Dr. Andy Galpin: Why You’re Not Losing Fat & How Metabolism Really Works

3 Dec 2025 · 1 h 31 min · 33 chapters

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In short

Metabolism and fat loss—debunking “fast/slow metabolism,” separating fat oxidation from fat loss, and explaining why acute “fat burners” rarely cause chronic weight loss. The episode also critiques health marketing/fear-mongering (including seed-oil controversies), and discusses how nutrition, exercise, and NEAT (non-exercise activity) drive total energy expenditure. It further addresses GLP-1 (e.g., Ozempic) as a major obesity breakthrough while warning about rebound weight gain and lack of long-term lifestyle support.

Guest backgrounds

Dr. Andy Galpin, researcher/coach focused on exercise physiology and metabolic science (discusses work with Duke’s Herman Ponzer and his own yo-yo dieting research). The host is a clinician/researcher who runs Vitality Blueprint high-performance bloodwork (non-medical performance labs) and discusses tracking low energy expenditure markers and hormones.

Key claims

“Fast vs slow metabolism” is mostly semantic; metabolic rate differences reflect energy balance, not inherent speed. Acute metabolism boosters (coffee, ginger/cayenne, green tea) raise metabolic rate temporarily but usually don’t produce fat loss. Fat loss depends on stacking sustainable nutrition wins; exercise helps but nutrition is more important for fat loss, while exercise also preserves muscle and improves long-term maintenance via adaptive thermogenesis. In calorie deficits, NEAT drops (“shoulder slump”), making dieting harder.

Notable examples

Coffee boosts metabolism acutely without increasing weight loss; exercise-calorie tracking often overestimates net fat loss due to downregulated energy expenditure; seed-oil debates are framed as marketing “bait-and-switch” and cherry-picked studies; GLP-1 drugs can reduce weight but rebound occurs when stopping without retraining habits.

Written by AI. May contain mistakes. Listen to the episode to check what was said.

Chapters

Tap a time to open that second in VO

Critique of Public Messaging in Health

0:17 to 1:06

Discuss the misleading marketing around health products and fad diets.

“The research of potential negative effects of seed oil are so weak to ban an oil like that and to then come out and say things like, oh yeah, beef tallow is perfectly healthy.”

Metabolism Myths and Misunderstandings

1:06 to 1:56

Uncover common myths about metabolism and clarify misconceptions.

“They can legally say yes because they can show a human had this, their metabolic rate went up.”

Understanding Metabolism and Weight Loss

1:56 to 4:28

Learn how metabolic rate and fat oxidation relate to weight loss.

“And I pride myself in doing that for the show because it's so important.”

Components of Energy Expenditure

4:28 to 6:20

Explore the factors that contribute to total energy expenditure.

“So it's a real like, now they can't say our studies have proven you will lose fat on your body.”

The Importance of Sustainability in Dieting

6:20 to 7:40

Understand how sustainability affects dieting success and adherence.

“of season two of my podcast was the science of boosting metabolism can you boost metabolism So, again, yes, you can.”

Nutrition vs. Exercise for Weight Loss

7:40 to 14:03

Analyze the relative importance of nutrition and exercise in weight loss.

“But the question is, how quickly did it come back down?”

The Importance of Nutrition for Weight Loss

14:03 to 17:09

Learn why nutrition is more crucial than exercise for effective weight loss.

“I actually had Herman Ponser on my show as well.”

Understanding Non-Exercise Activity Thermogenesis (NEAT)

17:10 to 19:38

Discover how everyday movements impact your caloric balance and dieting efforts.

“everything involved in the equation here, you still really do want to exercise.”

The Challenges of Dieting and Energy States

19:39 to 22:26

Explore the physiological challenges faced during dieting and their effects on energy levels.

“You're training even harder because you're not losing weight.”

The Challenges of Dieting and Energy States

22:27 to 23:40

Explore the physiological challenges faced during dieting and their effects on energy levels.

“I'm constantly asked what do I use to track my health?”
Show all 33 chapters

The Challenges of Dieting and Energy States

23:48 to 24:02

Explore the physiological challenges faced during dieting and their effects on energy levels.

“in the most mindful way is one of the most powerful things that you can do for your health.”

Metabolic Health and Obesity Epidemic

24:03 to 28:01

Understand the link between metabolic health and the rising obesity and mental health crises.

“And then now you're just constantly bombarded with so much information.”

Challenges of Weight Management Drugs

28:01 to 29:18

Discussing the rebound weight issues associated with weight management drugs and the importance of lifestyle interventions.

“You'll hear no pushback from me on those.”

Seed Oils: A Controversial Topic

29:18 to 29:41

Introduction to the heated debate surrounding seed oils in nutrition and health.

“i think just the awareness and having the conversations around i think that even would help distill more education to people that are even looking at going on these.”

Debating the Risks of Seed Oils

29:41 to 34:44

In-depth analysis of arguments for and against seed oils, exploring misconceptions and public health messaging.

“Because honestly, it's probably one of the most trending, polarizing topics in the health space right now.”

Public Messaging and Fear in Nutrition

34:44 to 36:54

Exploring how fear-based marketing impacts public understanding of health topics and nutrition.

“This is the most political thing I've ever done in public probably in my life.”

The Cycle of Fad Diets

36:54 to 42:02

Discussing the patterns and playbook of fad diets in health, including the psychological impact on individuals.

“I'm interrupting for one moment to ask one small favor.”

Success Stories and Fads in Nutrition

42:02 to 43:21

Learn how success stories in nutrition can create misleading perceptions about diets and health trends.

“Go back and look at what you can name all these things that have come in.”

Understanding Processed Foods

43:21 to 46:05

Explore the complexities of food processing and how it impacts health choices.

“And there's not an official, like, 100 % internationally agreed upon definition.”

Navigating Food Labels: Whole Foods vs. Processed

46:05 to 48:25

Discover how to distinguish between whole foods and ultra-processed options while shopping.

“If that is the bulk of your diet, you've probably avoided the labeling problem because you're just not buying things in containers.”

Choosing Between Food Options

48:25 to 53:18

Understand the importance of making informed choices between processed foods and whole food sources.

“That's like, well, that's the stats as of today.”

Health Challenges for Women in Midlife

53:18 to 56:00

Gain insights into the unique health challenges faced by women in their 40s and how to address them.

“And I think that's the frustration with the public, right?”

Challenges for Moms: Space and Happiness

56:00 to 58:55

Explore the challenges faced by mothers, including lack of personal space and the impact on happiness.

“A lot of the times I say that because even if you're an introvert, extrovert, one of the major challenges with moms in that age range is they get no space.”

Childbirth's Impact on Health

58:55 to 1:01:40

Learn about the physical and emotional ramifications of childbirth on women's health and nutrition.

“Just try to get that one thing and just hold that true and say, and you fail.”

Protein Intake Guidelines: What's Optimal?

1:01:40 to 1:03:58

Discuss the nuances of protein intake recommendations for women, particularly during different life stages.

“So the numbers with protein specifically, there are databases of men and women, by the way.”

Intermittent Fasting and Muscle Gain Study

1:03:58 to 1:10:05

Evaluate the findings from a study on intermittent fasting and its effects on muscle gain and strength.

“No, but that's like way over double what they are right now.”

Fasting vs. Feeding: Strength and Body Composition

1:10:05 to 1:14:36

Understanding the impact of fasting and feeding on strength and body composition.

“So the group that Ed fed throughout the day got more strong, specifically in the legs.”

Listening to Your Body: The Importance of Self-Awareness

1:14:36 to 1:18:31

The significance of self-awareness in health and how data may mislead us.

“For everyone or just for the trainer all the time?”

Sleep and Energy: Understanding the Complex Relationship

1:18:31 to 1:24:00

Exploring the distinction between sleep and energy levels and their implications.

“The same thing with exhaustion and downregulation.”

Understanding Energy Changes and Hormonal Cycles

1:24:00 to 1:25:15

Learn how hormonal phases impact energy levels, hunger, and metabolism.

“It's just that the accuracy of the trackers is not good enough for that question.”

The Complexity of Energy Perception

1:25:15 to 1:26:38

Explore how hormonal changes can affect perceived energy and fatigue.

“It's a cycle where various hormones are at and why that generates bloating, why that generates ravenous hunger.”

Fashion Choices and Personal Style

1:26:38 to 1:28:49

Listen to a lighthearted discussion on fashion choices and personal style.

“your intake and output, blah, blah, blah.”

Behind the Scenes: Clothing Choices and Continuity

1:28:49 to 1:31:03

Get an insider's perspective on clothing choices for video recording.

“The other one is currently still sitting at my house, or at the hotel, dirty.”
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Transcript

Automatic transcript. May contain errors.

0:00One thing that's a massive topic of debate when we get to nutrition, food and fat loss is seed oils. Oh my God. It's probably one of the most trending, polarizing topics in the health space right now. All right. I love the deep breath that you just took. Good grief are people wasting time with seed oil. Andy, welcome back. The research of potential negative effects of seed oil are so weak to ban an oil like that and to then come out and say things like, oh yeah, beef tallow is perfectly healthy. So as long as you fry your burgers and beef tallow, I mean, you have to have a special level of nuts.

0:34I think the big thing about public messaging that I feel in the health space is now it's become very marketable. That's the problem. So it becomes very fear-mongering. Marketing claims can be confusing. They're being really careful to just intentionally mislead you, but then legally being within their rights of saying their study didn't show that. I used to send it to every student in my class. And he outlined, I think it's like six steps, that every fad diet takes. So you'd be stunned. It's the same exact recipe. Can you boost metabolism? You can when we say that. If you had a coffee right now, you would boost your metabolism.

1:04Would you lose more weight? No. They can legally say yes because they can show a human had this, their metabolic rate went up. The overwhelming majority of products that will boost your metabolism acutely will not likely lead to any fat loss. With things like weight loss, the key is to actually stack as many positive wins in your favor that don't make your life, that cause more suffering. If you had to stack what's more effective nutrition versus exercise, it's not even close.

