Full Transcript Why the scale isn't the only goal on a GLP-1 0:01 If you are taking GLP 0:01 If you are taking GLP or thinking about 0:02 or thinking about 0:02 or thinking about it and are in 0:03 it and are in 0:03 it and are in perimenopause, the number 0:04 perimenopause, the number 0:04 perimenopause, the number on the scale is 0:05 on the scale is 0:05 on the scale is not really the 0:06 not really the 0:06 not really the success you 0:07 success you 0:07 success you expect. Because 0:08 expect. Because 0:08 expect. Because how you lose 0:09 how you lose 0:09 how you lose weight matters far 0:10 weight matters far 0:10 weight matters far more than how 0:11 more than how 0:11 more than how much you 0:12 much you 0:12 much you lose. If 0:13 lose. If 0:13 lose. If you lose weight incorrectly, 0:14 you lose weight incorrectly, 0:14 you lose weight incorrectly, you can become smaller in 0:15 you can become smaller in 0:15 you can become smaller in size, but at the same time 0:16 size, but at the same time 0:16 size, but at the same time seriously damage your 0:17 seriously damage your 0:17 seriously damage your metabolism. And it 0:18 metabolism. And it 0:18 metabolism. And it can also negatively 0:19 can also negatively 0:19 can also negatively affect your 0:20 affect your 0:20 affect your hormones. So in this 0:21 hormones. So in this 0:21 hormones. So in this video, I want to show you a 0:23 video, I want to show you a 0:23 video, I want to show you a simple 0:23 simple 0:23 simple two-part 0:24 two-part 0:24 two-part approach that will make 0:25 approach that will make 0:25 approach that will make your weight loss 0:26 your weight loss 0:26 your weight loss more efficient, so that you 0:27 more efficient, so that you 0:27 more efficient, so that you lose fat, 0:28 lose fat, 0:28 lose fat, not muscle, and protect 0:30 not muscle, and protect 0:30 not muscle, and protect your metabolism in the 0:31 your metabolism in the 0:31 your metabolism in the long term. I'm 0:32 long term. I'm 0:32 long term. I'm Dr. Jen, an obstetrician-
GLP-1s and weight loss in midlife women 0:33 Dr. Jen, an obstetrician- gynecologist and 0:34 gynecologist and 0:35 integrative 0:35 integrative medicine specialist, and I 0:36 medicine specialist, and I 0:36 medicine specialist, and I prescribe these 0:37 prescribe these 0:37 prescribe these medications to 0:38 medications to 0:38 medications to middle-aged women every day and 0:39 middle-aged women every day and 0:39 middle-aged women every day and monitor their condition 0:40 monitor their condition . Here's the moment that
Why GLP-1s aren't the whole solution 0:42 . Here's the moment that 0:42 . Here's the moment that surprises almost everyone. GLP 0:43 surprises almost everyone. GLP is a powerful 0:44 is a powerful 0:44 is a powerful tool. I 0:45 tool. I 0:45 tool. I prescribe them daily and 0:46 prescribe them daily and 0:46 prescribe them daily and most patients 0:48 most patients 0:48 most patients get excellent 0:49 get excellent 0:49 get excellent results. But on their own, 0:50 results. But on their own, 0:50 results. But on their own, they are not 0:51 they are not 0:51 they are not ideal for 0:52 ideal for 0:52 ideal for burning fat. A 0:53 burning fat. A 0:53 burning fat. A significant portion of women 0:55 significant portion of women 0:55 significant portion of women actually lose 0:56 actually lose 0:56 actually lose muscle. And during 0:57 muscle. And during 0:57 muscle. And during perimenopause, you're already 0:58 perimenopause, you're already 0:58 perimenopause, you're already losing muscle at an 0:59 losing muscle at an 0:59 losing muscle at an accelerated rate 1:00 accelerated rate , and that's something you can't 1:01 , and that's something you can't 1:01 , and that's something you can't afford to 1:02 afford to 1:02 afford to sacrifice. 1:03 sacrifice. 