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    Fitness

    Flipping 50 the Stronger Way

    The podcast for women in menopause and beyond who want to change the way they age. Fitness, wellness, and health science put into practical tips you can use today. You still got it, girl!

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    Copyright: © @2023 Voice for Fitness, LLC. All Rights Reserved

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    Latest Episodes:
    Health & Hormone Support for Anti-aging| Women Over 50 Feb 23, 2021
    Show notes

    Whether you're an anti-aging or, like me, a pro-aging advocate you're going to love this episode.

    My Guest:

    An honors English graduate from Tufts University, Dr. Stephen Petteruti continued on to medical school to become a Family Practice Physician. In 2014, with a holistic, patient-centered approach, Dr. Petteruti launched Intellectual Medicine 120—offering concierge medical services, functional medicine, facial anti-aging treatments, and advanced techniques to manage the body’s aging process.

    His next step was to bring the science of cellular health to Intellectual Medicine 120 with the addition of IV Vitamin Infusions—in a state-of-the-art, relaxing environment offering chelation therapy, high dose vitamin C for cancer clients, and lifestyle drips. Along with his wife Shannon, he is the founder of the DRIPBaR centers for IV vitamin therapy.

    Questions we answer in this episode:

    • At what age should women, or men, consider starting Hormone replacement therapy? What are the primary clues that they should be looking for?
    • A common question we’ve unpacked with other experts here on Flipping 50 and I’d love your opinion, does hormone therapy increase the risk of breast cancer for women, or prostate cancer for men?
    • You talk about avoiding the "big three," heart disease, cancer, dementia, in order to extend the healthy lifespan. What are the most important things you believe a listener can do beyond healthy living to avoid these chronic diseases and preserve youth?
    • Could you define the term "somatopause" for our listeners and discuss your opinion regarding the use of growth hormone for health support/antiaging.
    • The name of your center is "intellectual medicine 120" to signify the hundred-and-20-year lifespan. You really think humans can routinely live to that age? And that they’ll feel so good they want to?
    • anti-aging vs. pro-aging?

    Connect: www.im-120.com

    Get Social:

    Twitter: @DrPetteruti

    Facebook: IntellectualMedicine120

    Instagram: @dr.stephenpetteruti

    LinkedIn: drstephenpetteruti

    Resources mentioned in this episode:

    Risk of Breast Cancer and Your Hormones

    Flipping 50's 5 Day Flip


    Cravings in Menopause | Fitness in Menopause | Starting Fasting Feb 20, 2021
    Show notes

    Got cravings in menopause? What could that mean for you? I’m answering questions from our Flipping 50 Insiders group.

    Here are the questions I responded to in this episode:

    • I did a Gene-o type[DNA] with you a few years ago, I need to take omegas, what do you recommend and can flax oil be a part of my health foods in a meal as an added fat?? -Connie
    • What’s the best workout formula for menopausal women to burn fat and build muscle. How many days cardio, I know you like HIIT, how many days strength. Do you recommend 10k steps a day? Is this an important component? -Myra
    • Is weight training twice a week enough to build sufficient muscle mass? -Angelita

    Cravings in Menopause

    • What is causing me to want sweet and salty foods? -Connie
    • Just to clarify a fast is broke when you eat something with calories? Even if it is a vitamin 5 calories? Or Coffee like Sigma does that break a fast as well?? -Connie
    • I am trying to lose a little weight and build muscle at 62 I know hormones play a big part in the equation although I'm interested in fasting what would be your answer to start at.... I tend to look at a big picture and get lost, I need 1 step at a time.
    • I have been using intervals you shared on Prime Women-maybe Jan. 2018. I'm ready for more. Do I change the ratio of exercise/rest or add intervals? -Jane

    There you have it, from cravings in menopause to the fitness schedule and intervals in menopause.

    Resources:

    Flipping 50 Insiders group (Facebook)

    Fit-U (50% off in Feb 2021 with Bonus Metabolism Makeover and Intermittent Fasting Support; ends Feb 28, 2021)


    Health Consequences of Visceral Belly Fat | It’s Not Just all Skinny Jeans Feb 16, 2021
    Show notes

    Visceral belly fat at one time in my career was something that required an explanation. Back in the 90’s and early 2000s we began talking about it as the low and non-fat era gave way to increasing obesity numbers not just in adults but children.

    And now, here we are, many women, who never experienced a problem with visceral belly fat, just maybe a muffin top, or baby weight, are finding menopause and post menopause has not been kind.

    Why Now? It's Heart Health Month

    It’s heart health month so I’m tackling related topics and tips all month. I’m popping into our Facebook page regularly to answer questions and share tips. This one about visceral belly fat is an important one, and related to menopause, your fitness, and your future. So here we go.

    Before we dive in, this episode is sponsored by my very own Fit-U program. Losing weight, specifically fat weight, for women is different than men. After 50 (and menopause) it’s different than prior to it, and it’s different if you have more than 20 lbs to lose than if you’ve got a couple. The program does all the research – not the heavy lifting – that’s you girlfriends. Like every Flipping50 program the research and protocol behind the program featured women in menopause or beyond. I’ll link to it in the show notes. This month enrollment is open for 50% off, with BONUS Metabolism Makeover, and an Intermittent Fasting component to boost your program results.