1:55I really aim to bring you the best guests possible out there. And I pride myself in doing that for the show because it's so important. But to keep the guests coming, to get them to be bigger and to bring more helpful information to your ears and your eyes, I really would love to ask you to subscribe to the show. Thank you. So we had an episode and I mean, we barely got through half of what I wanted to talk to you about. So today we're back, round two, and I want to talk to you about everything metabolism, fat loss. Amazing. Okay. I know this is your real area of domain. So the first question that I just thought would be really helpful for listeners to understand, which is what is the number one metabolism myth people still believe that you want to bust?

2:40Well, probably it's hard to pass by the idea that there's such thing as a fast and slow metabolism. Now there's, I'm a little tongue-in-cheek with that because it's kind of semantic in the sense that your metabolism isn't faster or slower than anybody else's, but your metabolic rate can be. And so this is where someone says I have a fast metabolism or a slow metabolism. What they're trying to convey is I put on weight easily or it goes off really quickly. It's hard for me to eat enough to keep my body weight up or any variations of those. It's not because your metabolic rate is any faster or slower.

3:19And so it's just really, conceptually, I understand what you're trying to say, and we actually generally know what I'm meaning. But this can cause problems, because then people don't really understand the process, and then therefore make poor decisions, or are influenced when they see, read, hear things, describing something that can clinically speed up your metabolism, but that won't necessarily result in you losing more weight any faster. So there's a very big difference between something like what's called fat oxidation, and fat loss. Okay. And so here's how the marketing claims can be confusing.

3:54If I were to develop a product of any kind, it could be a light technology, a supplement, exercise routine, fill in the blank. And I did a study in humans or in mice or in cell culture, and I showed that that thing increased the rate of fat oxidation, which is the speed and frequency at which you're burning fat. That doesn't necessarily tell you anything about will that result in you losing more weight. So, but I could, if I ran that study, clinically say studies have proven our product burns fat. So it's a real like, now they can't say our studies have proven you will lose fat on your body. They don't say that.

4:41They say fat oxidation up 300 % or fat burning shown clinically, three randomized trials. And so they're being really careful to just intentionally mislead you, but then legally being within their rights of saying their study did show that. And so understanding what metabolism is means, fat burning, metabolic rate, that's why I actually think it's an important distinction to pull out. and it's not completely pedantic because it can lead to people being misled and frustrated and issues and things like that. So I think that would be my top myth. Well, I think it's such a big topic. If you think about how many diet books have been written over the past 50 years, everyone wants to try and lose weight.

5:28A few people want to try and gain weight, but the majority of people are trying to lose way. And people will spend so much money on products or regimes or, you know, there was a very old term like yo-yo dieting, which isn't around as much anymore, but, you know, people will go up and down. One of the most highly cited papers I ever wrote was on the science of yo-yo dieting. Oh, wow. So it is still around. It's still very, very popular. The term has fallen out a little bit. Yeah. But conceptually, it's still a huge problem. So like if people are stuck in that camp and they go, and you just said, you know, there's not such a thing as fast versus slow metabolism but if someone's stuck in what they believe is the slow camp let's just say even that you've just completely busted that myth let's talk about like the metabolic rate and how we can kind of distinguish that how can people lose weight what's like your number one thing okay if you want more information and the full thoughts on this i did i think the first episode of season two of my podcast was the science of boosting metabolism can you boost metabolism So, again, yes, you can.

6:34But it's important we're understanding exactly what we're saying when we say that. If you had a coffee right now, you would boost your metabolism. It would shoot way up. Just had one. Great. Would you lose more weight? No. So, can you boost metabolism? Well, it depends on how we're defining boost. And so the easiest way to pull this apart are what I call acute and chronic. Right. acute means I do something right now and my basal metabolic rate goes up instantly there are a thousand things that can do that there's fun stuff like the food ginger cayenne chilies peppers these have been shown in quality research studies to boost metabolism just like coffee would instantaneously and a myriad of other things you could do like green tea that's also quite Totally.

7:26Yeah. So if you've ever heard things like that, that's exactly what I was explaining at the beginning. There are studies on that. They can legally say yes, because they can show a human had this, their metabolic rate went up. But the question is, how quickly did it come back down? How long did that thing persist? And how much of a magnitude of effect did it have? And did it actually net result in weight loss chronically? six weeks later, eight weeks later, six months, whatever your time demand is. The overwhelming majority of products that will boost your metabolism acutely will not likely lead to any fat loss.

8:06And this is why the scientific community in general will say things like, oh, fat burners are a scam. These weight loss hacks and these cleanses and other things. And that's what they're referring to. But then the consumer's confused because they're like, but then I thought they had studies on this. and I read their study and they had one in their product page and I had links there. There was that. Here's the confusion again. It's a little bit of a bait and switch. So can they boost your metabolism? Yes. Generally, when the average human is saying boost my metabolism, they're almost always referring to, can you raise my metabolic rate in the long term?

8:44Such as to say, can I have, can it be easier for me to maintain my weight or easier for me to lose my weight? Can you help me burn more calories at rest and not have to exercise so much or have more weight loss with the same exercise? That's what they're referring to. That's what most people are trying to get out of it because they want the weight loss. You just said metabolic rate. For people that don't know what that is, what is that? So when we think about your overall metabolic balance, and I'll actually maybe start at why your speed is not any different. So metabolic rate or speed, your metabolism speed, refers to the speed at which you can break down nutrients, not digestion.

9:26We're talking literally biochemistry and chemical reactions. So no one really has a different speed for the most part of that. What we're talking about is what's the net balance. So there's a different handful of different things that go into this overall, what's called energy expenditure, EE, total energy expenditure, how many calories are you burning throughout the day, week, month? Okay. That energy expenditure equation is a composite of several things. One is referred to as your BMR or RMR, basal metabolic rate or resting metabolic rate. These are different, but for the sake of this conversation, we just count them basically the same.

10:03We're roughly talking about what is the total amount of energy, again in calories, that your body uses to stay alive. This is not accounting for exercise. This is not accounting for movement. It's not accounting for breaking down food or metabolic processes. This is just to keep you alive. So keep this in mind. I'm going to come back to this. This is critical to that acute versus chronic question and what products work and what things don't. That is the part that can be moved. That can be altered with numerous protocols. The second thing in this energy expenditure equation is what's called the thermal effect of food, TEF.

10:41This is as simple as the name. The amount of energy your body burns breaking down food once you've eaten it. So the thermal effect, energy heat given off during the digestive process is a way to think about that. And we know that that differs for different macronutrients. We know that that differs for whole foods versus liquid foods or ground foods, chopped foods versus large chunks. And these things can alter that. But the reality of it is you're generally talking like probably somewhere in the neighborhood of 10 to 15 % of your calories are explained by thermal effect. So it's not nothing. Theoretically, if you went from eating an all liquid diet with a very low thermal effect, because your body doesn't have to work to - Like a juice cleanse.

11:26Juice cleanses. Yeah. And you went to an all whole food uncooked diet. You might see some percent change in your thermal effect because your body's working hard to break those whole pieces of food up. But the net caloric gain there is not much. Maybe 20 calories, 50 calories. Let's say it's crazy. It's 100 calories. That's not going to do much for your fat loss equation. So thermal effects can change, but it's not the variable that we're looking for when somebody's saying, I want a faster metabolism. It's something to think about. And with things like weight loss, the key is to actually stack as many positive wins in your favor that don't make your life, that cause more suffering.

12:11So you do want to stack a bunch of little wins there. So thermal effect is a reasonable one. This may lead to somebody saying, oh, I'm going to go on a little bit of a higher protein diet because protein has the highest thermal effect. I'm going to eat more whole foods for this stuff. I'll have less processed liquid pre-made ones so I can chew more. Fiber, all that stuff. Totally. It's more satiating potentially. It's more filling. When my calories are down, I won't be as hungry and not suffering. If you've ever dieted a lot, that stuff starts to matter. Oh, yeah. The hunger pains. Yeah. Yeah, yeah, yeah.

12:45So when we look at successful dieting, one of the things that came out of that paper, our yo-yo dieting paper that Jackson Pales led, is sustainability is the number one predictor of diet success. How much weight you're going to lose as well as how long you'll keep it off, how well you can sustain that and adhere to that protocol is the number one predictor. So if those little tricks make you, again, feel like a little bit less suffering, you're not living in such scarcity, you're feeling like it's a little more abundant, you're more likely to stay to it, more likely to have success. So again, those things do matter.

13:19But to come back to energy expenditure, we've covered the two pieces so far, thermal effect being the second one, first one being that basal metabolic rate. Then you've got exercise, right? That's clearly a variable that you can move. Most people don't burn even close to the amount of calories in their workouts that they think they do. Everyone thinks every workout is 1 ,000 calories. It's probably closer to 200 or 300. Have you ever heard that term, you can't outrun a bad diet? Yes. it's not true but it's not horrible like advice because you definitely can yeah look at any distance runner they eat a whole bunch of stuff and they don't always pay attention to their food but you're gonna run 100 kilometers a week you're gonna burn some serious calories yeah but if you think about the average person if if the if you're framing that saying in the way of saying the vast majority of the benefit you'll get or the easiest most effective thing you can do for weight loss for the average person, if you had to stack what's more effective, nutrition versus exercise, it's not even close.

14:19It'll be the nutrition. Like, not even close. I actually had Herman Ponser on my show as well. Herman runs his lab at Duke, and he's the one that really pushed forward this idea of the adaptive thermogenesis model, which is really important because what this does is explain why calories still matter a ton, and then people love to like cite examples, mostly anecdotal. Such a big debate online. But it's not a debate. Like it's a fundamental miscommunication and people like really just not understanding basic math and chemistry. But Herman has shown very clearly now multiple times when you increase energy expenditure via exercise, there's a very strong likelihood that your body will downregulate endogenous energy expenditure.

