Ep. 467  Bone & Joint Health Tips for Women 40+ with Dr. Jocelyn Wittstein

Ep. 467 Bone & Joint Health Tips for Women 40+ with Dr. Jocelyn Wittstein

Today, I am delighted to connect with Dr. Joycelyn Wittstein, a board-certified orthopedic surgeon and associate professor of Orthopedic Surgery at Duke who conducts NIH-funded research into post-traumatic knee arthritis. She has shared presentations at many prestigious medical conferences, and her work has appeared in peer-reviewed journals. In our discussion, we dive into many of the joint pain symptoms Dr. Wittstein sees in her perimenopausal and menopausal patients, and we look at the impact of specific, targeted supplementations, including curcumin, collagen peptides, and creatine monohydrate. We explore effusions, the effects of osteoarthritic risk factors like prior injuries, obesity, the perimenopause to menopause transition, and the impact of GLP-1s on joint symptoms and bone physiology. We discuss REDS (Relative Energy Deficiency Syndrome) and the causes of osteoporosis, and Dr. Wittstein also shares what she does to protect her bones and why she believes DEXA scans must get done early in the aging trajectory, why fractures can be problematic, and the significance of exercise and bone-building foods. You will not want to miss today’s valuable and super action-oriented conversation with Dr. Jocelyn Wittstein. IN THIS EPISODE, YOU WILL LEARN: How women in their mid-40s and 50s often experience an acute increase in joint pain How hormone therapy can help women improve their bone health, prevent osteoporosis, and overcome joint pain Dr. Wittstein recommends supplements for reducing joint inflammation Various foods that can drive inflammation and cause joint health problems How the inflammatory state of obesity impacts joint health The benefits of GLP-1s for those with joint pain from inflammation Why early bone density screening is essential for women in their 40s How creatine monohydrate improves cognitive function and muscle mass The value of strength training and balance exercises for improving joint health The best foods and beverages for bone-building Bio: Dr. Jocelyn Wittstein I am an associate professor of orthopaedic surgery at Duke University Medical Center. I completed residency in 2009 and a fellowship in sports medicine in 2010 at Duke. Prior to medical school, I studied nutritional science at Cornell University. My practice focuses on sports medicine, with a particular interest in treating female athletes across the lifespan. I am currently president of the Forum: Women in Sports Medicine. I am part of the core leadership of the Duke Female Athlete Program. I am also a clinician researcher with NIH-funded studies of ACL and meniscus injuries and post-traumatic arthritis in knees. I am a co-author of the Complete Bone and Joint Health Plan, which was released on May 6, 2025. On a personal note, I am a former collegiate gymnast, lifelong athlete, and mom of five. I live in Raleigh, NC, with my husband, Tal Lassiter, who is also an orthopedic surgeon. Connect with Cynthia Thurlow Follow on Twitter, Instagram & LinkedIn Check out Cynthia’s website Submit your questions to support@cynthiathurlow.com Connect with Dr. Jocelyn Wittstein On the Duke Health website Instagram The Complete Bone and Joint Health Plan, co-authored by Jocelyn Wittstein, MD, and Sydney Nitzkorski, MS, RD, is available on Amazon or Barnes and Noble, and from most bookstores.

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Ep. 386 Muscle Strength in Menopause: Key Tests & Lifestyle Measures with Dr. Vonda Wright

Ep. 386 Muscle Strength in Menopause: Key Tests & Lifestyle Measures with Dr. Vonda Wright

