Dynamic Dialogue with Danny Matranga - 107 - Training, Nutrition and the Menstrual Cycle, Best Birth Control for Gains - Featuring Lyle Mcdonald

Episode Date: July 5, 2021

In this episode, Danny sits down with his go-to expert on things female physiology, Lyle Mcdonald to discuss the finer points of training around your cycle.Topics discussed include:What are the differ...ent phases of the cycle?How does the body respond differently to training during each phase.How does the body respond differently to nutrition during each phase.The best cutting strategies for women.Various forms of hormonal contraception and their impact on muscular development.---Thanks For Listening!---RESOURCES/COACHING: I am all about education and that is not limited to this podcast! Feel free to grab a FREE guide (Nutrition, Training, Macros, Etc!) HERE! Interested in Working With Coach Danny and His One-On-One Coaching Team? Click HERE! Want To Have YOUR Question Answered On an Upcoming Episode of DYNAMIC DIALOGUE? You Can Submit It HERE!Want to Support The Podcast AND Get in Better Shape? Grab a Program HERE!----SOCIAL LINKS: Sign up for the trainer mentorship HEREFollow Coach Danny on INSTAGRAMFollow Coach Danny on TwitterFollow Coach Danny on FacebookGet More In-Depth Articles Written By Yours’ Truly HERE!Support the Show.

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Starting point is 00:00:00 Hey guys, welcome in to another episode of the Dynamic Dialogue podcast. Today's episode is a highly anticipated follow-up conversation with my good friend Lyle McDonald. Of all the people I know in the fitness space, when I have a question about female physiology, whether it is a question about my client's birth control, about the impact of the menstrual cycle, things like PCOS, or various questions about hormones like estrogen and progesterone. Lyle is my go-to guy. The first episode we did way back in 2020, in the beginning of the pandemic, was the most downloaded episode of the podcast ever. And from that day forward, I knew I needed to get Lyle on the podcast specifically to talk about what we
Starting point is 00:00:51 talked about here today, which is the ways in which your menstrual cycle and the various phases impact your training and how your training impacts those various phases, as well as some of the nutritional nuances that are packed in there, such as does my body use carbohydrates differently in the luteal phase or the follicular phase? And fun fact, it does. You'll learn a lot about that as we go. And we cap today's conversation with a discussion about birth control, particularly which modes of birth control are the best for women who are looking to not only have a contraception in place, but who want to optimize their gains. So this is a
Starting point is 00:01:32 conversation I've wanted to bring to you guys for and girls for a very long time. I hope you enjoy it and I'm sure that you'll get a ton out of it. So sit back and enjoy a conversation with the man, the myth, the legend, Lyle McDonald. All right, guys, welcome in to another episode. I'm here with my friend Lyle McDonald. This is his second time appearing on the show. If you guys have not already listened to episode 19, which released back in 2020, I strongly recommend adding that to your queue to listen to next because these two are going to be very much working in concert to help you get a really good handle on how female physiology is unique, how it impacts training. But today's episode is going to be very specific. We're going to touch particularly on the menstrual cycle and how it
Starting point is 00:02:24 plays a big time role in how you train, how you recover, and the results you can expect. So Lyle, my first question for you, knowing that the menstrual cycle is of course uniquely female and every female has a semi-unique cycle, but there's definitely some consistencies. Yes. What are we really looking at when we hear the term menstrual cycle? What are the different phases? Okay. And what's happening physiologically there? Yeah.
Starting point is 00:02:50 So what I'm going to describe is sort of an idealized menstrual cycle, right? Typically, the standard menstrual cycle can last anywhere from 25 to 32 days. We tend to assume it's 28, but it's really not. And women vary. Some women are like machines, right? If their cycle is 26 days, it's 28, but it's really not. And women vary. Some women are like machines, right? If their cycle is 26 days, it's all, and some women, it can vary. It seems like it gets more consistent with age, like younger girls. It's very, it's sort of when the system is kind of coming online, it can be very, just not standardized, but depends on the woman woman but i'm going to assume it's 28 days
Starting point is 00:03:25 just for simplicity all right so day one by convention is the first day of menstruation the first day of bleeding so the first two weeks of the cycle are called the follicular phase this is where the follicle which contains the egg develops and is released at day 14 at ovulation right so that's that's the halfway point of the cycle. The second half of the cycle is called the luteal phase, right? So the follicle bursts, releases the egg, it implants, forms the endome. So they call it the corpus luteum, hence luteal phase. This is sort of in preparation for pregnancy. If pregnancy does not occur, we go into week four, which is typically where, you know, PMS week, if it's going to occur as typically then, and then we start over. All right, so we've got, you know, PMS week, if it's going to occur as typically
Starting point is 00:04:05 then, and then we start over. All right. So we've got first two weeks, follicular phase, ovulation at the midpoint, and then luteal phase, weeks three and four. So during the follicular phase, estrogen is not only really the dominant hormone, it's really the only hormone, right? So progesterone starts very, very low, start of menstruation, comes up really gradually to ovulation, doesn't change much. Whereas estrogen starts low, starts to come up, peaks right before ovulation before crashing back down. At ovulation, I would mention a few days before and after there's a little spike in testosterone, which is probably, I mean, let's face it, all of this is really geared towards reproduction, let's face it.