    What and Why Now is Visceral Belly Fat a Concern

    Visceral Belly fat can accumulate easier in women post menopause. Reduced estrogen levels are a primary reason. But read on for more. It poses a greater heart health risk and may release more free fatty acids into your blood stream as well as inflammation-causing hormones.

    I’ve shared many times and many places that there’s no/nada/zero correlation between menopause and weight gain. In a study of over one million women (published by ACOG in 2018) it was clear that body composition changes were not related to menopause. However, clearly many women gain weight in midlife. Why?

    • Reduced activity – both in exercise and daily movement
    • Increase social eating and drinking
    • Insomnia – itself, and causing lack of activity or poor choices the following day
    • Wake up with coffee, Good night with alcohol, dehydrated in between
    • Changes in gut health and observance of outdated “healthy” habits making them worse
    • Loss of muscle

    What Can You Do to Combat Changes and Habits?

    To Improve Fat burning

    • Exercise (more below)
    • Remove stressors
    • Use adaptogens and natural ergogenic aids
    • Start eating at the right time and with the right food

    To Decrease Fat storage

    • Fix your Cortisol Coping
    • Avoid Dehydration
    • Reduce or eliminate alcohol (sugar)
    • Reduce insulin spike at meals
    • Eat early … not late for fasting (Insulin spike higher later in the day stops fat burning)
    • Avoid whey protein or high carb and easy to digest protein shakes (ever, really) but especially away from workouts as your blood sugar spikes, then gets stored instead of used

    Exercise Details

    • High intensity early, followed by high protein
    • Alternate your strength and your HIIT workouts

    Change Focus: Lose Fat Not Weight by Gaining Lean Muscle

    Resistance training + protein timing improve muscle, improving blood sugar stabilization

    Science: Visceral Belly Fat and Insulin Resistance

    • Insulin resistance causes higher insulin and blood sugar levels
    • More and more insulin = more fat storage

    The answer?

    The main cause of elevated free fatty acids is often eating too many calories and carrying excess body fat. Having a low fat breakfast of a bagel and fruit for breakfast after a cup of coffee?

    You’ve gone from your lowest blood sugar in a 24-hour period of time to a rapid spike followed by a rapid spike in insulin that will take hours to come down. Meanwhile you’re primed for fat storage, and a crash, and you’re likely to repeat your mistake because you will want another “hit.” The sugar rush your body got from fruit and bagel were like crack.

    You’ve Never Had this Problem Before?

    It's not unusual for hormonal shifts to change things in a big way. This is especially true for women who are in a perfect storm.

    Solutions for Visceral Belly Fat

    Exercise for Visceral Belly Fat

    • Strength training and some high intensity exercise along with some low intensity walking or other all-day activity.
    • Seek reduced impact, high intensity exercise
    • Seek physical activity that provides energy vs. injury
    • Eating for Visceral Belly Fat
    • Remove foods that are known sensitivities to test them for yourself
    • Substitute other foods, don’t make this a low calorie “diet”
    • Eliminate your snacks – and realize coffee and sweetener in your coffee your body thinks are breakfast
    • Define an eating window – aka fasting
    • Relearn “healthy” foods and the amount of protein you need in your diet
    • Increasing fiber
    • Decreasing or eliminating alcohol until you’ve made progress

    Sleeping for Visceral Belly Fat

    • Sleep quality can be improved from getting exercise and eating on track
    • Bedtime routines and wake up routines

    Science Studies that Reveal Health Truths

    The Nurses Health Study is one of the largest and longest (both things that scream, pay attention!) studies to date that has measured abdominal obesity, looked at the relationship between waist size and death from heart disease, cancer or any cause in middle-aged women.

    At the start of the study all 44,000 subjects were healthy and had measured waist and hip size.

    After 16 years, women who had reported the highest waist sizes — 35 inches or higher –had nearly double the risk of dying from heart disease, compared to women who had reported the lowest waist sizes (less than 28 inches).

    Even women with normal weight BMI (less than 25) with larger than 35 inch waists had 3x the risk of normal-weight women whose waists were smaller than 35 inches.

    It’s not the only study that found similar relationship between abdominal fatness and death in normal-weight women. The Shanghai Women’s Health study also did.

    Why is abdominal obesity so much riskier that fat on your hips or elsewhere?

    The fat surrounding the liver and other abdominal organs is very metabolically active. It releases fatty acids, inflammatory agents, and hormones that ultimately lead to higher LDL cholesterol, triglycerides, blood glucose, and blood pressure.

    Abdominal Obesity Measures Used by Health Agency:

    AHA, and the National Heart, Lung, and Blood Institute both use Waist circumference (35 inches)

    The International diabetes Federation uses Waist circumference (31.5 inches)

    The World Health Organization uses Waist-to-Hip ratio (>0.85)

    How to measure and calculate the waist and waist-to-hip ratio:

    Smallest part of the waist

    Largest part of the hips (widest part of the butt)

    Divide your waist measurement by your hip measurement

    Juggling the Challenge of Multiple Needs

    It’s not just weight, it’s fat. It’s not just belly fat, it’s visceral belly fat. It’s not just about skinny jeans, it’s about long term health. On all counts I think we can agree.