I am thrilled today to have the opportunity to speak with Dr. Vonda Wright, a practicing double-boarded orthopedic sports surgeon who has positioned herself at the intersection of longevity, women's health, and performance.  Dr. Wright is a great advocate for women's health, well-known and highly regarded for her frequent media appearances and thought leadership. In our discussion, we cover the importance of menopausal literacy and the impact of musculoskeletal syndrome in menopause, focusing on the critical decade, bone health, risk factors, and how to assess muscle strength. Dr. Wright shares her formula for strength training, and we explore the benefits of Zone 2 sprint training, examining the importance of V02-Max testing, particularly for frail individuals. We also address common musculoskeletal issues and essential lifestyle practices for maintaining orthopedic health.  This insightful conversation with Dr. Vonda Wright is one of my top picks on the podcast. I know you will love it! IN THIS EPISODE YOU WILL LEARN: What menopausal literacy means The symptoms of musculoskeletal syndrome during menopause The roles estrogen and testosterone play in the musculoskeletal system Why it is essential to focus on your health and notice any hormonal changes in the critical decade between the ages of 35 and 45  How the loss of loss of muscle mass and strength can lead to frailty and a risk of falling in middle-aged patients Why women must base their decisions regarding estrogen on facts The benefits of making smart nutrition, exercise, and sleep your priorities The exercise Dr. Wright recommends for improving cardiovascular fitness How weightlifting and trampoline rebounding in midlife supports bone health  How to use how to use V02 Max data to track your fitness level Some essential nutritional factors for supporting midlife health  Bio: Dr. Wright is a practicing double-boarded Orthopaedic Sports Surgeon, Author, Speaker, Researcher, and Innovator whose work stands at the intersection of Longevity / Women’s Health / Performance. Widely recognized for her thought leadership, Dr Wright is a frequent media and conference expert. Her innovative science-based approach is changing the lives of millions in mid-life. Dr Wright practices in Lake Nona, Florida, and is the founder and CEO of Precision Longevity. Connect with Cynthia Thurlow   Follow on Twitter Instagram LinkedIn Check out Cynthia’s website Submit your questions to support@cynthiathurlow.com Connect with Dr. Vonda Wright On her website On Facebook Instagram X.com LinkedIn Leave a message on VIP Phone Number (407)-232-2334

10 Aug 20241h

Ep. 385 Health Sovereignty: How Diet & Toxins Affect Health with Teri Cochrane

Ep. 385 Health Sovereignty: How Diet & Toxins Affect Health with Teri Cochrane

Today, I am delighted to reconnect with my friend colleague Teri Cochrane, who previously joined me for episodes 56 and 201. Teri is a decoder of the human body, entrepreneur, speaker, and advisor. In her novel approach to integrative health, honed through decades of clinical experience and exceptional client outcomes, she focuses on the dynamic nature of individual health, incorporating insights from epigenetics, biochemistry, quantum physics, and nutrition. We begin our conversation today by diving into health sovereignty. We discuss the disrupted mirror effect and the standard American diet, exploring the impact of mold and mycotoxins, glyphosate, amyloids, and oxalates, and identifying foods to avoid. We examine the benefits of the game and wildaterian diets, looking at the challenges of weight loss resistance, the concept of the dirty cupcake, and the psychology of eating. I am sure you will find this informative discussion with Teri Cochrane enlightening and enjoyable. IN THIS EPISODE YOU WILL LEARN: Why it is essential to get actively involved in your health and wellness, particularly in the post-pandemic environment What spike proteins represent, and how they can affect you Teri explains the disrupted mirror effect Which foods are the amyloid-rich foods we should avoid? How all metabolic diseases in the US stem from the food we eat, what we wear, and what we use in our environment How mold and mycotoxins impact our health The problem with industrialized farming How oral probiotics increase our histamine load The benefits of consuming wild-sourced protein Some creative ways to make better food choices Which supplements are the best ones? Connect with Cynthia Thurlow   Follow on Twitter Instagram LinkedIn Check out Cynthia’s website Submit your questions to support@cynthiathurlow.com Connect with Teri Cochrane On her website Instagram Facebook TikTok  Book Mentioned The Wildaterian Diet: Living as Nature Intended on Amazon Previous Episodes Mentioned Episode 56: The Cochrane Method and Bioindividuality  Ep. 201-The Connection Between Genes, Detoxification, Hormones, and Immune Function