15:09this is why some people go i kept my diet the same i started working out i tracked it on a heart rate i burned 500 extra calories per day i did it for a month i did not lose a pound which does happen that's a real thing yeah it does and then people use that as an example of therefore calories don't matter what you don't realize is your body down regulated basal metabolic rate and or the other thing i haven't discussed yet the fourth component of e in the exact number that you burned with exercise to match that. So calories in, calories out still is exactly happening, but you just didn't have a sense of this fourth variable that got moved down.

15:49And the research is very clear. This thing moves down and is highly related to energy expenditure. So the benefits of exercise are impossible to even count. There's so much. The literature on successful fat loss in combination with exercise is extraordinarily strong. It is a great idea. But it is fair, based on Herman's work and many others, it is fair to say the nutrition component is more important for strictly fat loss. And number two, if your only strategy for fat loss is more caloric expenditure from exercise, might work a little bit, might work for a little while, but some people might run into problems with that.

16:34and again his his his work showing that because that adaptive model is like okay this is why you're running into that problem now there's other conversations we could have with why you would still really want to exercise for fat loss specifically because of the data on how much more effective you'll keep it off for years people who exercise are far more likely to keep the fat off years later than those who simply reduce calorie intake preservation of muscle if we're looking at body composition versus total just fat loss or total weight loss and many other reasons. So if you, and we can come back to this if you'd like, but if you want to look at the totality of everything involved in the equation here, you still really do want to exercise.

17:18But at the same time, yes, the nutrition is going to be doing most of your damage. So the fourth component here, and then maybe I'll take a breath. Four audience members are like, oh my gosh, my ears. They're taking notes. I'm mentally taking notes. The fourth component, which I've been alluding to, is what's called your NEAT. So this is your non-exercise caloric expenditure. So this is not what your body has to do to run your immune system and keep your brain healthy. It's not what you're using to break down and digest food. It's not exercise. It is everything else. This is what you're doing right now, twitching with your fingers.

17:59It is bobbing your foot up and down. it is shaking your leg, it's pacing, it's washing dishes, it's all this other little stuff. Few people have a sense of that. But what's happening at all times is your body is actually auto-regulating caloric balance with that. Such as to say, if you have caloric surplus, you're more likely to be twitching your foot all day, you'll probably get up and pace more, because your body knows we're in a high-energy state. Wow. We're going to move more. and anyone who's done any reasonable amount of dieting will tell you the opposite happens. When you are in caloric deficit, my friend Mike Safai, former Mr.

18:43Universe, I think, and Jiu-Jitsu Black Belt, he would always, he called it like the shoulder slump. When you get enough into dieting, like you just start finding your shoulder on couches and you start leaning up against walls. Like you find ways to just save calories. you're way less likely to get up and go check on something i'll do it later you're not like you'll look at your foot and your leg you're not bouncing up and down you're not doing like you're just preserving calories at all costs and you will almost never recognize this that's what your body is doing it's saying we're in a very low energy state in this case for weeks to months and so now it is really pulling that meat down to the lowest number possible which makes dieting hard because you're dieting in calories.

19:30You're trying to keep your exercise up. Your body is pulling down its energy expenditure for your meat. You're training harder because you're not losing weight. It's pulling it down even more. You're training even harder because you're not losing weight. It's pulling it down even more. And then you're just like, boom. I give up. Totally. Which I feel like where so many people basically end up at. Well, there's a physiological reason for that. Everything in their physiology, This is not a willpower. This is an entire history of a species evolution saying, do the opposite. You're going the wrong way, right?

20:05Every signal in your body is telling you, refeed, refeed, refeed. And so one strategy to mitigate this is to actually refeed, but to do it intelligently. Now, Jackson actually has run, he ran a study right after we published, he published this review paper, where he looked at different percentage refeeds. and the refeed data isn't ultra impressive but it is a viable option so this is you can do this a bunch of ways but to give one tangible example here let's say you were at a 10 caloric deficit so if you need 2 000 calories to stay at the same weight same energy levels same exercise all that stuff you'd want to drop your calories by about 10 which means we're not going from from 2000 calories to a thousand.

20:57That's what people will do, right? It's just like, okay, that's it. I normally eat four eggs and two pieces of toast. I'm gonna go to one egg and a bite of an apple. And you're like, whoa, okay. What do you think's gonna happen here? Some people can get away with that, especially if you are really, like have quite a bit of body fat, you can survive. But if you're like moderate to low, that's gonna be a challenge. You might be okay for a while, but then like people will say, your body will go into starvation mode. That's not what's happening, but what's happening is what I just described. So conceptually, you're not totally wrong there with it saying we don't have enough calories.

21:33It's been a long time. We're getting very lean. Now I'll pull this stuff down. You'll see this in people's lab work. We have so much, I have a company called Vitality Blueprint and we do high performance blood work. It's not medicine. It's not a TRT clinic. I'm not doing heart disease. It's strictly for people trying to maximize performance. And one thing we have in there are markers. One of them is called low energy expenditure. So we can actually see in your blood work if you are in this chronic low energy state. And so we can tell people, look, these numbers are getting to a level here. Testosterone is starting to dip in men and women.

22:14Testosterone getting low in women is really problematic. Yeah. Hormonal functions really start changing when you're in this state. Like you're gonna, like every hormone you can imagine is gonna tank when you're in low energy state. As someone who has spent a long time studying the mind-body connection, I'm constantly asked what do I use to track my health? Since April, you've probably seen if you're watching this show, me wearing a piece of tech on my arm and that is NoWatch. Because I genuinely believe it has been one of the most thoughtful and mind-aware pieces of tech that you can wear. Unlike most wearables that focus just on your steps or your sleep, Know what is a bit different.

22:50It gives you real-time insights into your nervous system, the invisible engine that calibrates everything from your stress to your sleep to your recovery, your rest, and ultimately your health. With its stress recovery metric, it doesn't just show you how long you were stressed for, but also how long you recovered. It shows you your homeostatus. And that to me is where real health begins. And I think it's all something that we're craving. And most importantly, it does this without dragging you back to your phone, because that motion just depletes you. It delivers meaningful health insights to you only when something genuinely matters.

23:25Using AI to turn complex signals into clarity that you can understand. And in just five days, it calibrates to your body and creates your personalised health fingerprint. You can try it for 30 days completely free. And if you're curious, now's the time because they're giving you guys 15 % off with my code LWBW15 if you head to knowwatch.com. And you guys know as listeners of Live Well Be Well and this whole community that understanding yourself in the most mindful way is one of the most powerful things that you can do for your health. And this little gadget helps you on your journey. And then now you're just constantly bombarded with so much information.

24:07Like the thing I see is information overload. For sure. When I was trying to start this conversation today, obviously like so much about... I took us way off. We're like however many minutes in, by the way. It's like question one. So many people want to, you know, I try and think about what people come to me in clinic, but so many times on what I look about, you know, the most replayed is all around metabolic health with you and people really want to understand that so much more. But the thing that I see when it comes to metabolic health is that people are just overwhelmed. They're just overwhelmed and ultimately they want to get to a good way.

24:38And we are living in this conundrum of an obesity epidemic versus a mental health epidemic. I don't think that it's a coincidence that there's two epidemics that are kind of rising at the same time. They're interlinked. It's like metabolic health is at the base of it. I see a little bit differently, but it's not completely wrong in the sense that it is incredibly related to dang near every chronic disease. Yeah. So yes, I don't actually think it's fair to say it's at the base of it or the single most important thing, but it's a very relevant, incredibly critical variable. And I'll say it differently, maybe.

25:20One thing I would accept is if you said, what would be the single biggest chronic disease or single biggest thing we could do that would have the net biggest impact on the human race? Every single person would say obesity. Jeez, we actually do have a medication that is peeling kilos and kilos off of general population people boy how do we think about this now and it's a really challenging thing and it's hard for me to make the argument that those drugs are net bad really it's hard because if you look at it and go okay there's holes there's potential side effects for sure there are people that are using it inappropriately 100 there's a lack of long-term data all these things are true and should not be forgotten so i do not see weight loss ozempics and so on and so forth to be clear what we're talking about the grp ones glp one yeah yeah are they perfect no are they panaceas no are they the most interesting thing that's happened in the weight loss space in our lifetimes yes yes they are are they probably going to save millions of lives yeah they probably will and it's the first we can really say that.

26:37No diet, no strategy, no regime as you called it, no supplement has come close to even making a dent in the obesity problem across the globe until these things. And when you have success like that, you go, okay, for the average plumber who has 70 kilos to lose and is 38 years old, okay, will he lose some muscle mass? Maybe. Will some of the other side But you tell me what's going to happen. That guy's not going to live to 60. He's going to die. If this is the first step in that journey, if this finds him success, if this shows positive benefit, I think you're going to save a lot of lives. And then there's going to be a bunch of problems on the back end, and I'm sure we'll find more side effects that we don't even realize right now.

27:27And maybe we'll... There is something there for the first time in my life where I'm like, okay the shortcut might be like might be okay here like there might be something here to this one but you know what i worry about that plumber who's 38 that needs to lose that much that much weight it's two things i agree with you i think it's one of the most like revolutionary things we have yeah towards weight loss but there's two things i worry about is that there's not enough support there in the retraining of how they're going to keep that weight off changing lifestyle and habits or education at all right so it's not being delivered in that context so we put somebody on it for eight months and like what we're seeing now from data is that they just rebound back to the same weight if they come off the drug yep and so that's that's the kind of issue if people are already struggling before they get onto the drug with any types of these lifestyle interventions that's the problem i think they go oh my gosh this is amazing and then they go through this whole cycle again like a bit of yo-yo dieting but more extreme and they put the weight back on to the cost.

28:29Like it's so expensive right now. You'll hear no pushback from me on those. Right. And so if you're thinking about a plumber who maybe doesn't have huge disposable income, like how are they going to maintain that? So I think that's the like kind of caveat. And I know, especially with like the long-term trial research, we don't have yet, but there's no discussion on that because we don't know what that's going to be. But they're like the two things that I kind of see as the crux of the issue. Yeah, I fully agree. And there's probably, if we sat here, we could probably come up with five other really important questions and strong concerns and they would be valid and we should not forget about those anytime soon and we should continue to ask questions and continue to ask for transparency and accountability and all those things and we will for sure find more things yeah that are a problem i think the first point you brought up is another one like the biggest one so you're not actually helping this person learn anything i think just the awareness and having the conversations around i think that even would help distill more education to people that are even looking at going on these.

