking alcohol to seven cancer types. Around the same time, reports revealed that drafts of the federal guidance were being watered down, dropping language about stronger drinking limits. Meanwhile, international agencies were publishing new data showing alcohol as one of the world’s most preventable causes of cancer—with no safe consumption level.

So what exactly are we not being told?

What the science already says

The National Cancer Institute makes it clear: alcohol is a proven risk factor for several cancers, especially breast, colorectal, esophageal, liver, laryngeal, oral cavity, and pharyngeal.

Here’s how it works. Your body converts alcohol into acetaldehyde, a toxin that damages DNA and interferes with repair. Alcohol also increases estrogen and other hormones tied to breast cancer, blocks nutrient absorption, and acts as a solvent that helps carcinogens penetrate cells.

Even light drinking raises risk compared to not drinking at all. One drink per day increases the risk of certain cancers, and two drinks per day roughly doubles it. That’s not “alcohol abuse.” That’s just normal social drinking by most people’s standards.

The World Health Organization’s stance is blunt: there is no safe amount of alcohol that does not affect health. It’s in the same carcinogen category as tobacco and asbestos.

Why this matters for lifters and health-focused adults

If you train, eat your protein, and care about recovery, alcohol directly undermines those efforts. It suppresses muscle protein synthesis, wrecks sleep quality, alters hormones, increases belly fat, and stalls fat metabolism while your body works to detoxify it.

Think of it this way: you train to build, recover, and improve. Alcohol works against every part of that process.

So if you’re serious about long-term health, muscle, and longevity, this isn’t about “quitting forever.” It’s about making conscious trade-offs instead of operating on myths like “healthy in moderation.”

How to drink smarter (or not at all)

You don’t have to swear off alcohol completely to protect your health, but you do need to be honest about how much you drink and how often.

  1. Know what a drink really is.
    A standard drink equals 5 ounces of wine, 12 ounces of beer, or 1.5 ounces of spirits. Most pours—especially at home—are larger than that.

  2. Watch frequency.
    Seven drinks in one night isn’t great, but one every night for months is worse for long-term health. Give your body alcohol-free days to recover.

  3. Think lifetime exposure.
    Cancer risk compounds over time. Fewer drinking years and lower average intake equal lower lifetime risk.

  4. Match your habits to your goals.
    Fat loss, better sleep, or muscle gain? All get easier when you drink less often.

  5. Control what you can control.
    You can’t change genetics or environment, but you can control alcohol intake, training, sleep, and nutrition—the biggest levers for long-term health.

  6. Ditch the guilt, not the awareness.
    You don’t owe anyone an explanation for not drinking. Social pressure around alcohol is cultural conditioning, not science.

The bottom line

Whether or not that buried report ever sees daylight, the evidence is already clear: alcohol is a toxin that increases cancer risk and sabotages recovery. The more you drink, the higher the risk—starting from the first drop.

Cutting back doesn’t mean cutting joy. It means giving your body more time, energy, and resources to build muscle, burn fat, repair DNA, and live longer.

You don’t need a government report to make that decision. You just need the truth.

Keep using your wits, lift those weights, and remember that what you put in your body is always your choice.


Have you followed the podcast?

Get notified of new episodes. Listen on Apple, Spotify, or all other platforms.

Then hit “Follow” and you’re good to go!


Transcript

Philip Pape: 0:00

Did you know that back in 2022, the US government commissioned a study on alcohol and cancer? The study was finished, and then someone decided, eh, maybe we don't want to release that. Meanwhile, the Surgeon General is calling for cancer warning labels on bottles of alcohol, and many Americans, many people in general, have no idea alcohol is even linked to cancer. So, what exactly is in that buried report? And what does the evidence we do have say about your cancer risk when it comes to alcohol? Let's find out. And today is gonna be an interesting one because we're talking about alcohol, but from a different perspective. Now, I'm not here to tell you to never have a beer or a glass of wine. I have one myself on rare occasions, but what I am here to do is give you a full, unfiltered picture of what the evidence shows so you can make truly authentically informed decisions about your health. And when a government, in this case the US government, commissions a scientific study with your tax dollars, whatever your opinion is on that, and then they complete the study and then they refuse to release the findings from a frankly perfectly well done study, that is a bit concerning. It's also an issue with transparency, especially when you went through this whole process and then you buried the information. And the information is actually pretty powerful when it comes to the stuff that we care about on this podcast. And I hope you know nobody might now. I'm trying, I try not to be preachy. I just want to be honest about, you know, when information's out there and there are different actors, different players, whether it's uh an influencer on social media or government institution or an individual that are hiding something or not telling the full story, that we can bring out what the reality is and really focus on that, not so much on attacking all of these sources. That's not what I do. I don't do the hot takes and the call-outs. It's more of, hey, what do you need to know? So here I'm just gonna jump into it today because it's a this pretty cool topic, to be honest. It's it's scary though. Um, here are the facts that are based on some different investigative reports that I was able to get on podcasts, on news, on different sources. And this is obviously the first source of potential issue in that what can you trust today when it comes to news? But I I kind of pieced it together, and it looks like back uh three years ago, 2022, the HHS, HHS, the Health and Human Services in the US, commissioned the alcohol intake and health study. Okay, the alcohol intake and health study. And you're obviously free to look all of this up online, make your best decision and judgment about this information. And the goal of the study was to gather the latest evidence on alcohol and health so that they could update the federal dietary guidelines. So this is taxpayer-funded research, and most of this research, and in this case, it was conducted by independent academic groups. Okay. So assuming we trust, you know, who did the study, we're not going to get into that. The study was done, it was completed, it was finalized, ready for pop publication, and then crickets. And I'm not even, many of us don't even know about this. Um honestly, I didn't learn about it until this year. That's why I'm doing this episode. So just in the last few months, different reports found that despite the report being completed, the federal officials didn't release it, probably due to, you guessed it, politics, industry pressure, whatever, whatever the motives are, the research was paid for, which it kind of pisses me off, right? Because these are my tax dollars, they're spending on this stuff, and again, whether you agree or not, and then someone's like, hey, we did the study, it was a good study, but we're not gonna release the data for ulterior reasons. So if we go back to January of 2025, the Surgeon General Vivek Murphy issued a public advisory calling for cancer warning labels on all alcohol. And he cited evidence linking alcohol to seven cancer types. And I think he all even mentioned that most Americans don't even know that alcohol causes cancer. And it's not something that we talk about too often, although the few guests that I've had on to discuss alcohol have absolutely discussed the long-term links and correlations between alcohol and cancer. And at the time, if you go back and look at the data, what happened? Well, the stock market for alcohol stocks took a tank, you know, took a drop, and there was some pushback by industry. And then the study itself that was buried, people are like, hey, did you know this was out there? Maybe this is relevant. What maybe we should see what it actually says. And then you go to mid-2025, so this is a few months later, there's some reports in the news that show the federal, the drafts of the federal guidance were being watered down. So you have this international consensus starting to tighten around the risks of alcohol and cancer. And then the guidance here in the US for the federal guide guidelines starts going the opposite direction, dropping all this language about stronger limits. And then in October, so literally, I think when this episode comes out, actually, if yeah, October 2025, there was another piece of evidence that reaffirmed alcohol is a major preventable cause of cancer with no amount, no amount of alcohol being entirely risk-free. I think that was the IARC. So you've got the stronger warnings on one hand, you've got our surgeon general in the US even kind of agreeing with that. Then you have this funded study being kept from public view. So that's kind of the background. Whatever you make of it, I hope I didn't, I hope I gave it a pr fairly objective treatment of just telling you all the sides of what's going on. And so what if we just ignored all that and said, hey, what does the evidence say already about alcohol and cancer? What does the existing research say? The National Cancer Institute does have a public fact sheet. You can look it up, and it says clearly that alcohol consumption is a risk factor for several cancers. And it has the strongest evidence for seven in particular: breast cancer in women, colorectal cancer, esophageal, liver, laryngeal, oral cavity cancer, and pharyngeal cancer. Of course, you can hear several mouth cancers in there, right? So you've got colon, you've got esophagus, esophagus, liver, various parts of the mouth and throat, breast cancer in women. And there's nothing mysterious about this, right? We know how alcohol works in the body. It gets broken down, gets broken down into acetyldehyde, which, and I never pronounce that right. That's the toxin. And what that toxin does, one of the things that toxin does is damages your DNA. Like many foreign substances that damage DNA, just like when you smoke, anybody who smokes, you're basically constantly damaging and mutating your DNA. That's why it leads to cancer. And the other thing that consumption of alcohol does is it limits nutrient absorption. We know that it turns off all processing of all the other macros while your body is metabolizing the alcohol. And that could have an impact against cancer protection mechanisms in the body, like folate. Okay, so now you're not absorbing certain nutrients, at least for a time, especially if you're a frequent drinker. But you don't even have to be that frequent of a drinker. We're gonna get to that. It also affects your hormones, it increases estrogen and other hormones that are tied to breast cancer and acts as a solvent, which helps carcinogens penetrate your cell membrane. So it's just a lot of interesting mechanisms. And of course, as always, the dose response relationship is important. It's relevant because the more you consume, the higher your risk. What's important to know though is even very light drinking shows an elevated risk for certain cancers versus no drinking. So it's kind of like that big step up. It's kind of like you go from your baseline, you have even one drink, and you get a step up, another drink, another step up. And so we're trying to figure out that point at which we should really be concerned, especially if we care about our health and longevity. Now, in this, I think it's in the same fact sheet, or I don't know where I got it, but I have notes from the NCI that says that some cancers, like female breast cancer, for those, the risk increases even at moderate, quote unquote, or light quote unquote levels. So one drink per day increases breast cancer risk, and two drinks per day roughly doubles certain cancer risk. And this is compared to non-drinkers, of course. The WHO Europe 2023, again, you guys can judge these institutions however you want. I'm just sharing the information. They said, quote, when it comes to alcohol consumption, there's no safe amount that does not affect health. And, you know, a lot of people say, hey, this is one of the world's leading public health organizations. Whether you agree with it or not, it's it's a pretty strong statement, right? And it's out of Europe, where they actually have a lot of alcohol consumption. So that's interesting too, for what it's worth. The IARC classifies alcohol as a group one carcinogen, which is the same category as tobacco and asbestos. And it means that there's enough evidence that it does cause cancer in humans. So I would at least want to play it a little bit safe here and say, okay, there's a link between alcohol and cancer to some extent. There is. And if we have information via recently funded studies that further strengthen that evidence and that gets buried, you have to question why. And maybe you don't care about why. Maybe you just care that the fact that it was buried and we want to know the information. What is the information? And I'm gonna just take a quick break here because we're gonna get into the politics of public health in a bit. We're gonna talk about some of the nuances and then what this means for you practically. We have a lot of interesting information outside the podcast, and much of it is free, including these free guides. If you go to wits and waste.com slash free, I was going through our guides and I realized we have one called Eating Out, the Eating Out Guide. And it's one of the most common questions I get is like, what do I do when I go out and I'm presented with alcohol and appetizers and salads and I'm going out with friends, they're having pizza, all that stuff. So go to wits and waste.com slash free, free or click the link in the show notes for my eating out guide. I think it's a good compliment to since we're talking about alcohol today and you probably tuned in to learn about alcohol, it's a good way to make smart choices and handle social drinking situations and stay aligned with your goals and still enjoy life, right? And and that that's back, that's bringing us back to the practical side of this. So witsandwaits.com slash free or click the link in the show notes. All right, that was just a quick tangent because now we get back into the serious stuff. Why was this study buried? If you look at the US alcohol industry, it's massive, right? Tens of billions in annual revenue, probably big lobbying power in Washington, like many industries. And I'm sure they don't want cancel cancel warning labels on their products because they've seen what's happened to the cigarette industry since that occurred. And that's because these labels tend to work, right? When you put warnings on products, people consume fewer of them. They start talking about them a different way. We know smoking dropped dramatically after the warning labels and the PR campaigns, the public education campaigns, to the point where I've seen in my own lifetime, I was born in 1980, you know, smoking sections in restaurants and lots of people smoking everywhere, to it's like stigma. It's a stigma now that you know you're ostracized if you smoke. For again, for better or worse, whatever, you know, freedom, choice, blah, blah, blah. Not even getting into any of that. I'm just sharing what I've seen happen. And so the alcohol industry, alcohol is a very interesting thing because we we glamorize it, right? And again, I consume alcohol very rarely these days compared to what I used to because I understand its health impacts and I don't, I want to take care of my health. But there, there's been a lot of messaging over the decades, like red wine is good for your heart. You guys have heard that one. You've heard the talk about resveratrol in red wine. And all of those have been debunked. Like there is zero positive to alcohol in any respect whatsoever. Zero, zero. So if you're still hearing some of those messages, or alcohol is fine in moderation, like that it's healthy in moderation, absolutely zero. No, that is not true. There's zero positive when it comes to alcohol. I just want to put that out there. Okay. That's different from saying you can't ever enjoy, I shouldn't use the word enjoy, but imbibe or consume something that you want to consume for some reason that's different. Okay. And you think of terms like responsible drinking and moderation. Again, that is interesting language that twists what you think about them. Where you're like, okay, this is, I get social benefits. You know, you look at beer commercials, Corona, whatever, where they're partying on the beach, right? We we all know the thing. And certain things get glamorized as well, even in other areas, like cigars. I am surprised. A lot of my friends who are listening are probably gonna be called out on this that you've got guys in the fitness industry who smoke cigars and think that's okay. I'll say not okay. It's perfectly okay from a freedom perspective and choice perspective, but it still has some cancer risk, just like cigarette smoking. It's just a fact. And they may know this and they may choose to do it anyway, and that's fine too. So we got to look at data and also understand marketing. And then when we throw politics into the mix, now we have science and politics bashing heads, which is always uh an interesting partnership. Because again, the Surgeon General actually called for warning labels, which means it got to a level where they were possibly going to do that, right? And he doesn't even control the labeling. Congress does, right? And that, and of course, the industry knows that, so of course, they they just have to prevent Congress from doing that. And I think they've been successful, right? It looks like they've been successful. So that's kind of the politics behind it. Again, for better or worse, what you believe, whatever side of the aisle you're on, et cetera. So I want to I want to steel man the other side because I do want to give enough nuance and I guess fairness if that's if that word even applies here. I'm not sure. Not all cancer associations with alcohol. So not all links between cancer and alcohol are equally strong across all consumption levels. Remember, I mentioned breast cancer before. I mentioned that specifically because they get separated out as far as their impact. A there was a National Academy's report that basically said, look, some have a much more cautious or conservative link based on what we think we see in the evidence. And that there's a lot of mixed evidence as well, which is to be expected in the scientific community. If you listen to my episode with Dr. Eric Helms, we go into great depth on falsification and on empiricism and all of that. What we do know is the link between what's called moderate consumption and colon cancer is well established. And that that concerns me as someone with a history and who you know is male because that that tends to affect more men, right? Just like breast cancer affects more women. For other cancer types, the relative risk increase at low levels of alcohol is small, it's still non-zero, but it's smaller than, say, colon cancer or the breast cancer. Now, the way that we talk about these risks is important too because it's very confusing, right? If one drink per day increases breast cancer risk, what does that mean in absolute terms? What does that mean? If you look at the baseline lifetime risk for US women for breast cancer, it's 13%. And one drink per day might increase that to 14 to 15%. Now, is that a big deal? Statistically, it is. Individually, you might say that it's not, but you can only weigh these risks if you know about them. That's kind of the point. That's why I'm actually making this episode. Right now, less than half of Americans actually know that alcohol causes any type of cancer at all. And I think that's a big gap in awareness. And I'll be honest, I really wasn't clear on that till much, till very recently, especially when I got into the nutrition world, finally started to be like, okay, we need to pay attention to this stuff. You know, we need to pay attention to this because the link is much stronger than, say, the link between eating processed foods and cancer, let's say. Not to be confused with overconsumption of any food where you get where you have obesity and that's linked to cancer. That's a whole different discussion. So, I mean, this data that came from this buried report could have informed some more clear guidance, I suppose. Right. Instead, we still have this confusion, this gap, whatever you want to call it. So, what do you want, what do you do with this information? You're like, all right, Philip, that's all interesting. This is not a news podcast, this is not a political podcast, great. What do we do? All right, first, understand what a standard drink is. I think that's helpful because a lot of you are underestimating your consumption, just like we do with food, especially when we're not tracking. A standard drink isn't that big, guys. A standard drink is five ounces of wine, which is like that very small glass of wine that you're a little bit upset that they poured you in this restaurant. You're like, come on, you're charging me 12 bucks for that. 12 ounces of beer. Okay, again, who gets 12 ounces of beer? That's a can of beer. That's not like a pint. Now, granted, some restaurants have those very thick glasses that are like 14 ounces, they call it a pint, you know what I mean. Or one and a half ounces of spirits, right? Any hard liquor. Anything you pour at home is gonna be way more than that. Come on, admit it. Admit it. Second, I want you to think about frequency over quantity. Not not always, but often. I want you to think about that. Because seven drinks in one night is different physiologically than one drink per night for seven nights, even at the same weekly total. And you're gonna say, like, which one is worse? You know what? I don't know. I don't know. I would say the seven drinks in one night is probably worse because it probably highlights a different issue unless you do it like once every three years because you go to some party, you know. But I'm not sure that's the case with a lot of people, right? The one night, the one drink per night continuously, that might be a habit, a habit that you can mold over time, like I did. I used to drink wine every night, and then I switched to just beer on the weekend or wine on the weekend, then I switch to like one a weekend, then I switch to non-alcoholic, and I hardly ever drink now, right? And again, I'm not holding myself up as some paragon of this stuff. This has taken me years to even get to that point. And I still will occasionally have a drink. So that's the second thing is think about frequency over quantity. Just look at your patterns. The third is think about cumulative exposure because cancer risk is about lifetime exposure to all the different things that cause cancer, right? More years plus higher average consumption is going to equal greater risk. So even if you are having seven drinks in one night, but you do it every five years, my guess is your risk is minuscule close to zero from that. I don't know if drinking a whole bunch of drinks in one night and that's the only time you ever did it is the same as like smoking, you know, a pack of cigarettes one day and it's the only time you did that. I'm not really sure. Because I definitely have heard the idea that even one cigarette that you've ever smoked that can mutate your DNA and cause cancer. I don't know. Don't quote me on that. Um, fourth is that risk is multifactorial. Remember, alcohol is just one thing. But look, you control what you can control. So control the things that you feel have the biggest impact on your outcome and your results, your body composition, your hormones, your longevity, your health. Okay. Fifth, if you're strength training, alcohol has additional downsides. We've talked about this concept before. I did an episode about the fourth macro and how it affects fat loss and muscle. It impairs so many things that it really is a big negative in the world we inhabit here on wits and weights. Whether you're talking protein synthesis, sleep, it's you know, the empty calories basically that you get from it, your performance, your fats, visceral fat storage, belly fat. Anybody concerned about belly fat shouldn't be drinking too much alcohol, right? So if you care about those things, think about what you can control and why you're doing it. Because from a physique and health standpoint, less is always better all the way to zero. Zero is going to be the best in this case. And I won't say that about a lot of things. I'm never gonna say you have to have zero processed foods. You can actually have a decent amount of ultra-processed foods in your diet and have optimal health and live a long life. You can't have a certain amount of alcohol on your diet and hope to have an optimal life. That that there's a difference because one's one's a toxin, one's a poison that's foreign to your body. And that's alcohol, by the way. In case I wasn't clear about that. All right. So I'm not saying never to have a drink. I'm saying know what you're doing to your body when you do, and drink less than you think is moderate because we're all lying to ourselves about what moderate is. Let's be honest. There's a quote I saw in my notes, I think it was from the IARC, that said, risks start from the first drop. Okay, risks start from the first drop. Not the full risk occurs on the first drop, but that there is this dose response cumulative effect where there is some risk once you start to drink at some level. So if you drink daily, could you shift to a few times a week? If a few times a week, could you shift to just special occasions? If you're doing just special occasions, could you have one instead of three? And so on and so forth. Every reduction is going to reduce your exposure to cancer. Every alcohol-free day is a day your body isn't dealing with damage to your DNA. And you do not owe anyone an explanation for not drinking, by the way, right? The social pressure around alcohol is truly bizarre. It is truly odd when you step back and think about it. We've normalized regular consumption of what's essentially a carcinogen. Okay. So if I didn't get my point across by now, I'm not sure I ever will. And at the same time, I'm saying the dose matters, the accumulation matters, the context of everything else you're doing matters. It all matters, guys. Think about the nuance. So here's what ties this together your body is constantly making repairs, right? It's repairing itself. When you lift, you create, let's say, micro damage that gets rebuilt stronger, so you get stronger, bigger, bigger muscles. Your liver is a great detoxifier. It's processing nutrients, it's filtering all the toxins that come through, including, yes, alcohol. Your immune system is gonna eliminate abnormal cells as best as it can, including precancerous cells. So your body's doing wonderful things to constantly clean itself up and avoid this, but they also require energy and recovery to do that. And alcohol goes against that, right? It's gonna force your body to prioritize detoxification. It is literally poison. And your liver and your immune system, everything else has to say, eh, we need to get rid of this first before we do anything else. That diverts resources from protein synthesis, from sleep quality, from you know, your inflammation is gonna go up and damage and DNA damage is going to accumulate. Again, accumulate over time, just like with smoking, right? Accumulates over time. The more you do it, the longer you do it, the more frequently you do it, the worse it is. So if you're training hard, if you're eating enough protein, if you're managing your sleep and stress, if you're being consistent, and then you're regularly introducing a substance that counteracts all that hard work while increasing disease risk, it's working against yourself. That is that is a factual statement. That is it. It's a factual statement. You still have a choice, but it's a factual statement. And so this buried stuff buried buried, that's how I used to say it. This the this buried study is important because it just highlights that we need to be in charge of our own lives and the information we receive and seek out. And we have to be careful what we believe, but also understand there's information that we may believe that isn't even available to us, right? So it gets complicated, right? You don't need that study to make informed decisions. There's plenty of evidence. And every single one of you listening has more control over this than almost any other health factor, to be honest. Like it's it's quote unquote easy from that perspective. You can't control your genetics, you can't control your environmental exposures in general, right? In general, without big changes, but you can control whether you drink, how much, how often you drink, along with the other things you're controlling, like your training and how much protein you eat, et cetera. And that's really, really powerful. So go ahead and use that power. I want you to use that power. All right. I that I think that's all I want to say. Just remember, you have the agency, you decide what the trade-off, what trade-offs are worth it. I'm not gonna tell you what trade-offs to make. I just want to get to you to be informed. And information is power, as they say. All right. So if this episode gave you an interestingly different perspective, maybe a little different than most of my episodes, to be honest, but it taught you something about alcohol and health. All I ask is you text it to a friend. Obviously, don't text it to someone who's gonna be combative about this topic, but maybe someone has said, like, hey, have you heard about the issues with alcohol, or I'm trying to reduce my drinking, or you know, I'm trying to get healthier. Text it to a friend. Text it to somebody you love who is curious about this topic, and that's it. That's all I ask of you. I'd be grateful. Until next time, keep using your wits, lifting those weights, and remember that making informed decisions about what you put in your body is totally up to you, and that is powerful. This is Philip Pape, and you've been listening to Wits and Weights. I'll talk to you next time.

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How Can We Trust Hypertrophy and Nutrition Science? (Eric Helms) | Ep 391

We all say we “trust the science,” but how do we know when science is trustworthy? In this thought-provoking episode, we unpack how research actually works, why even good studies can mislead you, and how to think like an empiricist without falling into cynicism. If you’ve ever wondered whether you can truly trust fitness and nutrition science, this one’s for you.

Get your FREE Muscle-Building Nutrition Blueprint to setup your nutrition, training, recovery, and tracking to build muscle while minimizing fat.

How can you tell when science is solid? And when it’s just being sold to you?

Dr. Eric Helms returns for his third appearance to unpack how we interpret fitness research, why “evidence-based” doesn’t always mean “accurate,” and what it really takes to think critically about the information you consume.

We break down the philosophy of knowledge and why understanding how we know things leads to better results. Eric and I unpack skepticism vs. cynicism, spotting red flags in “sciencey” claims, and balancing real-world experience with research. You’ll also learn a simple framework to stay curious without getting misled.

Today, you’ll learn all about:

2:25 – Setting the stage for scientific thinking
10:50 – Why critical thinking beats blind belief
15:07 – The meaning of epistemology
25:01 – How empiricism changed modern science
34:52 – What black swans teach us about truth
48:27 – Cynicism vs. healthy skepticism
59:50 – Making sense of the hierarchy of evidence
1:12:56 – Turning data into practical results
1:28:50 – Where to find credible fitness research

Episode resources:

The Limits of Fitness Science and Why Understanding Beats Knowing

Most people who follow evidence-based fitness trust the research. We talk about protein targets, progressive overload, and calorie deficits as if they’re laws of physics. But how often do we stop to ask why we trust these things? How do we know that the “science” we rely on isn’t being filtered through bias, cherry-picked data, or misinterpretation?

In this conversation with Dr. Eric Helms, we explored not just what we know about fitness and nutrition, but how we know it and what that means for applying science in the real world.

Why science isn’t as simple as “trust the data”

When people say, “I trust the science,” they usually mean they trust certain people who interpret that science. But the scientific process is messy. It’s built on a chain of assumptions, tools, and interpretations, each of which can be flawed.

As Eric points out, every study is conducted by human beings. Humans bring biases, incentives, and limitations. There are funding pressures, small sample sizes, poorly controlled conditions, and measurement challenges. Even when a study is done well, one study rarely tells the whole story. What matters is the body of evidence over time.

That’s why we talk about hierarchies of evidence: systematic reviews and meta-analyses (where multiple studies are aggregated) help us filter out noise. But even then, the findings are probabilistic. They tell us what’s likely to be true for most people, not what’s certain for you.

The danger of cynicism disguised as skepticism

We live in a world where every claim has a counterclaim, and misinformation spreads faster than evidence. Healthy skepticism is essential… it keeps us questioning, testing, and learning. But cynicism is different. Cynicism assumes the system is corrupt and therefore rejects everything out of hand.

If skepticism says, “Let’s look at the data,” cynicism says, “They’re lying to you.” And when cynicism takes over, we stop learning. It’s the same mindset that drives conspiracy theories and extreme diet tribes: “Big Pharma doesn’t want you to know this,” “doctors are hiding the truth,” or “carbs are poison.”

True scientific thinking means being open to being wrong. It means asking, “How could I falsify this belief?” rather than “How can I prove I’m right?”

Why context matters more than certainty

Even in a world full of good data, context is king. The same research finding can lead to wildly different outcomes depending on who applies it and how.

Take protein intake. Meta-analyses show that around 1.6 grams per kilogram per day is near optimal for most lifters. But for a beginner who struggles to hit half that amount, or an advanced bodybuilder chasing the last few percentage points of lean gain, the “best” target looks different.

The same goes for training volume, rest intervals, or diet breaks. Studies give us averages and trends, not prescriptions. Your individual response (what actually happens when you apply the principle) still matters most. Evidence informs the framework; experience refines it.

Using evidence without worshipping it

So how do we balance the two?

  • Start with established evidence. Look to systematic reviews and position stands from reputable organizations (like the ISSN or ACSM). These synthesize large bodies of data, reducing the chance of bias.

  • Understand the limitations. Even high-level evidence has blind spots. Studies can’t perfectly capture human complexity.

  • Apply, observe, adjust. Use science as your compass, not your cage. Apply what’s likely to work, monitor the results, and refine from there.

  • Stay curious. When something works better (or worse) than expected, that’s data too. It doesn’t mean the research was “wrong,” it means your individual system interacts with those findings in unique ways.

Why “I don’t know” is the most scientific answer

In fitness, there’s pressure to sound certain. Coaches, influencers, even scientists are expected to give definitive answers. But as Eric says, “Science creates more questions than it answers.”

Saying “I don’t know” doesn’t make you ignorant, it makes you honest. It acknowledges that knowledge and understanding aren’t the same. You can know that studies show a correlation between X and Y, but understanding means knowing why it matters, how it was tested, and what it doesn’t prove.

The best coaches, practitioners, and communicators aren’t the ones with the most confident answers. They’re the ones willing to keep asking better questions.

The bottom line

Fitness science isn’t broken, it’s just human. It’s the best system we have for finding truth, but only if we use it with humility. When you understand its limits, you can navigate it with confidence instead of confusion.

If there’s one takeaway, it’s this: being “evidence-based” isn’t about memorizing PubMed IDs or blindly trusting experts. It’s about cultivating a way of thinking: a willingness to question, to learn, and to admit when you don’t have all the answers. That’s how real progress happens, both in science and in your own training.


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Get notified of new episodes. Listen on Apple, Spotify, or all other platforms.

Then hit “Follow” and you’re good to go!


Transcript

Philip Pape: 0:01

If you've been pushing through knee pain, nursing a cranky low back, or avoiding certain lifts because your shoulders complain, you need this episode. My guest today reveals why these three areas fail together, not separately, and how most training advice makes the problem worse. You'll discover why stability in one area affects pain in another, how to modify movements without abandoning your goals, and what actually builds resilience instead of just managing symptoms. Stop choosing between results and pain-free training when you can have both. Welcome to Wits and Weights, the show that helps you build a strong, healthy physique using evidence, engineering, and efficiency. I'm your host, Philip Pape, and today we're discussing why the joints that handle some of the most load, your knees, your low back, your shoulders, tend to get beat up and how you can achieve a pain-free approach to your training and movement. My guest today is Dr. John Russin, a physical therapist and strength coach who's worked with everyone. He's worked with athletes from the MLB to the NFL to the Olympics, powerlifting, endurance sports. He founded the pain-free performance specialist certification, which has certified thousands of coaches and clinicians since 2018. He is the author of the new book, Pain Free Performance, which I've had the pleasure to read myself. And he was even named a top 50 health and fitness expert by Men's Health. Today, you're going to learn from John why your body, especially the hips, the shoulders, the core, tends to thrive as a system, how to modify movements without abandoning those precious strength goals that we all have. What actually builds joint resilience versus just treating symptoms and how to progress and still train hard? Train hard. We want to train hard while staying healthy. Whether you're currently dealing with pain or want to prevent it before it starts, listen up to the entire episode because John is about to drop some wisdom when it comes to training longevity. John, welcome to the show. Phillip, that was one hell of an intro. I appreciate it and I'm absolutely buttered up. All right. You're psyched. You're psyched. That's what we want to do here. We want to talk about how to stay healthy. We got a bunch of lifters listening in. We have a bunch of people that want to lift. We might have an 80-year-old grandmothers who were just told that if they don't start lifting, they're going to be in a convalescent home. You know, we've got everybody who needs to get healthy and fit. And I want to start with thinking about the body as a system and what you call the pillar, kind of the hips through the core to the shoulders and why that's so important. I know, I know when I'm doing my deadlift, why it's important, but really I want to understand the big context here. Let's start there.

Dr. John Rusin: 2:43

There's this big misconception when it comes to strength training or health and longevity training today that we just have to get isolated strength. You get isolated strength at your abs for lower back pain, isolated strength at your biceps to look better, isolated strength and hypertrophy at the butt if you want to fill out your genes. But that's not how the body is engineered to move. And it's definitely not engineered to function. What it is engineered to do is an integrated movement model, which is central lines of tension and stability, which puts us in the best possible position to stay healthy and also optimize performance. And we get at that central line of tension with something called the pillar, which is essentially the shoulders, the hips, and the core working synergistically together to give us the best possible result, no matter what the goal set is.

Philip Pape: 3:30

Okay, cool. Okay, so you're you're one of those guys that gives nice, concise statements. I could tell you've been on a million podcasts. I love it. Okay, so so a center line of tension, central line of tension. I think that's great, especially the word tension because it it reminds me of various queuing protocols with, you know, whether just today I was doing T bar rows. I don't know if you saw it on Instagram. Not sure if I'm prop holding the proper line of tension, but that's kind of what I think about.

Dr. John Rusin: 3:56

I thought you were Arnold. I had it wrong. That's right.

Philip Pape: 3:59

Yeah, actually, you're supposed to have a little rounding on that one. But, you know, so let's talk about that a little bit more. When we say the central line of tension, are we are we talking about the context of everyday movement as we're walking around thinking about our posture and such? Are we applying this specifically to protocols in training, protocols in rehab? Like where does it apply practically?

Dr. John Rusin: 4:19

Well, for my clients and my athletes that I've worked with, the first skill that I try to teach them and at least have them hone in on some sort of requisite skill and connectivity of the pillar complex is being able to teach breathing and bracing. You know, breathing and bracing is super unsexy. The fact that we're sitting here talking about it on a podcast means that, wow, it must be important because that's the last thing that people want to do in their training. But we get it wrong when it comes to breathing and bracing. Specifically for pillar bracing, we never connect the ball and socket base joints to the spine. Every time we hear, hey, if you want to protect your spine while strength training, especially going heavy, brace the core, use your core, get your abs tight, all these cues, but they're incomplete because without managing the shoulder joint, which is the most mobile joint in the body, and then the hip joints, which are the second most mobile joints in the body, we never have that central line of stability. We essentially just have a little bit of tension through musculature that cannot connect to the ground, it cannot connect to weights, it cannot connect to your human movement system. So simply by going through and connecting these three integral areas, we give ourselves a superpower to be able to create internal tension, meaning that mask much musculature can create tension to be able to stabilize and centrate, essentially get those joints into optimal positions in order to function, but also in order to not take the wear and tear of your strength training, no matter the movement or the exercise. And instead, we direct that force and we direct that load right into the key musculature or the movement patterns that we want them to.

Philip Pape: 5:54

Yeah, and that that's definitely speaks to me from a physical perspective of creating that solid end-to-end system of transferring load. When I think of physics and biomechanics, I'm a very nerdy engineering guy. And our listeners are as well. So they do love this stuff. They do find it sexy, by the way, breathing and embracing. Okay. Love it. So I'm kind of jumping around my notes here, but I guess when it comes to breathing and embracing, is there a universal set of steps that could apply to anything anytime you need to do this? You know, we hear terms like intraabdominal pressure. We talk about using lifting belts sometimes versus not when training. Um, I know there are misconceptions when I see someone squat and they're like breathing out as they come up instead of holding the breath and things like that. Yeah. But are there are the universal tips somebody could take away, whatever they go and do in the gym next week, that they could apply?

Dr. John Rusin: 6:40

So the first thing that we need to do is have that connection point, be able to create tension around the shoulders, then the hips, then breathe in, brace around the core, and have this central line of tension. But from there, many times people come to me and they go, Oh, yeah, I know how to brace. Well, why are you visiting me with lower back pain and chronic shoulders that don't move immobile and are causing you pain on bench press? It's a matter of being able to actually take the activity at hand and brace the tension to that activity in a smart and common sense way. You know, the way that we're gonna deadlift for a one repetition max is far different than the way that we are gonna go in for a 25 rep goblet squat. We need to be able to have a dimmer switch on our tension and our overall bracing strategy. And that will be polar opposite for what our breathing is. So, breathing and bracing need to go together. It's like peanut butter and jelly. When you're going for a one RM deadlift, of course, we want to be able to brace maximally. We want to hold our breath and we want to move that load because we don't want a whole lot of moving parts as load-centric loading is going to be the focus. But as soon as we actually have to take in oxygen in order to survive a set or into survive our lives, we need to be able to make our pillar tight, be able to have common form and technique that holds up against the stress. But we also need to make sure that we have oxygenation that does happen indeed. So we go through different breathing and bracing strategies. Essentially, as load goes up, your breathing capacity goes down. As load goes down, your breathing ability goes up. And it's all about minimal effective brace in order to keep optimal mechanics.

Philip Pape: 8:22

Great. So effectively, there's I'm picturing an inverse set of curves, somewhat like a spectrum between full bracing, fully holding your breath because the load is near maximal, all the way to more of a work capacity, endurance, you need the oxygenation. So you, you know, the you don't need to brace to that extent. In fact, it could be counterproductive, which reminds me of my front squats this week, you know, whereas doing sets of 10 to 15, very different experience where you're getting a little bit winded versus sets of three to five on a back squat or something. So actually, I remember in your book, guys, anybody watching the YouTube, I was joking, that's kind of a tome coffee table reference book in all the best ways. His new book, Pink Free Performance, because I did read through this and I do, I do appreciate how you go over very specific context for each of these. You know, you have like ladders, you have different level types of movements and rep ranges where you breathe in different ways. So we don't have to go through all of that on the show today, but I do want listeners to understand that context matters and the breathing embracing matters. What I want to get into next, John, is training hard. I think you said in the book something like training pain-free doesn't mean training easy. It's it's training in ways that make you resilient without breaking you down. And a lot of people here modify for pain. I've got pain, I'm rehabbing this and that, and I'm gonna take it easier. I'm gonna go light. And unfortunately, a lot of doctors give advice that they don't specify what they mean, which side tangent, by the way. My my mother-in-law, her doctor just said, you need to start lifting now and heavier the better, or you're gonna be in a nursing home before long. So I appreciated a doctor saying that. But uh, what's the relationship between like training hard and training smart, if that's the terms we want to use? You know what I mean?

Dr. John Rusin: 10:01

Our industry has had a pendulum swing, I think, over the last decade or two. We went from, hey, just go out and kill yourself in the 60s, 70s, 80s, up until the 90s, hypertrophy at all costs, big lifts for strength and muscle building. Don't warm up, don't worry about anything. It's all gonna be good as long as you're as big as humanly possible. And then I think like late 90s into the 2000s, we got into this like quote unquote functional training trend. And everyone wanted to become a physical therapist. Everyone wanted to be a corrective exercise specialist. And all of a sudden, strength coaches and personal trainers were doing pseudo-physical therapy on the floor of the gym. And we forgot to actually train for the physical capacities that give us that health and longevity, strength, muscle, cardio and endurance, all these things that are heavy hitters. And at pain-free performance, we are the middle ground on almost every single thing because I've been at high performance athletics and sports, I've been in physical therapy, uh, working with people that are out of surgery or having market pain responses. And I do believe that halfway between many of these extremist polarizing swings is going to be the right approach for many. But really, what it means is that we need to be training as hard as possible in a concentrated and a focused way. And we need a standardized system in order to just do all the right things that we need to be doing for our health longevity orthopedically and systemically. But more so, we need to be avoiding the wrong things because it's avoiding the wrong things that actually push us forward in terms of our momentum decade by decade.

Philip Pape: 11:38

And what are those wrong things? What are those wrong things, John?

Dr. John Rusin: 11:41

Wrong things, man. There's a laundry list of these wrong things. But I think the number one thing that people tend to neglect is their well-roundedness in terms of just being a functional human being. Like I do believe that there are things that every single human, no matter if you're a child all the way up into an active ager, should be able to do with your body in terms of their movement patterns. But I also believe that there are physical capacities and characteristics that need to be able to be trained and maintained for a lifetime if we are gonna indeed thrive. And many times we don't have that mindset when it comes to our training. We have, hey, I am a hobbyist. I'm only interested in this one thing, and I'm gonna deep dive into this one thing until it breaks me down, burns me out, or leaves me with an injury that I have to then take a break from. We call that the planned meathead deload. We want to avoid all of these things and just simply be a little bit more well-rounded in our training so we can have the ability to be pain-free, not suffer injuries, but also just function more normally in our lives, being able to do things with physical autonomy that we were meant to do.

Philip Pape: 12:48

Physical autonomy. I love that. Yeah. Seriously, man. This lack of well-roundedness, we're all guilty of it, myself included. Some of it comes from time, right? Like, how can I do all the things? Some of it comes from, you know, passion where you get into something and you go all hog wild in it. Some comes from the dogma in the industry, I think, where the different camps say, like, this is all you just need strength. That's all you need. You know, like you don't, which, and and I've come from some of that. And the more I get exposed to these things and talk to guys like you, the more I start to integrate all this. But what I want to be careful of, because I could see it happening if you like, if you read your book and you have these train strength training or you have these training templates at the end and there's different days per week, different levels of experience, it can seem overwhelming if you've never done all of that. You're like, oh my God, I gotta do the warm-ups and I gotta do the foam rolling, I have to do this and that, the other. Where do you meet people in the middle when they're starting from that mindset?

Dr. John Rusin: 13:40

I think at the entry point is important. Like people are gonna have different entry points into the industry. Maybe cardio is your entry point, maybe doing a progressive powerlifting program is your entry point. But if you train long enough, you're going to be humbled. It is not a matter of if, it's a matter of when. And that humbling usually happens through injuries. It happens through performance plateaus. You can't quite get what you used to get. And then all of a sudden, people make the mistake of going, hey, you know what? I'm dogmatic. I believe in this one thing. What's the fix to this one thing? I'm gonna double down on this one thing instead of maybe going right or left of that one thing. Maybe if you're super into powerlifting, moving a little bit of hypertrophy and mobility will probably do you some good. If you're a cardio bunny, actually going into some functional strength training is probably the thing that you need. The rule of opposites definitely applies when it comes to hobbying inside of our industry. And I think that over time, people are pushed to become more well-rounded if they want to continue to do the thing that they love to do, which is training. I know that clients that I work with and many of my athletes, they're not worried about just training today. They love this. They are doing it every day because it's become part of them. And they want to make sure that they can do it into their 40s, 50s, 60s, 70s, and beyond. And that doesn't happen by changing what you're doing at 70 when you're all broken down and hurt. It it changes with what you decide to do today, just little by little, to be able to incorporate base things that, again, we should be able to do.

Philip Pape: 15:15

And I like the lateral. You mentioned lateral, I think in the previous response, but the the, because I think of lateral thinking, like getting out of the box, same thing, physically lateral, which means start from where you are today and then branch out. And it reminds me of some guys I follow who I'm actually running some of their programs for that very reason, like Jeffrey Verity Schofield. You know, he'll throw in cardio two days a week to his training programs. And it's like, it's in there. So if you're a lifter who's used to following programs, you're like, cardio's in there. I'm just gonna do it. It kind of gets you to do it. Or Brian Borstein, who's into more of the, I guess, the high rocks kind of level of a little bit more elite hybrid athleticism, Cody McBroom. We had Chris Gethin on the show. I think his episode's come coming out right before yours. And I think it's important because for a while, I personally was in the like the starting strength world, and there's a lot of value there for sure. I mean, I credit that with a lot of strength development. But then there is looking down on a con condescension against, you know, anything else, right? Like, you know, and I talk bad about CrossFit sometimes, but only from the perspective of when people do it, you know, have bad form and they're slamming out reps and they're getting injured, you know, there's something to be said for that. So with this context, then going back to the pillar, maybe that's where we can start. And we talk about like referred pain and why people have injury and why people have pain. Is this a compensation thing going on that's important to understand? Or where do we start breaking this down?

Dr. John Rusin: 16:38

I think 30 years ago, when you look at the greater body of evidence and research, and then you look at professionalized education within the universities, spent way too many years there. We thought that this pain thing was just a pure mechanical approach to movement. Hey, if you move in this way, you will have pain and you will get injured. And today that's laughable. You're just like, what? You know, like a biomechanics course showed me how to be pain-free for life. If that was true, we wouldn't be dealing with the chronic pain and injury cycle that we are currently seeing amongst our active population today here in America. So I think that pain is definitely a more complex conversation that we need to be having. But calling it what it is, I think the first line of being able to write yourself is being able to move well. And what moving well essentially means is moving well for your body, your particular body, your limb lengths, your joint types, your body size, and being able to take that and look at your skill set and be able to customize your positions and know very well that not everyone is going to look exactly the same way as they squat. Not everyone is going to be able to deadlift from the same height with a neutral spine. And not every running mechanic is going to be the same gate locomotion cycle. We are unique beings. And I feel like in every other aspect of the industry today, everything's so unique, the functional health cycle of unique blood testing, so we can get on supplements and drugs. And then it comes to strength training, starting strength, squat like this, overhead press like this, bench like this, deadlift like this. That's a great starting point. And I'm so happy that there is a strength emphasis coming into our industry today. But strength is more than just three or four cookie cutter textbook exercises. Strength is a physical characteristic, strength is not a specific exercise. And just having the epiphany of making that realization is huge for people's long-term health.

Philip Pape: 18:39

So when it comes to moving well for your body, then what I know some people will interpret that as okay, a squat's gonna look massively different. And I have to, where am I trying to go with this? People always go kind of to the extreme of this. And I think I think what you're saying is because of your anthropometry, because the angles are different, the principles you're trying to adhere to, which are universal, like I don't know, vertical bar path or efficient movement, yes, are going to translate to a different, you know, different angles between the hinge points or something like that, right? So maybe elaborate on that, thinking about the squat specifically. How does that how should someone be thinking about this when they're they hear this episode? They're like, okay, I'm finally going to start squatting, and now I want to practice in my living room without a bar. You know, what are they thinking here?

Dr. John Rusin: 19:26

It's cool because over the last 10 years, a pain-free performance specialist certification has certified over 20,000 personal trainers, strength coaches, physical therapists, and physicians in person in two-day certification courses. So, in that amount of people, you see a lot of different movement. And you not only see a lot of different movement from people, you see it from experts in movement, people that know their shit, people that have been training their entire lives, people that do this for a living. And I think when we first started running the certification, the squat was the first movement pattern that we were like, I know that there's some diversity in the squat pattern in terms of identifying somebody's most optimal squat pattern, but wow, after 10 years, the diversity that we see weekend to weekend in terms of our certification courses is absolutely wild. But this is where people tend to go wrong right off the bat. They go, okay, squat, only a barbell on your back, low bar position, and I'm gonna go feet shoulder width apart, and I'm gonna toe out slightly, I'm gonna look down at the ground, and I'm only gonna go to parallel because that's how real men squat. And it's like, no, hold on a second. You know, we've seen this with definitely a lot of the avatars that go through some of our screening and assessment protocols for the squat. So we're either trapped into, hey, I've been hurt from the squat before, therefore I'm gonna modify my movement patterns. And it usually turns into I'm too wide, big base of support, very low little range of motion, and kind of the parking break on the system. Or on the opposite direction, we see that people are like, hey, I've squatted this way for my entire life. Maybe I've developed it with a coach over time, and this is going to be a specific squat exercise for maybe a barbell sport goal. And neither of those are going to be optimal because again, we're talking about the squat pattern itself. When I say squat pattern versus squat exercise, I'm talking about somebody taking a shit into a hole in the most opportune position possible with joints stacked, centrated hips, angulation at the knees that makes sense, looking at ankle mobility, looking at spinal position and neutrality, and being able to organize the shoulders over the hips. And all of a sudden you're like, oh, okay, that is the squat pattern. But many people deactivate that squat pattern in chasing only exercises. So we tend to see that there are a couple key variables in people's squats. Yes, the stance is going to be wider or more narrow, the foot ABduction position is going to be out or in. And then we're going to see the knee is going to be forward or more vertical shin. And then we're going to see the torso angle is also going to be more forward or more erect. And then the thing that usually gets lost, because what I just described is very sagittal, plane and unidimensional. What gets lost is hey, what's underneath the skin? You know, what's underneath that glute? What is the hip type actually look like? Because that's where we tend to see the most amount of success in unlocking people's ranges of motion, getting them out of pain at their knees, at their hips, at their lower back, and being able to actually be strong and stable in their best squat position. And this is something that we go through in the pain-free performance book and also the certification course called the hip quadrant test. Essentially, we are able to type your hip in a matter of one to two minutes. You can even do it on yourself from the protocols in the book to be able to look at where you should actually be at the bottom of your squat and what the glass ceiling is for you to be able to get in this position and be able to build a skill set up so you can get into that position under load. And then the goal from there is to be able to train and maintain that at least one time per week in your programming forever. And then the other two or three times per week that you're doing a bilateral squat pattern, go into specialty, go in for some different muscular targeting, go in for some load capacity work at partial ranges. You know, the sky's the limit in terms of diversity. But what people are missing is that they're not doing the foundational pattern. And instead, they're only doing the partial pattern with specific goal sets, losing the pattern in its essence itself.

Philip Pape: 23:30

Yeah, what you talk about again in the book, and I'm happy to promote this book only because, guys, if you if you check this out, whether you get the digital or physical when it comes out, there's a lot of progression and context and building from essentially nothing up the ladder, not just with what John mentioned, range of motion and your own biomechanics, but also the types of movements and making it as accessible as possible and kind of working your way up. Like I could see myself on those different spectra where, okay, right here I'm close to the top. I'm pretty confident. Here I would probably step back a bit and work my way up. And then you also mentioned targeting different muscle groups and things like that. You know, I've had Andy Baker on the program several times. I love Andy because he he came from the starting strength world, but then has branched out and realized the importance of variety effectively, not for its own sake, but because of what you just mentioned. And we had a whole discussion about squatting and ultimately the million ways you could squat and different types of exercises. It's not really about that, right? It's achieving the right movement pattern. And look, if you have the right movement pattern and you progress over time, you're gonna get massive results, whatever squat patterns you decide to do. And a lot of that comes down to what's fun to you and what do you want to train with too, right? So anyway, I don't know where I'm going with all that, other than to say it makes sense to be methodical about this, whether it's buying your book, reaching out, going to YouTube, listening to podcasts, practicing thinking, being mindful. Let me ask you, John, when you're in the gym and you're training, do you listen to music or do you think with your thoughts? How do you, how are you mindful about your listeners?

Dr. John Rusin: 25:05

I've been uh quote unquote raw dogging my sessions lately. I know that was a popular term of like guys going on a transatlantic flight and not listening or watching anything, but that's what I've been doing. But I follow my own programming. I go inside of the Unbreakable app and I subscribe to it just like every one of my other members does. And I find liberation in that because I know I'm gonna be getting the diversity of movement patterning that I need. I get the distribution of volume throughout the patterns and the exercise selection that I need. And I also kind of have the same goals as everybody else. You know, nearing 40, being a dad that coaches baseball and basketball, you know, being a husband and a business owner, I got 60 minutes to hit it. And I know that I need to be focused. I need to be on rest periods. I have different key performance indicators, strength movements that I'm chasing, but I also want to have that feel of moving well, being mobile, and also like tapping into an athletic potential, even at my age, where I never want to lose track of athleticism and power. So, like the programming that I do right now, I stay very focused in on it because I just follow the app and I do exactly that. And then I track it. And there's a reason that that works for accountability and just staying on track because today it's super easy to go to Instagram and lose 10 minutes between a set. And it's definitely easy to program hop while you're doing an actual program just because of all of the very superficial resources that we have at our fingertips.

Philip Pape: 26:26

Yeah, so raw dogging it, following a program, making judicious use of your rest periods and not getting distracted while you lift. And I can raise my hand being guilty of that sometimes, where I'm like, okay, I'm an entrepreneur and I'm losing weights. Go, do both at the same time, you know? But uh, so okay, maybe roping back a little bit to the framing of this episode on pain, specifically where people get a lot of the pain, which is low back or shoulders or knees. Maybe, maybe looking at the low back, that comes up a lot. Low back fatigue, low back pain. And then sadly, a lot of people just have something go, something pop, have to have a surgery. I know someone, she's a power lifter. I've always thought she's she's lifted great and and she's been competitive and she had to have a microdyskectomy recently, but she also got a lot into running and rowing, which she hadn't adapted to as much as her lifting. So who knows where the issue was? People are like, what do I do? Where do they start thinking about protecting? I even like the word protecting sometimes because it sounds like too much in a shell, like safety, but basically fortifying back.

Dr. John Rusin: 27:31

Two patterns that are going to be super back intensive and also back sparing are going to be the hip hinge pattern and the single leg pattern. We call it the lung at pain-free performance. But when it comes to knee pain, when it comes to lower back pain and really shoulder pain, those are going to be the big three in our industry today. Like we have to have a good foundation of biomechanics. Like we've already talked about the foundations of finding your unique biomechanics that work for you. But I didn't add the next layer to this, which is once you find your unique biomechanics, cool, that's your central line on a spectrum. Be able to add diversity and range of motion and different muscular targeting and different rep ranges and different rep speeds and all these different methods and modalities that we can start throwing on the system strategically over time, not all in one single training week, is going to be the recipe for long-term success. But with the lower back specifically, I tend to see that people neglect the hip hinge pattern because they go, I've hurt myself deadlifting before. Well, what's a deadlift to you? Well, it's a conventional stance with a barbell on the ground, of course. And I am hoisting that thing up at all costs. And in our research at pain-free performance, we've seen that people are unable to keep a neutral zone of spinal neutrality 93% of the time when doing a conventional barbell deadlift off the ground. And this is out of a more pure hip hinge pattern. So essentially what happens to people is that they think this arbitrary exercise is the be-all end-all of everything. But what if you're one of the 93% that can't even access that bar off the ground? You're going to be doing one of two things. You're going to be using mechanics from the squat, pushing your knees forward, rounding your lower back, dumping your pelvis in order to get yourself wedged into that position. Or you're going to be going through and putting undue stress directly on the spine, being able to try to force in a hip hinge that you simply don't maybe have the range of motion or the mobility or the hip structure to be able to achieve. And there's very rarely a time where we bring somebody right from, hey, you had pain, hey, you had an injury. Let's go right back to picking something up off the ground. Many times this is the pattern that is in dire need of a rebuild because people have not just pain and injury backgrounds mechanically, but it really fucks with your mind. When you blow out Your back and it is deteriorating to your lifestyle, not just your training, but your lifestyle, you're going to think again before you go back in and train that, or you're just going to be lost and able to really take the most out of the highest yielding movement pattern that we have. But I would say about 40 to 50% of people today attempting to strength train are neglecting, if not disusing fully the hip hinge and the deadlift. And this is really problematic because we say that it is the most injurious movement pattern, but it is also the movement pattern that will protect the most. So where do we go on this yin and yang? And it's back to a strategic rebuild of trying to put the pieces together stronger and healthier and more customized to your specific needs.

Philip Pape: 30:46

The yin and yang is a great way to describe it because I sometimes have trouble communicating to people that a deadlift done wrong could hurt you, and a deadlift done right could save you, right? It's the same principle. And of course, and you called it the highest yielding movement pattern we have, which again, I I strongly I love the deadlift. Personally, I love it. I think my body is built for it way more than the squat, and that could just be an excuse not to get my squat up. But it is, it is a fun lift. When you said the, I think you said the safe zone around the line of neutrality. Uh, in your book, in your book, you have diagrams showing, for example, somebody hinged over and you have this zone with different colors, and there's that safe zone and then the buffer zone. And it's it's quite liberal. It's not like you have to be super afraid that it's just this rock solid line. And once you go out, spring your back falls apart. But you said 93% of people can naturally stay or have trouble staying.