7 Aug 202453min

BONUS: Tabatha Barber AMA: What Every Woman Needs to Know About Their Health

BONUS: Tabatha Barber AMA: What Every Woman Needs to Know About Their Health

I am delighted to have my good friend and fan-favorite, Dr. Tabatha Barber, joining me again to share her wisdom on the podcast!  Dr. Tabatha is a triple board-certified OB/GYN specializing in menopause and functional medicine. She has a wonderful podcast called The Gutsy Gynecologist Show and is often referred to affectionately as the Gutsy Gynecologist. Dr. Tabatha was with me in two previous podcast episodes, #206 and #212, and both are in the top twenty downloaded podcasts in the last 18 months! Many women suffer unnecessarily when going through perimenopause and menopause. Dr. Tabatha and I have an AMA (Ask Me Anything) episode today. We discuss weight gain related to perimenopause and menopause, issues with estrogen replacement therapy, how libido can be impacted by many different factors, how to address a partial hysterectomy and HRT, and bioidenticals versus synthetic hormones. We also get into lab work, skin reactions relative to perimenopause and menopause, emotional eating, leptin resistance, and many other topics.  I’m grateful for all the great questions and have no doubt this episode with Dr. Tabatha will be another fan-favorite! IN THIS EPISODE YOU WILL LEARN: Why do too much estrogen and too little estrogen both cause weight gain?  How fragrances and plastic contribute to the imbalance between estrogen and progesterone. How changing to organic tampons and pads, or using a Diva cup, can be a game-changer for women. Should women who have had a partial hysterectomy and are on HRT still check progesterone and testosterone levels and fast like a post-menopausal female? Dr. Tabatha shares her thoughts on plain estradiol versus Biest and Triest. Dr. Tabatha offers her recommendations for a healthy 48-year-old female with zero libido. What can a 17-year-old with high testosterone do to get her testosterone level within the normal range? Is there a biological or mindset issue at play if you never feel full and always want to eat, irrespective of how healthy or satisfying the foods you eat are? The benefits of fasting.  What can we do to support our pelvic joints? How do our hormones affect our skin? Connect with Cynthia Thurlow Follow on Twitter, Instagram & LinkedIn Check out Cynthia’s website Connect with Dr. Tabatha Barber On her website The Gutsy Gynecologist Show Previous Episodes Mentioned: Episode 206 Pt 1: A Deep Dive into Perimenopause- Hormonal Imbalances and Birth Control with Dr. Tabatha Barber Episode 212 Pt. 2: A Deep Dive into Hormonal Imbalances and Menopause with Dr. Tabatha Barber Books mentioned: The XX Brain by Lisa Mosconi

5 Aug 20241h 4min

Ep. 384 Why Weight Loss is Complex: Obesity’s Multi-Factorial Nature with Dr. Rocio Salas-Whalen

Ep. 384 Why Weight Loss is Complex: Obesity’s Multi-Factorial Nature with Dr. Rocio Salas-Whalen

