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Will I get too bulky?" No. "Is it too late?" Also no. Here's the context: during the menopause transition, women lose lean mass, gain fat, and their muscle becomes harder to build — the same workout and the same protein meal produce less than they did at 30. For years the only conversation has been hormone therapy, yes or no, as if that were the fix. In Part 2 of her menopause series, Dr. Gabrielle Lyon looks at what the evidence actually says builds muscle back. In this episode: -Postmenopausal women can build muscle and strength at any age (Frontiers in Endocrinology) - Up to 8 lbs of skeletal muscle in 12 weeks (J Nutr Health Aging RCT) - Anabolic resistance: why the same workout and the same meal produce less after menopause - "I was wrong": hormone therapy vs. lifting, and the conversations with Dr. Donald Layman - HRT alone and lean mass: a 0.06 kg difference across 12 trials - Estradiol plus training: bigger quad and fat-free mass gains, maintained at 12 months - Lift first — the practical translation while the HRT evidence evolves - Why protein matters more after menopause, and why 60 g spread thin isn't enough - The RDA (0.8 g/kg) isn't enough to protect bone; ESCEO's 1–1.2 g/kg floor - Doubling protein to 1.6 g/kg: more fat lost, more lean mass kept - The 6-step Forever Strong menopause protocol Sponsor David Protein — 28 g of protein, 150 calories, zero sugar → davidprotein.com/drlyon, subscribe to save 10% on every order Find Dr. Gabrielle Lyon at: - Instagram: https://www.instagram.com/drgabriellelyon/ - TikTok: tiktok.com/@drgabriellelyon - Facebook: facebook.com/doctorgabriellelyon - X: x.com/drgabriellelyon - Apply to become a patient – https://drgabriellelyon.com/new-patient-inquiry/ - Weekly newsletter – https://institute-for-muscle-centric-medicine.ck.page Chapters: 00:00 Will I get too bulky? Is it too late? Both answers are no 01:09 Postmenopausal women gained up to 8 lbs of muscle in 12 weeks 02:24 Anabolic resistance: more volume, more intensity, more protein 03:34 Hormone therapy or lifting? "I was wrong" 05:16 HRT alone and lean mass: 0.06 kg across 12 trials 06:16 Estradiol amplifies training — it doesn't replace it 07:22 Lift first: what to do while the evidence evolves 10:21 Why protein matters more after menopause (and why 60 g isn't enough) 11:16 The RDA won't protect your bones: the 1–1.2 g/kg floor 12:16 Doubling protein: more fat lost, more lean mass kept 13:22 The Forever Strong protocol, step 1: train 2–3 days a week 14:15 Steps 2–3: 30–50 g protein at first and last meal, impact and loading 15:13 Steps 4–6: hormone therapy with training, body composition, blood work 16:07 You're not alone: the Menopause Challenge Disclaimer: This podcast is for general informational purposes only and does not constitute medical advice or create a doctor–patient relationship. It is not a substitute for professional medical advice, diagnosis, or treatment. Do not disregard or delay seeking medical advice because of something you heard here.

Most patients are told one thing before surgery: stop all supplements. Duke surgeon Dr. Rebecca Knackstedt says that blanket advice can do harm, and that what you do in the days before surgery changes how you heal. Dr. Knackstedt is a plastic and reconstructive microsurgeon on faculty at Duke, an MD-PhD researcher and a certified functional medicine provider whose research focuses on surgical prehabilitation: preparing the body, mind, and home before surgery, the way we already do with rehab. In today’s episode, we discuss: • What prehab looks like for any operation • The labs she checks • Which supplements to keep and which to stop (omega-3s do not increase bleeding) • Hormones after breast cancer • Why mammograms still beat thermography • What chemo does to metabolism • The questions to ask your oncologist before a treatment decision • How much protein to eat (no standard exists, and the average woman gets 60 to 70 grams a day, well short of the 100-gram floor) • Why surgery is catabolic and muscle is your reserve • Carbohydrate loading before the fasting cutoff and why it can reduce pain • The five-day window that lowered complications and even mortality in head and neck cancer patients • Why early walking replaced routine bed rest Connect with Dr. Knackstedt Instagram → https://www.instagram.com/surgical_recovery/ Website → https://www.clararecovery.com/ Sponsors • Perfect Amino by BodyHealth, https://bit.ly/4wZgg6N, code LYON20 for 20% off your first order • Timeline Mitopure → https://bit.ly/4x18cm5, for an extra 20% off • Lola Blankets → lolablankets.com (http://lolablankets.com/), code: DRLYON for 40% off select blankets (limited time) Find Dr. Gabrielle Lyon at: • Instagram: https://www.instagram.com/drgabriellelyon/ • TikTok: tiktok.com/@drgabriellelyon • Facebook: http://facebook.com/doctorgabriellelyon • X: http://x.com/drgabriellelyon • Apply to become a patient – https://drgabriellelyon.com/new-patient-inquiry/ • Weekly newsletter – https://institute-for-muscle-centric-medicine.ck.page Chapters: 00:00 Prehab saves lives and money. So why isn't it standard of care? 01:05 Meet Dr. Rebecca Knackstedt: Duke microsurgeon and functional medicine provider 05:35 The patient who changed everything, and why good surgery isn't enough 08:34 What prehab is, and the exercises to do before any surgery 12:14 Hormones after breast cancer, rising rates in young women, and real risk factors 18:42 Chemo, metabolic syndrome and why body composition matters 23:13 The end of bed rest, and the labs that matter before surgery 27:04 Mammograms vs. thermography, and absolute vs. relative risk 34:12 Protein before surgery: 2 g/kg, track 3 days, never under 100 g 38:43 Supplements to take, and why "stop all supplements" is wrong 44:40 Preparing the mind: anxiety, sleep, anesthesia depression, expectations 51:21 Red light, saunas, hyperbaric oxygen, wound vacs, scars and pain control 1:04:59 Surgery is catabolic: muscle as your glucose reserve 1:07:34 Carb loading, the 5-day window, probiotics and the surgery go-bag 1:14:15 Why prehab isn't standard of care yet, and why she's hopeful Disclaimer: This podcast is for general informational purposes only and does not constitute medical advice or create a doctor–patient relationship. It is not a substitute for professional medical advice, diagnosis, or treatment. Do not disregard or delay seeking medical advice because of something you heard here.