    The question is how do I exercise – and eat pre and post exercise – to support better hormonal function without causing more pain to my joints, or injury to areas where I’m already vulnerable.

    You’ve got knees or hips, or feet that don’t care for impact or severe flexion. You’ve got a need to stimulate those major muscles and still provide TLC for the joints that connect them.

    I hear you. I’ve been working with midlife and older adults for decades. I’ve got ankles and prior injuries too. They don’t stop me. Where there is one thing that won’t work, there are usually 3 that do.

    As a medical exercise specialist and hormone balancing fitness expert I don’t isolate … I know you need an integrated approach. If you’ve got visceral belly fat, chances are you have 20 or more pounds to lose and chances are that’s stress to your joints that makes your exercise choices need to be thoughtful not random.

    Support When You Need It

    I created Fit U to use boxing moves, for intervals at home without equipment for women carrying extra weight. I alternate the boxing workouts with strength training. I have a nutrition, and a mindset component to this DIY program. And… I hop into the Facebook group and answer your questions live… each Sunday afternoon.

    It’s 50% off right now, PLUS a Bonus Metabolism Makeover course that sold out last spring for $699, PLUS support using Intermittent Fasting if you’re just starting, or if you just want to optimize your exercise and your fasting timing... to lose the fat and keep the muscle.

    I’ll link to this in the show notes. There are a limited number of the Bonus Metabolism Makeover Course available. The special enrollment and Fasting component offer ends Feb 28, 2021.

    Resources:

    Zhang C, Rexrode KM, van Dam RM, Li TY, Hu FB. Abdominal obesity and the risk of all-cause, cardiovascular, and cancer mortality: sixteen years of follow-up in US women.Circulation. 2008;117:1658-67.

    Zhang X, Shu XO, Yang G, et al. Abdominal adiposity and mortality in Chinese women.Arch Intern Med. 2007;167:886-92.

    https://www.heart.org/en/health-topics/heart-attack/understand-your-risks-to-prevent-a-heart-attack

    http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.613.3378&rep=rep1&type=pdf

    https://pubmed.ncbi.nlm.nih.gov/16551307/


    5 Menopause Fitness Questions Answered | Listener Q & A Feb 13, 2021
    Show notes

    I’ve got 5 menopause fitness questions all cued up today. In this roundup from our Flipping 50 Insiders, Instagram, and iTunes comments I’m answering 5 questions. I bet one or more of them is a lingering question for you too, or you’ll love listening to confirm what you thought all along was spot on. And I’ll link to each of these too if you’re not following and want to hang out to see a positive message on your social media for a change.

    That brings me to the sponsor of this episode. I’ll also link to a very special opportunity this month… if you’ve got 20 or more pounds to lose, and you know after 50 it’s different. It’s also different losing 20 vs a few. And if you’ve accumulated a mass of diet experience over the years, it can be really hard to know what the right thing to do at this point in your life really is. My Fit-U program is 50% off enrollment right now, with a special bonus for the first students – my Metabolism Mastery course (a $699 value) PLUS a special Fasting component layered into that.

    Is soy or almond milk healthier for menopausal women?

    I first wrote about this in You Still Got It, Girl! Soy is an estrogenic, an obesogenic, and a goitrogenic.

    • Estrogenic – it mimics estrogen, confusing your body
    • Obesogenic – increases fat stores
    • Goitrogenic – disrupts thyroid

    That said there are a lot of benefits, like the increased protein that if you’re trading dairy because of food sensitivities, lactose intolerance, or gut issues, or in my case when I initially gave it up it was because of mucous that disrupted both running, teaching fitness, and speaking. Surprisingly, some gut issues I’d had for years also improved.

    What’s the bottom line on soy today?

    What are your thoughts on intermittent fasting?

    I’m going to do a rare thing here and share a limited time replay for you of the master class I did this week. The bottom line is this, some things are terribly wrong for you and some things are absolutely right for you. In this masterclass I gave you a quick self-quiz to decide if it’s right for you, or right for you right now. I share the mounting proven research on the benefits – the long term benefits of fasting – I share my friend and fasting expert with you if you want to go deep on a fasting lifestyle.

    In the presentation I share the importance of having a specific plan. The timing is on purpose, not accidental. Your exercise during periodic, or during an eating or fasting window during a day should be on purpose as well. Should you resistance train while fasting? Yes, as long as you’re eating window fuels and refuels it with high protein meals. The answer to should you do interval training together with fasting, it depends on the type of fasting you’re doing.

    Periodic with Calorie Restriction, not so much; using Time Restricted Feeding regularly, with the right timing of the exercise and food yes- making sure that your energy expenditure remains as high as normal. Not effort level, because most things will feel “hard” with little calories or fuel, but if you’re unable to achieve your usual effort level you’re not reaching the same level of fat burning, and you’d be better off exercising low intensity, or changing the HIIT sessions to an eating window.