Today, I am privileged to speak with Dr. Rocio Salas-Whalen. She is a triple board-certified physician with extensive expertise in all aspects of endocrinology, focusing on women's health and obesity.  Dr. Salas-Whalen believes that effective care should be tailored to the specific needs of each individual, as every patient is unique. In our discussion today, we explore the obesity epidemic, challenging the notion that obesity is simply a lifestyle-driven disease. We examine various factors contributing to obesity, clarifying why BMI is ineffective for assessing body composition and discussing the implications of sarcopenic obesity and visceral fat. Dr. Salas-Whalen offers valuable insights into the specific issues faced by perimenopausal and menopausal women, including the role of hormone replacement therapy and the increasing use of medications like GLP-1s. She emphasizes the complexity of weight loss, advocating for responsible prescribing and recognizing that obesity is controllable yet not curable.  I trust that you will love this conversation with Dr. Rocio Salas-Whalen and find it both enlightening and informative. Stay tuned for more. IN THIS EPISODE YOU WILL LEARN: The five causes of obesity How portion sizes are distorted in the US, leading to overeating and obesity Why BMI is an outdated tool and not the gold standard for body composition Why education on reading labels and making healthier choices is essential  What is sarcopenic obesity? Why visceral fat is more problematic than subcutaneous fat How HRT can improve body composition  Why it is essential to find a practitioner who aligns with your goals and values How so many women struggle with self-care and advocating for themselves Why strength training and increasing protein intake are essential for middle-aged women struggling with weight loss resistance How obesity medications have evolved over time How GLP-1 medication can help those struggling with binge eating and weight management Connect with Cynthia Thurlow   Follow on Twitter, Instagram & LinkedIn Check out Cynthia’s website Submit your questions to support@cynthiathurlow.com Connect with Dr. Rocio Salas-Whalen On her website Instagram

3 Aug 202456min

Ep. 383 Exploring Metabolic Medicine: Insights to Optimize Health with Dr. Nick Norwitz

Ep. 383 Exploring Metabolic Medicine: Insights to Optimize Health with Dr. Nick Norwitz

I am thrilled to have Dr. Nick Norwitz, a researcher-educator on a mission to mainstream metabolic health, joining me today. Dr. Norwitz is a Dartmouth College graduate who completed his Ph.D in metabolism at Oxford University before attending Harvard Medical School to complete his MD.  Dr. Norwitz is passionate about teaching and encourages everyone to join the growing camp of metabolic health enthusiasts who will be instrumental in changing the world. In today's conversation, we explore the complex and controversial world of non-nutritive sweeteners, covering several topics, including the effects of allulose on PCOS, metabolic medicine, and the research on how gut sensor cells impact our preference for sugar over sweeteners. We look into studies on sucralose, commonly known as Splenda, and Dr. Norwitz shares insights from his Oreo LDL reduction experiment. We also touch on our human tendency toward simplicity and confirmation bias, the importance of bio-individuality, and the concept of N=1 medicine. Dr. Norwitz is committed to remaining curious. He will return to the podcast later this year to share more about the research on metabolic health, muscle, and metabolism. I know you will love this discussion, so stay tuned for more. IN THIS EPISODE YOU WILL LEARN: How the different molecules that exist within various types of non-nutritive sweeteners impact our biology Dr. Norwitz explains how his view on non-nutritive sweeteners has shifted over time. Why is allulose such a unique non-nutritive sweetener? How the brain can distinguish between different sweetener molecules, and why that can drive changes in behavior   Dr. Norwitz explains how the hypothesis that sucralose may cause insulin resistance, was proven incorrect. Why some non-nutritive sweeteners may be more problematic than others Dr. Norwitz shares his approach to creating engaging social media content and discusses his famous Oreo versus statin experiments. Why Dr. Norwitz believes that there should be more studies on lean mass hyper-responders How dietary changes affect LDL cholesterol levels What is N=1 medicine? Connect with Cynthia Thurlow   Follow on Twitter Instagram LinkedIn Check out Cynthia’s website Submit your questions to support@cynthiathurlow.com Connect with Dr. Nick Norwitz X/Twitter YouTube Instagram LinkedIn Threads FaceBook Weekly Newsletter

31 Juli 20241h 13min

BONUS AMA: How to Navigate Fasting, Electrolytes, Hormonal Fluctuations, the Role of Carbs, and Fasting Troubleshooting

BONUS AMA: How to Navigate Fasting, Electrolytes, Hormonal Fluctuations, the Role of Carbs, and Fasting Troubleshooting

