Hard to Kill: Dr. Jaime Seeman on Women's Strength, Hormone Health, and Midlife Fitness

22:38And you find out who your tribe is, those people that really stick with you through this journey of life and different seasons of life.

22:48Dr. Jaime Seeman:Well, and you have to understand too that as you kind of, I'm not going to call it a totem pole, but this like proverbial totem pole of like, you know, kind of like moving up in life and moving up energy levels, like people will shoot arrows at you. And it's, you know, I found that on social media, like the comment section is not always kind, even when your intentions are really good. And so, you know, you have to kind of create these boundaries in this armor and it's not an easy thing to do, but it's just, you just practice it. You just practice it every day. But our actions are driven by our internal language.

23:24Dr. Jaime Seeman:So the starting point for all of this is, is changing that internal language of like who you are, your computer processing system. And if the people around you, if that's not what you aspire to be, then you have to start to create the distance and the boundaries. Was it hard for you to create boundaries? Have you always been good at it or is it something that? No, no, I'm like, I don't like I don't like conflict. I don't like saying no. Haley and I are the same way. I like to praise people. I want everyone to love me. Like, you know, I it is really difficult. It's not an easy thing. And a lot of it is, you know, like your personality and your traits and things like that.

24:03Dr. Jaime Seeman:And I've done so many different personality tests and, you know, like all these different things. But yeah, it's not an easy thing. It's not an easy thing. And sometimes, you know, we cut people out and then we like bring them back in. It's like, you know, like a bad boyfriend. You just keep letting these people come back in and then you expect different results. Like that's just, you cannot expect the people around you to change. So you just have to go to the places where and plant your tree where you're going to flourish, where you're going to grow. Energy drainers. Is that what you called it?

24:33Dr. Jaime Seeman:Oh, yeah. I mean, I'm sure everybody listening right now can like name five people where it's like when you spend time with them, like you come home more depleted. Like you need to be around people that like fill, you know, energize you and fill you up. And and you've got to get rid of the energy drainers because they're they're everywhere. And there's actually really interesting, like in the workplace, for instance, if you, let's say you're in like a job that involves cubicles or whatever, like even if you're just seated within a certain distance, like let's call it 15 feet of like a low performer, like you will perform at a certain percentage lower.

25:08Dr. Jaime Seeman:And if you sit around somebody that's a high performer, you will perform at a higher percentage. It's, I mean, that's literally how real this type of relationship is, is you have got to surround yourself with high performers. You have to get in rooms where people are smarter and better than you at everything that you're going after. Like that's how you grow yourself. Like you, my kids play softball. Like I want them, I don't want them to be the best person on the team. I want them to be on teams where people are better than them because we tend to rise to the level of the people around us. So if we move on to your strength and nutrition, what has changed for you?

25:48I think you said you were 40 in 2020 or around 40 going into the Titan games. Do you feel like your nutrition from your thirties to now, what you're speaking about and what your non-negotiables are at this phase of life, what's changed?

26:04Dr. Jaime Seeman:Well, I did not grow up on the best diet. God bless my parents. They were just doing the best they can, but I grew up like hamburger helper without the hamburger. Otherwise known as pasta, rice and pasta. I grew up on a lot of carbs, you know, but when you're young and you're an athlete, like you can get away with, I mean, I take care of professional athletes. I'm the team doctor for the Omaha Supernovas, our professional volleyball team, some of our young players, I'm like astounded at the food that they eat. Like these are the highest level performing people. And you're like, you eat like shit.

26:37Dr. Jaime Seeman:Like if you ate well, like I can't even imagine how you would perform. So, I mean, I got away with a really bad diet for a long time. And then I get this degree in nutrition and it was like really beat into me of just like caloric compliance, like count your calories. Fat is not good. Like don't eat a lot of fat. And so when I got into medical school and I was struggling with my weight, I went back to like food tracking and I'm telling you, I was counting goldfish crackers. Like, okay, well I can have 50 and I was counting, I was just counting calories. And then I found out, right. And it tastes, they tasted good, but, um, but I had, I found out I had prediabetes.

27:15Dr. Jaime Seeman:My A1C was elevated. I'd hypothyroidism. And so when I first started on my journey, I actually, I went really low carb. I was ketogenic for quite a long time and I felt amazing. And my mom and my dad are both like normal BMI diabetics. And I've done like a lot of genetic testing. I have like every susceptibility gene to diabetes. Like it's just like, it's in my DNA. And so I still to this day eat very low carb, but I started to like play around with like, okay, how much protein and like how much fat and because we all respond differently. We respond differently based on our DNA. We respond differently based on our activity patterns and, and our schedules, like what time we wake up and what time we go to bed.