1:03 sacrifice. GLP drugs, such as 1:04 GLP drugs, such as 1:04 GLP drugs, such as semaglutide, 1:05 semaglutide, 1:05 semaglutide, tirzepatide, and now the 1:07 tirzepatide, and now the 1:07 tirzepatide, and now the new retatrutide, are 1:08 new retatrutide, are 1:08 new retatrutide, are generally very, very 1:09 generally very, very 1:09 generally very, very effective. They 1:10 effective. They 1:10 effective. They suppress " 1:11 suppress " food noise". They 1:12 food noise". They 1:12 food noise". They suppress appetite. 1:13 suppress appetite. 1:13 suppress appetite. They improve 1:14 They improve 1:16 insulin sensitivity. And for 1:16 insulin sensitivity. And for many women, they 1:17 many women, they 1:17 many women, they finally break the 1:18 finally break the 1:18 finally break the cycle of dieting, allowing them to 1:19 cycle of dieting, allowing them to 1:19 cycle of dieting, allowing them to start losing weight. 1:21 start losing weight. 1:21 start losing weight. They reduce 1:21 They reduce 1:22 They reduce inflammation, which is an 1:22 inflammation, which is an 1:22 inflammation, which is an important part of 1:23 important part of 1:23 important part of menopause and 1:25 menopause and 1:25 menopause and perimenopause issues. If 1:26 perimenopause issues. If 1:26 perimenopause issues. If you and your doctor decide that this is the 1:27 you and your doctor decide that this is the right 1:28 right 1:28 right choice of medication, that's 1:30 choice of medication, that's 1:30 choice of medication, that's great. But here's what they do 1:31 great. But here's what they do 1:31 great. But here's what they do n't say on the 1:32 n't say on the 1:32 n't say on the label. When you 1:33 label. When you
The muscle-loss problem during rapid weight loss 1:34 label. When you lose 1:35 lose 1:35 lose weight quickly, especially when you 1:36 weight quickly, especially when you 1:36 weight quickly, especially when you eat much less, your 1:37 eat much less, your 1:37 eat much less, your body not 1:38 body not 1:38 body not only burns fat, it breaks down 1:39 only burns fat, it breaks down 1:39 only burns fat, it breaks down muscle. Studies 1:40 muscle. Studies 1:40 muscle. Studies have shown that a significant 1:41 have shown that a significant 1:41 have shown that a significant portion of the 1:42 portion of the 1:42 portion of the weight lost when taking this 1:43 weight lost when taking this 1:43 weight lost when taking this medication may be 1:44 medication may be 1:44 medication may be muscle tissue. According to 1:46 muscle tissue. According to 1:46 muscle tissue. According to some estimates, up to 1:48 some estimates, up to 1:48 some estimates, up to 30%. This is normal if 1:50 30%. This is normal if 1:50 30%. This is normal if you are 25 and can 1:52 you are 25 and can 1:52 you are 25 and can build 1:53 build 1:53 build muscle very easily. It's really hard 1:55 muscle very easily. It's really hard 1:55 muscle very easily. It's really hard when you're 47 and you're 1:56 when you're 47 and you're 1:56 when you're 47 and you're losing muscle 1:57 losing muscle 1:57 losing muscle faster than you can 1:58 faster than you can 1:58 faster than you can gain it. This is even 1:59 gain it. This is even 1:59 gain it. This is even harder to do. So, 2:01 harder to do. So, 2:01 harder to do. So, muscles are not just about a 2:02 muscles are not just about a 2:02 muscles are not just about a toned body. This is