    Replay is on demand here for a short time if you’d like to take a deep dive. If you want support for exercise, fasting, and boosting your metabolism, and you’ve got closer to 20 lbs to lose, Fit-U is currently open, and during the month of February I’m offering the Metabolism Mastery in Menopause course (a 699 value) as a bonus, and that’s not all, a Fasting component to help you add this to the exercise, mindset, and recipe & menu suggestions during this 8-week program… that you have access to for good.

    In this 5 Menopause fitness Questions round up one listener asked a couple questions:

    When is it recommended to do endurance activities like a Power yoga, a jog or training for a 10K, or a spin bike?

    It’s recommended most often, not to do endurance exercise, if you’ve got hormone imbalances. That would be evidenced in weight loss resistance, belly fat, lack of sleep, hot flashes, night sweats.

    What qualifies as endurance exercise has more to do with length- as suggested. So, a 20 minute power yoga? Go for it. But an hour power yoga session, unless for you it’s a norm and you’re relaxed and getting best sleep and at your ideal weight (aka, it’s working!) I wouldn’t recommend. Long runs ? Which are by nature higher in intensity… if you’re going 75 minutes… or doing even too many 45-minute workouts repeatedly in that “no benefits zone,” you’re going to make cortisol imbalance worse. Fat burning doesn’t usually occur well from those sessions.

    The Surprise

    Here’s the irony. A 45-minute walk may result in more fat burning than a 45-minute treadmill (or outdoor) run. It depends on your current status. If you’re balanced, you’re at ideal weight, energy, sleep, fat… then introduce it or continue. Not liking the results you have right now and you are having hot flashes, insomnia, belly fat…. Then you want to not run…. But run from the “more is better” type of workout. Go into the woods and do a 2-hour hike if you’re ready for it, if you need an endurance fix. The longer you go, the lower that intensity better be.

    Should You Train for Endurance?

    If you’re training for a 10K you can be smart about it. Less volume, more strategically planned workouts. I use a strategy for myself and clients…. Remember I spent 6 years in Boulder, where everyone tries to train as if they were a world champion. That over training leads to the high frequency of adrenal fatigue and injury you see in midlife women for sure. So I suggest you work with a coach who will help you plan your work and recovery not in a traditional training way. I’ve posted how I work with clients to do this and done for myself to reduce the amount of training I did for Ironman distance triathlons by nearly a third.

    Spin bike workouts… with a warm up and cool down a good session is about quality not quantity. A 45-60 minute session should be no more than 25 minutes of high intensity. Or it should be a zone 1 to 2 level recovery ride. That’s just like your walk. When you know the affect your exercise has on your hormones you know how to manipulate your weight, energy, and sleep.

    The same listener asked: Please clarify this point, as a nutrition major many years ago, The strategy was to eat carbohydrates after a muscle pump, also protein… But right after not to wait.

    You’re not an athlete. If you are, and you’re training for a marathon or a triathlon, you’re biking miles and miles daily, yes, fuel immediately because you’ve got to get that glucose back in your muscle and recover to make that next workout best.

    If you’re a midlife woman or older, exercising minimally for energy, for fat burning, and support balancing your hormones, you want to wait.

    Something that gets tricky for one of our listeners, who is also a fitness coach and soon-to-be nutrition coach: is when a carb is also a protein like nuts/hemp seeds, how do I balance meals?

    First, let’s talk balanced meals. That looks different for everyone. You want to know that you or your clients do best with high protein, high fat, or high carb- and during midlife that one by the way is rare! A balanced meal for someone may be 33% of protein, fat, and carbs. For another it may be a higher fat moderate protein, low carb for a time – for instance doing a keto diet for reset. For others still it’s high protein, low fat and moderate carbs.

    Then, there really isn’t a lot of confusion. Yes, foods “double” dip all the time. Salmon is a protein and a health serving of fat. So, at that meal you wouldn’t need to be as consciously adding an oil for instance. And if you were keeping fat moderate, because you’re predisposed to do optimally with high protein- moderate fat and low carbs, this would be even truer.

    More on Fats & Protein

    Hemp seeds are a great source of healthy fat, added plant based complete protein. They couldn’t solo as the only source of protein at your meal but they’re an addition. Nuts, are primarily a high source of fat, and offer some protein, for instance nuts and seeds pair well with a plant-based shake like my Plant Power smoothie because the pea protein and the nuts/seeds together create a much higher essential amino acid profile. The recipes I share in the Ultimate Smoothie book are on purpose, not random for this reason.

    How We Do It – Are you a Fitness Pro or Health Coach?

    Here’s how we operate at Flipping 50. We don’t count… calories, points, or grams of macros except for protein. There is a Formula for Women to follow to easily look at a meal and say… number of servings of carbs? Number of servings of fat? Right amount of protein? And if you follow it you may be counting your hemp hearts or salmon as sources of fat, and of protein, but you won’t back yourself into a corner and have too little protein, the worst mistake a women who wants to hold onto lean muscle can make.