Starting point is 00:04:47 All of this is really geared towards reproduction. And I would speculate that that increase in testosterone is probably to increase sex drive because they're just certain, but that can have potential ramifications from a training standpoint, which is why I mentioned it. All right. So that's ovulation. Estrogen is very low. Progesterone is still low. Testosterone kind of blips. Women's testosterone is never that high. So we go into the luteal phase. Progesterone starts to sweep up. It's a peak at the end of week three and then falls back down. Estrogen does the same thing, but it's at a
Starting point is 00:05:17 lower level than progesterone. And it only reaches about half the level as in the first two weeks. So really in the second cycle, progesterone is kind of like, I'm going to use the term dominant, and I don't want people to confuse that with there's this idea of like estrogen dominance and progesterone dominance. I say the alternative, but it's kind of that one of the other hormones is kind of overpowering the other. But in that second cycle, really progesterone is having the major effects both directly and by blocking the effects of estrogen okay so for all practical purposes
Starting point is 00:05:51 first two weeks estrogen is the primary hormone week three and four they both go up the progesterone is still having the major effects all right so what are those effects the first two weeks estrogen it's funny has traditionally gotten blamed for a lot of women's problems with lower body fat but if anything most of its effects are positive okay estrogen is anti-inflammatory helps control appetite uh many women find that that that three or four days right for ovulation their their appetite for food and drink is lowered, and it actually appears that so that their appetites for other pleasures will increase. And that's actually been shown in both animals and humans. Estrogen helps remodel skeletal muscle.
Starting point is 00:06:36 Very important in women. Probably important in men, too. Yeah, because I've heard that before, which, of course, with men, we think testosterone is the only hormone that's going to play a positive role in our muscle building. But estrogen is not a catabolic hormone, is it? Correct. And they found back in the 70s and 80s, because men were like, I don't want any estrogen. That's a woman's hormone. When they added antiestrogens that prevented that, they got worse growth.
Starting point is 00:07:05 added anti-estrogens that prevented that they got worse growth like i think a lot of the possible positives of testosterone or hormone replacement or steroids is probably through conversion to estrogen because among other things estrogen promotes fat burning and muscle if you give men an estrogen patch they will use more fat during aerobic activity whoa that will spare muscle on a diet i think that's another benefit for drug using bodybuilders. No doubt. Estrogen tends to also promote fat storage within the muscle. What's called intramuscular triglycerides, but that's not in, in the actual body fat. So really, and I'm probably forgetting a couple estrogens effects are really overall positive. Yeah, definitely. Okay. And then we go into the second half of the cycle and pretty much everything I just said for progesterone, I'm sorry, for estrogen, progesterone does the opposite.
Starting point is 00:07:52 It also improves insulin sensitivity, meaning that carbs are utilized more effectively, insulin works better. So again, in the second half of the cycle, progesterone basically has all the opposite effects on top of blocking progesterone's effects i'm sorry blocking estrogen's effects so progesterone tends to cause some insulin resistance causes small amount of muscle breakdown not huge amounts like protein requirements don't vary enormously but it is there um it tends to promote the use of fat for fuel which sounds like a good thing and it can be under certain conditions. I know this seems a little bit confusing, but progesterone, also one of its big effects, is to actively stimulate fat storage in the lower body.
Starting point is 00:08:36 There's something called acylation stimulation protein, which I don't really get into. Because, again, if we think about this through a reproductive sense, the first half of the cycle is to produce the egg and prepare a woman for pregnancy. If she gets pregnant, her body wants to store calories in the hips and thighs because that's what's going to support pregnancy. That's right. So many things happen during the luteal phase, weeks three and four. One is that appetite goes up. Cravings typically go up. And some of this is under the influence of progesterone. This gets really complicated. Like for researchers to try to figure out what's being caused by progesterone, what's being caused by estrogen, what's being caused by the fall in estrogen, the rise in this,
Starting point is 00:09:18 the ratio of one to the other, it gets like what they end up having to do is block a woman's hormones completely and then add one back at a time. Wow. So they kind of figured it, but it gets super duper complicated. It kind of doesn't matter in the big picture. These are the things we know occur, which is that. And so that's actually a fabulous point. And I do have one question about this because I get this question a lot, and I'm sure we're going to get to this eventually.