Dr. John Rusin: 31:40

They are unable to access the bar for a conventional deadlift with spine neutrality. But the interesting thing in that section of pain-free performance about the neutral zone of stability of tension around the spine is that there are many different factors. It's not just a biomechanical model. Our zone of neutrality goes out and it comes back in based on your preparation at hand, based on your skill, based on your sleep cycles, based on your past injury history, based on your training loads and volumes, based on an exercise being a mismatch for your unique biomechanics versus something that actually is a good match for you. There are many different variables that actually affect your neutral line of tension and your zone of neutrality. And this is something that I was super proud of in the book because I haven't heard a whole lot of people talk about this before. They're so they're so black and white when it comes to spine neutral at all costs. You know, you hear the kettlebell community going perfect spine neutral while kettlebell swinging. What do you mean? There's 17 to 24 degrees of spinal flexion at the bottom of a kettlebell swing, even in perfect quote unquote execution. So, what are we really talking about here? What we want to be able to mitigate the risk away from is having rapid force, eccentric flexion of the spine under load. What that essentially means is like, hey, you're out fishing, you got a fish on the line, the line goes like this, it bends the line and it bends your hook, and all of a sudden you're like, whoa, okay, I got that fish. But you don't want to do that to your spine. That is something that when we do see injuries, they can happen in many different types of ways. But I tend to see the injuries happen specifically on the hip hinge pattern with that rapid force, eccentric moment as we're coming up out of the hole off the ground. Usually that first like two to five inches off the ground is where people tend to lose their central line of stability. They lose their spinal tension, they lose that zone of neutrality, and they end up, if they are having all those other factors line up correctly, unfortunate for them, they end up with an ache, pain, injury, flare-up, whatever you want to call it.

Philip Pape: 33:46

Okay, that's really important. So we want to avoid rapid force, eccentric flexion on the spine. Is that dumbing it down rounded back?

Dr. John Rusin: 33:54

When you're quick pulling rounding of the back. And it's usually going to be anywhere from like the lower back or the L and S spine. That is where the vast majority of these are going to happen. There's a natural fulcruming point that happens in the lower lumbar spine. And that is something that is, again, natural, but we don't want to be loading it and we don't want to be losing that line of tension, especially under load. And I think that as like injurious as that may sound, this is really easy to avoid with what we started with, with just being able to brace and breathe properly.

Philip Pape: 34:27

Brace. Yep, for sure. Yeah. So L4, L5, S1 is where you hear a lot of these injuries and issues. And if you look at the spine, you can kind of see that S shape occur around there. But you also mentioned that it moves with your adaptation, with your recovery capacity. And I get attest to this. We talk about, you know, the differences between fat loss and when you're not in a deficit, when you train of being even more attentive, not that you shouldn't always be, but that you're more susceptible to some of these things because of the fatigue and the recovery capacity. I know personally when I get distracted or I go in and I try to be, you know, do an ego lift, right? You kind of get the same thing. So the adaptation I wanted to ask about because you hear a lot of criticism or hot takes on Instagram. You know, look at this guy who can deadlift 900 pounds, but look at that rounded back. That's awful. And I'm like, okay, he's adapted to that and he's doing it and he hasn't injured himself, but is he about to snap his back? Like, what are we talking about?

Dr. John Rusin: 35:21

Taking these people that are absolute beasts, probably a world record holder has been deadlifting for 20 or 30 years at this point. There's really no huge young guns in the game. They've been able to again adapt and stress the system in a strategic way, extraordinarily strategic way, in order to again go at a specific goal for a sport, which is totally different than lifting for health and longevity. But I have personal clients that I work with that you would look at their deadlift form and be like, oh, he just hoisted 950 and he had a rounded and kyphotic spine at the thoracic. And then maybe he's probably even rounding at the lumbar spine. But the big difference between that rounding setup for these guys that are absolute anomalies, if I'm just calling it out, is that they never get pulled into deeper flexion rapidly. They maintain that flexion point and they don't have a net positive flexion point at the spine. I think that's the big differentiation factor. That, and they've done deadlifting so much volume with so much intricate technique work that they are masters of this specific skill out of this specific position. And their body has normalized it in terms of the way that they have callused their system.

Philip Pape: 36:38

Yeah. Yeah. The the speed at which the angle changes and the force gets applied is a direct function of the maximum force that's getting applied, right? F equals MA. I think about discussions I've had recently with lifting buddy of mine, how much we love pauses these days. You know, we're both in our 40s and we like pausing at the bottom of a lot of our movements. Take out the stretch reflex, only because sometimes that is where you're prone to have those high levels of force from the stretch. Not that it can't be also beneficial and you can build the resilience and adaptation, but it's it's what came to my mind.

Dr. John Rusin: 37:09

Anytime that you take a movement pattern, whatever movement pattern it is, squat bench, deadlift, whatever, and you take it to its X amount of available range of motion, and then you play and you dabble between compensatory range of motion and an authentic range of motion, you're in this intermediate range where all of a sudden you don't have the active stability neurologically or mechanically that you probably should have. And you're using compensation, whether that be momentum, whether that be using like the tendoosseous junctions to be like rebound and ramp up out of a squat. Whatever it may be, those are things that maybe not line up well for your long-term health. You know, people are always like, oh, well, what do you think about the butt wink in a squat? Like, I hate it. Like if your goal is to feel awesome and just like be jacked at 45, like probably the butt wink has no place in your programming. But if you're gonna go to the CrossFit games at 45 and try to compete for a medal, like that's a totally different story. So there's always two sides of the coin, but I do believe that anytime that we can be a master of our movement and then we can dominate a movement and then diversify that movement little by little to be able to add variance. And that is gonna be a more well-rounded spectrum of the human movement system.

Philip Pape: 38:22

For sure. Yeah, no, I I love that. And you also mentioned the lunge when we talk about the hip and shoulders and the that pillar. And it's funny because I just I just started a new cycle of a program that does have walking lunges in there, which I like, but I also they also have one and a half walking lunges, which I like quad burners, right? You go go down, go down, come up halfway. You know what it is. Just explain for the listener. Go all the way down, come up halfway, go back down. So you've just like use the lengthened position without relieving much tension, and then come back up into the walk. And you'll find you can't do nearly as many of those as the full as the single walks. But where does the where does the lunge fit in here? Because it is one of your six.

Dr. John Rusin: 38:59

The lunge is the most detrained. You know, the hip hinge, nobody wants to do. Yeah. Ignore our ignore. Uh Dave Tate, an ex-client of mine and a mentor of mine, said it best when I was working with him at Elite FTS. He goes, John, this sucks. I had him doing split squats. He goes, This sucks because it's half the amount of weight and it's twice as hard. And I'm like, man, you just said it. You just said it. And that line is right in the book, too. But when it comes to the lunge, I think it's misunderstood and it's also neglected because it's going to be hard every single time. Uh, unilateral-based lower body work is going to be very demanding in terms of the muscular system, the stabilization system, the neurological system, and the sympathetic system is really going to be heightened up because the balance component to it. But I think just from the mechanics alone, it differentiates itself. It's not just a squat on one leg. It's not just a hip hinge on one leg. It actually is its own distinct pattern. So the lunge pattern has all the best properties from the squat, which is associated with a positive shin angle, a knee forward uh position, and be able to have quadricep dominance. And then also it's a hip hinge at the hips that integrates hamstrings and glutes and lower back. So we actually have maximal amount of load capacity in single leg with many of these patterns, like the Bulgarian split squat, walking lunges, that feel natural to the body as well, because when we function on single leg, that is where we spend 85 plus percent of our movement lives on. You know, we're not functioning in our daily life doing bilateral positions at the squat or at the hinge. We are definitely maneuvering in asymmetrical lower body stances. So this is one that I tend to put the most amount of volume distribution in for almost everybody I'm working with. Probably the highest with athletes, the second highest with like the 35, 40 plus population, and then the third highest amongst people that want to get super strong unconventionally, usually coming from more of a barbell background. But usually with a lower body day, we're distributing anywhere from 50 to 70% of total volume in asymmetrical lower body stances, which is essentially our lunch pattern from pain-free performance.

Philip Pape: 41:12

Okay, yeah. And that is definitely higher than the traditional most people would see. Oh, yeah. Um, and it sounds brutal, but I get it because reverse lunges, I don't know if you put step-ups in there, but to me, those are hard too. And, you know, what split squats, we all there's there's memes galore about split squats, you know, being the worst of the worst, right? But again, we have to change our mindset and think like how beneficial that is. I mean, you mentioned stability and balance and everything. It's like raise your hand if you're listening and you've tried a walking lunge and you like, you know, are just trying to stay up straight, let alone with a bar on your back, if you're not doing dumbbells. So yeah, I thought that was interesting because a lot of people reduce the movement patterns to exclude that. And I think it I I am coming around to your way of thinking here. I think it's really cool.

Dr. John Rusin: 41:56

Yeah, like just going over the years, chasing like we we call it functional meat head. Functional meat head is we're gonna take some like easy-ish exercise, something that you'd see in physical therapy, and we're gonna push it to the absolute limits. The chase over the last like five years or so has been Bulgarian split squat five RMs. How heavy could you possibly go out of different loading positions? I've gotten it to the 150s in each hand for five reps down to the side, and I've also goblet Bulgarian split squat 190 pounds in front of the body for five reps. So when you do things like that, you're like, man, that doesn't sound fun. But you learn a lot about the body's natural stability points and where we can actually maximize strength recruitment from in those particular patterns. Knee forward position plus the hip hinge is gonna be strong, it's gonna be stable, and it's also gonna be able to be able to mitigate risk of knee pain long term because we get into the deep knee flexion, and it's gonna be able to spare the spine because we are on an asymmetrical stance at the lower body, and essentially our pelvis can rotate in opposite directions, and the stability factor is far different than in the bilateral counterpart. So when you think about doing stuff like that, you're like, yeah, this is where this pattern makes sense. If you're just setting up for a Bulgarian split squat for a set of five with a 10-pound dumbbell, and you're like, oh, this seems easy. I can keep a vertical shin, I can put my knee forward, I can do whatever I want. That's fine. But when you actually push things to absolute maximal load or maximal challenge, your body will find its natural, natural writing mechanism, put you in a strong and stable position. And the thing I want people to take away from that statement is where you are most stable is probably where you're gonna be the strongest. And where you are the most stable and the strongest is where you're likely to be the safest.

Philip Pape: 43:38

Right. Got it. Okay. Yeah. And so again, we have to train hard, is also part of the uh part of the equation. And that was a good segue to knee pain because you mentioned the knee flexion and how this supports the knee. We talked about Pateller, you know, the tracking and the knees forward. There's a lot of, I'll call it mythology around that because people will reduce the, you know, form check to, oh, your knee's traveling too far forward, not thinking about the system. So, what are your thoughts on that? And in general, knee pain, maybe the use of knee sleeves, like the whole ball of wax.

Dr. John Rusin: 44:08

One of the biggest mistakes that people will make if they have that generalized chronic front-sided knee pain is that all of a sudden they'll go and Google it and they'll be like, oh, I need a knees over toes program. I need to be forcing my knee forward in the most biomechanically disadvantageous position possible while it's hot, while it's hurting. And sissy squats. Yeah, yeah, sissy squats. Uh, there's a bunch of different exercise variants with that. But that's the opposite thing of what we would recommend that pain-free performance. If you are dealing with hot knee issues, like, hey, this thing actively hurts right now and it's been kicking my ass for a number of weeks, if not months. That's the time where we pull back and we actually back down into some simple biomechanics. If we can manage where the knee is relative to the ankle, that is going to take the distribution of our loading through our body and it's going to put it onto different key musculature into different patterns in different ways. So the more vertical we can keep the shim, the more the posterior chain is going to be involved. Hamstrings and glutes, if we can get stronger at both of those places, that is going to be putting us in a nice position long term to have pain-free knees. But we don't want to just stay there because I think many times people just end up staying there. Their squats are vertical shins, their lunges are vertical shins, everything that they're doing is vertical shins. And guess what? When we walk, we don't have a vertical shin. When we run, when we sprint, when we change the direction and being an athlete, there is never a vertical shin. There's a knee forward position and there's a dominancy of being on the toes versus the heels. And that's something that we need to grade and scale back into. But naturally, we need to be moving back into a more knees over toes position in a graded and concentrated way, maybe week by week, program by program, and being able to have access to that because long term, that is going to be huge. But going back to just like being able to get your knees healthy, managing that knees over toes position is going to be huge. Strengthening the posterior chain that actually supports the stable line of tension from the knee is going to be huge. So hamstring work, ton. I see that super neglected. And then gluten, hamstring work together. That posterior chain emphasis is going to be one of the best things that we can do for our knees. Once we do that, then we can start to scale some of the stress back in with novel positions of the knee actually translating forward.

Jerry: 46:27

Hey, you just wanted to give a shout out to Phillip. I personally worked with Phillip for about eight months, and I lost a total of 33 pounds of scale weight and about five inches off my waist. Two things I really enjoy about working with Philip is number one, he's really taken the time to develop uh a deep expertise in nutrition and also resistance training. So he has that depth if you want to go deep on the Yes with Philip. But if also if you want to just kind of get some instruction and more practical advice and a plan on what you need to do, he can pull back and communicate at that level. Also, he is a lifter himself, so he's very familiar with the performance and body composition goals that most lifters have. And also, Philip is trained in engineering, so he has some very efficient systems set up to make the coaching experience very easy and very efficient. And you can really track your results and you will have real data when you're done working with Philip and also have access to some tools likely that you can continue to use. If all that sounds interesting to you, Philip, like all good coaches, has a ton of free information out there and really encourage you to see if he may be able to help you out. So thanks again, Philip.

Philip Pape: 47:40

Cool. Yeah, gluten hamstring work. Everyone loves that, especially the ladies. Hamstring work is is definitely fun because there's there's ways to isolate it both with extension and flexion. And I know I've been doing length and partial RDLs lately, and those can be brutal because you can some people can overload them, some people actually find them heavy, heavier. It's kind of kind of interesting how that works between individuals. What are your favorite hamstring movements?

Dr. John Rusin: 48:02

RDL is gonna always gonna be the king. I would argue that the RDL, if you're to do one exercise for the rest of your life, probably has the highest yield. You get that stretch on the hams, you get the flex on the glutes at the top, you're able to have mobile full range of motion down through the posterior chain, and you're able to have a connectivity through your upper body. Like it is awesome. And it also gives us the ability to train the core and the spinal position at an isometric. Like it is a super high yield. But I'm a big fan of hamstring isolation work as well. Like, not always going to be jumping into the machines doing a machine circuit like it's global gym. But when you go to seated and line hamstring curl machines, those are two of the only machines that I will routinely be able to program in because there's really nothing else like them in terms of open chain mechanics at the hamstrings that will be far different in terms of the mechanics and the properties of the joints and the stabilization patterns than standing on two feet and doing something like an RDL or a split squat with a hinge emphasis or something that lengthens out the hamstrings. But really, we like to also have diversity in terms of our tool sets there. Anytime that we can get sliders out, anytime that we can get suspension, bandwork, that is gonna be huge for hamstrings. And remember, the hamstrings aren't just one muscle. The hamstrings are hamstrings, and then we have adductor groups of the hamstrings as well. So anytime that we can get out into the lateral planes of motion, that is gonna act for hamstring stabilization at the hip down into the knee even more. So you really can't go wrong having big, strong, meaty hamstrings because they're not only aesthetically pleasing, but they are so functional for almost every goal, whether it be trying to mitigate low back pain, being able to bring up your glute hypertrophy, or just protect your knees long term.

Philip Pape: 49:48

And they make your legs look good. Uh, let me tell you, because it's like the triceps of the legs, right? You know, people think it's the biceps, it's the triceps that make your arms look big. But uh no, that it's funny you mentioned the sliders and stuff. Because I, again, I used to do CrossFit and they had the rollers and stuff. My my daughter's doing a little physical therapy for her. She dislocated her knee not long ago. And they're like, Dad, have you ever heard of sitting in a chair and pulling with your legs? I'm like, Yeah, I bet that hurt that you feel that in hamstrings, don't you? Because, you know, it's just even doing that, it's you can see how weak you are sometimes when you do those. Uh, that movement, which is more like the leg curl type movement. I know we're getting low on time. I did want to talk about the shoulders, honestly, because I personally have had rotator cuff surgery. There's probably a lot of things I could have done different myself over the years. I am where I am, but it's a very epidemic thing among lifters who are older, bar none. I mean, shoulder issues all over the place. Some people avoid overhead pressing altogether. Some people are in, you know, shortened range of motions, using the pausing, using having to vary up their grip and width and all this. Um, trust me, I know. So when it comes to the shoulder pain, are there, again, movement pattern issues that people are doing too much? Or is it trying to go too hard on overhead doing it the wrong way? Like, where does all this come from?

Dr. John Rusin: 51:00

We have an obsession with the mirrored muscles. I think it's as simple as that. The mirror muscles are gonna be your abs, they're gonna be your biceps, and of course, the chest. And if you're not training chest on Monday, are you really strain training? And as funny and as stupid as that sounds, if you go in and watch any single gym across the world as I've been to, you're gonna see that the bench press is the number one exercise for every male in that gym on any given day. And all of a sudden, you go years, if not decades, of overtraining the push and neglecting the backside of the body with the pull pattern. And we tend to run into some problems, especially now because we are so glued to handheld technology with our phones, we're on our computers, we're sedentary more than ever before. And we have a bigger need to actually reverse these sedentary postures with the pull patterns that put us into extension, external rotation, and AB duction at the shoulders. And this is the opposite of what most people are training. One of the first things that I do with clients is that I audit their volumes. I audit their volumes across squat hinge, lunge, push, pull, and carry patterns. And when it comes to the upper body pushes and pulls, if I see anything that's under like a two to one ratio between pull and push, I'm like, yeah, that's the first thing that we're gonna go after here is we're gonna redistribute the volume to put more volume on the backside of the body in terms of rowing and pull downs and push-ups and direct lat work. And then we're going to probably keep the volume about the same or pull it back a little bit in terms of your push pattern. And the push pattern is gonna be more diversified than just the barbell bench press on a flat or if you're functional, going up to a 45 degree angle. And that tends to really be humbling for most people because they go, oh shit, you know, I need more face pulls, I need more rows, I need more unilateral work in the pull pattern. And I need to be able to diversify away from just the barbell. I love barbell bench pressing, and I would say 60 to 70% of my clients will barbell bench press. But we also are training many different uh ways in terms of landmine pressing and dumbbell pressing and working with bands and having kettlebells. And there's so many different ways to be able to train the push pattern. And the easiest one is the most accessible to everybody, is simply doing push-ups in a closed chain, getting your hands on the ground and allowing your shoulder blades to actually start moving again. That is going to most likely be the pattern where we start the rebuild process from if you're dealing with shoulder pain and past injuries.

Philip Pape: 53:26

So much wisdom here, guys, if you're listening. I mean, I'm just like smiling inside, John, because a lot of what you're saying, I've had to learn through hard knocks. And I, you know, I'm not saying I know everything you know, but it just resonates so hard with me because for me personally, for anyone listening who's been following my shoulder rehab journey, you know, things things got kind of acted up about a year after my surgery and things started to take a turn with bursitis and issues like that. And I'm still working through, but a lot of the advice I got and talking to guys like you, not you, but guys like you, were trying to do more pulling movements and try to really strengthen the back part of the upper body. And, you know, just today I was doing neutral grip pull downs and T-bar rows, and like I'm really getting into more of that. I like that two to one ratio because it's a nice prescriptive way to think about it, where you, you know, if you're doing six movements, then four of them should be pulls rather than pushes. And what are what are your thoughts on like barbell rows and yeah, let's, you know, movements like that that have other translation to the posterior. Do you find them even more effective? Or can they be kind of limiting because of the weight? Like, what are your thoughts?

Dr. John Rusin: 54:32

I program almost everything. I do not program traditional barbell bent over rows.

Philip Pape: 54:37

I saw that in your book. I saw that in your book. I wanted to ask about it.

Dr. John Rusin: 54:39

One of the reasons that I don't is not that I think everyone's gonna be injured first time that they do it. That's not the way the body works. But I do think that it's just not the best way in order to train the back directly. When we're thinking about holding a hip hinge, we just mentioned that a lot of people have trouble hip hinging in general, but now I'm gonna ask you to hold it for 30 to 60 seconds in a hard isometric and not give up the position whatsoever. And then I'm gonna put your hands in a fixed position on a barbell in an arbitrary distance apart, and I'm not gonna allow natural rotation to happen at the hands nor the shoulders. And then I'm gonna put it into a bilateral stance that is gonna be dependent on your lower back position and you staying upright. And then I'm gonna put max load on because anytime we see a barbell, it's like, how much can we load up on this thing? And many times it just turns into a sloppy movement, it turns into half rep ranges of motion, a lot of momentum being used, a lot of the recruitments happening at the lower back versus the musculature of the upper back and the lats where we really want to target. And it's something that there's just like so many other awesome variations that we could possibly go into for muscle, for strength, for resilience building of positions, that it just doesn't make a whole lot of sense for me. I will absolutely use positions and I will use different variances of bent over rows, whether it be single arm, whether it be supported, whether it be chest supported. There's a lot of different ways to do it. But the standard barbell bent over row, I know this seems like sacrilegious to many people listening, but that's just not a high risk-to-reward exercise for a vast majority of people for shoulder health and for lower back health.

Philip Pape: 56:18

Yeah, I wanted to ask because I saw that in there and I don't totally disagree. I mean, I've spent years trying to follow people like Alex Bromley, for example, who takes it very seriously on how to do the position and making sure you're up above the ground so that you could properly get in the form and everything. And then guys who, you know, are like, Loyal, let's use the easy car, let's easy bar, let's increase our angle and let's do power versions of that so that you go to a dead stop. There's lots of things. And maybe there are some other benefits like the isometrics, but you get that from deadlifting as well. So I hear you, man. And I personally have really started to enjoy like T-bar rows and cable rows and things like that, and really feeling it hit those spots more directly. But teach his own, obviously, if you can progress safely and do it and you want to do it, we're not saying not to. As we wrap up, and we're a couple minutes past, apologize. Is there anything else you wish I had asked? I know there's a lot we didn't get to, but in this context of just pain-free with those key joints, anything we didn't cover that's on your mind?

Dr. John Rusin: 57:16

I think that as we get older and as we have more mileage on our system, we will all be pushed to be able to evolve and change so we can continue to do what we love to do. And you said something that really resonated with me. It was like, yeah, I had to gain this wisdom because I had shoulder pain. I had to go into surgery, I had all these injuries over the years, but I love training and clearly we do. But I think pain-free performance is a 600-page resource on things that I have made mistakes with, things that I've been mentored by, and the system that you could simply run to plug and play a pain-free performance model that simply keeps you healthy and works for your body uniquely. We don't have to give up what we love to do. I would never tell anyone that. Leave that to the doctors and the poor physical therapists out there. What we want to do is be able to line you up to do what you want to do forever, but it does take a little bit more concentrated work and a smarter system to achieve that.

Philip Pape: 58:09

A smarter system to do what you love to do forever. Love it, John. All right. On that note, where do you want people to find you besides? I'm going to promote it for you again. Pain free performance, the book. I think it's still available for pre-order because it doesn't come out till, well, around when this episode comes out. So look look it up. We'll include the link to that. Uh, any anything else where you want them to reach you, John?

Dr. John Rusin: 58:28

Any social media is at Dr. John Russin on Instagram, on Facebook, also on YouTube. And you can check out our websites over at painfree training.com and also drjonrusson.com.

Philip Pape: 58:41

All right, we'll include those links and uh the handles in the show notes. Thank you, Dr. John Russin. It's been a pleasure. Really, this was even better than I expected. I expected a great conversation, but we really covered a lot of unique, helpful areas for the listener, and uh, they're gonna love it. Take home some good action from this. So thank you so much, John.

Dr. John Rusin: 58:57

Thank you so much for having me. This was fun.

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Interviews Philip Pape Interviews Philip Pape

7 Tips to Save 200 Hours in the Gym (Without Losing Muscle) | Ep 390

Most lifters waste hours each week on redundant exercises and inefficient volume. In this episode, Philip reveals seven science-backed ways to cut your training time by nearly half (saving up to 200 hours per year) without losing muscle or strength. Learn how to train smarter, recover faster, and finally enjoy workouts that fit your life.

Join Physique University and get the IGNITE 4-Day Time-Saving Training Template (use code FREEPLAN for a custom nutrition plan when you join)

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Can you cut your gym time by 40 to 50% while still training effectively to build strength and muscle?

Learn 7 research-backed strategies to help you save tons of time with your workouts to reclaim up to 200 hours a year without sacrificing results.

Timestamps:

0:00 - Too much time in the gym?
4:52 - Tip 1: Cut exercise bloat
7:54 - Tip 2: Prioritize compound lifts
10:03 - Tip 3: Antagonist supersets
12:50 - Tip 4: Fewer sets, harder effort
17:42 - Tip 5: Increase training density
21:42 - Tip 6: Rest pause and drop sets
25:16 - Tip 7: Smarter warm-ups
28:10 - The math behind saving up to 200 hours a year
30:14 - Consistency, adherence, and enjoyment

7 Tips to Save 200 Hours in the Gym (Without Losing Muscle)

If you’re spending five to seven hours a week in the gym and still not seeing the results you want, you’re not alone. Most lifters waste a huge amount of time on redundant exercises, excessive volume, and recovery practices that don’t actually improve performance. In this episode, Philip shows you how to engineer your training for maximum stimulus per minute—saving up to 200 hours per year without losing a single ounce of muscle.

These seven strategies are backed by research and designed for lifters who want efficient, evidence-based programming that fits real life.

1. Cut the Exercise Bloat

Most programs online are overloaded—ten or more exercises per session, often targeting the same muscles. You don’t need that.

  • Focus on movement patterns, not body parts: squat, hinge, push, pull, lunge, carry.

  • Choose 4–6 lifts per session that hit multiple muscles at once.

  • Replace leg press + leg extension + leg curl with just a squat and RDL for full lower-body coverage.

Research shows hypertrophy is identical when total volume is equated, even if you use half the number of movements. Simplifying your routine can easily reclaim 30–40 minutes per session.

2. Prioritize Compound Lifts

Build your program around big, multi-joint movements—squats, deadlifts, bench presses, overhead presses, rows, and pull-ups.

  • They recruit more muscle per rep.

  • They improve systemic work capacity and movement efficiency.

  • They make isolation work optional, not mandatory.

Do compounds first when you’re fresh, then add isolation only if you have time or specific weak points to target.

3. Use Antagonist or Non-Competing Supersets

Supersets save time by pairing two movements that don’t interfere with each other—like bench press with rows, or squats with calf raises.

  • You rest one muscle group while training another.

  • You maintain performance while cutting total rest by up to 40%.

  • You keep intensity high without turning it into cardio.

Avoid pairing heavy lifts that tax the same stabilizers (like squats and deadlifts). Think of it as efficiency, not exhaustion.

4. Reduce Sets but Train Closer to Failure

Two hard sets near failure stimulate nearly the same growth as four or five easy sets.

  • Aim for 1–3 reps in reserve (RIR) on working sets.

  • Use the top set + back-off set approach: one heavy set of 4–6 reps, then one lighter set of 8–10.

  • Focus on effort, not volume.

You’ll gain strength, save 20 minutes per session, and recover better between workouts. As Philip says, “Make every set count.”

5. Increase Training Density

Training density is work per unit of time. Raise it intelligently:

  • Shorten rest on accessories to 60–90 seconds.

  • Walk or stretch between sets instead of scrolling your phone.

  • Group 2–3 non-competing exercises together if logistics allow (e.g., leg press → leg curl → calf raises).

You’ll maintain output while compressing total session time from 75–90 minutes down to 45–60.

6. Use Rest-Pause, Drop Sets, or Myo Reps

These intensity techniques condense effective reps into less time:

  • Rest-pause: 1 set near failure, rest 15–30 sec, then repeat twice.

  • Drop sets: Lower weight by 20–30% after failure and continue immediately.

  • Myo reps: Mini-sets of 3–5 reps with short rests.

Use these sparingly for isolation work like curls or lateral raises—not your big barbell lifts. Expect another 10–15 minutes saved per workout.

7. Streamline Your Warm-Up

Most people waste 20–30 minutes on mobility drills and foam rolling that don’t translate to performance.

  • Spend 5–10 minutes max raising core temperature and moving dynamically.

  • Use ramp-up sets to prepare for working sets: start light, add weight, drop reps each time until you hit your working load.

  • Example: 95x5 → 135x3 → 185x2 → 225x1, then begin your work sets.

Warm up the movement, not the muscle.

The Time Math

If you currently train 6–7 hours weekly, implementing these changes can cut your training time nearly in half while keeping 90–95% of your gains. That’s 150–200 hours saved per year—the equivalent of four full work weeks—all while maintaining or even improving strength, muscle, and recovery.

And here’s the real kicker: shorter, smarter workouts improve consistency. When lifting fits your schedule, you actually show up more often, enjoy training again, and see better long-term results.

Takeaways

Efficiency isn’t doing less—it’s doing what matters most.

  • Fewer lifts, done harder.

  • Smarter programming, not more volume.

  • Shorter sessions, better adherence.

If you want a done-for-you program built around these principles, check out the Ignite training template inside Physique University. It’s a four-day upper/lower split that maximizes hypertrophy, minimizes wasted time, and delivers real results.

Visit witsandweights.com/physique to get started.


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Get notified of new episodes. Listen on Apple, Spotify, or all other platforms.

Then hit “Follow” and you’re good to go!


Transcript

Philip Pape: 0:01

If you're spending five, six, even seven hours a week in the gym trying to build muscle and lose fat, and you're starting to wonder if there is a smarter way to get the same results without sacrificing so much time away from work, family, and everything else you're trying to prioritize, this episode is for you. I'm gonna show you seven evidence-based strategies to cut your training time by 40 to 50% while maintaining or even improving your strength and hypertrophy gains. We're talking about as much as 150 to 200 hours back in your pocket every year. And the best part is you'll learn why more time in the gym doesn't equal better results. It is time to engineer your training for maximum stimulus per minute. Welcome to Wits and Weights, the show that helps you build a strong, healthy physique using evidence, engineering, and efficiency. I'm your host, Philip Cape, and today we're gonna tackle a problem that affects just about every lifter I work with, and that is spending way too much time in the gym for the results that you're getting. Now, you might have heard that building muscle requires a certain amount of volume, and oftentimes more is better, depending on where you're starting from. And for many people, this translates to, oh, I need to be in the gym for 90-minute sessions or potentially more, or four, five, six days in the gym. I know people who like to go to the gym every day of the week. And if you're not doing that, are you working hard enough to get the results you want? But in my opinion, that approach is not only inefficient, and I'm all about inefficiency or efficiency, it's often counterproductive. Many things in life, you do more, you do get more results. But when it comes to your body and your recovery, uh, there is this fine balance. And so today we're gonna break down seven time-saving strategies backed by research, things that I really love that actually work. There are a lot of ways to save time in the gym, but these are the big hitters. And they're not really shortcuts, they're not hacks, they're just taking the principles and saying, okay, how can I do this intelligently to get the maximum stimulus, but minimize time, especially wasted time. And by the end of the episode, you'll know how to restructure your training to save as much as two to four hours every single week. Of course, it depends on where you're starting. And the goal is to still make all the progress you want to make. This is not like just the bare minimum I'm talking about. This is still making really, really good progress. Let's say 90, 95% of the results you could possibly get, but but still saving time. And for some of you, it's actually gonna improve your results because you're actually doing too much. All right, so let's just jump right into it and talk about the time problem, right? The the typical lifter, if you're listening, you're probably training three to six days a week. But many of you, as you've gotten into the intermediate, maybe advanced stages, you've gone to four-day splits, maybe a five-day power building program, maybe a six-day body part split. I've I've seen the whole gamut. And if you're doing fewer days a week, they're probably 75 to 90 minutes a session. If you're a new lifter, if you've never lifted before and you're listening to this podcast, you're like, oh, that sounds like a lot. And it's it is a lot for a beginner. I think a beginner can get away with, you know, 30 to 45 minutes three days a week, period. Um, and right there off the bat, if you're doing way more than that as a beginner, we can address that with today's episode. But a lot of you then start to creep up, you do more and more, you increase the volume, and all of a sudden you're training maybe six, seven, eight hours a week when you add it all up in the gym, and then you have your commute time, and then you have your warmups and rest time, all that stuff kind of adds into that, right? And there is a point of diminishing returns. And when I look at people's training logs, I see either redundant exercises that target the same muscles and they can just kind of strip those down. I see uh wasted time or not necessarily see wasted time. I know people are wasting time like scrolling on their phones, for example. I see way too much warm-up that's not necessary. I see a lot of extra accessory or isolation work that could be eliminated or combined with other movements. I see too many sets, like I see a lot of things. And I think it comes from maybe a misunderstanding of what drives muscle growth, but also just a lack of clarity and confidence of really what to do and like what programs are appropriate for them, or putting together their own program that doesn't make sense. We think of training volume, volume definitely matters. It definitely matters, but beyond a threshold, more volume doesn't mean more growth, and everyone responds differently. So there's a sweet spot where you get that maximum stimulus with a minimum time, kind of like a curve, and we want to find that point for you. Because unless you have the extra time or you're retired or you're a competitor or something like that, and you want to spend the extra time to get that little extra boost in optimization, you know, that this episode's not for you if that's the case. We're actually talking about going the other direction and saving time. So, my first strategy of the seven is to just cut the number of exercises you're doing per session. And we're gonna map this out. I think one of the biggest time waste wasters is bloat in exercise selection. And I see it online. If you go to, if you just Google like strength training programs, you'll see these either full body or body part split programs that have like nine, 10, 11, sometimes 12 exercises, which is insane in my opinion. Again, unless you're Arnold doing two days for two hours a session and you're enhanced, you know. Uh, and I'll see like lots of overlapping things, you know, leg press, leg extension, leg curl, calf raises, flat bench, incline, decline, cable flies, pec deck, right? And a lot of redundancy, and it ends up eating up like an extra half hour than you probably need for the benefit. I like I want you to think of this in terms of coverage and efficiency with the movements, meaning the more you can do movement patterns and incorporate more muscles, whether it's targeted directly or indirectly, the more efficient you're gonna be and get to do fewer exercises to get the same result. So the first principle here is thinking of movement patterns, not muscle isolation or muscle groups. Even though I talk about that a lot in the context of hypertrophy, the first principle we need to start from is the movement patterns, the squatting, hinging, pushing, pulling, lunging, carrying, right? The movement patterns. And when you structure training around those instead of muscle groups, you're gonna recruit more total muscle mass per exercise. Eliminate redundancy. You're gonna find out that it's pretty hard on your body, such that you need to make some trade-offs elsewhere, and still you're gonna get the result, right? So instead of, especially if you're a beginner, but instead of like leg press, leg extension, leg curl, calf phrase, you can do a squat variation and an RDL, for example. Squat variation, RDL. That's gonna hit your quads, your glutes, your core, your upper back, a whole bunch of stuff. The RDL is probably the best thing to hammer the hamstrings, the glutes, the lower back, two exercises right there, complete lower body coverage and other muscles as well. And there's a lot of overlap. That's just that's just one example, right? All the big movements have a similar result. And so when you equate weekly volume, we actually find there is no difference in a hypertrophy as well, muscle size, when you spread sets across 10 exercises versus five exercises, as long as the five are efficiently chosen. But that could save you right there 30 to 40 minutes. So I really want you to look at the programs you're following. And if they're these really long packed in programs with a ton of movements, you're gonna save a lot of time by consolidating those. Thinking of the big movement patterns, the compound lifts. Very important, right? And what was the other thing there? Oh, and it's gonna save you time because if you're going to a commercial gym, you don't have to worry about fighting for all those machines and worrying about their availability. So that leads me to strategy number two, which is gonna sound similar, but it's it's different in its own way. And that is to prioritize compound movements specifically. Right. So the first the first strategy was really about consolidating the exercises. The second one is prioritizing compound lifts, squats, bench press, overhead, deadlifts, rows, pull-ups, actually, rows. I prefer pull-ups to rows for newer lifters, but rows can get in there later on. Not just uh barbell rows, but T-bar rows and chest supported and all that. Um, but anyway, these are efficient because they hit multiple muscles, muscle groups, as I mentioned already, and they produce greater total muscle activation per rep, and they improve your work capacity and your tolerance for systemic fatigue as well, which is going to translate to your overall fitness level, your cardio capacity, and your ability to lift harder and more with more quality with the accessory and isolation work. Right? Just think about when you bench press, you're recruiting your chest, your shoulders, your triceps, your lats, your core, and you can change the grip and the width and target different things more effectively, like your triceps with a close grip. You know, compare that to like a chest fly. I mean, I I love a chest fly as much as the next guy, um, especially when it's done bottom to top, and you really, you know, tighten that uh contraction, right? We're thinking of bodybuilding, but not if you're not doing bigger pressing movements. And it doesn't have to be a bench press with a barbell, it could be with dumbbells, it could be an incline, you know, there's lots of compound lifts. So, and it doesn't mean you never do isolation work. It means you prioritize compounds first, build your program around that, then add isolation. And that is also gonna save you a lot of time. So you're consolidating your lifts and then you're prioritizing the compound movements and doing them first, most likely, most likely doing them first, okay, to get high effectiveness. All right, strategy number three is to use antagonist or non-competing supersets. I do love supersets these days. I used to kind of poo-poo them and file them under circuit training, but that's because I came from a world of either CrossFit or the gym machines where you're doing five exercises in a circuit and it's kind of random and you know rest periods and things like that. I think done correctly, supersets can still maintain your performance, but cut a lot of time because you're cutting rest time. And we know in the research, there's been some recent meta-analysis and season studies that show comparable results, whether you're using supersets or not, but you actually save a lot of time. And the best way to do this is to pair exercises that don't compete for the same muscles or the same, let's say, stabilizer groups, like benching and rowing. That's that's pushing, pushing and pulling, or uh squats and I don't know, calf raises, let's say. Let's say, and that came to mind because I was thinking if you have a squat safety bar and you're doing a version of a front squat, let's say with a squat safety bar, and then you can immediately go into calf raises. You can do the same thing with a leg press machine and calf raises, right? Things like that. Um, pull-ups and leg curls. Like if you're doing a full body day, doing upper body and lower body, those are definitely non-competing muscles. But even biceps and triceps, those are antagonists, right? Because while one thing is resting, the other muscles are recovered, ready to go, all out. You might need to take, say, 20, 30 seconds. You don't have to do it immediately. This is the point isn't to get your heart rate up, although there is that side benefit. The point really is to just cut time, right? And you're using the rest time now productively in between, you don't have to have as long rest time. But the effective rest period between the same exercise still ends up being longer because you're doing something else in between. So again, the research shows that antagonist supersets do maintain strength and hypertrophy and cut rest time by about 40%. So if you did that for your whole workout, which I'm not necessarily recommending, but let's say you did, a 60-minute workout would be as short as, say, 35 minutes, same results. Now, I think a mistake people make here is pairing exercises that are competing with the same muscle groups. Like, don't do squats and deadlifts as supersets. Don't do, you know, overhead press and well, I was gonna say overhead press and pull-ups. Um, I don't know. You could try those, but you get what I'm saying. Like, don't the second exercise is going to suffer quite a bit. And you'll know what, you'll know what that is when you feel it. So it's okay to experiment. Now, you might want to do that on purpose to fatigue the muscles. That's a different strategy. That's not a time-saving maintained performance strategy. That's more of a bodybuilding like fatigue, you know, get closer to failure more quickly strategy, which is perfectly viable, but it's not really about saving time per se. So I would, if you do supersets, I would still have some rest period in there, like 30 to 60 seconds, so that your output, your reps are as effective as possible and you can, you know, bang them out. So this could save you, like I said, 20 to 30 minutes a session. All right, strategy number four is to reduce the number of sets. And I'm gonna combine this with another strategy, and that's training closer to failure, which you should be doing anyway, but I'm gonna explain why. Most of your muscle growth is going to occur when you have that high level of mechanical tension. Now, there's a huge debate raging right now about whether anything beyond mechanical tension causes hypertrophy. Like, does the metabolic stress cause hypertrophy? And there's some camps that are like, absolutely not, it's all about mechanical tension. And others say that, well, we see studies that show when you have higher metabolic stress, like a higher pump, you know, you see greater hypertrophy. And you know what? They're probably both right to an extent. It probably comes down to the first principle of the mechanical tension. Anyway, there's probably a lot of overlap or correlation, is what I'm saying. And honestly, you don't have to worry about it. All you have to, all you can control is how hard you train and getting close to failure. Now, how close depends on the lift, the safety of the whole setup, what your goals are. But everything beyond that is gonna contribute diminishing return, diminishing returns. And what I mean by on that is beyond that is I'd rather you do two really hard sets close to failure than three, four, or five, or you're half-assing it, or you're not getting close to failure, right? That that's where we're gonna save time. Because we do see similar hypertrophy with, let's say, two or three hard sets compared to four or five. There's like this fine balance. And there are arguments, you know, some people say, look, getting that third set in, if you are training really hard and you have the capacity, you're eating enough, you're sleeping enough, does give you that little extra volume that can help. Sure. But if we're trying to save time, is it worth it? Is the trade-off worth it? So by hard sets, we are mean, we are talking about, I'm gonna say uh one to three reps shy of failure, reps in reserve, also called seven to nine RPE, uh rated perceived exertion, right? I mean, some people would argue and go as far as four reps from failure, but if we're only gonna do two sets, I want you to get, you know, in that really stressful regime, stressful in a good way, as in mechanical tension, close to failure. So a lot of people are doing workout programs that have like four or five sets sometimes, right? And then, and that's not a bad thing necessarily, but then they're not really pushing the first three sets, and only the last two are challenging. And so then the first three are effectively becoming warm-up sets. Well, you should already be warming up anyway with a few sets, unless you're already warmed up, and then go after it really hard with the working sets. And so if you could do two or three sets instead of three or four, that's gonna save time, obviously, right? As long as you make it count. And I really love the two set idea in what's called top set back off set. I originally learned this from my coach Andy Baker. In fact, he was on the podcast talking about exactly this thing. We did an episode on bodybuilding a while back. Uh, but I've seen others use Jeffrey Verdi, Jeffrey Verity Schofield has uh a good program that uses that structure. And I've seen it done with lots of different bodybuilders. And all it is is, you know, you you warm up and then you do your working weight at some rep range, let's say four to six for one set, and then you drop the weight, say 10 or 15%, and perform one more high effort set, probably at a lower rep range or a higher rep range, if that makes sense. So your first set might be four to six, you drop the weight 10 to 15 percent, your second set might be eight to 10. That's just an example, right? And doing those two sets really hard not only covers the two different rep ranges, but also reduces the volume, but still gets you some good work and saves time. And this might save 15, 20, 25 minutes a session if you do if you normally have all three sets and now you do all two sets. And you know what? Try it out. See if your results don't change or even improve because you're training with maybe even more intensity now, because you're so focused on getting those two sets to mean something, and you're not getting as much systemic fatigue. So it could be a win-win. All right, so that's the fourth strategy. All right, if you're if you're thinking, like, how do I structure all of this into a complete program? Because that is where people get tripped up is okay, now I need to execute this. Um, we've got you covered inside physique university, just to let you know, we have a whole bunch of training templates there. I call them training templates. I don't call them workout programs. They are training templates because they are flexible and we give you substitutions so that if your gym or your home gym doesn't have certain equipment, you can swap something out. We also tell help you understand how to do that and reprogram it for you. And we have a new template called Ignite. Coach Carroll came up with this. It is a time-saving template that is based on some of these principles. It's a four-day upper-lower split, so it prioritizes compound lifts, but it also uses supersets, drop sets, strategic selection of your exercises. And you shouldn't require more than a half an hour if you're doing it efficiently for those four sessions. And it's still considered more of an intermediate program, so it's still gonna get you great results. If you want access to Ignite plus all my other training templates, we've got power building templates, we've got volume and set-based templates, we've got beginner templates, we've got gluten leg templates, and then all the nutrition coaching, community support courses that go with that. Just go to witsandweights.com slash physique. The link is in the show notes. That's witsandweights.com slash physique for the Ignite training template, and you'll see a special code in the show notes to get you another bonus along for the ride. All right, we've got three more strategies. So strategies five, six, seven. Strategy number five to save time in the gym is to increase your training density. Now we talked about supersets. That is kind of a way to increase training density. You're not actually doing more training, but you're doing it in less time. So I'm gonna expand on that with this one with some other ideas. Training density is effectively your work divided by time, right? How much volume are you moving per minute? The higher your density, the more efficient your training, with the caveat that the efficiency isn't offset by a lack of performance because you're moving too quickly and not resting enough. Get it? So we got to make sure we're not becoming a YouTube workout here or an F-45 or a CrossFit workout. We're not trying to do that. We're not trying to do that. All right. No, no offense to YouTube workouts because I know that's a catch-all, but you know what I mean by that. So, what do I mean here? Well, you could shorten your rest periods on your accessory movements. I am a big fan of resting enough on the bigger movements of like say three to five minutes. Some of the, I'll say quasi-big movements, like an RDL, you could probably get away with two to three. And then the accessory movements, you can get away with a minute, maybe two, and be okay. And sometimes that actually is helpful, right? Because it keeps you close to that failure point. Like, let's say you're doing three sets of maximum pull-ups. Take no more than two minutes between them and just go really hard. And you'll probably not be able to get as many reps on sets two or three, but you're still gonna get that uh those effective reps, right? And again, there's there's arguments about this. Should I take a full two and a half, three minutes here to be able to get what my maximum reps would have been? Again, it's a time versus outcome trade-off. I don't think it's worth it for everybody if you're trying to save time because all that rest period adds up. Okay, so that uh putting that out there, but the other piece here is put that damn phone away. And, you know, I'm talking to myself here. This is critical because a lot of people think they're resting a certain amount of time. Maybe they do have a rest timer, but then they're scrolling Instagram, they're checking their email, they're trying to do work, whatever. Maybe it's productive stuff on your phone. I don't know. But then you end up resting another minute or two and it kind of adds up. I would rather you just pace around and get some steps in and just be mindful and ready to jump in, which by the way, could be more effective for your training anyway when your headspace is into the workout rather than constantly getting distracted, right? Because that is not the point of training. And again, I'm talking to myself here too. I do this a lot, and I know I'm here to train. And really the way to do this completely is abstinence, meaning leave your phone in your bag. However, if you're using it to track your workout, I know you have to have it out. So just put it down between sets. So that's one thought as far as training density. Another thought is to expand the superset concept to three or four non-competing exercises, if that's possible, and then rotating them together. Again, this is you're like, well, isn't that more like circuit training? Yeah, kind of. But again, if they're non-competing, you can still expand that same concept. You know, if you're gonna do leg press, then hamstring curls, then calf raises, and then some loaded ab crunches on a cable, right? And if you're doing cable work, for example, that could be an efficient way to do it as well, because you have the machine and you can just change the positions and stuff like that, change the attachments. So three, maybe four. Don't go beyond that, because then it truly becomes more of just like a circuit that you where you may lose performance and get too winded during the process. But again, hypertrophy isn't gonna get sacrificed very much at all. If anything, you might get closer to failure in some of these movements because you're a little bit fatigued. So really think about organizing your workouts. Just because a program doesn't say to do it as a superset doesn't mean you can't, or you can't move the lifts around to get more work done in less time. That's my thought there. All right, strategy number six is to use rest pause or mile reps or drop sets, basically any type of set where you're shortening the time it takes you to do the reps, or you make it where you can't just can't do as many reps, but you're close to failure. So this is again expanding on some of the concepts we're already talking about. So, what are these? Well, rest pause is where you perform a set, it gets close to failure, and then you only rest 15 to 30 seconds. That's all it is. And then you do it again, then you do it again. And so the general drop-off is something like 50%. So if you're able to do 12 reps on set one, you'll probably get around like five to seven on set two, and then maybe a little more than half of that on the third set, really depends. What I like about these, besides saving time, they actually teach you what training hard feels like. They're actually a really good technique for that. Because once you get to that second and third set, your brain is like, wow, I'm surprised I'm already tired, but I'm only getting, you know, five or up so far. Come on, I gotta get another one. Almost it's almost like your ego helps you out a little bit there because you're like, I should be able to get more, right? And then you realize the how much things get fatigued when you don't take enough rest. And in this case, you're intentionally not taking enough rest. So this is great for accessory work. Like if you're gonna do, I don't know, let's say uh incline dumbbell curls with dumbbells. By the way, little tip on incline curls. They're one of the best barbell curls if you do them right. If you're back at like a 30-degree angle, kind of like when you do an incline bench press and you hold dumbbells, you you curl them out at an angle, right? Just keep your keep your palm up and curl them out at you, kind of like wings, just out and all the way down, get that full stretch and then and take a short pause and then up from the bottom. Anyway, so something like that, you'll see how tired you get on sets two and three, but that's the point, and it also saves you time. Another example of this is drop sets. Drop sets are where again you go to failure and then you immediately drop some weight, continue, repeat a few times until you're done. Uh, another example of this is density sets, where you just try to get, you know, 50 reps as quickly as you can, whatever rest you can, whatever rest you can fit in there. Another way to do this is time-based. You're like, okay, I have three minutes and I'm gonna go back and forth between these two, or I'm gonna do just this one thing. I'm gonna do neck curls or I don't know. I'm thinking of that because I actually just tried some of those um ab crunches, you know, like I said, something really small and isolating, and you're just gonna bang out like as many reps as you can in X number of minutes, right? In AMRAP. There's nothing wrong with these for the isolation movements as ways to save time, and you're probably gonna get similar, if not better, results doing them while saving time. I would how I would, however, limit them to maybe a couple exercises per session. Don't do it with everything. Do them with machine work, with isolation work. Do not do these with heavy barbell movements or your form is gonna break down. Now, obviously, if you're using a barbell for bicep curls and you just want to drop do drop sets there, that's fine. That's not what I'm talking about. So this might save you 10 to 15 minutes just gloming a couple exercises together and using these density techniques, uh, rest pause, drop sets, etc. All right, strategy number seven is really about your warm-up. I think a lot of people are spending way too much time warming up before they they lift. 20, 30 minutes, you know, foam rolling, stretching, activation drills, um, way too many ramp up sets. They're not sure where their working set is, so they do too many warm-up sets. Generally, five to 10 minutes of general warm-up max, which might include a little cardio, dynamic work, maybe you need to stretch and loosen up, whatever. I'm I'm cool with all that. I'm not gonna criticize any of that. I think it's great, but maximum five to ten minutes. I mean, five minutes probably. And then your first lift, you're gonna have three to five warm-up sets, most likely. That is how you warm up because you're warming up the movement pattern. I've done entire episodes about this, and we actually teach about this in physics physique university. We have a whole series called Lifting Lessons, and we give you how to the warm-up ladder. You know, we teach about all the different things like bracing and breathing, et cetera. But effectively just get warmed up if it's cold, raise your core temperature, and then you know, one to one to two sets, um, or not one to two sets, uh, three three to five ramp up sets leading to your working weight, where you're increasing the weight, you're dropping the reps, and then you hit your working set. Right. So if your working weight is 225 pounds, you might do, you know, five at 135, four, uh five at 135. Let's see, let me let me think of this the right way. No, let's start with 95. You might do five at 95, you might do three at 135, you might boot two at 185, maybe one at 205, but probably not, then you jump to 225, right? Something like that. So that's definitely gonna save time if you're not doing that already. All right. So if we add all this up, I actually did some math here. If you're spending five to six sessions in the week, 75 to 90 minutes, right? That's like seven and a half hours a week, that's 390 hours a year. If you did all of these strategies and you reduce the number of sessions, you reduce the time, four to five sessions, 45 minutes to an hour, then that's like three, three and a half to four and a half hours a week. So that's around 200 hours a year. So you just reclaimed like 150 to 200 hours a year, which is up to four full weeks of your life back. Again, that's that's the extreme, but you get the idea. And that's without sacrificing the result with your muscle, your strength. And a lot of people improve when they do things like this because they're training with more focus and with more intensity and better recovery. And sometimes this increases your metabolism because you're not as stressed. You're able to get more sleep. You get it? It kind of compounds on itself. So it's not about training more or training longer, it's training more intelligently, more efficiently, building that system that works for your life. Now, there's one huge side benefit I haven't mentioned yet. When you train more efficiently, your consistency goes up. Because when your workouts are shorter, you have a little bit more motivation to go, you have more time to go, you're less tired and fatigued, so you have more energy to go, right? And so you've just reduced a bunch of friction. And that just naturally makes you show up more, look forward to it more. It's exciting, it's fun, it's not this huge commitment, right? Some people love working out 90 minutes, six days a week. That's fine. We're not, I'm not talking to you. Talking about people want to save time and still get the result. And so there's this compound effect of efficiency like this. Shorter workouts lead to better adherence, that leads to more total training volume over time. And that is where the results come from is that that volume over time applied consistently. So I do see this a lot. We have a lot of clients, this might be you, that come in, they're kind of burned out from quote unquote working out so much. And they're like, but how do I, you know, that's not working? Do I have to do more to get more muscle and and more fat loss? No, sometimes you have to cut that sucker in half and get rid of all the cardio. And all of a sudden, now you start going to the gym more often because it's fun. It doesn't take that much time. You're walking in between in a flexible way, and now in six months, 12 months, you've made huge progress, way more progress you've made in the last three, five, twenty years or your whole life, possibly. Most likely. Consistency beats intensity every time. Remember that. The intensity can ramp up slowly over time once the consistency is in place. And being efficient like this increases your consistency. And then again, the other benefit is you enjoy training again. It becomes energizing. You look forward to it. So, really, it's not just saving time, it's building a sustainable, consistent system for training. All right, so if you want the exact training template that puts some of these into practice, check out the Ignite program inside Physique University. Go to witsonweights.comslash physique. It's a four day upper lower split. We have a full library of other templates. We teach you how to. Do it. We give you substitutions. We give you training videos. We give you, of course, support. Lots and lots of ways for you to succeed. Make this consistent, get the result you want, build that muscle, lose that fat. Go to witsandweights.com slash physique or click the link in the show notes and make sure to look for the code in the show notes for an extra bonus. All right, until next time, keep using your wits, lifting those weights. And remember, efficiency isn't about doing less, it's about doing what matters the most. I'm Philip Pape and I'll talk to you next time.

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The Myth of Reverse Dieting (Do THIS Instead) | Ep 389

Reverse dieting sounds smart. Add calories slowly, rebuild your metabolism, avoid fat gain. But research shows it doesn’t work that way. In this episode, you’ll learn why most people’s results come from ending the deficit, not the slow calorie increases, and how to recover your metabolism the right way without wasting months stuck in limbo.

Join the 10-Week Recovery Diet Workshop tomorrow (Tuesday, October 21) at noon Eastern. Get the complete evidence-based protocol for metabolic recovery without reverse dieting. Just $27 includes the full workshop, replay, 20-page protocol workbook, and bonuses.

Register at: http://live.witsandweights.com

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Reverse dieting promises to "fix" your suppressed (or "broken") metabolism through gradual calorie increases, but does it actually work?

Is it the most efficient way to "recover" after a fat loss phase or years of dieting?

Discover what the research actually shows about metabolic recovery, why reverse dieting creates convincing illusions of progress while delaying actual results, and what you should do instead if you're stuck at low calories heading into the new year.

Episode Resources:

Timestamps:

0:00 - Reverse dieting hype vs. evidence
5:00 - Myth 1: Precision reveals "true" metabolism
10:05 - Myth 2: Maintenance is a fixed number
14:50 - Myth 3: Eating more without gaining fat
19:48 - Myth 4: Gradual increases drive recovery
24:25 - What actually drives recovery
26:50 - The 6 steps of a proper recovery diet

4 Reverse Dieting Myths

Reverse dieting has become one of the most overhyped “metabolism-fixing” strategies in the fitness world. You’ve seen the claims: add 50 to 100 calories per week, “train” your metabolism to burn more, and magically maintain your new weight without gaining fat. Sounds great—until you look at the data.