Menopause is changing your body, but the part nobody talks about isn't hot flashes. It's muscle. Women lose lean mass fastest in perimenopause, the loss probably starts closer to 35, and no pill, patch or injection fixes it. In this solocast, Dr. Gabrielle Lyon explains what estrogen, testosterone and FSH actually do to your metabolism, why a 50-year-old body can still build muscle, and the training and protein protocol to start now. Join the Menopause Challenge → https://drgabriellelyon.com/menopause-challenge/ [Use Code 25OFF through Sept 27] Thank you to our sponsors: - Rula, therapy covered by insurance → rula.com/drlyon Find Dr. Gabrielle Lyon at: - Instagram: https://www.instagram.com/drgabriellelyon/ - TikTok: @drgabriellelyon - Facebook: facebook.com/doctorgabriellelyon - YouTube: youtube.com/@DrGabrielleLyon - X (Twitter): x.com/drgabriellelyon - Apply to become a patient – https://drgabriellelyon.com/new-patient-inquiry/ - Join my weekly newsletter – https://institute-for-muscle-centric-medicine.ck.page - Pre-order my new book - https://www.amazon.com/exec/obidos/ASIN/1668085623 Chapters: 00:00 Menopause is changing your body — but it doesn't have to change your life 00:59 The suitcase story: today is about muscle, not hot flashes 01:47 Hormone therapy, yes or no? Why that's the wrong first question 03:36 What menopause is, when it arrives, and 40% of your life after it 04:37 When lean mass really starts to fall — and why testing misses it 06:46 Testosterone vs. estrogen: no two women go through it the same way 08:40 Anabolic resistance: why the muscle-building switch gets sticky 10:31 Estrogen, joints and injury risk (Dr. Jocelyn Wittstein) 13:27 Less muscle, nowhere to put carbs: the lean prediabetic patient 14:19 Falls, fractures, heart disease, and muscle as an early bone signal 16:14 Visceral fat, energy expenditure, fat oxidation and FSH 18:02 Test your blood — and pull the levers you control 19:00 The starting protocol: 2–3 days a week and the movements to keep 20:30 Menopause changes your body, not your life — the Menopause Challenge Mentioned - Dr. Jocelyn Wittstein on estrogen, joints and injury risk → https://youtu.be/ILyzNTjZTGI - Juliet & Dr. Kelly Starrett on floor sitting and mobility → https://youtu.be/QOjzh-711Q0 - SWAN (Study of Women's Health Across the Nation) - The Lancet Diabetes & Endocrinology review on lean mass and chronic disease - ESCEO guidance on muscle and bone Disclaimers: This episode includes paid sponsorships. The Dr. Gabrielle Lyon Podcast and YouTube are for general information purposes only and do not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast, YouTube, or materials linked from this podcast or YouTube is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professional for any such conditions.

Your testosterone number matters at every age, but most men never learn what theirs should be. Mayo Clinic urologist Dr. Tobias Kohler explains why ~500 is the target, why 1,000 is already running hot, what 2,000+ does to the heart, and why a randomized trial found lifting without steroids beat steroids without lifting. Plus: the blood test that catches heart risk your cholesterol panel misses. Dr. Kohler returns for his second appearance (his first, on erections, testosterone and muscle mass, is one of the most-watched episodes in the show's history). This time: why men's longevity is roughly 50 years behind women's; the Princeton IV consensus he co-chaired, which treats ED as one of the strongest predictors of a future heart attack and points young men toward a coronary calcium scan; the 0–12 ceramide blood test that changes with your behavior; how to get a testosterone baseline that actually means something; what redlining to 2,000–3,000 does to the heart, the set point and the skin; Peyronie's disease, Viagra vs. Cialis, the pills-to-implant ladder, sexual rehab after prostate surgery, and a patient who got stronger with zero testosterone. About Dr. Tobias Kohler Tobias S. Kohler, MD, MPH, is Professor of Urology at Mayo Clinic, a fellowship-trained andrologist with 25+ years of clinical and surgical experience and 250+ peer-reviewed publications. He co-chaired the Princeton IV Consensus Guidelines on ED and cardiovascular disease, co-founded the EROS penile implant registry, and co-edited Contemporary Treatment of Erectile Dysfunction (2nd ed.). 🙌 Thank you to our sponsors: Cozy Earth - Get 20% off at https://bit.ly/3RLZNEv Egg Life - https://bit.ly/4yxBs5l Ladder - https://bit.ly/4ggxfLK 📺 Watch the “Dr. Gabrielle Lyon Show” every Tuesday at 9AM EST: YouTube: https://bit.ly/4boCFC3 Spotify: https://bit.ly/4cWTbLG 📱 Connect with Dr. Gabrielle Lyon: Instagram: https://bit.ly/4uk9adc TikTok: https://bit.ly/3OFK3kJ X.com: https://bit.ly/4l3YlaX Facebook: https://bit.ly/3MBrJso LinkedIn: https://bit.ly/3N1nrdL Website: https://bit.ly/3NdV2kT Books: https://bit.ly/4r6ugZK Newsletter: https://bit.ly/402QCAj ⏰Chapters 00:00 Men are dying earlier than women the penis is the check-engine light 03:26 Boys stop seeing doctors for 20 years the case for an Office of Men's Health 10:57 Princeton IV: ED predicts heart attacks, calcium scans, and Cialis 12:44 The ceramide blood test your cholesterol panel can't replace 20:37 Cardiac risk calculators, statins, and what your LDL should be 25:38 GLP-1s, fertility, and "what's the risk of doing nothing?" 29:05 Testosterone: the ~500 target, why 1,000 runs hot, what 2,000+ does to the heart 31:44 Check your testosterone at 25 and why steroids won't make you a pro 36:57 Tolerance and the new set point redlined men can't escape 38:13 The 1980s trial: lifting without steroids beat steroids without lifting 42:06 Steroid cocktails, arrhythmias, irreversible side effects, and the sarcopenia trade-off 53:04 Peyronie's disease and Viagra vs. Cialis 57:32 Penile implants: the knee-replacement analogy and the pills-to-surgery ladder 1:02:27 Sexual rehab after prostatectomy and the questions to ask before cancer treatment 1:07:55 Closing: be proactive and the patient who got stronger with zero testosterone Disclaimer: This podcast is for general informational purposes only and does not constitute medical advice or create a doctor–patient relationship. It is not a substitute for professional medical advice, diagnosis, or treatment. Do not disregard or delay seeking medical advice because of something you heard here.