27:55Dr. Jaime Seeman:And so there's like not a cookie cutter strategy. I think for anybody listening, the more you can eat single ingredient foods, like did it have a mom or did it grow in the ground? Like you're probably going to be doing pretty darn good if you can just eat single ingredient foods. Cause most of our food environment is like boxes and bags and jars. And the more you process something, like I'll drop a bomb that most people won't want to hear, but like protein powders, like is actually a processed food. so the more you can eat chicken breast and eat steak and eat real food you're going to be doing better and so there's been some evolutions of my diet but I really try to stick to whole foods um I don't eat a lot of carbohydrates because in nature like there's not a pasta tree um so I eat berries you know I might eat some squash or sweet potatoes and things like that um I I really um have evolved to not even really caring about like sweets um but But I think nutrition is something we obviously do every day, unless you're fasting, which you shouldn't overfast.

28:57Dr. Jaime Seeman:That's another thing for women. But we eat every day. And so it's an easy way to make a quick impact in your life. I mean, we start to see microbiome shifts within like seven days of dietary changes. It can change your health really fast by just focusing on what you're putting in your mouth. But for the gut microbiome, do you have like a certain list? Because we hear out there, you need to eat 30 different fruits and vegetables a week. What's going on, everyone? It's Bluff here. And you know what's more American than America's 250th birthday? Supporting American-owned companies like SpinQuest, America's number one social casino with over 1 ,000 games like Live Dealer Blackjack and Craps.

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29:59Dr. Jaime Seeman:yeah three I think dietary variation is good seasonally like when you think of like our ancestors right like when they lived outside like there was only certain things they saw like they only got berries and melons in the summer and in the winter they kind of shifted that to more like roots and tuberous vegetables like I think variation is good do I think that eating 30 different fruits and vegetables a week is going to attain some certain level of health that's like magical? Absolutely not. Like I just don't. As we age, our microbiome does start to shift. We start to naturally lose particular bacteria in the colon.

30:35Dr. Jaime Seeman:And we actually start to see a more inflammatory type dysbiosis that just literally happens with age because we lose our stomach acid. And there's just things that are inevitable about the aging process. but from a microbiome standpoint I think there's some people that respond really well to fiber there are some people that don't respond well to a lot of fiber and so you kind of have to find I think there's things where you just have to find kind of where that happy set point is particularly one of the benefits of fiber is that in the breakdown and fermentation process of fibers in the gut you make something called short-chain fatty acids so like butyrate and that is where you get a lot of benefit to the colon cells and the heart and the cardiovascular system.

31:18Dr. Jaime Seeman:When you're on a ketogenic diet, you actually make more levels of beta hydroxybutyrate. So there's a lot of things physiologically with the diet that you can manipulate. I think probiotics as of right now might be a little overplayed. I think feeding your gut microbiome with real foods, fermented foods, kind of playing with fibers and fruits and vegetables and things like that is probably the best way. And I think in the future, we're going to see a lot more fecal transplants happening. The data on that is actually very interesting. They can take the poop from like a obese, well, it started with mice, of course, but we're starting to see it in humans.

31:55Dr. Jaime Seeman:But you can literally take the microbiome of like a thin, lean individual or animal and transplant the poop into the gut of an obese person and they start to naturally become leaner. So I think we, yeah, I think we bang our head against the wall sometimes with like, I'm counting my calories and I'm working out and I'm just like not seeing these results. Like we have to give like more credit to our bodies. Our bodies are like incredibly resilient and they're always trying to find homeostasis. And so there has to be this like kind of like base of the pyramid base camp level stuff that we have to nail first.

32:29Dr. Jaime Seeman:And that's like going back to the five pillars of my book. I mean, ice baths and saunas and all these little biohacks like are really cool. But if you're not doing that, like base level foundation base camp, like you can't be scaling the mountain yet. Like you got to nail this stuff first. I literally just had a conversation with a friend about the fecal transplant this last weekend. And I was like, what? I had never heard that. We've done them in medicine for years. Like when I was in medical school, we did fecal transplants for people that had like severe gastrointestinal infections. like really resistant, like resistant C diff strains.