In this episode, Philip breaks down the myths behind reverse dieting, what the research actually shows about metabolic recovery, and why most people end up delaying progress by doing it wrong.

The Problem with Reverse Dieting

Reverse dieting started as a recovery strategy for physique competitors, but social media turned it into a universal “metabolic fix.” The problem? It’s based on several false assumptions:

  1. Myth 1: Extreme precision reveals your metabolism.
    Tracking precisely doesn’t increase metabolism—it just exposes how much you were truly eating. Many people discover they weren’t actually in a deficit after all, which is why they “magically” start maintaining on more food.

  2. Myth 2: Maintenance is a single fixed number.
    Your maintenance calories exist in a range—often 300 to 400 calories wide. Reverse dieters often mistake moving from the low end of that range to the high end as “boosting” metabolism when nothing physiologically changed.

  3. Myth 3: You’re eating more without gaining because your metabolism increased.
    Not quite. Weight change reflects long-term energy balance, not what you ate today. Small daily surpluses add up slowly, creating the illusion of eating more while maintaining.

  4. Myth 4: Gradually increasing calories drives recovery.
    The research is clear: metabolic rate increases because you end the deficit, not because you inch calories up. Hormones and energy output start rebounding within days once you return to true maintenance.

What to Do Instead (The Recovery Diet)

Rather than dragging things out for months, the smarter and faster path is a recovery diet—a structured process to restore metabolic function without unnecessary fat gain.

Here’s how:

  1. Assess your foundations: Sleep, stress, movement, and strength training all affect recovery.

  2. Jump to maintenance quickly: Don’t inch there; restore energy balance in days, not weeks.

  3. Track dynamic maintenance: Use data-driven tools like MacroFactor (code: WITSANDWEIGHTS) to identify your real expenditure.

  4. Accept biology: If you’re very lean, full recovery might mean regaining a little fat.

  5. Monitor biofeedback: Strength, energy, mood, and sleep quality improve as metabolism normalizes.

  6. Plan your next phase: After recovery, you can re-enter fat loss from a healthy, sustainable baseline.

Reverse dieting doesn’t speed up metabolism—it just delays recovery. The real key is eliminating the deficit and rebuilding your foundations so your body feels safe to burn energy again.

Your metabolism isn’t broken. It’s adaptive. And when you understand that, you can finally stop guessing, start eating, and move forward with confidence.


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Get notified of new episodes. Listen on Apple, Spotify, or all other platforms.

Then hit “Follow” and you’re good to go!


Transcript

Philip Pape: 0:00

By now you've probably heard of reverse dieting, and that it is the solution to your suppressed metabolism. Add 50 to 100 calories every week, watch your metabolic rate magically climb, and avoid fat regain in the process. Except the research shows that reverse dieting, the way it's commonly practiced and promoted, is mostly built on myths. The benefits people experience have almost nothing to do with gradually adding calories, and everything to do is simply getting out of a deficit. Today I'm breaking down what the evidence actually shows about metabolic recovery, why reverse dieting perpetuates myths that keep people stuck, and what you should do instead if you're stuck at low calories heading into the new year. I'm your host, Philip Pape, and today we're going to talk about one of the most overhyped strategies in the fitness industry, reverse dieting. I've spent years working with clients who have tried reverse dieting, and I've watched this approach evolve from a post-contest recovery strategy for bodybuilders into a supposed metabolic fix for anyone who's ever dieted. And the problem is that most of what you've been told or see on social media about reverse dieting is not supported by evidence. The actual research, and there's a lot of it now, it's actually quite interesting, tells a very different story than Instagram testimonials and coaching programs selling you on this approach. So today we're going to look at what the evidence shows, why reverse dieting does perpetuate these myths that seem true, but they're not, and what you should do instead. Because this is more about recovery dieting and doing it the right way, not doing reverse dieting the way it's usually perpetuated. Before we get into it, I want to share what is possible when you actually get this right. I want to share some quotes from members of Physique University who've been working on their nutrition and training foundations over the past few weeks and months. Joseph says, quote, I'm working on my lifting form. Thanks for form checks with inputs from both Coach Carol and Coach Phillip. I have expert inputs allowing me to improve my workouts. Huge plus. Also, looks like my body fat's trending downward and muscle mass is on the incline. So everything's headed in the positive direction. Joe said, quote, I can now wear a pair of jeans that were consigned to the same pile as underwired bras and high-heeled shoes, labeled not possible anymore. They fit perfectly now and don't hurt anymore. And Christine told me, quote, I had to bring my daughter to get a new state ID this morning. She was asking about the real ID, so I got my license out. It I saw that after 39 years, I finally weigh less than my license shows by 30 pounds. And these are just a variety of different outcomes that people are getting depending on their goal. And it's what happens when you understand what drives recovery and stop relying on some of these myths. Joseph is seeing body composition improvements while getting stronger. Joe is experiencing real-world benefits that she cares about. And Christina's getting results she hasn't seen in 39 years. So if you want these kinds of results for yourself, I am teaching the complete system tomorrow at noon Eastern in the 10-week recovery diet workshop. Registration is open right up until then. So you can go to the link in the show notes or live.witsandweights.com. So let's talk about why reverse dieting isn't what most people think it is. I want to start with the conclusion and then work backward through the evidence. Reverse dieting, if you look at social media and how it's practiced, promoted, and spoken about, it's based on a fundamental misunderstanding of how metabolic recovery works. The idea is that by very slowly and precisely adding calories, usually it's something like 50 to 100 a week, sometimes I'll see 200 calories, and tracking everything, you can somehow coax your metabolic rate upward. You could jumpstart your metabolism without regaining fat. And then you can supposedly lose fat from a higher metabolism. At least those are different elements of this claim. The research shows this is backward. The benefits that people experience from reverse dieting have nothing to do with the gradual calorie increases. It comes from getting rid of the energy deficit. That's a different thing. Those are two different things. Okay. Getting out of a deficit causes your rate to partially recover back to its current baseline or set point, whatever word you want to use. And that happens whether you jump straight to maintenance or you drag it out and inch your way there over, say, 12 weeks. So what reverse dieting actually does then is delay recovery while perpetuating myths that make it seem like the gradual increases are doing something special and that they're necessary. And then understanding these is important because, you know, lots of smart, well-intentioned coaches believe and say these things, and sometimes in a negative sense in that they are used preying on your fear to get you to join a program. So today we're going to break down four myths that keep people stuck in reverse dieting. And we're going to talk about what actually drives recovery. And then finally, what should you do specifically? So myth number one is that extreme tracking precision is going to reveal your true metabolism. Now you might be shocked to hear me say that because I talk about macrofactor all the time and how tracking your weight and your food is going to help you understand your true estimated expenditure. So if you are, for example, adding 10 grams of carbs this week and you don't account for that, then the entire approach is meaningless somehow, that you have to track to the gram every day, or you can't tell if your planned increases are having any effect. But what's happening when you are tracking, however precise you are, is that you're revealing how much you're actually eating. You're not actually revealing your improved metabolism. And again, you're like, wait a minute, Philip, it doesn't quite jive with what you've said in the past about eating, tracking your food, tracking your weight, and revealing your metabolism. Stick with me because there's some nuances here. So I'll see this a lot with clients, right? Someone comes to me, you know, thinking their metabolism is just so much lower with age, it's broken, whatever words we want to use. And they're like, hey, I'm only eating 1400 calories at the moment. I can't lose weight anymore. So I'm not going to go ahead and immediately change their diet. What I want to start with is tightening up their tracking and awareness. I want them to weigh using a food scale. I want them to use the barcode. I want them to use AI-based vision estimates, whatever makes sense. It doesn't have to be perfect. But I do want them to log everything for the day and do it every day so that we get the most and the most precise data in a relatively short time. Okay. And suddenly they discover, oh, I'm eating 1800 calories. So that's one scenario. And I'll say it's not the most common scenario today because a lot of people that come to me have heard the podcast. They know to do this. They're not gaslit about how many calories they're eating, is the word I'm going to use. Okay. But a lot of people aren't tracking or not doing it consistently, or they're skipping weekends, or they're using an inferior tool like MyFitnessPal, where they're just tracking, but they don't know how much to target. So then they feel guilty when they don't hit their goals and then they don't track on those days or those meals, right? And the list goes on and on and on. And we we know that even registered dietitians, right? People who have lots of nutrition training are routinely underestimating their calorie intake unless they actually track it. Many of us just are terrible at this. You know, 40 to 50% is common for non-nutrition people or people who haven't gone through this before. So even if you're trying to do it intuitively, you could be off by 20%. And then it kind of compounds over time as your diet changes, your life changes, maybe the adherence is a little bit spotty, those errors get even larger if you're not, you know, kind of on top of it. So what makes reverse dieting seem to work is that you are now more precise with your tracking and it improves your habits. Because the loose tracking that you did before, where you were quote unquote eating 2000 calories, but maybe you were eating 2,400 on average because you didn't count the weekends, you didn't count the snacks, you didn't count the bites, didn't count the eating off of your kid's plates, right? Those sorts of things, as well-intentioned as you were, that's gone. And now you're like, oh, okay, I'm actually averaging a few hundred more calories than I thought. And then your brain goes into the solution mode of, oh, well, now I maybe need to meal plan a little bit differently to bring that number closer where my maintenance is. So it's not that, hey, I used to maintain on 2000, now I'm maintaining on 2600, my metabolism is fixed. It's not what we're doing here. That's that's one of the myths. You are always eating whatever the value is and maintaining at that weight. You just didn't know because your tracking wasn't as accurate. So for many of you, you've already gone past this point and you are tracking, but I do want to address the listener who is still not quite tracking consistently because there is extreme value in that. Tracking creates a real measurable difference in the numbers you see because you see the truth. You see the real logged calories. It doesn't have to be perfect. By that I mean you should log everything, but the accuracy, there's gonna be a little bit of error, but the error tends to work itself out. It tends to be a little high and a little low. For example, if you're using AI-based food logging, I think that's good enough. I think it's going to be a little bit high sometimes, a little bit low sometimes, especially if you give it context, it's gonna be a little bit more accurate. And all of this can be extremely empowering in and of itself without doing anything else. Of course, it then throws water in your face because you're like, oh, I'm actually eating a little bit more. So I my behaviors do have to change a little bit, right? So if you need that level of precision to make reverse dieting quote unquote work, that kind of tells you something. Okay. I think real changes to your metabolism can happen regardless of whether you're tracking precisely, right? They're they're two different concepts. But the the tracking is going to create the awareness that's gonna improve the habits that are gonna help you with your metabolic change. Okay, I hope that all made sense for the first one because some of these myths are a little bit are a little bit nuanced. All right. Myth number two is that your metabolism only works at a specific calorie level. And what I mean by this is the idea that your true maintenance is, you know, this one number and it's not very different and it doesn't differ very much. In other words, it's fixed or close to it. So let's say your maintenance is 2200 right now, then your brain immediately goes to, okay, if I eat 2100, obviously I'm gonna lose weight. And if I eat 2300, I'm obviously gonna gain weight. But the reality is far from that. Let me walk it through. Okay, so let's say your true expenditure, we call it your total daily energy expenditure, the amount of calories you burn in a day. Let's say it is 2200 calories per day right now. If you eat exactly 2200 calories a day, your weight will probably stay fairly stable. Now, if you eat 2100 calories a day instead, you're in a 100 calorie deficit. Over three months, we would see a, you know, a couple pounds of fat loss, let's say. But because daily weight fluctuates by, say, one to three pounds for most people, having nothing to do with fat, but because of water, you may not even be able to notice that. Even if you're using a tool like Macrofactor, you know, which is as precise as it gets in terms of your weight trend, it's gonna be hard to see that. Now, what if you're eating 2,300 calories? So that's a hundred calorie surplus. Again, opposite. You're gonna gain a couple pounds over several months, barely noticeable, especially within the noise of day-to-day fluctuations. So for practical purposes, your maintenance is actually a range of something like 400 calories. I mean, you know, because 400, we're talking about practicality here. So anywhere from let's say 2,000 to 2,400 calories a day is gonna feel like maintenance to you. And because the scale isn't obviously going up or down, your clothes fit the same, you would say that you're maintaining. But here's how it creates another reverse dieting myth. Let's say someone finishes a diet at 1800 calories and they're on the low end of their maintenance range, maybe even a small deficit because but but because they're losing weight so slowly, they perceive themselves as maintaining, right? And then they start reverse dieting. Over, say, 10 weeks, they work up to 2200 calories. So they went from 1800 to 200. And remember that 400 calorie range. Well, now they're kind of on the high end of their maintenance range that they ended the diet with. Maybe they're in a small surplus, but again, the weight change is barely perceptible. And then you think their mind goes to, hey, I just added 400 calories over those 10 weeks and my weight stayed the same. Awesome, reverse dieting works. But their actual expenditure might have been 2,000 calories the entire time. They went from slightly below to slightly above it, and they stayed within that invisible range of quote unquote maintenance the entire time. They didn't reverse metabolic adaptation, none of this reverse dieting magic occurred. They just moved from one end of maintenance to another. Maintenance is a range. And it fluctuates even so, even beyond that. You know, I could think of a client who, for example, reverse dieted from 1700 to 2100 calories over 12 weeks with a previous coach and had told me this story how she had done these reverse diets and she's like, Yeah, I added 400 calories, I didn't seem to gain weight. But when you averaged it out based on the intake, her TDEEE was really around 1950 the entire time. When you look at the expenditure graph, we had to reverse engineer it with her data because she wasn't using macrofactor at the time, and then we kind of reverse engineered it. So that's like she started slightly below it and did slightly above it, and it looked like metabolic recovery. And I think this is a power myth, powerful myth to sit on here because it creates the it creates the experience that reverse dieting promises, which is eating more without gaining weight, but nothing's changed. It's purely a, I'll call it an accounting error. It has to do with math and averages and dynamic dynamic, your system being dynamic and the signal versus noise and all that fun stuff, the kind of the engineering stuff that you really have to be aware of. And you can get fooled by if somebody is a really slick marketer and kind of flips the numbers the right way. And so this is why tracking and monitoring your expenditure matter a lot. Because when you understand your actual energy expenditure via logging food, logging weight, not just this perception or this like nebulous range, it helps you target in on those smart decisions. How do I want to adjust my calorie, calories, but not let it drag out a long time and not actually have a result? So I'm teaching this tomorrow at Noon Eastern in the 10-week recovery diet workshop. This is not reverse dieting with all the myths and all the false promises, but it's actually called recovery dieting, where it's based on your metabolic response and your personal lifestyle and the need to adjust as you hit various plateaus and situations. So I'm going to walk through how to assess your foundation. You know, how are you even in the place where you can properly track, measure, and execute a recovery diet and know that you're doing it? How to use that data, like your expenditure, to make those informed adjustments, how to monitor biofeedback, which honestly is one of the best indicators of recovery. And then what to do when your data shows that you're ready for certain changes along the way. So you don't go too slowly. I'd rather you get there fast and efficiently if you can't. So that's tomorrow. It's $27, includes a 20-page protocol workbook and all the bonuses, all the guides, the workshop itself. Live.witsandweights.com or click the link in the show notes. Go to live.witsandweights.com, click the link in the show notes. I'm going to continue on now with myth number three that you are eating more without gaining because your metabolism's going up. Now, again, you might think, well, yeah, isn't that what happens when you recover? You eat more, your metabolism follows, and therefore you don't gain weight. And mathematically, it's very convincing. It explains why a lot of people are certain that reverse dieting worked for them. And again, you're thinking, Philip, this sounds a lot like what you talk about, but there's differences. I really want to explain. I hope I'm doing a good job on this podcast because it's hard to do this. The myth is hey, I'm now eating 2,800 calories and maintaining the same weight I used to maintain at 2,000 calories. Therefore, my metabolism increased by 800 calories. The problem is that calorie intake is instantaneous, but body weight change is cumulative. When you ignore that cumulative math, you create a myth of metabolic improvement. And honestly, as much as I love macrofactor and I use it myself, this is where I have to constantly question what it's telling me in terms of the expenditure and either offset it one way or the other because people, I think, maybe trust it too much to be like, this is what's going on today, even though it's a lagging indicator, all right, and doesn't overrespond, it's very conservative. So what's actually happening looks like this. Let's say you finish your diet, you go on a fat loss phase, you lose some fat, you finish your diet, or maybe you're plateauing, whatever. Let's say your expenditure at the end of the diet is 2,400 calories, but you're not quite sure that's what it is. You've been eating something below that, right? Like let's say 1800, what did we say? 1800 calories? I don't think I gave you a number, but let's say 1800 calories. And so you're like, I'm gonna do a reverse diet, I'm gonna jump up to 1900, and I'm gonna go up 50 calories a week for the next X number of weeks until I recover my metabolism. So in the first, let's say, eight weeks, if you're going up 50 calories a week, you're basically still in a deficit because you didn't really trust how high you should go and you didn't want to lose fat, right? And then at some point you hit your maintenance, but you're still going and you start to overshoot, and eventually you get into a surplus and you start to gain a little bit of weight, but all of this is imperceptible. It's all imperceptible. And then by let's say three or four months later, you've been trying to do this, it may not take that long, maybe a shorter time frame. You're actually eating a higher level than your true maintenance that's even fully recovered. And your cumulative energy balance over that entire time is approximately zero. You haven't gained weight, but you think you've boosted your metabolism by that amount of calories, let's say 800 calories. Except in reality, you took a long time to get to your true maintenance, and then you took a long time slightly going past it. And again, going back to myth number one, you're effectively in that range the entire time. And yet you've probably ended up on the top end, and now you may be in a surplus and start to gain weight, but it's gonna happen slowly over time. So it's this lack of data and lack of confidence where you think, oh, the reverse diet worked and I'm maintaining my weight, and you're not really, you're actually starting to slowly gain weight at that point, maybe a lot of weight, and it just slowly catches up. And so I think this part ex this myth explains the most common reverse dieting testimonial, quote unquote, you know, I'm I'm eating so much more than I used to, and I haven't gained weight. Okay. Because it's true, at least on the surface, but they haven't been eating that much more for very long, and the cumulative energy balance really hasn't had time to catch up. And because they're not tracking their data accurately, they don't know it. And so this is where, hey, I gained eight pounds or 10 pounds months later, and I'm not, and I don't know why. So this is kind of disconnecting calorie intake, which is what you eat today, from body composition, which is what you've eaten over many months. And the illusion of reverse dieting manipulates the timing to create this myth of eating more without gaining, but the cumulative math is gonna catch up eventually. And that brings me to myth number four that gradual calorie increases drive the metabolic recovery. And this is the most important myth to understand because it gets at the core misunderstanding of what actually drives metabolic recovery. The reverse dieting myth says that gradually increasing your calories causes your metabolic rate, your metabolism to increase. Add 50 calories this week, your metabolism speeds up a bit, add another 50 next week, it speeds up more, keep going. And then you rebuild your metabolic capacity through this careful manipulation of calories. And again, the research shows us and experience shows us this is backward. What actually happens is eliminating the energy deficit, the calorie deficit, causes a metabolic, your metabolic rate to increase. That's different than increasing calories causing it to increase. You have to eliminate the deficit. When you transition from a negative energy balance to a neutral energy balance, maintenance, metabolic adaptation partially reverses because you're no longer in an energy depleted or resource-depleted state. And guess how fast this happens? Within days, it has nothing to do with whether you jumped straight to maintenance or inched your way there over 12 weeks. Once you get to maintenance, right, and that's the important part, you're gonna start recovering very quickly, which is why we want to do it quickly. Okay. Metabolic adaptation is driven by two things: the loss of fat mass and body weight and the presence of an energy deficit, right? Those are two different things. You're getting lighter on the scale and you're in a deficit. When you get rid of the deficit, that portion of adaptation driven by the deficit reverses very quickly. The portion driven by your loss in body mass is going to persist until you regain it because you're just a lighter person. Of course, that was your goal, right? To be a lighter person. So you take that along for the ride. So reverse dieting gets the causality backward, the cause and effect. You're not able to add more calories because you're carefully manipulating your metabolism upward. You're able to add more calories because eliminating the deficit increased your metabolic rate. And now your old maintenance is actually a slight deficit, right? The maintenance you ended your diet with, technically, right, is now a slight deficit because you've recovered to your true, full recovered maintenance as quickly as you could. I think it's almost like a parallel to progressive overload and training, right? You don't get stronger because you added five pounds to the bar. You're able to add five pounds to the bar because you got stronger from the previous training. I know it sounds like a paradox, but the weight increase is the effect of you adapting and getting stronger, which is why we're not really overloading, we're actually loading right to the edge and then causing that adaptation. The same thing happens with reverse dieting. The calorie increases are the effect of metabolic recovery from eliminating the deficit. So you're kind of like allowed now to increase your calories because you're slowly getting out of that deficit, and the recovery happens because of that. The gradual increase in those calories are you just getting up to that point, albeit slower than I would like you to, which is kind of the whole point of this whole discussion. And this matters because if reverse dieting is the effect instead of the cause, then the approach is redundant. What do I mean? Well, you're engaging in weeks or months of this guesswork, and maybe you are tracking, but it's still this very mentally fatiguing calorie manipulation to accomplish something that happens when you automatically automatically when you just go to maintenance. You just jump up to maintenance now, like within a day. So the research actually confirms this. When people transition out of an energy deficit right to their true maintenance, their metabolic rate goes up within days, not weeks, not months, days. And it increases the same amount whether you jump to maintenance now or your reverse diet, you're way there weeks later. But we want it now, don't we? We want to recover. Your body's gonna feel much better for it. What does not increase quickly is the part of your metabolism driven by your body weight because you're lighter and you can't change that. It's a biological reality. That's the other confusion because you're not gonna recover, you may not recover fully to the metabolism you had before. Now, the difference being you're probably also building muscle over time. So that's gonna slowly inch up your metabolism as well, just a little bit. But in the short term, you're not gonna have any of that going on. You're just gonna be a little bit lower because your body weight, but you should recover because you're not in the diet. And I actually see this in the data when when I work with clients or in physique university and we're using macrofactor and we're doing this the right way. We'll sometimes see the expenditure bottom out, and then within a few days or at most a couple weeks, it really starts to climb and get back to its normal level. It's always gonna have ups or downs, though. You gotta understand that it's very dynamic, but it's going to recover. So putting this all together, and then I'm gonna talk about what to do instead in a moment. The evidence tells us that metabolic adaptation, it's not permanent damage. It's just temporary, a temporary change in metabolism that reverses when you eliminate the deficit. And then if you gain your weight back, it'll go all the way back to what it was before. Or if you gain muscle, it's gonna go up, right? That's adaptation. The adaptation adds friction to the whole process and it adds confusion. And that's why I do these episodes. But we're talking about a modest impact, not a huge impact. Effectively, effectively, when metabolism drops during dieting, it's gonna add several weeks to the whole process. Or it's gonna cause you to have to eat a little bit less. That's basically what it comes down to. And you can choose do I want to go faster and have it be a little bit harder with more hunger, or do I want to go slower and face the reality of it? The portion driven by the deficit will reverse within days of returning to maintenance. That's, you know, primarily hormonal, right? Your thyroid, we know it drops by like 6% on average in a 500-calorie deficit, but then it goes right back up when you get out of the deficit within days. We know this from bodybuilders as well. You know, the research on physique athletes, those who tried to kind of restrict their weight regain because they were worried about getting too much fat back, they actually had this persistent long-term suppression of their metabolism. While people who said, you know, I'm gonna come right back to my set point right now, recovered faster. And then ironically or coincidentally, your metabolism then pops back up where it needs to be. So, what should you do instead? So instead of reverse dieting, you want to do what's called a recovery diet. It's not about gradually adding calories and hoping, guessing, taking time, being stuck in that maintenance window and not actually recovering. It's understanding what drives recovery and then optimizing for those factors. And I'm gonna give you six quick ones here. And again, we're gonna cover these in detail in tomorrow's workshop. First is to assess your foundations. These are things like sleep, stress, training, activity, nutrition quality. All of that is going to help you regain your or not regain, it's going to help you come back to your uh recovered state without gaining fat, right? Because that's what we're trying to do. Number two is transitioning to maintenance as quickly as you can instead of inching your way there over many weeks or potentially months. And you can do that with a lot of confidence without worrying about fat regain when you follow the kind of approach that we take. Number three is to be tracking your dynamic maintenance. Again, we use MacroFactor, use my code Wits and Weights, all in Word. It is the only food logger that can do that right now. The only other way to do it is with a spreadsheet. Although I'm gonna drop a hint right now, there's an app that I'm developing that will also do that for you in the background. But anyway, your metabolic rate is gonna climb slightly after you eliminate the deficit. And you want to get first to where it is right now as quickly as you can, and then you start to jump up to where it's going to be in the short term. So that's not reverse dieting, that is a quick jump and then some subsequent jumps as you know how your metabolism is changing. Number four is to accept the reality of biology that, you know, if if you're extremely lean to get fully, fully, fully recovered, you're probably gonna gain a little bit of fat back, or you're just gonna have to stay, you know, to stay lean, you're gonna have to just be eating a little bit less, not a lot less, like a diet, but it's not gonna be as much as you were when you were heavier, right? You can't override that with any system or magic reverse dieting protocol. Number five is tracking things that really matter during this whole process, like your strength, your energy, your sleep, the performance in the gym, all of that is telling you that recovery is happening. So even if you didn't have all this data about calories, you could tell quite straightforwardly, I don't know if that's an adverb, based on your biofeedback that you're recovering. And then number six is using your recovered capacity now in an intelligent way. What I mean by that is let's say you come to our workshop tomorrow and then follow the 10-week protocol. Now, it doesn't take 10 weeks to recover. A lot of that time has to do with building the foundational habits, okay, and assessing these things and doing it the right way. It's actually gonna happen fairly quickly, but you're gonna finish your recovery, you're gonna enter the new year at a well-known maintenance with good biofeedback, then you're ready to go hard at a proper fat loss phase. Not because you boosted your metabolism, but because you're not fighting this deficit-driven, this lack of foundation-driven suppression in your metabolism. That is recovery dieting, okay? And that is what I'm teaching tomorrow with all the implementation details, with the workbook, with the plan and everything. In tomorrow's workshop, just go to livewitsandweights.com. Again, just go to live.witsandweights.com or use the link in the show notes. It's $27, includes a complete 20-page protocol workbook. It includes the foundation assessment, it includes the dynamic maintenance approach we talked about today, how to actually execute it. It includes how to bio how to monitor your biofeedback, and I even have a troubleshooting guide in there for all of the things that will come up in the data, in your plan, and in your life, especially since it's during the holidays. So again, go to live.wits and weights.com or click the link in the show notes if you want to stop wasting time on all these diets and the reverse dieting. And you want to understand this is how I recover, and then I can go after good fat loss in the future. Until next time. Keep using your wits, lifting those weights, and remember your metabolism isn't broken, it's just adapted. And understanding the difference is what actually drives recovery. My name is Philip Pape, and you're listening to the Wits and Weights podcast. Talk to you next time.

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Pain-Free Knees, Low Back, and Shoulders for Training LONGEVITY (Dr. John Rusin) | Ep 388

You don’t need to live with knee, back, or shoulder pain to keep lifting. In this episode, Dr. John Rusin explains how to rebuild your body’s “pillar” for stability, avoid the training mistakes that wreck your joints, and develop the resilience to train hard for life.

Get John’s new book Pain-Free Performance: Move Better, Train Smarter, and Build an Unbreakable Body

Knees sore? Back tight? Shoulders giving out? You’re not broken, you’re just missing the system your body was built on.

I talk with Dr. John Rusin, an internationally recognized strength coach, physical therapist, and author of Pain-Free Performance, about how to train hard without breaking down.

John reveals why your knees, back, and shoulders fail together, and how the "pillar" (your hips, core, and shoulders) holds the key to lasting strength. We cover breathing and bracing for stability, rebuilding your deadlift safely, and the movement mistakes that cause chronic pain. You’ll learn how to train smarter, move better, and build real resilience so you can lift for life, not just the next program.

Today, you’ll learn all about:

0:00 – Intro
2:43 – The pillar that powers pain-free strength
4:19 – Breathing and bracing the right way
8:22 – How to train hard without breaking down
11:42 – The mistakes keeping you in pain
16:38 – Why perfect form isn’t one size fits all
19:26 – How to find your ideal squat setup
27:32 – The deadlift myth that’s hurting your back
41:12 – Why lunges are your secret weapon
51:00 – Shoulder pain fixes that actually work

Episode resources:

Pain-Free Knees, Back, and Shoulders for a Lifetime of Lifting

You don’t have to choose between training hard and staying pain-free.
Most chronic lifting pain—knees that ache, a cranky low back, tight shoulders—comes from the same root problem: treating the body as a set of isolated parts instead of an integrated system.

In this episode, Dr. John Rusin breaks down why pain shows up where it does, how the hips, core, and shoulders work together as your body’s “pillar,” and the simple way to bulletproof your joints for the long haul.

Why the Same Three Joints Keep Getting Hurt

Knees, lower back, and shoulders are connected through what Rusin calls the pillar complex: shoulders → core → hips.
When one area loses stability, the others pick up the slack.

  • Weak or unbraced cores overload the spine.

  • Tight hips shift force to the knees.

  • Poor shoulder positioning breaks the chain at the top.

Fixing one area in isolation—say, hammering your abs for low back pain—rarely works. The key is systemic stability, not spot fixes.

The Foundation: Breathing and Bracing

Most lifters brace wrong. They tense their abs but ignore the hips and shoulders, breaking that pillar of stability.
Rusin’s approach starts with a sequence:

  1. Create tension around the shoulders.

  2. Create tension around the hips.

  3. Inhale deeply and brace the core—360 degrees, not just the front.

Your bracing intensity should match the lift. Max-effort deadlift? Full brace, hold breath.
High-rep goblet squats? Lighter brace so you can keep breathing.
As Rusin says, “As load goes up, breathing goes down.”

Train Hard, Not Careless

Pain-free doesn’t mean easy. The sweet spot is between reckless intensity and endless rehab.
You can and should train hard—just not blindly. Rusin calls this the functional meathead approach: combining the intensity of traditional strength work with the intelligence of corrective exercise.

That means:

  • Warming up with purpose.

  • Building capacity across all six foundational patterns—squat, hinge, lunge, push, pull, and carry.

  • Avoiding “planned injuries” from stubbornly doing what already hurts.

Rebuilding the Big Three Patterns

1. Hip Hinge (for the back):
Deadlifts are high reward but also high risk when done poorly. Rusin’s data shows 93% of lifters can’t maintain spinal neutrality pulling from the floor.
Start by rebuilding your hinge at an elevation, learn to brace, and progress gradually. The goal: eliminate rapid, forceful spinal flexion, the #1 cause of back injury.

2. Lunge (for the knees and hips):
Rusin calls it the most neglected pattern in training.
Unilateral work exposes asymmetries and develops stability that squats and hinges can’t.
The lunge pattern blends the best of both: knee-forward quad strength and hip extension for glutes and hamstrings.
He programs up to 70% of lower-body work in single-leg variations for general clients and athletes alike.

3. Row (for the shoulders):
Shoulder pain often comes from decades of pushing more than pulling.
His rule: at least two pulling movements for every push.
Face pulls, single-arm rows, cable pulls, and supported T-bar rows train the back safely and restore balance.
Traditional barbell bent-over rows? Too much risk for too little reward for most people.

Fixing the Most Common Pain Zones

  • Low back: Build your hinge and brace; stop chasing “perfect neutral” and instead stay within your zone of control.

  • Knees: Manage shin angle. Go more vertical during flare-ups, then progressively reintroduce knees-forward positions. Prioritize hamstrings and glutes.

  • Shoulders: Balance push/pull volume 2:1, use neutral grips when possible, and reintroduce closed-chain movements like push-ups to let the shoulder blades move naturally.

The Long Game (Longevity Through Movement)

The goal isn’t just to train without pain—it’s to train forever.
That means evolving your approach as mileage adds up, not waiting for an injury to force change.
As Dr. Rusin says:

“We don’t have to give up what we love to do. We just need a smarter system to keep doing it.”


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Transcript

Philip Pape: 0:01

If you've been pushing through knee pain, nursing a cranky low back, or avoiding certain lifts because your shoulders complain, you need this episode. My guest today reveals why these three areas fail together, not separately, and how most training advice makes the problem worse. You'll discover why stability in one area affects pain in another, how to modify movements without abandoning your goals, and what actually builds resilience instead of just managing symptoms. Stop choosing between results and pain-free training when you can have both. Welcome to Wits and Weights, the show that helps you build a strong, healthy physique using evidence, engineering, and efficiency. I'm your host, Philip Pape, and today we're discussing why the joints that handle some of the most load, your knees, your low back, your shoulders, tend to get beat up and how you can achieve a pain-free approach to your training and movement. My guest today is Dr. John Russin, a physical therapist and strength coach who's worked with everyone. He's worked with athletes from the MLB to the NFL to the Olympics, powerlifting, endurance sports. He founded the pain-free performance specialist certification, which has certified thousands of coaches and clinicians since 2018. He is the author of the new book, Pain Free Performance, which I've had the pleasure to read myself. And he was even named a top 50 health and fitness expert by Men's Health. Today, you're going to learn from John why your body, especially the hips, the shoulders, the core, tends to thrive as a system, how to modify movements without abandoning those precious strength goals that we all have. What actually builds joint resilience versus just treating symptoms and how to progress and still train hard? Train hard. We want to train hard while staying healthy. Whether you're currently dealing with pain or want to prevent it before it starts, listen up to the entire episode because John is about to drop some wisdom when it comes to training longevity. John, welcome to the show. Phillip, that was one hell of an intro. I appreciate it and I'm absolutely buttered up. All right. You're psyched. You're psyched. That's what we want to do here. We want to talk about how to stay healthy. We got a bunch of lifters listening in. We have a bunch of people that want to lift. We might have an 80-year-old grandmothers who were just told that if they don't start lifting, they're going to be in a convalescent home. You know, we've got everybody who needs to get healthy and fit. And I want to start with thinking about the body as a system and what you call the pillar, kind of the hips through the core to the shoulders and why that's so important. I know, I know when I'm doing my deadlift, why it's important, but really I want to understand the big context here. Let's start there.

Dr. John Rusin: 2:43

There's this big misconception when it comes to strength training or health and longevity training today that we just have to get isolated strength. You get isolated strength at your abs for lower back pain, isolated strength at your biceps to look better, isolated strength and hypertrophy at the butt if you want to fill out your genes. But that's not how the body is engineered to move. And it's definitely not engineered to function. What it is engineered to do is an integrated movement model, which is central lines of tension and stability, which puts us in the best possible position to stay healthy and also optimize performance. And we get at that central line of tension with something called the pillar, which is essentially the shoulders, the hips, and the core working synergistically together to give us the best possible result, no matter what the goal set is.

Philip Pape: 3:30

Okay, cool. Okay, so you're you're one of those guys that gives nice, concise statements. I could tell you've been on a million podcasts. I love it. Okay, so so a center line of tension, central line of tension. I think that's great, especially the word tension because it it reminds me of various queuing protocols with, you know, whether just today I was doing T bar rows. I don't know if you saw it on Instagram. Not sure if I'm prop holding the proper line of tension, but that's kind of what I think about.

Dr. John Rusin: 3:56

I thought you were Arnold. I had it wrong. That's right.

Philip Pape: 3:59

Yeah, actually, you're supposed to have a little rounding on that one. But, you know, so let's talk about that a little bit more. When we say the central line of tension, are we are we talking about the context of everyday movement as we're walking around thinking about our posture and such? Are we applying this specifically to protocols in training, protocols in rehab? Like where does it apply practically?

Dr. John Rusin: 4:19

Well, for my clients and my athletes that I've worked with, the first skill that I try to teach them and at least have them hone in on some sort of requisite skill and connectivity of the pillar complex is being able to teach breathing and bracing. You know, breathing and bracing is super unsexy. The fact that we're sitting here talking about it on a podcast means that, wow, it must be important because that's the last thing that people want to do in their training. But we get it wrong when it comes to breathing and bracing. Specifically for pillar bracing, we never connect the ball and socket base joints to the spine. Every time we hear, hey, if you want to protect your spine while strength training, especially going heavy, brace the core, use your core, get your abs tight, all these cues, but they're incomplete because without managing the shoulder joint, which is the most mobile joint in the body, and then the hip joints, which are the second most mobile joints in the body, we never have that central line of stability. We essentially just have a little bit of tension through musculature that cannot connect to the ground, it cannot connect to weights, it cannot connect to your human movement system. So simply by going through and connecting these three integral areas, we give ourselves a superpower to be able to create internal tension, meaning that mask much musculature can create tension to be able to stabilize and centrate, essentially get those joints into optimal positions in order to function, but also in order to not take the wear and tear of your strength training, no matter the movement or the exercise. And instead, we direct that force and we direct that load right into the key musculature or the movement patterns that we want them to.

Philip Pape: 5:54

Yeah, and that that's definitely speaks to me from a physical perspective of creating that solid end-to-end system of transferring load. When I think of physics and biomechanics, I'm a very nerdy engineering guy. And our listeners are as well. So they do love this stuff. They do find it sexy, by the way, breathing and embracing. Okay. Love it. So I'm kind of jumping around my notes here, but I guess when it comes to breathing and embracing, is there a universal set of steps that could apply to anything anytime you need to do this? You know, we hear terms like intraabdominal pressure. We talk about using lifting belts sometimes versus not when training. Um, I know there are misconceptions when I see someone squat and they're like breathing out as they come up instead of holding the breath and things like that. Yeah. But are there are the universal tips somebody could take away, whatever they go and do in the gym next week, that they could apply?

Dr. John Rusin: 6:40

So the first thing that we need to do is have that connection point, be able to create tension around the shoulders, then the hips, then breathe in, brace around the core, and have this central line of tension. But from there, many times people come to me and they go, Oh, yeah, I know how to brace. Well, why are you visiting me with lower back pain and chronic shoulders that don't move immobile and are causing you pain on bench press? It's a matter of being able to actually take the activity at hand and brace the tension to that activity in a smart and common sense way. You know, the way that we're gonna deadlift for a one repetition max is far different than the way that we are gonna go in for a 25 rep goblet squat. We need to be able to have a dimmer switch on our tension and our overall bracing strategy. And that will be polar opposite for what our breathing is. So, breathing and bracing need to go together. It's like peanut butter and jelly. When you're going for a one RM deadlift, of course, we want to be able to brace maximally. We want to hold our breath and we want to move that load because we don't want a whole lot of moving parts as load-centric loading is going to be the focus. But as soon as we actually have to take in oxygen in order to survive a set or into survive our lives, we need to be able to make our pillar tight, be able to have common form and technique that holds up against the stress. But we also need to make sure that we have oxygenation that does happen indeed. So we go through different breathing and bracing strategies. Essentially, as load goes up, your breathing capacity goes down. As load goes down, your breathing ability goes up. And it's all about minimal effective brace in order to keep optimal mechanics.

Philip Pape: 8:22

Great. So effectively, there's I'm picturing an inverse set of curves, somewhat like a spectrum between full bracing, fully holding your breath because the load is near maximal, all the way to more of a work capacity, endurance, you need the oxygenation. So you, you know, the you don't need to brace to that extent. In fact, it could be counterproductive, which reminds me of my front squats this week, you know, whereas doing sets of 10 to 15, very different experience where you're getting a little bit winded versus sets of three to five on a back squat or something. So actually, I remember in your book, guys, anybody watching the YouTube, I was joking, that's kind of a tome coffee table reference book in all the best ways. His new book, Pink Free Performance, because I did read through this and I do, I do appreciate how you go over very specific context for each of these. You know, you have like ladders, you have different level types of movements and rep ranges where you breathe in different ways. So we don't have to go through all of that on the show today, but I do want listeners to understand that context matters and the breathing embracing matters. What I want to get into next, John, is training hard. I think you said in the book something like training pain-free doesn't mean training easy. It's it's training in ways that make you resilient without breaking you down. And a lot of people here modify for pain. I've got pain, I'm rehabbing this and that, and I'm gonna take it easier. I'm gonna go light. And unfortunately, a lot of doctors give advice that they don't specify what they mean, which side tangent, by the way. My my mother-in-law, her doctor just said, you need to start lifting now and heavier the better, or you're gonna be in a nursing home before long. So I appreciated a doctor saying that. But uh, what's the relationship between like training hard and training smart, if that's the terms we want to use? You know what I mean?

Dr. John Rusin: 10:01

Our industry has had a pendulum swing, I think, over the last decade or two. We went from, hey, just go out and kill yourself in the 60s, 70s, 80s, up until the 90s, hypertrophy at all costs, big lifts for strength and muscle building. Don't warm up, don't worry about anything. It's all gonna be good as long as you're as big as humanly possible. And then I think like late 90s into the 2000s, we got into this like quote unquote functional training trend. And everyone wanted to become a physical therapist. Everyone wanted to be a corrective exercise specialist. And all of a sudden, strength coaches and personal trainers were doing pseudo-physical therapy on the floor of the gym. And we forgot to actually train for the physical capacities that give us that health and longevity, strength, muscle, cardio and endurance, all these things that are heavy hitters. And at pain-free performance, we are the middle ground on almost every single thing because I've been at high performance athletics and sports, I've been in physical therapy, uh, working with people that are out of surgery or having market pain responses. And I do believe that halfway between many of these extremist polarizing swings is going to be the right approach for many. But really, what it means is that we need to be training as hard as possible in a concentrated and a focused way. And we need a standardized system in order to just do all the right things that we need to be doing for our health longevity orthopedically and systemically. But more so, we need to be avoiding the wrong things because it's avoiding the wrong things that actually push us forward in terms of our momentum decade by decade.

Philip Pape: 11:38

And what are those wrong things? What are those wrong things, John?

Dr. John Rusin: 11:41

Wrong things, man. There's a laundry list of these wrong things. But I think the number one thing that people tend to neglect is their well-roundedness in terms of just being a functional human being. Like I do believe that there are things that every single human, no matter if you're a child all the way up into an active ager, should be able to do with your body in terms of their movement patterns. But I also believe that there are physical capacities and characteristics that need to be able to be trained and maintained for a lifetime if we are gonna indeed thrive. And many times we don't have that mindset when it comes to our training. We have, hey, I am a hobbyist. I'm only interested in this one thing, and I'm gonna deep dive into this one thing until it breaks me down, burns me out, or leaves me with an injury that I have to then take a break from. We call that the planned meathead deload. We want to avoid all of these things and just simply be a little bit more well-rounded in our training so we can have the ability to be pain-free, not suffer injuries, but also just function more normally in our lives, being able to do things with physical autonomy that we were meant to do.

Philip Pape: 12:48

Physical autonomy. I love that. Yeah. Seriously, man. This lack of well-roundedness, we're all guilty of it, myself included. Some of it comes from time, right? Like, how can I do all the things? Some of it comes from, you know, passion where you get into something and you go all hog wild in it. Some comes from the dogma in the industry, I think, where the different camps say, like, this is all you just need strength. That's all you need. You know, like you don't, which, and and I've come from some of that. And the more I get exposed to these things and talk to guys like you, the more I start to integrate all this. But what I want to be careful of, because I could see it happening if you like, if you read your book and you have these train strength training or you have these training templates at the end and there's different days per week, different levels of experience, it can seem overwhelming if you've never done all of that. You're like, oh my God, I gotta do the warm-ups and I gotta do the foam rolling, I have to do this and that, the other. Where do you meet people in the middle when they're starting from that mindset?

Dr. John Rusin: 13:40

I think at the entry point is important. Like people are gonna have different entry points into the industry. Maybe cardio is your entry point, maybe doing a progressive powerlifting program is your entry point. But if you train long enough, you're going to be humbled. It is not a matter of if, it's a matter of when. And that humbling usually happens through injuries. It happens through performance plateaus. You can't quite get what you used to get. And then all of a sudden, people make the mistake of going, hey, you know what? I'm dogmatic. I believe in this one thing. What's the fix to this one thing? I'm gonna double down on this one thing instead of maybe going right or left of that one thing. Maybe if you're super into powerlifting, moving a little bit of hypertrophy and mobility will probably do you some good. If you're a cardio bunny, actually going into some functional strength training is probably the thing that you need. The rule of opposites definitely applies when it comes to hobbying inside of our industry. And I think that over time, people are pushed to become more well-rounded if they want to continue to do the thing that they love to do, which is training. I know that clients that I work with and many of my athletes, they're not worried about just training today. They love this. They are doing it every day because it's become part of them. And they want to make sure that they can do it into their 40s, 50s, 60s, 70s, and beyond. And that doesn't happen by changing what you're doing at 70 when you're all broken down and hurt. It it changes with what you decide to do today, just little by little, to be able to incorporate base things that, again, we should be able to do.

Philip Pape: 15:15

And I like the lateral. You mentioned lateral, I think in the previous response, but the the, because I think of lateral thinking, like getting out of the box, same thing, physically lateral, which means start from where you are today and then branch out. And it reminds me of some guys I follow who I'm actually running some of their programs for that very reason, like Jeffrey Verity Schofield. You know, he'll throw in cardio two days a week to his training programs. And it's like, it's in there. So if you're a lifter who's used to following programs, you're like, cardio's in there. I'm just gonna do it. It kind of gets you to do it. Or Brian Borstein, who's into more of the, I guess, the high rocks kind of level of a little bit more elite hybrid athleticism, Cody McBroom. We had Chris Gethin on the show. I think his episode's come coming out right before yours. And I think it's important because for a while, I personally was in the like the starting strength world, and there's a lot of value there for sure. I mean, I credit that with a lot of strength development. But then there is looking down on a con condescension against, you know, anything else, right? Like, you know, and I talk bad about CrossFit sometimes, but only from the perspective of when people do it, you know, have bad form and they're slamming out reps and they're getting injured, you know, there's something to be said for that. So with this context, then going back to the pillar, maybe that's where we can start. And we talk about like referred pain and why people have injury and why people have pain. Is this a compensation thing going on that's important to understand? Or where do we start breaking this down?

Dr. John Rusin: 16:38

I think 30 years ago, when you look at the greater body of evidence and research, and then you look at professionalized education within the universities, spent way too many years there. We thought that this pain thing was just a pure mechanical approach to movement. Hey, if you move in this way, you will have pain and you will get injured. And today that's laughable. You're just like, what? You know, like a biomechanics course showed me how to be pain-free for life. If that was true, we wouldn't be dealing with the chronic pain and injury cycle that we are currently seeing amongst our active population today here in America. So I think that pain is definitely a more complex conversation that we need to be having. But calling it what it is, I think the first line of being able to write yourself is being able to move well. And what moving well essentially means is moving well for your body, your particular body, your limb lengths, your joint types, your body size, and being able to take that and look at your skill set and be able to customize your positions and know very well that not everyone is going to look exactly the same way as they squat. Not everyone is going to be able to deadlift from the same height with a neutral spine. And not every running mechanic is going to be the same gate locomotion cycle. We are unique beings. And I feel like in every other aspect of the industry today, everything's so unique, the functional health cycle of unique blood testing, so we can get on supplements and drugs. And then it comes to strength training, starting strength, squat like this, overhead press like this, bench like this, deadlift like this. That's a great starting point. And I'm so happy that there is a strength emphasis coming into our industry today. But strength is more than just three or four cookie cutter textbook exercises. Strength is a physical characteristic, strength is not a specific exercise. And just having the epiphany of making that realization is huge for people's long-term health.

Philip Pape: 18:39

So when it comes to moving well for your body, then what I know some people will interpret that as okay, a squat's gonna look massively different. And I have to, where am I trying to go with this? People always go kind of to the extreme of this. And I think I think what you're saying is because of your anthropometry, because the angles are different, the principles you're trying to adhere to, which are universal, like I don't know, vertical bar path or efficient movement, yes, are going to translate to a different, you know, different angles between the hinge points or something like that, right? So maybe elaborate on that, thinking about the squat specifically. How does that how should someone be thinking about this when they're they hear this episode? They're like, okay, I'm finally going to start squatting, and now I want to practice in my living room without a bar. You know, what are they thinking here?

Dr. John Rusin: 19:26

It's cool because over the last 10 years, a pain-free performance specialist certification has certified over 20,000 personal trainers, strength coaches, physical therapists, and physicians in person in two-day certification courses. So, in that amount of people, you see a lot of different movement. And you not only see a lot of different movement from people, you see it from experts in movement, people that know their shit, people that have been training their entire lives, people that do this for a living. And I think when we first started running the certification, the squat was the first movement pattern that we were like, I know that there's some diversity in the squat pattern in terms of identifying somebody's most optimal squat pattern, but wow, after 10 years, the diversity that we see weekend to weekend in terms of our certification courses is absolutely wild. But this is where people tend to go wrong right off the bat. They go, okay, squat, only a barbell on your back, low bar position, and I'm gonna go feet shoulder width apart, and I'm gonna toe out slightly, I'm gonna look down at the ground, and I'm only gonna go to parallel because that's how real men squat. And it's like, no, hold on a second. You know, we've seen this with definitely a lot of the avatars that go through some of our screening and assessment protocols for the squat. So we're either trapped into, hey, I've been hurt from the squat before, therefore I'm gonna modify my movement patterns. And it usually turns into I'm too wide, big base of support, very low little range of motion, and kind of the parking break on the system. Or on the opposite direction, we see that people are like, hey, I've squatted this way for my entire life. Maybe I've developed it with a coach over time, and this is going to be a specific squat exercise for maybe a barbell sport goal. And neither of those are going to be optimal because again, we're talking about the squat pattern itself. When I say squat pattern versus squat exercise, I'm talking about somebody taking a shit into a hole in the most opportune position possible with joints stacked, centrated hips, angulation at the knees that makes sense, looking at ankle mobility, looking at spinal position and neutrality, and being able to organize the shoulders over the hips. And all of a sudden you're like, oh, okay, that is the squat pattern. But many people deactivate that squat pattern in chasing only exercises. So we tend to see that there are a couple key variables in people's squats. Yes, the stance is going to be wider or more narrow, the foot ABduction position is going to be out or in. And then we're going to see the knee is going to be forward or more vertical shin. And then we're going to see the torso angle is also going to be more forward or more erect. And then the thing that usually gets lost, because what I just described is very sagittal, plane and unidimensional. What gets lost is hey, what's underneath the skin? You know, what's underneath that glute? What is the hip type actually look like? Because that's where we tend to see the most amount of success in unlocking people's ranges of motion, getting them out of pain at their knees, at their hips, at their lower back, and being able to actually be strong and stable in their best squat position. And this is something that we go through in the pain-free performance book and also the certification course called the hip quadrant test. Essentially, we are able to type your hip in a matter of one to two minutes. You can even do it on yourself from the protocols in the book to be able to look at where you should actually be at the bottom of your squat and what the glass ceiling is for you to be able to get in this position and be able to build a skill set up so you can get into that position under load. And then the goal from there is to be able to train and maintain that at least one time per week in your programming forever. And then the other two or three times per week that you're doing a bilateral squat pattern, go into specialty, go in for some different muscular targeting, go in for some load capacity work at partial ranges. You know, the sky's the limit in terms of diversity. But what people are missing is that they're not doing the foundational pattern. And instead, they're only doing the partial pattern with specific goal sets, losing the pattern in its essence itself.

Philip Pape: 23:30

Yeah, what you talk about again in the book, and I'm happy to promote this book only because, guys, if you if you check this out, whether you get the digital or physical when it comes out, there's a lot of progression and context and building from essentially nothing up the ladder, not just with what John mentioned, range of motion and your own biomechanics, but also the types of movements and making it as accessible as possible and kind of working your way up. Like I could see myself on those different spectra where, okay, right here I'm close to the top. I'm pretty confident. Here I would probably step back a bit and work my way up. And then you also mentioned targeting different muscle groups and things like that. You know, I've had Andy Baker on the program several times. I love Andy because he he came from the starting strength world, but then has branched out and realized the importance of variety effectively, not for its own sake, but because of what you just mentioned. And we had a whole discussion about squatting and ultimately the million ways you could squat and different types of exercises. It's not really about that, right? It's achieving the right movement pattern. And look, if you have the right movement pattern and you progress over time, you're gonna get massive results, whatever squat patterns you decide to do. And a lot of that comes down to what's fun to you and what do you want to train with too, right? So anyway, I don't know where I'm going with all that, other than to say it makes sense to be methodical about this, whether it's buying your book, reaching out, going to YouTube, listening to podcasts, practicing thinking, being mindful. Let me ask you, John, when you're in the gym and you're training, do you listen to music or do you think with your thoughts? How do you, how are you mindful about your listeners?

Dr. John Rusin: 25:05

I've been uh quote unquote raw dogging my sessions lately. I know that was a popular term of like guys going on a transatlantic flight and not listening or watching anything, but that's what I've been doing. But I follow my own programming. I go inside of the Unbreakable app and I subscribe to it just like every one of my other members does. And I find liberation in that because I know I'm gonna be getting the diversity of movement patterning that I need. I get the distribution of volume throughout the patterns and the exercise selection that I need. And I also kind of have the same goals as everybody else. You know, nearing 40, being a dad that coaches baseball and basketball, you know, being a husband and a business owner, I got 60 minutes to hit it. And I know that I need to be focused. I need to be on rest periods. I have different key performance indicators, strength movements that I'm chasing, but I also want to have that feel of moving well, being mobile, and also like tapping into an athletic potential, even at my age, where I never want to lose track of athleticism and power. So, like the programming that I do right now, I stay very focused in on it because I just follow the app and I do exactly that. And then I track it. And there's a reason that that works for accountability and just staying on track because today it's super easy to go to Instagram and lose 10 minutes between a set. And it's definitely easy to program hop while you're doing an actual program just because of all of the very superficial resources that we have at our fingertips.

Philip Pape: 26:26

Yeah, so raw dogging it, following a program, making judicious use of your rest periods and not getting distracted while you lift. And I can raise my hand being guilty of that sometimes, where I'm like, okay, I'm an entrepreneur and I'm losing weights. Go, do both at the same time, you know? But uh, so okay, maybe roping back a little bit to the framing of this episode on pain, specifically where people get a lot of the pain, which is low back or shoulders or knees. Maybe, maybe looking at the low back, that comes up a lot. Low back fatigue, low back pain. And then sadly, a lot of people just have something go, something pop, have to have a surgery. I know someone, she's a power lifter. I've always thought she's she's lifted great and and she's been competitive and she had to have a microdyskectomy recently, but she also got a lot into running and rowing, which she hadn't adapted to as much as her lifting. So who knows where the issue was? People are like, what do I do? Where do they start thinking about protecting? I even like the word protecting sometimes because it sounds like too much in a shell, like safety, but basically fortifying back.