I have the honor of reconnecting with Dr. Mindy Pelz today. She was with me before on podcasts 113 and 184. Dr. Mindy Pelz, D.C is a bestselling author, keynote speaker, and nutrition and functional health expert who has spent over two decades helping thousands of people successfully reclaim their health. She is a recognized leader in the alternative health field and a pioneer in the fasting movement, teaching the principles of a fasting lifestyle, diet variation, detox, hormones, and more. Her popular YouTube channel (which just celebrated 23 million lifetime views) regularly updates followers on the latest science-backed tools and techniques to help them reset their health. She is the host of one of the leading science podcasts, The Resetter Podcast, and the author of three best-selling books; The Menopause Reset, The Reset Factor, and The Reset Kitchen, and her current book published with Hay House, Fast Like a Girl, is available for pre-order. Dr. Mindy has appeared on national shows like Extra TV and The Doctors and has been featured in Muscle & Fitness, Well + Good, SHEknows, Healthline, and more.  For this episode, I have a new format of ask me anything questions and answers. Dr. Mindy and I answer many of the questions women have sent in about nutrition, navigating fasting, electrolytes, and estrogen and progesterone-promoting foods. We discuss perimenopause, PMDD and hormonal fluctuations, carbohydrates, hormesis, the parasympathetic nervous system, and magnesium. We get into the impact of fasting on the liver, changes in our cycle, and the need for liver and gallbladder support. We also answer several questions about troubleshooting and talk about Dr. Mindy’s new book, Fast Like a Girl.  I hope you enjoy our new format and listening to today’s discussion with Dr. Mindy Pelz. IN THIS EPISODE YOU WILL LEARN: Should fermented foods (sauerkraut) be eaten first or at the end of a meal? When indulging in something sweet from time to time, is it better to use organic sugar or honey than agave? Or is pure stevia preferable? Which foods are beneficial for progesterone production? Is there a way to prevent cravings for salty or sweet snacks after dinner? Some tips to make losing five to ten pounds a bit easier. Are products with zero carbs and zero sugars suitable for fasting if they have a sweet taste? Some simple ways to relieve the symptoms of PMDD (Premenstrual Dysmorphic Disorder). When is the best time for a perimenopausal woman who suffers from anxiety and irritability before getting her period to use progesterone cream? Should a woman in perimenopause keep a twelve-hour fasting window until her period starts, even when her cycle is unpredictable? What happens if she skips a cycle? Dr. Mindy and I share our opinions on Ozempic (Semaglutide). What nutritional information should people look at if they have high cholesterol that cannot be explained? How can lifestyle changes allow people to avoid having to take statins? What should you do if you become fatigued when fasting? What does it mean if you start losing your hair when you fast? Connect with Cynthia Thurlow Follow on Twitter Instagram LinkedIn Check out Cynthia’s website  Connect with Dr. Mindy Pelz On her website Instagram YouTube Facebook Get your copy of Dr. Mindy Pelz’s new book, Fast Like a Girl. Previous Episodes Mentioned Podcast 113- How to Survive the Ups and Downs of Menopause Podcast 184 – Hormonal Symptoms Don’t Have To Be a Result of Aging