33:05Dr. Jaime Seeman:So you put a nasogastric tube down the patient and then you literally push the fecal material, you know, like down in there. But of course there's always risks with these things. What if you put, you know, a bad E. coli strain down there and now you've made the patient ill. So like there has to be ways that we, you know, choose the right poop. But one of my friends, Dr. Sean Amara, he's an ER physician that's turned into, he's big on social media with like visceral fat and the microbiome. He has like one of the best. He's a very meat based person, which most people think, right, fiber and vegetables gives you the best microbiome, but he has one of the best microbiomes and he eats tons of like fermented foods.

33:41Dr. Jaime Seeman:So I started playing with these different varieties of vinegar recently and kind of adding those into my, into my schedule. And yeah, I think that we don't, we don't think as much about our gut bacteria as we should give it credit for, because I think it actually has one of the most profound impacts on our, on our overall health. That's more, that's kind of what I'm interested in seeing over the next decade of where the, where the gut microbiome, because I feel like it's kind of gaining momentum, but it's like this whole world that we still don't know. There's still a lot to know about. Well, and it starts in the mouth.

34:15Dr. Jaime Seeman:So you think of like, people think that food is the only thing that impacts it, but like the way you breathe, like if you're a nasal breather versus a mouth breather, you have different bacteria in your mouth. And a couple years ago, I was asked to go speak at this functional kind of health conference that was dentists and medical doctors at the same conference. And I was listening to this guy talk about the microbiome and they do like a salivary test to test for particular bacteria in the mouth. And he's showing me the literature on these bacteria that they test for. Some of them are implicated with pregnancy loss, infertility, preeclampsia, babies that are growth restricted or too small.

34:53Dr. Jaime Seeman:So they've isolated, like if you have these particular bacteria in your mouth, you can have adverse pregnancy outcomes. Like this is crazy. Um, I never learned about this medical school. So of course I like did the test and I had this one particular bacteria called Fusobacterium nucleolatum in my saliva. And, um, it's actually implicated with an increased risk of colon cancer. So like I started changing, um, like the toothpaste I was using, I started doing like mouth taping at night. Um, I started like, it's just wild to think. I mean, it starts in our mouth. I mean, we always think about gut, like it's down in our stomach, but it starts in your mouth because, um, I'm going on all sorts of tangents right now, but okay.

35:33Dr. Jaime Seeman:So two first tangent is, um, this is how I love to explain this to people. Think of your microbiome, like a cruise ship and the cruise ship is full of a lot of passengers. Those are called your commensal bacteria. They're just kind of along for the ride. But then of course you have like the captain of the ship and you have all the workers on the ship. And these are like the, the, the good guys that kind of like move the ship forward from port to port. Well, occasionally we can get a pirate that, uh, a Somalian pirate like takes over your boat and holds you hostage. And a lot of the tests that these people do on the saliva is to look for these pirates, because if you get a pirate, it can be really invasive and they can really mess everything up and eventually they could sink the ship.

36:14Dr. Jaime Seeman:And so it's, it's good to know. I think if we're talking about the microbiome to figure out like, do you have one of these pirates? So that's kind of my analogy with that. But we have to remember that our microbiome is established when we're born. So I'm an OBGYN and we know that vaginally born babies versus C-section babies have different microbiomes. Now we love modern medicine and thank God we can save a lot of babies by doing necessary cesarean sections and saving babies' lives. But we do know their microbiomes are different. And then a baby, when it's born, the stomach actually doesn't produce acid.

36:49Dr. Jaime Seeman:When the baby's in utero, the stomach is actually very neutral, not sterile, but very neutral. And so when the baby's born, the pH of the stomach stays very neutral for a couple of days. And then when the baby starts going to the breast and it starts getting this colostrum, that bacteria is allowed to pass through the stomach and to go down into the gut and to start to populate the microbiome in the gut. And so, and then after several days, the pH of the stomach starts to become more acidic to keep pirates out. And so a lot of our microbiome is established when we're born, how we're born, how we were fed as a child.

37:21Dr. Jaime Seeman:And then of course there's these just changes that happen as we age. But then everything along the way, how we eat, stress affects our microbiome, sunlight affects our microbiome. All of these things are like little inputs. But it is kind of like the, it's like the cruise captain. And so we're all on a different itinerary. Yeah. Which makes it hard to, which is why it's so individual. So if we move on to strength training, what does your schedule look like in a week? And what do you recommend, you know, in your book or to your patients? Do you have any absolutes or, or what does that prescription look like?