Dr. John Rusin: 27:31

Two patterns that are going to be super back intensive and also back sparing are going to be the hip hinge pattern and the single leg pattern. We call it the lung at pain-free performance. But when it comes to knee pain, when it comes to lower back pain and really shoulder pain, those are going to be the big three in our industry today. Like we have to have a good foundation of biomechanics. Like we've already talked about the foundations of finding your unique biomechanics that work for you. But I didn't add the next layer to this, which is once you find your unique biomechanics, cool, that's your central line on a spectrum. Be able to add diversity and range of motion and different muscular targeting and different rep ranges and different rep speeds and all these different methods and modalities that we can start throwing on the system strategically over time, not all in one single training week, is going to be the recipe for long-term success. But with the lower back specifically, I tend to see that people neglect the hip hinge pattern because they go, I've hurt myself deadlifting before. Well, what's a deadlift to you? Well, it's a conventional stance with a barbell on the ground, of course. And I am hoisting that thing up at all costs. And in our research at pain-free performance, we've seen that people are unable to keep a neutral zone of spinal neutrality 93% of the time when doing a conventional barbell deadlift off the ground. And this is out of a more pure hip hinge pattern. So essentially what happens to people is that they think this arbitrary exercise is the be-all end-all of everything. But what if you're one of the 93% that can't even access that bar off the ground? You're going to be doing one of two things. You're going to be using mechanics from the squat, pushing your knees forward, rounding your lower back, dumping your pelvis in order to get yourself wedged into that position. Or you're going to be going through and putting undue stress directly on the spine, being able to try to force in a hip hinge that you simply don't maybe have the range of motion or the mobility or the hip structure to be able to achieve. And there's very rarely a time where we bring somebody right from, hey, you had pain, hey, you had an injury. Let's go right back to picking something up off the ground. Many times this is the pattern that is in dire need of a rebuild because people have not just pain and injury backgrounds mechanically, but it really fucks with your mind. When you blow out Your back and it is deteriorating to your lifestyle, not just your training, but your lifestyle, you're going to think again before you go back in and train that, or you're just going to be lost and able to really take the most out of the highest yielding movement pattern that we have. But I would say about 40 to 50% of people today attempting to strength train are neglecting, if not disusing fully the hip hinge and the deadlift. And this is really problematic because we say that it is the most injurious movement pattern, but it is also the movement pattern that will protect the most. So where do we go on this yin and yang? And it's back to a strategic rebuild of trying to put the pieces together stronger and healthier and more customized to your specific needs.

Philip Pape: 30:46

The yin and yang is a great way to describe it because I sometimes have trouble communicating to people that a deadlift done wrong could hurt you, and a deadlift done right could save you, right? It's the same principle. And of course, and you called it the highest yielding movement pattern we have, which again, I I strongly I love the deadlift. Personally, I love it. I think my body is built for it way more than the squat, and that could just be an excuse not to get my squat up. But it is, it is a fun lift. When you said the, I think you said the safe zone around the line of neutrality. Uh, in your book, in your book, you have diagrams showing, for example, somebody hinged over and you have this zone with different colors, and there's that safe zone and then the buffer zone. And it's it's quite liberal. It's not like you have to be super afraid that it's just this rock solid line. And once you go out, spring your back falls apart. But you said 93% of people can naturally stay or have trouble staying.

Dr. John Rusin: 31:40

They are unable to access the bar for a conventional deadlift with spine neutrality. But the interesting thing in that section of pain-free performance about the neutral zone of stability of tension around the spine is that there are many different factors. It's not just a biomechanical model. Our zone of neutrality goes out and it comes back in based on your preparation at hand, based on your skill, based on your sleep cycles, based on your past injury history, based on your training loads and volumes, based on an exercise being a mismatch for your unique biomechanics versus something that actually is a good match for you. There are many different variables that actually affect your neutral line of tension and your zone of neutrality. And this is something that I was super proud of in the book because I haven't heard a whole lot of people talk about this before. They're so they're so black and white when it comes to spine neutral at all costs. You know, you hear the kettlebell community going perfect spine neutral while kettlebell swinging. What do you mean? There's 17 to 24 degrees of spinal flexion at the bottom of a kettlebell swing, even in perfect quote unquote execution. So, what are we really talking about here? What we want to be able to mitigate the risk away from is having rapid force, eccentric flexion of the spine under load. What that essentially means is like, hey, you're out fishing, you got a fish on the line, the line goes like this, it bends the line and it bends your hook, and all of a sudden you're like, whoa, okay, I got that fish. But you don't want to do that to your spine. That is something that when we do see injuries, they can happen in many different types of ways. But I tend to see the injuries happen specifically on the hip hinge pattern with that rapid force, eccentric moment as we're coming up out of the hole off the ground. Usually that first like two to five inches off the ground is where people tend to lose their central line of stability. They lose their spinal tension, they lose that zone of neutrality, and they end up, if they are having all those other factors line up correctly, unfortunate for them, they end up with an ache, pain, injury, flare-up, whatever you want to call it.

Philip Pape: 33:46

Okay, that's really important. So we want to avoid rapid force, eccentric flexion on the spine. Is that dumbing it down rounded back?

Dr. John Rusin: 33:54

When you're quick pulling rounding of the back. And it's usually going to be anywhere from like the lower back or the L and S spine. That is where the vast majority of these are going to happen. There's a natural fulcruming point that happens in the lower lumbar spine. And that is something that is, again, natural, but we don't want to be loading it and we don't want to be losing that line of tension, especially under load. And I think that as like injurious as that may sound, this is really easy to avoid with what we started with, with just being able to brace and breathe properly.

Philip Pape: 34:27

Brace. Yep, for sure. Yeah. So L4, L5, S1 is where you hear a lot of these injuries and issues. And if you look at the spine, you can kind of see that S shape occur around there. But you also mentioned that it moves with your adaptation, with your recovery capacity. And I get attest to this. We talk about, you know, the differences between fat loss and when you're not in a deficit, when you train of being even more attentive, not that you shouldn't always be, but that you're more susceptible to some of these things because of the fatigue and the recovery capacity. I know personally when I get distracted or I go in and I try to be, you know, do an ego lift, right? You kind of get the same thing. So the adaptation I wanted to ask about because you hear a lot of criticism or hot takes on Instagram. You know, look at this guy who can deadlift 900 pounds, but look at that rounded back. That's awful. And I'm like, okay, he's adapted to that and he's doing it and he hasn't injured himself, but is he about to snap his back? Like, what are we talking about?

Dr. John Rusin: 35:21

Taking these people that are absolute beasts, probably a world record holder has been deadlifting for 20 or 30 years at this point. There's really no huge young guns in the game. They've been able to again adapt and stress the system in a strategic way, extraordinarily strategic way, in order to again go at a specific goal for a sport, which is totally different than lifting for health and longevity. But I have personal clients that I work with that you would look at their deadlift form and be like, oh, he just hoisted 950 and he had a rounded and kyphotic spine at the thoracic. And then maybe he's probably even rounding at the lumbar spine. But the big difference between that rounding setup for these guys that are absolute anomalies, if I'm just calling it out, is that they never get pulled into deeper flexion rapidly. They maintain that flexion point and they don't have a net positive flexion point at the spine. I think that's the big differentiation factor. That, and they've done deadlifting so much volume with so much intricate technique work that they are masters of this specific skill out of this specific position. And their body has normalized it in terms of the way that they have callused their system.

Philip Pape: 36:38

Yeah. Yeah. The the speed at which the angle changes and the force gets applied is a direct function of the maximum force that's getting applied, right? F equals MA. I think about discussions I've had recently with lifting buddy of mine, how much we love pauses these days. You know, we're both in our 40s and we like pausing at the bottom of a lot of our movements. Take out the stretch reflex, only because sometimes that is where you're prone to have those high levels of force from the stretch. Not that it can't be also beneficial and you can build the resilience and adaptation, but it's it's what came to my mind.

Dr. John Rusin: 37:09

Anytime that you take a movement pattern, whatever movement pattern it is, squat bench, deadlift, whatever, and you take it to its X amount of available range of motion, and then you play and you dabble between compensatory range of motion and an authentic range of motion, you're in this intermediate range where all of a sudden you don't have the active stability neurologically or mechanically that you probably should have. And you're using compensation, whether that be momentum, whether that be using like the tendoosseous junctions to be like rebound and ramp up out of a squat. Whatever it may be, those are things that maybe not line up well for your long-term health. You know, people are always like, oh, well, what do you think about the butt wink in a squat? Like, I hate it. Like if your goal is to feel awesome and just like be jacked at 45, like probably the butt wink has no place in your programming. But if you're gonna go to the CrossFit games at 45 and try to compete for a medal, like that's a totally different story. So there's always two sides of the coin, but I do believe that anytime that we can be a master of our movement and then we can dominate a movement and then diversify that movement little by little to be able to add variance. And that is gonna be a more well-rounded spectrum of the human movement system.

Philip Pape: 38:22

For sure. Yeah, no, I I love that. And you also mentioned the lunge when we talk about the hip and shoulders and the that pillar. And it's funny because I just I just started a new cycle of a program that does have walking lunges in there, which I like, but I also they also have one and a half walking lunges, which I like quad burners, right? You go go down, go down, come up halfway. You know what it is. Just explain for the listener. Go all the way down, come up halfway, go back down. So you've just like use the lengthened position without relieving much tension, and then come back up into the walk. And you'll find you can't do nearly as many of those as the full as the single walks. But where does the where does the lunge fit in here? Because it is one of your six.

Dr. John Rusin: 38:59

The lunge is the most detrained. You know, the hip hinge, nobody wants to do. Yeah. Ignore our ignore. Uh Dave Tate, an ex-client of mine and a mentor of mine, said it best when I was working with him at Elite FTS. He goes, John, this sucks. I had him doing split squats. He goes, This sucks because it's half the amount of weight and it's twice as hard. And I'm like, man, you just said it. You just said it. And that line is right in the book, too. But when it comes to the lunge, I think it's misunderstood and it's also neglected because it's going to be hard every single time. Uh, unilateral-based lower body work is going to be very demanding in terms of the muscular system, the stabilization system, the neurological system, and the sympathetic system is really going to be heightened up because the balance component to it. But I think just from the mechanics alone, it differentiates itself. It's not just a squat on one leg. It's not just a hip hinge on one leg. It actually is its own distinct pattern. So the lunge pattern has all the best properties from the squat, which is associated with a positive shin angle, a knee forward uh position, and be able to have quadricep dominance. And then also it's a hip hinge at the hips that integrates hamstrings and glutes and lower back. So we actually have maximal amount of load capacity in single leg with many of these patterns, like the Bulgarian split squat, walking lunges, that feel natural to the body as well, because when we function on single leg, that is where we spend 85 plus percent of our movement lives on. You know, we're not functioning in our daily life doing bilateral positions at the squat or at the hinge. We are definitely maneuvering in asymmetrical lower body stances. So this is one that I tend to put the most amount of volume distribution in for almost everybody I'm working with. Probably the highest with athletes, the second highest with like the 35, 40 plus population, and then the third highest amongst people that want to get super strong unconventionally, usually coming from more of a barbell background. But usually with a lower body day, we're distributing anywhere from 50 to 70% of total volume in asymmetrical lower body stances, which is essentially our lunch pattern from pain-free performance.

Philip Pape: 41:12

Okay, yeah. And that is definitely higher than the traditional most people would see. Oh, yeah. Um, and it sounds brutal, but I get it because reverse lunges, I don't know if you put step-ups in there, but to me, those are hard too. And, you know, what split squats, we all there's there's memes galore about split squats, you know, being the worst of the worst, right? But again, we have to change our mindset and think like how beneficial that is. I mean, you mentioned stability and balance and everything. It's like raise your hand if you're listening and you've tried a walking lunge and you like, you know, are just trying to stay up straight, let alone with a bar on your back, if you're not doing dumbbells. So yeah, I thought that was interesting because a lot of people reduce the movement patterns to exclude that. And I think it I I am coming around to your way of thinking here. I think it's really cool.

Dr. John Rusin: 41:56

Yeah, like just going over the years, chasing like we we call it functional meat head. Functional meat head is we're gonna take some like easy-ish exercise, something that you'd see in physical therapy, and we're gonna push it to the absolute limits. The chase over the last like five years or so has been Bulgarian split squat five RMs. How heavy could you possibly go out of different loading positions? I've gotten it to the 150s in each hand for five reps down to the side, and I've also goblet Bulgarian split squat 190 pounds in front of the body for five reps. So when you do things like that, you're like, man, that doesn't sound fun. But you learn a lot about the body's natural stability points and where we can actually maximize strength recruitment from in those particular patterns. Knee forward position plus the hip hinge is gonna be strong, it's gonna be stable, and it's also gonna be able to be able to mitigate risk of knee pain long term because we get into the deep knee flexion, and it's gonna be able to spare the spine because we are on an asymmetrical stance at the lower body, and essentially our pelvis can rotate in opposite directions, and the stability factor is far different than in the bilateral counterpart. So when you think about doing stuff like that, you're like, yeah, this is where this pattern makes sense. If you're just setting up for a Bulgarian split squat for a set of five with a 10-pound dumbbell, and you're like, oh, this seems easy. I can keep a vertical shin, I can put my knee forward, I can do whatever I want. That's fine. But when you actually push things to absolute maximal load or maximal challenge, your body will find its natural, natural writing mechanism, put you in a strong and stable position. And the thing I want people to take away from that statement is where you are most stable is probably where you're gonna be the strongest. And where you are the most stable and the strongest is where you're likely to be the safest.

Philip Pape: 43:38

Right. Got it. Okay. Yeah. And so again, we have to train hard, is also part of the uh part of the equation. And that was a good segue to knee pain because you mentioned the knee flexion and how this supports the knee. We talked about Pateller, you know, the tracking and the knees forward. There's a lot of, I'll call it mythology around that because people will reduce the, you know, form check to, oh, your knee's traveling too far forward, not thinking about the system. So, what are your thoughts on that? And in general, knee pain, maybe the use of knee sleeves, like the whole ball of wax.

Dr. John Rusin: 44:08

One of the biggest mistakes that people will make if they have that generalized chronic front-sided knee pain is that all of a sudden they'll go and Google it and they'll be like, oh, I need a knees over toes program. I need to be forcing my knee forward in the most biomechanically disadvantageous position possible while it's hot, while it's hurting. And sissy squats. Yeah, yeah, sissy squats. Uh, there's a bunch of different exercise variants with that. But that's the opposite thing of what we would recommend that pain-free performance. If you are dealing with hot knee issues, like, hey, this thing actively hurts right now and it's been kicking my ass for a number of weeks, if not months. That's the time where we pull back and we actually back down into some simple biomechanics. If we can manage where the knee is relative to the ankle, that is going to take the distribution of our loading through our body and it's going to put it onto different key musculature into different patterns in different ways. So the more vertical we can keep the shim, the more the posterior chain is going to be involved. Hamstrings and glutes, if we can get stronger at both of those places, that is going to be putting us in a nice position long term to have pain-free knees. But we don't want to just stay there because I think many times people just end up staying there. Their squats are vertical shins, their lunges are vertical shins, everything that they're doing is vertical shins. And guess what? When we walk, we don't have a vertical shin. When we run, when we sprint, when we change the direction and being an athlete, there is never a vertical shin. There's a knee forward position and there's a dominancy of being on the toes versus the heels. And that's something that we need to grade and scale back into. But naturally, we need to be moving back into a more knees over toes position in a graded and concentrated way, maybe week by week, program by program, and being able to have access to that because long term, that is going to be huge. But going back to just like being able to get your knees healthy, managing that knees over toes position is going to be huge. Strengthening the posterior chain that actually supports the stable line of tension from the knee is going to be huge. So hamstring work, ton. I see that super neglected. And then gluten, hamstring work together. That posterior chain emphasis is going to be one of the best things that we can do for our knees. Once we do that, then we can start to scale some of the stress back in with novel positions of the knee actually translating forward.

Jerry: 46:27

Hey, you just wanted to give a shout out to Phillip. I personally worked with Phillip for about eight months, and I lost a total of 33 pounds of scale weight and about five inches off my waist. Two things I really enjoy about working with Philip is number one, he's really taken the time to develop uh a deep expertise in nutrition and also resistance training. So he has that depth if you want to go deep on the Yes with Philip. But if also if you want to just kind of get some instruction and more practical advice and a plan on what you need to do, he can pull back and communicate at that level. Also, he is a lifter himself, so he's very familiar with the performance and body composition goals that most lifters have. And also, Philip is trained in engineering, so he has some very efficient systems set up to make the coaching experience very easy and very efficient. And you can really track your results and you will have real data when you're done working with Philip and also have access to some tools likely that you can continue to use. If all that sounds interesting to you, Philip, like all good coaches, has a ton of free information out there and really encourage you to see if he may be able to help you out. So thanks again, Philip.

Philip Pape: 47:40

Cool. Yeah, gluten hamstring work. Everyone loves that, especially the ladies. Hamstring work is is definitely fun because there's there's ways to isolate it both with extension and flexion. And I know I've been doing length and partial RDLs lately, and those can be brutal because you can some people can overload them, some people actually find them heavy, heavier. It's kind of kind of interesting how that works between individuals. What are your favorite hamstring movements?

Dr. John Rusin: 48:02

RDL is gonna always gonna be the king. I would argue that the RDL, if you're to do one exercise for the rest of your life, probably has the highest yield. You get that stretch on the hams, you get the flex on the glutes at the top, you're able to have mobile full range of motion down through the posterior chain, and you're able to have a connectivity through your upper body. Like it is awesome. And it also gives us the ability to train the core and the spinal position at an isometric. Like it is a super high yield. But I'm a big fan of hamstring isolation work as well. Like, not always going to be jumping into the machines doing a machine circuit like it's global gym. But when you go to seated and line hamstring curl machines, those are two of the only machines that I will routinely be able to program in because there's really nothing else like them in terms of open chain mechanics at the hamstrings that will be far different in terms of the mechanics and the properties of the joints and the stabilization patterns than standing on two feet and doing something like an RDL or a split squat with a hinge emphasis or something that lengthens out the hamstrings. But really, we like to also have diversity in terms of our tool sets there. Anytime that we can get sliders out, anytime that we can get suspension, bandwork, that is gonna be huge for hamstrings. And remember, the hamstrings aren't just one muscle. The hamstrings are hamstrings, and then we have adductor groups of the hamstrings as well. So anytime that we can get out into the lateral planes of motion, that is gonna act for hamstring stabilization at the hip down into the knee even more. So you really can't go wrong having big, strong, meaty hamstrings because they're not only aesthetically pleasing, but they are so functional for almost every goal, whether it be trying to mitigate low back pain, being able to bring up your glute hypertrophy, or just protect your knees long term.

Philip Pape: 49:48

And they make your legs look good. Uh, let me tell you, because it's like the triceps of the legs, right? You know, people think it's the biceps, it's the triceps that make your arms look big. But uh no, that it's funny you mentioned the sliders and stuff. Because I, again, I used to do CrossFit and they had the rollers and stuff. My my daughter's doing a little physical therapy for her. She dislocated her knee not long ago. And they're like, Dad, have you ever heard of sitting in a chair and pulling with your legs? I'm like, Yeah, I bet that hurt that you feel that in hamstrings, don't you? Because, you know, it's just even doing that, it's you can see how weak you are sometimes when you do those. Uh, that movement, which is more like the leg curl type movement. I know we're getting low on time. I did want to talk about the shoulders, honestly, because I personally have had rotator cuff surgery. There's probably a lot of things I could have done different myself over the years. I am where I am, but it's a very epidemic thing among lifters who are older, bar none. I mean, shoulder issues all over the place. Some people avoid overhead pressing altogether. Some people are in, you know, shortened range of motions, using the pausing, using having to vary up their grip and width and all this. Um, trust me, I know. So when it comes to the shoulder pain, are there, again, movement pattern issues that people are doing too much? Or is it trying to go too hard on overhead doing it the wrong way? Like, where does all this come from?

Dr. John Rusin: 51:00

We have an obsession with the mirrored muscles. I think it's as simple as that. The mirror muscles are gonna be your abs, they're gonna be your biceps, and of course, the chest. And if you're not training chest on Monday, are you really strain training? And as funny and as stupid as that sounds, if you go in and watch any single gym across the world as I've been to, you're gonna see that the bench press is the number one exercise for every male in that gym on any given day. And all of a sudden, you go years, if not decades, of overtraining the push and neglecting the backside of the body with the pull pattern. And we tend to run into some problems, especially now because we are so glued to handheld technology with our phones, we're on our computers, we're sedentary more than ever before. And we have a bigger need to actually reverse these sedentary postures with the pull patterns that put us into extension, external rotation, and AB duction at the shoulders. And this is the opposite of what most people are training. One of the first things that I do with clients is that I audit their volumes. I audit their volumes across squat hinge, lunge, push, pull, and carry patterns. And when it comes to the upper body pushes and pulls, if I see anything that's under like a two to one ratio between pull and push, I'm like, yeah, that's the first thing that we're gonna go after here is we're gonna redistribute the volume to put more volume on the backside of the body in terms of rowing and pull downs and push-ups and direct lat work. And then we're going to probably keep the volume about the same or pull it back a little bit in terms of your push pattern. And the push pattern is gonna be more diversified than just the barbell bench press on a flat or if you're functional, going up to a 45 degree angle. And that tends to really be humbling for most people because they go, oh shit, you know, I need more face pulls, I need more rows, I need more unilateral work in the pull pattern. And I need to be able to diversify away from just the barbell. I love barbell bench pressing, and I would say 60 to 70% of my clients will barbell bench press. But we also are training many different uh ways in terms of landmine pressing and dumbbell pressing and working with bands and having kettlebells. And there's so many different ways to be able to train the push pattern. And the easiest one is the most accessible to everybody, is simply doing push-ups in a closed chain, getting your hands on the ground and allowing your shoulder blades to actually start moving again. That is going to most likely be the pattern where we start the rebuild process from if you're dealing with shoulder pain and past injuries.

Philip Pape: 53:26

So much wisdom here, guys, if you're listening. I mean, I'm just like smiling inside, John, because a lot of what you're saying, I've had to learn through hard knocks. And I, you know, I'm not saying I know everything you know, but it just resonates so hard with me because for me personally, for anyone listening who's been following my shoulder rehab journey, you know, things things got kind of acted up about a year after my surgery and things started to take a turn with bursitis and issues like that. And I'm still working through, but a lot of the advice I got and talking to guys like you, not you, but guys like you, were trying to do more pulling movements and try to really strengthen the back part of the upper body. And, you know, just today I was doing neutral grip pull downs and T-bar rows, and like I'm really getting into more of that. I like that two to one ratio because it's a nice prescriptive way to think about it, where you, you know, if you're doing six movements, then four of them should be pulls rather than pushes. And what are what are your thoughts on like barbell rows and yeah, let's, you know, movements like that that have other translation to the posterior. Do you find them even more effective? Or can they be kind of limiting because of the weight? Like, what are your thoughts?

Dr. John Rusin: 54:32

I program almost everything. I do not program traditional barbell bent over rows.

Philip Pape: 54:37

I saw that in your book. I saw that in your book. I wanted to ask about it.

Dr. John Rusin: 54:39

One of the reasons that I don't is not that I think everyone's gonna be injured first time that they do it. That's not the way the body works. But I do think that it's just not the best way in order to train the back directly. When we're thinking about holding a hip hinge, we just mentioned that a lot of people have trouble hip hinging in general, but now I'm gonna ask you to hold it for 30 to 60 seconds in a hard isometric and not give up the position whatsoever. And then I'm gonna put your hands in a fixed position on a barbell in an arbitrary distance apart, and I'm not gonna allow natural rotation to happen at the hands nor the shoulders. And then I'm gonna put it into a bilateral stance that is gonna be dependent on your lower back position and you staying upright. And then I'm gonna put max load on because anytime we see a barbell, it's like, how much can we load up on this thing? And many times it just turns into a sloppy movement, it turns into half rep ranges of motion, a lot of momentum being used, a lot of the recruitments happening at the lower back versus the musculature of the upper back and the lats where we really want to target. And it's something that there's just like so many other awesome variations that we could possibly go into for muscle, for strength, for resilience building of positions, that it just doesn't make a whole lot of sense for me. I will absolutely use positions and I will use different variances of bent over rows, whether it be single arm, whether it be supported, whether it be chest supported. There's a lot of different ways to do it. But the standard barbell bent over row, I know this seems like sacrilegious to many people listening, but that's just not a high risk-to-reward exercise for a vast majority of people for shoulder health and for lower back health.

Philip Pape: 56:18

Yeah, I wanted to ask because I saw that in there and I don't totally disagree. I mean, I've spent years trying to follow people like Alex Bromley, for example, who takes it very seriously on how to do the position and making sure you're up above the ground so that you could properly get in the form and everything. And then guys who, you know, are like, Loyal, let's use the easy car, let's easy bar, let's increase our angle and let's do power versions of that so that you go to a dead stop. There's lots of things. And maybe there are some other benefits like the isometrics, but you get that from deadlifting as well. So I hear you, man. And I personally have really started to enjoy like T-bar rows and cable rows and things like that, and really feeling it hit those spots more directly. But teach his own, obviously, if you can progress safely and do it and you want to do it, we're not saying not to. As we wrap up, and we're a couple minutes past, apologize. Is there anything else you wish I had asked? I know there's a lot we didn't get to, but in this context of just pain-free with those key joints, anything we didn't cover that's on your mind?

Dr. John Rusin: 57:16

I think that as we get older and as we have more mileage on our system, we will all be pushed to be able to evolve and change so we can continue to do what we love to do. And you said something that really resonated with me. It was like, yeah, I had to gain this wisdom because I had shoulder pain. I had to go into surgery, I had all these injuries over the years, but I love training and clearly we do. But I think pain-free performance is a 600-page resource on things that I have made mistakes with, things that I've been mentored by, and the system that you could simply run to plug and play a pain-free performance model that simply keeps you healthy and works for your body uniquely. We don't have to give up what we love to do. I would never tell anyone that. Leave that to the doctors and the poor physical therapists out there. What we want to do is be able to line you up to do what you want to do forever, but it does take a little bit more concentrated work and a smarter system to achieve that.

Philip Pape: 58:09

A smarter system to do what you love to do forever. Love it, John. All right. On that note, where do you want people to find you besides? I'm going to promote it for you again. Pain free performance, the book. I think it's still available for pre-order because it doesn't come out till, well, around when this episode comes out. So look look it up. We'll include the link to that. Uh, any anything else where you want them to reach you, John?

Dr. John Rusin: 58:28

Any social media is at Dr. John Russin on Instagram, on Facebook, also on YouTube. And you can check out our websites over at painfree training.com and also drjonrusson.com.

Philip Pape: 58:41

All right, we'll include those links and uh the handles in the show notes. Thank you, Dr. John Russin. It's been a pleasure. Really, this was even better than I expected. I expected a great conversation, but we really covered a lot of unique, helpful areas for the listener, and uh, they're gonna love it. Take home some good action from this. So thank you so much, John.

Dr. John Rusin: 58:57

Thank you so much for having me. This was fun.

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Why You Can't Lose Weight on 1200 Calories (And What To Do About It) | Ep 387

If you’re eating 1200 calories and getting nowhere, the problem isn’t your willpower. It’s your metabolism adapting to chronic restriction. In this episode, I explain the suppression spiral, why reverse dieting fails, and how to rebuild your metabolism through a structured recovery diet that lets you eat more, feel better, and finally make progress again.

Ready to escape the low-calorie trap and eat 400-800+ more calories while maintaining your body composition?

Join the 10-Week Recovery Diet Workshop on Tuesday, October 21st at 12pm Eastern and get the complete protocol workbook plus 30 days in Physique University for just $27: https://live.witsandweights.com

--

Are eating very low calories, yet the scale won't budge, your energy is in the tank, and you're terrified to eat more?

Discover what's going on with your metabolism, why "just eat less and move more" stopped working months ago, and the precise protocol for escaping this trap without gaining fat.

Learn why reverse dieting doesn't work plus the 5 foundations that determine whether increasing calories will succeed or backfire.

Main Takeaways

  • Metabolic suppression isn't "damage"

  • How eating less leads to fewer calories, reduced training performance, and hormonal downregulation

  • 5 critical foundations must be in place before increasing calories

  • Recovery dieting vs. reverse dieting and how long it takes to truly recover

Episode Resources

Timestamps

0:00 - Why eating less stopped working
0:49 - Recovery vs. reverse dieting
4:56 - The Suppression Spiral explained
8:17 - Five foundations you must fix first
19:12 - How a recovery diet actually works
24:33 - Common failure points to avoid
27:55 - Do you really need recovery?
30:16 - Workshop invite and final takeaways

Why 1200 Calories Isn’t Working (and How to Fix It)

If you’ve been eating around 1200 calories a day, training consistently, tracking everything, and still not losing weight, you are not broken. You are adapted. Your body is protecting itself from a chronic energy shortage by slowing down how much energy it spends. This is not metabolic “damage.” It is metabolic adaptation, and it can be reversed—but only if you rebuild your foundation before you eat more.

Here’s why “just eat less” stopped working and the precise system to recover your metabolism without gaining fat.

The Suppression Spiral

When you stay in a deficit too long, your body defends itself. The process looks like this:

  1. NEAT drops. You subconsciously move less throughout the day. This can cost you 200–400 calories or more.

  2. Training quality declines. Lower intensity and effort mean less stimulus to keep muscle, less calorie burn, and less progress.

  3. Hormones adapt. Thyroid, leptin, and sex hormones decrease. Hunger increases. Your body becomes more efficient at storing energy and less willing to give it up.

  4. Energy and recovery collapse. You feel exhausted, moody, and stuck.

At this point, cutting calories again only makes things worse. You enter a feedback loop: eat less, adapt more, lose nothing, feel worse. You cannot diet your way out of this. The solution is recovery, not restriction.

Why Reverse Dieting Often Fails

Most people try to solve this by adding 50–100 calories a week, hoping metabolism “catches up.” That rarely works because calories aren’t the problem—your foundations are. Without recovery in place, increasing calories simply adds fat.

Your metabolism can only use new energy properly if five specific foundations are in place.

The Five Foundations Before Increasing Calories

1. Sleep quality and consistency

Sleep is recovery. Inconsistent or poor-quality sleep keeps you in a stressed, sympathetic state. Restoring 7–9 hours per night, with the same bedtime and wake time, is step one. Until you fix this, extra calories will do little besides raise cortisol and water retention.

2. Non-training stress

High work or life stress keeps cortisol elevated and pushes your body to store energy. Basic stress management—breathing, walks, sunlight, and downtime—creates the hormonal environment where recovery can happen.

3. Structured strength training

Your muscles are the engine that burns energy. Without regular progressive strength training, new calories are not directed toward muscle repair and growth. Even two consistent lifting sessions per week make a big difference. Three to four is ideal.

4. Daily movement

Outside the gym, you need movement. Aim for 7,000–10,000 steps per day or at least more than you do now. Movement signals your body to stay metabolically flexible and active between workouts.

5. Nutrition quality

Protein and fiber are your anchors.

  • Protein: 0.7–1.0 g per pound of body weight

  • Fiber: 25–35 g per day
    Add balanced carbs and fats from whole foods. Carbs are especially helpful for recovering suppressed metabolism and restoring thyroid and hormone function.

How the Recovery Diet Works

Once these foundations are solid, it’s time to bring calories back up—quickly, not in tiny reverse-diet increments. The goal is to restore your metabolism to its actual maintenance level, not to creep there over months.

Steps:

  1. Find your current maintenance. If you’ve been at 1200, your true maintenance might be 1800–2200 depending on size, sex, and activity.

  2. Jump calories to the estimated maintenance. Expect 2–4 pounds of water and glycogen gain in the first week. This is not fat.

  3. Hold steady for 8–12 weeks. Track strength, energy, sleep, mood, and performance. When they improve and weight stabilizes, your metabolism has normalized.

  4. Use precise tracking. Tools like MacroFactor can estimate your actual expenditure in real time so you can adjust accurately. Use code WITSANDWEIGHTS for a free trial.

During this period, expect gym performance and recovery to skyrocket. Mood, libido, and sleep improve. If you lost your cycle, it often returns. When your body is running well again, you can safely pursue fat loss later from a stronger baseline.

Common Failure Points

  1. Impatience. Recovery takes 8–12 weeks, not two. Stick with it.

  2. Inconsistency. Sleep, training, and movement must happen most days, not occasionally.

  3. Sneaky dieting. Do not cut calories mid-recovery because of short-term scale fluctuations. Water and glycogen changes are not fat gain.

Signs Your Recovery Diet Is Working

  • You can eat 400–800 calories more per day without fat gain

  • Strength and work capacity rise weekly

  • Mood, focus, and digestion improve

  • Resting heart rate drops, and you wake up rested

  • Biofeedback markers like energy and hunger normalize

Who Actually Needs a Recovery Diet

Not everyone stuck on the scale is metabolically suppressed. You truly need recovery if you’ve been on extremely low calories for months, weight has not changed for at least four weeks, your training performance is dropping, and you have clear symptoms like fatigue, low libido, or disrupted sleep. If you’re simply losing slower than expected, you may just need patience and precision.

Your metabolism is not broken—it’s smart. It adapted to protect you. You can restore it by addressing the foundations first, then applying a structured recovery diet. When you do, you’ll eat more, feel better, and eventually lose fat again, this time without destroying your energy or your relationship with food.


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Transcript

Philip Pape: 0:00

If you've been eating 1200 calories, training consistently, doing everything right, and the scale's not budging, your energy is in the tank, and you're terrified to eat more, because the last time you did, you gained weight. This episode is for you. I'll show you why your body has adapted to suppress your metabolism, why just eat less and move more stopped working months or years ago, and the precise protocol for escaping this trap without gaining fat. You'll discover what recovery dieting is, why most reverse dieting attempts fail, and the five foundations that determine whether increasing calories will work or backfire. Welcome to Wits and Weights, the show that helps you build a strong, healthy physique using evidence, engineering, and efficiency. I'm your host, Philip Pate, and today we're gonna talk about one of the most frustrating positions you can find yourself in. You're eating very little, you're training really hard, and you're getting nowhere. I've worked with lots of people who came to me eating very low calories. This might be around a thousand to fourteen hundred for female, maybe 1500 to 1800 for males, and they're doing a lot of the things right. They're lifting maybe three or four days a week, they're walking every day, they're tracking, eating enough protein in general, but something's stuck. And I'm not talking about scale weight, I'm also talking about lifts stalling, feeling exhausted, not having the energy. Maybe our blood works okay, maybe it's not. But all you're thinking at this point is what do I need to do? Do I need to eat even less? Do I need to add more training or cardio? And also, what's up with reverse dieting? Is that what I need to do? Do I need to eat more? Because last time I tried that, I gained five pounds in a week, right? Stories like that. These are not rare stories. I hear them a lot. And I think the online advice about some of this stuff is either useless or actively harmful. A lot of people still throw around the terms metabolic damage, that you need to heal your metabolism and or that you need to fix your metabolism. Some people just say flippantly, you know, you know, it's you're just eating too much. You're probably not tracking. You probably don't know how many calories you're eating, you just need to eat less. Some people, you know, say that the only way to do this is reverse diet with, you know, five, add 50 to 100 calories per week. That's how you do it. And then there's people that say, okay, just eat at maintenance for a while and everything's gonna kind of work out, which doesn't sound too far from advice I might, I've I sometimes give, which is we need to change one variable at a time and try to stay at maintenance, but there's a different approach to doing that the right way versus just, you know, trying to eat the same calories you've been eating, thinking that that's maintenance. Okay, we're gonna get into some of the nuances here. I think a lot of this advice is just missing the most important thing, which is what's happening to you and your body and why just adding calories doesn't always work without certain foundations in place. And I wanna be clear on that. Reverse dieting is often not the solution. It may be a little piece of it. And if you've ever heard my content before, you know that I don't even use reverse dieting. We do something called recovery dieting. We're gonna talk about that today. Before we do, I do want to share what some members of Physique University have been experiencing lately because it connects directly to what we are talking about. So, Richard, he said, quote, after six weeks on the program, I found the tools and info quite a game changer. Very happy with the empowerment gained and the progress so far. So, empowerment, I shared this because of that word and not feeling helpless and actually understanding what's going on inside of you with you as an individual so you can build your system. Ajana shared, quote, I've noticed I'm not getting fatigued early in the day, and my energy level has written. Again, I shared this because it's exactly what happens when your metabolic function is working properly instead of being suppressed. Notice I didn't say damaged, okay? Suppressed. And then Haig said, quote, winning, feeling better, pain and illness gone, and I'm lifting what I was 10 years ago, now to push harder. So when your body has enough energy, when it's recovering enough, everything improves. This isn't just about the scale and and often it has nothing to do with the scale. And yeah, you can push hard once things aren't where you need them to be. So if you're looking for this kind of result and transformation, support, guidance, that's why we have Physique University. You can join at witsandweights.com slash physique, get access to our community, form checks with me and Coach Carroll, all the tools you need to build your physique and more importantly, your health system, your fitness system systematically. So I just wanted to share those. And now I want to get into what the heck is going on when you are stuck at low calories. Okay. And I'm gonna call this the suppression spiral, just because it sounds cool and I like alliteration. The suppression spiral. All right, this is not about metabolic damage. The term gets thrown thrown around a lot, but it is not a real thing. It is not a medical condition, your metabolism can't break. Your metabolism adapts. And adaptation is normal, it happens to everybody, it's okay, you expect it to happen. And it can be reversed as well. But understanding how is going to explain why you today might feel terrible and might have trouble losing weight. And again, we don't care about the weight loss in and of itself. We care about improving your health and body composition. And then weight loss tends to follow as a piece of that, and not always, because you don't always need it to. But in this case, we're talking about people who are trying to undergo some form of fat loss with a calorie deficit, and they are stuck and so they feel like they can't go up or down. Okay, when you eat in a calorie deficit for an extended period, your body adapts and it conserves energy, in addition to your metabolism dropping because you're losing weight. But in this case, we're gonna assume you've stuck, you've gotten stuck trying to lose fat and lose weight on the scale. Okay, and what we want to understand what's happening, whether you should care, what you should do about it. So your body adapts to conserve energy hormonally at the cellular level. And this happens when you stay in a deficit too long or you eat too little relative to your activity. Here's what happens: first, your neat, your non-exercise activity thermogenesis, actually drops. A lot of it is unconscious. Okay, and this is all the movement you're doing outside of formal structured exercise. Studies show that meat can drop by two to four hundred calories per day. And this is actually very common for what I see. I see a lot of people in several months of dieting, their metabolisms will drop several hundreds of calories. Sometimes more than this because of added factors like the weight loss. And it's not that you consciously decide to do this, it's your body does this automatically, sometimes causes you to move less or move with less effort, or there's so many things, even if when you even when you try to keep your step count up that can move this the other direction. Second, your training performance suffers. You're not pushing as hard, you're, you know, taking longer to rest because you don't have the work capacity. Maybe you're not adding weight to the bar, to the to the lifts, you're not going up in weight. Not all of this is bad in a fat loss phase. Like you're expected to not have as much energy, but if it's really stalled out and regressing, this could be a challenge. This means, you know, you're not working as hard, you're also burning fewer calories during the workout, right? Even though we don't care about that as a metric, it's an end result of training less, training less hard, getting less of a training stimulus to hold on to your muscle. All of that is happening. Third, your hormones downregulate, your thyroid function goes down, testosterone, leptin. When leptin's low, you feel hungrier, you move less, your body becomes more efficient at storing energy, which we don't like, right? Which means it's less efficient at giving it up. And all this together means that your actual energy expenditure, your metabolism drops quite a bit. It can drop substantially. If you were, say, burning 2,000 calories a day before you started the diet, you might be down to 1500 or 1300 or 1200 just to maintain your weight as you are right now. Okay. And it's not because your metabolism is damaged, but because your body has adapted. This is a temporary state. Most people respond with a gut reaction. They do things that make it worse, such as cutting calories more, right? Adding cardio, trying to push through with more discipline and willpower. And this just makes it worse. You end up in what I called it earlier, the suppression spiral. You eat less, your body adapts, the loss stops, you eat even less, your body adapts more, you're doing more cardio, then you're eating very little, you're feeling terrible, you're making no progress, and and and. And then the psychological toll is huge. It is massive. You then feel like a failure, right? It seems to affect your self-worth, your even your self-respect. You see other people eating more, looking better. You can't understand why don't those rules apply to me. I'm different. Something is wrong with me. But the problem is not with you. The problem is the approach. It always is, guys. It's always the approach. And that is really empowering because you can fix it. You can you can't diet your way out of metabolic suppression. Almost by definition, you can't. Because eating less is what got you here. You've got to have a different strategy. So, where do we go with this? All right. That's the suppression spiral. Now I want to talk about the foundation, the problem with your foundation, okay? Because it really does come down to basic principles, first principles, foundations. And if eating less isn't the answer, what about eating more? Well, this is where a lot of people jump right to reverse dieting. You know, you get a newbie coach who's like, yeah, we just need to increase your calories, right? That's what they learned in their certification, and that's the solution. You're gonna increase your calories, you're going to boost your metabolism, and you're gonna have this higher set point, and everything's gonna be hunky-dory. And so we're gonna add, I don't know, 100 calories a week. Hope the fat loss will resume. And yeah, that never works. Almost, almost never works. I mean, there's it pretty much never works. And the reason is foundational. Your body's ability to handle increased calories without gaining fat depends on five specific factors. And if these aren't in place first, then adding calories will just make you gain weight. And you're like, huh? Haven't you talked all the time about recovering your metabolism? Yes, but you have to do it in conjunction with these foundations. That's the point. It is not just about increasing calories. That is the important point I want you to take away. So, foundation one, and a lot of people will have this at the base of their pyramid for the for good reason, is sleep quality and consistency, especially consistency. When you're chronically under-recovered, your body is in a stressful, sympathetic state. And that's a big, big problem because sleep is almost like food to your body. When you're depriving yourself of sleep, even adding more food isn't necessarily going to mitigate that, because the sleep is another massive source of recovery and energy and taking off that stress that's causing you to have this suppression in your metabolism. Foundation two is non-training stress. And I say it that way because training itself is a stress, but it's a good stress. If you have stress from work, from your relationship, from major things in your life, maybe with your family, with your finances, you've got this elevated cortisol all the time, right? That plus increasing your calories, your body's gonna say, Oh, give me that energy for fat storage. Please give it to me for fat storage. And I say it that way because if you gain weight at all, you might think, okay, I'm gaining some muscle and fat. You might gain a little bit of muscle. Chances are though, if you don't have these foundations in place, you're gonna gain a lot more fat than you'd like. Okay, a lot more fat than you'd like. What we're trying to do here is as you eat more, we're gonna, we're gonna tie this all together in the end. These foundations allow you, your body to recover your metabolism without gaining much, much, if any, fat at all, or even any weight at all. Like you, you might even you might even start losing weight, which again is not the end, not really the goal. It's just the the pleasant end result is a drop in body fat. So basic stress management is going to be huge here. Foundation number three is of course your training consistency and progression. It's interesting. Some people, you know, they'll join our program. It's not very common, but they'll join our program and when they do the intake, I say, How many training sessions are you doing? They say zero. My brain immediately goes to, oh boy, I'm excited because this is the biggest low-hanging fruit for you right now. You're doing zero. If we just go that go to one a week, man, will that just massively improve everything you're doing, your health, your strength, your mouth, even just one a week. I mean, ideally it's three or four, but we need to start where you're at. Okay. And you've got to be following a structured program, a structured program where you are progressing, if not every week, then most weeks. And it has to be consistent. I think every day you need to be doing something for your physical health in terms of movement, but from a strength training perspective, that's ideally three to four weeks, three, three to four days a week, and at a minimum two. But you know what? One is still better than zero. So I we need to make it consistent and then start to build from there. The muscle that you have, the stimulus, stimulus you're providing through that strength training, is telling your body what to do with that extra energy in such a good way. In such a good way. If you're not training at all, then all these things are gonna be a problem, are gonna continue being a problem. Okay. Foundation four is restoring that suppression of your neat, right? Your non-exercise stuff. So if you're barely moving outside the gym, you're still gonna have a lot of issues recovering. This is where bringing that step count up, you know, seven to 10,000 steps is a good target. But again, bringing it up from where you are. And also getting up off your chair if you're a desk, if you have a desk job and do that multiple times throughout the day, you know, moving, getting outside, walking your dog, you know, going for 30 to 60 minutes of cumulative movement throughout the day, independent of your strength training. And then foundation five is of course, nutrition and nutrition. And this primarily is not just the energy overall, which is calories, but the quality of your food, starting with protein and fiber, and then having balanced foods with plenty of fats and carbs as well. And carbs are gonna be massive here, guys. Let me tell you. If you've got to suppress your metabolism, suppress metabolism and what you're trying to do is recover, carbs are going to be your friend. Absolutely. When combined with training, they're gonna help your hormones, they're gonna help your recovery. Very become very efficient. Okay, this is not the time to be doing keto and low carb. Trust me, it's not. I've seen the difference. You're gonna recover your energy much faster this way. So nutrition is really important from all of these perspectives. And I've seen dozens, hundreds, thousands of people trying to reverse diet without these foundations. All they're doing is increasing calories. Well, of course, it's gonna blow up in their face, right? Sometimes they gain weight, sometimes they don't, but then nothing is recovering. So they're just eating a little bit more food, and their metabolism is, I'll say, slowly increasing, but they still have the energy problems. They are still gaining more fat than they would like, right? Like their physique, their body composition is not improving. And it's kind of a weird state to be in because that's the worst situation, is where you're, you know, recovering your metabolism, not gaining weight on the scale, but also not improving of the things that you really, really care about. You know, sometimes people will feel a little better because they're eating more food, but then they're having trouble with the body composition, right? So you get like these weird corner cases when you're not doing all the foundations. But when you are, then the recovery diet works dramatically better. And I say recovery, it's recovery from our suppressed metabolism, whether you've just been living that way through lots of restrictive eating, or you've done a fat loss phase intentionally and now are trying to come out. Hopefully, if you've done a fat loss phase, you've already done these things beforehand. I am mainly speaking to the person that's not even there yet and you're just trying to recover for the first time. Right. And now you can actually add those calories pretty aggressively and feel better even faster and have your body composition stay stable or improve as you're doing that. And then when you later on return to a deficit, you're coming from a much better place. And honestly, I don't want you even in a deficit for a while until you go through that recovery process. And that's the next problem is that it takes time, it takes focus, it takes patience. I'm not gonna use the word discipline, it's consistency. And you can do this in a very manageable, achievable way, one step at a time, two steps at a time, you know, just whatever works best for your lifestyle right now with the low-hanging fruit to fix your sleep, to manage your stress, to train, to move a little more, right? I know sometimes it feels overwhelming because it seems like all these pillars. At some point, you do need to get to the point where you're doing something with each of these pillars. But right now, pick the thing that is your go-get, as they say. All right. So now that we've talked about the suppression spiral, we've talked about the five uh foundations you have to have in place. Let's now talk about the recovery diet approach. And I haven't talked about it in a while on the show, and that's why I wanted to make this episode. What is a recovery diet? All right, it is not the same as a reverse diet. A reverse diet is about slowly adding calories to maintain your weight after diet ends, to try to get back to your metabolism, but you're doing it in a random guessing sort of way. That's really all it is. You're doing it with less precision and it takes longer, and you might overshoot, and all of those challenges that you've heard of with reverse dieting. A recovery diet is just a very precise protocol to restore metabolic function immediately, as quickly as possible, to where it should be right now. Like, what is your optimal set point right now? We won't know what it is until we get there, but we do know what it is right now, and we know that if we're under-eating to that, we can quickly go back there and not worry about gaining weight. All right. You are definitely gonna gain a few pounds of water weight and glycogen, but that is not body fat. Just to put that out there, because that's another fear people have. The goal is to get your body back to firing and burning more calories, maintaining your body composition, feeling better, feeling healthier, feeling stronger, all of those things. So we're talking about going from let's say you're 1200 calories right now and bringing that up to it, might be as high as 2,000 calories without gaining any fat or weight. Now, again, you're gonna gain some weight of water weight, but not of fat. Maybe you'll gain a little muscle as well. And then letting that stabilize before you do whatever your next phase is, which might be fat loss, maybe it's building muscle, maybe you want to maintain it there. But the point is we need to recover to that point. And you're not gonna do it instantly. It could happen, you could do it in a few days, and then when you start to recover, you may need to go even higher. And so there are some parallels to reverse dieting, but it's a lot more precision or a lot more precise. You have to track your intake accurately, weigh your food, log your food, log your weight, and use it uh either a calculation or in my opinion, MacroFactor is the one app on the market that can estimate your expenditure from what you've logged. And then it you will literally know the number to go to tomorrow after you've done that. Now, that's after you've been tracking for several weeks. You'll know what metabolism your metabolism is right now and how many calories to increase. Go download macrofactor, use my code WITS and weights, all one word, to get a free trial for that. It's excellent for this because it adjusts your expenditure based on your trend and intake for that accurate recovery diet. But you also have to track your body composition, your strength, right, your lifts, all the things you should be doing anyway. And then remember, the scale is going to go up during that recovery, especially at the beginning, because of water, glycogen, digestive content, sodium, like you're just eating more, all of that. You should look pretty much the same, if not better, in the mirror. It's because sometimes when you fill out the muscles of that glycogen, you end up looking a little bit more pumped. You know, it depends on what you already have there, of course. If you've never lifted weights, you're not there yet. But in general, you're gonna look a little better, actually. And then the timeline is really important here because while you can jump calories immediately to get out of the deficit, literally one day, you're gonna need eight to 12 weeks, sometimes longer, depending on how suppressed your metabolism was to get to full recovery. So it's kind of like recovery hops. Okay. If you were eating 1200 calories for six months, you might need two or three months to get back to your 1800 or 2000 or 2200 maintenance. And you don't want, I know you don't want to hear this, but your body doesn't work on the timeline that you want it to work on. It's gonna work on what nature's gonna do. And you're gonna, I'm not speaking properly here, but you're going to give it the best shot to recover as quickly as possible. So success looks like eating three, four, five, six, up to maybe 800 calories more, maybe a thousand, you know, if you're a bigger guy, for example, than when you started. So I would say probably four to four to six or eight hundred calories is like a nice big window for a lot of people that I see. And then your weight, your body weight has stabilized after that initial water bump and it's kind of stabilized. Maybe it's a little bit higher than that, but your measurements should be about the same. You should look the same or better, your energy should be significantly improved. Your training performance should be going up, right? You're adding weight or reps. Your recovery is faster, feels better, your mood should be better. For the ladies, your menstrual cycle should be normal again if it was irregular. Now, these aren't claims I'm making, these are just the shoulds that should happen all things equal, you know, not counting any other condition someone might have. And then when you return to a fat loss phase later, you're gonna be set up much better for success. And you probably won't have to diet to those calories either, because you're eating more fiber and you're moving more, you're burning more calories in general. This is different than those fit fluencers saying, Oh, you gotta do is reverse diet, and then you do a fat loss phase and you could eat more calories than last time. Okay, it doesn't work that way, like in that short timeline without doing all the foundational things and without potentially having built a little bit of muscle and metabolic capacity as well. Okay, don't look for quick fixes, it's going to backfire. But if you do this the right way, then when you do have fat loss phase, you're not gonna feel destroyed and you're not gonna be losing muscle. And that's the key, one of the key differences. And then you're gonna have energy for your workouts, your life. You could probably do it in a sustainable way, not have to go as aggressive. Now, everybody's different. Everybody has different levels that they start from and end from and different histories. So the protocol has to be individualized, right? Some people can add those calories more aggressively or bigger jumps. Others need to go slower because of how it makes them feel or the practicality of it, right? Just trying to eat more food. So the specifics depend on your situation, your foundations, where you are, what you're able to incorporate now, and of course how your body responds. All right. So if what I'm describing so far sounds kind of like your situation. If you're stuck at low calories, if you're not sure how to go from where to go from here, if you need a systematic way out and it to improve all of these factors, I'm running a live workshop October 21st called the Recovery Diet Workshop. It's actually called the 10-week recovery diet workshop because I'm going to walk through a full, it's like a 20-page workbook that you're gonna get access to afterward that is gonna help you assess exactly whether you are suppressed, what is the week by week progression to get out of it with a recovery diet as we head to the end of the year. So it's perfectly timed 10 weeks to take you into the new year, and then you're ready to go if you're looking to do a fat loss phase in the new year. And so it walk, we're gonna walk through, you know, how to adjust based on your response, all the pitfalls, all the scenarios, what to do when. You're gonna have it all mapped out. And you're also gonna get your first month in physique university as part of the whole thing for no extra cost. So to me, it's a no-brainer because you're gonna have the workbook, the workshop, and of course all the resources and support to get started and get some accountability and feedback, which for many people that's what they need is the accountability to make it happen. So that's 27 bucks October 21st. Go to live.witsandweights.com. That is Tuesday. That's next Tuesday, our 10-week recovery diet workshop. So if you're stuck with low calories, if you want a system for improving that and coming out the right way and not these random reverse diets, grab your spot, link is in the show notes, live.witsandweights.com. I'll share it again at the end. Now let's talk about some of the common failure points. What makes people fail? All right, because even when people understand this recovery diet concept, and I I know people will parrot it back to me and will define it pretty well, but then there's these three major failure points in reality that prevent people from doing them successfully. The first failure point is, of course, impatience. You knew I was gonna say this, right? This is hey, I added calories for two weeks, I didn't see things change, or I had that bump in weight that Phillip said would happen. It's all fluid, but I freaked out and I cut back. Look, your body's not gonna recover in two weeks. It's just not. I'm sorry, it's not gonna recover in two weeks if you've been doing this for any length of time, right? Because what got you here took many, many months. I'm not saying it's gonna take the same amount of time. It's just gonna take some decent amount. So that's the first failure point is impatience. That's why we have to focus on the metrics that we care about the most, which is increasing our strength in the gym, increasing our nutrition quality. Guess what? All the foundations that I talked about. The second failure point is guess what? Inconsistency with those foundations. So consistency really is what I mean here. And that is not just sleeping well for two out of the seven days of the week, but sleeping well for four, five, six, hopefully all seven, but more than you were before. Walking, you know, getting your X number of steps every day. If you can't get 12,000 steps a day, don't aim for 12. Aim for six or seven or eight or nine. Whatever lets you get that minimum viable product of steps, and then push beyond that when you can. Same thing with training. You've got to get into the gym consistently. Your body's gonna respond to consistent signals. So consistency itself is a really important skill that we want to develop here. That's a whole separate topic, but it's very important. Not discipline, not willpower, but really habits, behaviors that are ingrained in your life because they're achievable in your life. Okay, and then failure point three is trying to diet in the middle of recovery. Raise your hand if this is you, okay? You're you're like four weeks in your recovery, you see the scale up a few pounds, and you're like, I'm gonna do a rapid fat loss phase, or I'm gonna just quickly go on a deficit for a week or two, Philip won't mind, you know. And it undermines the whole process, right? It undermines the whole process. You can't simultaneously recover your metabolism and diet, because the dieting itself is what got you here and it's causing the suppression. And if you can't mentally handle that, then I don't think you're ready for a recovery diet yet. Although I think everybody should strive to become ready for one. So those are the three failure points. And I think, like, if there's one surprising takeaway today that that you might find is most people who think they need a recovery diet don't actually need one. And what I mean by that is a lot of people who think they're metabolically suppressed are just they're in their calorie deficit and they're impatient. And I say that with a caveat because your metabolism should adapt no matter what. It's probably gonna drop. But I'm talking about the people who've been dieting for like six weeks. And maybe you're not losing weight as fast as you want, but you're losing it gradually and you got past that initial bump that deceives everyone into thinking they're gonna lose weight a lot faster than they do, right? You can't, you kind of kind of ignore those first few weeks of dropping water weight. And, you know, things are gonna slow down a little bit, but then they kind of should kind of get in a steady drop. And those people who are making that slow but steady progress, even if it's like a quarter pound or pound a week, I often see them think that they are in a plateau or their metabolism is so suppressed they can't make progress, but they actually are chipping away at it. And then it's a matter of going back to my previous things and of patience and consistency and just continuing, right? Actually being suppressed has very specific indicators. Like you're at an ungodly low number of calories for multiple months, and you shouldn't you shouldn't have to do that. You know, your weight has been absolutely completely rock solid stalled for like four or five weeks past the initial drop, even though you're doing all the things the right way. Or your energy is in the crapper, or your training performance has declined noticeably, or your sleep quality has decreased, right? It's all the biofeedback stuff. Even for women, you've lost your cycle, your sex drive is gone. Those kinds of things. If you're eating in a reasonable deficit, right, there's there's a range of what that means. But like if you're a woman, maybe that might look like 1600 calories you're eating. Like, I'm not gonna freak out over that. And your weight loss is still going down, but it's just maybe not as fast as you want, which is a very common scenario. You don't necessarily need a recovery diet. Now, if you're done, if you're ready to come out, if you don't want to diet, if you want to go to maintenance, that's perfect for a recovery diet, right? But I'm talking about people who think they're not making progress when they are, if that makes sense. And and that's more of a patience thing, a precision thing, a tracking thing. It also an experience thing. If you don't have those, if if You do have the markers of like you things are really suppressed, just not great. Then this is one of the most powerful tools available so that you don't stay stuck for like months, years, or whatever and just feel terrible. We don't want you that way, do we? We want you feeling great and looking great and doing all the things you want to do in your life. So the problem is usually not that you need to eat less, it's this metabolic adaptation. And the solution is, of course, recovery, which means establishing the five foundations we talked about today, and then incorporating that with a recovery diet protocol. And then you're gonna, you know, eat more, feel better, be able to lose fat effectively when you're ready. So again, if you're thinking like this is exactly what I need, please join me next Tuesday for the 10-week recovery diet workshop. I'm teaching the complete system, the assessment process, the week-by-week protocol, the troubleshooting framework. And this is literally a 20, I don't hope this is not overwhelming, but it's like a 20-page document. And I did it that way this time because I literally wanted to give you something to take home where you can then map it out exactly as needed. And then we could help you implement it or give you the support you need along the way as you hit those roadblocks that we all inevitably intend to hit. So you're gonna get all of that. Your first month of physique university, all of that 27 bucks. Registration is open now. Link is in the show notes or go to live.witsandweights.com. And if you found value in today's episode, please share it with someone else who's stuck in low calories, who's complaining about this, who feels like there's no hope or no way to go, because there is. Until next time, keep using your wits, lifting those weights, and remember that your body is capable of remarkable adaptation in both directions. Okay, the direction that we don't like and the direction we want to recover. You just need the right approach, the right protocol to guide it again. This is Philip, and I'll talk to you next time.