Why muscle is so important for metabolism 2:03 toned body. This is 2:03 toned body. This is metabolically active 2:05 metabolically active 2:05 metabolically active tissue. It burns 2:06 tissue. It burns 2:06 tissue. It burns calories both at 2:07 calories both at 2:07 calories both at rest and while 2:08 rest and while 2:08 rest and while moving. In fact, it is 2:09 moving. In fact, it is 2:09 moving. In fact, it is our best 2:10 our best 2:10 our best fat burner. This is 2:11 fat burner. This is 2:11 fat burner. This is where the body 2:12 where the body 2:12 where the body directs excess 2:13 directs excess 2:13 directs excess sugar; Muscle 2:14 sugar; Muscle 2:14 sugar; Muscle provides 2:15 provides 2:17 insulin sensitivity, and its 2:17 insulin sensitivity, and its effect on bones is one 2:18 effect on bones is one 2:18 effect on bones is one of the main factors 2:19 of the main factors 2:19 of the main factors that maintains their 2:20 that maintains their 2:20 that maintains their strength, which is important 2:22 strength, which is important 2:22 strength, which is important when estrogen levels fall 2:23 when estrogen levels fall 2:23 when estrogen levels fall . Your risk of 2:24 . Your risk of 2:24 . Your risk of osteoporosis increases, 2:25 osteoporosis increases, 2:25 osteoporosis increases, so when you 2:26 so when you 2:26 so when you lose muscle, it 2:27 lose muscle, it 2:27 lose muscle, it only exacerbates the 2:28 only exacerbates the 2:28 only exacerbates the problem. We don't 2:29 problem. We don't 2:29 problem. We don't want to slow down 2:30 want to slow down 2:30 want to slow down our metabolism. We 2:31 our metabolism. We 2:31 our metabolism. We don't want to 2:32 don't want to 2:32 don't want to worsen our 2:33 worsen our 2:33 worsen our blood sugar levels, and we 2:34 blood sugar levels, and we 2:34 blood sugar levels, and we want to preserve our 2:35 want to preserve our 2:35 want to preserve our bones during 2:35 bones during 2:35 bones during perimenopause. So, 2:37 perimenopause. So, 2:37 perimenopause. So, during 2:37 during 2:37 during perimenopause, it's a 2:38 perimenopause, it's a 2:38 perimenopause, it's a double whammy, right 2:39 double whammy, right 2:39 double whammy, right ? You lose 2:40 ? You lose 2:40 ? You lose muscle—that valuable 2:41 muscle—that valuable 2:41 muscle—that valuable longevity organ 2:42 longevity organ 2:42 longevity organ you need.
Menopause, estrogen, and muscle loss 2:44 you need. 2:46 Declining 2:46 Declining estrogen levels already 2:47 estrogen levels already 2:47 estrogen levels already accelerate 2:48 accelerate 2:48 accelerate muscle loss and shift weight 2:49 muscle loss and shift weight 2:49 muscle loss and shift weight to the abdomen. That's why we 2:50 to the abdomen. That's why we 2:50 to the abdomen. That's why we call it the " 2:51 call it the " menopausal 2:52 menopausal 2:52 menopausal belly" or the " 2:52 belly" or the " perimenopausal 2:53 perimenopausal 2:53 perimenopausal belly." And this will 2:54 belly." And this will 2:54 belly." And this will happen 2:55 happen 2:55 happen regardless of whether 2:56 regardless of whether 2:56 regardless of whether you accept anything or 2:57 you accept anything or 2:57 you accept anything or not. So, if you 2:58 not. So, if you 2:58 not. So, if you supplement GLP without a 2:59 supplement GLP without a 3:02 muscle protection strategy, you have two forces acting on your 3:02 muscle protection strategy, you have two forces acting on your body at the same time 3:03 body at the same time 3:03 body at the same time . This is 3:06 . This is 3:06 . This is why some women 3:07 why some women 3:07 why some women lose weight but often 3:08 lose weight but often 3:08 lose weight but often lose muscle, 3:09 lose muscle, 3:09 lose muscle, feeling weak 3:10 feeling weak 3:10 feeling weak and more tired 3:11 and more tired 3:11 and more tired overall. So, here's the 3:13 overall. So, here's the 3:13 overall. So, here's the good news. 3:14 good news. 3:14 good news. Protecting muscle 3:15 Protecting muscle 3:15 Protecting muscle while burning fat is 3:16 while burning fat is 3:16 while burning fat is easy. It all 3:17 easy. It all 3:17 easy. It all comes down to two