37:59Dr. Jaime Seeman:So women in particular are really sold on cardio, right? Uh, my mom kind of like she was like in the jazzercise era when I was growing up. And, and right, like you'll find if you go to the gym, more than 50 % of the cardio equipment is generally female. But if you go to the strength area of the gym, there was a study, I think it's from 2007. They did observations in a bunch of different gyms. And if you go to the free weight section, so we're talking like dumbbells, barbells, for every woman in that section of the gym, there's 27 men. And we are starting to see a shift. The data over the last five years does show that more women are strength training.

38:39Dr. Jaime Seeman:So thank you to people like you and all the amazing strong women on Instagram that are showing off their muscles. But if you want to move the needle with body composition, you have to be focused on gaining muscle. So instead of thinking about every woman that I see in my clinic, there's like 10 pounds. I just want to lose 10 pounds, 10 pounds. But if you ask yourself, what would be required to lose that 10 pounds? You know, a caloric deficit, you know, doing a bunch of cardio. If you lose 10 pounds on average, you're going to lose three to five pounds of lean tissue. And so if you shift that to thinking, I'm just going to get as strong as I can imaginably get and achieve.

39:19Dr. Jaime Seeman:When you start working on strength training and getting strong, a lot of times body composition changes naturally happen. You start putting on more lean tissue, you start losing a little bit of fat. And so I think women really have to kind of change that mindset of this kind of like going from like lean and toned and skinny to like, I'm going to see how big and strong I can get because I can tell you right now, there is a certain genetic potential that we all have. And you're not going to look like the Incredible Hulk. I promise you like those people are taking steroids and peptides and all sorts of things.

39:50Dr. Jaime Seeman:But if you can shift that to like, and especially as we age, I talked to my perimenopausal menopausal women. Now is the time to shift to being strong and stable. I'm going to be strong. I'm going to be stable. I'm not going to fall on a rug. I'm going to be able to hike mountains. I'm going to be able to play with my grandkids. We all obsess about the subcutaneous fat, but a lot of times going after that is going to harm us longer, you know, in the long run. And that's one of the troubles too, with these weight loss GLP one meds is, um, fast weight loss is almost always lean tissue. And so fast weight loss is very dangerous.

40:22Dr. Jaime Seeman:So even if we use things like medications like GLP-1s, we have to get that base foundation of nutrition and lifting weights and stimulating our muscles. And it's not just about being physically strong. Our muscles actually work as an endocrine organ. So our muscles are talking to our brain. They're helping us create new brain connections. They're talking to our endocrine organs. Muscle is the greatest disposal agent of glucose. 80 % of our glucose Disposal happens in our muscles. So for somebody like me that used to be a pre-diabetic, well, what happened? I stopped weightlifting for like, you know, when I graduate college.

40:58Dr. Jaime Seeman:So from like 07 to like 012, I was like lifting no weights. Didn't pick up a weight again until what, 2018? So for six years of my life, like I wasn't touching weights and I became a pre-diabetic. And I didn't look any different. I mean, I didn't look obese, but that was the difference is I was no longer stimulating that lean tissue and I became very insulin resistant. My muscles didn't know how to soak up that glucose anymore. So if you like eating like me and you like carbs, you've got to lift weights. You've got to stimulate that muscle tissue. Yeah. And for perimenopausal women, you can gain muscle.

41:32Dr. Jaime Seeman:I mean, don't think that like just because you're making this transition that it's like no longer achievable. You absolutely can put on lean tissue until the day that you die. Do you what are your thoughts on hormone therapy for someone that is not postmenopausal? Do you do you prescribe it in perimenopause only with symptoms? Because as you know, I mean, you're in this space every day like, yeah, like we are. But I the conversation is there's there's the menopause hormone therapy. You know what? It sucks to be bored. But when I get on my phone and play real casino games on SpinQuest.com, the time flies by.

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42:35Dr. Jaime Seeman:Yeah. And there's different sides of that. Where do you fall on that? As a broad answer, I am a huge fan of hormone replacement therapy. As a more nuanced answer, there is a time and a place. So if you think that going on hormone replacement therapy is going to be some magical unicorn, you are a little bit misled. These foundational principles that we've talked about, the five pillars, you have to get those things in place before you start, you know, adding in estrogen and things like this. Because if you, if you, if you pour gasoline into a system that's not working well, it doesn't make the car drive better, right?

