Ep. 562 “It’s Not a Willpower Problem” – Why Women’s Bodies Resist Weight Loss in Midlife with Ashley Koff, RD

Ep. 562 “It’s Not a Willpower Problem” – Why Women’s Bodies Resist Weight Loss in Midlife with Ashley Koff, RD

Today, I had the honor of connecting with Ashley Koff. She is a leading voice in personalized nutrition and the founder of the Better Nutrition Program. With over 25 years of experience and the groundbreaking GLP-1 Optimization System to her name, she’s helped redefine how we approach sustainable weight health. In our conversation, we dive into how her book reframes the concept of healthy weight. We explore integrative perspectives on digestive health and GLP-1s, why many women blame themselves when they struggle to lose weight, and how Ashley’s framework helps them remove that self-blame. We also discuss issues surrounding info-besity and the “less is more” approach, natural ways to support appetite regulation and satiety signaling, key areas of digestive health, and the importance of detoxification. Ashley also shares the red flags she sees in women who are undernourishing themselves or over-fasting, things to consider when you want to stop taking GLP-1s, and her opinions on new drug therapies. Join us for today’s thought-provoking and insightful conversation around metabolic health and weight-loss resistance for women in middle age, perimenopause, and menopause. IN THIS EPISODE, YOU WILL LEARN: The interconnection that exists between digestion, hormones, and metabolic signaling How the hormonal fluctuation that occurs in perimenopause disrupts women's digestion What drives satiety? How GLP-1 medications simply amplify, extend, or mimic an existing communication loop within the body rather than creating new pathways Why do women blame themselves when they cannot lose weight? How info-besity blocks the body from doing what it is naturally designed to do Why detoxification is essential for supporting natural digestive and metabolic processes The red flags that indicate undernourishment or over-fasting in women What you need to think about before stopping GLP-1s Bio: Ashley Koff, RD, is the USA Today bestselling author of⁠ Your Best Shot⁠ (HarperOne) and founder of⁠ The Better Nutrition Program⁠ (BNP). An acclaimed weight-health expert and practitioner for more than 25 years, Koff is leading a transformative movement in personalized nutrition, turning “better, not perfect” choices into practical, sustainable strategies that deliver real outcomes. Your Best Shot introduces weight-health hormones (GLP-1, GIP, CCK, PYY) as the regulators of weight health, offering the first-ever assessment of their function and a personalized optimization system—shot or not. A trusted expert featured across major media and a sought-after educator for health professionals, Ashley has been recognized as one of CNN’s Top 100 Health Makers and featured in InStyle as “Hollywood’s Leading Dietitian.” Connect with Cynthia Thurlow Follow on ⁠X⁠, ⁠Instagram⁠ & ⁠LinkedIn⁠ Check out Cynthia’s ⁠website⁠ Submit your questions to ⁠support@cynthiathurlow.com⁠ Join other like-minded women in a supportive, nurturing community:⁠ The Midlife Pause/Cynthia Thurlow⁠ Cynthia’s⁠ Menopause Gut Book⁠ is on presale now! Cynthia’s⁠ Intermittent Fasting Transformation⁠ Book ⁠The Midlife Pause Supplement Line⁠ Connect with Ashley Koff ⁠The Better Nutrition Program⁠ On ⁠Instagram⁠ and⁠ Substack⁠ On other social media: @Ashley Koff

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Ep. 637 HRT Dosing: Absorption, Timing, and Lab Testing |Menopause, Perimenopause, Hormone Replacement Therapy

Ep. 637 HRT Dosing: Absorption, Timing, and Lab Testing |Menopause, Perimenopause, Hormone Replacement Therapy

Welcome to this week’s Midlife Minute episode. Today, we’re diving into listener questions about HRT dosing and the confusion surrounding administration. We explore several key themes, including abso...

3 Syys 16min

Ep. 636 The Partner's Guide to Midlife Marriage with Todd Thurlow | Menopause, Perimenopause, Relationships

Ep. 636 The Partner's Guide to Midlife Marriage with Todd Thurlow | Menopause, Perimenopause, Relationships

We have an extra-special podcast today with my husband, Todd, where we answer many listeners' questions about our relationship, how we met, and our shared interests. In this episode, Todd and I discu...

2 Syys 1h 4min

BONUS: Practical Solutions to Manage Perimenopause and Menopause Symptoms with Dr. Mary Claire Haver

BONUS: Practical Solutions to Manage Perimenopause and Menopause Symptoms with Dr. Mary Claire Haver

Today, I am thrilled to reconnect with a previous guest, Dr. Mary Claire Haver. Dr. Haver is a board-certified OBGYN, a certified menopause provider, and the founder of Mary Claire Wellness, a priva...

31 Elo 59min

Ep. 635 Oral Versus Transdermal Estrogen Therapy with Dr. Salome Masghati | Menopause, Perimenopause, Hormone Therapy

Ep. 635 Oral Versus Transdermal Estrogen Therapy with Dr. Salome Masghati | Menopause, Perimenopause, Hormone Therapy

Today, I’m honored to connect with Dr. Salome Masghati, founder of Precision Gynecology, which provides the unhurried, root-cause-oriented care often missing in a system where women are rushed through...

29 Elo 59min

Ep. 634 Heart Disease Risk, Lipids, and Imaging |Menopause, Perimenopause, Heart Health

Ep. 634 Heart Disease Risk, Lipids, and Imaging |Menopause, Perimenopause, Heart Health

Welcome to this week’s Midlife Minute episode! Statistically, one in three women will die of heart disease. So, today, we’re answering some of the many questions I received about lipids and heart hea...

27 Elo 24min

Ep. 633 The Midlife Metabolic Health Masterclass for Women | Menopause, Perimenopause, Metabolic Health

Ep. 633 The Midlife Metabolic Health Masterclass for Women | Menopause, Perimenopause, Metabolic Health

I’m delighted to bring you a midlife metabolic health masterclass for women today, with experts Dr. Yael Joffe, Dr. Ben Bikman, Dr. Lara Briden, Dr. Felice Gersh, and Dr. Alexandra Sowa. In this mast...

26 Elo 1h 8min

BONUS: Preserving Muscle During Weight Loss with Angelo Keely | Menopause, Perimenopause, Muscle Health

BONUS: Preserving Muscle During Weight Loss with Angelo Keely | Menopause, Perimenopause, Muscle Health

I’m excited to share another episode in our series of highly vetted companies. Today, I’m delighted to reconnect with Angelo Keely, the Co-founder and CEO of Kion, for our third conversation. I’ve b...

24 Elo 53min

Ep. 632 Good Girl Identity and Autoimmune Health with Sara Hirsh Bordo | Menopause, Perimenopause, Autoimmune Health

Ep. 632 Good Girl Identity and Autoimmune Health with Sara Hirsh Bordo | Menopause, Perimenopause, Autoimmune Health

Today, I’m delighted to connect with Sara Hirsh Bordo, an autoimmune-diagnosed, 15-times award-winning documentary filmmaker, the founder and CEO of Women Rising, and the author of Autoimmunity and th...

22 Elo 1h 1min

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