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29:27And one thing that's a massive topic of debate when we get to nutrition, food and fat loss is seed oils. Oh my God. Okay. I can't not have this conversation. Go ahead. What's your thought and take on seed oils? Because honestly, it's probably one of the most trending, polarizing topics in the health space right now. All right. I love the deep breath that you just took. I'll try to avoid banging my head off the microphone here. You can probably tell by the context in which I'm approaching this question, my overarching feeling on this one. Much to say, like anything, nuance and context is the most appropriate and fair answer here.

30:11To say that, though, good grief are people wasting time with seed oil. the research of potential negative effects of seed oil are so weak that doesn't mean there's nothing there if you go okay and you give six caveats to that you can find some examples of seed oils being concerning okay so if it was left outside for seven days in the sun and it's gone rancid and someone's in a hypercaloric state and they over consume these things in the presence of alcohol okay yeah like all right the other only semblance of an argument here that makes sense there's two they're bad they're mental gymnastics and for the record i have many many people who i deeply respect and friends friends who are as far into like the sea doyles or the devil camps as possible i would name them by names but it doesn't matter.

31:13That's one argument that they can make. The second argument is, it's not that the CEDOs are that bad, but they are so commonly consumed in the presence of other really bad behaviors and actions that they're, it's the old gateway, gateway drug sort of thing. Again, in my opinion, that is enormous mental gymnastics. Like, then say that. If that's the true case, say CEDOs aren't bad, say that this is the problem, you're consuming too much bar food and so on and so forth. Don't bait and switch, though. Don't be like, yeah, yeah, yeah, seed oil, seed oil, seed oil, seed oil, seed oil, seed oil, seed oil, seed oil is a problem.

31:55Oh, but they're not really the problem. They're just putting people in a bad position to eat other things that are the problem. Okay, that is not at all what you're saying, right? So that's my pushback on there. And then number three, the other ones in the States, at least, because of what's happening with the movement the the third argument that they'll generally make is it's not necessarily about the cedos per se is showing how though when the people speak we can make changes to massive food conglomerates again then just don't lie about the fact that the cedos are so detrimental and okay um so there's a lot of nuance and complexity to that thing but overwhelmingly i i just don't I think that's a good approach.

32:38I think there's so many other things you could do to demonstrate that when the people speak and that people are interested and there is financial rewards for companies who make healthier products, those are good things. But to ban an oil like that and to then come out and say things like, oh, yeah, beef tallow is perfectly healthy. So as long as you fry your burgers and beef tallow, I mean you have to have a special level of like nuts. Yeah but there is a lot of nuts online. But like you how can you cogently say that and be like yeah that makes sense. It just like does not. So it's unfortunately one of those things where I understand marketing enough and I understand public health messaging.

33:24You can't speak in nuance in those positions or at least people traditionally don't. And this is, one of the problems this introduces is when you have the speaking heads, the same person as a scientist, you force the scientist into a marketer. And that leads to problems because then that person has to say, like, you have to say one clear message. The message to the public, seed oils are dangerous, seed oils are dangerous. If you have any nuance, two stories mean no stories. And I hope we made it through COVID with the realization of like, okay, enough of that. Like, enough of that. We have to treat adults like adults.

33:58And this is one thing I will say what the Maha people are doing is that is one of their principles that I fully endorse and support and thank them for. Yes, give the public more credit for intelligence. I don't care that if you feel like you're going to lose them, we should know as close to the truth as there and don't whitewash it over because you think everyone is a low intellect person. So tell people the truth and with as much reason as possible as you can and as close as you can tell us the truth. So I appreciate the fact that they're like trying to do that. But yes, the seed oil push. And so to my dear friends on that side of the aisle, your arguments are terrible, as plainly as possible.

34:40How do you have this conversation off air with your friends that are like very against seed oils? I don't. You don't? It's like politics. You just don't do it. I generally. This is the most political thing I've ever done in public probably in my life. So you're welcome that you pulled that one out. Yeah, thank you. Because I generally hate to do it because I'm just going to get an onslaught of commons. And I don't think any of them will beat those four general positions that I just said, but we're still going to get it. And it's just not helpful. Like, this is the thing we're talking about. Of all the other interesting ways and things and tools and stuff we can do for improving humankind, like what we're spending billions on is fucking seed oils.

35:20That was our shot. Like, you had one shot to change how healthcare works in America, and the bullet you've towed to fire was seed oils? Do you know where it's actually like this mental hype? Because I've just seen it. I see it everywhere. Of course. Where did it start from? Well, I'm not gonna answer that question. I know the answer, but I'm not gonna. Because it would involve name-calling and, like, putting it on people, and I don't like to do that, positive or negative. That's something I never do, and I won't start that here today. day. I'll answer it this way. My assumption when I hear and see people do these things, I actually assume it's good intention.

36:02But my issue has been, if you look at the breadth of things that people are doing, the terrible sleep, mental health, the environmental stuff we got going on, water and seed oils where you're shot, like, oh my gosh, it's just like the food quality and kids like so they are doing some really awesome things but for whatever reason they chose seed oils as that big flag to fly to people's attention and i'm like oh man like so many other cooler ways you could have approached it so last thing i'll say is i'm not in those rooms so maybe my tune would be different if i was in those rooms and i understand like public messaging is a very difficult thing.

36:48But yeah, I just wish they would, like, find a more interesting thing to hang their hat on and to gain attention with, so. I'm interrupting for one moment to ask one small favor. Please subscribe to the show. This helps it grow more than you know. And I'm so bad at asking this from you. I'm so bad at thinking about this. But you know my goal is 100 ,000 to get to on YouTube. And I really want to bring you more content and better guests and bigger episodes. And we can only do that with your help together. So please do hit subscribe. Thank you. I think the big thing about public messaging that I feel in the health space is now it's become very marketable.

37:27That's the problem. So it becomes very fear-mongering. Of course. And isolating to such specific things. Yeah. That's where it gets worrying. That's where there's no debate. And I think nutrition is one of the most debated topics of the moment. Yeah, you want to move a product, and not even that. You want to just gain following? Just terrify a group. That's all you have to do. It's really funny. Are you familiar with Malcolm Gladwell? Yeah. 20 over 20 years ago he wrote this unbelievable article i still have it i send it i used to send it every student in my class and he out in that article he outlined i think it's like six steps that every fad diet takes so you'd be stunned it's the same exact recipe tell me the six steps it's the same i don't remember all the hell but it's something like you start off with fear and death right and so you're like my mom died of cancer oh great sympathy attention and impact is made okay and then you move on from fear to hidden science right and the hidden science is like well yeah my team found a study buried in the archives um you know in south africa hidden in the bottom of a library was buried and kept away from you and now we're the only people that know about this thing.

38:48As if the scientific community like didn't read the paper and all these things. You can cherry pick any study you want to make any claim you want. Totally. And that's one of the biggest things that I feel like I have to say when any health documentary comes out. Oh, the worst. Even if I'm for or against whatever they're saying, I'm like, you can make any documentary on anything you want and scare people because you can cherry pick evidence. Like there's no tomorrow. If there's one health practice I would ask people to do that's never watch a health documentary ever again. Yeah, thank you. They're nothing but rubbish.

39:16Yeah. See that? Used your term there. The rest of the playbook is something like, then you put an anecdote behind it. Oh, so my mom died of cancer, then we found this study that showed that when you drink water out of the Live Well Be Well cup, that you'll never die, and so then I'm on this mission now. And you put all this emotion behind it, and then when you start actually listening to the content, you're like, there's no content there. Storytelling. This is storytelling and emotion, right? And then one of the key aspects is you have to pin it on one thing. It is the seed oils. It's the gluten.

39:53It's the dairy. It's the meat. It's the water quality. There has to be a villain so that people can go, ah. And the reason that's important is because that creates hope. I've tried A, B, C, D, E. I tried the basics. I tried the lifestyle stuff. I did all those things. And this didn't go away. My brain fog didn't go away. My stomach didn't feel any better. I didn't get the muscle growth I was hoping for. I'm still not happy oh maybe it's all the gluten oh my god could it be this oh yeah oh study it was in a study great um when this person's mom like died this really is into it emotions there I've never tried that far what if it's this what if it's what if it's this and the hope is encompassing you you can't walk away from that and then people try it and what happens the overwhelming majority of people feel nothing because it wasn't really the thing and then 10 people go holy hell my life just changed because it did it's part placebo it's part placebo but let's just say it's real yeah okay do you think certain amount of people who buy a special water filter actually get better yeah they could that did absolutely that's absolutely they let the throw placebo even out let's that is a real possible thing you might have a micronutrient deficiency.

41:11You actually could have problems with gluten. All those things are real. And so there's enough evidence and realness to that, that these people can support it and be like, see, here's another example. See, here's another example. And then people are going to go, holy shit. And then one of the final steps is you pin everything back against the establishment. But they're hiding this from you because they want to sell you supplements. They're hiding this from you because they want you sick. And now you have an enemy. you have something to attack and you have rationale to understand why this was kept from you and almost all of it is nonsense right and there's a sprinkling of truth and that occasionally a paper comes out or occasionally someone does it and you're like see it was real but you're like no no no like we're still there and then enough anecdotes and stories come out but what you don't see is the fact that those 20 stories or let's say 10 000 stories come out of success which you don't see is the fact that 6 million people tried it and 5.99 million it did nothing for but you see 10 ,000 stories and you're like oh my god there's so many stories this must be a and so it's not the exact way that Malcolm wrote it but it's pretty close to the playbook he had and so then people go in and they come back out and then in and come back out and so you watch go back and look at the playbook of C-Dolls go back and look at what gluten did go back and look at what CrossFit did.