43:15Dr. Jaime Seeman:If like the transmission is broken. And so you have to, you have to understand that. And, and sometimes when you start correcting nutrition and you get them lifting weights again, and you do all these things again and the ovaries start functioning better, sometimes you don't need it yet, right? Because perimenopause is like this roller coaster of a multi-year process, you know, leading into menopause. And there's some evidence to believe that the ovaries actually pace our aging, our rate of aging is actually paced by the ovaries. And so if you do things as a woman that nurtures your reproduction and your reproductive capacity and keeps the ovaries really healthy, it prolongs the number of years that you can go without having to add hormone replacement therapy.

43:58Dr. Jaime Seeman:And then 100 % of women at some time in their life are going to go through cellular senescence in the ovary and they will stop producing estrogen and progesterone. And then, you know, then you definitely want to think about replacement. But I think in perimenopause, I do use it. There's a time and a place. I like progesterone. It can really start to help with sleep disturbances. You know, sometimes they might need a little bit of estrogen. Sometimes they need a little bit of testosterone. But you really got to start nailing those things in perimenopause because the hill starts to get a lot steeper once the ovaries finally shut off and you have to control the controllables.

44:37Dr. Jaime Seeman:That's what I say. Who are the thought leaders in this space that you really align with? I mean, is there a few people that you're like, I am completely, I know there's a lot. Yeah. I don't know if there's a president of the society per se, Because I think we're all going to have, you know, as a clinician, our thoughts about things are all learned through taking care of real patients. And we definitely have literature that we want to be able to use to support our thoughts because studies are very important. It's where we get objective data. And then when we take care of patients, we get subjective data and anecdotal evidence.

45:19Dr. Jaime Seeman:And we use all of those things to kind of make our medical recommendations. And I think if you, you know, looked at 20 different menopause people, you know, on social media, like we're all not going to agree on everything. But I do think I love the fact that the conversation is happening and that more people are talking about it. But it can create a lot of confusion, you know, because some people are, like I said, some people say, eat meat, don't eat meat, take estrogen, don't take estrogen. There are some things, though, that I think people do need to understand is that bioidentical hormone replacement therapy, there are ways to give bioidentical hormones in pharmaceutical grade options so that it doesn't have to be compounded.

46:04Dr. Jaime Seeman:That doesn't make it better. There's a variety of ways to give hormones, transdermal, oral, injectable, sublingual. And that's where your clinician can really help you. What is best for you? What is safest for you? you know, do we monitor levels? But I love that the conversation is happening. There's like people writing books left and right, you know, menopause. It's like, it's finally getting its like day and NIH is, you know, talking about funding more studies. Cause we do, we really for many, many, many years, we perimenopause. The reason nobody is studying perimenopause is the same reason that exercise scientists don't study women a lot in their studies.

46:43Dr. Jaime Seeman:It's because when you have somebody that has a functioning ovary, your estrogen levels are literally changing hour to hour, day to day, depending on where you're at in that cycle. And then perimenopause is even more erratic. And so it's really, really, really hard to control the variables, which is why, like I said, we have to use objective data, but we always have to use that kind of subjective, how are we feeling? How are we functioning? And always weighing kind of the pros and cons of what we throw into the system. Are you a fan of vaginal estrogen? If somebody was anti taking, you know, hormone therapy, is a vaginal estrogen kind of in its own category a little bit?

47:24Yeah.

47:25Dr. Jaime Seeman:So low, low dose vaginal estrogen is safe and effective for almost everybody. I mean, I really, and really everybody, I mean, really honestly, because we even have data now showing it doesn't change breast cancer survival rates or breast cancer recurrence, which those would be the patients, right, that we would initially like hold a 10 foot pole on and say like none for you. But even when I talk to my breast cancer patients, I say, hey, listen, we might save you from dying from breast cancer, but you're going to die of something. And let's make sure it's not, you know, urosepsis from a urinary tract infection, you know, like and now that we've taken away your estrogen, now you're at a way increased risk of getting osteoporosis and heart disease.

48:04Dr. Jaime Seeman:um okay so we save you from breast cancer and now you're going to die of a hip fracture so their vaginal estrogen is amazing it's just like we put cream on our face to stop our face from aging the vulva and the vagina when they lose estrogen they get thin they lose their lubrication we get an increased risk of urinary tract infections it gets uncomfortable women don't want to have sex that starts affecting their marriage and their relationships and so i'm a huge fan of vaginal estrogen and i think um another population that needs more vaginal estrogen is postpartum patients. If you didn't realize it, when you are postpartum and you are breastfeeding, your vagina is like a menopausal woman.