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Body Positivity vs. Healthy Habits (You Can Have Both) | Ep 386

You can respect your body today and still change it. In this article I show how to drop shame, keep high standards, and use a simple dashboard of performance, composition, and health markers to drive real progress. If you want stronger lifts, better cardio fitness, and better labs without the all or nothing trap, start here.

Track your nutrition without shame or judgment. MacroFactor learns your metabolism and adjusts to what's actually happening with your body with no guilt, no moral judgment, just data. Try it free with code WITSANDWEIGHTS: https://bit.ly/philipmacrofactor

--

Can you love your body and still want to change it?

For years we've been caught between two extremes: the body positivity camp that says any discussion of weight is harmful, and the traditional fitness world that makes you feel guilty for not being lean enough.

You want to respect yourself, but you also want to get stronger, healthier, maybe change your body composition.

Learn why removing shame doesn't mean removing high standards, how fitness capacity matters more than the number on the scale, and the system for building health while respecting your body right now.

Discover the framework of dignity-first performance engineering that lets you pursue measurable health improvements without moral judgment about your body.

Main Takeaways:

  • Self-acceptance and measurable health improvements are not in conflict

  • Stigma and shame actively make health worse

  • Fitness and strength predict health better than BMI

  • Use behavior-based data, not moral judgment

  • Coach yourself with neutral observation instead of criticism and practice self-compassion to improve adherence

Episode Resources:

Timestamps:

0:01 - The false dichotomy: body positivity vs health goals
5:03 - Dignity-first performance engineering framework
9:06 - What the research actually shows
18:33 - Build your health dashboard
28:19 - Behavior-based nutrition approach
31:49 - Coaching yourself without shame
36:09 - Fit at any size (with caveats)
39:20 - Stop letting weight dominate

Body Respect and Body Change Can Coexist

You do not have to pick a side. You can respect your body today and still pursue strength, health, and physique improvements. The conflict shows up only when we attach moral value to weight or treat one number as the whole story. Here is a clear, practical way to hold self acceptance and measurable progress at the same time.

The false choice that keeps people stuck

One camp says talking about weight is harmful. The other camp pushes weight loss as the only finish line and often wraps it in shame. Both miss the point. Health is behavior driven. Shame does not improve behavior. Progress comes from clear actions that support strength, fitness, and metabolic health, without tying your worth to a scale reading.

What the evidence actually supports

  • Stigma harms health. Weight stigma predicts worse cardiometabolic risk, higher stress, and more avoidance of care.

  • Fitness matters at any size. Cardiorespiratory fitness and muscular strength reduce mortality risk across BMI categories.

  • Behavior focused methods work. Programs that emphasize health behaviors and mindful eating often improve blood pressure, lipids, and eating patterns, even when weight barely changes.

Dignity first, performance engineering

Keep standards high for behaviors and biomarkers, remove shame from appearance. Treat your body with respect while you engineer better performance.

What to track, not just what to weigh

Use a dashboard that blends performance, composition, and health.

  • Performance

    • Strength progression on key lifts

    • Work capacity, set quality, recovery between sets

    • Resting heart rate, simple pace or power benchmarks

  • Body composition

    • Waist circumference

    • Body weight trend, not day to day noise

    • Simple methods like the Navy estimate if you want a body fat proxy

  • Metabolic health

    • Lipids, A1C or fasting glucose, blood pressure

    • Vitamin D, magnesium, iron status if relevant

    • Repeat labs a few times per year if you are changing a lot

  • Biofeedback

    • Sleep quality, energy, mood, digestion, hunger patterns

Coaching yourself without shame

  • Replace self criticism with neutral observation. “I missed two lifts this week. What blocked me, and what will I change.”

  • Judge the process you control, not the outcomes you do not.

  • Use approach goals. “Add a protein source and a vegetable to each meal,” rather than “Stop eating junk.”

  • Practice self compassion. Kind does not mean permissive. It means you stay in the fight without quitting on yourself.

Nutrition that respects your body and drives results

Keep it behavior based, then add precision as needed.

  • Protein first. Aim for 0.7 to 1.0 grams per pound of body weight per day.

  • Fiber daily. Roughly 25 to 35 grams from plants and whole foods.

  • Carbs support training. Center carbs around workouts to refill glycogen and protect performance.

  • Fats for hormones and satiety. About 0.3 to 0.4 grams per pound is a practical starting zone.

  • Mindful meals. Fewer screens, slower eating, attention to taste and fullness. Use tracking as information, not judgment.

Training that builds capacity without feeding shame

  • Strength is the base. Four days per week, 10 to 15 hard sets per muscle group, most work one to two reps from failure.

  • Cardio supports health. Two to three sessions per week. Mix easy zone 2 with short intervals. Walking counts, swimming and cycling are joint friendly.

  • Progression with margins. Add small amounts of load, reps, or pace. When life stress spikes, keep the habit alive with shorter sessions.

A simple two month plan to put this into practice

  1. Pick two performance metrics that you will improve. Examples, five rep squat and resting heart rate, or a 1 mile walk test and a push up test. Test now and retest in eight weeks.

  2. Set two daily behaviors. Examples, hit protein and fiber targets, or walk 8 to 10 thousand steps and get seven hours of sleep. Track adherence, not perfection.

  3. Choose one body composition metric for context only. Waist or body weight trend is enough. Look at the trend every two weeks, not every day.

  4. Schedule labs with your clinician in three months if you have not done a baseline in the last six months. Use results to adjust, not to panic.

  5. Practice one self coaching habit each day. Swap one self critical thought for a neutral observation and an action.

The bottom line

Self acceptance and self improvement are not rivals. Respect your body now, train like an athlete, fuel like you value your health, and judge success by the behaviors and markers that predict a longer, stronger life. When you do this, body composition usually follows, without shame and without the all or nothing trap.


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Transcript

Philip Pape: 0:01

Can you love your body and still want to change it? For years you've been caught between two extremes: the body positivity camp that says any discussion of weight is harmful, and the traditional fitness world that makes you feel guilty for not being lean or ripped or shredded enough. You want to respect yourself, but you also want to get stronger, healthier, maybe change your body composition. And there's a tension between these two worlds where you feel like you have to choose between self-acceptance and self-improvement. Today we're proving that you can have both. You'll learn why removing shame doesn't mean removing high standards, how fitness capacity matters more than the number on the scale, and the system for building health while respecting your body right now. Now, I'm gonna show you why this isn't actually a conflict at all and how you can engineer an approach that honors both self-respect and measurable progress. Now, this episode, I wanted to create it because of multiple listener questions I've received over the past few months, all asking variations of the same thing. Is it wrong to want to change my body? Am I betraying body positivity, right? The concept if I try to lose fat or gain muscle. Now, they didn't say it that way specifically, but I'm kind of paraphrasing because this is a legitimate question. The vanity question, I'm trying to look good, I'm trying to improve my physique. You know, I don't want to have my belly spilling over my genes, however, viscerally you put that into words. And I think they do reveal this big problem today and how we talk about health, bodies, about change, about personal improvement. And I think we're gonna try to solve that problem today using evidence, using clear thinking, and using a framework that you can use. Before we get into it, I want to share a few quick wins from Physique University over the past couple weeks just to show you how positive this can be when we are pursuing health. And the first one is the highlight of my week was that a few people told me I look healthy and vibrant. The biggest one of all is that on Friday night I went to a fancy fundraiser dinner and had my picture taken. When I looked at the picture, I know my body size has not changed yet, but I liked the picture. First time in almost 18 years. Now, again, that's kind of straddling the, you know, how I feel versus how I look dichotomy we're talking about today. The second one, I feel like consistency in getting to the gym and whatever level of diet I've achieved are big wins. I'm proud of my increasing, increasing all my PRs this week. So again, there's more of a focus on improvement from a strength perspective that will translate to physique improvement, and yet that isn't really the point. The third one is I sense your passion for helping people. It comes through in the response time you give us as clients and the attention you're putting into helping us grow. You're really excited about training. I get more excited to train because of your excitement for it. It's infectious. I'm really liking the experience. So I wanted to share all of these because they're really more focused on the process of improvement, and that is gonna be key to what we talk about today with the topic and the framework. So let's talk about this. What is this false dichotomy? Let's name the problem clearly. On one side, you have this body positivity movement. At its core, it is about pushing back against appearance hierarchies, I'm gonna call them, right? Like it depends on where you are on that hierarchy and what kind of social media you use and what age you are and what that means to you. But basically, this movement, in my opinion, is trying to remove moral judgment from the size that you are with your body, right? I think that's a pretty fair definition. And guess what? I think that is a valuable thing. I think that shame doesn't help anybody, it doesn't improve health, it can undermine health, it is not, it's just not helpful to the situation. On the other side, you have, I'll say, traditional weight normative fitness culture, right? Which is irks me the most, I would say, about what I see on Instagram, for example, or in the way coaching programs are framed. And this is where we use weight loss as the primary or only endpoint. I mean, all the all the commercials I see for now for Noom and microdosing, and it's all about weight loss, right? All the GLP ones, it's just what they talk about. And I think that sometimes, well, it definitely works from a marketing perspective, but I think it's not super helpful at all when it comes to how an individual receives this because it is packaged with shame-based messaging. It is usually tied into some sort of rigid rules or system and the implicit message that you are not acceptable until you hit a certain size or number on the scale. And I've talked many times on this show about how I don't even like that phrase weight loss because it doesn't tell you what you're trying to achieve, which is improved health, body composition, you know, mindset that comes from a variety of factors that we measure, not just weight. In fact, weight loss can be a countermeasure if you're using it the wrong way. So here we are, stuck in the middle, and you kind of feel like you have to pick one of these or cozy up with one of these camps. Maybe you don't, okay? Maybe I'm falsely ascribing this to you, the listener, but still you're aware of this dichotomy. And either, you know, on one hand, people are saying just accept your body as it is, which kind of implies that you're giving up on your health goals. It really does, because by definition, if you improve your health, you're gonna improve your physical representation of that health, is the way I'm gonna put it, right? That's so that's on one side. And the other side is, you know, pursuing health goals and then feeling guilty that you care about improving your body or like, you know, somebody makes you feel bad because, oh, now it's all about looks for you, isn't it? Right. And I think this is a false choice because the reality is you can practice self-acceptance and dignity and still pursue measurable health behaviors, right? That's the way I'm gonna put it measurable health behaviors. We had Jamie Selsler on, who lost over 350 pounds, and I realized the framing of that is weight on the scale, but his whole conversation with me was not about the weight on the scale. It was about the process of self-acceptance and self-respect to get healthier so that he can live and thrive in the world for a long time to come. So these things are not in conflict. I think the conflict only exists when we confuse weight with health or when we attach moral value to body size. And so I'm gonna be explicit about the framework we're building today. Uh, I gave it a phrase in my notes. I call it dignity first performance engineering. Maybe that's a mouthful. I don't know if it'll stick, but dignity first performance engineering. It's kind of a mesh between the two in the best way. So, dignity first, what I mean by that is no moral value attached to weight or food, no tolerance at all for stigma. These are just things. They're things you can measure, they're, you know, things that have wide spectra in terms of their judgment or attributes. And why would you tie that into self-worth? You don't earn your worth by hitting a certain whatever, even if it's body fat and body composition, right? It's not tied to your worth. And then the performance engineering piece means we focus on the measurable behaviors and outcomes, right? The process. I've talked about physique engineering before, but I'd really rather use the term performance engineering, with physique just being one of many outputs. So we're talking strength gains, like in the testimonial I shared about getting PRs, personal records. This could be your heart health, your cardiovascular fitness, your blood markers, biomarkers, sleep quality, energy levels. And then even body composition can be among the data stream to give you objective information. And this isn't about, you know, lowering standards, right? Because that's part of the argument people make is that you have to lower standards for the body positivity move bubble. I'm not gonna go there. I think, I think we keep high standards, whatever those are for you, right? Which for you, it may not be nearly as high as someone else because it's relative to where you are right now, you know, start where you're at. So we keep these standards for behaviors and biomarkers, but altogether remove any moral judgment of our body, right? Our physical body. And so, what is the standard then? Well, the standard is you show up consistently, you train and make progress, you hit whatever targets you are setting for yourself, or at least you do your best, knowing that you can't, you're not gonna be perfect, but you're gonna be consistent. And then you track the things you care about, right? And this could be very different from one person to the next, even though on this show we talk about a standard set of these types of metrics. So the standard is not achieving a certain body weight by a certain date, or else you failed as a person. So that's kind of the false dichotomy that I wanted to dispel first. Now, in the second segment, I want to talk about what the evidence shows because I think that's important too. It's not just some guy's opinion on uh a podcast or on YouTube, all right? What does the research tell us? Because I think there's some hard data here. And the first big thing is that stigma and shame simply make health worse. You're like, yeah, that's that's obvious, right? But you know what? The conversation on mental health has changed a lot in the last only 10 years, 20 years. I mean, I'm 44 and I can remember the 90s, and there was a lot of shame and stigma around everything health related, you know, mental health, a lot of it, okay? And things have changed a lot. And and this isn't tough love, right, that I'm asking for or motivating tough love. It's really physiologically harmful when we have stigma and shame. Studies show that experiencing weight stigma predicts higher cardiometabolic risk, disordered eating, elevated cortisol, right? You're just stressed, even higher mortality risk, independent of BMI. Okay, so this mental aspect translates to the physiological aspect. And there are different mechanisms behind this. There's activating your stress physiology, right? The fight or flight, the parasympathetic versus sympathetic. There's people who avoid getting medical care because of the stigma, right? There's behaviors where you compensate with your eating, and that could that definitely includes emotional eating, right? And you're familiar with all of these concepts, I'm sure. So when you shame someone about their weight, and I hope nobody listening to this is doing that, you're not helping them get healthier, right? You are actively making them less healthy. And that's what the data shows. Second, as far as data goes, research, is that fitness and strength do matter at any size. So this is a kind of an interesting concept, right? When we were talking about our fitness as in cardiorespiratory fitness, but also muscular strength, muscle mass, very important things we talk about here, are among the strongest predictors of lower all cause and cardiovascular mortality across all BMI categories. People who are fit and have obesity actually have lower mortality risk than people who are unfit but might be at a normal BMI. This is kind of like the strong with lots of muscle mass but extra fat persona versus skinny fat, but not much muscle mass. I would rather be in general be the person with more muscle, as long as we're not talking about excessively overweight, right? That's like its own category. But this is really crucial. I've had plenty of clients who have been lifters for many years with lots of muscle mass. And they have extra fat, but they're a lot healthier than other people with their biomarkers, even despite that extra fat because of the muscle mass and the fitness. And actually, in some cases, I'll see like their cardio fitness isn't great because they don't walk a lot, and then they start walking, and that improves. Or vice versa. Somebody's really fit in the endurance, but they don't have much muscle mass. They start training for muscle mass and then their markers improve, right? Training improves health markers even before you get any substantial weight loss. That's really, really important. That's really important. A person who lifts weights, who does a little bit of cardio, and that can, yes, absolutely include walking, and ultimately improves their resting heart rate, maybe their VO2 max, I'm not as hung up on that metric, but you know, their general fitness is getting healthier, whether or not, independent of losing any weight. That's really powerful. That's very empowering, I would say, as well. And it's the behavior that drives the benefit here. Okay, that behavior of being an athlete and training. Third, when we look at the data, weight inclusive or health-centric approaches can improve health. This is interesting. Okay. I'm just sharing the data here, whether you like the terms or this hits you right or not. So there's some systematic reviews of the health at every size type programs that do show improvements in lipids and blood pressure and eating behaviors and psychological well-being. The effects on body weight are similar to the what I'll call traditional weight-focused interventions in some of these analyses. This is interesting because you're basically saying this is almost sounds like body positivity, doesn't it? Like, okay, you can be healthy at any size. We're gonna set that as the premise, but now we need to get healthy at your size. That's what strikes me about it, which tells me that behavior change is carrying most of the load, not just the weight loss. And so it moves the needle in the right direction, if that makes sense. All right, the fourth thing I found in the research is that intuitive and mindful eating are very promising for mental health and cardiometabolic markers. Now you're shocked, right? Because I I've blasted intuitive eating on other episodes, but usually what I mean by that is intuitive as in go right in and try to be intuitive and listen to your hunger signals without having developed the skill of doing so through some form of tracking and awareness, right? So I'm not talking about that. I think the idea here is more on the mindfulness piece. Okay. Research links this mindful eating. When we say intuitive, that is what I'm talking about in this context, to a lower BMI, lower waist circumference, better psycho psychosocial outcomes, and mindful eatings associated with improved mood, healthier eating patterns. Now, I love mindfulness and I love developing a skill of knowing what and how to eat, even if it becomes more and more intuitive by using a system to get there. That is the best of both worlds. You've got to be taught, is my point. You've got to be taught, you've got to learn the skill of intuitive eating and mindful eating. They're not magic bullets, right? For a lot of us, they're actually hard. Some apps, based on like psychological behavior, are probably have the right approach there when it comes to the mindfulness piece. Unfortunately, they often lack the data side of things, the numbers side of things. And in my opinion, you can combine the two in a really nice way. But if you've been stuck in like a diet binge cycle, you've got to start somewhere. And I think having mindfulness in general goes a long way. Now, before anyone accuses me of being anti-weight loss or promoting some unhealthy lifestyle, I want to address legitimate criticisms. Okay. Some online body positivity content does cycle back to pure talk of appearance and it can dilute health behaviors. All right. Not everyone thrives with purely weight neutral messaging. Okay. Let me say that again. Not everyone thrives with purely weight neutral messaging. Some people are motivated by body composition goals, and that's totally fine. Some people are motivated by pure vanity goals, and that's totally fine. As long as the process is free of stigma and the metrics go far beyond scale weight. Okay. This is consistent with a lot of things I've been saying over the years that your motivations are yours. They can change. You can have multiple motivations. There are multiple levels of motivation, right? You can have some superficial motivation up here, maybe some external motivation, that's fine. And then you get deeper and deeper and deeper. And ultimately it ties to a what we say is your why, right? Like the deeper reason you want this. You want to be a role model for your kids. You want to be able to not be falling in and breaking your hip when you're in your 70s, right? You don't want to be a nursing home, those things. So that's a legitimate criticism that, you know, when we talk about body positivity, which again, I'm not supporting the traditionally criticized version of it on this episode. I'm trying to add nuance to how we define it or how we think about it. And the issue isn't whether you want to change your body. The issue is whether shame is part of the equation and whether you're using a single metric to define success, right? Because I've met so many people that, you know, they have they have some extra weight on their body. They know it's not healthy. There's no benefit in shaming them. And yet they're not sure whether they can be healthy without losing a lot of weight. And I think it's okay to focus on health and performance and not even care about weight. And guess what? A beautiful thing happens in that your body will start to respond physically and physiologically to that, which often involves releasing stored body fat and building more muscle and partitioning your nutrients where you want them, right? And then the things happen naturally because you're using your body in that way, in that fit athletic sort of way. All right. And I I love data, I love tools. You guys have heard me maybe talk about Macrofactor. It's my favorite nutrition app. I use it every day myself to track my expenditure, my metabolism, my food. But the reason I like tools like that is they are adherence neutral. They do not, they do not shame you for missing a target. So if you can find an app like that or a tracking method like that, where all you're doing is tracking against your goals and metrics, but nothing is like flashing a big red bell at you that says, you just failed because you were over by five calories. That can be very helpful. Now, speaking of metrics and removing shame from the process, anything you can do where you're not judged and you're just adjusting based on what happened and saying, I learned from this. Now I'm gonna do something differently in the future to lessen the impact when it happens again is really, really helpful. All right. That's kind of what an engineer thinks like. An engineer, an inventor, an innovator is gonna fail a lot of times, but they don't even think of it as failure. They think of it as learning from the data. All right. So the next thing I want to talk about is those metrics. In other words, what should you track? And you might be hearing my dogs bark. If weight isn't the metric that matters and body composition is just one of the data streams, what should you track? So think of it like a dashboard, right? What would this dashboard look that paints a complete picture of your health and progress? So we could just stop talking about weight loss. Okay, let's start with performance metrics. This is really where I wanted you to focus most of your attention. One thing you want to do is track your strength progression, your maxes on your key lifts. Now, what this might look like is if you're a beginner, you might only be tracking four lifts. You know, your squat, your bench, your deadlift, your press, maybe. And then you for five reps, let's say, and you're gonna track those. As you get more advanced, you're gonna track more of the lifts and you're gonna track more rep ranges. It might just matter to track what is in your current program. So I'm doing a five-day-a-week program right now where every week I'm doing the same, you know, exercises I did the week before. So what I care about is am I progressing at those exact exercises and reps each week? Whether I go up in reps, whether I go up in weight, do I need to do a reset to kind of you know continue progressing or whatnot? So that's that's strength. Now, cardiovascular fitness gets a little more complicated. There are there are people I'd say more experienced than me in the endurance world. I would say for the average person, for you and me, resting heart rate by itself is gonna be a big indicator, okay? Because you can see a relatively fast improvement when you, for example, start walking more or doing more cardio supportive activities. But if you like wearables and tracking other data, I would say heart rate variability is helpful. Anything on an aura ring or phone or wearable or strap or whatever that can help you is is pretty cool, right? But that's all that's it. I would say resting heart rate is is enough, just to keep it simple. How about your work capacity? Okay, this is also cardio related, but it also is related to your lifting. How many sets can you do before you get winded? How quickly can you recover between them with your rest periods? You know, again, this is tied in a little bit to your step count. It's important to be aware of all that because the amount of cardio and type of cardio you do is going to support how much work capacity you have in the gym. And what you do in the gym with your lifting can also increase your work capacity. So different people have different goals there. And all of these metrics tell you am I getting fitter and stronger? Right? Because they respond pretty quickly to your training. They're very motivating when you see them improve, and then they predict long-term health really, really well, far more than body weight does if you were listening to some of the relationships I mentioned before, like the fact that having more muscle is gonna be super protective, even if you have a little extra weight. So that's performance. Then we get to body composition metrics. We're still gonna track these, but as part of context, as part of a big picture. So your waist circumference, your body weight, but looking at the trend over time. So again, if you use macrofactor, it uses a 20-day exponential moving average. The app that I'm developing also thinks of things in this context of trends and kind of pressure in a direction over time. And you don't have to use like a DEXA scan or anything like that. There are simple ways to track with the Navy formula, for example. We use, I have a biofeedback and physique tracker in physique university we use, where you just put in some simple measurements and it gives you these estimates. But if you look up Navy formula, you just need a few measurements to track it that way. But all of these are lagging indicators and they change more slowly versus the performance indicators, which are more either leading or real-time type indicators. I mean, resting heart rate is a little bit of a lagging indicator, but they change pretty quickly. These body composition metrics are gonna take time to change. So this is where you have to not let a week of no movement, because a week is nothing, seven days is nothing, tell you, hey, this is not working if your performance metrics are improving. In fact, in many cases, the these body composition things aren't gonna change very much at all, but your health and your performance is gonna improve a lot. And then your body composition might start to catch up. So those that's body composition. The third category on your dashboard is the metabolic health markers. And this is getting your labs done, I would say, every at least annually, if not every six months, or even three months if you're really into this stuff. And that's a lot of different things that could be A1C, fasting glucose, your lipids, your blood pressure, inflammant infl markers of inflammation, nutrient, you know, deficiencies and stuff. And these tell you what's happening inside your body, right? Not just what you see in the mirror. This is very, very important. It tells you how what you're eating is affecting what's in your body. Are you getting enough sunlight, right? Those kinds of things. How are your hormones? Right? You can have a six-pack, but still have terrible metabolic health, or you can have a little higher body fat percentage, but have really good metabolic health. And this goes back to why body positivity gets really tricky. We want to know what's actually going on. And of course, we we do a service now called performance blood work. I need to share that with you guys because I have a I have an example, some example reports from clients who've done that recently. You effectively get 85 plus biomarkers measured, and then thousands of calculations and patterns put on top of that to then say, okay, these two markers are low or they're in the normal range rather than the optimal range. How do we get them to be more optimal? All right, you need to be maybe supplementing with omega-3 fish oil over here. And are you training? You know, are you strength training? Of course, that's gonna be on everybody's plan that I put together. But yeah, that those are the kind of things that are can be really powerful. And then you do have subjective metrics, right? Like your biofeedback is kind of subjective, although when you track it over time, it becomes a little more objective, if that makes sense. Kind of the idea of quality, qualitative data becoming empirical, if you will. So energy, mood, sleep quality, how you feel during your workouts, your digestion, your hunger, all this, all those stuff, right? There's a whole list. These matter because if you're, let's say, losing weight, but you feel like garbage, you're not really winning. I mean, you're not you're not gonna feel your best probably when you're in a fat loss phase, but there are optimal ways to do it, okay? And conversely, if you're getting stronger and you feel great, but the scale's not moving, maybe your waist is going down, you're probably doing exactly what you should be doing, right? That's where it gets kind of confusing. So if if the the key here is looking at all of these together. So if your strength's going up, your waist is going down, your energy is high, your labs are improving, and your weight is exactly the same, that is a huge, massive win right there. That's a massive win. You are replacing fat with muscle, or I should say you're losing one and gaining the other, and you're getting healthier and you're getting more capable. And I bet you're feeling better and more confident. If you only looked at the scale, you'd think that nothing was happening and you might quit. So that's a great example. All right, so now let's quickly talk about nutrition in this framework because I think a lot of people get stuck here. We've talked a lot about training and performance, and you're like, well, where does food come into this? Well, the first principle here is make it behavior based, right? Not outcome-based, always. So if you can focus on what to do day to day and then track that and see how you're doing and nudge, nudge, nudge till you get there, it's gonna work out really well. Okay. And that's things like your minimum targets for protein, 0.7 to 1 gram per pound. Hitting that consistently is going to go a huge way. Same thing for fiber, 25 to 35 grams, probably more like 25 for women, 35 for men. Vegetables, fruits, whole grains. If you have to supplement, supplement. Build the meals that you enjoy. I want you to enjoy your food. If you hate chicken breasts and broccoli, don't make that a regular staple in your diet. Find proteins and vegetables you do like, prepare them in a way you do like. Learn how to cook really good food. Use a meal service if you have to, you know, marry somebody who's a great cook. Okay, that was out of line, maybe, or not. I don't know. I got lucky in that regard. You don't want to suffer your way through, you want to build the sustainable behavior. And so, those of you who've been chronically dieting in the past, or you've done multiple rounds of restrictive diets, of carnivore, of keto, of low carb, all that, intermittent fasting, right? Then tracking these things and even some of the mindfulness and intuitive eating things can help. Believe it or not, together, these things can help because then you can learn to recognize hunger, physiological versus emotional hunger, when you're full, removing moral labels from food, eating without distraction, so you can taste your food and take time to let it digest and let yourself fill up before you overeat. Like those skills are gonna reduce the backlash that you would get from rigid dieting. And when combined with hitting some simple ranges and targets and tracking that, that's everything. Let me tell you, that is everything. Now, speaking of tracking calories and macros, I'm not saying, I'm definitely not saying you never track those. In fact, I think anybody listening to this podcast with the goals we have should track these. Okay. If you have a body composition goal at all, if you want to lose fat or gain weight intentionally to build muscle, then you've got to understand at least your energy balance and whether you're in a surplus or deficit so you don't hold yourself back or make it take a lot longer and get more frustrating with plateaus than you want. Okay. Track your intake, practice this neutrality when it comes to food. You know, eat mostly whole foods, hit hit your macros, still honor your hunger and fullness cues. It all works really well, but really just start somewhere. And the difference is the mental side, right? You are not tracking to punish yourself or earn the right to eat from your exercise, right? Your tracking is information. It is data to help you engineer the outcome that you want by focusing on the here and now and the process. Just like when you track training volume. It's a tool. It's a tool, right? And you're gonna go off track. That's cool, that's fine. Everyone does. You don't spiral into shame. You just adjust and move forward. You learn from it. One meal, one day, one week at a time. The trend is what matters. All right. So this is where let's talk about coaching psychology here. So that's it, that's all I have on nutrition. So I think a lot of the approaches with the psycho based on psychology is where things fall apart. So you might be doing all the things we just talked about. You might have great training, you might have a good nutrition plan. But if you have terrible self-talk, if you're always beating yourself up, you are not gonna stick with it. Right. So this really is about coaching yourself without shame. How do we do that? How do we do that? All right. One thought I have is replace criticism with neutral observation. I'm simply observing. So instead of saying, you know, I'm I'm really lazy, I skip the gym again. Just say I didn't train this week. What got in the way of me doing that? What can I do differently next week? You see the difference, right? You're not labeling yourself, you're just observing what happened. Right? Different framing. One shuts you down, one opens up problem solving. Focus on the process, not the outcomes. We've mentioned this already. Instead of I need to lose 20 pounds, I gotta get that last 10 pounds off. It's I'm gonna train four times this week and I'm gonna hit my protein, you know, five out of the seven days of the week, whatever your goal is. You control the process, you don't control the outcome. So if you're gonna judge yourself at all, it's on the things you can control. And it then it tends to be more of an objective rather than a moral judgment. Another thought I have here is to use approach goals, not avoidance goals. In other words, not avoidance goals, in other words, what the approach is. So instead of saying I need to stop eating junk food, say I'm going to include a Protein source and a vegetable at every meal. You know, you're creating a goal on your approach, not something you're trying to avoid. And they're more motivating that way. Another one is self-compassion. I mean, a lot of you I know can probably do better here. And I know I could have in the past as well. This is not the same as self-indulgence. Self-compassion is recognizing that struggle is part of the human condition. And so you're going to treat yourself with the same kindness you would show your best friend. And you're going to commit to do better without the spiral into shame. It's okay to want to do better, but you don't have to shame yourself for it. Self-indulgence, on the other hand, is giving up on your personal standards because you don't feel like meeting them. All right. That there is a difference. I don't want you to do that. Whereas self-compassion improves behavior change. I mean, the research is clear on this. People who practice self-compassion have better long-term adherence to health behaviors than people who rely on self-criticism. If you're a natural optimist, great. If you're not, this is something to work on. All right. Think about it this way. If you had a coach who constantly told you you were garbage, that you never succeed, that you're worthless every time you make a mistake, would you want to keep working with that coach? Of course not. Well, guess what? You are your own coach right now. You would quit, you would fire that coach, you would talk bad about them probably if anybody asks. So why would you treat yourself like that coach? You you shouldn't. All right. So just to wrap this in a bow, I want to tackle some of the objections related to body positivity. And the big one is is it anti-health? No. I think the issue is not acceptance of your body, it's whether the messaging detaches from the behavior and the health marker. So you can respect your body and still work to improve your fitness and your nutrition, your sleep, et cetera. They're not in conflict. Body positivity becomes problematic, in my opinion, when it denies that the behaviors matter or when it shames people for wanting to improve their health. All right, now what about the debate about you can be fat but fit? Well, the research shows that higher fitness attenuates risk, whatever your size is, but it doesn't mean the risk vanishes. Fitness is protective, it's mitigating, but it's not the only thing. Your behaviors will drive reducing that risk because a person with obesity who lifts weights, does cardio, eats well, manages stress, is healthier than a sedentary person who doesn't do those things, even if they're at a normal quote unquote normal BMI. But lower body fat, all else equal, confers quite a few additional benefits. So the point here is to focus on the behaviors because those are what you control and drive most of the benefit. And it's also going to lead to fat loss anyway, if that's what you need. All right. And then one more thing I want to address here is you know, this comment if we stop talking about weight, people will never change. And I think that's backward. I think stigma reduces change. I think shame makes people less likely to engage in health behaviors, more likely to avoid medical care, more likely to binge eat, right? Behavior-first coaching, where we focus on the actions and the markers rather than weight, often works better. So I don't think we need to, I think we can stop talking about weight in the way that a lot of people talk about it, and and it and the world's gonna be a better place, right? So the goal isn't to never talk about weight or body conferences, is to remove the moral judgment from the conversation and use multiple metrics, not just one. So, what do you actually do with all this information from a practical standpoint? All right, I'm gonna give you some simple tips. The first one is pick two fitness metrics to improve over the next two months. Very simple. You test them now, you retest later, and you make these your primary progress measures. Cut out all the noise, just stick with those two over the next two months. For example, hitting your protein and fiber if you're if nutrition's important to you. And then just build your meals you enjoy around those targets until you hit them on a regular basis. And it and it kind of simplifies the process. Or replace a self-critical thought each day with a neutral observation, like we talked about. This is a practice, it takes work, but you have to be intentional about it and say, this is the thing I'm going to do each day. Or track a health marker with your doctor every few months. Obviously, these are going to change more slowly, but being, again, intentional or doing our performance blood work service, for example. So you right now have a baseline and have interventions, and then you can do what I'm talking about right now, focus on one or two. I will put together a performance plan for you that really narrows the list to at most, let's say 12 interventions maximum to help you focus. You know, you use these information to guide your decisions and not the mirror and not the scale weight. And it's defining success more broadly, even though it's more intentional and therefore, ironically, it's more precise. Your training performance, your energy, your sleep, your labs, your measurements, whatever makes sense for you right now. Obviously, if you're working a coach, if you were working with me, we would go all in on multiple measures, but we would do it in a way that was sustainable, where you had me to lean on. If you're doing it yourself, I really recommend focusing on one or two things at a time. And I won't say perfecting those, but making them consistent. And that's how you'd build a system. All right, so I think to wrap this up, what is very powerful about all of what we're talking about today? Why are we even talking about it? I think it to use a cliche flips the script on how we think about body change and body positivity. A lot of people start with the end goal in mind. Maybe it's the physique, the body weight, and then they work backward. And I try to define physique as something more than just the body, let's say, but I understand that that's the standard definition. And people say, look, I want to look like this, so I need to do these behaviors. And then when things don't change fast enough to look like that, they quit, right? You quit. You're like, okay, this isn't working. I got to do something else because you were measuring the outcome. But if you start with, again, this phrase, dignity first, performance engineering, interesting mesh of two concepts. You start with the behaviors and the values. You say, hey, I want to be strong and capable, I want to be healthy. These are the behaviors that can build those qualities, like what are X, Y, Z. And as a side effect, my body will probably change in ways that I like. The physique becomes a bonus, right? It's not the prerequisite for feeling good about yourself or your self-worth. And then what happens when you make that shift is guess what? You're gonna be able to stick to it. Then we have that A word, adherence, which is the foundation of everything. But you don't get to that until you accept yourself right now. You're not waiting for the future version of yourself. You are acceptable right now. You accept yourself, and then you're building on that foundation of where you are right now. And I think the research backs this up. I think, you know, programs and approaches that focus on health behaviors and remove weight stigma are absolutely at least or probably far better long term with their outcomes compared to traditional quote unquote weight loss programs. And more importantly, they have better psychological outcomes. Mental health is so important here, guys. That means you get the same health benefits, who doesn't want that, but less suffering. Who doesn't want that? So great. That's what engineering is all about. You know, performance engineering, maximum output, minimum waste, efficiency. We talk about it all the time. So the question is not, can I love my body and still want to change it? The question is, what kind of change am I pursuing and why? That's it. That is your question now. Obviously, you love yourself and you love your body and you want to change your body because you love it, most likely. You want to improve in some way. And if you're pursuing strength or fitness, energy, longevity, capability, and then the body composition change happens along the way. That is what I mean by dignity first performance engineering. So if you're pursuing a body weight right now because you think it will make you the person you can accept, that is shame-based fitness culture. It does not work. Choose the first one. Okay, choose the first one. And that is dignity, accept yourself now, and then go after the improvement and make it happen. And that is kind of a better approach, in my opinion. So what let me bring my thoughts together because I'm kind of rambling a little bit. I think you can practice self-acceptance and still pursue measurable health improvements, and they're not in conflict. That is the message today. The conflict only exists when we start latching on moral value to scale weight, or we use a single metric to judge success. Whatever that metric is, maybe it's not scale weight, maybe it's something else, but still you lack nuance and context. And removing that stigma is not equivalent to removing the standards. We still keep high standards for our behaviors, for our biomarkers, for the process, right? While removing the moral judgment about our body in the moment. So fitness capacity, I think, is a good term to use here. It's one of the strongest health levers that can exist, regardless of body size. If you can focus on getting stronger, on building muscle and getting fitter overall, the rest tends to follow. The rest tends to follow. And remember that behavior change tends to carry most of the load, not weight loss. The behavior change is what carries the load. All right. Mindful tools, smart training, having structure can all reduce all of that backlash and that yo-yo, you know, what am I trying to say, weight regain that everybody's worried about from rigid dieting, and instead shifted more toward these sustainable habits. You just have to build your dashboard, like we talked about today. Coach yourself with the same respect you chose someone you care about. Be kind to yourself. It's not soft, it's not woo. It's smart, it is effective, it is sustainable. All right. If today's episode clicked for you, I want you to do me a favor and just text this to a friend who needs to hear it. Hopefully, I gave this the treatment it deserved, some nuance, some empathy, not a toxic level of delusion or anything like that, I hope. And it was what you needed to hear. I know I needed to say it, I need to hear it myself sometime. So text this to a friend who's been stuck between, you know, like wanting to respect themselves and wanting to improve their health. It's not a false, it's a false dichotomy. We don't have to have, it's not mutually exclusive, right? So text it to a friend who's tired of the all or nothing. Text it to a friend who needs to hear this. And then if you want to go deeper on any of this, if you want help building your own system with coaching, a community, anything like that, we do have Wits and Weights Physique University, where you can learn more physique.wits and weights.com. That's physique.wits and weights.com. But really just send this to a friend who needs to hear it. And until next time, keep using your wits, lifting those weights. And remember, your body is capable of amazing things when you give it the right stimulus, the right fuel, and the right respect. This is Philip Pape, and you've been listening to Wits and Weights. I'll talk to you next time.

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Can You Be a Hybrid Athlete Without Losing Muscle? (Kris Gethin) | Ep 385

You do not have to choose between size and stamina. This article lays out a simple hybrid plan that keeps strength first, adds smart conditioning, and uses targeted nutrition and recovery so you can build endurance without sacrificing muscle. If you want real fitness without the tradeoffs, start here.

Download the Adaptive Cardio Workshop, cardio planning guide, training templates, and get a custom nutrition plan at live.witsandweights.com/adaptive-cardio

Can cardio really kill your gains? What if the truth is the exact opposite? Could you actually build muscle and endurance at the same time, without sacrificing either?

I am joined by Kris Gethin, a pro bodybuilder, Ironman finisher, and endurance athlete, to destroy the myth that “cardio ruins muscle.” Kris shares how he transformed from a 220-pound bodybuilder to a full Ironman in six months without losing his physique. We unpack the real science of hybrid training, how to combine strength and cardio effectively, and why recovery, not training volume, is what really determines your success. 

Tune in to learn how cardio and lifting can finally work together, not against each other.

Today, you’ll learn all about:

2:24 – Kris’s asthma story and recovery breakthrough
7:45 – How hybrid training changed the game
14:28 – Building recovery into your lifestyle
21:02 – Grounding, mindfulness, and HRV
26:58 – Key running, cycling, and swimming tips
32:26 – Why sprinting beats long slow cardio
39:28 – Nutrition, fasting, and fueling for performance
47:02 – Squats, balance, and hybrid strength
51:04 – Hydration, sleep, and long-term health

Episode resources:

Cardio Without Compromise for Hybrid Athletes Who Want To Keep Their Muscle

Most lifters have heard the warning that steady cardio will strip away hard-earned muscle. The idea sounds simple and scary, but it is not how the body works when you train and recover on purpose. You can build and preserve muscle while you improve endurance if you control volume, place strength first, eat to perform, and protect recovery. Consider this your blueprint.

Why the cardio kills gains myth keeps hanging around

Bodybuilding culture taught lifters to avoid anything that burned extra calories. That made some sense when the single goal was mass at any cost. For most people today, long-term health, resilience, and performance matter just as much as a bigger frame. Conditioning improves blood flow, speeds recovery between hard sets, and expands your training capacity without forcing you to sacrifice muscle, provided you program it with intent.

The interference problem is real but solvable

The body adapts to what you ask it to do most. If you drown yourself in high mileage while also pushing volume in the gym, fatigue will outrun your ability to recover. The fix is to manage dosage and sequence.

Principles that prevent interference

  • Lift before you condition when both occur on the same day. Strength work gets prime energy and neural focus.

  • Separate hard from hard whenever possible. If you have a heavy lower day, make conditioning that day short and skill based, then schedule intervals on an upper day.

  • Use the minimum effective dose for both strength and conditioning. Add only when progress stalls for two weeks.

  • Track performance, not just duration. Progress loads, reps, pace, or power by small increments.

A simple hybrid week that keeps your muscle

This template assumes four lifts and two conditioning sessions. Adjust to your recovery and schedule.

  • Mon: Upper strength, then optional 10 to 15 minutes easy zone 2

  • Tue: Intervals or hill sprints, 20 to 30 minutes total including warm up and full recoveries

  • Wed: Lower strength

  • Thu: Upper strength plus 10 to 15 minutes easy zone 2

  • Fri: Lower strength

  • Sat or Sun: Longer aerobic session if desired, usually 30 to 60 minutes at conversational pace

If you are new to conditioning, start with two short zone 2 sessions and one interval day every other week. When recovery improves, bring intervals in weekly. If stress runs high or sleep drops, pull the long session first.

Strength training stays the driver

Choose a moderate volume hypertrophy plan that you can recover from while adding conditioning.

  • Frequency: 4 days per week

  • Volume: 10 to 15 hard sets per muscle group per week

  • Intensity: Most work in the 6 to 12 rep range, one to two reps from failure

  • Progression: Add reps before load, rotate accessories when a lift stalls, and keep heavy compound lifts as the base

Conditioning that supports, not steals

Short, high quality efforts deliver a strong cardiovascular stimulus with less muscle damage and joint wear.

  • Intervals for lifters: 20 to 45 second sprints with full recovery, 6 to 10 total reps

  • Hills or a curved treadmill to engage the posterior chain and reduce knee stress

  • Swimming or cycling as low impact options between leg days

  • Technique first: Softer surfaces for runs, posture tall, relaxed arms, smooth foot strike

Fuel like a hybrid

You are training two systems. Plan for that.

  • Protein: 0.8 to 1.0 g per pound of body weight per day

  • Carbs: Center them around training to refill glycogen and protect performance

  • Fats: About 0.3 to 0.4 g per pound, then adjust based on energy and labs

  • Hydration and electrolytes: Treat these as performance gear, not afterthoughts

Liquid carbs and protein can help on long days when solid food feels heavy. If appetite falls behind workload, set a minimum target for carbs before and after sessions so you never enter key lifts under fueled.

Recovery is the gatekeeper

Sleep and stress control decide whether hybrid training builds you up or breaks you down.

  • Sleep 7 to 9 hours with a cool, dark room and a repeatable routine

  • Walk daily to improve blood flow and recovery without draining your reserves

  • Mindful meals without screens to aid digestion and absorption

  • Readiness checks such as heart rate variability can guide minor adjustments, but how you feel and how you perform should lead

Technique tips that extend your training life

  • Running: Favor trails or tracks when possible. Keep eyes level and cadence steady. If knees complain, reduce vertical bounce and strengthen calves and hips.

  • Cycling: Learn to tuck and use the posterior chain, not just quads. Mobility for hips and thoracic spine pays off in free speed and lower fatigue.

  • Swimming: Practice sighting every few strokes so open water does not pull you off course. Paddles and short sprints build power without long joint pounding.

Who benefits most from the hybrid model

  • Lifters who want cardiovascular fitness without giving up muscle

  • Parents and professionals who need capacity for life outside the gym

  • Masters athletes who value joint health and recovery over pure volume

  • Anyone who wants performance and physique to rise together

Cardio does not erase muscle when you train with intent. Keep strength first, pick efficient conditioning, fuel the work, and defend your sleep. When you do that, you will look strong, move well, and stay ready for whatever life throws at you.


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Transcript

Philip Pape: 0:01

If you're a woman approaching or experiencing menopause, your doctor may have told you to tough it out that hormone therapy is risky or that you can start at any time if symptoms or labs get bad enough. But what if waiting too long to begin menopausal hormone therapy doesn't just mean suffering through hot flashes and sleep disruption? What if it means missing a critical window that could determine your metabolic health for the rest of your life? Today, my guest reveals why the timing of hormone therapy is about preventing a metabolic storm that fundamentally changes how your body processes energy, stores fat, and maintains muscle and bone. You'll discover why the conventional advice to delay therapy could be setting you up for visceral belly fat accumulation, insulin resistance, and accelerated bone loss. And if you think you can simply overcome these changes with more exercise and stricter dieting, you're about to learn why that approach falls short and what to do instead. Welcome to Wits and Weights, the show that helps you build a strong, healthy physique using evidence, engineering, and efficiency. I'm your host, Philip Pate, and today we're gonna look at one of the most critical but misunderstood aspects of women's health, and that is the timing of hormone replacement therapy and the very profound impact it has on your metabolism. Now you are gonna love my guest today as she returns for the third time, the wonderful, knowledgeable, and always friendly Karen Martell. Karen is a certified hormone specialist. She's a weight loss coach, she's host of the hormone solution podcast. I can't believe you're not following that by now if you're not. And she's helped thousands of women navigate that fine dance between hormones and metabolism. She's here today to discuss the cue the thunder metabolic storm of menopause and why the timing of starting HRT may be more important than you think. Karen, always an honor, always a pleasure to talk to you here on Wits and Weights.

Karen Martel: 1:59

Thank you, Philip. It's so good to be here. I love coming on your show. I love talking to you. It's always good.

Philip Pape: 2:05

Likewise, likewise, because we I think we have a lot of overlap. And then there are also things that are just like totally in your wheelhouse that I love to learn. I learn something new every day, 10 things when we talk. And so does the listener, and they're always asking for you as well. So it's going to be exciting. And it all you're also going to be coming into our group to do a live Q ⁇ A very soon after this comes out. So look for that, everybody. But you've had a lot of interesting guests on your show, like Bill Campbell, who I know very well. Um, you've been talking a lot about the menopause transition, which is roughly a, I think, three and a half year phase on average for a lot of women. You've been talking about how hormone uh changes, especially hormone loss of the key reproductive hormones, can drive fat distribution, changes in insulin sensitivity, bone health, muscle mass, metabolism, and weight, all the things. What is the latest we know about all this specifically with what you call the metabolic storm? Because we want to focus on that and how we can get ahead of it.

Karen Martel: 3:03

So I will correct you on something there. It's not just three years, Phil.

Philip Pape: 3:08

Okay. It's okay.

Karen Martel: 3:09

We're we're looking, it's average now for women, the perimenopausal phase is typically eight to ten years, and it can go on longer. And and I think that that's an important thing to recognize because a lot of women don't realize what's happening to them when they're in their late 30s and early 40s, and they're like, hmm, what's happening here? My I'm getting a heavier period, or I've gained a little bit of weight, or my hair's falling out, or my joints starting to hurt. I'm got suddenly a whole bunch of new wrinkles that I didn't have a year ago. You know, these little things that just like this can for someone they can slowly creep in, and they typically start to do all of the other things besides look at their hormones. They're like, oh, I better start, I better change my diet, I better exercise more, I better do this, I better do that, which you kind of have to do those things. But you should also be looking at the hormones because the earlier you can catch the hormonal loss that starts to happen, the better off you're gonna be. And then the less of that metabolic storm, it's gonna be sunny skies. It's not gonna be a storm. And this is where so many practitioners are going wrong, and doctors are going wrong, is that they wait until a woman is a hot mess way into her 40s, even into her 50s and post-menopausal. Then they're like, oh, okay, now we'll give you hormones because you are still suffering so badly. And it's like at that point, many of these women are 10, 20, 30 pounds overweight. And these are women that are coming from a background of exercising and healthy eating and listening to our podcasts, and they're like health-conscious women, and they're going, what just happened to my body? And then it's so hard to reverse once it happens. So it's easier to prevent.

Philip Pape: 5:08

Yeah. So there's two things that are big takeaways from what you said that I got. The first is the education on the timing, which is what we're talking about. I'm glad you mentioned the, you know, the three and a half years that I was referring to is the MT from the literature, right? It's that tiny period right before the final end and end of menopause, right? When you haven't had a period for a year and you're at menopause. And what you're saying is really, we have to back this thing up and look at the whole spectrum that goes from as early as potentially your late 30s, I understand, but mainly through your 40s and in your 50s. We were talking about Zora Benamu, right? Who's she's been on my show and vice versa, and you you're good friends with her. Um, and she talks about all the misconceptions that not just, you know, people, but women specifically have with menopause. And so that that's part of the discussion. The second thing you mentioned is how a lot of these women are doing the things, right? And and this is this is my population too. And those who listen to this podcast of like, you know, I know to track food or macros or whatever, you know, I know to, you know, eat the right portions, I know to eat protein, I know I should be lifting weights. Now, maybe they're not all doing that, but even the ones who are, and they're still frustrated and like, what's going on? And like you said, a little bit of gaslighting, whatever you want to call it, maybe it's more ignorance than anything, lack of training in the healthcare industry. And it's like, no, you gotta be a hot mess, you've got to be totally like begging for, you know, hormone therapy before you do it. So those are two huge takeaways that I think set the stage for like, okay, what is happening, Karen? Yes. And what do we do about it? Let's unravel the mystery.

Karen Martel: 6:35

Yes. And so let's get into like the meta, like what's happening to the metabolism through these phases, because that is like the so important. And and it starts when we start to lose our our progesterone. So that's usually the first to go. And that's in our late 30s, early 40s. We run out of eggs, we come into this world with a certain amount of eggs, we start running out of them. And when we no longer ovulate, we are no longer producing the bulk of our progesterone. Well, second half of your cycle, progesterone is supposed to come on the scene, which raises our metabolic rate, it raises the basal metabolic temperature in the body. It also helps your thyroid to function properly. And so that is the first thing that starts to happen to the metabolism, is that is we don't get that rise in body temperature in the second half of the cycle. Progesterone is also super key for GABA production in the brain. It influences the GABA receptors in the brain, which GABA helps us, helps us all to sleep. It induces sleep. We know that when people do not get a good night of sleep, if you have, if you've ever worn a CGM, you will see that your blood checkers will be spiked when you wake up in the morning. Because it's like instant insulin resistance the next day when you don't sleep well. So without that progesterone, which is helping you sleep, that starts to go. So now we're not sleeping as well. So now we're getting more insulin resistant, right? Every time we, you know, especially if we're going for longer and longer stretches and if not good sleep, that's gonna start to really impact your body composition, your blood sugar regulation, etc. The other thing is GABA is an anti-anxiety neurotransmitter. So GABA helps you to be calm. So now we don't have as much of this GABA response happening in the second half of the cycle. So we hear from so many women that anxiety starts to go up. And if you're not sleeping and you're so you're tired, you're slightly insulin resistant, but not only that, you're you've got anxiety, a little bit of, you know, just that like low-level anxiety feeling all the time. I'm sorry, but do we want to eat really well when we feel that way? Typically not. Typically, your body goes, give me the sugar, I need that dopamine hit, I need something to give me some energy, I need something to, you know, up my blood sugar here a little bit because it's wonky. And so you so this is the metabolic storm is now starting. As this continues on, you get less and less ovulation, less and less progesterone. Now we're bleeding heavier, all these things start to compound. Then, typically around mid-40s to late 40s, estradiol starts to kind of go up and down, but slowly starts to go down. So it'll have times where it goes high, but then it'll drop back down. And then, but it's slowly it just goes lower and lower. And it's estrogen, oddly enough. And I think this surprises a lot of women because women tend to associate estrogen with weight gain because of estrogen dominance. And we've got so much estrogen in our environment right now that acts like estrogen in the body, but it's a lot stronger. And so, yeah, estrogen, too much estrogen and too much xenoestrogens absolutely will make you gain weight, but too little estrogen makes you gain even more weight than too much, which is very surprising. But estradiol, so there's three estrogens. Estradiol is the one that we produce in our ovaries. That is the one that is like the master of our metabolism. And so as it starts to go down, many things start to happen. Number one, we have estradiol receptors in the hunger centers of our brain, right? So it helps regulate your eating patterns as well as how much you're eating. So people, women will become more leptin resistant, they'll have dysregulation with ghrelin levels. And so these are the hormones, these are our appetite hormones that tell us when to stop eating, gives us the signal to the brain, like, hey, I'm done, I'm full, and then as well as hunger, right? So just drives hunger sensations in the stomach. And so that becomes dysregulated as estradiol starts to go down. So we start eating more and we start craving more sugar and we start becoming more insulin resistant. It also helps us just to process glucose. Estradiol helps you to process it. So now we're becoming more insulin resistant as the estradiol is dropping, and that is not good either. And then as estradiol is dropping, another estrogen starts to come up because your body's super smart and it's like, oh my god, we need estradiol. This is the most important hormone for this body because it is. We have estrogen receptors on every organ, it helps every organ to function properly with in our brain, bones, skin. I mean, it is so crucial. It is not just about fertility. And so your body goes, we need to get estrogen somehow. And you can make estrogen from fat cells. And that kind of estrogen is called estrone. But that's an inflammatory estrogen. And so, and and it's terrible because it's a vicious cycle. The more fat you put on, the more estrone you're gonna make, and the more estrone you make, the more fat you're gonna make. So it's just this vicious circle that feeds into each other and makes you gain more and more weight. So we have this inflammatory storm happening, which is not good for weight or metabolism. And then our esterdiols dropping, we're getting more hungry, getting more insulin resistant. Where do we see, you know, you look at somebody that has type 2 diabetes or insulin resistance, where do they carry the weight in their gut?