42:37Go back and look at what you can name all these things that have come in. And I don't think like calling them fads is the right way because they're not all just totally wrong. I promise you with my life, if somebody were to right now full stop, the next person walking on the street, if the only thing we told them was stop eating seed oils and they looked and Googled where they're getting seed oils from and they stopped eating seed oils, there's a reasonable chance that person's life gets better. Probably didn't matter the seed oil, but it is true a lot of ultra processed foods basically bingo yeah bingo bingo bingo right they i think that's the one nutrition part that everyone agrees on it's ultra it is actually pretty complicated um because processing is like well technically dairy is processed yeah but you got ultra processed processed what is this specific definition of ultra processed versus processed i should know this because i actually spoke about this yesterday on a panel so this is the problem There's four stages to different processings of food.

43:36And there's not an official, like, 100 % internationally agreed upon definition. No, that's the problem. There's like a few different terms on how people kind of vary this. Yeah. And so like what Kevin has done, Kevin Hall at NIH, like he's done such insanely helpful work there, but it is a pretty complicated one. It is a little bit of common sense though, right? So if we like avoid that nitpicking and go, okay, if you just stick to mostly real whole foods, and if you want to call that process versus not, we're basically talking about the same thing. What we're generally saying is avoid most of that stuff a third grader would know is not good.

44:14I kind of say if you look at a back of a label and it's got like 20 ingredients you don't recognize. No, that's a bad way too. Really, why? You don't have a degree in chemistry, you do. I do. If I get someone to look at the back of a label and they don't understand most of the words in that ingredients, They don't have to understand it, but most of the words... No, I'm going to full disagree here. Why? Because they don't have chemistry backgrounds. So, clarify the example... But what if it's E number, E number, E number, E number, E number? You would be like, naturally, that's not a good food to eat.

44:45No, again, because what you're actually talking about is a food labeling issue. So, depending on where you're at, there are different laws on what has to be on labels and what doesn't have to be on labels. So if you get to a place that has more restrictions and it says you have to label products more and somebody has to legally write dihydrogen monoxide, you're like, I don't recognize that word. That's bad. Oops. Like we're drinking water here. So just because you don't understand what chemicals are and then chemicals per se like aren't bad. Again, like conceptually, I'm totally with you. but in terms of actual practice it doesn't really matter that you understand what a chemical is or isn't it doesn't i don't if you have a a fifth grade level education it doesn't make a food more or less healthy because you do or don't know what that thing is in it some things come with really fancy chemical names that are completely inert or positive right so if you didn't know what magnesium was, and you're like, well, damn, this food has magnesium in it, you would have the same reaction as, you know, red dye, 6 ,000 - Or the different types of magnesium as well.

45:57Of course, right? That people also aren't aware of, but yeah. So I think the easier, probably safest approach is eat whole foods. We all agree with what a whole food is, a single ingredient, natural state food. If that is the bulk of your diet, you've probably avoided the labeling problem because you're just not buying things in containers. often as much. We've avoided the process versus ultra process that the average person does not know or care about. Science dorks and nutrition geeks like us are fighting over it. But the average person is like, what are you babbling about? I do not care. What should I eat?

46:35I'm just trying to get it figured out. So if you just, you're like, all right, eat foods in the closest to natural state. Okay, so here's what that means. If I'm going to eat some peaches, what's the best choice? If the only thing you're thinking about it is eat it in its most natural state, you're just going to eat the peach. Great. If, though, we're deciding between canned peaches and Pop-Tarts, the canned peaches are still the better option. It's closer to the more natural state than the peach-flavored Pop-Tart. So, personally, I think that's just a little bit more, it's still, I think, user-friendly, and it's a little bit more accurate than the other approaches.

47:18That said, if that heuristic allows people to just go, great, in my brain, the coach said don't eat things with a bunch of stuff on the label, that's going to translate to a lot of people as eat real food. But what about protein bars? There you go. I'm just going to keep caveating. That's my point, right? Processed foods with a load of ingredients with stuff you don't know how to pronounce. Okay, what do people think about protein bars? If you're asking me, what do I think is a better overall health practice, eating a whole food protein source or protein bar, my answer will always be the whole food protein source.

47:54No question. Eat it in its most natural state as often as you can. But now the question is, okay, that's not available or whatever. What is a secondary option? Then maybe a protein bar with the least amount of processing, the least amount of ingredients. But we're not getting as good as the natural source. But that's when we're going to the ingredients list. For sure. So how do people then figure that out? So if you want to get, we have to acknowledge we're on option two now, not on option one. Yeah, but that's what I mean. So if we're actually trying to like navigate a supermarket, because two thirds of our shopping baskets are full of ultra processed foods.

48:29That's just sadly where we are now. Yeah, for some folks. That's like, well, that's the stats as of today. Yeah, yeah. And I think people will, you know, naturally be pulled towards marketing. Yeah. And it's like high fiber, like 23 micronutrients. It's all over the bars. And so people are so confused. Like people that I know that are also highly intelligent, intellectual, high performers, are still tied towards these. The amount of DMs that I get about, what about this protein product? What about this liquid drink? And obviously you can't name them because I don't want to take them down. But like, there's so many brands out there that are marketed as extremely healthy and very smart people who know the difference between whole foods.

49:11That's why I try to get to the ingredients labels because people are like, well, look at all these claims. They can't say this if it's not healthy. And I'm like, ah. They can. Well, they can, easily. Okay. So I see you're, I don't recognize - See my point? I do. But here's what I'll say when people ask us that exact question. And I've been, my poor students across the globe are going to be like, oh my God, he's going to do the thing because I've been doing this for a very long time. I have the, what I call, stare at you in the face rule. I do not answer questions about which one of these two products is better.

49:47I do the, I blankly stare at you in the face. And if I stare at you uncomfortably in the face long enough, people will start squirming because that's the natural thing to do, right? When people stare at you, especially with a dismissive, non-happy look on their face, right? It's like, uh, why I do that is because most people will go, we're, we're, we're like splitting hairs between like a shitty product and a little bit less shitty product. Right. And I'm like, yeah, you're playing the game of least bad. I'm trying to play the game as max good. So the way I'd answer that is stare in the face and go, is that the single best choice you can make?

50:25if you're not making the best choice you know you can make and you're asking me to help you decide between option d and d minus i'm not going to do that i just don't think people think they know they're going to a d and d minus that's completely agree that's the scary part because i was on a podcast the other day and i'm not going to name names great guy really like him but he brings out i'm gonna timestamp this and go figure out who it was date stamp this thing He'll know if he's listening to this. And he's great. And we had this conversation, we also had it offline, where he will put two products that are similar to processed or processed and batch them against each other.

51:02And I'm like, I have a problem with that because we're mis-messaging. And he's like, yeah, but people don't have time. People are tired. People are, I'm trying to show that you can half your sugar by eating this product versus this product. Similar, right? I'm in the camp that you're in. But then I'm like, it's booming and people are obsessed with it and people are like oh okay well if i'm gonna make a choice i'm gonna make that one instead of that one it's it's really hard though because there's too many variables you have to optimize for there's too many for example okay generally when you talk about things that come at a lower caloric intake in terms of processed food you're usually exchanging that for something else and that person may not want that something else or that something else might be worse.

51:47This could be oftentimes, it's gotten better, but historically, things that were low sugar were higher fat. Not that fat is bad, but you've gone right back up. All you've done is switched them out. And so if it's just like general health, well, fat and carbohydrate intake is very variable. It's not one, it's better than the other one. Or low fat oftentimes meant - High sugar. Bingo. So there's an exchange you're making here, and you don't know what that client wants to optimize for. If the exchange is also minimal calories, fine. That probably then means you're getting way more processed ingredients because it has to taste and have a palate and a mouthfeel and a smell and a texture that are going to come with a whole bunch of other substitutes, which might be fine.

52:35They also might hurt people's stomachs more or have other things that, you know, down the line, short or long term we don't want so i struggle with those things i'm like again we're playing a game of like crummy versus a little bit less crummy and i don't know what you're trying to optimize for that's great but you have to acknowledge what he and i have no idea this person is what he is determining as better is a matter of perspective one of the best things my old professor ever told me is that a good scientist will always try and prove their own hypothesis wrong that that that is and it's the only way your argument gets stronger is that you're always trying to keep researching and seeing if, like, the research has changed, and that's the thing, I think.

53:16We're always trying to see what's coming up. And I think that's the frustration with the public, right? Because one minute they feel one thing is good, and then they're like, oh, actually, now it's bad. But that is science. The whole, like, little bit of insider baseball here. The entire way that the scientific field moves now is different than it was historically. It has definitely changed the quality of individual papers now is far lower than it used to be because of that. So getting published is different now than when it used to be. It used to be a huge deal. Getting tenure is different. Like all these markers have really substantially changed.

53:56And so that has changed how the public has to perceive the value. I can say it very bluntly. The value of an individual publication means less now than it ever has in the history of the world. And because there's so many out there, what you said earlier, you can cherry pick and find one that can prove just about anything you're trying to say. Absolutely. It's a difficult landscape for sure. So I had this question this week from a woman who stood up. She said, I'm in my 40s, like early 40s. And you haven't got an answer directly to her, but this is just a very general question. you know, premenopausal, and have kids.

54:38And I just really struggle to stay healthy. Like, what do you advise? Like, how can you help me? What a great question. I think if you're listening, there's a large chance you're like, that's me. I mean, what a common thing. And there's good reason for that. Raising kids is really hard. generally falls more on the responsibility of the woman than the man. And then also, if you're trying to have a career on top of that, you go to zero. It's just a really real thing that happens. It's also at the time where what worked in your 20s probably doesn't. You don't have the energy. You are way more fatigued.