48:39Dr. Jaime Seeman:It looks very similar. The skin starts to get thin. It starts to get red. It gets very dry because when you're breastfeeding, it lowers your estrogen levels to the level of menopause. And then when you stop and your cycles come back, the estrogen comes back too. But I wish more postpartum women would even use vaginal estrogen. This is a good tip for people to know. We're paying all of this money for our face. Hanging out at the pool is great. Relaxing and playing Vegas-style games on my phone at the same time. Drinking one hand and a blackjack in the other. It's all at SpinQuest. Over a thousand games, including your favorite slots and table games.

49:20Be cool with this summer special. New players get$30 coin packs for 10 at spinquest.com. SpinQuest is a free-to-play social casino. Avoid where prohibited. Visit spinquest.com for more details. Right. But got to take care of everywhere. What do you think of estrogen on the face?

49:43Dr. Jaime Seeman:So there's a lot of things that can induce collagen, and estrogen happens to be one of them. But you have to remember, our skin is good at absorbing things. So if you're slathering estrogen on your face, you're doing a little bit of estrogen replacement therapy. Now, if it's low dose, if it's the cream that you normally would use in the vagina, low dose vaginal estrogen, estradiol is more potent than estriol. So I've seen a lot of like creams out there with estriol. It's a weaker estrogen. But you have to be careful. I mean, how about how much you're putting on your face? Because when we dose low dose vaginal estrogen, those women are taking that twice per week.

50:13Dr. Jaime Seeman:if you're putting, you know, excessive amounts of vaginal estradiol cream on your face every single night, uh, you're getting some level probably of systemic estrogen. So you, you want to know what you're using. Um, but it, it does, I mean, it can, it can increase collagen. There's lots of other things that can help with anti-aging too. Um, so do I think it could be, you know, part of an, and, you know, uh, a regimen? It could be, we don't have a lot of studies. Like we don't have like big giant robust studies. So I think people have to, you know, take that with a grain of salt. There is one case report of a gal from Europe who was slathering estrogen on her face for like many years.

50:51Dr. Jaime Seeman:She ended up getting endometrial cancer because she was putting like way too much estradiol cream on her face and an estrogen, estrogen is proliferative and progesterone is anti-proliferative. So if you're, if you're giving too much estrogen post-menopausally, you have to be taking progesterone to balance that out. So you just got to be careful with, you know, how much you're using and what you're using and know what you're putting on your body. But it is the same. Like if you had a tube, you could use the same to put on your face as in the vagina. Okay. So it's the same. What do you think about the patches?

51:22Dr. Jaime Seeman:I'm a huge fan of estrogen patches. It's convenient because it's twice per week. I like the twice weekly and not the weekly because if you've never seen a weekly patch, like they are big and ugly. So the twice weekly patches are great outside of a patient like with an adhesive allergy. Most patients, you know, love it. and then if you have a uterus you have to take progesterone with it but I put most of my patients on progesterone anyway if they don't have a if even if they don't have a uterus because there's benefits of progesterone and like I said in the body we have estrogen and progesterone receptors in almost all of our tissues one is proliferative one's anti-proliferative so we really should be taking them together you have this powerful quote of those who don't make time for wellness will have to make time for illness what does that mean in practical terms is we're getting this information out.

52:07And as you said, you know, there might be one in 27 men, you know, one female and 27 men in the weights room where now it might be 10 to 20, 27. What impact does that have for, for women over 40? If they're still, I think the message is being received. I keep saying this in my podcast, like it's, it's definitely on social media. If you're following women, women's health specialists. Everyone's kind of talking about some form of strength training. There are different recommendations, some form of good nutrition, as you said, different recommendations. But that quote right there really says it all.

52:48Dr. Jaime Seeman:Yeah. I mean, life is going to catch all of us, you know, at some point. And, you know, I kind of said this early in the podcast, I know people with massive financial success, relationship success. Maybe they're physically really healthy and successful, but at some point life catches up with us. And if we aren't taking care of ourselves, usually when it gets to that point, most people would give up their entire bank account to have their health back. You get some crazy cancer diagnosis and you're like, god i wish i would have over the last 20 years like known this was coming well i'm telling you right now like it's coming something is coming for you you might be 100 you might be 40 um but something is kind of like we we are not immortal and so you know we're going to do the best we can we're going to try to take care of ourselves the best we can because if you get a bad diagnosis like cancers in particular are curable at stage one and two and you can do all the testing you want.