    For more information about becoming a Flipping 50 Fitness Specialist I’ll link in the show notes. You’ve got great questions that go deeper than RDAs and my Plate ever did or will. We’ve got to combat programs that are still suggesting if you’re going to have wine you just reduce your calories elsewhere in the day… and ignore what the calories you consume do to your hormones. And you can do it all providing information, and asking the right questions, within your scope of practice if you’re not a Registered Dietitian or operating in Colorado or California where those calling themselves nutritionists can say just about anything.

    Resources mentioned in this 5 menopause fitness questions episode:

    Fit U (Feb 2021 with BONUS Metabolism Mastery to first 10, PLUS Fasting & Exercise Plan)

    Limited Time Replay: Exercise & Fasting in Menopause

    Flipping 50 Fitness Specialist course (ask about the mastermind too!)

    After 50 Fitness Formula for Women course (for the science of nutrition, exercise, stress, sleep, and hormones)

    Flipping 50’s Ultimate Smoothie Guide


    What is Balanced Eating in Menopause | Examples of Good Workouts? Q and A Feb 12, 2021
    Show notes

    This listener question comes from a new listener and asks about balanced eating, and examples of good workouts if you don’t have weight to lose. She cleverly packed a lot of questions into her “ask.” I answer the majority of them here. I hope you find it helpful to listen to this … and get a little more information in the resources for this episode too.

    I just recently found your podcast by doing a search on menopause – I’m loving it! Since I’ve only listened to a few you may have already discussed this, but here are some thoughts – balanced eating – I’ve listened to one about intermittent fasting (which I’ve been doing for a while), and heard you mention in another one the importance of protein.

    I’d love more on the importance of healthy fats and how much. I too am a product of the 80’s “no fat, low fat” era- I do incorporate healthy fats but really unsure of how much. What is the real good balance of protein, fat, and carbs??

    Another thing I’m interested in is fitness ideas and examples of good workouts if you don’t have weight to lose but want to build strength. Thank you!! - Lauren

    Questions in this Q and A episode:

    • What is balanced eating?
    • How much healthy fat is healthy?
    • What are examples of good workouts for gaining strength, not necessarily losing weight?

    Your Turn

    Do you have a question I haven’t answered yet? Leave it below the show notes and on iTunes where you can leave a comment and a rating if the show and the time we spend preparing it for you is valuable? You can do that from your mobile phone.

    Click to Flipping50 in iTunes

    • See in iTunes
    • Add a rating and a review.
    • Thank you so very much!

    Other content you may like:

    Why Fat Loss is Different (not impossible) After 50

    How to workout: 5 day Flip (to get started, or restarted!)


    Holding on to Metabolism Boosting Muscle in Menopause Feb 09, 2021
    Show notes

    Boosting your muscle in menopause is one of the smartest investments you'll make.

    The physiological/hormonal/brain changes you begin to experience in perimenopause are useful to understand. What actionable items women can you take (with food, fasting, training, supplementing) in perimenopause and menopause that make you more immune to the roller coaster ride menopause doesn’t have to be?

    “Women are not little men” as my next guest explains [and aligns with my TEDx talk] We explain how women are uniquely different to help you better take care of yourself and navigate menopause and beyond.

    My Guest:

    Dr. Stephanie Estima is an expert in female metabolism and body composition. She is a doctor of chiropractic with a special interest in functional neurology, brain metabolism, and the specific application of the ketogenic diet and fasting to female physiology.

    She is particularly focused on distilling strategies in nutritional proxies, movement, posture, and mindset to actualize human potential, health span, longevity and achievement. She is a top writer on medium.com, with millions of reads in the health category, and has appeared on some of the biggest international stages.

    We talk all things muscle in menopause (all stages) today in this episode. As you are no doubt, a lover of metabolism boosting muscle in menopause already, I think you'll agree she fits right in here!

    Questions we answer in this episode:

    • How can we eat to coincide with our menstrual cycle?
    • What are some of the metabolic changes that happen in menopause and how do our monthly rhythms (eating) change?
    • How can we change our training to coincide with our menstrual cycle?
    • Why is resistance training so important as we flip 50?

    Access Stephanie’s New Book:

    www.thebettybodybook.com

    Connect with Stephanie on Social media:

    Instagram.com/dr.stephanie.estima/

    4 Week Keto Cycling Program (with Recipes!): https://thehealthloft.lpages.co/4-week-keto-cycling-plan/

    It's Not Just Weight Training, It's How You Weight Train

    Two resources to make your muscle in menopause better with the right start.


    Do I Need Supplements in Menopause | Muscles, Energy and Immunity Feb 07, 2021
    Show notes

    Yes, supplements in menopause will influence your ability to get and keep muscles. They’ll support your immune system. They’ll influence your overall energy levels today and the way you age.

    You can eat “healthy” every day of the year, but we all slip sometimes. We can’t eat 21-27,000 calories it would take a day in the healthiest diets to reach even the RDAs. That number is far too low for optimal health, it simply helps you avoid disease.

    Yes, aging can impact your micronutrient sufficiency.

    Questions I answer about Supplements in Menopause:

    • Are you able to eat your micronutrient needs?
    • Are you absorbing all of them? (leaky gut, stress, competing ingredients, conditions, food sensitivities preventing you from absorbing 100%)
    • What daily activities deplete what you eat? (exercise, over the counter and Rx)

    An example of Rx depleting actions:

    CoQ10 for instance, if you’re on statins, is something to look at.