Philip Pape: 12:54

In their visceral, yeah.

Karen Martel: 12:56

In their visceral, which is the worst kind of fat and most dangerous kind of fat is visceral fat. And this is the classic menobelly that happens. And I will tell you that you can be the healthiest woman in the world, and I really want everybody to hear this. And this can still happen to you, and it's an awful thing. It happened to me. I had been, you know, this Puritan paleo 10 years. I had kept at the same weight for 10 years. I thought I had this in the bag. I was like, oh, perimenopause, menopause, yeah, not gonna touch me. This is gonna be like a couple days of some hot flashes. I'll lose my period, and that'll be it. I'll be in menopause. Well, in my early 40s, I went into early menopause, which my health status didn't help with that, right? Like I'm very healthy, and yet I still was losing ovarian function early, earlier than I should have. And I gained about 15 pounds within a few months. And I lost my period, I was losing my period, I had itchy skin, I was hot flashing and night sweats like crazy. I was in the metabolic storm. And I'm like, how is it? Like, I didn't drink, I didn't smoke, I ate so clean, I didn't have sugar addiction, I was working out, I did everything, I was in this industry. This is what I did for a living, and I practiced what I preached, and it still happened. And so I I want women to hear that because they tend to blame themselves and they think, oh, I'm not doing XYZ hard enough.

Philip Pape: 14:38

Yep.

Karen Martel: 14:39

And it could purely be from the drop of hormones.

Philip Pape: 14:43

And that's why I wanted to have you on, because there's two big aspects here. There's lifestyle, which we talk to death on this show, of course. And then there's hormones. And I mean, I know just from men talking to all every day in my communities about why can't I sleep over 40? Why can't why does this get hard over 40? You know what I mean? And it's like, take that times 10 for some of the women I speak to, not all. And that leads me to my question, though, Karen, because I want to get into even more of like the mechanisms of this because I know people love that, but it sounds like pretty much everything in the body is affected at some level. It's in the population, how would you break down women that are like affected by this severely versus kind of it's noticeable, but it's surmountable versus like they don't even notice it? You know, how would you categorize just in general?

Karen Martel: 15:32

That is a tough question. And I've thought a lot about it. Like, why is it that some women just sail through this? And they could be women that are overweight, eating McDonald's every day, you know, like that don't exercise and they're like, Yeah, hop flash. Oh, I think maybe I had one hopflash, you know. Like, it's like, what? How is this possible? You know, so sometimes there's no rhyme or reason. I think that there's a genetic piece for sure. Uh there is some research that kind of shows, like, if your mom had a bad menopause or an early menopause, then you might as well. And that was definitely like my mom had a horrible menopause, and she went into it really early as well. And she was really prone to hot flashes, like me. And you know, so there we there is a genetic component and how you process those hormones. It is also what were you exposed to? You could be really healthy, but if you had exposure to some of these very common toxins that are in our environment, I mean, none of us are free from the toxins right now. Like we're we're all overloaded with them. So did you have a lot of heavy metal exposure? Did you have mold exposure? These things really mess with the hormones. Did you have trauma? There's a lot of really cool new research coming out that's showing that if you had PTSD or you've had early childhood trauma, that this affects how the hormone receptors work. And so when you're losing those hormones, you can be affected by it a lot more than the average person because you're more sensitive to these hormonal drops. So there's many different things that can go into this. And of course, of course, eating healthy, managing your stress, all of these lifestyle pieces, sleeping, et cetera, et cetera, they have to be part of this picture. And I'm not saying that that's a waste of your time because no matter what, that's gonna like maybe I would have gained 30 pounds instead of 15 had I not been such a great eater and a good in exercising, et cetera, right? So there's these are tools. HRT, it's like it gives the body the tools to allow it to lose weight so that if the efforts are put in, it's gonna be a lot easier for that woman to let go of that extra fat that she may have gained. And I think that that's a that's important to hear.

Philip Pape: 18:00

You're right. I mean, that tools is the way to think about it, just like with GLP ones, which can get so emotionally charged. And as a coach myself, like I don't want to be the one saying, well, you have to do it this one way, and I'm gonna help you white knuckle through a lifestyle change when that's not gonna, that's gonna look great for me either. When you all of a sudden your metabolism keeps tanking and tanking and taking, and we're doing everything. I'm like, yeah, but we're following the science, something else is going on. Well, the body's complex, there's physiology and there's chemistry involved, and that's what we're hitting on today. So, okay, you can't do anything about your childhood. You can't go back in time and change any of this stuff. Well, you can.

Karen Martel: 18:35

You can work on your traumas and stuff if you have not. Yes, you're right.

Philip Pape: 18:39

You're you can work on who you are today as a result of your childhood. Um, but so you've mentioned a lot of cascades, right? Related to thyroid and then sleep and insulin resistance and anxiety. You mentioned um fat distribution and inflammation from which can probably be measured in blood markers from something like estrone and glycemic control, you also mentioned. Now, what about the bone density and muscle side of this musculoskeletal piece? Where does that, how does that get affected by all this?

Karen Martel: 19:11

Yeah. Testosterone starts to go too, which is a very important hormone for women. And that, of course, has lots to do with, you know, increasing protein synthesis, muscle building, bone formation. It's great. It's great for many, many different things. And so we do see that coming down as well in women in perimenopause. So that starts to affect muscle. But estradiol is also extremely important for muscle. It helps the the uh the satellite cells to work better. It they influence the satellite cells. Now, satellite cells, they're like muscle stem cells, it just helps your body to repair and after working out and helps to grow with the grow the muscles, etc. So without the estradiol, you can actually have more muscle loss and start lacking in that repair. So women will say, Oh, I don't recover the same anymore. Estrogen is really important for lubrication, lubrication of everything. Your vagina, your eyes. Like women will say, I'm getting dry eyes, dry skin, joints. So women will say, my joints are sore all the time, my back is sore all the time, suddenly. And this can be because of that estradiol loss. It also helps your body to make collagen. So all of these things really important when you're lifting weights and trying to put muscle on. And so we need the estradiol. It's also really important. This is kind of an odd one, but neuromuscular health. And that's like how your brain speaks to the muscles, and vice versa. And so that starts to go down when estradiol starts to go down. And so we have this once again, this perfect storm happening at the same time that all this other metabolic stuff is happening, your cholesterol starts going up, the blood sugar starts going up. Estrogen helps to raise cortisol binding globulin. Now, this is a uh binding globulin that binds up your cortisol, which you want the perfect amount, you want the Goldilocks amount. We don't want too much cortisol, we also don't want too little, right? Astradiol, as it drops, it actually makes it so that we have more free cortisol around. But in this day and age, women, we we tend to have a little too much cortisol in most cases already because we're stressed out, right? We're running around, we're doing all the artificial lighting and all these things that are coming at us all the time. And so now we get this increase in cortisol. Well, cortisol is catabolic, it's not anabolic, it's catabolic. It also raises your blood sugar. So this is all going up. Cortisol also, like you, if you have too much cortisol, guess where you put the belly, the belly fat on because of the blood sugar dysregulation. So now we've got more fat going to our belly because of the cortisol going up, and cortisol can affect, of course, then the muscle tissue. And muscle is the biggest processor of glucose that we have. And I know you talk about this all the time, fellow. This is huge. So as the estrogen is going down, our muscle can be going down as well. It's gonna impact all of these things on how your body functions, how it repairs, how it recovers from your workouts. So why we would deny women estrogen during perimenopause, during this 10 years, is just it's mind-blowing that we say, no, you can't have it because all of these things are gonna start to compound on top of each other. And like it is, it's the metabolic storm.

Philip Pape: 23:05

Yeah, and does that storm, because I want to I want to talk about labs and markers and some of the things we've we've discussed on the other two times you were on, which for the listener, if they're curious, we did talk about testosterone in detail last time, and then ages ago for first time you were on, was just more general hormone and weight loss. But um, this storm, right? Is there an eye of the storm? Does it calm down? Does is there a fierce part of it? And the reason I ask is, you know, I hear this narrative of, okay, it's things accelerate, right, into the what I was calling the menopause transition, which was more of the short period right at the end. And then after that, are you, you know, do things calm down or are you kind of at a new baseline that's just suppressed all of this stuff for good? You know, like what exactly does that curve look like if you don't do anything?

Karen Martel: 23:51

The curve typically looks like it is the worst during perimenopause and during the first few years post-menopause. That is where we see the biggest impact on weight, on our metabolism, on our uh brain function, all of the things that start to be impacted by the loss of that estrogen and progesterone and testosterone really hits hard during those years. And then there is a somewhat of a plateau for most women where they come out the other side of it, they don't lose the weight. And you can look, you can see this, and it's unfortunate. You know, you look around, I can see the women that are on HRT, and I can see the women that aren't on HRT. And I people get really angry when I say this. They do, because then then they think that I'm insinuating that everybody's needs to be on HRT. That's not what I'm insinuating. But look at the average woman that's in her 60s, and it is a very common body type, which is once again the insulin resistant, the belly fat, you know, it starts to affect your vocal cords, your skin starts to age a lot faster without the estrogen on board and the progesterone and testosterone. You know, the hair thins, you know, the body starts to go down, like as far as like posture goes, because the bones, we need estrogen, test, we need all three hormones for bone health and bone regeneration. So bone health starts to go down, hearts, heart problems start to go up, things like this. So all of this, it stays with you. So what we'll see on labs is women that aren't on estrogen or have never been on HRT or little too too little HRT, their LDL will be up and usually out of range. Triglycerides will sometimes be up as well. Hemoglobin A1C and blood sugar are all up, and they tend to stay up. And you can look at this if you have older clients that are you know in their 60s, 70s, and this goes for men as well. And you look at their labs, most of them are insulin resistant to some degree, and then many go on to get type 2 diabetes. And it's not all from hormonal loss, of course, right? There's so many factors in this, but that is just typically what we see. But the emotional roller coaster, the hot flashes, night sweats, the continual weight gain, that seems to chill in once they get through to menopause a couple years in. It's not such a wild ride, and things can stabilize, but that's not for everybody. I mean, my mom is 70 and she still gets hot flashes. And you'll and I've talked to many women that have felt the same way. Um, a lot of the urigen, like the you know, women will get uh vaginal dryness, atrophy, uh chronic UTIs, like all of the the genocuritant. I always get it mixed up.

Philip Pape: 26:58

GSM will call it genital related uh diseases. I'll just go with that.

Karen Martel: 27:08

It's always a mouthful for me. Uh, but that is in 50% of women, that doesn't go away. You know, you you know, I've women will say like, no, my vagina's dried up. There's no it's it's not getting better as I age, it's staying the same. And it gets thinner, the skin gets thinner and thinner, and and that's a horrific thing to for women to go through. And it's it's absolutely terrible. I've talked to women that have said that they've torn, you know, through when they have sex, they tear, they have micro-tears, that they can't even have sex anymore. There, I had one woman early, oh, it's closed, like there's nothing getting in there. You know, and this is real all of this is reversible. A lot of it's reversible, which is nice to hear. But yeah, so I would say that for some women, yeah, it plateaus and it gets a little bit easier for sure.

Philip Pape: 27:58

So it's reversible. That's kind of the silver lining, but what if we just don't have the storm cloud at all? That's what we want to talk about now. How do we get ahead of the storm based on this bleak picture of the future that you don't want to have and decide I'm gonna take control of my health? Because I think that's what it comes down to is you're empowering yourself, listening to you know, your podcasts and others like it, that the healthcare industry may not be the one doing it. And I see that on my end. You and I were talking before we got on about performance-based blood work. You know, if you go to your doctor and you get just any old labs for whether it's cholesterol or testosterone or it's um blood markers or inflammatory markers, they have their ranges and it's based on sickness and disease. It's based on the population, it's not based on optimality, performance, and being proactive, right? So, and I know you you talk about this stuff all the time on your show. So, at what age should women start to do what to get ahead of it and at least understand, maybe I don't have to do anything, but I've got the knowledge, or hey, this is giving me the indicator that I need to think about that, you know, taking action.

Karen Martel: 28:55

Yeah. So embrace that you can't diet, you can't supplement, you can't intermittent fast and cold plunge your way out of hormonal loss. It's gonna happen to every single one of you. Whether you have symptoms or not, you know, it doesn't matter because what's going on on the inside happens to all of us, right? So you will lose bone. You are gonna lose cognitive function to some degree. Uh, you're gonna lose skin elasticity, you're gonna lose vaginal elasticity. Like these are things that just they depend so much on hormones that I don't know of any woman that isn't impacted by this. Like we start losing bone in our 30s, I do believe. Like it or even earlier. So this is happening across the board. And so it's really good to go, okay, I'm losing ovarian function, changing my diet is not going to bring back ovarian function. There's nothing that can. We're not there yet. One day I think we will be, but right now, no. There's nothing that's going to bring that back. And I think that that gives a big relief for women because this is the time to start looking now at your hormones. And now there are many things that they could do at that point. Like if you're in your late 30s, early 40s, and you're just starting to notice some of these things, oh my gosh, there's some great supplements that can really help with, you know, helping with the production of progesterone when you ovulate, helps with ovulation, helps helps with the hot flashes and night sweats. And so for sure, if you don't want to go to the HRT thing yet and you're still cycling regularly and your periods seem to be okay, for sure, support your system through the diet lifestyle and supplementation. But then when it starts to get to the point where those things are no longer working, you're getting up there in your age in your 40s, and then you go, okay, let's go in and test. We want to see what's your glutenizing hormone, what's your follicular stimulating hormone? These are brain hormones that are telling your ovaries what to do. And those signals and those levels of FSH and LH start to go up the harder they're having to work to get your ovaries to ovulate. And so that can be a really good sign for women to go, oh, I'm struggling here. I have a regular period. I would not have thought that my FSH was up. And so that's one of the markers that I always want to see is the FSH, because that really tells us a lot about estrogen because women can have regular periods, but their FSH can start to elevate, which is just telling us, once again, the brain is going, ovaries, come on, what are you doing? Like, like let's wake this up a little bit. Like, and so FSH in a fertile woman ideally is below 10. When and it fluctuates, there's a different range throughout the cycle. You're supposed to test it on day three is the ideal day to test it. So if uh you're a cycling woman, you're usually going to be around three to five on your the first, you know, within the first three days of your cycle. As you get older and you stop ovulating as often and your ovaries are starting to quit, then once it gets above 10, that's that's like okay, start watching. But if it gets above 20, I would say that is your like, oop, now I've got to really look at HRT because there's nothing else that's gonna bring that down except for HRT. And there's actually a little bit of research that shows like women that the FSH, when it gets above 23, is when they start to see the weight gain happen. So this can be a really good like indicator of what's coming down the pipeline and when to start intervening. And so for some women, it's just like baby baby dose of that estrogen during if they see that their FSH is 15, 20, and it's like, okay, maybe I need a little bit of estrogen, even at just certain times of my cycle. You know, this is when you want to work with a hormone practitioner. Progesterone for sure, like as you stop ovulating, your periods are getting heavier and they're getting maybe closer together, and your sex drive has gone out the window, you're not ovulating anymore. Because sex drive goes up for women when the when they ovulate, obviously. It takes and it tells us, go out and have sex, right? So women will say, like, my libido just is like gone and I'm bleeding super heavy and my periods are getting shorter. Progesterone. Because remember, if you don't ovulate, you're not producing progesterone, and that's your signs. And so putting in some progesterone in the second half of your cycle can be a lifesaver for women and fast, like where they start using it and they're like, oh, like this is amazing. I sleep, my mood's better, I don't have anxiety anymore, I feel so good, I lost five pounds. And they can ride that out, they can ride the progesterone train by itself for a while, typically. And then, like I said, mid to late 40s. Now we're gonna watch that estradiol. And as that FSH goes up and the estradiol goes down, which is very hard to test at this point because, like I said, it's a roller coaster ride. So you'll sometimes test it and it looks great, and it's like, well, that looks okay, that's enough. And then, you know, suddenly you're getting hot flashes and night sweats, and you're like, what? But my estrogen was fine. So really go on symptoms, right? So estrogen, once again, really important for libido. People think it's all testosterone. Heck no, we want estrogen for libido too. And so if you're getting these little symptoms like the hot flashes, night sweats, a little bit, you know, a lot of weight gain or a little bit of weight gain in the belly weight gain, dry skin, dry hair, itchy ears, all of this is signs that your estrogen is not high enough for you. So it could look okay on paper, and your doctor could be like, you're great, you're in, you're well within your range. Well, the freaking range is like if you're between 20 and 400, you're good. So for you, and every woman's different. Me, I'm very estrogen driven. So when my estrogen even drops a little bit, and I have a high SHBG, which means I have a lot of my estrogens getting bound up and not being used. And so for me, if my estrogen drops even a tiny bit, it's a I get every symptom in the book. And so I'm very sensitive. So I have to keep my estrogen up. And I've talked to other women, they didn't even notice anything. They're like, it just gets lower and lower and lower. And then they're like, Well, do I need the estrogen? I don't have hot flashes, I feel good, I don't have vaginal dryness. I'm like, I feel awesome. Can you feel your bones going? Can you feel the muscle going? You know, like there's things that you can't see. What about your brain? You know, you may not think that you you or you may think that you're fine, but maybe you're not with your cognition. You know, it impacts your sleep, it impacts your mood, it helps to estrogen helps us to make serotonin. So it's, you know, if you're a little bit more depressed, if you don't have the energy, it helps with dopamine, it helps with glutamate, it's like oxytocin. So it's like help even thyroid sensitivity. So these things women don't maybe realize are from estrogen loss. And so you just you want to monitor, you want to tune into yourself and go, you know what? I am a little, I'm not how I was five years ago. So maybe we, you know, biohack ourselves, put in a little baby dose of estrogen, and just see how it makes us feel. The beauty of hormones is you stop them, it's a it's gone in a day. So it's not like you're gonna have this like lasting impact. So if you don't feel well when you start taking HRT, then that's your sign that either you don't need it, or you need a different delivery form, or you need a different dosage.

Philip Pape: 37:26

So anybody listening might be thinking, well, that's really great information and it's overwhelming, uh, Karen. Because I was thinking when I try to communicate anything in this optimization realm or performance realm or health. You mentioned biohacking. I love the idea of experimentation, right? Especially when you can get a quick feedback like that. You mentioned several buckets, and I just want to like reframe them from what you said to me for the audience. The first one is the first one is the biomarkers, which which I'm categorizing as your labs, you know, it could be urine tests, could be saliva. Like there's different forms of this, and you're the expert in that. And go check out Karen's podcast for like deep dives on you know specific labs and tests and all that. Um, so there's that, but then understanding how to interpret that, which is where the real trick is in terms of optimal ranges, but also your range and your trend over time and understanding what you should be, plus cycle to cycle, which for women is an extra wrinkle that you know, men don't have to deal with that. So that's kind of the blood work optimization or biomarker piece. The second piece you mentioned is symptoms, which I'll I'll label as part of biofeedback, right? That is just your body's telling you something. And it could be in a so many different ways. Like you said, it could be physical manifestation, it could be mental, it could be uh emotional anxiety, and um, it could be just things that aren't what they used to be for you, like like you said, you know, libido and vaginal dryness or whatever. And then the, I guess the last bucket I heard, and maybe I'm missing something, is self-experimentation of you've got to do something at some point to at least understand this beyond just the data and trying the progesterone cream or trying the estrogen. And a lot of these are safe. And like, you know, the Women's Health Initiative did did horrible things for our understanding of safety in this world. But understanding that means you could approach it with a little more freedom and flexibility to try things, get off of them, and not worry if it's gonna like grow a third arm or something. Um, and I'm just just joking, but you know, or it's gonna give you cancer, which is the real serious thing people are worried about. Did I kind of paraphrase like the big buckets, Karen, that we just talked about?

Karen Martel: 39:33

Yeah, I think that that's a great way to put them all into the buckets like that. And and and I don't want to overwhelm, like I I always try really hard not to overwhelm the woman, right? Because you get so much information out there, menopause is a real hot topic right now. There's all these different opinions. And the bottom line is when we look at the research, we know we see that they're very safe. And you always have to remind yourself you had these hormones for the majority of your life. And so when you question, like, oh, like maybe I'm not a good candidate, or maybe I shouldn't do research here. Is this dangerous? Is it gonna cause cancer? Is this blah, blah, blah, blah? Did you think like that when you were 16 years old, when you were flooded with these hormones? No. And so hormones are part of our physiology. And yes, menopause is natural and all of that. And people will say, Yeah, but this is natural for us to lose our hormones. Well, it's natural for us to also get heart disease and die early. Like that's the this is the thing. And it's like, well, what's the alternative? You know, we we are trying as a species to live longer and longer, and we are grabbing on to anything and everything that helps us do that. We're taking the supplements, the medication, the everything, the diets, and so hormones are in those categories where it's like at least these are bioidentical. This is something your body's produced in your whole majority of your life, and they impact our wellness. And without them, we do start to age much faster. And they've done their research on this. They did one study that showed that women within like six months of being in menopause biologically aged nine years. So biological ages, how fast are you aging on the inside? That's insane. And so hormones are one solution to this life of ours, that we want to live an optimal life. We want to stay as healthy as we possibly can. Then hormones should be something to be looked at and don't get dogmatic about it. Don't think like, I'm not gonna do hormones, and so I'm gonna, I see this all the time, right? I'm better than all of you, basically, because I don't need to take hormones, or I'm not going to, and I'm going to get through this without them. And it's not a badge of honor to do that. It to me, that's stupidity. It's like, why would you say that? You know, like because what are you saying to all the women that are suffering immensely? Do you know that women, the highest rate of suicide is women in menopause and perimenopause? So to say that, what you're saying to some woman who, you know, is on the brink of taking her own life because of the loss of these hormones. You're saying to her that she is weak and that oh, she should be able to get through this. And we don't want that. Like if you're cho if you're choosing not to do hormones, great, that's your choice. Awesome. But don't make it sound like it's that oh, some other woman for choosing to do hormones is in the wrong and is less than you. Yeah. And I think that that's like really important to get across.

Philip Pape: 43:08

It is because you see that a lot, that kind of messaging a lot in the fitness industry on Instagram with a lot of things, especially by younger people who haven't experienced it yet. Let's be honest, who are like, yes, like I'm gonna do it now.

Karen Martel: 43:21

People that didn't have it bad, and they're like, oh, it's that bad.

Philip Pape: 43:24

Different experiences. Same thing with GLP1s, like having talked to like I was a little bit a little bit intransigally when it came out, just for a brief moment. And then I shaped up after talking to just a couple human beings who like have experiences, right? Which is what happens in that um, yeah, it's a tool, and you choose to do it, and nobody should judge you, and you shouldn't judge them, and whatever. So speaking of actually speaking of the GLP1s, GOP1 agonists and all the new ones coming out, where does that play into the hormone situation? You know, I'm not we talk a lot about appetite and weight loss and all that, but specifically with HRT and GLP1, like what's the overlap or interaction? And what should people be aware of if they're gonna do one or both potentially? Um, yeah, because that's kind of a new new thing now.

Karen Martel: 44:12

It is. And we we started using GLP1s a couple years ago in our clinic. I also took them. Um it and it was a lifesaver for me. Like it really was. It it changed, it literally changed my life. And and I hear this all the time from women. And there's some women that, you know, no matter what they do, no matter what, they can't get off the weight that they gained from menopause. And it's and we don't know why, because these women will replace their hormones, they'll they'll be lifting weights, they're prioritizing protein, they're doing all the right things, myself included, and they still can't get it off. Like I got some of mine off through prioritizing more protein and lifting heavier with with my trainer, Pam Sherman, who you know. And she really helped me out, and I was able to get off quite a bit of weight, but I still was left with probably about 10 pounds that I just couldn't shake. And I was like, okay, well, I guess this is it. Like, this is my body now. I'm gonna accept it. And then the GOP1s came out, and I'm like, hmm, I'll try that. Yeah, why not? I've been waiting for this my whole life. It's a medication that actually works for weight loss that doesn't make you suffer. And I I did very small doses, I never went very high. I got off that 10 pounds plus another five, which you can see I'm not too skinny. I don't have wasempic face. I didn't take it too far, which for sure some people do. And I just take a very micro dose now, and it's really helped all my markers, it's really helped with my menopause. I don't get night sweats anymore. You know, I can keep my body at a really good weight, which is awesome. Like to be. I'm 40, I'm turning 50 in a couple months. And I'm like, oh my God, I look better now than I did at 40. And this has helped from hormones, it's helped from my lifestyle for sure, but also from the GLP ones because, and it's like, that's such a nice thing to be able to have that as a tool for menopausal women that you know, all else fails. We could have, you know, a micro dose of these GLP ones, get off that weight that we gain, go back to ourselves. And that's a it's it's glorious. Like it's just a huge relief. And we get a lot of the that's what we get for in our peptide program, is we get that midlife woman that and you uh you get the stories all day long in the community of I hit perimenopause, I hit menopause, I I hit 52, I'm 55, I gained 20 pounds, I cannot shake it. I've been trying to lose this 20 pounds for the last five years. It will not budge. I don't know what else to do. And then they go on these and they lose the weight, and they're just like, they're so grateful. And the research shows that women that are on hormone replacement therapy and do and go on a GLP one, that they'll lose 45% more weight than a woman that's not on HRT. So that just goes to show that you know it's really important to have those tools in place, even though you're doing even though you're doing a GLP one, which is a quick fix, but it is important to have the diet in place, the HRT in place, the weightlifting in place so you don't lose the muscle. Do it right. Like I really, really I what I promote the most is we can do these and we can do them in a way that is safe and that is right for the body. And what what we're seeing and all the fear-mongering, a lot of it is because it's not being done right and they they're being overdosed and they're not eating well, they're not being taught how to eat properly and work out, you know, and take the proper supplements and stuff like that while you're doing it. So it is important to do that.

Philip Pape: 48:05

Yeah, and by the time this episode comes out, the one with Jamie Sells or would have come out, or we get into some of those exact topics. But it's funny because I think of some of my very earliest clients before any of this stuff existed, where they were consistent, they were training, they were controlling for their calories, they were eating protein. Some of them were even on HRT, and something was just keeping that metabolism lower. And I wonder, so with the GLP ones, I mean, it really is just the appetite that it affects. I mean, that we know that's basically all it does. The the dual agonist does a little bit more, and then there's new ones in the pipeline. Like Eli Lilly has a triple agonist that affects your like liver fat and glucagon, right?

Karen Martel: 48:45

I think it's way more than the appetite.

Philip Pape: 48:47

Oh, well, you mean just the semaglitide? Yeah, you're right. It's like addiction and everything else. Is that where you're gonna go?

Karen Martel: 48:53

But not even like it is. Yes, I do. But number one.

Philip Pape: 48:59

I was gonna actually ask that. I was gonna, I was setting that up. I was setting up the question, not like saying it as truth. I was gonna say, so what worked for you then? Like, were you controlling, were you monitoring your calories and did you eat less, or did you eat roughly the same and you just actually started losing?

Karen Martel: 49:13

I definitely ate less.

Philip Pape: 49:15

Yeah, yeah, yeah.

Karen Martel: 49:16

I definitely ate less, and that the appetite suppression is definitely a real thing. And it's like, oh my god, it's so it can be really hard to eat. And sometimes that's actually a sign that you need to lower the dose because you still want to be able to put in the calories, and because the weight loss isn't dependent only on the appetite suppression, which is a very weird thing, but so I'm two years out since I've lost the weight. Okay. So I went on it, I lost the weight, and then I've been maintaining since. And I'm at such a low dose that my hunger is the same. I'm eating the same amount of calories as I did pre-GLP one, and I'm not gaining any weight back. And even the pre my practitioner, she's like my peptide hormone coach that does all of our coaching. She's jacked. She should see her. She's shredded. Like you've never seen a woman like this. It's just she's crazy, huge guns on her. And she's been on the GLP ones for she had total weight loss resistance, could not, no matter how much she worked out, could not lose the weight. And like me, it was maybe like a 15-pound extra weight on her, but she didn't like that, right? Like maybe 15-20 pounds. Anyway, so she loses it on GLP ones. She now, she was just telling me the other day, she averages, I think she said 2300 calories a day. She's maintained the weight loss, and she she eats a hundred, I think she said 150 grams of protein a day. So she's not having any problems. And she is not, she has not gained any weight back. My thyroid, I had to lower my thyroid medication, which I'd been on the same dose of thyroid for seven years. I had to lower it because my thyroid started to function better and my levels went over range. So that's metabolism. My metabolism got better. My friend Dr. Amy Horneman, she's a the thyroid doctor. Same thing with her. She's been on the same dose for 10 years, and she had to lower her medication because she's she was my redosing GLP1. Lowers inflammation, it does something to the metabolism. It's so it's like the appetite suppression that tends to go away after a couple of months or lighten up for most people. And everybody freaks out, oh, my hunger's coming back. Should I increase my dose? And we're always like, no, don't increase. Like, don't increase unless you've been stalled out for a while. You know, if you're not losing weight and you still have more to lose, okay, slightly increase the dose then. But in most cases, hunger starts to come back and the weight still continues to come off.

Philip Pape: 52:08

You need to eat more. It's like you do need to eat more in that case, right? To maintain the same. Yeah, I've heard it's gonna be interesting because I it's too early for any long-term studies to tell us exactly what's going on. It will be fascinating to see. By the way, Amy Horneman's coming on not till next year, though. So I didn't know your friends are there. I would have reached out. Yeah, no, she's very busy. Oh, it's amazing. I try not to, you know, you know, take too much advantage of our contacts.

Heather: 52:36

Yeah. Hello, my name is Heather, and I am a client of Philip Pape's. Just six days after I started this cut, my family and I were in a 7.9 magnitude earthquake here in Adana, Turkey. As I tried to process the stress and trauma, my first instinct was to say, oh, you've been through something hard. This is not a good time. But instead, I reached out to my coach and he got me under the bar that day, and he helped me keep my macros that day. And not only did I realize that I was doing something fantastic for my body, but I realized that I was doing something fantastic for my mind, and that it was going to help me keep the mental clarity that I was gonna need to get my family through what really has been a very difficult two months. Here I am on the other side of eight weeks. Got my kids through all the things that we have been through. And I weigh 12 pounds less than I did, and I got a new PR on my bench press. I have a long way to go, and there are still things that I really want to accomplish, but now I know that I can, and I'm really grateful. Thank you, Philip.

Philip Pape: 53:38

Yeah, it's just it's a whole thing. I mean, there's we're gonna be talking about this stuff for ages, and there's still gonna be lots of controversies about it. But look, if from a medical and a health and a metabolism standpoint, there are other benefits that we start to see, it'll be fascinating. Not to mention, I did mention addiction, like people who have addictive, get more addictive brain chemistry are helped tremendously to the point where they may need to be on it for the rest of their life, so to speak. But yeah, no, I I guess that that's all that's all I wanted to cover on that.

Karen Martel: 54:04

Well, and well, and women have so much, like, I mean, so do men, of course, but you talk to these women and myself included, where their whole life uh was spent watching everything they put in their mouth: calorie counting, exercising, doing the math, like freaking out about, oh my God, I ate the cupcake. Oh no, okay, I'm gonna have to like intermittent fast tomorrow. I'm gonna have to like go low carb, I'm gonna have to go keto, I'm gonna have like we as women drive ourselves insane. I have been thinking that way since I was 13 years old. I have been fighting my weight and I've been fighting with everything that I put in my mouth. It was always a constant tally in my brain. I'm not proud of this, but it's just the way it was because I was so I could so easily gain weight that if I if I wasn't that strict, I would immediately start to gain weight. So I had to be so careful of everything that I ate. And I had to stay eating like paleo and grain-free and low carb and watch my blood sugar and make sure I exercised and all of these things. Not to have to worry about that for the first time since I was 13 is like I can't believe how much uh space I have in my brain to think of other things. It's just a huge mental relief. And I hear this all the time from women that have had the same struggles where they've fought this their whole life, and maybe they had food addiction and sugar addiction, and they've were obese their whole life, and then suddenly they can lose the weight. It is like, how can some I just don't understand how people judge that? How do people judge that somebody wants to take this medication?

Philip Pape: 55:52

Right.

Karen Martel: 55:53

Food addiction is is just as harsh as cocaine addiction, for heaven's sakes, but yet people don't see it like that. It's like, well, you chose that, you you could choose to exercise, you could choose to eat better, and it's like, screw you, you don't know what it's like to be overweight and not to have the energy to work out or the mental capacity to eat well, and maybe you've got sugar addiction or food addiction, like it's a disease.

Philip Pape: 56:20

Yeah, and everything you kind of alluded to when you said talked about stress and addiction in the brain, and makes me think of the um some of the work that like Stephen Guillonet talks about, uh you know, he's about about brain-related genes and how um, you know, the genetic component, there's such a difference between people. Um, there's another guy I want to get on the show, I forget his name, that he's like 19 or 20, and he's like a genius when it comes to appetite research. And he talks about this stuff all the time. There's such a wide spectrum that what if, Karen, it's just the fact that you're reducing that anxiety and that brain, that cognitive load and all that stress. And that's why your metabolism's approving. I don't know, right? Like so many things that cascade.

Karen Martel: 56:59

And a lot of people will say that. They'll say, I don't have anxiety anymore, I don't have the the hamster brain anymore. And they don't know what it's what it's doing, but they're like, I've I have so much relief in my brain from taking GLP1s. People that have inflammation, they're like, My inflammation's gone, my gut's better. Like all of these things can start to improve. And I think, you know, would we ever say to the person that's been depressed their whole life or been riddled with anxiety and they choose to go on an antidepressant or they choose to go on an anti-anxiety? Would we sit there? Would we attack them the way people are being attacked for taking a GLP one? Right. Never. And would we start to do you see all over social media the side effects of SSRIs? Hello. The side effects are they're long lists. So, yes, GLP ones, yes, they can have side effects for sure. And we don't want those side effects. However, the the like, do does the good outweigh the bad? I think so.

Philip Pape: 58:03

Yeah, yeah. Is that and it's all individual. It it's funny you mentioned the um, well, not the SSRs, but I did an episode called Osempic Envy or something. I came up with this term called Osempic Envy. It was the idea that there's this like weight loss wars that are war that are waged in public on social media, just like there's political wars waged in public where if you were in a room with human beings, you would not be talking like that or treating each other that way because it's on such a point. We do this. So it's like imagine you're in the room with the person, how would that conversation go, you know? Um I wanna the I guess the last thought I have about all this, because we're I know we're barely scratching the surface, but it's going back to the complexity of some of this is our healthcare industry is inadequate, in my opinion. I think I think in yours as well, to address this. And if, you know, unless you get lucky and there's an individual here or there, what does the future hold? Like, I this is more of an optimism side of me trying to and trying to pull this out of you too, Karen. Like, what does the future hold as the different industries change, as maybe there's more practitioners like you, as maybe technology like AI or and more advanced like labs and genetic testing comes into play? Like, how do you see all this coming together like 20 years from now? What are women gonna have as their resources? What is your vision for the future?

Karen Martel: 59:17

I have a really positive vision. Like, I really see a lot of change happening, and there's you'll get the naysayers on social media, they're like, oh, menopause is just becoming a money grab and blah, blah, blah. And it's like, you know what, you guys, stop. Like, we need to be talking about it. Even like the good, the bad, all of it. We need to be talking about it. And it's finally getting talked about. So it's like, let us let us talk about it, let us scream it from the mountaintops, because only four to seven, I think it went went from four to seven percent of women are on HRT. So the majority of the public, the women, then there's millions and millions of women that are in menopause. So majority are not on HRT and are not getting. This information, so we may see it because we're in social media and in the field in this field, but majority of women still don't get have that information. Doctors don't have that information, and they're trying to change that. And I see that change coming. I mean, we just had a big panel at the FDA where they're working on getting rid of the black box warning off of the estrogen package packages because right now it says estrogen causes cancer. And they have zero, zero research to back that up. And so they're like, why is this on here? Like this just is unnecessarily scaring women that they something that could really benefit them. Like, take this off. And so that's gonna happen, I think. I think that they're gonna start. There was another woman that was at Congress that was trying to get so that um in med school that doctors that there was more on education on menopause. Because right now, less than 7% of doctors are taught anything about menopause. And if they are taught something, it's like, you know, a couple hours basically, and that is it. But none of them are taught anything about perimenopause, none of them are taught about bioidentical hormones. They actually have to go get extra training for that. So I think more doctors are going to start to be educated in this. Public is starting to be more educated in this as we're becoming, you know, more and more, we're taking our health into our own hands. And so it's all about finding the right information out there with podcasts and blogs and all of this. And so I see that women are becoming more and more empowered. They're seeing that, hey, you can be 50 and you can rock your 50s, 60s, 70s, and beyond. And like you can do it in a way that is super healthy. You can use hormones, you can work out, you can lift weights, you can take the right cell phones, all these amazing biohacks, peptides, peptides are exploding. And these can be incredible, not just weight loss. I'm not talking weight loss peptides, I'm talking about all the other peptides. There's hundreds, if not thousands, of them at this point. And they can be this amazing like therapy that, you know, working with somebody that understands peptides, it they can enhance everything. I've tried, I've tried so many different ones, like growth hormones and uh mitochondrial stuff. And like, I love it. I love being my own like little biohacker and taking my health into my own hands and being like, how good can I feel? And so I just think we're gonna start seeing more and more of this. And women are gonna start taking more and more in charge of their own health and go, oh, I can, I can feel amazing. It doesn't matter what age I'm at.

Philip Pape: 1:02:40

That's great. So it's like uh it's like a perfect storm the other direction, the way we want it to go, right? Maybe a little regulation over here, education for doctors over here, controlling your health, lots of choices, lots of options. Who knows what amazing technology is going to come down the bike path. I I tend to go to that first as my engineering brain of like, oh, we can get AI and clone Karen's brain, and then we can, you know, get everybody the hormone help they need, you know?

Karen Martel: 1:03:05

I think that's all coming. I do. And I think there's lots of like cool at-home testing that's happening right now where women are able to test their hormones from home, like by just peeing on a stick, and they have these little devices now, and we're gonna start seeing like stem cell transplants for the ovaries that's happening right now in Mexico where they're rejuvenating the ovaries. You know, it's not legal here, but it's legal that they do. Well, let them try it out first. Yeah, it's like ridiculous expensive. I'm like, why wouldn't I just take hormones? I'm like, I asked the guy, I met the guy that owns the clinic, and I'm like, it's like $30,000 for treatment of the ovaries, and you might get a couple more years before you hit menopause. And I'm like, nah, just take the hormones. It's cheaper. But these are all things that are happening, and I think that we're demanding that more research is done on women and on women's bodies. And I think that that's starting to happen. We're starting to see some really cool stuff coming out of different uh, like Felice Gersh is coming out. She's come out with some great research papers on hormone replacement therapy. Um, Louise Newson, these are like the menopause like gurus in social media. The Newsom Clinic, she just came out with some new research. Uh, mental health stuff is coming out, like being brought more awareness is being brought to it. So I think that it's going in the right direction. Of course, you're always gonna get the shit with it. Sorry if you don't swear on your podcast, but you're always gonna get the garbage going along with the good. And that's all gonna be part of it. You're gonna get the people that are out just trying to make money. It's like, well, whatever. Like, just who cares? You know, it's just do what's right for you and your health and educate yourself on it.

Philip Pape: 1:04:48

Totally agree, totally agree. And that's what we're trying to do, right? So people need to connect with you. I'm sure a lot of our listeners already know you, Karen, but I want you to connect with them even more. So I'm gonna mention one thing and then I want to turn over to you to send them the best place. For those of you who are already in physique university, um, you're gonna get to see Karen in there on the 14th of October for a live QA. You can ask her anything you want.

Karen Martel: 1:05:10

I love it.

Philip Pape: 1:05:10

Yeah, there you go. So if you're in there and you're listening, you get it included. If you're not, I'll have a link to register. Yes, just full transparency. It's a paid coaching program, but it's very accessible. And so if you want to see Karen in there, that's your chance. Karen, where would you like people to go right now and check you out? All right.

Karen Martel: 1:05:28

So I got something for everybody, which I'm so happy I get to offer that. But we can prescribe in every state. So I run and own a telemedicine clinic where we focus on women in midlife. We do not deny the woman that's in her perimetopausal years hormones. Uh, and so we take a very functional approach to HRT, which I feel is is missing and is lacking a little bit right now. And so we look at every, we look at the lifestyle, and and Phil's gonna come into my group as well and do a QA. And so we focus a lot on, you know, all the lifestyle aspects and then as well the HRT, and we really try and look at everyone from an individual standpoint. We don't, we're not, you know, set on one type of protocol or delivery form. It's like, what is gonna work for you? And we will work for you with you until we find what is gonna make you feel your best and to give you that protection, the heart, the brain, bone protection that these hormones can give you. And if you choose not to do hormones, well, we've got a whole arsenal of other stuff that we can help you with that well, if you're choosing not to do hormones, that we can still do all of these other things that would it's gonna help you to age better. And then on top of that, I also have a membership group for those that can't afford the private coaching. Um, we also have this very affordable group where we have an amazing community of women. We've it's been going for like seven or eight years now. And uh, and then I also just came out with my own line of over-the-counter hormone creams and oils, which is amazing. Um, and I'd love to give your audience a coupon for them. So these are creams and oils that contain bioidentical USP grade hormones. These are no different than the hormones that are in them are no different than what you would get from a pharmacy. That's the grade they're at. We do all sort of like third-party certificate of analysis and purity of the hormones. They're very clean products, and they are marketed as beauty cosmetic hormones and creams. That's how we can promote them and how we can sell them online without a prescription. And many, many women buy these. We have an incredible estrogen face cream that has been shown to just do absolute wonders for the face, um, shrinks your pores, helps with your fine lines, etc. Uh, just came out with a vaginal moisturizer. Uh, we've got a progesterone melatonin oil that's amazing for sleep. So that's, you know, I'll pump up my own stuff here, but it's it's such an awesome thing to be able to offer women because it's so affordable. It's way more affordable than prescription hormones. And you don't need you don't need the actual prescription.

Philip Pape: 1:08:22

What's the name of the line? What is like what's the brand? Or what do you call it?

Karen Martel: 1:08:25

Hormone solutions.

Philip Pape: 1:08:26

Hormone solutions. Okay, just like you. So if everybody wants to grab that, you can go to witsandweights.com slash Karen Martell and you'll get uh 10% off with my code Wits and Waits. Um, I'm gonna be checking those out myself. I know we have a lot of women in the community that would be interested. And then Karen's uh hormone coaching, which I hear nothing but great things about over the years that I've known her. And then this new telemedicine clinic is awesome. I love that uh direct approach to healthcare in a way that's individualized and functional. So thank you, Karen, so much again for doing this with me. I'm excited for our upcoming collaborations, and I hope everybody listening really enjoyed and got a lot of this episode. I know they did. Thank you so much, Karen. Thanks for having me.

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Build Muscle Without BULKING for "Lean Gains" | Ep 384

Most lifters think you have to bulk to build muscle. In this episode, I show you why that’s not true—and how “aggressive maintenance” lets you gain lean muscle while staying shredded. Learn the science behind muscle growth at maintenance, how to engineer your nutrition and training for efficiency, and why this system works better for busy lifters who want to look strong year-round.

Join Physique University for our new IGNITE 🔥 training template (4-day upper/lower time-saving split) - use code FREEPLAN for a free custom nutrition plan when you join: https://witsandweights.com/physique

--

You MUST "bulk" to build muscle... right?

Eat more, gain weight, accept getting fluffy, then cut it all off later with a fat loss phase... right?

Not necessarily.

What if bulking is inefficient for YOUR goals? What if you could build muscle while staying lean year-round?

Learn why you might NOT need a calorie surplus to build muscle and a unique approach called aggressive maintenance where you can skip bulking entirely while getting the strong, lean, aesthetic body you're going for.

Main Takeaways:

  • Traditional bulking optimizes for throughput (total muscle gain), while aggressive maintenance optimizes for efficiency (muscle gain per unit of input)

  • You CAN build muscle at maintenance calories when 3 things are dialed in

  • Certain individuals partition nutrients more efficiently toward muscle vs. fat and are better candidates for skipping the bulk

  • There are "hidden" but powerful factors that enable muscle growth without bulking

Episode Resources:

Timestamps:

0:00 - Why bulking might be inefficient for you
3:45 - Efficiency vs. throughput
8:20 - How muscle growth works without a surplus
13:15 - What is aggressive maintenance?
19:00 - Glycogen, neurological adaptations, and energy flux
24:10 - Who benefits most from skipping the bulk
28:15 - Operating at design limits without exceeding them

Build Muscle Without the Bulk

If you’ve ever felt stuck in the bulk–cut cycle, wondering if getting fluffy every winter is really the only way to build muscle, you’re not alone. Traditional wisdom says that muscle gain requires a big calorie surplus, steady weight gain, and months of extra body fat before dieting it off. But there’s a more efficient, sustainable path that works—especially for trained lifters and busy professionals who want to look strong year-round. It’s called aggressive maintenance, and it lets you build lean muscle without the constant see-saw of bulking and cutting.

This approach flips the script on what we’ve been told about muscle growth and shows that you can make measurable gains at (or barely above) maintenance calories—if you optimize your nutrition, training, and recovery with surgical precision.

The Problem With Traditional Bulking

Bulking works. If your only goal is to gain muscle as fast as possible, eating in a surplus of 200 to 500 calories above maintenance is the most direct route. But there’s a catch. Surpluses past a few hundred calories mostly drive fat gain, not additional muscle. Muscle protein synthesis (MPS)—the process of building new muscle—plateaus quickly. After that point, extra calories are just stored energy.

Think of it like an assembly line. Once production runs at full capacity, throwing in more raw materials doesn’t speed things up—it just creates waste. A traditional bulk maximizes throughput (total muscle built), but not efficiency (muscle gained per calorie). For many people, that inefficiency leads to frustration, body-fat swings, and months of cutting later just to reveal the same muscle that could have been gained more strategically.

What “Aggressive Maintenance” Really Means

Aggressive maintenance focuses on efficiency over speed. Instead of overeating, you hover right around maintenance calories—often within 50 to 100 calories above it—while optimizing protein, training, and recovery so your body directs those calories toward lean mass instead of fat.

It’s not about losing fat or gaining fat. It’s about maintaining body weight while gradually increasing muscle tissue and potentially improving body composition over time. This approach works because you’re removing the main bottlenecks to growth: inadequate protein, poor training stimulus, and poor recovery.

How Muscle Grows Without a Surplus

Muscle growth happens when muscle protein synthesis exceeds muscle protein breakdown. You can tilt this balance in your favor at maintenance if three conditions are met:

  1. Protein is sufficient.
    Aim for 0.7 to 1.0 grams of protein per pound of body weight daily. Total daily intake matters far more than timing. This gives your body the raw material it needs to repair and build tissue.

  2. Training drives progressive overload.
    Lift hard. Train close to failure. Use compound movements as your foundation and track progression over time. Mechanical tension—not calories—is the key signal for growth.

  3. Recovery supports adaptation.
    Sleep 7–9 hours per night, manage stress, and keep inflammation in check. Recovery is the multiplier that allows your body to respond to training even without extra calories.

If these three are dialed in, you can grow muscle slowly at maintenance—especially if you’re consistent and patient.

Why It Works: Nutrient Partitioning and Energy Flux

Leaner, active individuals partition nutrients more effectively toward muscle tissue. That means the same meal that might store as fat in a sedentary person helps a trained lifter repair muscle. Daily movement (especially walking) and high-quality resistance training both improve insulin sensitivity and nutrient partitioning, allowing your body to build muscle even without a traditional surplus.

There’s also energy flux—the idea that eating and moving more increases your total energy turnover. When you move more, you can eat more and still maintain body weight, keeping metabolism high while fueling muscle recovery. It’s the sweet spot between dieting and bulking.

Building Your Aggressive Maintenance Plan

Start with your estimated maintenance calories (for most, 13–15 times body weight in pounds) and eat roughly that amount, adding a small 50–100-calorie buffer.

  • Protein: 0.7–1.0 g per lb body weight

  • Fats: 0.3–0.4 g per lb body weight

  • Carbs: Fill in the rest with complex sources and target the bulk of them around workouts for performance and glycogen replenishment

For training, use a moderate-to-high volume hypertrophy plan (10–15 sets per muscle group weekly) with progressive overload and recovery days built in. Compound lifts form the base; isolation work fine-tunes weak points.

If you’re short on time, check out efficient programs like the IGNITE 4-Day Upper-Lower Template in Physique University. It uses supersets, drop sets, and strategic volume to fit hypertrophy training into 30-minute sessions without sacrificing results.

The Hidden Levers That Accelerate Lean Gains

  • Sleep architecture: Deep and REM sleep trigger growth hormone and recovery. Poor sleep can erase the benefits of training, even in a surplus.

  • Carb timing: Carbs before and after lifting help refill glycogen, signaling an anabolic environment at maintenance.

  • Activity outside the gym: High step counts and NEAT (non-exercise activity thermogenesis) enhance nutrient delivery to muscle.

  • Micronutrients: Adequate magnesium, zinc, vitamin D, and electrolytes support hormonal balance and muscle adaptation.

  • Consistency: The real “secret.” Without it, none of this matters.

Who Should Skip the Bulk

Aggressive maintenance works best for:

  • Overweight individuals who already have energy reserves

  • Detrained lifters returning to training (muscle memory effect)

  • New lifters experiencing neurological and beginner gains

  • Midlife athletes and busy professionals who want to stay lean year-round

  • Anyone prioritizing aesthetics and sustainability over short bursts of size

Those chasing maximal strength or advanced hypertrophy may still need full bulks eventually, but they’ll benefit from spending time in this phase first.

Common Pitfalls to Avoid

  • Expecting bulking-level muscle gain rates

  • Undereating carbs and tanking training performance

  • Neglecting recovery and sleep

  • Over-tracking or constantly changing macros instead of letting trends play out

Aggressive maintenance is a slow burn. You might gain only a couple of pounds over six months—but if your waist shrinks, lifts go up, and you look leaner, that’s the point.

The Takeaway

You don’t have to choose between bulking up and staying lean. You can build muscle efficiently by operating near maintenance and optimizing the system around it. Think of it as an engineering problem: precision inputs, measured feedback, and sustainable throughput.

If you’re ready to implement this, join Physique University at witsandweights.com/physique and use code FREEPLAN for a free custom nutrition plan with your membership. You’ll also get access to the new IGNITE training template and our full course library.