55:23Your mental load is high. And you haven't transitioned into a life because your kids are probably younger at 40. Where you're still managing the whole house or large part. Like there's just a lot going on. And then you're supposed to be on top of your health too. Okay, super challenging. So the answer to that question would be like, what can you do? What I'd say is find one thing. One thing that you can control that is a positive lifestyle thing. And just like lock onto that thing with a grip. If this is protecting your time for sleep. if this is protecting self-care time, your personal time. A lot of the times I say that because even if you're an introvert, extrovert, one of the major challenges with moms in that age range is they get no space.

56:13Right? Because they get space, work, kids, spouse, family. Like, everyone always wants them. Whether that's true or not, many women feel that's the truth. Again, it's not always the same, but we're having broad generalizations of... I'm characterizing every female of 40 as the same person. But it's interesting because when I spoke to a happiness expert from UCL, he said people are... And it's very hard to define what happiness is, it's a very nuanced word, and a fleeting emotion. But he said you see this kind of bell-shaped curve where it goes, it dips in mid-age because your parents are getting older, you've got young kids, you're trying to be at the top of your career at work, you have so many responsibilities and basically no time for yourself.

56:55And then your basic happiness starts to increase again. Like, once your parents pass, and once your kids get to an older age of 18, you have a bit more freedom. The most traumatic event that women will ever go through in their life, on average, is childbirth. It is an insanely physically and emotionally difficult thing. And most people have no strategy with that. You just, like, get through it, right? And so what that does is one of the single, if not the single biggest creator of clinical sleep disorders in women is pregnancy. So you can create legitimate clinical sleep disorders through that.

57:34Postpartum depression is a very real thing. We could go on body weight, weight gain, right? So like the biggest contributors to all of these things, sleep disorders, body composition, mental health, like childbirth is the center of that for women if you have a child, right? So it's a huge thing, and we generally don't do anything about it. We give very little, like, just get through it. Okay, there's, like, your OB who's handling the birth and stuff, but the other things, we actually created a program at Absolute Rest where we have three months when we're trying to conceive, like, if people are intentionally trying to conceive, and then different strategies that happen during pregnancy different strategies specifically in the third trimester and then different strategies for like the nine months post-birth why the demands and this is specific to sleep and the solutions differ very very much so in those individual stages But there's no education, no information, there's no things like that.

58:37You're just like, as a mom, you just like, just get through it, right? You just try to survive, basically. You just try to survive, for sure. So my answer to that, again, specific question was like, find the thing, if it's the personal space you need, fine. If it is exercise, fine. If it is, you need to chat with your friends once a week for an hour, whatever it is you have to do, Just try to get that one thing and just hold that true and say, and you fail. Like, again, I have two young kids. My wife is 44. So I know this avatar, like, very clearly. And we fail miserably all the time and all the stuff that happens, right?

59:18And we're not perfect and we've done different things. But that would be the one resounding thing where I'm like, you have to have something that's yours, that's non-negotiable, that is your complete thing. and she still, regardless of that, will give up that thing for the kid when I'm like, don't, no, like, I'll do that, but okay, okay. So moms are just like going to do that. Fine. You're gonna fail a ton of times, but just have something that you try to come back to. So as not a mom... But what about nutrition? Because she said to me, she followed her question on with that, because she was like, protein's such a big thing.

59:54Should I be having more protein? She's like, I'm just so confused. Yeah, okay. So again, the most traumatic thing most women will go through is having a kid. Why that matters is your taste buds will change and other things like that. So the nutrition aspect of it is like, meat is a common one. Sometimes after pregnancy, women are just like, I cannot eat meat. The smell of it, the whatever, I'm out. So yeah, push protein, sure. But if you're like, oh my God, it makes me feel nauseous, then I would be like, don't, then maybe, maybe chill on it. Don't have to worry about that. my stomach my wife has this weird like stomach pain thing with eggs happened for years when she got pregnant went completely away craved a ton of eggs and then had the kids came right back it's like can't even get so do the best you can with what your body is telling you and if a food like fruit in this particular case that you know is really good for you and your body's just like nah fine don't let it get you down let it go you don't want it all good smoothies oh my god it's like never a smoothie again for natasha like okay fine so these things are now off the table she wants to eat them she she's just like i can't okay even though it's been seven years since her first kid she's just like not there so the protein right or the the recommendation specifically would be you know the numbers you know the guidelines a bit higher than the guidelines i believe these being a little bit more protein than what we're saying in the national guidelines right now i think it's i think it's like low and also it's based in sedentary old men in the UK anyway.

1:01:24Not true. Not necessarily fully true. There's more nuance to that. But if that is causing huge problems, what kind of point I was trying to get to is like if that's causing huge problems and you're just like hating your relationship with food and it's stressing you a ton, my answer is like, it's okay. Then it's like, let it go a little bit. You'll be fine. Right? So the numbers with protein specifically, there are databases of men and women, by the way. So we have reasonable information. on women. It's not all just based on men. That's another really common fallacy, actually. It's like, weird these things get said, and you're like, have you actually looked?

1:01:59People say these things when I'm like, have you ever looked? Because it's right there. It is very much available. But they're so, I think, do you think they're too low? It depends on what you're finding is too low. So remember, generally the recommendations are saying things like, what's the minimal amount we think the average person should have? They're not what is optimal for body composition. They're not what is best to help you keep your calories down. And that's not really what they're intended to be. So the, I mean, Stu Phillips has done a great job in this area is one of the most prolific protein guys in Canada, Luke Van Loon, actually over here in Europe.

1:02:34A lot of people have done this. And there's really not a compelling piece of evidence that suggests you have to be at 2.2 grams per pound to be healthy. I don't think you can actually make that argument. You can make the argument that that number is okay. It's not detrimental to your health. There is an argument, though, if you fall below like 1.6 to 1.4 grams per kilogram, that that might negatively impact your health. So if you ask me right now, Andy, what is your personal recommendation for protein intake? I personally recommend 2.2 grams per kilogram. Yeah, which is so much higher. That's not actually what I think if you said, Andy, what do the data show in terms of the minimal amount you need to be perfectly healthy?

1:03:25The data show you can go far lower. I like to go higher personally when I, for myself and when I coach people, because I think it has all those other advantages. It keeps your, it's easier to maintain calories. You can, I think you can train harder and recover faster and blah, blah, blah. but you don't have to eat higher to be healthy. And so when it comes to like the guidelines, I wish they would go up a little bit, but I don't think you can actually make a scientific argument that the guidelines for minimal amount of protein should be at 2.2 grams per kilogram. No, but that's like way over double what they are right now.

1:04:03Yeah. Like that needs to come up. Like we're lower than the US here. What is it? Do you know? I think we're zero. No, we're less. 0.8? Yeah, we're 0.8 for a woman. And I just think even just increasing it minimally to one point, you know, as like deficiency, I'm not saying we need to... I also don't believe in cramming in protein. I don't think we should be pushing, pushing, pushing, but I do think that's what we're saying is the minimum. And I do think that's too low. I think it needs to come up a little bit, especially as we age, and especially through things like pregnancy and things like that.

1:04:36I think we do need to just push it up slightly for people. I mean, you're never going to see me write a program. Of 0.8, right? No, never. So that was my original argument of I'm not pushing 2.2. If I got to vote on if I could move the guidelines up, I'd be voting yes. As fast as you possibly can. Yeah. But the reason I'm pulling out the distinction is because I do see a lot of people making this and saying, oh, you need to be at 2.2 to be healthy. Yeah, no, I'm not saying that. That's not true at all. No, that's also a lot for people to eat. It's really hard. some of our people just smash protein and they get to 2.6 three like no problem and then others are like okay so like like you need me at 95 like yeah yeah okay that's half like no i need you 150 50 you're a reasonable sized person if you're 85 kilos like all right we're standing on the barrel of 200 grams of protein a day.

1:05:37So it's a good chunk. Like that's a hard thing to get, especially if you don't like meat or especially if you're like, okay, I don't want to eat protein bars and protein shakes. How am I going to get to 165 grams when I don't have time to cook three meals of fresh meat every day? Yeah. And protein distribution. I mean, this is a whole conversation. It's super hard, right? So you can get there. I mean, we published just a few months ago, we published our intermittent fasting study. And one of the issues we had the most was, look, it's just hard to get all of the calories in, in the condensed window.

1:06:17In an eight-hour window or a six-hour window? Eight hours. Eight hours. Now, we were different because we were the first group to look at that form of that 16-8 intermittent fasting. Yeah, Satya Pandas work. Well, we're the first group to look at it in a hypercaloric state. It was not a fat loss study. Those have been done. Grant Tindsey's done a ton of those things. We were looking at what happens if men and women are trying to gain muscle. Can I still do 16-8? Does it provide an advantage if I do it? So again, we were looking at it. And so the challenge was like, we're supposed to be in a caloric surplus intentionally.

1:06:49We're definitely going to be at 2.2 or higher protein. And now you start being like, okay, now I got to get 150 grams in, and I got eight hours. You're like, this is tough. That's a lot. To do, so. How often were they eating? So in this particular study design, the fasted group trained fasted, and then they all waited at least an hour to start their eating window. So the men and women all did that. And so what typically that would look like is people would start their eating windows, like pretty traditionally, like 12 to 1, sometimes 2 p.m. because these were college kids, So they, that's up to a little bit later.

1:07:28And so they would eat, you know, in their eight hour window from that. So, so most of them would eat a meal right when it started. And then they would have three or so meals in that eight hour window. But sometimes it was like two and you're just having giant meals. Some tried to get in like three or four. So we allowed them to kind of have distribute whatever they could. The group in the other window would eat before training, would eat and have a liquid meal immediately after training, and then they could distribute the amount of meals they want and however they want, as long as their total window was over 13 hours.

1:08:03So they start to stop. And so most of them would do a pretty traditional three whole meals, plus my shake after, and then maybe a couple of other, you know, feedings throughout the day. So that's just, that was, again, we didn't specifically control the frequency of feeding, but that's what it ended up being and what it looked like. And what did the results say? Which group did the best? It's never an ant, it's never a straight answer. There's pros and cons, as you would expect. So everybody got better. The men got better. The women got better. They were all fasting. They were all waiting over an hour past their exercise.