    The best way to know if you need supplements for more energy and optimal life – or confirm which ones and how much is beneficial – is to test. Then go over that test results with someone like me who is tuned into the difference between optimal and normal ranges.

    Understanding Your Tests

    Normal ranges include an average of a lot of people who don’t feel very good. Optimal ranges let you know levels of someone who thrives with high energy, and a strong immune system. As a health and hormone coach I don’t prescribe or diagnose. I educate you on the results, what they mean and discuss changes you might want to consider. Together we put together a plan for doing that.

    Tests Support Your Compliance

    Never once in 37 years has any client said, “Debra, I just love taking my supplements.” Testing is often the kick you and I both need for compliance with what we said we wanted to do. When you see the numbers, you’re not shooting blanks.

    Suggestions for change are based on getting you to your optimal range. The knowledge you’re going to test again in 6 weeks is so very helpful for staying the course.

    Reading an article, watching a video suggesting that iron or Vitamin D or B12 is what you need for low energy, then running to Amazon thinking you need supplements for more energy according to no specific numbers doesn’t work very well. There are a lot of factors to consider.

    Partner with Someone Who Can Help

    Work with a coach on the project of you to consider whether you need supplements or what to do about it makes it a strategy that is sequential, time-sensitive, and gets better results.

    Start with a test. Go over them with a professional who’s tuned into functionally optimal levels, decide which changes you want to make, test again.

    I’ll link to the self-directed labs I use personally and share with my clients for testing themselves and also will go over these results with them.

    It’s important to consider what you’re referring to as supplements. Is this just your vitamins and minerals? Is it protein supplementation from protein shakes? Is it amino acids to supplement low protein diet or plant-based protein diet? Is it hormone supplementation or adaptogens? All might be considered beneficial supplements in menopause.

    Top supplements in menopause recommended by OBGYNs:

    • An intelligent multivitamin
    • Magnesium
    • Omega 3
    • Vitamin D
    • Probiotic
    • Digestive enzyme

    If you’re not currently taking any or doing so consistently/randomly, it’s a perfect time to test need for supplements for energy, optimal aging, muscle tone, sleep and IMMUNITY.

    Your hormones, digestion, skin, as well as your muscle and body composition are dependent on micronutrient sufficiency. Your gut health or protein may also need a boost. So, these shouldn’t be ignored as you look for a best workout.

    Resources:

    Yourlabwork.com/flipping-50 Coupon Code: Flipping50

    Supplements in Menopause (and every age) are important. Learn more from the After 50 Fitness Formula for Women course about which, why, how they help and how to test.

    Is one-on-one more your style? Are you interested in private coaching? Please explore the coaching package options here. If that feels like a match, and now is the time to invest in yourself, book a session to choose which one. [Limited number of private coaching spots available. Thank you for not booking without intention to enroll.]

    Note: As a Medical Exercise Specialist and Health Coach I do not diagnose or treat. The information here should never replace or substitute for that of your medical professional. I support you in considerations and making informed decisions about what you want to ask, try, and follow through with.


    Menopause Belly Fat Weight Gain | Reader Q and A Why? And What to Do Feb 05, 2021
    Show notes

    Dealing with menopause belly fat weight gain? So is one reader who asked for a refresher on this very commonly visited question at Flipping50. And here’s what you can do about it.

    I am wondering if you have any insights into why postmenopausal women gain weight in the stomach or lower stomach. I understand cortisol plays a big role. -Dixie

    In addition to refreshing your memory on the why here on possibly the most common question here at Flipping50, I’ll share the resources I’ve shared the past 7 years. I’ll give you a short list of items in the show notes here to use as a check list. And share resources if those aren’t coming easy to you.

    Questions I answer:

    • What hormone shifts influence menopause belly fat weight gain?
    • What does estrogen have to do with it?
    • How does cortisol, as well as insulin come into it?
    • Exercise that is most effective
    • Is it fat, bloat, or constipation? Be sure you know.

    Checklist of Support

    • Adaptagens - maca – see macapause below, rodiola, ashwaganda
    • Decrease stress exposure/Enhance your selfcare
    • Change the way you exercise – first reduce fatigue (see 5 Day Flip)
    • Reduce dietary-induced stressors (alcohol, processed foods, and those foods not agreeing with you!)
    • Sleep (see Sleep Yourself Skinny)
    • Optimize your carbohydrate cycling for cortisol and sleep
    • Make sure you have adequate protein content daily at each meal
    • Learn the cycle of carbs, protein, and fat (the After 50 Fitness Formula™)

    Belly fat weight gain is not an absolute. Yes, many women do experience it. Treat it as a sign you’re not adjusting your lifestyle habits to meet your needs now, not as a permanent sentence.

    Signs of menopause are just whispers that you need to make changes in your lifestyle medicine. You can change, if you change.