The 2-part strategy to protect muscle 3:18 comes down to two 3:18 comes down to two things that you can 3:19 things that you can 3:19 things that you can start doing 3:20 start doing 3:20 start doing literally today. I'll 3:21 literally today. I'll 3:21 literally today. I'll tell you exactly how 3:22 tell you exactly how 3:22 tell you exactly how to train and the 3:23 to train and the 3:23 to train and the protein mistake that is 3:25 protein mistake that is 3:25 protein mistake that is imperceptibly hurting 3:26 imperceptibly hurting 3:26 imperceptibly hurting many women on 3:27 many women on 3:27 many women on this medication. 3:28 this medication. 3:28 this medication. Stay with me 3:29 Stay with me 3:29 Stay with me because this is the part that 3:30 because this is the part that 3:30 because this is the part that will change your 3:31 will change your 3:31 will change your results. OK. 3:32 results. OK. 3:32 results. OK. Part One: 3:33 Part One: 3:33 Part One: Train with 3:34 Train with 3:34 Train with weights like it's a 3:35 weights like it's a 3:35 weights like it's a prescribed medication. So
Part 1: Strength training 3:37 prescribed medication. So , strength training 3:38 , strength training 3:38 , strength training means 3:39 means 3:39 means resistance training. I want 3:40 resistance training. I want 3:40 resistance training. I want you to treat this 3:41 you to treat this 3:41 you to treat this as a must, 3:42 as a must, 3:42 as a must, not as something 3:43 not as something 3:43 not as something optional. 3:44 optional. 3:45 optional. When you lift 3:46 When you lift 3:46 When you lift weights or do 3:47 weights or do 3:47 weights or do resistance training, it's the 3:48 resistance training, it's the 3:48 resistance training, it's the easiest way to 3:49 easiest way to 3:49 easiest way to send your body a clear 3:50 send your body a clear 3:50 send your body a clear signal: save those 3:52 signal: save those 3:52 signal: save those muscles. We will 3:54 muscles. We will 3:54 muscles. We will use them. We 3:55 use them. We 3:55 use them. We need them. Aim 3:56 need them. Aim 3:56 need them. Aim for two to four 3:57 for two to four 3:57 for two to four strength training sessions per 3:58 strength training sessions per 3:58 strength training sessions per week. It depends
How often should you strength train? 3:59 week. It depends 3:59 week. It depends on whether 4:01 on whether 4:01 on whether you train your whole body or divide 4:02 you train your whole body or divide 4:02 you train your whole body or divide it into parts. 4:03 it into parts. 4:03 it into parts. Focus on 4:04 Focus on 4:04 Focus on compound exercises 4:05 compound exercises 4:06 compound exercises that use large 4:07 that use large 4:07 that use large muscle groups: 4:07 muscle groups: 4:08 muscle groups: squats, dips, 4:09 squats, dips, 4:09 squats, dips, deadlifts—and gradually 4:10 deadlifts—and gradually 4:10 deadlifts—and gradually add weight; This is what we 4:11 add weight; This is what we 4:11 add weight; This is what we call 4:12 call 4:12 call progressive 4:13 progressive 4:13 progressive overload. This 4:14 overload. This 4:14 overload. This progression actually 4:15 progression actually 4:15 progression actually not only preserves, but also 4:17 not only preserves, but also 4:17 not only preserves, but also builds muscle. You don't 4:18 builds muscle. You don't 4:19 builds muscle. You don't need to spend an 4:20 need to spend an 4:20 need to spend an hour every day at the 4:20 hour every day at the 4:21 hour every day at the gym. You can 4:22 gym. You can 4:22 gym. You can combine this with 4:23 combine this with 4:23 combine this with your cardio. You can 4:24 your cardio. You can 4:24 your cardio. You can also train your whole 4:25 also train your whole 4:25 also train your whole body twice a week 4:26 body twice a week 4:27 body twice a week or use 4:28 or use 4:28 or use different systems— 4:29 different systems— depending on what 4:30 depending on what 4:30 depending on what works best for you. The 4:31 works best for you. The 4:32 works best for you. The second part is 4:33 second part is 4:33 second part is protein, and this is where drugs 4:34 protein, and this is where drugs 4:34 protein, and this is where drugs can create a