29 Juli 20241h 4min

Ep. 382 Metabolic Insights: Appetite, Satiety and More with Robb Wolf

Ep. 382 Metabolic Insights: Appetite, Satiety and More with Robb Wolf

Today, I have the privilege of reconnecting with my friend Robb Wolf, who joined me on two previous podcasts, episodes 130 and 213. He is a former research biochemist and the New York Times and Wall Street Journal bestselling author of The Paleo Solution and Wired to Eat.  In our conversation today, we explore the neuro-regulation of appetite and satiety, diet debates, and the impact of ultra-processed foods. Robb shares the intriguing story behind Dorito Roulette, and we dive into the roles of novelty, palate fatigue, protein, sarcopenia, digestion, and reduced anabolic signaling. We also examine the broader implications of nutrition, autoimmunity, gut health, thermoregulation, and sparkling versus still water, and Robb discusses various ideas he has reconsidered in the last few years.  Stay tuned for today’s invaluable and thought-provoking conversation with Robb Wolf. IN THIS EPISODE YOU WILL LEARN: What is neuro-regulation? How the varied flavors of Dorito Roulette tie into our desire to avoid palate fatigue How the processed food industry tends to understand satiety better than health professionals Why do we need more protein as we age? How hormonal changes, decreased anabolic signaling, and a sedentary lifestyle contribute to muscle mass loss and fat gain in older adults Why moderation is essential when consuming seed oils or processed foods Why Robb advocates for making incremental changes in diet and lifestyle rather than drastic changes  Why vitamin D production is essential for preventing autoimmune conditions, and the benefits of using vitamin D lamps during periods of low sunlight The importance of sodium for athletic performance and recovery Why sparkling water may be better for hydration than still water Connect with Cynthia Thurlow   Follow on Twitter, Instagram & LinkedIn Check out Cynthia’s website Submit your questions to support@cynthiathurlow.com Connect with Robb Wolf On his website The Healthy Rebellion Radio Podcast On X and Instagram  Previous Episodes Mentioned Ep. 130 – The Paleolithic Way of Eating: Optimum Nutrition for Optimum Health with Robb Wolf Ep. 213 All About Electrolytes: Symptoms, Causes, and Solutions for Electrolyte Imbalance with Robb Wolf

27 Juli 20241h 5min

Ep. 381 Addressing Insulin Resistance: Effective Strategies with Dr. Ted Naiman

Ep. 381 Addressing Insulin Resistance: Effective Strategies with Dr. Ted Naiman

I am thrilled to have Dr. Ted Naiman, who joined me before for Episode 109, joining me again today.  Dr. Naiman is a board-certified family medicine physician in the Department of Primary Care at a leading medical center in Seattle. He holds an undergraduate degree in engineering and incorporates many of those principles into his clinical practice. In today’s conversation, we get into the most effective strategies for addressing insulin resistance, exploring the U-shaped curve associated with fasting and the potential issues of excessive fasting. We dive into macros, carb restriction, cravings, hedonic eating, weight training, and Zone 2 training, looking at eccentric and isometric training and the negatives of strength training. We explain why calories are of no concern, the difference between animal and plant-based protein, and discuss sarcopenic obesity. Dr. Naiman also shares his take on GLP-1 agonists as a therapeutic approach for weight loss and satiety and answers a series of rapid-fire questions about seed oils, high fructose corn syrup, artificial sweeteners, and anti-nutrients, I am sure you appreciate and enjoy this conversation! IN THIS EPISODE YOU WILL LEARN: Effective ways to address early insulin resistance through exercise Why you need to increase the weight or resistance gradually when doing strength training The best way to approach resistance and cardio training The benefits and risks of fasting Carbohydrate sources for optimal health and satiety Dr. Naiman shares strategies for dealing with junk food cravings Why is protein essential for optimum health? Are seed oils a problem? Dr. Naiman shares his views on artificial sweeteners and high fructose corn syrup for weight loss The best approach to exercise for obese middle-aged females The benefits of GLP-1 agonists for type 2 diabetes and their potential side-effects Why diet and exercise are essential when using GLP-1 injectables for weight loss Dr. Ted Naiman Bio: Dr. Ted Naiman is a board-certified Family Medicine physician in the department of Primary Care at a leading major medical center in Seattle. His personal research and medical practice focus on the practical implementation of diet and exercise for health optimization.  He is the author of The PE Diet. Connect with Cynthia Thurlow   Follow on Twitter Instagram LinkedIn Check out Cynthia’s website Submit your questions to support@cynthiathurlow.com Connect with Dr. Ted Naiman On X Instagram On other social media:@TedNaiman  Hava Dr. Naiman's Book The P:E Diet by Dr. Ted Naiman Previous Episode Mentioned Ep. 109 How To Transform Your Health with Diet and Exercise with Dr. Ted Naiman

24 Juli 202459min

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