You say "steroids" and picture a baseball scandal, a jacked guy, a bad spray tan. But cortisol is a steroid. Estrogen is a steroid. The cream you put on poison ivy is a steroid. The word covering all of them is also covering testosterone therapy for women, and that collision is quietly costing women muscle and bone they don't have to lose. In this solo episode, prompted by a magazine interview on steroid use in women, Dr. Gabrielle Lyon breaks down what these molecules actually are, what they do inside a cell, and why the line between medicine and misuse has nothing to do with the word "steroid." Study and References: The Effects of Supraphysiologic Doses of Testosterone on Muscle Size and Strength in Normal Men (Bhasin et al., NEJM 1996) - https://pubmed.ncbi.nlm.nih.gov/8637535/ Testosterone Enhances Estradiol's Effects on Postmenopausal Bone Density and Sexuality (Davis et al., 1995) - https://pubmed.ncbi.nlm.nih.gov/7616872/ Global Consensus Position Statement on the Use of Testosterone Therapy for Women (2019) - https://pubmed.ncbi.nlm.nih.gov/31498... ISSWSH Clinical Practice Guideline for the Use of Systemic Testosterone for HSDD in Women (2021) - https://pubmed.ncbi.nlm.nih.gov/33814... The Global Epidemiology of Anabolic-Androgenic Steroid Use: A Meta-Analysis (Sagoe et al., 2014) - https://pubmed.ncbi.nlm.nih.gov/24582... What Is the Prevalence of Anabolic-Androgenic Steroid Use Among Women? A Systematic Review (Piatkowski et al., Addiction, 2024) - https://onlinelibrary.wiley.com/doi/1... " The Compounds for Females Are Really Commonly Faked!": Women's Challenges in Anabolic Steroid Acquisition (Piatkowski et al., Drug and Alcohol Review, 2024) - https://onlinelibrary.wiley.com/doi/1... Explore More from Dr. Gabrielle Lyon: Premium Podcast Subscription: Ad-free episodes, key takeaway summaries, exclusive Q&A, and behind-the-scenes content https://foreverstrong.supercast.comWeekly newsletter: Recipes, podcast updates, and practical weekly insights https://drgabriellelyon.com/sign-up/Apply to become a patient: Personalized care with Dr. Lyon's clinical team https://drgabriellelyon.com/new-patie... 📱 Connect with Dr. Gabrielle Lyon: Instagram: https://bit.ly/4uk9adc TikTok: https://bit.ly/3OFK3kJ X.com: https://bit.ly/4l3YlaX Facebook: https://bit.ly/3MBrJso LinkedIn: https://bit.ly/3N1nrdL Website: https://bit.ly/3NdV2kT Books: https://bit.ly/4r6ugZK Newsletter: https://bit.ly/402QCAj 📺 Watch the “Dr. Gabrielle Lyon Show” every Tuesday at 9AM EST: YouTube: https://bit.ly/4boCFC3 Spotify: https://bit.ly/4cWTbLG ⏰ Chapters: 00:00 - Beginning 01:25 - Introduction: The Sister Who Says "Oh My Gosh, You're Taking Steroids" Why Medicine Needs a Shared Vocabulary 03:43 - What a Steroid Actually Is: Four Rings of Carbon 04:49 - Anabolic vs. Androgenic: Same Receptor, Different Effects 06:16 - A Brief History: From Wasting Disease to the Weight Room 08:59 - Restoring vs. Exceeding: Why the Range Is the Whole Game 11:38 - The Davis Trial: Testosterone, Bone Density, and Lean Mass 13:38 - Oral Compounds, the Liver, and Why Conversion Matters 14:20 - What Gets Sold Isn't What's Labeled: The Australian Drug-Checking Data 15:31 - The 1.6% vs. 4% Myth: Reading the Prevalence Data Correctly 18:33 - Why GLP-1s Are Pushing Women Toward Androgens 20:26 - Permanent Effects: Voice Changes and What the Literature Shows 21:33 - The Four Questions to Ask Before Any Androgen Conversation 24:25 - Closing: Entering the Sarcopenia Era ‼️ Disclaimer: The Dr. Gabrielle Lyon Podcast and YouTube are for general information purposes only and do not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast, YouTube, or materials linked from this podcast or YouTube is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professional for any such conditions.

Most people assume becoming a parent is an emotional change, but a measurable part of it is hormonal, and it happens in fathers too. I sat down with Aldrich Chan, Psy.D., to talk about what changes in the brain, why the split we draw between mind and body does not hold up, and what decides whether stress reads as manageable or overwhelming when the hormones are identical either way. Want ad-free episodes? Subscribe to Forever Strong Insider: https://bit.ly/4u5VSRe Get Aldrich Chan’s books here: https://www.drchancnc.com/books 📱Connect with Aldrich Chan, Psy.D Website: https://www.drchancnc.com/ YouTube: www.youtube.com/@draldrichan Instagram: https://www.instagram.com/draldrichan Facebook: https://www.facebook.com/draldrichan LinkedIn: https://www.linkedin.com/in/draldrichan/ 🙌Thank you to our sponsors: One Skin - Get 15% off at https://bit.ly/4hlfso9 Timeline - up to 20% off when you subscribe and save at https://bit.ly/4xkRIFw David Bars - Subscribe and save 10% on every order’ at https://bit.ly/3SGC7Cd 📺Watch the “Dr. Gabrielle Lyon Show” every Tuesday at 9AM EST: YouTube: https://bit.ly/4boCFC3 Spotify: https://bit.ly/4cWTbLG 📱Connect with Dr. Gabrielle Lyon: Instagram: https://bit.ly/4uk9adc TikTok: https://bit.ly/3OFK3kJ X.com: https://bit.ly/4l3YlaX Facebook: https://bit.ly/3MBrJso LinkedIn: https://bit.ly/3N1nrdL Website: https://bit.ly/3NdV2kT Books: https://bit.ly/4r6ugZK Newsletter: https://bit.ly/402QCAj ⏰Timestamps: 00:00 - Introduction: what a neuropsychologist measures 03:25 - Mild cognitive impairment and proactive interference 04:52 - The SAD theory: separation, alienation, discord 06:30 - The default mode network and 46.9% mind wandering 08:56 - Reframing ADHD as an evolutionary advantage 18:21 - Evolutionary mismatch and hunter-gatherer comparisons 21:03 - Neuroplasticity, epigenetics, and the 24-hour timeline 24:29 - Mind-body dualism and the gut-brain connection 31:31 - What fatherhood does to the brain and testosterone 36:47 - Choice overload and the four-bit working memory limit 39:54 - Temporal discounting and building immediate feedback 43:23 - Vital signals and how to identify a core value 49:49 - Intuition, somatic markers, and the vmPFC 55:00 - The 20-watt brain versus a 10-gigawatt supercomputer 01:02:58 - Only 35% of the brain is built at birth 01:06:13 - Creativity, nothingness, and the fear of uncertainty 01:16:31 - Process, flow states, and the jazz pianist studies 01:22:53 - Mirror neurons, group selection, and the rat experiments 01:34:20 - Eustress and the line between moderate and major stress 01:44:39 - Alloparenting and what the Hadza numbers show ‼️Disclaimer: The Dr. Gabrielle Lyon Podcast and YouTube are for general information purposes only and do not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast, YouTube, or materials linked from this podcast or YouTube is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professional for any such conditions. This episode includes paid sponsorships.