1:08:41Nobody had any issue. They were strength training four days a week in the gym with us. And the way that the strength training program worked is every single day, they would do a rep to failure. So many repetitions as they can. And then the weights would increase that next session. And so they were training really, really hard. At the same point, we were also checking their weight every week. And if their weight wasn't going up, they got more calories. So we continued, like we were really making sure that they were in a caloric surplus, no matter what, as defined, not only by the estimates and the guessing on calories, but actually directly being defined as, are you gaining weight?

1:09:20So we forced them to gain weight. Everybody got better for the most part, but there were some subtle differences. The fasting group in general started to have less energy towards the end of the study. Anecdotally, really challenging to get. Actually, the carbohydrates was the harder problem to get in because they were in a pretty high carbohydrate load um gi distress was more associated with that like really high some of these people are on five six seven hundred grams of carbohydrate a day because we had some really big men right so you have 100 kilo guys in there surplus and you're at six to eight grams per kilogram body weight yeah can imagine gi distress coming along there yeah so i mean it was not that often but that happened everyone got stronger but the non-fasting group got more strong.

1:10:14So the group that Ed fed throughout the day got more strong, specifically in the legs. The total amount of volume, so the amount of exercise that they could perform, the amount of repetitions, was better in the group who fed. But that said, body fat was better in the fasting group. So, now our study was limited as all studies are. We were only eight weeks long. This was only in college kids. but you know, you can still draw some interesting information out of that. So I would say in general, what did we find? Either approach is fine. They both worked. You, if you want to, if you like training faster in the morning, male or female, and you don't want to eat afterwards, there's no issue there.

1:11:01Like you're going to be fine. And there's lots of other fasting studies that have done that. It's just, there's just not a problem with that. The caveat to that story is if you are training multiple times a day, then timing for carbohydrate does start to matter because you have a limited glycogen resynthesis window. But protein timing just like doesn't seem to matter at all, as long as the total number is there for the overall majority of people. Is that more if you're doing anaerobic or is it still the same as if you're doing It doesn't really seem to matter. The only exception would be if your total training volume is really, really high.

1:11:40and or if you're doing multiple sessions per day. So a lot of our combat sport athletes, well, all of them are training twice a day, every day. So in those cases, timing matters because we actually have like three hours to recover and then you're training again. And then we're going to do it again the next day. But for the average person who's exercising once per day, it just doesn't seem to matter that much. And protein specifically, like the timing, just doesn't seem to matter really at all. Not even if, because everyone says have protein within 30 minutes post-training. No, no, no, no. That's been long dispelled.

1:12:16That was the thing that we used to call the post-exercise anabolic window. And that was something that was kicked around for a long time. And now there is molecular data. There are randomized control trials. There's multiple year-long studies now. We've done this again, like in our lab a few times, and there's enough thing, this is actually one thing that we can say pretty definitively. protein timing from a body composition perspective it doesn't matter wow as long as you get the total number in we actually say in the day but the reality of it is it's actually like probably more realistically 24 hours no like the week oh really okay so if you for example had 120 grams of protein today and 160 tomorrow as long as your weekly average you're probably fine like now you want to be consistent as possible to make sure you hit that number and you don't end up with sunday and you're like shit i need 290 grams of protein today like you don't want to do that so consistent is important but being at it because your body doesn't necessarily work on a 24-hour clock like that yeah um the other i think major takeaway from our study was okay if you're training really hard and really pushing the pace in this case this was this was lifting there's no endurance component at all but energy did come down sleepiness started to increase in the fasting group and the legs just looked like they got tired i wish we had muscle glycogen data on this we didn't we biopsied them we ran all the biopsy stuff we use for other markers and once we ran all the stuff we're like oh man this is it we didn't think this was going to happen and so there's just no tissue left to to go do this so like if you were to do it again And I would say, okay, measure muscle glycogen.

1:13:58So this is just me guessing, to be really clear. But it just kind of looked like, all right, the closest conclusion we could draw here is fasting's probably not the best approach if you're trying to maximize strength. If you just kind of want to get a little bit stronger, but you like not eating in the morning, it's better for you, it's more convenient, your stomach gets upset, then I would say, okay, then it's fine to fast. I don't think you're going to see any issues there. But if you're like, no, no, no, I need to be at maximal muscle growth and maximal strength development, specifically strength development, then I'd say, okay, don't.

1:14:32If you can avoid fasting, then do that. For everyone or just for the trainer all the time? Three times a day? If you're just training once a day? Yeah, even once a day. Because our group is training once a day. Yeah, okay. And it matters. So to not fast. Yeah, eat. Like you probably want to have a bigger window than that. the other side of the equation would be if you're training to kind of get a little bit stronger or don't even care about strength but you're trying to just optimize body composition maybe intermittent fasting is better again our limited data suggested that the body composition benefits were better in the fasting group lots of limitations right we didn't weigh and measure every single meal this is not a metabolic ward study so there could have been under reporting or over reporting and things like that like i don't know so you have options yeah i guess the biggest thing right is to like understand your body yeah and to actually have the self-awareness to be like i feel knackered when i do this yeah or i don't completely because i think sometimes that we completely lose actually how we're feeling just by running from data yep you know fully agree and i think sometimes like we can get up and then we didn't have this conversation yesterday but you know with trackers and things like that, I think we can sometimes just be so pulled by data that we forget actually how we're feeling.

1:15:52Now, for instance, when I looked at my sleep last night, it said I slept great. Gave me like 10 out of 10. Great score. I feel tired today.

1:16:06Two totally different opposing views. I don't feel tired. I do feel tired. I feel knackered. that's a very english word i'm now realizing every time i say that every american's like it's my favorite english word yeah i feel really tired so basically it's interesting a lot of people say if you look at sleep trackers or whatever and they tell you that you sleep bad but you feel good then you'll psychologically start to feel bad yeah but yesterday was different for me yeah i got 10 out of 10 had great REM sleep i had great deep sleep my hrv is still off the last conversation we had yesterday but maybe not off just the same um that's one of my learnings i took from yesterday if my hrv is consistent even if it's low but i still i don't feel great so i find it really interesting that we sometimes aren't just listening to our bodies yes so there's a lot to say about that i think your bigger point i i could not give more stamps on like really paying attention to what is effective for you and not effective without then falling too far where you now become hypersensitive and you're overly concerned about every little darn thing, right?

1:17:14So we want to walk a balance between what we call sensitive and resilient. So like actually at absolute rest, we do this a lot, but people are like, oh, you're a sleep optimization program. We're like, no, no, no, no. Sleep optimization is okay. Two and a half hour routine. Your life is blocked out. like we're going to get the maximal amount of sleep. Brian Johnson. Totally Brian, right? Great. That is not what we do at Absolute Rest. We maximize sleep resilience, which is I want you to be able to have a crummy night of sleep and still get the most effective sleep possible within a constraint.

1:17:51Your kid woke up. Yep. You were just up too late with work or you went out and had a bottle of champagne with your friend. Fine. How can we get the most effective sleep within constraints that real humans experience. Like that's what we really truly do. And so when we have variables we can control, fine. We can extend hours and all that. But really we're trying to have developed maximum resilience so that you can have a great night of sleep without having to do 50 ,000 different things and lose all of your sense of life there. Like that's what we're pushing for. So that's comment number one. Comment number two is sleep and energy are related but they are not the same thing.

1:18:31The same thing with exhaustion and downregulation. Those are not the same thing. You can be exhausted and highly sympathetically driven. This is wired and tired. I think we talked about this yesterday, right? We did talk about this yesterday, yeah. These are not the same thing. So the inverse is true then too. You can be perfectly well-rested and fatigued. You can be not sleepy at all, but drained. they are highly related so much so that most people just think they are the same thing but they are necessarily not so that's like my mental load is why i feel my favorite word knackered totally but you could be shot right but i'm shot that's the american word but maybe i'll get you to say knackered by the end of this podcast but i'm really well rested i gave you the rubbish i threw that one for you the other one it's not going to happen so that's interesting yes so then my take home would be that I need to download and because I felt like I rested last night I stayed in so you again you probably did but there are more things that go into your energy than just your sleep right this could be maybe you had lower calories the last few days than you realize maybe your energy expenditure was higher than you realize this may be simply a calories in calories out menstrual cycle so we are actually running a study right now in my lab where we are doing the first ever detailed analysis of sleep across the menstrual cycle oh my god i can't wait to see that it's open for enrollment so people want to they have to be in the states i was gonna say can i come yeah you come to states you can do it if you want but we are doing that and the reason is we're running, we're actually using the technology that we've pioneered at Absent Rest.

1:20:20So we can run a full medical grade clinical sleep study on people in their homes with no wires. We can do this, all this stuff. We actually have the only, we're the first ones to have FDA approval, our governing body in America, to run a clinical sleep study on people in a wearable. no other wearables there's some that can do that now we were the first to get that done so we we can run this high fidelity stuff and we're doing that and we built this up because like we need real answers for sleep trackers and wearables are great because they're cost efficient they're affordable for a lot of people they can do a lot of awesome things with basic awareness and calibration but they're not medical research grade devices that's what we're using and the other thing that's unique about our study, we're directly measuring hormones every day.

1:21:12So we're not going to estimate ovulation at day 14. We're not going to estimate your cycle length and just be like, well, every woman is at 28 and ovulation is day 14. And every male listening to this is like, what? And then everybody knows like, thank you. Like it doesn't happen that way. You're not all the textbook. No, not many people are textbook. And also depends where you are in your Life cycle. A thousand things, right? Yeah. Even a woman who is pretty regular, maybe even they are super regular for cycle length, they're not necessarily going to ovulate on the same day, every month. No, not if you're flying.

1:21:49Not at all, right? Jet lag screws your menstrual cycle up. 100%, and a million other things, stress load, allostatic, energy expenditure, exercise, like all these things can go out there, right? You might not ovulate, or you might not really, at least an egg. And you have no idea, right? So we are doing all these things so we can look at, number one, what actually happens with sleep across that cycle? And number two, is that actually related to a phase of the cycle? And so it's like a really popular thing now to, I'll save you for maybe part three, we'll do this, but it's like really popular to put all of these protocols behind menstrual cycle phases.