    Resources:

    Macapause

    Natural Menopause Solutions You'll Love

    Flipping 50 Insiders

    Lab testing Cortisol - 4 sample saliva test

    About Flipping 50

    Flipping 50 hosts the First and Only Exclusively dedicated Fitness Membership for Women in Menopause. It's based on research featuring women in menopause. You're not a mice, a man, or a young woman. And you don't just have hormones to work with, you have joints, ligaments, a history, and more conditions to juggle along with hormonal changes.

    That doesn't make it harder or impossible. It does mean whether you're getting started, restarted, or you're an athlete, you need intelligent exercise made for you.

    You'll find not only the exercise, but the reason why you're exercising in the way you are and what it's doing for and to you. Try a small piece of the exercise here. It's 5 days of short videos, planned, not random, and for you not for "anyone."


    What About Flipping 60 or 70? | Answering a Listener Q Feb 02, 2021
    Show notes

    What about flipping 60? That’s such a frequently asked question.

    The question comes up so often that I’m dedicating this short podcast to answer.

    And it begs two responses.

    First your body, specifically your muscle and your bone.

    Second, your mindset.

    I’ve worked with many women over 37 years. Privately, in group situations, on campuses, and in private gyms, as well as in their homes, my home, and across the globe from SKYPE calls to Okinawa, Trinidad, Italy, Canada, and Australia to name a few. They’ve been realtors, lawyers, physicians, accountants, faculty, business owners,

    Here’s what I’ve found.

    What About Flipping 60 Physically?

    Physically, the biggest change you will make in your life occurs at about age 50. That’s a rough estimate because the average age of menopause is 51.3. However, some women reach it in their 40s, others not until their late 50s. The hormonal change you make causes a ripple effect in muscle, bone, body composition, metabolism, and heart health risk.

    Women in the late stage of perimenopause and early post menopause are at accelerated risk of losing muscle and bone because of the dramatic change in estrogen levels, namely though other hormones are influencing factors too. By the time you’re in your 60’s, your body has adapted to lower estrogen levels (or you may be on hormone replacement) and your losses are slowed.

    And Just What About Flipping 60?

    So, while the question, what about flipping 60? Often comes from women thinking that maybe this information isn’t appropriate for me because I’m older and need a gentler program, the opposite is true. You are more hardy and sturdy, unless you have a history of sedentary lifestyle and habits that contribute to muscle and bone losses. You actually stand to make more gains and improvements than a woman might just beginning in her early 50s because you are not in that period of accelerated loss.

    The biggest obstacle you face, may not be your physical ability, but the mindset around your aging. Thus, flipping 50. It is the flipping of the expectations, the actions, and the outcomes of women who are in the second half of your life.

    Flipping 50, 60, and 70 Mindset

    Women often but not always accept and settle for aging based on the conditioning and influence they’ve had on their mindset about aging.

    No two 60-somethings are alike. No two 70-somethings. I knew a young-at-heart woman friend of my mother’s back in the 70s and early 80s who was a perfect example of proactive aging long before her time. She was using supplements, exercising, and living thoughtfully.

    Yet, many women in the 70’s and 80s did not approach their aging proactively. She stood out because she was an anomaly. I remember her distinctly.

    We Do Have More Science Than Ever Before

    So, of course we can now access so much more information about the reality of what is possible as we age. Examples include Dan Buettner’s Blue Zones research, and organizations like Growing Bolder, International Council on Active Aging, and a growing number of studies showing us the effects of our epigenetics – our lifestyle – on our life and more importantly, “healthspan.” But it’s first and foremost attitude and expectations that change the way you age.

    The women who expect to gain weight, who have been conditioned to serve others, and put themselves last, who don’t put exercise or eating – or researching the eating they’re doing – at a high priority gain the most weight. They have the most hot flashes. They are surrounded by people who tell them they look good “for their age” or compared to most women their age they’re doing great. And so they accept it, or at the least it makes it harder to change the way you think about yourself and the way others think about you.

    Acceptance is Okay

    And by the way, if that is where you are, and what you want, is to be the weight you are and to accept and find peace with it rather than changing it and your health and health risk, I think it’s important that you know, it is your decision.

    In fact, I think ideal health is both. Do everything you can based not on your old beliefs and old science but on current science, and an openness to new strategies. Then also accept that there may be a boundary that you are unwilling to cross. If you won’t follow through with some changes and though you want the change, won’t do the daily and weekly changes to get there, there is either a gap between you understanding the science of how that will help, or there is just a “no, I’m not going to do it.”

    You are at choice.

    I’m here for the women who are willing to change.

    For the women who want to know the exercise, and the integrated lifestyle changes they can make and how they will affect their aging.

    For the women who are willing to do the deeper inner work and realize that their changing weight loss for years – while getting repeatedly injured and sick – is a sign that the changes they need and weight they need to lose is in their emotions and mindset.

    I’m here to help you go through the resistance to change that we all have as human nature. One of the hardest things that we do is change. Even when we choose it. Habit gravity is heavy.

    Change Is Hard

    Even when we have all the evidence in the world that what we’re doing isn’t working, we continue to do it. Without small actionable steps and building a bridge of tiny new habits.