You might think bone density is something you build slowly over a lifetime, but nearly all of your peak bone mass is set before age 18, in a four-year window most parents never see coming. In this solo episode I break down what happens to a child's skeleton during that window, what GLP-1 medications do inside a body that's still growing, and the protocol I'd want every parent to follow. Muscle and bone are not what a body has they're what a body was built to become. In this solo episode, Dr. Gabrielle Lyon breaks down the science of bone health in children, adolescent GLP-1 use, and muscle building in kids: Why the four years around age 12 in girls and 14 in boys account for close to 40% of the total bone mineral a person will carry for lifeWhy a hip fracture in a healthy 29-year-old is almost always a story about a childhood building phase that never happened, often tied to a history of restriction like anorexiaWhat semaglutide and other GLP-1 medications do inside a still growing skeleton, and why no long term bone density data exists for adolescents on these drugsWhy a JAMA Network Open trial found the group combining liraglutide with resistance training lost the most weight with bone mineral density statistically unchanged, while the drug alone caused bone lossThe complete protocol for parents: track strength and function over the scale, muscle strengthening and bone loading exercise three days a week each, protein at breakfast, and a screen time floor instead of a ceiling Muscle and bone are not what a body has; they are what a body was built to become, and childhood is the only window that bone accrual and muscle development happen. Understanding pediatric bone health, sarcopenia in children, and the real research on GLP-1s and adolescents is the difference between guessing with your child's skeleton and protecting it on purpose. Study and References: Sarcopenic Obesity in Children - https://pubmed.ncbi.nlm.nih.gov/41995008/Sedentary Behaviors in Today's Youth (AHA) - https://www.ahajournals.org/doi/10.1161/CIR.0000000000000591Semaglutide and Body Composition (STEP 1) - https://pmc.ncbi.nlm.nih.gov/articles/PMC8089287/Peak Bone Mass Position Statement (NOF) - https://pubmed.ncbi.nlm.nih.gov/26856587/Bone Health After Exercise vs GLP-1 Treatment - https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2820308Resistance Training in Kids: An Umbrella Review - https://pubmed.ncbi.nlm.nih.gov/32757164/ Thank you to our sponsors: Timeline - up to 20% off when you subscribe and save at https://bit.ly/4x18cm5BodyHealth - Use the code LYON20 to get 20% off your first order https://bit.ly/4wZgg6NBranch Basics - Get 15% off the Premium Starter Kit at https://bit.ly/4i6iOfK with the code DRLYON. Explore More from Dr. Gabrielle Lyon Premium Podcast Subscription: Ad-free episodes, key takeaway summaries, exclusive Q&A, and behind-the-scenes content https://foreverstrong.supercast.comWeekly newsletter: Recipes, podcast updates, and practical weekly insights https://drgabriellelyon.com/sign-up/Apply to become a patient: Personalized care with Dr. Lyon’s clinical team https://drgabriellelyon.com/new-patient-inquiry/ Connect with Dr. Gabrielle Lyon: Instagram: https://www.instagram.com/drgabriellelyon/TikTok: https://www.tiktok.com/@drgabriellelyonX (Twitter): https://x.com/drgabriellelyonFacebook: https://www.facebook.com/doctorgabriellelyon Chapters 00:00 - Introduction 00:44 - The 29-Year-Old Who Fractured Her Hip 01:20 - Muscle and Bone Are Childhood Assets 03:01 - The Question I Keep Getting From Patients 03:39 - The 30-Year Lifting Debate Is Over 04:23 - Sarcopenic Obesity: More Muscle, Less Strength 07:01 - What a Mouse Model Reveals About Muscle Potential 08:24 - Screens: What the Data Shows 10:00 - Food, Sleep, and the Screen-Weight Loop 12:38 - GLP-1s in Teens: The STEP TEENS Trial 13:52 - The Muscle Framing Mistake Everyone Makes 16:49 - The Four-Year Window Bone Gets Built 18:02 - The Trial That Proves Exercise Protects Bone 20:29 - Prescribing Into an Unstudied Window 20:46 - Why Lifting Doesn't Stunt Growth 21:49 - Kids Get Stronger Without Building Muscle 22:29 - The Protocol: What to Do Starting Today If you found this episode valuable, share it with someone who would benefit from it. Disclaimers: This episode includes paid sponsorships. The Dr. Gabrielle Lyon Podcast and YouTube are for general information purposes only and do not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast, YouTube, or materials linked from this podcast or YouTube is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professional for any such conditions.

You have probably been told that testosterone is a male hormone. Women produce more of it than estrogen, and for many of us it is the first hormone to go, sometimes reading zero five years before menopause while periods are still regular. Dr. Susan Hardwick-Smith and I get into what that costs you in muscle and bone, why there are thirty-one approved testosterone products for men and none for women, and what the number on your own lab report is measuring. Want ad-free episodes? Subscribe to Forever Strong Insider: https://bit.ly/4u5VSRe Create Her: Aging into the Healthiest Version of Yourself by Susan Hardwick-Smith MD https://www.amazon.com/Create-Her-Healthiest-Version-Yourself/dp/1637636644/ref=sr_1_3?s=books&sr=1-3 Dr. Gabrielle Lyon with Amy Pearlman Podcast https://bit.ly/3TcVgvB Connect with Dr. Susan Hardwick-Smith Website: drsusan.com YouTube: https://www.youtube.com/@drsusan Instagram: https://www.instagram.com/drsusanofficial TikTok: https://www.tiktok.com/@drsusanofficial Facebook: https://www.facebook.com/drsusanofficial/ LinkedIn: https://www.linkedin.com/in/drsusanhardwicksmith/ Thank you to our sponsors: Timeline - up to 20% off when you subscribe and save at https://bit.ly/4x18cm5BodyHealth - Use the code LYON20 to get 20% off your first order https://bit.ly/4wZgg6NBranch Basics - Get 15% off the Premium Starter Kit at https://bit.ly/4i6iOfK with the code DRLYON. Explore More from Dr. Gabrielle Lyon Premium Podcast Subscription: Ad-free episodes, key takeaway summaries, exclusive Q&A, and behind-the-scenes content https://foreverstrong.supercast.comWeekly newsletter: Recipes, podcast updates, and practical weekly insights https://drgabriellelyon.com/sign-up/Apply to become a patient: Personalized care with Dr. Lyon’s clinical team https://drgabriellelyon.com/new-patient-inquiry/ Connect with Dr. Gabrielle Lyon: Instagram: https://www.instagram.com/drgabriellelyon/TikTok: https://www.tiktok.com/@drgabriellelyonX (Twitter): https://x.com/drgabriellelyonFacebook: https://www.facebook.com/doctorgabriellelyon Timestamps: 00:00 - Introduction: testosterone in women 03:00 - Eighteen years in OB-GYN and the practice she left 04:57 - Thirty years in medicine, zero training on testosterone 06:40 - 31 FDA-approved products for men, zero for women 07:35 - Why women produce more testosterone than estrogen 09:20 - What the ovaries stop making at menopause 10:18 - Testosterone reading zero five years early 11:41 - Low testosterone symptoms in women 13:22 - Intrinsa, the 2004 patch the FDA turned down 19:04 - Off-label prescribing and what FDA approval means 21:35 - Cognition, breast cancer, muscle and bone 25:33 - Osteoarthritis and the anti-inflammatory theory 26:31 - Dosing fears: hair loss, acne, voice changes 28:16 - Why gels are dosed ten times higher 32:14 - The 2019 international consensus 34:00 - Dividing a 50 mg tube by ten 38:18 - The Baylor study: pellet versus gel at six weeks 40:13 - Safety data from fifty years of transgender care 45:03 - Eight years of high dosing and what it cost 46:16 - Lab reference ranges versus optimal ranges 48:28 - ELISA versus LC-MS, and what the study found 51:07 - Why free testosterone is calculated, not measured 57:58 - Tachyphylaxis and chasing the number 1:01:39 - Pellets, BioTE and where the reputation came from 1:06:33 - Delivery methods, cypionate and enanthate 1:11:47 - Whether anything raises testosterone naturally 1:13:03 - DHEA at 100 mg and what it moved 1:17:07 - Drugs that lower testosterone in women 1:20:55 - Closing thoughts on dosing and access If you found this episode valuable, share it with someone who would benefit from it. Disclaimers: This episode includes paid sponsorships. The Dr. Gabrielle Lyon Podcast and YouTube are for general information purposes only and do not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast, YouTube, or materials linked from this podcast or YouTube is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professional for any such conditions.