53:52Dr. Jaime Seeman:You can get a thousand biomarkers and do a full body MRI and you can put on the wearable devices. But like, what do you do with that information? The way that you, the way that you actually, you know, do something about that is, is more important than doing all the testing. And I know I have some real crunchy patients that are like, I don't want any of the tests. I'm just going to like do the healthy stuff, which is fine too. Like don't order a test if you don't want to know the answer. But I mean, at some point in our life, like something's going to happen to us, something's going to happen to our family and we want to be hard to kill.

54:24Dr. Jaime Seeman:So I'm telling you right now, if I get diagnosed with cancer tomorrow, I've got a lot of muscle mass. I could, I could probably be in bed for several weeks and still make a good recovery. I can, you know, you just want to be as resilient as you can to fight through whatever challenge life is going to throw at you. And, you know, when it comes to our health, like we have to take an active, proactive, you know, approach to it. You got to be in the driver's seat. yes exactly and the and the thing is is like nobody can do it for you i mean i can sit in my clinic all day and tell patients like read my book like do all these things but like at the end of the day the answer to our health care system problems is for people to take self-accountability for their health you know like you're in charge of what you eat you're in charge of how many days you're going to set the alarm and go train and and for me like you can't hate exercise like there's something that you like to do, you know?

55:18Dr. Jaime Seeman:Um, and for me, it's not like a, I have to go do this. It's like, I'm going to go to the gym at 5.00 AM and I'm going to celebrate like how awesome my body is at 40 years old and how, Oh, like, look what I can do. You know, um, you got to celebrate what you can do. Cause I think women are really good at beating ourselves up about what we don't like about our bodies. Um, but there are things that are going well in your life and I am perpetually a glass half full kind of person. Like if I got a hip that's bothering me, like you're not going, you're not going to hear about it because my other hip is good and I can do arms if I can't do legs.

55:54Dr. Jaime Seeman:And if I can't run, I'm going to walk. And if I can't walk, I'm going to crawl. Like, I mean, that's just like how you have to look at it, you know? Well, you've been a huge inspiration. I have loved following your, your journey. And I really like your stance on socials. And thank you for spending your time with us. So I think I asked you, but maybe I didn't listen to the answer. When did your book come out? How, like, when did you write that? Yeah, I should know. It was August of 21, 22. It's been out for a couple years now. Oh, awesome. And yeah, people can find it on Amazon, wherever books are sold.

56:33Dr. Jaime Seeman:It's on Audible. um i didn't realize how many people like to listen to audible and and books on on smart devices yeah i haven't my uh it's that's so cool right you can just like drive in your car and and listen to it so um yeah it's it's uh it's a very easy read it's written at a level that like my kids could understand it's not like super sciency but it just has real world actionable things that you can start to implement in your life. I love it. Hard to kill. And you are Dr. Fit and Fabulous. I still giggle. I still giggle about the name. No, I love it. It's easy to remember. I would try to type like Jamie Seaman.

57:14I'm like, oh, I got to put in Dr. Fit and Fabulous and pop right up. So awesome. Well, thank you for sharing your time with us and your expertise and just your take on life for women at this age group?

57:27Dr. Jaime Seeman:Well, you know, I've been inspired by a lot of people in my life. I mean, there are still stories, you know, like from my childhood, when I think back to like certain things that really kind of shifted me and my mindset. And I hope I can be that beacon of light for people. And really, honestly, the reason I do it is I have three daughters. And I hope that I can kind of like have lived the lessons for them, their kids, and I'm going to let them mess up and make their own mistakes. But, but I have three girls. And so there's just, I look at them and there's things that I wish I knew at their age, um, that, that I didn't, and that's okay.

58:00Dr. Jaime Seeman:And, uh, I'm just trying to be the best, best example for my girls and all their friends and, and, uh, other moms out there. I mean, it's hard. Our lives are really hard. You know, we have a lot of expectations that society puts on us and, um, and you can, you can do whatever you want in life. You know, you just got to work hard. there you go that's it well we appreciate your time and and you again you can find dr seaman on instagram at dr fit and fabulous thanks for listening everyone if you enjoyed this episode please consider giving us a five-star rating and sharing the body pod with your friends

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