    Research You May Like

    https://www.researchgate.net/publication/247158630_Comparison_of_Strength-Training_Adaptations_in_Early_and_Older_Postmenopausal_Women


    10 Fitness Lessons from 2020 | Menopause & Exercise Jan 26, 2021
    Show notes

    Tucked into all the life lessons of 2020, the fitness lessons from 2020 were pretty clear.

    • Exercise done right boosts immunity. The first of fitness lessons from 2020 was the fact that it is moderate amounts of high and low intensity exercise, not moderate exercise that benefits your immune system most.
    • Exercise supports depression, anxiety, and mood.
    • Strength training to muscular fatigue prevents the muscle losses associated with aging.
    • Strength training with heavy weight prevents bone losses associated with aging.
    • Strength training (more than any form of cardio) improves longevity and the life in your years.
    • It is not the strength training activity, it is the result of proper strength training that increases lean muscle, decreases fat, and therefore improves body composition.

    A question from Cary in our community, “If strength training does more to improve fat loss shouldn’t we do that more often?” That is such a logical thoughtful question. So, it’s important you realize it is not the 10, 20, or 40 minutes you spend strength training per session that improves fat loss, lean muscle loss prevention, and therefor body composition.

    Proper strength training is this formula:

    Adequate stimulus during the strength training session + adequate recovery after a session = Positive anabolic muscle response

    What is adequate stimulus during the strength training session?

    • Overload to a point of temporary muscular fatigue - Done with a heavy weight and

    lower rep range or lighter weight and lower rep range

    • Includes as many major muscle groups as possible – a full body routine, not a body part (or split routine) is best for women in midlife
    • Includes compound exercises

    What is adequate recovery following a strength training session?

    The purpose of all of the following is to improve anabolism, that is repair and rebuilding of the muscle following the act of breakdown during the workout. During exercise of any kind the muscles experience stress and microtears. When the body recovers it doesn’t just repair to original state, it overcompensates to be prepared for the next stress (workout).

    If you’ve ever trained for a 5k you’ve experienced this. When you start, you’re not able to complete more than a mile. Then over time you can gradually do more and more, until you’re able to do the entire 3.1 miles. Or you’ve started a weightlifting routine and you’re using a 5 lb weight, and a few weeks later you realize you’re never tired at the end of a set and you need a heavier weight.

    • Adequate calories

    A caloric deficit may be created because of activity, because of reduced calories and activity, or reduced calories – however during times of stress – from menopause, loss of sleep, stressful life situations, careful adherence to abundant micronutrient dense foods over strict calorie deficit is the better goal

    • Adequate protein – especially in the presence of lower calories

    Protein needs increase with age due to muscle protein synthesis decline. On a per meal basis, 30-40 grams of high-quality protein at breakfast and again at dinner (or slightly higher at dinner) along with a modest protein midday meal support muscle protein synthesis.

    The 24 hours following strength training muscle protein synthesis is boosted, making it a prime time to increase protein intake slightly over other days of the week. In fact cycling protein intake over the weeks of the month if you’re still experiencing a cycle or you’re in menopause can improve your body composition significantly. The type of training you do and the protein you consume both together have dramatically improved results for many women, even in their 60s.

    • Adequate rest between muscle re-stimulus

    Without adequate rest anabolism will not be allowed to happen. Without enough time between coming back to the muscles again with a hard workout the repair can’t happen.

    Imagine having the flu. You’re a busy person and when you start feeling better you get back into your regular routine to find yourself having to sit down after you take a shower and get ready, or maybe you make it until noon on your first day back and realize you’ve overdone it and wind up back in bed again. Your muscle, without the full recovery will experience more muscle wasting than repair and you may be losing muscle even while you’re exercising regularly.

    To sum it up, recovery included not only the time between sessions, but the time between sets of exercise in a workout, and requires consideration of your nutrition, your life stressors, and quality of sleep – the ultimate rest.

    1. The right exercise is only small but important a part of the movement every woman needs in her day in order to impact her optimal health.
    2. Time was for many the biggest obstacle to exercise and when commuting, and distractions like social gatherings, entertaining and travel were removed exercise activity increased by 88% in those who had a lower level of activity before Covid (BC).
    3. Online options for fitness increased dramatically as did the across the age space generations taking advantage of them
    4. The wave of dumbbells, weight equipment purchases that left shelves, and even Amazon without weight training options, created a short term need to get creative with resistance equipment – from soup cans, to water bottles filled with rocks, then sand, then water, to backpacks or small pieces of luggage filled with books or sandbags.

    We got creative and found solutions.

    Fortunately, because in a moment of midlife when you are more rapidly losing muscle and bone (late stages of perimenopause and early post menopause) abandoning a resistance training program now, or not beginning one, could have a devastating effect on disability in a decade or more… that is completely avoidable.

    Fitness lessons from 2020 will change your life, one way or another.

    Other posts you may like:

    Strength Training More

    Top 10 At Home Fitness Equipment

    Keeping up with Statistics in 2020?

    Register for the Food Flip (open through Wednesday January 27, 2021.

    I’d love to hear what fitness lessons from 2020 have stuck with you. Leave a comment below the show notes or join the Insider’s group.


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