You probably ate something today with high protein printed across the front of it, and there is a good chance it did almost nothing for your skeletal muscle. There is no meaningful enforcement standard for what the front of a package is allowed to promise, and the research points to a per meal threshold most of these products do not come close to touching. Here is the number, the five myths that have to come off the table first, and how to read any label in about five seconds. Thank you to our sponsors: Egglife - Find egglife wraps chillin’ in the fridge at Aldi, Whole Foods, Kroger, Target, Walmart & more - Visit https://bit.ly/4yxBs5l to find a retailer near you,Timeline - up to 20% off when you subscribe and save at https://bit.ly/4cNXeJq Bon Charge - Save 15% at https://bit.ly/3UsB1KI with code DRLYON Explore More from Dr. Gabrielle Lyon Premium Podcast Subscription: Ad-free episodes, key takeaway summaries, exclusive Q&A, and behind-the-scenes content https://foreverstrong.supercast.comWeekly newsletter: Recipes, podcast updates, and practical weekly insights https://drgabriellelyon.com/sign-up/Apply to become a patient: Personalized care with Dr. Lyon’s clinical team https://drgabriellelyon.com/new-patient-inquiry/ Connect with Dr. Gabrielle Lyon: Instagram: https://www.instagram.com/drgabriellelyon/TikTok: https://www.tiktok.com/@drgabriellelyon X (Twitter): https://x.com/drgabriellelyonFacebook: https://www.facebook.com/doctorgabriellelyon Chapters 00:00 - Introduction: what a high protein label promises 01:03 - Protein-ification and the labeling gap 04:10 - Myth 1: protein and kidney function 06:01 - Myth 2: the 0.8 gram RDA 07:04 - Nitrogen balance and the 2026 guideline change 07:45 - Where the clinical target lands above the RDA 08:43 - Myth 3: acid ash and bone density 11:01 - Myth 4: leucine and the per meal threshold 12:12 - Four product categories in your pantry 14:44 - The 25 to 30 gram complete protein rule 15:08 - Myth 5: daily total versus per meal distribution If you found this episode valuable, share it with someone who would benefit from it. Disclaimers: This episode includes paid sponsorships. The Dr. Gabrielle Lyon Podcast and YouTube are for general information purposes only and do not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast, YouTube, or materials linked from this podcast or YouTube is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professional for any such conditions.

A Navy captain with 24 years of service went to medical for exhaustion, weight gain, and low mood, and was told to see a therapist and eat less. When he asked for a testosterone test his physician asked whether he had erectile dysfunction, and refused to order it when he said no. His level came back at 160; the cutoff we use in this country is 300. I've treated this population for 15 years, and roughly 27% of operators test below that number. Tim Parlatore is the attorney who wrote the Pentagon memo that now puts testosterone on the annual physical, and we get into what it says and why most men never have this hormone checked again after they leave pediatrics. Studies & References Cardiovascular Safety of Testosterone-Replacement Therapy - https://pubmed.ncbi.nlm.nih.gov/37326322/You Can Conquer Trauma and PTSD with Chris Frueh, PhD - https://www.youtube.com/watch?v=0olunOZM2lc Support Kaczkowski Family's GoFundMe campaign https://impact.navysealfoundation.org/campaign/827807/donate?utm_source=ig&utm_medium=social&utm_content=link_in_bio Want ad-free episodes? Subscribe to Forever Strong Insider: https://bit.ly/4u5VSRe 📱Connect with Tim Parlatore: Website: https://parlatorelawgroup.com/ YouTube: https://www.youtube.com/channel/UCSSQE0_WrlegQk09nFi4QZw Instagram: https://www.instagram.com/tparlatore/ Facebook: https://www.facebook.com/tparlatore X.com: https://x.com/timparlatore LinkedIn: https://www.linkedin.com/in/timothy-parlatore/ 🙌Thank you to our sponsors: Egglife - Find egglife wraps chillin’ in the fridge at Aldi, Whole Foods, Kroger, Target, Walmart & more - Visit https://bit.ly/4yxBs5l to find a retailer near you, Timeline - up to 20% off when you subscribe and save at https://bit.ly/4cNXeJq Bon Charge - Save 15% at https://bit.ly/3UsB1KI with code DRLYON 📺Watch the “Dr. Gabrielle Lyon Show” every Tuesday at 9AM EST: YouTube: https://bit.ly/4boCFC3 Spotify: https://bit.ly/4cWTbLG 📱Connect with Dr. Gabrielle Lyon: Instagram: https://bit.ly/4uk9adc TikTok: https://bit.ly/3OFK3kJ X.com: https://bit.ly/4l3YlaX Facebook: https://bit.ly/3MBrJso LinkedIn: https://bit.ly/3N1nrdL Website: https://bit.ly/3NdV2kT Books: https://bit.ly/4r6ugZK Newsletter: https://bit.ly/402QCAj ⏰Timestamps: 00:00 - Intro of show 02:32 - Why military service lowers testosterone 04:15 - Treated like an anabolic steroid 06:52 - Screening first, not bodybuilding 08:07 - 27% of operators test low 09:34 - The three groups of users 10:52 - The BUD/S student who died 13:00 - A captain's testosterone was 160 15:39 - Denied the test, then the wait 18:58 - Why men skip baseline testing 19:46 - Beyond operators: the wider force 21:56 - The three effects on the force 26:37 - The best biomarker for men 27:40 - Why they wanted a study first 29:04 - Health, media, and politics 37:44 - Testing and treating women 44:57 - Voluntary treatment and options 48:20 - The friend Tim lost 51:00 - Selling the science to the Pentagon 53:00 - Building a research dataset 1:05:29 - Naval Academy to defending Gotti 1:11:54 - Trial as psychological warfare 1:21:03 - The fitness turnaround 1:26:02 - The email spying scandal 1:31:06 - "I am the storm" 1:35:32 - Prosecutorial misconduct 1:41:11 - Secondary trauma and the human cost ‼️Disclaimer: The Dr. Gabrielle Lyon Podcast and YouTube are for general information purposes only and do not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast, YouTube, or materials linked from this podcast or YouTube is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professional for any such conditions. This episode includes paid sponsorships.