1:22:27And for the most part, it's nonsense. It's not based in human research, and it's definitely not based in any research that is verified cycle. It's just does these like, oh, you're on day 14, therefore X, Y, Z. So we're like, we don't want to do that at all. And so we're directly confirming sleep at the highest fidelity accuracy possible. And then we are confirming exactly where women are. So every single day we're taking biomarkers of them to do that. Subjective markers on top of all that as well. And here's the question we're going to answer, Hopefully. There is a very clear change in perception of fatigue and real fatigue across the menstrual cycle in many women, if not most.

1:23:09Not all, but a large part. Okay. I don't think I'm going to see much disagreement. No, you're going to get every hand raised, and I'm very much in this camp. Great. Now, here's a question. Why? And we've already been talking. It may not be your sleep. You teed me up perfectly for this. So here's our question. Is it sleep? But it's something going on in your sleep that is not picked up on a tracker. Because trackers are really ineffective, inefficient, and then they're like, they don't give you much information. So is it something like stability? Fragmentation. Sleep stages on trackers are anywhere between 60 % to 80 % accurate.

1:23:47Which means if your variation was 20%, it missed it. A sleep tracker is going to take a measurement once every five minutes. We do 150 measures per second. So is something happening in those other four minutes that is just totally missed? So it could be as simple as that. It's just that the accuracy of the trackers is not good enough for that question. It's good enough for tons of other awesome stuff, but it's not good for that question. Could be possible. This could simply be, yes, there is an architectural change in sleep at these phases of the cycle on average, and so thus your energy changes, or it could have nothing to do with your sleep.

1:24:25we might find i have no idea i don't have a dog in the fight either way if we find no changes at all in sleep fragmentation seek architecture stability wakefulness sleep quality like we actually have a again we have an fda approved sleep quality measure we're the only ones that have actually that that's how good that measure is not a random like score generated thing it is plausible that the real changes in energy throughout the cycle are driven by nothing related to sleep and are entirely explained by energy expenditure. We know during different phases of your cycle, energy changes. Yeah, I can something, I could not stop eating yesterday.

1:25:08Of course, right? I was ravenous. And there, well, we don't have to spend the time, but this is very easy to explain what five phases It's a cycle where various hormones are at and why that generates bloating, why that generates ravenous hunger. GI distress, the whole thing. All of the things, right? And it makes total sense. Yeah. If you're trying to - Mood swings, right? Yeah. All of it. If you're trying to create a situation in which you could grow an embryo, you should have a different metabolic need than when you're the opposite. Yeah. You're losing a ton of iron for multiple days in a row.

1:25:50You're going to have changes in oxygen carrying capacity. You're going to like feel lower energy, right? What we don't know though is, again, is this entirely explained by energetic demands? Is it entirely explained by sleep? Is it a combination? Or is it a third factor or potentially a fourth factor? I'll say the fourth being something we haven't thought about or aren't thinking about. Or the third one being, is it none of those energy intake out that is changing clearly but it's it's manageable and we simply have the hormonal changes that are occurring are simply giving you a perceived fatigue which is psychosomatic it's not psychosomatic per se because hormones make you feel a certain way yeah because it is actually happening it is actually happening it's not psychosomatic yeah but it is not like you're actually your energy balance is the same your intake and output, blah, blah, blah.

1:26:43So what would you call, I guess I said psychosomatic because it's like you're perceived. It is a hormonal driven feeling. Right, yeah. That is not just simply based on energy intake. So what do you want to leave the lister with? I have two things for you. As much as I think you and Natasha are going to be best friends, I have two favors to ask you. One, I have two favors. If you're listening to this at home, you can't see, but those of you watching, you'll see you are currently wearing black, black, and can I call those brown shoes? Yeah. So can you please let her know, as a former elite level model, you can wear black and brown together?

1:27:30Because according to her, this is an illegal offense that one cannot do. No, it's a good thing. Okay, thank you. Yeah. Great. So you're willing to say she is dead wrong, and I clearly have a better fashion sense. Yeah. Do you know what I would look like if I ever left the house wearing the things I would choose to wear?

1:27:50It's bad. It's all how you wear it, though. Yeah. Well, that's probably worse, actually. Aesthetics and fashion, I could not be worse at. That's one. Two. Any of you watching might be thinking, wait a minute, I watched part one, and he's wearing the same shirt that he wore in part one, but he changed pants. So what happened? Did they film this in the same day and then he went in the bathroom and changed pants? Did he spill on himself? Did he do something else on himself? Like, why did he change pants? One would think you can wear pants multiple days, but you're not going to wear the same shirt.

1:28:23Trousers for anyone who's English listening to this. Trousers, correct. Andy is not sat here in boxer shorts, I can assure you. Oh, fair. Fair. This is the English-American. So here's my thing. Should I reveal to people what happened or should I leave them in suspense? I'll tell them. Tell them. I have two of these shirts. Mm. Two of the exact same shirt. So you did wash? I did not. The other one is currently still sitting at my house, or at the hotel, dirty. And so this is the second one, the clean one. So I put on all clean clothes today, but I wore the exact same shirt style, but I have two of these.

1:29:05So clean pants, clean trousers, clean socks, and a clean shirt today. I love that that's your, like, leaving thought for the listeners. I just know there's people on the YouTube this whole time being like, did anybody see these wearing the same shirt? This is how YouTube works. This is how YouTube works. Like, this is the stuff, like, none of the comments, seed oils, whatever, it's just like... I just think you're like Steve Jobs. He just wears the same thing every day, or Stephen Farley, he just wears the same thing. Andrew does that. And Andrew, exactly. He has a good reason for it, which I'll keep to myself, but I don't do that.

1:29:37Yeah. Yeah. I mean, it's continuity. It's easier just to wear the same thing the whole time. There's lots of reasons for it. Yeah. But you know, someone who loves fashion, I can't do that. No, no, no. And someone who's horrible at it, I can't do it either. Third thing to come to London, we can take you shopping. Rob makes me wear the same shirt every show. I'm just like, Rob, can I wear your shirt? And he's like, no. Because he doesn't trust in my choices, for sure, number one. And then all the other reasons. Don't worry, I've had a guest on four times, they've always wore the same shirt. Really?

1:30:06But it wasn't back-to-back days. We were like, literally, there's no chance No, it was every three year period. I have to say, do you not have another shirt? Is that worse? Yes. I think that is worse. That's worse. I probably average like a 12 to 15 year life on all my articles. I guarantee these jeans are over 10 years old. Sustainable fashion. Yeah. Champing that right there. I just hate clothes. I'm just like, I'm not switching. another thing you can complain with Natasha about is my fashion the only time she's tried to hire professional people and be like I'll hire somebody they're going to do your horror wardrobe you don't have to think about it I'm like free sweats and a free shirt or I'm out like no chance I'm not doing it and she's just like I beat her down though she gave up many years ago I love that that's the best leave in common I've ever had in 500 episodes.

1:30:58Perfect. So thank you, Andy. That was amazing. Ready for part three. There you go. Let's do it.

From the publisher

👉 Join thousands in exploring actionable insights that prioritise compassion, clarity, and real-life impact. https://sarahmacklin.substack.com/


What if everything you’ve believed about “fast” and “slow” metabolism has quietly been steering you off course? And what if the real barriers to sustainable fat loss have less to do with willpower, and far more to do with how your body protects you when it senses scarcity?


This week on Live Well Be Well, I’m joined once again by Dr. Andy Galpin, professor of kinesiology and one of the world’s leading experts on human performance and metabolism. Together, we explore the truths behind fat loss, metabolic rate, weight cycling, and the misunderstandings that keep so many people stuck in frustration.


Here’s What We Dive Into:

- Why the idea of “fast versus slow metabolism” misleads us and what metabolic rate actually reflects.

- How fat oxidation differs from real fat loss and why marketing often blurs the line.

- What boosts metabolism acutely versus chronically and why most fat burners rarely matter.

- How basal metabolic rate, thermal effect of food, exercise and NEAT interact to shape long-term weight outcomes.

- Why sustainability is the strongest predictor of successful and lasting fat loss.

- How the body adapts to caloric deficit and why NEAT drops more than most people realise.

- What strategic refeeds can support and when they matter most for mood, hormones and motivation.

- Why GLP-1 medications are reshaping obesity treatment and what gaps still concern experts.

- How food confusion, ultra-processed marketing and seed oil panic distract from the fundamentals.

- What whole food patterns, education and self-awareness offer that shortcuts cannot replicate.


Love,

Sarah Ann 💛


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This episode is sponsored by:

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15% off with code LWBW15 at nowatch.com


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If You Enjoyed This Episode, You Might Also Like:How HRV, Sleep & Hydrogen Water Impact Longevity | Dr Andy GalpinHow HRV, Sleep & Hydrogen Water Impact Longevity | Dr Andy Galpin


Your “Healthy” Food Is the Problem | How Ultra-Processed Foods Affect Women’s Hormones & Gut HealthYour “Healthy” Food Is the Problem | How Ultra-Processed Foods Affect Women’s Hormones & Gut Health


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Highlights:

The myth of fast and slow metabolism (00:00:00)

Fat oxidation versus real fat loss (00:04:12)

Why most metabolism boosters fall short (00:06:45)

Thermal effect of food and what it contributes (00:10:21)

Why exercise alone often does not result in expected fat loss (00:13:47)

NEAT and the invisible drop that happens during dieting (00:16:30)

Strategic refeeds and how they support hormones and motivation (00:19:48)

Healing disordered eating patterns through flexibility (00:25:12)

The obesity epidemic and the role of metabolic health (00:31:03)

GLP-1 medications and the future of weight loss treatment (00:33:42)

Seed oil panic and why it misses the point (00:38:01)

Navigating whole foods and processing confusion (00:55:27)

The problem with choosing the least bad option (01:03:10)


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