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Transcript

Philip Pape: 0:01

If you want to build muscle, you need to bulk. At least that's what you hear all the time. You have to eat more, you have to gain weight, you have to accept getting a little fluffy in that calorie surplus and then cut it off later with a fat loss phase. What if that approach is inefficient, at least for you? What if you could build muscle while staying lean year-round? In this episode, you're gonna learn why muscle protein synthesis does not require a calorie surplus the way you think it does. You'll discover the principles of what I call aggressive maintenance, and you'll find out who can skip bulking entirely and still make gains versus who might still want to bulk, including the hidden factors like sleep and energy flux that many people ignore. Welcome to Wits and Weights, the show that helps you build a strong, healthy physique using evidence, engineering, and efficiency. I'm your host, certified nutrition coach Philip Pape. And today we're talking about something that often challenges conventional wisdom in the lifting world: building muscle, but without bulking. If you've ever felt trapped by this need to bulk and cut, and you wonder, is there a smarter way to add lean mass without the fat gain roller coaster? This episode is definitely for you. But I also want to give a caveat that to get the quickest gain in muscle, you're gonna have to have a surplus of some kind. I'm just gonna get that out of the way. But we're not necessarily talking about the quickest path here. We're talking about efficiency. And efficiency often means looking at the next six months, the next year, the next two years, and where you want to be with your physique at any given time to get the final result, which may take a little longer, but the way you get there is more sustainable for you. So we're gonna break down the science and the systems behind what I call aggressive maintenance. I've covered this topic here and there in the context of body recomposition. But today I'm specifically focusing on the muscle building side, not so much the fat loss side. This is really about engineering the whole system, your nutrition, your training, your recovery, your nutrient partitioning, doing it efficiently so that you are biasing muscle rather than fat all while eating around maintenance calories and not having, quote unquote, to bulk. And I'm gonna tell you who can benefit from this the most. Now, before we get into that, I definitely want to share a couple listener reviews that came in recently on Apple. Just two. The first one I really love, it is from Laura Lai 1964. She says Philip provides relevant and evidence-backed information on nutrition and resistance training. If you were ever on the fence about whether you should introduce resistance training to see change, listen to this podcast. Science-backed evidence proves it's a huge key to longevity, and Philip breaks it all down. He has top-notch guests on as well, which has led me to other great podcasts. One more thing. He's so fun to listen to, always has a smile in his voice. Thank you, Philip Bape. And you just made me smile, which is hopefully why you hear that on a regular basis. I try to be optimistic about this stuff. I think, like a stoic, we have many things in our control. And if we focus on all only those things, an optimism bias can lead us to amazing results, no matter what life throws at us. And that is the definition of resilience. The second review is interesting. The headline is I didn't know what I didn't know until now from host new normal big life. So this looks like a podcaster. I'm a sponsored adventure sports athlete and have been a competitive athlete most of my teen and a young adult life. However, this podcast taught me there are many factors impacting my health and performance that I didn't know about. Learning about what standard lab work really tells us about our health is a game changer. Thank you so much. So that was probably in response to some recent episodes related to blood work, performance blood work. This is a service we now provide. I'm not going to get into it here, but the long and short of it is if you're looking to understand the interactions and the root causes of things that may be going on with your body, despite having tried all the other things like training, nutrition, lifestyle, it could be another way to peer inside what's happening with your biomarkers, with your hormones, et cetera. Go to witsandweights.com slash blood work for that. But when it comes to these reviews, anyone who leaves a review, we are actually running a say contest, not a contest, a giveaway right now that anyone who leaves a review is entered for a giveaway for three months in physique university in our mastery track. That's a $261 value. And everyone who submits a review is gonna get a surprise bonus. Deadline is October 15. Go into Apple and add your five-star radio review there, if you haven't yet. And I will be monitoring those and then I'll send out the results to the Facebook group and to our email list. All right, let's get into the engineering behind building muscle without bulking, because yes, it is possible. I want to start with the efficiency problem that comes with traditional bulking. As much as I love calorie surpluses and bulking for people who want to get the fastest results, and you will, and the bulk cut cycle, which has been the standard approach in bodybuilding and hypertrophy and strength training for decades, and it still is, again, a tried and true approach, where you spend months in a calorie surplus. In my opinion, six to nine months is ideal, sometimes longer, to maximize your muscle growth. Along for the ride comes some fat, but you are maximizing the muscle growth, meaning you're hitting that ceiling of how much muscle you can, you know, slabs of muscle you can add to your body every month. And to do that, you're making the trade-off that some fat comes along for the ride. And then you do a cut or a fat loss phase to cut it down and rinse and repeat. Now, let me be clear: this bulking is the fastest way to gain muscle. Whether you're a man or a woman, whatever your starting point, doesn't matter. It's the fastest way to gain muscle. If I were to put any caveat on that at all, it would be as if you are significantly overweight. If you're significantly overweight, you definitely want to lose some of that body fat for health reasons, but also because you can actually build a decent amount of muscle while losing weight in that context. So putting that aside, we're talking about people who are kind of in the average range of weight. Even if you have a little extra weight to lose, you're kind of in that average range. If pure speed to muscle growth is your only goal, a calorie surplus is the best way to go. And my usual recommendation for a beginner is around 0.3 or 0.4% of your body weight a week. Potentially more if you're doing it in a very precise, controlled way, or you're a really good responder and you want to take advantage of that. Potentially less if you're not sure or you're worried about gaining too much fat or being not super consistent. But then you need a fat loss phase after that, no matter what, right? You gain the muscle plus the fat, then you diet it off. And the whole cycle takes maybe a year, maybe two years to really get leaner and leaner. And that's fine in the scheme of your whole life. How long really is that when you've been struggling for years and years and years? So if you're into that, which is the way I do it personally, it's very efficient. I mean, it's very, I'll say it's efficient from a long-term perspective. It may not be efficient in the short term, depending on your goal. So I'm happy to help anyone through that who's struggling, who needs help. You can come into physique university. That is what one of the things we teach. We also teach body recomp, which I'm talking about today. It's all all roads to Rome lead to Rome. Okay. So from an engineering perspective, this is really a throughput approach. You are maximizing the input to maximize the output, more fuel, more materials, more resources, and it works. But it's not efficient by all measures. Let me explain the difference. Efficiency is about the output per unit of input. Throughput is the total output, regardless of the input. So a bulking cutting cycle optimizes for throughput, right? You're trying to maximize that muscle and you're also getting more fat along for the ride. What we're talking about today optimizes for efficiency, at least on a shorter term scale. That's the I have to keep saying that because over a several year period, I actually think bulking and cutting, if done right, if done consistently, if you don't stop your training, is the most efficient. But for a lot of people, it's not the most practical, nor is it a state they want to live in for months at a time, let's say. What I mean by that is a lot of people don't want to be fluffy for many months out of the year. That's okay, I get it. And it's okay to not want that and to make a trade-off to get to avoid that. Okay, so muscle protein synthesis, MPS, is the process by which your body builds new muscle tissue. Research shows that MPS rates plateau relatively quickly compared to calorie intake. Gone are the old days of the dreamer bulk where you're eating five or six thousand calories or something like that, because you think there's really no limit to muscle gain as long as you just eat more. Yeah, I'm gonna get fat, but I'm gonna get more and more and more muscle. No, it actually has a plateau, right? So the curve goes up quickly and then it quickly hits a limit, like a fixed limit. So beyond that calorie surplus that gets you to that limit, which is around two to three hundred calories above maintenance for a lot of people. Additional calories then mostly increase your fat mass, not your lean tissue, right? That's why it's uh hard for some people to kind of find that level until you do it once and see what happens, and then you can refine the next time. So think of it like this: your body has a limited capacity to synthesize new muscle at any given time, period. Right? It's not like a construction project where throwing more materials and workers speeds things up. Your body's muscle building machinery can only work so fast. That is the rate limiting step, to use another technical term, the rate limiting step. Okay. So if you're an adult over 30, and that's an important distinction between, because if you're under 30 and you're raging with hormones and you've got a lot more responsiveness and ability to build muscle, you may want to throw my discussion today out the window altogether and just go hog wild on that surplus. Because who cares? You've got all the time in the future ahead of you, and you're super responsive to the muscle. You've got the hormones and everything else. If you're over 30, especially if you're over 40 or in your 50s, pushing body fat higher just to build muscle becomes a little bit less efficient because your nutrient partitioning gets a little bit worse as you age, meaning a higher percentage of the extra calories might go to fat rather than muscle. You just are a little bit less efficient putting on that muscle. Sorry, that's just what happens when we get older. At least you're doing it, right? Versus your peers who are letting their muscle wither away into decrepitude into old age, which is not what we want. But as you get old, your insulin sensitivity decreases, your recovery, you know, gets a little bit harder. Even if you eat more, even if you sleep more, it's still declining slowly over time. Your joint tissues, connective tissues get a little less pliable, et cetera. So what we're really after here is directing the limited resources toward muscle rather than fat storage as laser-targeted as we can. And that is kind of that when you think of like an engineer applied to physique development, where I'm coming from. So, yes, bulking is faster, but I'm gonna talk about aggressive maintenance here. Aggressive maintenance can be more appealing and more efficient, especially if you want to stay relatively lean year round. And I'm sorry to all my lifter buddies who are all about strength PRs, okay? If you're all about strength PRs, I'm not talking to you because you really should be eating. You know that. And you're not here to listen to, but you all at the same time, we all have that vanity bone inside of us. That's like, what if I just tried with Philip's saying for a year or two and see what the difference is? Experiment. You're gonna avoid that psychological roller coaster of gaining and losing weight, and then you're gonna build muscle in a sustainable way that you could potentially just rinse and repeat forever. Now, you can rinse and repeat bulking too, but again, you are stretching up and down a lot more in a lot more extreme way than what we're talking about today. All right. So that again, this is where the system efficiency comes in. So now I want to talk about the next piece, how muscle growth works without this big surplus or without this modest surplus, I should say. To understand this, we have to look at the mechanisms of muscle growth, which happens when the synthesis of protein exceeds the breakdown of protein, which is muscle protein breakdown, MPB. And you actually do not need a calorie surplus for this to occur if three conditions are met. The first condition is that your protein intake is sufficient. Duh. Okay. If you're a new listener, I don't mean to patronize you, you're gonna learn something here. If you've been listening for a while or any other fitness podcast for the last however many years, you know this that protein is super, super important. The research consistently points to 0.7 to one gram per pound of body weight, or 1.6 to 2.2 grams per kilogram of body weight of intake per day. And at these levels, you're basically maximizing those raw materials available for protein synthesis. It's as simple as that, guys. Get enough total protein a day and you're gonna meet this first criteria. Don't get hung over or hung, don't get hung over either. Don't get hung up on the meal timing and the type of protein and all of that. Total protein's probably gonna get you there. Now, if you have a very restrictive diet, it's gonna be, it's gonna create some problems. Restrictive meaning you're vegan or vegetarian, for example. You know, no knock on you guys. I'm just saying it's harder to get the full, complete amino acid profile without being a little more deliberate. Okay, so total protein. The second criteria where you don't necessarily need a surplus to build muscle, is that your training provides the adequate mechanical tension and progressive overload. Those that's really all we're looking for is training close to failure and always progressing, making things slightly more challenging in the gym so that you get stronger because strength builds muscle, and vice versa. And the signals you're giving your body when you do that is the most important signal to adapt. And your body's gonna take the protein you're eating and build more muscle tissue. And then third is your recovery. I'm sorry to hammer this home time and again, but guys, we have to sleep. We have to manage our stress. I've been using my breathe that more. I actually put it as a complication on my Apple Watch, just so it's staring me in the face every day, doing more breath work and things like that. One minute at a time doesn't take a lot. These are the most powerful hidden levers that allow the process to actually occur. Now I know what you're thinking here. You're like, okay, but where does how is it possible to do this while at maintenance? Doesn't it all net out? We're gonna get to that. Let's talk about energy partitioning because this is where things get interesting. Lean individuals tend to partition their nutrients a little more efficiently toward muscle than fat. And train lifters tend to do the same. People with good insulin sensitivity are better at directing nutrients where they need to go. And as an aside, one of the best things for insulin sensitivity is being active throughout the day and walking. Okay. Just had to put that in there. Resistance training itself improves partitioning, even at maintenance calories. So, what does that mean? What does that mean? That means versus someone who is sedentary, simply by having an active, trained lifestyle with plenty of protein and adequate leanness, right? You're not excessively over fat, you will get more out of your nutrients toward muscle versus fat versus a sedentary person. And that's a huge advantage. Even not sitting a lot for your job and getting up and moving will move that needle toward that direction. There's something called body fat set point theory. Okay, and and and there's mixed evidence on this, and the way it's communicated is often specious, or what am I trying to say? I don't want to say this the wrong way, but basically, people are closer to a lean but not extremely lean body composition, let's say 10 to 15% for men, 18 to 25% for women, they often have better recomp. Okay. Now you would think that somebody with extra fat has better recomp. I would say someone in extra fat, I would lean toward trying to lose the fat actually and be in a deficit because that's gonna be the best net benefit. But for most people in kind of an average leanness, they're gonna have better recomp, their hormonal profile is gonna improve, they're gonna have better nutrient utilization, and they're gonna be running kind of super efficiently and they're gonna maximize muscle gain based on what you're already consuming. Again, we're not talking about a surplus. Surplus is always gonna make it more in terms of muscle gain, period. There's also the concept of myonuclear domain theory. When you train, you gain muscle nuclei. And these nuclei persist even during maintenance or slight deficits. So that means muscle memory is a real thing. It really is. And I see this in someone who is detrained, comes back years later, starts to train again, and wow, they just regain and build that muscle so fast. They just gain it back fast without needing to bulk because the cellular machinery is in place. So these are interesting concepts, aren't they? All right. So that brings us to the what here, the aggressive maintenance protocol I've been alluding to and dropping hints at. What the heck is this? And I haven't seen anyone else explain it this way or use this term, so I should probably trademark it. But I have seen plenty of experienced lifters talk about this in other ways. It's eating around maintenance calories, allowing for those daily fluctuations in calories, the daily fluctuations in your metabolism. You're pushing training hard, you're optimizing your protein intake, and you are eating in a way where you're never in a deficit. So to never be in a deficit, it means you have to knowingly be in the tiniest, tiniest, tiniest surplus. Does that make sense? Okay, because you you're keeping yourself fully recovered and optimized, and you're keeping your tank just a little past full, but you're not adding so much where now it goes to fat storage. Okay. You're also not adding enough to maximize muscle, as I keep mentioning, but you are still biasing it toward muscle gain and maybe some fat loss. But today's not about recomp per se, even though this is a good technique for recomp, in my opinion. Studies show that trained individuals can increase lean mass while decreasing fat mass when protein is high and training is well structured. Again, that's recomp. And then there's recent research on energy flux. That's the total energy turnover, basically eating more and moving more to expend more, right? To increase your metabolism, not cardio per se, not like chronic cardio, but just walking, movement, eating, being active, that doing that promotes leanness and muscle gain, even at maintenance. And there's plenty of anecdotal evidence from experience lifters out there, and you see it on Instagram as well, where you don't really have to bulk and you can still slowly gain muscle. I had Holly Baxter on the show. She was talking about the same thing. You're tuning your nutrient delivery, your recovery, and your mechanical stress just the right way to direct your limited resources toward muscle. But you have to be consistent, right? You have to be consistent. So when it comes to like protein, I want you to get your total protein that start there and then start to distribute it across your day, not because it's some magic formula to maximize protein synthesis, although it should bump it up a little bit, a small amount, but mainly because that's going to enforce the consistency and ensure balanced meals, good satiety, habit forming, et cetera. Okay. And I like whole sources of animal-based protein followed by supplementation like whey supplements. Plant-based protein is in there as well. It should kind of naturally fall in there if you're eating a diverse omnivorous diet. If you're vegan or vegetarian, you're gonna have to rely a little more on pea and rice protein and plant-based sources of protein, watching for the fats and carbs and trying to keep it balanced. All right, for resistance training, again, the consistency matters. And that means having the appropriate level of volume for you, which is moderate to high volume because you've got a lot of resources coming in. So 10 to 15, up to 20 sets per muscle group per week, maybe not 20, that might be too much, unless you're in a surplus. So this is where there's some small differences between this and a full-on surplus, but I believe that you're getting still most of the ability to progress because you're not dieting. The fact that you're not dieting gives you a big advantage here. Focusing on compound lifts as the foundation with hypertrophy movements as your developmental and accessory work, using that periodization, you know, using your program long enough to progress, but then avoiding stalls and fatigue by rotating things in the right way, right? I'm not gonna get into the details of programming today. Energy availability, because you're not in a surplus, is also crucial. What I mean by that is carbs. Carbs around your main, around your training is gonna maintain your glycogen and your performance, even though you don't have the higher overall calories. So your carbs should still be pretty darn decent, right? If you're eating, let's say, let's say your maintenance is 2,500 calories, that means you're eating about 2550 or 2600 a day. Because remember, this is called aggressive maintenance. You're being aggressive by pushing it a little bit past all the time. So you're probably gonna have, let's say, I don't know, it depends on your body weight, but let's say you weigh 160. You need, you know, 140 grams of protein, maybe 60 grams, 70 grams of fat, and then 250 grams of carbs or something, maybe 300. It depends, you know, men, women, depends on where your expenditure is, right? But we shouldn't be low carb or keto here, generally. You're gonna get much better results for muscle building when the carbs are there, hitting some minimum threshold. They don't have to be extremely high, just hitting that minimum threshold. And, you know, if you don't have that energy, then your body's gonna draw on other energy systems like your fat and that we call that fasted training. You probably will find a drop-off in performance. But if you're still getting your total carbs for the day, even if you're training fasted, it's still gonna compensate quite a bit for that. All right. So there's a lot of flexibility here. And then your micronutrients are really the hidden levers, your vitamin D, your magnesium, your zinc, you know, all of these things affect your performance, your muscle adaptation. Sleep, of course. Okay, sleep is huge, hydration is huge, all of those things. The goal is to engineer the entire system to gain lean mass. Now, you should be dialing in these things anyway if you were to prepare for fat loss. But what you're doing here is just making this a sustainable way that you do things. This is who I am, this is what I do. I am pushing the maintenance calories just a little bit. And when you do that, what might happen is over a six-month period, you might gain a couple pounds. That means you did it right. And a couple pounds is nothing because hopefully all of those two pounds extra are muscle and some of the pounds that are hidden are muscle as well, meaning you gained more than two pounds of muscle and lost some fat and it did out. So you've gained weight, but you've actually gained more than the gain in muscle. That's really what we're going for here. And that's awesome. And you can tell that by measuring your body, you know, your waist size, how you look, how you feel, how your clothes fit, et cetera. And of course, that you're progressing in the gym. So, you know, speaking of efficiency and gym and programming, I know some of you are thinking, well, what the heck do I do in the gym? If you're kind of new to this and you're busy, like a lot of you are, you're trying to save time in the gym. I definitely want to tell you about our new Ignite training template we just came out in Physique University. It is a four-day upper-lower split. It uses supersets and other time-saving techniques like drop sets, but still incorporates compound lifts and solid principles of progression. Each session takes about 30 minutes max. That's why I love it. To get it, you have to be in physique university. So anybody listening who's there, go get it. It's already out. This is from Coach Carol Hanshu, who's our assistant coach in the group. And if you don't have it, if you're not in physique university, join right now. It's only $27 to join. You can cancel right after you grab it if you want. I don't care, but I hope you'll stick around because you see the value in the courses, the curriculum, the coaching, the live calls, the QA's, all of it. You can then use code FREEPLAN to get the free custom nutrition plan that I will put together for you. So you're gonna get a free custom nutrition plan, and then you're gonna have access to all of our training templates. The free nutrition plan is worth multiples of the price alone. You get all of that. Go to wits and weights.com slash physique to join. Remember to check the box for the plan and then use code FREEPLAN to get it for free. Click the link in the show notes or go to wits and weights.com slash physique for our ignite four-day upper lower time-saving training template. All right, now I want to talk about some of the less discussed aspects of building muscle at maintenance that really make a difference. Glycogen. Glycogen's role goes beyond just energy. You're filling up your glycogen stores, signals your anabolic pathways, anabolic meaning build. You can refill glycogen at maintenance without bulking by using carbs. And I mentioned this already, but you've got to have sufficient carbs and ideally time them around your workouts, which creates an anabolic environment without needing a surplus. The next thing is neurological adaptations. These are significant, especially if you're a newer lifter. Your early strength and size gains are gonna come from neural or neurological efficiency, the motor learning, the motor recruitment, the connection between your brain and your muscles, just to simplify it. And these really don't require surplus, believe it or not. You can get this just by starting to lift weights. Then recomp, when we it's it's worth talking about recomposition a little bit here, because it is more likely when you're in what we call an energy flux state, a high energy flux state. If you know you want to think like you're an athlete, because you are, guys, you you're listening to wits and weights because you want to be an athlete of aging. I actually stole that term from John Sullivan Sully, who wrote Barbell Prescription. Definitely buy that book if you don't have it in your library. Athletes with higher non-exercise activity, right? Higher NEAT, higher daily step count, higher movement, and less sedentary sitting behavior tend to recomp more effectively while at maintenance. Being more active outside the gym helps direct nutrients to muscle, gives you insulin sensitivity. It's kind of counterintuitive because you think, okay, I'm more active, so I require more food. But the system becomes more efficient and the food that you are already getting now goes more toward muscle. If that makes sense. Now, you may need more food as well if your metabolism goes up, and nobody complains about that. Okay. Your sleep architecture, I'm using this term more, sleep architecture, right? The whole system of your sleep quality and quantity. Understanding the slow wave sleep, your deep, your REM sleep, which are correlated with growth hormone release, with muscle protein synthesis. If you have chronically short sleep, less than six hours, you're gonna have a hard time holding muscle, even in when you're in a slightly hypocaloric condition, meaning even when you're in a slight surplus. Sleep quality actually substitutes for a calorie surplus. It is like getting a calorie surplus, guys, for muscle building. Get your sleep. And then there's the protein leverage hypothesis where high protein diets reduce spontaneous energy intake while maintaining an anabolic environment, right? And this explains why some lifters gain muscle without bulking. They're actually leveraging protein to drive both satiety and hypertrophy. And then there are micro surpluses within macro maintenance. Micro meaning day to day, macro meaning overall for the week or for the month or for the year. Your daily calorie intake is gonna hover around maintenance, but really you need to be pushing it a little bit above. In my opinion, about 50 to 100 calories above maintenance on a constant basis. And you may have to switch this up between your training days and your rest days. Maybe. Not everybody has to do that. In fact, most people don't have to do that or overthink it. It's gonna flux with your week because it's not just your training that affects this, it's also your stress and your sleep and your work and your family and your schedule and your vacations and so blah, blah, blah, blah, blah. All right. Over the week, it's gonna net out to a few hundred calories over maintenance for the whole week. But it's gonna kind of feel like a little bit of a bulk, which is great. It's gonna feel fueled up. Okay. It's a really great approach, in my opinion. And again, all you're gonna get for it on a negative, and this is not even a negative, is maybe a couple pounds of weight gain over many, many, many months, but you're gonna net muscle gain, which is the goal. So the kind of the last segment here is who benefits the most from skipping the bulk, what we're talking about today. I would say if you are overweight or have a much higher body fat, you definitely don't need to bulk. In fact, this is the one scenario where I'd say you probably still want a slight deficit because you have so much stored energy and you need to drop that body fat. That's so I'll put that there. If you were detrained and you're coming back to lifting, you have all that muscle memory, so to speak, and you're gonna respond really fast, it's a great way to get started and see what you get for your results without needing to go in a surplus. If you're a new lifter and you get these neurological and early hypertrophy gains, right? Newbie gains, again, they require less of a surplus. You're trying to respond to training without needing a ton of extra food. Just make sure you're not dieting. Just make sure you're not dieting. If you are, and then this is the a big category for a lot of you. If you're a lifter who wants to just look good, you want a lean look, you care about aesthetics throughout the year, you want to avoid the cycle of getting fluffy and cutting, you want to stay lean year-round, this is a great way to go. Just let's face it, it's okay. It's okay to have a vanity goal. This is the way to go. And if you're, you know, you're midlife, you're busy, you're professional, you know, raising a family, this aligns perfectly with many of your goals. You want efficiency, you want sustainability, sustainability, long term health. You won't you don't want to deal with drastic swings, which admittedly come with the need for more structure and control to do them the right way. Or I'm gonna raise my hand, having a coach in your corner, or A community like Physique University in your corner, or if you want a free community, get started, join our Facebook group, right? You just don't have that time or desire for these cycles, it's a good way to go. Now, there are some pitfalls, right? The gains are gonna be slower compared to bulking. We talked about that. Also, you do have to still be precise. You have to precisely track how much protein you're eating, your recovery, your training. Too aggressive of a deficit is gonna push you into a surplus. So you've got to just kind of watch out what's happening. In most people's experience, I find it works out no matter what because you're pushing your expenditure up and it's you kind of almost struggle to keep up with it, but not as much as in a surplus. And then there's the psychological trap. If you expect bulking level gains at maintenance, you are gonna be disappointed. You're gonna be disappointed, you're gonna have to bulk in that case. Don't have unrealistic expectations. Okay, but this can be a great approach. So the reason aggressive maintenance works isn't just about the calories or the protein or the training, it's operating at the design limits of your body without exceeding them, at least from a muscle versus fat perspective, right? Again, if we just want raw muscle gain, you're gonna gain more fat as well, and you go after it with a surplus. But this to what we talked about today is its own form of precision that you might find appealing. It is also quite sustainable. It's something you could just keep doing. Now, maybe if you drift over time and gain a few pounds over, say two or three years, you eventually do a fat loss phase, maybe. Or you might find, heck, I'm just leaner and leaner at higher body fat, at higher body weight, and I'm super happy now. I look strong, I'm jacked, I'm lean, I never had to diet. It's possible. So traditional bulking is the fastest way to gain muscle, requires a fat loss phase afterward, and that's a throughput approach. Aggressive maintenance is more of an efficiency approach. So if you want to stay lean year-round while building muscle moderately over time, this is the way. So before we wrap up, remember we do have a review giveaway. If you love the show today, if you learned something, leave a review on Apple Podcasts and tell me what you thought of today's episode. Do it by October 15, and one winner will be selected for three months in the mastery track of Physique University, and everybody who submits a review will get a surprise bonus. Just search for Wits and Weights in your app if you're not already in Apple right now. Scroll down, tap write a review, make it happen. I appreciate it. I'm grateful. Until next time, keep using your wits, lifting those weights, and remember, building muscle does not require getting fat. It requires precision, consistency, and a systems based approach.

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13 Overhyped Fitness & Recovery Hacks That Waste Your Time and Money | Ep 383

Tired of being told a gadget will fix your recovery and finally unlock your gains? In this episode’s article, I rank 13 of the most overhyped fitness and recovery hacks from least to most overhyped, explain what they really do, when they make sense, and when they are just burning cash. If you want results without wasting money, start here and put your effort into the few things that consistently move the needle.

Review the podcast by October 15 for a chance to win 3 months free in Physique University Mastery Track ($261 value). Leave a review at Apple Podcasts... EVERYONE who leaves a review will get a gift from me :)

Get 20% off Cozy Earth temperature-cooling sheets (with code WITSANDWEIGHTS) at witsandweights.com/cozyearth

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Confused about which fitness and recovery tools actually work?

Ice baths, red light therapy, massage guns, collagen supplements, and more! The marketing makes them all sound like you NEED THEM NOW.

Learn about 13 overhyped tools ranked from least to most overhyped based on what the science actually says, when they might help in specific situations, and how to avoid wasting money on gadgets that don't move the needle.

1 recovery tool that DOES actually work:

Timestamps:

0:01 - Are these fitness tools worth it?
2:47 - Review giveaway!
5:55 - How I'm ranking these fitness and recovery tools
7:15 - #13: Ice baths
8:22 - #12: Cryotherapy
9:02 - #11: Compression garments
9:48 - #10: Massage therapy and foam rolling
11:43 - #9: Percussion guns
13:11 - #8: Tart cherry juice
14:26 - #7: Heat therapy and sauna
17:42 - #6: Dry needling
18:49 - #5: Red light therapy
20:00 - #4: BCAAs and EAAs
21:51 - #3: Collagen supplements
23:11 - #2: Electrical stimulation (TENS and EMS)
24:20 - #1: Glutamine/supplements
25:28 - What these tools have in common and 3 questions to ask

Stop Chasing “Shiny Objects” for Fitness & Recovery

If your feed looks anything like mine, you have probably been served a steady stream of cold plunges, red light panels, massage guns, collagen powders, and miracle patches promising faster recovery and better gains. Some of these have a place. Most are overhyped for the average lifter trying to build muscle, lose fat, and feel better.

Below is a clear, ROI-first breakdown of 13 popular fitness and recovery hacks, ranked from least to most overhyped, with what they actually do, when they might be useful, and when they are just draining your wallet.

The ROI framework I use to judge these tools

  • Does research show a meaningful benefit for strength, hypertrophy, performance, or adherence?

  • Is the benefit context-specific rather than a universal fix?

  • What is the cost vs. benefit compared to basics like training, sleep, protein, steps, and stress management?

13) Cold water immersion and ice baths

They reduce acute soreness and can help you rebound between back-to-back competitive efforts. They also blunt hypertrophy signaling if used immediately post-lift. If you enjoy them, place well away from lifting sessions. Helpful in narrow scenarios, not a daily muscle builder.

12) Whole-body cryotherapy chambers

Same mechanism as cold water with a higher price tag and more friction to use. You get similar effects to an ice bath with less convenience and more cost. If your goal is hypertrophy, keep exposure separate from training or skip it.

11) Compression garments and pneumatic boots

Small, short-lived reductions in soreness and swelling. Comparable benefits to a 10-minute walk or easy cycling. If you love how they feel, fine. Just recognize the marginal return relative to price and time.

10) Massage therapy and foam rolling

Short-term improvements in range of motion and soreness relief. Great for comfort and a pre-lift movement boost. Effects fade quickly and do not build capacity by themselves. Massage can be a worthwhile luxury. Foam rollers are the budget option with similar acute effects.

9) Percussion guns

Theragun, Hypervolt, and similar tools offer transient relief and a small ROM bump. Useful as a quick primer before lifting or to relax tight areas. Benefits are similar to a lacrosse ball or basic soft-tissue work at a much higher cost.

8) Tart cherry juice and polyphenol supplements

Occasional studies show reduced soreness. Chronic anti-inflammatory stacking may interfere with adaptations, just like routine NSAID use. If you like the taste, enjoy it as food. Do not expect it to be a major recovery driver.

7) Heat therapy and sauna

Promising for endurance adaptations and general relaxation. Infrared units are convenient at home and traditional sauna can be a solid habit for well-being. For lifting outcomes, think modest at best. Prioritize sleep and training quality before investing thousands in a box that makes you sweaty.

6) Dry needling

Can reduce pain and improve short-term mobility in targeted clinical cases. Not a general recovery tool. If your PT uses it to address a specific issue, fine. As a recurring performance strategy for healthy lifters, it is oversold.

5) Red light therapy

Mixed evidence with lots of marketing. Some small signals for soreness, little for strength or hypertrophy. Expensive hardware, inconsistent results. Spend the money on a quality program, better sleep environment, and protein.

4) BCAAs and EAAs

If you hit daily protein targets, you already have the amino acids you need. The narrow use case is fasted training with a long delay before eating, which you can also solve with whey or a simple pre-workout snack. Dollars per useful gram is poor.

3) Collagen for muscle recovery

Collagen is an incomplete protein. It is not a replacement for complete protein sources when the goal is muscle. There may be a role for tendon health when combined with vitamin C timed around training. For hypertrophy or general protein intake, choose complete proteins first.

2) Electrical stimulation devices

TENS can help short-term pain. EMS marketed as a muscle builder without lifting is pure fantasy. Good rehab tool in some cases, not a shortcut to strength or size. If an ad claims you can skip training, close the tab.

1) Glutamine for muscle and recovery

Heavily marketed for decades, not effective for muscle growth or performance in healthy lifters. Potential clinical use in illness does not translate to hypertrophy. Your protein foods already provide what you need.

What these tools have in common

They are sold as solutions to problems most lifters do not actually have. If you consistently lift, hit protein, sleep enough, walk more, and manage stress, you have already solved 95 percent of recovery. Add optional tools for comfort or enjoyment, knowing they are the 1 percent.

The recovery hierarchy that actually moves the needle

  • Training quality and progression: well-designed programming, smart volume, good exercise selection, technique, and effort

  • Sleep: 7 to 9 hours, cooler room, consistent schedule, dark and quiet environment

  • Nutrition: adequate calories for your phase, protein 0.7 to 1.0 g per pound of goal body weight, carbs to support training

  • Movement: steps and low-intensity activity to drive blood flow and recovery

  • Stress management: breath work, walks, sunlight, boundaries with tech and work

How to pressure-test any new gadget or supplement

  1. Am I already nailing the big rocks for at least 8 to 12 weeks?

  2. Is there meaningful evidence for my goal and context, not just general claims?

  3. What is the opportunity cost? If I spend money and time here, what am I not doing that would have a bigger payoff?

Practical substitutions that save money

  • Instead of percussion guns and compression boots, do 10 minutes of easy walking after training and again in the evening.

  • Instead of BCAAs or EAAs, drink whey plus fruit pre or post-workout to cover protein and carbs.

  • Instead of a red light panel, get morning sunlight and protect a regular bedtime.

  • Instead of chronic cold exposure post-lift, use contrast showers or save cold for non-training days if you simply enjoy it.

Gadgets can be fun, and some have narrow uses, but they are not multipliers unless the foundations are already tight. If you have discretionary budget and everything else is dialed in, enjoy whatever adds comfort or compliance. If not, skip the hype and invest in the boring winners that keep working year after year.


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Transcript

Philip Pape: 0:01

I don't know if your feed looks like mine, but I keep seeing ads and influencers talking about cold plunges and ice baths and red light therapy boxes, massage guns, collagen supplements, all the things. And I'm wondering how many people are thinking, do these work? Or are they hype? And I don't want to waste my money, but it looks so attractive, it looks like it's gonna do this amazing thing that I really need right now. If that's you, then this episode is for you because we are gonna rank 13 of the most overhyped fitness and recovery tools based on what the science actually says. You're gonna discover which ones might help in specific situations, which ones are a complete waste of money, and how to think about these tools so you don't fall for any of these claims and do what actually works. I'm your host, Philip Pape, and today we're gonna look at overhyped fitness tools. Because the fitness industry runs on hype, doesn't it? You've got new devices every day for recovery, for supplements, you know, miracle cures, high-tech gadgets, all promising faster results, better performance, easier gains. Anyone ever heard of vibration plates? Yes, they are still around. The problem is that most of these tools range from barely helpful to completely useless, but they are marketed so slickly that we all keep buying them. I've bought plenty of different devices over the years. Some of them are on this list. Am I ashamed? No, because I didn't, you know, I thought I was getting what I was getting, and then now it's collecting dust. Well, you're probably gonna relate to this when we get into this list. We all want an edge, but these aren't it. So today I'm gonna rank 13 of the most overhyped fitness and recovery tools from least to most overhyped. From eh, this might actually work in some context to don't waste your money. We're gonna look at what the research says at a very high level, because it's a lot. It's a lot, it's a big list, so I don't want it to take too long. We're gonna talk about when they might make sense and then when they are just uh emptying your wallet, let's say. If anybody uses wallets these days, you know what I mean. So before we get into the ranking, I did want to share just a couple of reviews that came in from listeners lately and then talk about a little giveaway we're running if you submit a review. So a couple of my favorite reviews that have come in. One is from Travis Roden. He said, This man makes nutrition and strength training clear and actionable. Each episode cuts through the noise with great tips and real world advice. Check it out if you're serious about lifting and long-term results. I love that review because it kind of says it all, right? Actionable, strength training cuts through the noise, practical, etc. And then another one I got is a bit longer, but I really love it. It's from Kaniac Fan 14. Yeah, I said that right. Wits and weights is a game changer. I discovered wits and weights in early 2023 and have been a follower ever since. So this is a longtime listener. Thank you so much. I'm grateful. Phillips engineering mind crunches numbers like a computer. He has the ability to analyze data and present solutions to his clients in a no-nonsense yet compassionate way. I've witnessed him grow his brand and reach a broader audience, as is evident by his growing community of podcast followers. The interviews are carefully curated and up to date with current trends. Philip is passionate about his work and is so approachable, providing plenty of free resources as well as guided one-on-one coaching. The podcast, as well as the wits and weights community, are valuable resources anyone should have in their health and wellness toolbox. And I wanted to highlight that one just to make known that I do have an entire ecosystem here I try to develop to make things accessible to as many of you as possible. And this podcast is a great entry point because it's free. It's 100% free. You can take the information, you can apply it. And, you know, I might not get it right all the time. I'm always learning myself. I try to have whatever tiny bit of humility I can possibly have in this space and keep learning and bringing that to you. But the cool thing is, if you do enjoy the show, if you want to help others discover it, and you leave a review on Apple by October 15, you'll be entered to win three months of our mastery track level of physique university. That's the more personalized level of service that we have. So this is almost a $300 value that you can win. I mean, essentially, I don't want to say raffle because I don't know if that passes the uh the legal test here, but you know, one reviewer will be selected for three months of free coaching. And then I'll give you some more details at the end of the episode if that sounds interesting to you. All right, let's talk about these tools that I'm gonna rank. I'm gonna look at three things. First of all, does the research show any meaningful benefit, right? Not just statistically significant, which is the technical term in the literature, but really meaningful to you for your training, for your physique? The things that we're scoping for our discussion. Second, is the benefit specific to certain situations, or is it marketed as this big catch-all universally helpful thing when it is not? I think it's important to separate those. And then third, what is the cost versus benefit? What is the return on investment? A cheap tool that provides a small benefit actually might be worth it. An expensive tool that provides a small benefit, probably not, right? So with that framework, let's get into it. Let's get into the ranking. We're gonna go from least overhyped to most overhyped. So least overhyped is gonna be number 13 on the list: cold water immersion and ice baths. All right. So I was not I was not even sure if I should have this on the list because ice baths actually do something. You know, they reduce muscle soreness, they can help with recovery between, say, events in a tournament or competition context where you have to perform multiple times in a short period. The problem is that they can blunt hypertrophy adaptation. So that's the adaptation from your lifting if you use them right after lifting, because the cold interferes with the inflammatory response that signals muscle growth. So ice baths work as intended. They reduce acute soreness, but they kind of get misused if you're using them right after you lift. Now, if you're in a competition right now, today, and you have multiple events, you want to take ice baths in between to reduce soreness, that makes total sense. But if you're trying to get bigger and stronger over time, skip them after your workout and do them completely separate from your workout, mainly to reduce just general soreness or to relax or because you're crazy. Any of those work. All right, number 12, moving up the list from least to most overhyped. Number 12 is cryotherapy chambers. I yeah, I know all of you are going out to use cryotherapy right now, but seriously, I do see these a lot, especially with kind of higher-end influencers. You know, and I I my feed is weird because of I look at the whole spectrum as a coach, as a fitness enthusiast, as a business owner, you know, as a person with other interests, I have nothing to do with this. But it's the same mechanism, same benefits, same drawbacks as ice baths. The difference is you pay more and you have to go to somewhere and you have to stand in a chamber instead of filling your bathtub with ice. So, whatever that makes sense to you. If you don't want to get in the ice, maybe that's why you want to do it. But uh, I would say it's not necessarily overhyped in terms of what it does. It's overhyped in terms of the convenience and the cost because you're paying this big premium for not really any additional benefit. So that's what I would put on number 12. Number 11 is compression garments and pneumatic boots. And I would say these have small effects on your soreness and swelling. They're about the same as walking or light movement. If you like how they feel, that's fine. I'm not telling anybody not to do anything today. It's your choice. But if you're not getting anything that you couldn't get from a 10-minute walk and then you're paying lots of money for special boots or special clothing, you know, which are hard to put on and all this, then you know, it's it's a thing to consider. The benefit exists, but it's not worth the cost for most people. Now, I'm not talking about knee sleeves and shoulder sleeves for lifting. I'm not talking about if you have varicose veins or some medical issue, none of that. Purely talking about in the context here of, you know, lifting, recovery, fitness, and and that such and that whatever. I can't use proper grammar right now. Okay, number 10, massage therapy and foam rolling. Okay, now, interesting, right? Because I get a massage once a month. I do it because it feels great. And if I ask my massage therapist to focus in one area, like my shoulder capsule, it will probably give me a day or two of benefit in my lifting, maybe. Okay. I will I have to personally use a lacrosse ball and dig into my shoulder pretty much every day for to have a more sustained benefit when it comes to reducing, let's say, scar tissue. This is for me personally with my history. So, what do you get from massage therapy and foam rolling? Well, you get some modest reductions in DOMS, delayed onset muscle soreness and stiffness, some short-term improvements in range of motion. It feels great, right? Foam rolling before a workout can help you move better sometimes, and they can make you comfortable, give you some acute relief, but they don't help beyond that. Now, I've talked to some experts who are physical therapists who are huge advocates of foam rolling, but I would say they're not going to really help with your training capacity over time or your performance as much as maybe they claim to, is my point. They're more temporary relief. Maybe they reduce soreness. And you could argue that reducing soreness helps improve performance. This is why I put it lower on my list. It's not like super, super overhyped. Now, massage therapy is expensive for most people, right? It is pretty expensive. I mean, I've had the same therapist for for years, and I'm locked into her rate from several years ago. Otherwise, it'd be, you know, way more expensive than I might even want to pay right now. And maybe that's maybe that's on me to uh, you know, give her more. I don't know. But uh foam rollers are cheap, of course. So we've got massage therapy and foam rollers. And if you want that temporary relief, if you think foam rollers are the B's knees, go for it. I'm just saying that they're a little bit overhyped. That's all. They're just a little bit overhyped. Okay. Number nine, moving up the list here, is percussion guns, massage guns like Theragun, Hypervolt. Again, I think any of these massage gadgets, and these are probably the better ones, that's why I put them on the list, will give you a little bit of a relief with your short-term range of motion and soreness, but they they fade quickly. I mean, you know this, right? You've used these massage devices, whether it's the ones with the rotating spheres that you put on your neck, the ones that you could put on your back, right? The massage guns, of course, these have become massively popular, right? They they're super high tech. They feel good in the moment. I used to use them a lot during CrossFit, like right after a session, they feel good, but it's really temporary relief, kind of like getting a massage. It's the vibration, it's the percussion. The research shows that these effects just don't last. You're not improving your recovery capacity or building more muscle or improving your performance. You're just getting temporary relief. And they're expensive, right? Two to six hundred dollars. And it's probably the same effect as a foam roller or lacrosse paul. So that's something to consider. All right. Moving up the list to number eight, tart cherry juice, and polyphenol-rich supplements. Okay. So this is an interesting one I put on the list because I don't know, there's so much marketing about it. Tart cherry juice, which seems like ridiculous. And you just, if you were an alien that came in and saw that people were pushing tart cherry juice, you'd wonder like how that fit into the spectrum here. Is it anti-inflammatory? Sure, but that could be a downside when it comes to your training adaptation, kind of like the ice baths. And if you're always suppressing inflammation, kind of like taking ibuprofen, that could be actually a negative. Some research shows it reduces soreness, some shows it maybe interferes with what you're trying to do, right? The juice is fine. I have nothing wrong with fruit juice, but if you're buying it for recovery benefits or something like that, I would say probably wasting your money. That's just the long and short of it. All right, number seven, heat therapy and sauna. Okay, now I put this kind of in the middle of the list as slightly overhyped. Not that I don't think there are benefits, right? There is some promising research here for heat on endurance adaptations, and of course, on being relaxed. I mean, that's for time immemorium. There's been some form of sauna, you know, heat baths going back to the Roman Empire for relaxation. We know it can feel good. Infrared sauna actually does show potential results in, I think they've studied trained women. So that's that would be the kind that I would have in my house if I bought one at all, just because it's probably more practical. So the benefits are real, but they're they're narrow. And I would say if you are, if you want to relax, if you're training for endurance, it might help. Um, it might help you because you adapt to heat. For that's that's why it helps the most, believe it or not. But it's not gonna help you, you know, recover better so that you grow more muscle or lose fat faster or anything like that. And if it does, it's you know, a tiny, tiny thing. It's like if you're buying it for yourself, you're spending thousands and thousands of dollars. If you want to go do it, just think of it as it's the 1% because it's this extra time you could be spending walking or sleeping or whatever that might be more impactful than the sauna itself. I'm not trying to discourage you from using sauna. I'm just putting on the list of things that are overhyped, guys. Okay, so don't take it personally. Hey, this is Philip, and you know that one spot in your home you were thinking about all day, the place where you can finally unwind and relax? For me, that's my bed. I have a really good mattress, but I was still having trouble with getting too hot at night and not feeling fully rested. You know that feeling where you have your seven or eight hours, but you still feel tired in the morning? Well, it turns out that the missing piece was my sheets. So I tried some different brands and I finally settled on a really comfortable sheet set from Cozy Earth made from viscos from bamboo. They're temperature regulating, so they naturally wick away heat and moisture, which has made my sleep way more restful. So if you run hot at night like I do, or your partner's always stealing the covers because they're cold, this could be a game changer for your sleep quality and recovery. Cozy Earth also gives you a 100-night sleep trial and a 10-year warranty, so you can literally try them for three months with your routine and still return them if you don't love them. Now think about this you spend 2,500 hours a year in bed and you're already investing in training and nutrition. So why not optimize your sleep as well? Head over to witsandweights.com slash cozy earth and use my code Wits and Weights for 20% off to try these for yourself. Because sometimes it's the small upgrades that make the biggest difference. Again, go to witsandweights.com slash cozy earth. Now back to the show. All right, let's keep going on number to number six, right? We have 13 on the list. We're up to number six, moving our weight up to number one. Dry needling. So dry needling reduces pain and stiffness in clinical settings. It's sometimes helpful for movement restrictions or chronic pain. And I had dry needling myself on my shoulder. I had straight up dry needling and I had one combined with a TENS device, which is going to be on my list a little bit later. So, and it didn't help me too much. And I'm not giving you anecdotal evidence here. I'm telling you just it didn't help me that too much. For some people, it does help, though, a little bit with pain and movement restrictions. So if you're doing it in like a PT setting, but it's not something you necessarily have to do on a regular basis. That's where, again, I think it's overhyped as an ongoing thing you go in and get, like a massage, right? It's not a recovery tool. It's not gonna make you stronger or leaner. It's for very specific purposes that can be helpful. And if you have a legitimate issue that it can address, fine. But people are getting it done regularly, thinking it's gonna improve their training. So I put it in that whole bucket of like wellness and spa practices that people are wasting their time on when they're not focusing on enough on the big rocks first. All right, moving up to number five, red light therapy. Oh no, yes, red light therapy. I know it gets gets pushed on social media so hard. There's some influencers, there's people that I follow that I like who, you know, they have an affiliate code and they they push their red light boxes and stuff, but the evidence is mixed. Studies, some studies show relief with DOMs, others show no effect on performance. The research isn't really there, and they're very expensive. They're hundreds to thousands of dollars with these wild marketing claims of, you know, it's gonna just just get your energy going for the day. You're gonna recover, have better performance, improved skin, better sleep. It's just not supported by the research. There are some promising results coming out, but there's they're very inconsistent. And again, I'm comparing it to the cost and thinking of ROI, and I don't see it there. All right, number four, BCAAs and EAAs, all right. Bryant's chain amino acids and essential amino acids have been pushed for years. The only benefit, if there is one at all, might be if you train fasted and you're not gonna eat for a long time and you're worried a little bit that you're not gonna have as much protein synthesis. That's it. I think they're a waste of money for almost everybody, even if you train fasted. Because even if you train fasted, you could either sip something during your workout that has carbs and protein, or eat right after and recover. And and training fasted is not the biggest problem, honestly, because we know that if you get used to it, you can have similar results. We we see that I'll admit that, right? I don't recommend it for people because most people are going to perform better if they just have that banana and whey protein before their workout. And there's no, I will say this there's no reason to train fasted intentionally because you're trying to get some extra benefit. It's it's mainly for practical reasons, for schedule reasons, and things like that. You are getting plenty of amino acids if you eat enough protein, period. You don't need to waste money on EAAs or BCAAs. I used to take these myself, followed the lean gains protocol for years. I did CrossFit training fasted for years. But they're they cost so much for what you get. You are just and you're peeing out most of the benefits. Sorry to be crass, but just eat food. Eat protein. Even whey protein or plant-based protein powder, that's a whole protein. And that takes me to number three, which is related, and that is collagen supplements. All right. Collagen is an incomplete protein. It is just low quality. It doesn't have the amino acid needed profile needed when you could just eat whole sources of protein from animal products or mixed plant products. The only benefit for collagen may be for tendon and joint health when combined with vitamin C, when timed around training. And even then, I would take like Fortify, which is from Legion Athletics, which has type 2 collagen and curcumin extract, right? It's much more efficient, bioavailable source to help with your tendons and joint health. But when it comes to like recovery with protein, with muscle, maybe even skin and hair nails, it's it's probably a waste of money. And if you're doing it as part of your protein regimen, just eat regular protein from food or complete source. That's all I'm saying. All right, now we get to number two, which is electrical stimulation. That's tens. I think this is one of the most overhyped things of all, only because they they help with acute pain management for some people, but they're marketed as these big recovery muscle building tools. And they are particularly overhyped, the EMS devices, especially, when marketed as shocking your muscles and not having to lift weights. That's the part I'm talking about. That really frustrates me. That and the vibrating plates and put put anything in that category where you're trying to stop training. Okay, where you just, where you're like, I don't have to train, I don't have to lift weights, I'll just put some electrical stimulation on me and I'll build muscle. No, no, no, no, no, no, no, no, no, no. And then number one is glutamine. So I wanted to get a supplement on this list. Well, I had collagen, but like a non-food, I don't know what I'm trying to say. I guess I've had a few, right? EAAs might fall in there, but glutamine is a very specific, targeted supplement that is one of the most heavily marketed in the fitness industry. It's been around for a long time. I think it's getting marketed less and less, but it's been also researched a lot and it doesn't work for what people think thinks it does. It does nothing for muscle growth, for recovery, for porn, for performance. The only people that might benefit is people who are critically ill or immunocompromised. And yet they still get pushed. People still buy it. It's still marketed with no substance. And you know what? I picked glutamine, I could have picked fat burners, I could have picked a whole bunch of other supplements that go on this list. Just got to do your research, is what I'm saying. Because if you think you're taking all these things, it's gonna help you, and then you don't have to do other things, that's really where the problem is. So those are the 13. Maybe you want something else on the list, message me at wits and weights. Maybe you disagree with somebody on here. I would love to hear your perspective. Again, put it in the context of where I'm coming from today, return on investment, up cost, convenience, how effective it is relative to other things that you could be doing instead or aren't doing yet, et cetera. Right? What these tools have in common is that they are marketed as solutions to problems that most people don't actually have. Right? If you're sleeping enough and moving regularly, you probably don't need a percussion gun. There's ways to recover properly at the root cause level, that then doesn't mean you need all these other tools. You don't have to have certain supplements like glutamine if you're eating enough, or glutamine or EAAs, or collagen if you're eating enough protein. You don't need red light therapy if you're training nutrition, sunlight exposure, walking or dialed in. All right. The fitness industry profits from convincing you that you're missing something, that there is a tool or supplement that you haven't found yet. And voila, here it is. It's going to unlock your results. Buy now for the low, low price of, and here's your discount code. Okay. And I'm an affiliate, by the way, but the research is pretty clear on most of these tools that I talked about today, because there are some tools that do give you the secrets to longevity and fitness. It's called sleep protein training consistency. Okay. And a few more that probably fall into those same buckets. Everything else is optional at best, counterproductive at worst. So if we want to bring it back to what does matter, if you're looking at any of these and wondering if you should buy them, I want you to ask yourself a qualifying question first. Actually, three questions. Number one, am I strength training? Number two, am I getting enough sleep? And number three, am I eating right? Am I eating enough food and enough protein? Ask yourself those three questions. If you're not even doing those things, forget about the rest. And then second, when you do want to go down that path, does the research show a meaningful benefit for my situation? Right? Not just general claims, but really what I'm trying to do specifically. Third, is it worth the cost of that benefit? So if there is a benefit, and I'm not arguing that these things don't have some benefit, is it worth the money and the time and the opportunity cost compared to other things, other investments, other uses of time? Right? Because most of the time the answer, if you take time to think about it instead of just pulling out the credit card, is no, which means don't buy it. Right? Now, the tools that I rank today, they're not all terrible. Some of them work in specific contexts. Some of them I use myself, like massage. I love massage. I just don't do it for the reason that is often claimed that it's good for, right? I think they're everything on this list is overhyped to some extent because they're marketed as more important than they are. And your money and effort are better spent on sleep, food, training, even coaching. Yes, I'm a coach. Full disclosure, yep, conflict of interest, but I still think that's more important than many of these tools and gadgets. All right. So I mentioned before we go that I was gonna talk quickly again about the review giveaway. Anyone who leaves a review for the podcast on Apple by October 15 is gonna be entered to win three months of coaching in the Mastery Track of Physique University. That's a $261 value. And everyone who everyone who submits a review is gonna get a surprise bonus for me. So here's how to enter, go to Apple Podcasts on your iPhone or iPad, search for the show, or if you're already listening right now, just go to the show page, scroll down, tap write a review, leave a star rating, write a short review, and that's it. If you're not sure what to say, talk about the latest episode and your takeaway or what you like about the show. And then the winner is gonna be announced in our Facebook group and by email shortly after the deadline. So probably by the end of October. And again, if you don't know what to write, just say what your favorite recent episode was, and it's gonna help me learn what you love. And maybe I'll give you a shout on the show, and it'll help others discover the show. All right, until next time, keep using your wits, lifting those weights, and remember the best tools for building your physique are the ones you already have consistency, effort, and smart training.

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The Metabolic Storm of Menopause and HRT Timing for Fat Loss & Muscle (Karen Martel) | Ep 382

Doing everything right but still gaining midsection fat and sleeping worse? Menopause changes how your body handles energy, appetite, muscle, and fat. Hormone specialist Karen Martel reveals the menopause “metabolic storm,” the critical window for HRT, and simple steps to protect muscle and curb visceral fat.

Register for the Live Q&A with Karen Martel on Tuesday October 14, only in Physique University (replay included). Use code FREEPLAN to get a free custom nutrition plan when you join ($97 value) at physique.witsandweights.com

Get hormone creams and oils without a prescription at witsandweights.com/karenmartel (use code WITSANDWEIGHTS for 10% off)

What if waiting too long for hormone therapy meant more than hot flashes? What if it set you up for stubborn weight gain, bone loss, and low energy?

I talk with hormone specialist Karen Martel about why timing matters for HRT, how hormone shifts impact metabolism, muscle, and mood, and why lifestyle alone isn’t always enough. We cover genetics, trauma, and the latest tools, from HRT to GLP-1s—that can help women reclaim vitality in midlife and beyond. 

Karen Martel is the host of The Hormone Solution Podcast, where she helps women thrive through perimenopause and menopause with practical, science-backed solutions. 

Today, you’ll learn all about:

6:35 – How hormones trigger a metabolic storm
12:56 – The rise of belly fat and insulin resistance
19:11 – Muscle, bone, and recovery challenges
23:51 – Life without hormone therapy
28:55 – Key tests to watch in your 40s
44:12 – GLP-1s as a new tool
59:17 – A positive future for women’s health

Episode resources:

The Metabolic Storm of Menopause

Menopause is not just hot flashes and sleep troubles. It is a shift in the body’s control systems that changes how you process energy, store fat, recover from training, and maintain muscle and bone. The storm often builds for years before the final period, which is why timing matters. Waiting until symptoms are severe can mean fighting an uphill battle with visceral fat, insulin resistance, and accelerated loss of lean mass.

Perimenopause Lasts Longer Than You Think

Perimenopause commonly lasts eight to ten years, often beginning in the late 30s or early 40s. Many women try to outrun the early signs with stricter dieting or more exercise. Helpful habits still matter, yet hormonal shifts are part of the foundation. Addressing them early prevents the storm instead of chasing it.

What Changes First: Progesterone

Ovulation becomes less reliable, progesterone drops, and downstream effects begin.

  • Less GABA support in the brain can increase anxiety and reduce sleep quality. Poor sleep raises next day insulin resistance and appetite.

  • Progesterone normally lifts resting metabolic rate and supports thyroid function. As it falls, weight control becomes harder even with the same habits.

  • Heavier periods and shorter cycles are common signals that ovulation is sporadic and progesterone is low.

Strategic progesterone in the luteal phase can restore sleep, calm, and cycle control for many women while buying time before bigger changes hit.

The Estradiol Pivot: Appetite, Glucose and Fat Distribution

Estradiol from the ovaries is the master regulator for female metabolism.

  • Appetite regulation: declining estradiol disrupts leptin and ghrelin, which blunts fullness signals and increases cravings.

  • Glucose handling: cells become less responsive to insulin, so blood sugar runs higher on the same meals.

  • Fat distribution: as estradiol falls, the body increases estrone production in fat tissue. Estrone is more inflammatory, which encourages more fat gain, especially centrally.

This is the classic menobelly pattern, with visceral fat that is metabolically active and more dangerous.

Testosterone, Muscle, Bone and Recovery

Women produce testosterone too, and midlife levels often drift downward.

  • Lower testosterone and estradiol reduce muscle protein synthesis, satellite cell activity, and neuromuscular efficiency.

  • Collagen production and tissue lubrication decline, so joints may ache and recovery feels slower.

  • Muscle is the body’s biggest sink for glucose. Lose muscle and blood sugar control worsens, which feeds fat gain.

Strength training and protein are essential, yet hormones set the ceiling for how well those inputs work.

Cortisol and the Belly Fat Loop

Estradiol helps regulate cortisol by raising cortisol binding globulin. When estradiol drops, free cortisol tends to rise. More cortisol means more blood sugar swings and more central fat storage, especially if life already involves high stress and low sleep.

Who Gets Hit Hardest

Severity varies. Genetics, early life stress, environmental exposures, and current lifestyle all play a role. Healthy habits still help, and they often limit the damage. Yet even diligent lifters and careful eaters can see rapid changes if hormone loss is ignored.