You might think creatine is a bodybuilder's steroid you have to cycle, load, and fear for your kidneys, but it's a compound your own body already makes from three amino acids, with one of the deepest safety records in all of nutrition science. The problem isn't the creatine; it's the noise around it. In this solo episode, Dr. Gabrielle Lyon discusses: Why the bump creatine causes in your creatinine lab value is a metabolic artifact, not a sign of kidney damage in healthy peopleWhere the hair-loss fear came from. A single unreplicated study in one rugby player showing a 56% DHT rise, and why no research has ever directly linked creatine to hair lossHow men and women respond differently (roughly 1.5 kg of lean mass in men vs. about a third of a kilogram in women), and why women still gain real strength, grip, cognition, and recoveryWhy you can't realistically eat your way to 5 grams a day: it would take 2.5 to 3 pounds of cooked meat and fish daily, so a single scoop closes the gapThe protocol: 3–5 grams of plain monohydrate every day, no loading phase, no cycling, timing barely matters Muscle is your organ of longevity, the tissue that clears most of the glucose in your bloodstream and defends your metabolism as you age. Creatine won't build it for you, but it raises the ceiling on the work you can do, so the training that protects that muscle pays off more. Understanding what's real and what's fearmongering is the difference between avoiding a proven tool and using it well. Studies & References PubMed study: https://pubmed.ncbi.nlm.nih.gov/1327657/Sports Nutrition Society: https://www.sportsnutritionsociety.org/ Thank you to our sponsors: Egg life - CTA - Find egglife wraps chillin’ in the fridge at Aldi, Whole Foods, Kroger, Target, Walmart & more - Visit https://bit.ly/3UghRHV to find a retailer near youBodyHealth - Use the code LYON20 to get 20% off your first order https://bit.ly/4gP6VtpOneSkin - Get 15% off at https://bit.ly/4xpFWuE with code DRLYONDavid Bars - Subscribe and save 10% on every order’ at https://bit.ly/4zAflMB Explore More from Dr. Gabrielle Lyon Premium Podcast Subscription: Ad-free episodes, key takeaway summaries, exclusive Q&A, and behind-the-scenes content https://foreverstrong.supercast.comWeekly newsletter: Recipes, podcast updates, and practical weekly insights https://drgabriellelyon.com/sign-up/Apply to become a patient: Personalized care with Dr. Lyon’s clinical team https://drgabriellelyon.com/new-patient-inquiry/ Connect with Dr. Gabrielle Lyon: Instagram: https://www.instagram.com/drgabriellelyon/TikTok: https://www.tiktok.com/@drgabriellelyonX (Twitter): https://x.com/drgabriellelyonFacebook: https://www.facebook.com/doctorgabriellelyon Chapters 00:00 - Introduction 02:47 - What Creatine Is and Isn't 03:24 - The Phosphocreatine Energy System 04:22 - Lean Mass: Water and Training Capacity 05:08 - Men vs Women Respond Differently 06:29 - Vegans, Older Adults, and Sarcopenia 07:11 - Creatine and the Brain 08:53 - The Real Safety Profile 09:31 - The Kidney and Creatinine Myth 09:57 - The 56% DHT Hair Loss Claim 10:37 - Contraindications and Screening 12:19 - Why You Can't Eat Enough Creatine 14:26 - Muscle-Centric Medicine 16:44 - How to Dose It Correctly If you found this episode valuable, share it with someone who would benefit from it. Disclaimers: This episode includes paid sponsorships. The Dr. Gabrielle Lyon Podcast and YouTube are for general information purposes only and do not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast, YouTube, or materials linked from this podcast or YouTube is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professional for any such conditions.

Most of what we call "aging" may not be about time at all. It may be a nervous system stuck in stress, quietly draining your sleep, your recovery, and your long-term health. In this episode, Dr. Gabrielle Lyon sits down with Dr. Kristen Holmes to discuss: Why the hallmarks of aging- inflammation, mitochondrial dysfunction, cellular decline may be symptoms of a dysregulated autonomic nervous system, and how much of your HRV (47–65%) is genetic versus trainableHow your sleep is decided during the day, not at night, and why perceiving your day as "threatening" keeps your HRV suppressed and robs you of deep, restorative sleepThe circadian "amplitude" formula for bright days and dark nights that predicts everything from menopause symptom severity to longevity, plus the ~90 minutes of natural light almost no one getsWhy late-night eating rivals alcohol for damaging your resting physiology, and how a simple 12-hour eating window gets you most of the way thereWhy the fittest people sleep less, and how all-day movement and "exercise snacks" beat a single gym block When you understand that your nervous system sits underneath your sleep, energy, and pace of aging, you stop chasing fragmented fixes and start pulling the few daily levers light, movement, meal timing, consistency that move the needle. Studies & References Stress and Heart Rate Variability: A Meta-Analysis and Review of the Literature — https://pmc.ncbi.nlm.nih.gov/articles/PMC5900369/How to Improve Your Circadian Rhythm with Satchin Panda PhD: https://youtu.be/gM_b4t0ARG8?si=QKfpYEAh1O5lyMw8 Want ad-free episodes? Subscribe to Forever Strong Insider: https://bit.ly/4u5VSRe Listen to “The Line” on all your favorite platforms! YouTube: https://www.youtube.com/@TheLine-Podcast Apple Podcasts: https://podcasts.apple.com/us/podcast/the-line-with-dr-kristen-holmes/id1846864184 Spotify: https://open.spotify.com/show/3zc3BCKHlFAlffRnd6kZXy Get Dr. Kristen Holmes’s book, “Aligned” here: https://sites.prh.com/dr-kristen-holmes 📱Connect with Dr. Kristen Holmes: Website: https://drkristenholmes.com/#top YouTube: https://www.youtube.com/@TheLine-Podcast Instagram: https://www.instagram.com/drkristenholmes/ LinkedIn: https://www.linkedin.com/in/kristen-holmes/ 