Part 2: Protein 4:35 can create a 4:35 can create a problem. GLPs 4:36 problem. GLPs 4:36 problem. GLPs suppress appetite, 4:37 suppress appetite, 4:37 suppress appetite, so many women 4:38 so many women 4:38 so many women simply stop 4:39 simply stop 4:39 simply stop eating. They don't 4:40 eating. They don't 4:40 eating. They don't get enough 4:41 get enough 4:41 get enough nutrients, and 4:42 nutrients, and 4:42 nutrients, and usually their 4:42 usually their 4:43 usually their protein intake 4:43 protein intake 4:43 protein intake drops. But protein is the 4:44 drops. But protein is the 4:44 drops. But protein is the raw material 4:45 raw material 4:45 raw material your body needs 4:46 your body needs 4:46 your body needs to maintain muscle 4:47 to maintain muscle , and it's 4:48 , and it's 4:48 , and it's critical when you're 4:48 critical when you're 4:48 critical when you're in a 4:49 in a 4:49 in a calorie deficit. 4:50 calorie deficit. 4:50 calorie deficit. So, make protein the 4:51 So, make protein the 4:51 So, make protein the foundation of every
How much protein should you aim for? 4:52 foundation of every 4:52 foundation of every meal you eat. 4:53 meal you eat. 4:53 meal you eat. Eat it first and don't 4:54 Eat it first and don't 4:54 Eat it first and don't let a reduced 4:55 let a reduced 4:55 let a reduced appetite lead to 4:57 appetite lead to 4:57 appetite lead to accidental 4:57 accidental 4:57 accidental malnutrition. Many 4:59 malnutrition. Many 4:59 malnutrition. Many experts recommend 5:00 experts recommend 5:00 experts recommend consuming 0.8 to 1 g of 5:02 consuming 0.8 to 1 g of 5:02 consuming 0.8 to 1 g of protein per kilogram of 5:03 protein per kilogram of 5:03 protein per kilogram of ideal body weight. 5:05 ideal body weight. 5:05 ideal body weight. And you can divide 5:06 And you can divide 5:06 And you can divide this amount into three 5:07 this amount into three 5:07 this amount into three meals. The goal is 5:08 meals. The goal is 5:08 meals. The goal is simple: give your muscles a 5:10 simple: give your muscles a 5:10 simple: give your muscles a reason and the resources 5:11 reason and the resources 5:11 reason and the resources to stay with you 5:12 to stay with you . So, when you make 5:14 . So, when you make 5:14 . So, when you make protein the basis of 5:15 protein the basis of 5:15 protein the basis of every meal, 5:16 every meal, 5:16 every meal, it will not only help with 5:17 it will not only help with 5:17 it will not only help with the problem of reduced 5:18 the problem of reduced 5:18 the problem of reduced appetite, but also 5:19 appetite, but also 5:19 appetite, but also allow you to build 5:20 allow you to build 5:20 allow you to build muscle. So,
The GLP-1 + muscle-preserving stack 5:22 muscle. So, 5:22 muscle. So, GLP-1 drugs will reduce your 5:23 GLP-1 drugs will reduce your 5:23 GLP-1 drugs will reduce your appetite and promote 5:25 appetite and promote 5:25 appetite and promote weight loss. Strength 5:26 weight loss. Strength 5:26 weight loss. Strength training and protein 5:27 training and protein 5:27 training and protein determine whether 5:28 determine whether 5:28 determine whether you lose weight 5:29 you lose weight 5:29 you lose weight through fat, 5:30 through fat, 5:30 through fat, muscle, or both. Medication 5:32 muscle, or both. Medication 5:32 muscle, or both. Medication moves the scales, 5:33 moves the scales, 5:33 moves the scales, but this approach 5:34 but this approach 5:34 but this approach decides what kind of body you 5:35 decides what kind of body you 5:35 decides what kind of body you get as a 5:36 get as a 5:36 get as a result. Always 5:37 result. Always 5:37 result. Always consult 5:38 consult 5:38 consult your doctor about