The Timing Window for HRT

The common advice to wait until symptoms are extreme leaves many women trying to reverse years of metabolic drift. A better approach is to monitor, support, and intervene earlier.

  • Pay attention to symptoms: new anxiety, sleep fragmentation, heavier or shorter cycles, hot flashes, night sweats, skin and hair changes, rising belly fat, or stubborn weight despite solid habits.

  • Watch FSH and LH: these pituitary signals rise as the brain works harder to push the ovaries. In a regularly cycling woman, FSH under about 10 is typical on day 3 of the cycle. A consistent move above the teens suggests strain. Persistent values above roughly 20 often coincide with weight gain and worsening symptoms.

  • Use estradiol readings cautiously: levels can swing from week to week in perimenopause. Trends and symptoms matter more than a single normal value within a wide reference range.

The practical takeaway is simple. If sleep, mood, cycles, and belly fat are moving the wrong way and lifestyle is in order, consider hormone therapy sooner rather than later, ideally with a practitioner who individualizes dose and delivery.

A Simple, Phased Plan

  1. Lock the basics. Lift with progression, eat adequate protein, walk daily, and protect sleep. These raise the floor for metabolism at any age.

  2. Support progesterone when ovulation falters. Luteal phase progesterone often calms sleep and anxiety and stabilizes cycles.

  3. Add estradiol when symptoms and markers indicate need. Small, well timed doses can steady appetite, insulin sensitivity, recovery, and body composition.

  4. Address androgen support if appropriate. Thoughtful testosterone therapy can protect muscle, bone, and libido in select cases.

  5. Recheck, adjust, and keep training. Personalization is a process, not a one time decision.

GLP-1 Medications as a Tool, Not a Crutch

When weight will not budge despite training, protein, sleep, and appropriate HRT, GLP-1 agonists can help. They reduce appetite and may improve glycemic control and inflammation for some users. Used at conservative doses alongside strength training and protein, they can help remove regained midlife weight without losing muscle. Early evidence and clinic experience suggest women already on HRT may lose more, likely because hormones and appetite signals are aligned. These drugs are optional tools, not first lines, and they work best inside a structured plan.

Safety, Not Fear

Much of the fear around menopausal hormone therapy comes from outdated interpretations. Bioidentical estradiol and progesterone, appropriately dosed and timed, are not the same as older preparations that drove past headlines. Remember, these hormones were present for decades of your life. The question is how to replace what is missing in a way that restores function while you continue to train and live well.

Bottom Line

Perimenopause is long, and metabolism can shift quickly when progesterone and estradiol drop. If you wait until everything unravels, fat loss becomes harder and muscle maintenance takes more effort. Use symptoms, training response, and a few smart labs to time hormone therapy, support recovery, and keep glucose control and appetite on your side. Paired with lifting, protein, sleep, and walking, well timed HRT can turn a metabolic storm into manageable weather.


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Transcript

Philip Pape: 0:01

If you're a woman approaching or experiencing menopause, your doctor may have told you to tough it out that hormone therapy is risky or that you can start at any time if symptoms or labs get bad enough. But what if waiting too long to begin menopausal hormone therapy doesn't just mean suffering through hot flashes and sleep disruption? What if it means missing a critical window that could determine your metabolic health for the rest of your life? Today, my guest reveals why the timing of hormone therapy is about preventing a metabolic storm that fundamentally changes how your body processes energy, stores fat, and maintains muscle and bone. You'll discover why the conventional advice to delay therapy could be setting you up for visceral belly fat accumulation, insulin resistance, and accelerated bone loss. And if you think you can simply overcome these changes with more exercise and stricter dieting, you're about to learn why that approach falls short and what to do instead. Welcome to Wits and Weights, the show that helps you build a strong, healthy physique using evidence, engineering, and efficiency. I'm your host, Philip Pate, and today we're gonna look at one of the most critical but misunderstood aspects of women's health, and that is the timing of hormone replacement therapy and the very profound impact it has on your metabolism. Now you are gonna love my guest today as she returns for the third time, the wonderful, knowledgeable, and always friendly Karen Martell. Karen is a certified hormone specialist. She's a weight loss coach, she's host of the hormone solution podcast. I can't believe you're not following that by now if you're not. And she's helped thousands of women navigate that fine dance between hormones and metabolism. She's here today to discuss the cue the thunder metabolic storm of menopause and why the timing of starting HRT may be more important than you think. Karen, always an honor, always a pleasure to talk to you here on Wits and Weights.

Karen Martel: 1:59

Thank you, Philip. It's so good to be here. I love coming on your show. I love talking to you. It's always good.

Philip Pape: 2:05

Likewise, likewise, because we I think we have a lot of overlap. And then there are also things that are just like totally in your wheelhouse that I love to learn. I learn something new every day, 10 things when we talk. And so does the listener, and they're always asking for you as well. So it's going to be exciting. And it all you're also going to be coming into our group to do a live Q ⁇ A very soon after this comes out. So look for that, everybody. But you've had a lot of interesting guests on your show, like Bill Campbell, who I know very well. Um, you've been talking a lot about the menopause transition, which is roughly a, I think, three and a half year phase on average for a lot of women. You've been talking about how hormone uh changes, especially hormone loss of the key reproductive hormones, can drive fat distribution, changes in insulin sensitivity, bone health, muscle mass, metabolism, and weight, all the things. What is the latest we know about all this specifically with what you call the metabolic storm? Because we want to focus on that and how we can get ahead of it.

Karen Martel: 3:03

So I will correct you on something there. It's not just three years, Phil.

Philip Pape: 3:08

Okay. It's okay.

Karen Martel: 3:09

We're we're looking, it's average now for women, the perimenopausal phase is typically eight to ten years, and it can go on longer. And and I think that that's an important thing to recognize because a lot of women don't realize what's happening to them when they're in their late 30s and early 40s, and they're like, hmm, what's happening here? My I'm getting a heavier period, or I've gained a little bit of weight, or my hair's falling out, or my joints starting to hurt. I'm got suddenly a whole bunch of new wrinkles that I didn't have a year ago. You know, these little things that just like this can for someone they can slowly creep in, and they typically start to do all of the other things besides look at their hormones. They're like, oh, I better start, I better change my diet, I better exercise more, I better do this, I better do that, which you kind of have to do those things. But you should also be looking at the hormones because the earlier you can catch the hormonal loss that starts to happen, the better off you're gonna be. And then the less of that metabolic storm, it's gonna be sunny skies. It's not gonna be a storm. And this is where so many practitioners are going wrong, and doctors are going wrong, is that they wait until a woman is a hot mess way into her 40s, even into her 50s and post-menopausal. Then they're like, oh, okay, now we'll give you hormones because you are still suffering so badly. And it's like at that point, many of these women are 10, 20, 30 pounds overweight. And these are women that are coming from a background of exercising and healthy eating and listening to our podcasts, and they're like health-conscious women, and they're going, what just happened to my body? And then it's so hard to reverse once it happens. So it's easier to prevent.

Philip Pape: 5:08

Yeah. So there's two things that are big takeaways from what you said that I got. The first is the education on the timing, which is what we're talking about. I'm glad you mentioned the, you know, the three and a half years that I was referring to is the MT from the literature, right? It's that tiny period right before the final end and end of menopause, right? When you haven't had a period for a year and you're at menopause. And what you're saying is really, we have to back this thing up and look at the whole spectrum that goes from as early as potentially your late 30s, I understand, but mainly through your 40s and in your 50s. We were talking about Zora Benamu, right? Who's she's been on my show and vice versa, and you you're good friends with her. Um, and she talks about all the misconceptions that not just, you know, people, but women specifically have with menopause. And so that that's part of the discussion. The second thing you mentioned is how a lot of these women are doing the things, right? And and this is this is my population too. And those who listen to this podcast of like, you know, I know to track food or macros or whatever, you know, I know to, you know, eat the right portions, I know to eat protein, I know I should be lifting weights. Now, maybe they're not all doing that, but even the ones who are, and they're still frustrated and like, what's going on? And like you said, a little bit of gaslighting, whatever you want to call it, maybe it's more ignorance than anything, lack of training in the healthcare industry. And it's like, no, you gotta be a hot mess, you've got to be totally like begging for, you know, hormone therapy before you do it. So those are two huge takeaways that I think set the stage for like, okay, what is happening, Karen? Yes. And what do we do about it? Let's unravel the mystery.

Karen Martel: 6:35

Yes. And so let's get into like the meta, like what's happening to the metabolism through these phases, because that is like the so important. And and it starts when we start to lose our our progesterone. So that's usually the first to go. And that's in our late 30s, early 40s. We run out of eggs, we come into this world with a certain amount of eggs, we start running out of them. And when we no longer ovulate, we are no longer producing the bulk of our progesterone. Well, second half of your cycle, progesterone is supposed to come on the scene, which raises our metabolic rate, it raises the basal metabolic temperature in the body. It also helps your thyroid to function properly. And so that is the first thing that starts to happen to the metabolism, is that is we don't get that rise in body temperature in the second half of the cycle. Progesterone is also super key for GABA production in the brain. It influences the GABA receptors in the brain, which GABA helps us, helps us all to sleep. It induces sleep. We know that when people do not get a good night of sleep, if you have, if you've ever worn a CGM, you will see that your blood checkers will be spiked when you wake up in the morning. Because it's like instant insulin resistance the next day when you don't sleep well. So without that progesterone, which is helping you sleep, that starts to go. So now we're not sleeping as well. So now we're getting more insulin resistant, right? Every time we, you know, especially if we're going for longer and longer stretches and if not good sleep, that's gonna start to really impact your body composition, your blood sugar regulation, etc. The other thing is GABA is an anti-anxiety neurotransmitter. So GABA helps you to be calm. So now we don't have as much of this GABA response happening in the second half of the cycle. So we hear from so many women that anxiety starts to go up. And if you're not sleeping and you're so you're tired, you're slightly insulin resistant, but not only that, you're you've got anxiety, a little bit of, you know, just that like low-level anxiety feeling all the time. I'm sorry, but do we want to eat really well when we feel that way? Typically not. Typically, your body goes, give me the sugar, I need that dopamine hit, I need something to give me some energy, I need something to, you know, up my blood sugar here a little bit because it's wonky. And so you so this is the metabolic storm is now starting. As this continues on, you get less and less ovulation, less and less progesterone. Now we're bleeding heavier, all these things start to compound. Then, typically around mid-40s to late 40s, estradiol starts to kind of go up and down, but slowly starts to go down. So it'll have times where it goes high, but then it'll drop back down. And then, but it's slowly it just goes lower and lower. And it's estrogen, oddly enough. And I think this surprises a lot of women because women tend to associate estrogen with weight gain because of estrogen dominance. And we've got so much estrogen in our environment right now that acts like estrogen in the body, but it's a lot stronger. And so, yeah, estrogen, too much estrogen and too much xenoestrogens absolutely will make you gain weight, but too little estrogen makes you gain even more weight than too much, which is very surprising. But estradiol, so there's three estrogens. Estradiol is the one that we produce in our ovaries. That is the one that is like the master of our metabolism. And so as it starts to go down, many things start to happen. Number one, we have estradiol receptors in the hunger centers of our brain, right? So it helps regulate your eating patterns as well as how much you're eating. So people, women will become more leptin resistant, they'll have dysregulation with ghrelin levels. And so these are the hormones, these are our appetite hormones that tell us when to stop eating, gives us the signal to the brain, like, hey, I'm done, I'm full, and then as well as hunger, right? So just drives hunger sensations in the stomach. And so that becomes dysregulated as estradiol starts to go down. So we start eating more and we start craving more sugar and we start becoming more insulin resistant. It also helps us just to process glucose. Estradiol helps you to process it. So now we're becoming more insulin resistant as the estradiol is dropping, and that is not good either. And then as estradiol is dropping, another estrogen starts to come up because your body's super smart and it's like, oh my god, we need estradiol. This is the most important hormone for this body because it is. We have estrogen receptors on every organ, it helps every organ to function properly with in our brain, bones, skin. I mean, it is so crucial. It is not just about fertility. And so your body goes, we need to get estrogen somehow. And you can make estrogen from fat cells. And that kind of estrogen is called estrone. But that's an inflammatory estrogen. And so, and and it's terrible because it's a vicious cycle. The more fat you put on, the more estrone you're gonna make, and the more estrone you make, the more fat you're gonna make. So it's just this vicious circle that feeds into each other and makes you gain more and more weight. So we have this inflammatory storm happening, which is not good for weight or metabolism. And then our esterdiols dropping, we're getting more hungry, getting more insulin resistant. Where do we see, you know, you look at somebody that has type 2 diabetes or insulin resistance, where do they carry the weight in their gut?

Philip Pape: 12:54

In their visceral, yeah.

Karen Martel: 12:56

In their visceral, which is the worst kind of fat and most dangerous kind of fat is visceral fat. And this is the classic menobelly that happens. And I will tell you that you can be the healthiest woman in the world, and I really want everybody to hear this. And this can still happen to you, and it's an awful thing. It happened to me. I had been, you know, this Puritan paleo 10 years. I had kept at the same weight for 10 years. I thought I had this in the bag. I was like, oh, perimenopause, menopause, yeah, not gonna touch me. This is gonna be like a couple days of some hot flashes. I'll lose my period, and that'll be it. I'll be in menopause. Well, in my early 40s, I went into early menopause, which my health status didn't help with that, right? Like I'm very healthy, and yet I still was losing ovarian function early, earlier than I should have. And I gained about 15 pounds within a few months. And I lost my period, I was losing my period, I had itchy skin, I was hot flashing and night sweats like crazy. I was in the metabolic storm. And I'm like, how is it? Like, I didn't drink, I didn't smoke, I ate so clean, I didn't have sugar addiction, I was working out, I did everything, I was in this industry. This is what I did for a living, and I practiced what I preached, and it still happened. And so I I want women to hear that because they tend to blame themselves and they think, oh, I'm not doing XYZ hard enough.

Philip Pape: 14:38

Yep.

Karen Martel: 14:39

And it could purely be from the drop of hormones.

Philip Pape: 14:43

And that's why I wanted to have you on, because there's two big aspects here. There's lifestyle, which we talk to death on this show, of course. And then there's hormones. And I mean, I know just from men talking to all every day in my communities about why can't I sleep over 40? Why can't why does this get hard over 40? You know what I mean? And it's like, take that times 10 for some of the women I speak to, not all. And that leads me to my question, though, Karen, because I want to get into even more of like the mechanisms of this because I know people love that, but it sounds like pretty much everything in the body is affected at some level. It's in the population, how would you break down women that are like affected by this severely versus kind of it's noticeable, but it's surmountable versus like they don't even notice it? You know, how would you categorize just in general?

Karen Martel: 15:32

That is a tough question. And I've thought a lot about it. Like, why is it that some women just sail through this? And they could be women that are overweight, eating McDonald's every day, you know, like that don't exercise and they're like, Yeah, hop flash. Oh, I think maybe I had one hopflash, you know. Like, it's like, what? How is this possible? You know, so sometimes there's no rhyme or reason. I think that there's a genetic piece for sure. Uh there is some research that kind of shows, like, if your mom had a bad menopause or an early menopause, then you might as well. And that was definitely like my mom had a horrible menopause, and she went into it really early as well. And she was really prone to hot flashes, like me. And you know, so there we there is a genetic component and how you process those hormones. It is also what were you exposed to? You could be really healthy, but if you had exposure to some of these very common toxins that are in our environment, I mean, none of us are free from the toxins right now. Like we're we're all overloaded with them. So did you have a lot of heavy metal exposure? Did you have mold exposure? These things really mess with the hormones. Did you have trauma? There's a lot of really cool new research coming out that's showing that if you had PTSD or you've had early childhood trauma, that this affects how the hormone receptors work. And so when you're losing those hormones, you can be affected by it a lot more than the average person because you're more sensitive to these hormonal drops. So there's many different things that can go into this. And of course, of course, eating healthy, managing your stress, all of these lifestyle pieces, sleeping, et cetera, et cetera, they have to be part of this picture. And I'm not saying that that's a waste of your time because no matter what, that's gonna like maybe I would have gained 30 pounds instead of 15 had I not been such a great eater and a good in exercising, et cetera, right? So there's these are tools. HRT, it's like it gives the body the tools to allow it to lose weight so that if the efforts are put in, it's gonna be a lot easier for that woman to let go of that extra fat that she may have gained. And I think that that's a that's important to hear.

Philip Pape: 18:00

You're right. I mean, that tools is the way to think about it, just like with GLP ones, which can get so emotionally charged. And as a coach myself, like I don't want to be the one saying, well, you have to do it this one way, and I'm gonna help you white knuckle through a lifestyle change when that's not gonna, that's gonna look great for me either. When you all of a sudden your metabolism keeps tanking and tanking and taking, and we're doing everything. I'm like, yeah, but we're following the science, something else is going on. Well, the body's complex, there's physiology and there's chemistry involved, and that's what we're hitting on today. So, okay, you can't do anything about your childhood. You can't go back in time and change any of this stuff. Well, you can.

Karen Martel: 18:35

You can work on your traumas and stuff if you have not. Yes, you're right.

Philip Pape: 18:39

You're you can work on who you are today as a result of your childhood. Um, but so you've mentioned a lot of cascades, right? Related to thyroid and then sleep and insulin resistance and anxiety. You mentioned um fat distribution and inflammation from which can probably be measured in blood markers from something like estrone and glycemic control, you also mentioned. Now, what about the bone density and muscle side of this musculoskeletal piece? Where does that, how does that get affected by all this?

Karen Martel: 19:11

Yeah. Testosterone starts to go too, which is a very important hormone for women. And that, of course, has lots to do with, you know, increasing protein synthesis, muscle building, bone formation. It's great. It's great for many, many different things. And so we do see that coming down as well in women in perimenopause. So that starts to affect muscle. But estradiol is also extremely important for muscle. It helps the the uh the satellite cells to work better. It they influence the satellite cells. Now, satellite cells, they're like muscle stem cells, it just helps your body to repair and after working out and helps to grow with the grow the muscles, etc. So without the estradiol, you can actually have more muscle loss and start lacking in that repair. So women will say, Oh, I don't recover the same anymore. Estrogen is really important for lubrication, lubrication of everything. Your vagina, your eyes. Like women will say, I'm getting dry eyes, dry skin, joints. So women will say, my joints are sore all the time, my back is sore all the time, suddenly. And this can be because of that estradiol loss. It also helps your body to make collagen. So all of these things really important when you're lifting weights and trying to put muscle on. And so we need the estradiol. It's also really important. This is kind of an odd one, but neuromuscular health. And that's like how your brain speaks to the muscles, and vice versa. And so that starts to go down when estradiol starts to go down. And so we have this once again, this perfect storm happening at the same time that all this other metabolic stuff is happening, your cholesterol starts going up, the blood sugar starts going up. Estrogen helps to raise cortisol binding globulin. Now, this is a uh binding globulin that binds up your cortisol, which you want the perfect amount, you want the Goldilocks amount. We don't want too much cortisol, we also don't want too little, right? Astradiol, as it drops, it actually makes it so that we have more free cortisol around. But in this day and age, women, we we tend to have a little too much cortisol in most cases already because we're stressed out, right? We're running around, we're doing all the artificial lighting and all these things that are coming at us all the time. And so now we get this increase in cortisol. Well, cortisol is catabolic, it's not anabolic, it's catabolic. It also raises your blood sugar. So this is all going up. Cortisol also, like you, if you have too much cortisol, guess where you put the belly, the belly fat on because of the blood sugar dysregulation. So now we've got more fat going to our belly because of the cortisol going up, and cortisol can affect, of course, then the muscle tissue. And muscle is the biggest processor of glucose that we have. And I know you talk about this all the time, fellow. This is huge. So as the estrogen is going down, our muscle can be going down as well. It's gonna impact all of these things on how your body functions, how it repairs, how it recovers from your workouts. So why we would deny women estrogen during perimenopause, during this 10 years, is just it's mind-blowing that we say, no, you can't have it because all of these things are gonna start to compound on top of each other. And like it is, it's the metabolic storm.

Philip Pape: 23:05

Yeah, and does that storm, because I want to I want to talk about labs and markers and some of the things we've we've discussed on the other two times you were on, which for the listener, if they're curious, we did talk about testosterone in detail last time, and then ages ago for first time you were on, was just more general hormone and weight loss. But um, this storm, right? Is there an eye of the storm? Does it calm down? Does is there a fierce part of it? And the reason I ask is, you know, I hear this narrative of, okay, it's things accelerate, right, into the what I was calling the menopause transition, which was more of the short period right at the end. And then after that, are you, you know, do things calm down or are you kind of at a new baseline that's just suppressed all of this stuff for good? You know, like what exactly does that curve look like if you don't do anything?

Karen Martel: 23:51

The curve typically looks like it is the worst during perimenopause and during the first few years post-menopause. That is where we see the biggest impact on weight, on our metabolism, on our uh brain function, all of the things that start to be impacted by the loss of that estrogen and progesterone and testosterone really hits hard during those years. And then there is a somewhat of a plateau for most women where they come out the other side of it, they don't lose the weight. And you can look, you can see this, and it's unfortunate. You know, you look around, I can see the women that are on HRT, and I can see the women that aren't on HRT. And I people get really angry when I say this. They do, because then then they think that I'm insinuating that everybody's needs to be on HRT. That's not what I'm insinuating. But look at the average woman that's in her 60s, and it is a very common body type, which is once again the insulin resistant, the belly fat, you know, it starts to affect your vocal cords, your skin starts to age a lot faster without the estrogen on board and the progesterone and testosterone. You know, the hair thins, you know, the body starts to go down, like as far as like posture goes, because the bones, we need estrogen, test, we need all three hormones for bone health and bone regeneration. So bone health starts to go down, hearts, heart problems start to go up, things like this. So all of this, it stays with you. So what we'll see on labs is women that aren't on estrogen or have never been on HRT or little too too little HRT, their LDL will be up and usually out of range. Triglycerides will sometimes be up as well. Hemoglobin A1C and blood sugar are all up, and they tend to stay up. And you can look at this if you have older clients that are you know in their 60s, 70s, and this goes for men as well. And you look at their labs, most of them are insulin resistant to some degree, and then many go on to get type 2 diabetes. And it's not all from hormonal loss, of course, right? There's so many factors in this, but that is just typically what we see. But the emotional roller coaster, the hot flashes, night sweats, the continual weight gain, that seems to chill in once they get through to menopause a couple years in. It's not such a wild ride, and things can stabilize, but that's not for everybody. I mean, my mom is 70 and she still gets hot flashes. And you'll and I've talked to many women that have felt the same way. Um, a lot of the urigen, like the you know, women will get uh vaginal dryness, atrophy, uh chronic UTIs, like all of the the genocuritant. I always get it mixed up.

Philip Pape: 26:58

GSM will call it genital related uh diseases. I'll just go with that.

Karen Martel: 27:08

It's always a mouthful for me. Uh, but that is in 50% of women, that doesn't go away. You know, you you know, I've women will say like, no, my vagina's dried up. There's no it's it's not getting better as I age, it's staying the same. And it gets thinner, the skin gets thinner and thinner, and and that's a horrific thing to for women to go through. And it's it's absolutely terrible. I've talked to women that have said that they've torn, you know, through when they have sex, they tear, they have micro-tears, that they can't even have sex anymore. There, I had one woman early, oh, it's closed, like there's nothing getting in there. You know, and this is real all of this is reversible. A lot of it's reversible, which is nice to hear. But yeah, so I would say that for some women, yeah, it plateaus and it gets a little bit easier for sure.

Philip Pape: 27:58

So it's reversible. That's kind of the silver lining, but what if we just don't have the storm cloud at all? That's what we want to talk about now. How do we get ahead of the storm based on this bleak picture of the future that you don't want to have and decide I'm gonna take control of my health? Because I think that's what it comes down to is you're empowering yourself, listening to you know, your podcasts and others like it, that the healthcare industry may not be the one doing it. And I see that on my end. You and I were talking before we got on about performance-based blood work. You know, if you go to your doctor and you get just any old labs for whether it's cholesterol or testosterone or it's um blood markers or inflammatory markers, they have their ranges and it's based on sickness and disease. It's based on the population, it's not based on optimality, performance, and being proactive, right? So, and I know you you talk about this stuff all the time on your show. So, at what age should women start to do what to get ahead of it and at least understand, maybe I don't have to do anything, but I've got the knowledge, or hey, this is giving me the indicator that I need to think about that, you know, taking action.

Karen Martel: 28:55

Yeah. So embrace that you can't diet, you can't supplement, you can't intermittent fast and cold plunge your way out of hormonal loss. It's gonna happen to every single one of you. Whether you have symptoms or not, you know, it doesn't matter because what's going on on the inside happens to all of us, right? So you will lose bone. You are gonna lose cognitive function to some degree. Uh, you're gonna lose skin elasticity, you're gonna lose vaginal elasticity. Like these are things that just they depend so much on hormones that I don't know of any woman that isn't impacted by this. Like we start losing bone in our 30s, I do believe. Like it or even earlier. So this is happening across the board. And so it's really good to go, okay, I'm losing ovarian function, changing my diet is not going to bring back ovarian function. There's nothing that can. We're not there yet. One day I think we will be, but right now, no. There's nothing that's going to bring that back. And I think that that gives a big relief for women because this is the time to start looking now at your hormones. And now there are many things that they could do at that point. Like if you're in your late 30s, early 40s, and you're just starting to notice some of these things, oh my gosh, there's some great supplements that can really help with, you know, helping with the production of progesterone when you ovulate, helps with ovulation, helps helps with the hot flashes and night sweats. And so for sure, if you don't want to go to the HRT thing yet and you're still cycling regularly and your periods seem to be okay, for sure, support your system through the diet lifestyle and supplementation. But then when it starts to get to the point where those things are no longer working, you're getting up there in your age in your 40s, and then you go, okay, let's go in and test. We want to see what's your glutenizing hormone, what's your follicular stimulating hormone? These are brain hormones that are telling your ovaries what to do. And those signals and those levels of FSH and LH start to go up the harder they're having to work to get your ovaries to ovulate. And so that can be a really good sign for women to go, oh, I'm struggling here. I have a regular period. I would not have thought that my FSH was up. And so that's one of the markers that I always want to see is the FSH, because that really tells us a lot about estrogen because women can have regular periods, but their FSH can start to elevate, which is just telling us, once again, the brain is going, ovaries, come on, what are you doing? Like, like let's wake this up a little bit. Like, and so FSH in a fertile woman ideally is below 10. When and it fluctuates, there's a different range throughout the cycle. You're supposed to test it on day three is the ideal day to test it. So if uh you're a cycling woman, you're usually going to be around three to five on your the first, you know, within the first three days of your cycle. As you get older and you stop ovulating as often and your ovaries are starting to quit, then once it gets above 10, that's that's like okay, start watching. But if it gets above 20, I would say that is your like, oop, now I've got to really look at HRT because there's nothing else that's gonna bring that down except for HRT. And there's actually a little bit of research that shows like women that the FSH, when it gets above 23, is when they start to see the weight gain happen. So this can be a really good like indicator of what's coming down the pipeline and when to start intervening. And so for some women, it's just like baby baby dose of that estrogen during if they see that their FSH is 15, 20, and it's like, okay, maybe I need a little bit of estrogen, even at just certain times of my cycle. You know, this is when you want to work with a hormone practitioner. Progesterone for sure, like as you stop ovulating, your periods are getting heavier and they're getting maybe closer together, and your sex drive has gone out the window, you're not ovulating anymore. Because sex drive goes up for women when the when they ovulate, obviously. It takes and it tells us, go out and have sex, right? So women will say, like, my libido just is like gone and I'm bleeding super heavy and my periods are getting shorter. Progesterone. Because remember, if you don't ovulate, you're not producing progesterone, and that's your signs. And so putting in some progesterone in the second half of your cycle can be a lifesaver for women and fast, like where they start using it and they're like, oh, like this is amazing. I sleep, my mood's better, I don't have anxiety anymore, I feel so good, I lost five pounds. And they can ride that out, they can ride the progesterone train by itself for a while, typically. And then, like I said, mid to late 40s. Now we're gonna watch that estradiol. And as that FSH goes up and the estradiol goes down, which is very hard to test at this point because, like I said, it's a roller coaster ride. So you'll sometimes test it and it looks great, and it's like, well, that looks okay, that's enough. And then, you know, suddenly you're getting hot flashes and night sweats, and you're like, what? But my estrogen was fine. So really go on symptoms, right? So estrogen, once again, really important for libido. People think it's all testosterone. Heck no, we want estrogen for libido too. And so if you're getting these little symptoms like the hot flashes, night sweats, a little bit, you know, a lot of weight gain or a little bit of weight gain in the belly weight gain, dry skin, dry hair, itchy ears, all of this is signs that your estrogen is not high enough for you. So it could look okay on paper, and your doctor could be like, you're great, you're in, you're well within your range. Well, the freaking range is like if you're between 20 and 400, you're good. So for you, and every woman's different. Me, I'm very estrogen driven. So when my estrogen even drops a little bit, and I have a high SHBG, which means I have a lot of my estrogens getting bound up and not being used. And so for me, if my estrogen drops even a tiny bit, it's a I get every symptom in the book. And so I'm very sensitive. So I have to keep my estrogen up. And I've talked to other women, they didn't even notice anything. They're like, it just gets lower and lower and lower. And then they're like, Well, do I need the estrogen? I don't have hot flashes, I feel good, I don't have vaginal dryness. I'm like, I feel awesome. Can you feel your bones going? Can you feel the muscle going? You know, like there's things that you can't see. What about your brain? You know, you may not think that you you or you may think that you're fine, but maybe you're not with your cognition. You know, it impacts your sleep, it impacts your mood, it helps to estrogen helps us to make serotonin. So it's, you know, if you're a little bit more depressed, if you don't have the energy, it helps with dopamine, it helps with glutamate, it's like oxytocin. So it's like help even thyroid sensitivity. So these things women don't maybe realize are from estrogen loss. And so you just you want to monitor, you want to tune into yourself and go, you know what? I am a little, I'm not how I was five years ago. So maybe we, you know, biohack ourselves, put in a little baby dose of estrogen, and just see how it makes us feel. The beauty of hormones is you stop them, it's a it's gone in a day. So it's not like you're gonna have this like lasting impact. So if you don't feel well when you start taking HRT, then that's your sign that either you don't need it, or you need a different delivery form, or you need a different dosage.

Philip Pape: 37:26

So anybody listening might be thinking, well, that's really great information and it's overwhelming, uh, Karen. Because I was thinking when I try to communicate anything in this optimization realm or performance realm or health. You mentioned biohacking. I love the idea of experimentation, right? Especially when you can get a quick feedback like that. You mentioned several buckets, and I just want to like reframe them from what you said to me for the audience. The first one is the first one is the biomarkers, which which I'm categorizing as your labs, you know, it could be urine tests, could be saliva. Like there's different forms of this, and you're the expert in that. And go check out Karen's podcast for like deep dives on you know specific labs and tests and all that. Um, so there's that, but then understanding how to interpret that, which is where the real trick is in terms of optimal ranges, but also your range and your trend over time and understanding what you should be, plus cycle to cycle, which for women is an extra wrinkle that you know, men don't have to deal with that. So that's kind of the blood work optimization or biomarker piece. The second piece you mentioned is symptoms, which I'll I'll label as part of biofeedback, right? That is just your body's telling you something. And it could be in a so many different ways. Like you said, it could be physical manifestation, it could be mental, it could be uh emotional anxiety, and um, it could be just things that aren't what they used to be for you, like like you said, you know, libido and vaginal dryness or whatever. And then the, I guess the last bucket I heard, and maybe I'm missing something, is self-experimentation of you've got to do something at some point to at least understand this beyond just the data and trying the progesterone cream or trying the estrogen. And a lot of these are safe. And like, you know, the Women's Health Initiative did did horrible things for our understanding of safety in this world. But understanding that means you could approach it with a little more freedom and flexibility to try things, get off of them, and not worry if it's gonna like grow a third arm or something. Um, and I'm just just joking, but you know, or it's gonna give you cancer, which is the real serious thing people are worried about. Did I kind of paraphrase like the big buckets, Karen, that we just talked about?

Karen Martel: 39:33

Yeah, I think that that's a great way to put them all into the buckets like that. And and and I don't want to overwhelm, like I I always try really hard not to overwhelm the woman, right? Because you get so much information out there, menopause is a real hot topic right now. There's all these different opinions. And the bottom line is when we look at the research, we know we see that they're very safe. And you always have to remind yourself you had these hormones for the majority of your life. And so when you question, like, oh, like maybe I'm not a good candidate, or maybe I shouldn't do research here. Is this dangerous? Is it gonna cause cancer? Is this blah, blah, blah, blah? Did you think like that when you were 16 years old, when you were flooded with these hormones? No. And so hormones are part of our physiology. And yes, menopause is natural and all of that. And people will say, Yeah, but this is natural for us to lose our hormones. Well, it's natural for us to also get heart disease and die early. Like that's the this is the thing. And it's like, well, what's the alternative? You know, we we are trying as a species to live longer and longer, and we are grabbing on to anything and everything that helps us do that. We're taking the supplements, the medication, the everything, the diets, and so hormones are in those categories where it's like at least these are bioidentical. This is something your body's produced in your whole majority of your life, and they impact our wellness. And without them, we do start to age much faster. And they've done their research on this. They did one study that showed that women within like six months of being in menopause biologically aged nine years. So biological ages, how fast are you aging on the inside? That's insane. And so hormones are one solution to this life of ours, that we want to live an optimal life. We want to stay as healthy as we possibly can. Then hormones should be something to be looked at and don't get dogmatic about it. Don't think like, I'm not gonna do hormones, and so I'm gonna, I see this all the time, right? I'm better than all of you, basically, because I don't need to take hormones, or I'm not going to, and I'm going to get through this without them. And it's not a badge of honor to do that. It to me, that's stupidity. It's like, why would you say that? You know, like because what are you saying to all the women that are suffering immensely? Do you know that women, the highest rate of suicide is women in menopause and perimenopause? So to say that, what you're saying to some woman who, you know, is on the brink of taking her own life because of the loss of these hormones. You're saying to her that she is weak and that oh, she should be able to get through this. And we don't want that. Like if you're cho if you're choosing not to do hormones, great, that's your choice. Awesome. But don't make it sound like it's that oh, some other woman for choosing to do hormones is in the wrong and is less than you. Yeah. And I think that that's like really important to get across.

Philip Pape: 43:08

It is because you see that a lot, that kind of messaging a lot in the fitness industry on Instagram with a lot of things, especially by younger people who haven't experienced it yet. Let's be honest, who are like, yes, like I'm gonna do it now.

Karen Martel: 43:21

People that didn't have it bad, and they're like, oh, it's that bad.

Philip Pape: 43:24

Different experiences. Same thing with GLP1s, like having talked to like I was a little bit a little bit intransigally when it came out, just for a brief moment. And then I shaped up after talking to just a couple human beings who like have experiences, right? Which is what happens in that um, yeah, it's a tool, and you choose to do it, and nobody should judge you, and you shouldn't judge them, and whatever. So speaking of actually speaking of the GLP1s, GOP1 agonists and all the new ones coming out, where does that play into the hormone situation? You know, I'm not we talk a lot about appetite and weight loss and all that, but specifically with HRT and GLP1, like what's the overlap or interaction? And what should people be aware of if they're gonna do one or both potentially? Um, yeah, because that's kind of a new new thing now.

Karen Martel: 44:12

It is. And we we started using GLP1s a couple years ago in our clinic. I also took them. Um it and it was a lifesaver for me. Like it really was. It it changed, it literally changed my life. And and I hear this all the time from women. And there's some women that, you know, no matter what they do, no matter what, they can't get off the weight that they gained from menopause. And it's and we don't know why, because these women will replace their hormones, they'll they'll be lifting weights, they're prioritizing protein, they're doing all the right things, myself included, and they still can't get it off. Like I got some of mine off through prioritizing more protein and lifting heavier with with my trainer, Pam Sherman, who you know. And she really helped me out, and I was able to get off quite a bit of weight, but I still was left with probably about 10 pounds that I just couldn't shake. And I was like, okay, well, I guess this is it. Like, this is my body now. I'm gonna accept it. And then the GOP1s came out, and I'm like, hmm, I'll try that. Yeah, why not? I've been waiting for this my whole life. It's a medication that actually works for weight loss that doesn't make you suffer. And I I did very small doses, I never went very high. I got off that 10 pounds plus another five, which you can see I'm not too skinny. I don't have wasempic face. I didn't take it too far, which for sure some people do. And I just take a very micro dose now, and it's really helped all my markers, it's really helped with my menopause. I don't get night sweats anymore. You know, I can keep my body at a really good weight, which is awesome. Like to be. I'm 40, I'm turning 50 in a couple months. And I'm like, oh my God, I look better now than I did at 40. And this has helped from hormones, it's helped from my lifestyle for sure, but also from the GLP ones because, and it's like, that's such a nice thing to be able to have that as a tool for menopausal women that you know, all else fails. We could have, you know, a micro dose of these GLP ones, get off that weight that we gain, go back to ourselves. And that's a it's it's glorious. Like it's just a huge relief. And we get a lot of the that's what we get for in our peptide program, is we get that midlife woman that and you uh you get the stories all day long in the community of I hit perimenopause, I hit menopause, I I hit 52, I'm 55, I gained 20 pounds, I cannot shake it. I've been trying to lose this 20 pounds for the last five years. It will not budge. I don't know what else to do. And then they go on these and they lose the weight, and they're just like, they're so grateful. And the research shows that women that are on hormone replacement therapy and do and go on a GLP one, that they'll lose 45% more weight than a woman that's not on HRT. So that just goes to show that you know it's really important to have those tools in place, even though you're doing even though you're doing a GLP one, which is a quick fix, but it is important to have the diet in place, the HRT in place, the weightlifting in place so you don't lose the muscle. Do it right. Like I really, really I what I promote the most is we can do these and we can do them in a way that is safe and that is right for the body. And what what we're seeing and all the fear-mongering, a lot of it is because it's not being done right and they they're being overdosed and they're not eating well, they're not being taught how to eat properly and work out, you know, and take the proper supplements and stuff like that while you're doing it. So it is important to do that.

Philip Pape: 48:05

Yeah, and by the time this episode comes out, the one with Jamie Sells or would have come out, or we get into some of those exact topics. But it's funny because I think of some of my very earliest clients before any of this stuff existed, where they were consistent, they were training, they were controlling for their calories, they were eating protein. Some of them were even on HRT, and something was just keeping that metabolism lower. And I wonder, so with the GLP ones, I mean, it really is just the appetite that it affects. I mean, that we know that's basically all it does. The the dual agonist does a little bit more, and then there's new ones in the pipeline. Like Eli Lilly has a triple agonist that affects your like liver fat and glucagon, right?

Karen Martel: 48:45

I think it's way more than the appetite.

Philip Pape: 48:47

Oh, well, you mean just the semaglitide? Yeah, you're right. It's like addiction and everything else. Is that where you're gonna go?

Karen Martel: 48:53

But not even like it is. Yes, I do. But number one.

Philip Pape: 48:59

I was gonna actually ask that. I was gonna, I was setting that up. I was setting up the question, not like saying it as truth. I was gonna say, so what worked for you then? Like, were you controlling, were you monitoring your calories and did you eat less, or did you eat roughly the same and you just actually started losing?

Karen Martel: 49:13

I definitely ate less.

Philip Pape: 49:15

Yeah, yeah, yeah.

Karen Martel: 49:16

I definitely ate less, and that the appetite suppression is definitely a real thing. And it's like, oh my god, it's so it can be really hard to eat. And sometimes that's actually a sign that you need to lower the dose because you still want to be able to put in the calories, and because the weight loss isn't dependent only on the appetite suppression, which is a very weird thing, but so I'm two years out since I've lost the weight. Okay. So I went on it, I lost the weight, and then I've been maintaining since. And I'm at such a low dose that my hunger is the same. I'm eating the same amount of calories as I did pre-GLP one, and I'm not gaining any weight back. And even the pre my practitioner, she's like my peptide hormone coach that does all of our coaching. She's jacked. She should see her. She's shredded. Like you've never seen a woman like this. It's just she's crazy, huge guns on her. And she's been on the GLP ones for she had total weight loss resistance, could not, no matter how much she worked out, could not lose the weight. And like me, it was maybe like a 15-pound extra weight on her, but she didn't like that, right? Like maybe 15-20 pounds. Anyway, so she loses it on GLP ones. She now, she was just telling me the other day, she averages, I think she said 2300 calories a day. She's maintained the weight loss, and she she eats a hundred, I think she said 150 grams of protein a day. So she's not having any problems. And she is not, she has not gained any weight back. My thyroid, I had to lower my thyroid medication, which I'd been on the same dose of thyroid for seven years. I had to lower it because my thyroid started to function better and my levels went over range. So that's metabolism. My metabolism got better. My friend Dr. Amy Horneman, she's a the thyroid doctor. Same thing with her. She's been on the same dose for 10 years, and she had to lower her medication because she's she was my redosing GLP1. Lowers inflammation, it does something to the metabolism. It's so it's like the appetite suppression that tends to go away after a couple of months or lighten up for most people. And everybody freaks out, oh, my hunger's coming back. Should I increase my dose? And we're always like, no, don't increase. Like, don't increase unless you've been stalled out for a while. You know, if you're not losing weight and you still have more to lose, okay, slightly increase the dose then. But in most cases, hunger starts to come back and the weight still continues to come off.

Philip Pape: 52:08

You need to eat more. It's like you do need to eat more in that case, right? To maintain the same. Yeah, I've heard it's gonna be interesting because I it's too early for any long-term studies to tell us exactly what's going on. It will be fascinating to see. By the way, Amy Horneman's coming on not till next year, though. So I didn't know your friends are there. I would have reached out. Yeah, no, she's very busy. Oh, it's amazing. I try not to, you know, you know, take too much advantage of our contacts.

Heather: 52:36

Yeah. Hello, my name is Heather, and I am a client of Philip Pape's. Just six days after I started this cut, my family and I were in a 7.9 magnitude earthquake here in Adana, Turkey. As I tried to process the stress and trauma, my first instinct was to say, oh, you've been through something hard. This is not a good time. But instead, I reached out to my coach and he got me under the bar that day, and he helped me keep my macros that day. And not only did I realize that I was doing something fantastic for my body, but I realized that I was doing something fantastic for my mind, and that it was going to help me keep the mental clarity that I was gonna need to get my family through what really has been a very difficult two months. Here I am on the other side of eight weeks. Got my kids through all the things that we have been through. And I weigh 12 pounds less than I did, and I got a new PR on my bench press. I have a long way to go, and there are still things that I really want to accomplish, but now I know that I can, and I'm really grateful. Thank you, Philip.

Philip Pape: 53:38

Yeah, it's just it's a whole thing. I mean, there's we're gonna be talking about this stuff for ages, and there's still gonna be lots of controversies about it. But look, if from a medical and a health and a metabolism standpoint, there are other benefits that we start to see, it'll be fascinating. Not to mention, I did mention addiction, like people who have addictive, get more addictive brain chemistry are helped tremendously to the point where they may need to be on it for the rest of their life, so to speak. But yeah, no, I I guess that that's all that's all I wanted to cover on that.

Karen Martel: 54:04

Well, and well, and women have so much, like, I mean, so do men, of course, but you talk to these women and myself included, where their whole life uh was spent watching everything they put in their mouth: calorie counting, exercising, doing the math, like freaking out about, oh my God, I ate the cupcake. Oh no, okay, I'm gonna have to like intermittent fast tomorrow. I'm gonna have to like go low carb, I'm gonna have to go keto, I'm gonna have like we as women drive ourselves insane. I have been thinking that way since I was 13 years old. I have been fighting my weight and I've been fighting with everything that I put in my mouth. It was always a constant tally in my brain. I'm not proud of this, but it's just the way it was because I was so I could so easily gain weight that if I if I wasn't that strict, I would immediately start to gain weight. So I had to be so careful of everything that I ate. And I had to stay eating like paleo and grain-free and low carb and watch my blood sugar and make sure I exercised and all of these things. Not to have to worry about that for the first time since I was 13 is like I can't believe how much uh space I have in my brain to think of other things. It's just a huge mental relief. And I hear this all the time from women that have had the same struggles where they've fought this their whole life, and maybe they had food addiction and sugar addiction, and they've were obese their whole life, and then suddenly they can lose the weight. It is like, how can some I just don't understand how people judge that? How do people judge that somebody wants to take this medication?

Philip Pape: 55:52

Right.

Karen Martel: 55:53

Food addiction is is just as harsh as cocaine addiction, for heaven's sakes, but yet people don't see it like that. It's like, well, you chose that, you you could choose to exercise, you could choose to eat better, and it's like, screw you, you don't know what it's like to be overweight and not to have the energy to work out or the mental capacity to eat well, and maybe you've got sugar addiction or food addiction, like it's a disease.

Philip Pape: 56:20

Yeah, and everything you kind of alluded to when you said talked about stress and addiction in the brain, and makes me think of the um some of the work that like Stephen Guillonet talks about, uh you know, he's about about brain-related genes and how um, you know, the genetic component, there's such a difference between people. Um, there's another guy I want to get on the show, I forget his name, that he's like 19 or 20, and he's like a genius when it comes to appetite research. And he talks about this stuff all the time. There's such a wide spectrum that what if, Karen, it's just the fact that you're reducing that anxiety and that brain, that cognitive load and all that stress. And that's why your metabolism's approving. I don't know, right? Like so many things that cascade.

Karen Martel: 56:59

And a lot of people will say that. They'll say, I don't have anxiety anymore, I don't have the the hamster brain anymore. And they don't know what it's what it's doing, but they're like, I've I have so much relief in my brain from taking GLP1s. People that have inflammation, they're like, My inflammation's gone, my gut's better. Like all of these things can start to improve. And I think, you know, would we ever say to the person that's been depressed their whole life or been riddled with anxiety and they choose to go on an antidepressant or they choose to go on an anti-anxiety? Would we sit there? Would we attack them the way people are being attacked for taking a GLP one? Right. Never. And would we start to do you see all over social media the side effects of SSRIs? Hello. The side effects are they're long lists. So, yes, GLP ones, yes, they can have side effects for sure. And we don't want those side effects. However, the the like, do does the good outweigh the bad? I think so.

Philip Pape: 58:03

Yeah, yeah. Is that and it's all individual. It it's funny you mentioned the um, well, not the SSRs, but I did an episode called Osempic Envy or something. I came up with this term called Osempic Envy. It was the idea that there's this like weight loss wars that are war that are waged in public on social media, just like there's political wars waged in public where if you were in a room with human beings, you would not be talking like that or treating each other that way because it's on such a point. We do this. So it's like imagine you're in the room with the person, how would that conversation go, you know? Um I wanna the I guess the last thought I have about all this, because we're I know we're barely scratching the surface, but it's going back to the complexity of some of this is our healthcare industry is inadequate, in my opinion. I think I think in yours as well, to address this. And if, you know, unless you get lucky and there's an individual here or there, what does the future hold? Like, I this is more of an optimism side of me trying to and trying to pull this out of you too, Karen. Like, what does the future hold as the different industries change, as maybe there's more practitioners like you, as maybe technology like AI or and more advanced like labs and genetic testing comes into play? Like, how do you see all this coming together like 20 years from now? What are women gonna have as their resources? What is your vision for the future?

Karen Martel: 59:17

I have a really positive vision. Like, I really see a lot of change happening, and there's you'll get the naysayers on social media, they're like, oh, menopause is just becoming a money grab and blah, blah, blah. And it's like, you know what, you guys, stop. Like, we need to be talking about it. Even like the good, the bad, all of it. We need to be talking about it. And it's finally getting talked about. So it's like, let us let us talk about it, let us scream it from the mountaintops, because only four to seven, I think it went went from four to seven percent of women are on HRT. So the majority of the public, the women, then there's millions and millions of women that are in menopause. So majority are not on HRT and are not getting. This information, so we may see it because we're in social media and in the field in this field, but majority of women still don't get have that information. Doctors don't have that information, and they're trying to change that. And I see that change coming. I mean, we just had a big panel at the FDA where they're working on getting rid of the black box warning off of the estrogen package packages because right now it says estrogen causes cancer. And they have zero, zero research to back that up. And so they're like, why is this on here? Like this just is unnecessarily scaring women that they something that could really benefit them. Like, take this off. And so that's gonna happen, I think. I think that they're gonna start. There was another woman that was at Congress that was trying to get so that um in med school that doctors that there was more on education on menopause. Because right now, less than 7% of doctors are taught anything about menopause. And if they are taught something, it's like, you know, a couple hours basically, and that is it. But none of them are taught anything about perimenopause, none of them are taught about bioidentical hormones. They actually have to go get extra training for that. So I think more doctors are going to start to be educated in this. Public is starting to be more educated in this as we're becoming, you know, more and more, we're taking our health into our own hands. And so it's all about finding the right information out there with podcasts and blogs and all of this. And so I see that women are becoming more and more empowered. They're seeing that, hey, you can be 50 and you can rock your 50s, 60s, 70s, and beyond. And like you can do it in a way that is super healthy. You can use hormones, you can work out, you can lift weights, you can take the right cell phones, all these amazing biohacks, peptides, peptides are exploding. And these can be incredible, not just weight loss. I'm not talking weight loss peptides, I'm talking about all the other peptides. There's hundreds, if not thousands, of them at this point. And they can be this amazing like therapy that, you know, working with somebody that understands peptides, it they can enhance everything. I've tried, I've tried so many different ones, like growth hormones and uh mitochondrial stuff. And like, I love it. I love being my own like little biohacker and taking my health into my own hands and being like, how good can I feel? And so I just think we're gonna start seeing more and more of this. And women are gonna start taking more and more in charge of their own health and go, oh, I can, I can feel amazing. It doesn't matter what age I'm at.

Philip Pape: 1:02:40

That's great. So it's like uh it's like a perfect storm the other direction, the way we want it to go, right? Maybe a little regulation over here, education for doctors over here, controlling your health, lots of choices, lots of options. Who knows what amazing technology is going to come down the bike path. I I tend to go to that first as my engineering brain of like, oh, we can get AI and clone Karen's brain, and then we can, you know, get everybody the hormone help they need, you know?

Karen Martel: 1:03:05

I think that's all coming. I do. And I think there's lots of like cool at-home testing that's happening right now where women are able to test their hormones from home, like by just peeing on a stick, and they have these little devices now, and we're gonna start seeing like stem cell transplants for the ovaries that's happening right now in Mexico where they're rejuvenating the ovaries. You know, it's not legal here, but it's legal that they do. Well, let them try it out first. Yeah, it's like ridiculous expensive. I'm like, why wouldn't I just take hormones? I'm like, I asked the guy, I met the guy that owns the clinic, and I'm like, it's like $30,000 for treatment of the ovaries, and you might get a couple more years before you hit menopause. And I'm like, nah, just take the hormones. It's cheaper. But these are all things that are happening, and I think that we're demanding that more research is done on women and on women's bodies. And I think that that's starting to happen. We're starting to see some really cool stuff coming out of different uh, like Felice Gersh is coming out. She's come out with some great research papers on hormone replacement therapy. Um, Louise Newson, these are like the menopause like gurus in social media. The Newsom Clinic, she just came out with some new research. Uh, mental health stuff is coming out, like being brought more awareness is being brought to it. So I think that it's going in the right direction. Of course, you're always gonna get the shit with it. Sorry if you don't swear on your podcast, but you're always gonna get the garbage going along with the good. And that's all gonna be part of it. You're gonna get the people that are out just trying to make money. It's like, well, whatever. Like, just who cares? You know, it's just do what's right for you and your health and educate yourself on it.

Philip Pape: 1:04:48

Totally agree, totally agree. And that's what we're trying to do, right? So people need to connect with you. I'm sure a lot of our listeners already know you, Karen, but I want you to connect with them even more. So I'm gonna mention one thing and then I want to turn over to you to send them the best place. For those of you who are already in physique university, um, you're gonna get to see Karen in there on the 14th of October for a live QA. You can ask her anything you want.

Karen Martel: 1:05:10

I love it.

Philip Pape: 1:05:10

Yeah, there you go. So if you're in there and you're listening, you get it included. If you're not, I'll have a link to register. Yes, just full transparency. It's a paid coaching program, but it's very accessible. And so if you want to see Karen in there, that's your chance. Karen, where would you like people to go right now and check you out? All right.

Karen Martel: 1:05:28

So I got something for everybody, which I'm so happy I get to offer that. But we can prescribe in every state. So I run and own a telemedicine clinic where we focus on women in midlife. We do not deny the woman that's in her perimetopausal years hormones. Uh, and so we take a very functional approach to HRT, which I feel is is missing and is lacking a little bit right now. And so we look at every, we look at the lifestyle, and and Phil's gonna come into my group as well and do a QA. And so we focus a lot on, you know, all the lifestyle aspects and then as well the HRT, and we really try and look at everyone from an individual standpoint. We don't, we're not, you know, set on one type of protocol or delivery form. It's like, what is gonna work for you? And we will work for you with you until we find what is gonna make you feel your best and to give you that protection, the heart, the brain, bone protection that these hormones can give you. And if you choose not to do hormones, well, we've got a whole arsenal of other stuff that we can help you with that well, if you're choosing not to do hormones, that we can still do all of these other things that would it's gonna help you to age better. And then on top of that, I also have a membership group for those that can't afford the private coaching. Um, we also have this very affordable group where we have an amazing community of women. We've it's been going for like seven or eight years now. And uh, and then I also just came out with my own line of over-the-counter hormone creams and oils, which is amazing. Um, and I'd love to give your audience a coupon for them. So these are creams and oils that contain bioidentical USP grade hormones. These are no different than the hormones that are in them are no different than what you would get from a pharmacy. That's the grade they're at. We do all sort of like third-party certificate of analysis and purity of the hormones. They're very clean products, and they are marketed as beauty cosmetic hormones and creams. That's how we can promote them and how we can sell them online without a prescription. And many, many women buy these. We have an incredible estrogen face cream that has been shown to just do absolute wonders for the face, um, shrinks your pores, helps with your fine lines, etc. Uh, just came out with a vaginal moisturizer. Uh, we've got a progesterone melatonin oil that's amazing for sleep. So that's, you know, I'll pump up my own stuff here, but it's it's such an awesome thing to be able to offer women because it's so affordable. It's way more affordable than prescription hormones. And you don't need you don't need the actual prescription.

Philip Pape: 1:08:22

What's the name of the line? What is like what's the brand? Or what do you call it?

Karen Martel: 1:08:25

Hormone solutions.

Philip Pape: 1:08:26

Hormone solutions. Okay, just like you. So if everybody wants to grab that, you can go to witsandweights.com slash Karen Martell and you'll get uh 10% off with my code Wits and Waits. Um, I'm gonna be checking those out myself. I know we have a lot of women in the community that would be interested. And then Karen's uh hormone coaching, which I hear nothing but great things about over the years that I've known her. And then this new telemedicine clinic is awesome. I love that uh direct approach to healthcare in a way that's individualized and functional. So thank you, Karen, so much again for doing this with me. I'm excited for our upcoming collaborations, and I hope everybody listening really enjoyed and got a lot of this episode. I know they did. Thank you so much, Karen. Thanks for having me.

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