🙌Thank you to our sponsors: Egg life - CTA - Find egglife wraps chillin’ in the fridge at Aldi, Whole Foods, Kroger, Target, Walmart & more - Visit https://bit.ly/3UghRHV to find a retailer near you BodyHealth - Use the code LYON20 to get 20% off your first order https://bit.ly/4gP6Vtp OneSkin - Get 15% off at https://bit.ly/4xpFWuE with code DRLYON David Bars - Subscribe and save 10% on every order’ at https://bit.ly/4zAflMB 📺Watch the “Dr. Gabrielle Lyon Show” every Tuesday at 9AM EST: YouTube: https://bit.ly/4boCFC3 Spotify: https://bit.ly/4cWTbLG 📱Connect with Dr. Gabrielle Lyon: Instagram: https://bit.ly/4uk9adc TikTok: https://bit.ly/3OFK3kJ X.com: https://bit.ly/4l3YlaX Facebook: https://bit.ly/3MBrJso LinkedIn: https://bit.ly/3N1nrdL Website: https://bit.ly/3NdV2kT Books: https://bit.ly/4r6ugZK Newsletter: https://bit.ly/402QCAj ⏰Timestamps: 00:00 - Intro of show 02:44 - Two types of people 03:01 - Aging as nervous system dysregulation 04:49 - The stellate ganglion block and trauma 07:34 - How much of HRV is genetic 11:13 - Emotions of trust versus fear 16:57 - Threat versus challenge appraisal 19:20 - Why modern life breaks your biology 23:24 - Structuring travel around sleep 26:16 - Circadian amplitude and contrast 28:00 - Amplitude and menopause symptoms 30:17 - What heart rate variability means 32:34 - Biggest levers for perimenopause 37:04 - Light dose and exercise snacks 40:18 - Why fit people sleep less 44:34 - Cycle syncing and training 51:56 - Meal timing and late-night eating 55:55 - Sleep-wake consistency and aging 59:43 - Exercise timing and pregnancy 01:04:54 - Why behavior precedes thought ‼️Disclaimer: The Dr. Gabrielle Lyon Podcast and YouTube are for general information purposes only and do not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast, YouTube, or materials linked from this podcast or YouTube is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professional for any such conditions. This episode includes paid sponsorships.

Blowing four times the legal limit on a breathalyzer usually means one thing, but in 2015, a judge dismissed a DWI because the driver's own gut was fermenting alcohol from an ordinary carb-heavy dinner. It's called auto-brewery syndrome, and the fuel it runs on is the same load your muscle is supposed to be clearing from your blood. In this solo episode, Dr. Gabrielle Lyon discusses: How gut yeast overgrowth turns everyday carbs like pasta, bread, and rice into ethanol that registers as real intoxication, brain fog, dizziness, and allThe specific risk factors that open the door: dysbiosis, SIFO, repeated antibiotic use, and poorly controlled diabetes or fatty liverThe three-part protocol to correct it, reduce the yeast burden, remove the carbohydrate fuel, and rebuild the microbiome, plus the carbohydrate challenge test, most doctors never runWhy skeletal muscle is your body's primary site for clearing blood sugar, and how an under-muscled body drifts into the same insulin-resistant, dysbiotic state that lets fermentation take hold Whether or not you'll ever face this rare diagnosis, you'll walk away understanding that gut health and muscle health share one supply chain and that defending your muscle is how you starve the problem at its root. Study & References: Woman beats DWI — her body brews alcohol (CBS News, 2015): https://www.cbsnews.com/news/woman-beats-dwi-with-rare-defense-her-body-brews-alcohol/ Cordell & McCarthy (2013), Int. J. Clin. Med. — foundational U.S. case study: https://doi.org/10.4236/ijcm.2013.47054 Malik, Wickremesinghe & Saverimuttu (2019), BMJ Open Gastroenterology: https://doi.org/10.1136/bmjgast-2019-000325 Painter, Cordell & Sticco — Auto-Brewery Syndrome, StatPearls (NIH): https://www.ncbi.nlm.nih.gov/books/NBK513346/ Thank you to our sponsors: Ladder - If you have an iPhone, head to https://bit.ly/4ggxfLK and take a quick quiz to find your perfect Ladder plan. Use my link and get a free 7-day trial with NO credit card, and $10 off your first month if you join. Timeline - up to 20% off when you subscribe and save at https://bit.ly/45xd870 Bon Charge - Save 15% at https://bit.ly/4ga6aJZ with code DRLYON Lucy - Get 20% off your next order with code DRLYON at https://bit.ly/45Zz9eP, or find yours in store at https://bit.ly/4xyELIS Explore More from Dr. Gabrielle Lyon Premium Podcast Subscription: Ad-free episodes, key takeaway summaries, exclusive Q&A, and behind-the-scenes content https://foreverstrong.supercast.comWeekly newsletter: Recipes, podcast updates, and practical weekly insights https://drgabriellelyon.com/sign-up/Apply to become a patient: Personalized care with Dr. Lyon’s clinical team https://drgabriellelyon.com/new-patient-inquiry/ Connect with Dr. Gabrielle Lyon: Instagram: https://www.instagram.com/drgabriellelyon/TikTok: https://www.tiktok.com/@drgabriellelyonX (Twitter): https://x.com/drgabriellelyonFacebook: https://www.facebook.com/doctorgabriellelyon Chapters 00:00 - Introduction 01:06 - The 2015 DUI dismissed in court 01:39 - Auto brewery syndrome defined 03:10 - The 2013 brewer's yeast case 03:46 - Why the evidence is thin 04:37 - How gut yeast ferments carbs 06:45 - Five conditions that trigger it 07:21 - SIFO vs SIBO explained 08:12 - Antibiotics and metabolic disease 10:00 - The carbohydrate challenge test 11:07 - Three non-negotiable treatments 12:53 - Muscle: the metabolic sink 15:07 - The under-muscled phenotype 17:03 - Your four directives If you found this episode valuable, share it with someone who would benefit from it. Disclaimers: This episode includes paid sponsorships. The Dr. Gabrielle Lyon Podcast and YouTube are for general information purposes only and do not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast, YouTube, or materials linked from this podcast or YouTube is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professional for any such conditions.