Work with your clinician 5:39 your doctor about 5:39 your doctor about whether 5:40 whether 5:40 whether GLP drugs are right for you, what 5:41 GLP drugs are right for you, what 5:41 GLP drugs are right for you, what dosage is needed, and what 5:42 dosage is needed, and what 5:42 dosage is needed, and what combination of exercises will be 5:43 combination of exercises will be 5:44 combination of exercises will be optimal, as it 5:45 optimal, as it 5:45 optimal, as it depends on your 5:46 depends on your 5:46 depends on your initial condition. 5:47 initial condition. 5:47 initial condition. So if you
The #1 takeaway 5:48 So if you 5:48 So if you remember just 5:49 remember just 5:49 remember just one thing from this 5:50 one thing from this 5:50 one thing from this GLP video: the weight 5:51 GLP video: the weight 5:51 GLP video: the weight will come off on its 5:52 will come off on its 5:52 will come off on its own, but you have to 5:53 own, but you have to 5:53 own, but you have to keep the muscle. And it all 5:54 keep the muscle. And it all 5:54 keep the muscle. And it all comes down to two 5:55 comes down to two 5:55 comes down to two things: lifting weights 5:56 things: lifting weights 5:56 things: lifting weights or 5:57 or 5:57 or resistance training. Of course, 5:58 resistance training. Of course, 5:58 resistance training. Of course, resistance training 5:59 resistance training 5:59 resistance training doesn't have to 6:00 doesn't have to 6:00 doesn't have to be lifting 6:00 be lifting 6:00 be lifting weights, but it's the 6:01 weights, but it's the 6:01 weights, but it's the easiest way 6:02 easiest way 6:02 easiest way to get the workout you need 6:02 to get the workout you need 6:02 to get the workout you need . But 6:03 . But 6:03 . But lift weights two to 6:04 lift weights two to four times a 6:05 four times a 6:05 four times a week and 6:06 week and 6:06 week and prioritize protein. 6:07 prioritize protein. 6:07 prioritize protein. Do this, and you 6:08 Do this, and you 6:08 Do this, and you will not only become 6:08 will not only become 6:08 will not only become slimmer, but also 6:09 slimmer, but also 6:09 slimmer, but also significantly stronger. And 6:11 significantly stronger. And 6:11 significantly stronger. And you'll see results much faster 6:12 you'll see results much faster 6:14 because muscle is a 6:14 because muscle is a metabolic organ. 6:15 metabolic organ. 6:16 metabolic organ. So, if there is one 6:17 So, if there is one 6:17 So, if there is one element that makes
The role of hormone replacement therapy 6:18 element that makes 6:18 element that makes this complex even more 6:19 this complex even more 6:19 this complex even more powerful, it is 6:20 powerful, it is 6:20 powerful, it is hormone replacement 6:21 hormone replacement 6:21 hormone replacement therapy. Yes, you 6:22 therapy. Yes, you 6:22 therapy. Yes, you can actually 6:23 can actually 6:23 can actually lose even more 6:24 lose even more 6:24 lose even more weight when your 6:25 weight when your 6:25 weight when your hormones are normal. This 6:27 hormones are normal. This 6:27 hormones are normal. This video I made 6:28 video I made 6:28 video I made is called “GLP and 6:29 is called “GLP and 6:29 is called “GLP and Hormone Replacement 6:31 Hormone Replacement 6:31 Hormone Replacement Therapy”: 30% 6:32 Therapy”: 30% Increase in 6:33 Increase in 6:33 Increase in Weight Loss Just from 6:34 Weight Loss Just from 6:34 Weight Loss Just from Combining Them. 6:35 Combining Them. 6:35 Combining Them. Watch this video, 6:36 Watch this video, 6:36 Watch this video, and I'll see you after it 6:37 and I'll see you after it 6:37 and I'll see you after it .
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