Most people chase happiness as a feeling and wait for certainty before making big decisions, and both instincts quietly backfire. Dr. Arthur Brooks joins Dr. Gabrielle Lyon to break down what happiness is and how to act on it. In this episode, Dr. Gabrielle Lyon and Dr. Arthur Brooks discuss: The three "macronutrients" of happiness - enjoyment, satisfaction, and meaning, and why pursuing pleasure alone leads to detox, not happinessA usable rule for any hard decision: aim for roughly 80% excitement, 20% fear, and near-zero "deadness" once you have about 80% situational awarenessWhy solo pleasures don't stick if you're doing it alone, you're probably doing it wrong, and how enjoyment requires people plus memoryHow GLP-1s, SSRIs, and hormonal shifts can dull motivation, reward, and desire, and why knowing this gives you power over itSimple tech protocols: phone-free first hour, meals, and last hour that protect oxytocin, meaning, and connection Understand happiness as something you build rather than something you wait to feel, and you walk away with concrete tools to decide better, connect deeper, and stop mistaking achievement for love. Want ad-free episodes? Subscribe to Forever Strong Insider: https://bit.ly/4u5VSRe Listen to “Office Hours” on all your favorite platforms! YouTube: https://www.youtube.com/playlist?list=PLDksUNNE9g_ZC6YJ3eG9lhZrMOG6IVuGR Apple Podcasts: https://podcasts.apple.com/no/podcast/office-hours-with-arthur-brooks/id1832119842 Spotify: https://open.spotify.com/show/3fT0FLFsPgV2mbVjuOo3JV?si=e4d69f6725194d48 Get Dr. Arthur Brooks’ books here: https://www.arthurbrooks.com/books 📱Connect with Arthur Brooks: Website: https://www.arthurbrooks.com/ YouTube: https://www.youtube.com/@drarthurbrooks Instagram: https://www.instagram.com/arthurcbrooks/ Facebook: https://www.facebook.com/ArthurBrooks/ X.com: https://x.com/arthurbrooks LinkedIn: https://www.linkedin.com/in/arthur-c-brooks/ 🙌Thank you to our sponsors: Ladder - If you have an iPhone, head to https://bit.ly/4ggxfLK and take a quick quiz to find your perfect Ladder plan. Use my link and get a free 7-day trial with NO credit card, and $10 off your first month if you join. Timeline - up to 20% off when you subscribe and save at https://bit.ly/45xd870 Bon Charge - Save 15% at https://bit.ly/4ga6aJZ with code DRLYON Lucy - Get 20% off your next order with code DRLYON at https://bit.ly/45Zz9eP, or find yours in store at https://bit.ly/4xyELIS 📺Watch the “Dr. Gabrielle Lyon Show” every Tuesday at 9AM EST: YouTube: https://bit.ly/4boCFC3 Spotify: https://bit.ly/4cWTbLG 📱Connect with Dr. Gabrielle Lyon: Instagram: https://bit.ly/4uk9adc TikTok: https://bit.ly/3OFK3kJ X.com: https://bit.ly/4l3YlaX Facebook: https://bit.ly/3MBrJso LinkedIn: https://bit.ly/3N1nrdL Website: https://bit.ly/3NdV2kT Books: https://bit.ly/4r6ugZK Newsletter: https://bit.ly/402QCAj ⏰Timestamps: 00:00 - Intro of show 02:14 - Enjoyment, satisfaction, and meaning 02:55 - Pleasure vs enjoyment 05:04 - Why strivers can't enjoy life 07:05 - The four affect profiles 13:46 - Meaning: the protein of happiness 14:26 - Satisfaction and struggle 18:10 - Suffering equals pain times resistance 23:57 - The mistakes that sabotage happiness 28:12 - How to make hard decisions 30:00 - Excitement, fear, and deadness 33:39 - GLP-1s, motivation, and desire 36:08 - SSRIs, birth control, and attraction 38:00 - The meaning crisis and screens 41:25 - Boredom and the shock experiment 43:07 - Tech-free protocols 49:50 - Transcendence and daily practice 56:35 - The striver's lament 57:44 - Why love can't be earned 1:02:42 - Falling in love, and staying in love ‼️Disclaimer: The Dr. Gabrielle Lyon Podcast and YouTube are for general information purposes only and do not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast, YouTube, or materials linked from this podcast or YouTube is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professional for any such conditions. This episode includes paid sponsorships.

You might think the number dropping on the scale is the whole win, but on a GLP-1, a meaningful share of what you're losing may be muscle, not fat, and the fiber that's supposed to help can quietly make things worse. In this solo episode, Dr. Gabrielle Lyon discusses: Why 25–40% of the weight lost on GLP-1 medications can be lean mass, and how to protect your muscle with adequate protein (1.2–1.5 g/kg) and resistance trainingThe GLP-1 fiber paradox and why these drugs need fiber to work, but make it hard to tolerate, and why 40–70% of patients hit GI side effects like bloating and constipationWhen to fiber max vs. fiber mine, plus how to reintroduce fiber gradually so you get the gut benefits without the bloat, bezoars, or obstruction risk Get this balance right, and you keep your muscle, calm your gut, and let the medication do its job instead of ending up bloated, constipated, and quietly losing strength. Thank you to our sponsors: Square - Get up to $200 off Square hardware when you sign up at square.com/go/drlyonBodyHealth - Use the code LYON20 to get 20% off your first order https://bit.ly/3TJVSsv Upgrade your kitchen with Our Place today. Visit https://bit.ly/4q3ggRp and use code DRYLON for 10% off sitewide. That’s F-R-O-M-O-U-R-P-L-A-C-E DOT COM / D-R-L-Y-O-N and use code DRLYON for 10% off sitewide. With a 100-day trial, you can try it completely risk-free.Branch Basics - Get 15% off the Premium Starter Kit at https://bit.ly/4q3ZYb4 with the code DRLYON. Explore More from Dr. Gabrielle Lyon Premium Podcast Subscription: Ad-free episodes, key takeaway summaries, exclusive Q&A, and behind-the-scenes content https://foreverstrong.supercast.comWeekly newsletter: Recipes, podcast updates, and practical weekly insights https://drgabriellelyon.com/sign-up/Apply to become a patient: Personalized care with Dr. Lyon’s clinical team https://drgabriellelyon.com/new-patient-inquiry/ Connect with Dr. Gabrielle Lyon: Instagram: https://www.instagram.com/drgabriellelyon/TikTok: https://www.tiktok.com/@drgabriellelyon X (Twitter): https://x.com/drgabriellelyonFacebook: https://www.facebook.com/doctorgabriellelyon Chapters 00:00 - Introduction 00:46 - The pear bezoar and bowel obstruction 02:07 - Why 95% of Americans fall short 03:32 - The GLP-1 fiber paradox 04:18 - Why GLP-1 drugs make fiber hard to eat 05:50 - How GLP-1s slow the gut 07:40 - Bezoars, psyllium, and the 87-case series 09:12 - Fiber as therapy: titrating it right 10:03 - The muscle loss problem 11:28 - Getting the fiber and GLP-1 balance right If you found this episode valuable, share it with someone who would benefit from it. Disclaimers: This episode includes paid sponsorships. The Dr. Gabrielle Lyon Podcast and YouTube are for general information purposes only and do not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast, YouTube, or materials linked from this podcast or YouTube is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professional for any such conditions.