Starting point is 00:09:44 about this because I get this question a lot and I'm sure we're going to get to this eventually. But if estrogen, or I should say if progesterone actually enhances fat substrate utilization, and we have a protein sparing effect and an insulin sensitizing effect with estrogen, with regards to nutrition, is a weightlifting woman going to be better off eating more carbohydrate in that preliminary phase, that follicular phase woman going to be better off eating more carbohydrate in that preliminary phase, that follicular phase? Will she be able to utilize that better for training? Okay. The short answer is yes. And we'll definitely touch on that in terms of how this is impacted. But the short answer is yes. So other things that happen in weeks three and four, since an appetite typically goes up, cravings typically go up, metabolic rate does go up a little bit, right? Body temperature goes up. the increase in food intake, which is typically
Starting point is 00:10:45 three to 500 in that range, depending on how much control is being exerted. Is that one to 200 per day? Yes. Okay. And it has to, it gets, it has to do with just how many calories like the endometrium and the corpus luteum are burning. And you get into all the same, because the question that comes up just in a hypothetical sense, why don't women just develop the endometrium and just keep it? And it's because that would waste 1400 calories or so in the first two weeks of the cycle for nothing.
Starting point is 00:11:15 And women's bodies are nothing if not efficient when it comes to saving calories. So that's why it goes through this seemingly wasteful process every month of building it and breaking it down and excreting it to save energy. So, yeah, so in a very, like I said, I hate to say one hormone is, you know, one is good and one is bad because obviously they're both critically important for women's overall health, function, reproduction. they're both critically important for women's overall health function reproduction. But in the sense of what we're talking about in terms of fat loss, performance, muscle gain, in that small context, to a very great degree, estrogen is the good hormone and progesterone is kind of the bad hormone. Again, I'm talking about within this very narrow context. No, and that makes a lot of sense, right? I think that we understand that there's quite a bit less hormonal volatility with men and men just go to the gym. They eat
Starting point is 00:12:11 consistently, they train very consistently. But like you said, you could have a cycle that's anywhere from 25 to over 30 days. Every woman's probably going to have fluctuations between those two hormones that are somewhat unique. And so it's not as simple as it is for men. So you end up with a lot of women trying to figure out how do I best navigate this if I'm putting together my training split or if I'm going to the gym. And a lot of people have postulated that, you know, you want to stack your intense training in that follicular phase, you're, like we talked about, more sensitive to insulin or more sensitive to carbohydrate. You can probably use that substrate better for glycolytic work like weight training.
Starting point is 00:12:52 And then maybe you taper down during that luteal phase and you still train but not as intensely and maybe you change your nutrition a little bit. Do you think there's any merit to that? Oh, absolutely. And I'll come back to that. I just wanted to say one thing. Like when you're training men, the same guy is walking to the gym every day, right? Now he may be tired from a previous workout or not sleeping, but basically a man's hormonal levels, testosterone is basically a straight line for, yes.
Starting point is 00:13:23 So, you know, there's small fluctuations and throughout the year and it goes down, but in a short term span over your, your training, you're dealing with the same guy every single day. Whereas a woman, her hormones are changing drastically, at least every two weeks. And if you want to really get microscopically managed into it, there are weekly changes going on. Now, I tend to not get quite that. I think you can overanalyze this, but certainly with women, and even there, like you said, there are unique responses. Some women have huge performance fluctuations, and I'll talk about that. Other women, basically a flat line, or roughly so.
Starting point is 00:14:03 In the same way, only a percentage of women suffer from PMS symptoms. That's really a global thing in terms of cramps, mood swings, cravings. Some women suffer it so extremely, they get what's called premenstrual dysphoric disorder. They may be physically incapacitated. They may suffer from suicidal thoughts. they may be physically incapacitated. They may suffer from suicidal thoughts at the very, and some women don't get experience anything at all. And you will hear women report that, you know, women that don't get it are just like, I don't get what's the problem. Well, you can't understand what you don't experience. So there is more variability. It's just one more example. And I'll get back to your actual question.
Starting point is 00:14:45 A nurse practitioner I know and a therapist that I know, the nurse practitioner, when she's addressing mental health issues, for some women, she has to throw in an antidepressant in week four, specifically for the suicidal thoughts. My therapist friend says, you know, with men, you always know who's coming in. friend says, you know, with men, you always know who's coming in, but with women, depending on, and he's not using this negatively, just like, I don't really know who I'm treating till about 10 minutes in. And it can be very much the same thing with a female athlete, with a coach. So in the broadest sense, yes. And there's been five or six studies on this, where they did what they called either, you know, follicular focus training or luteal, whatever terminology they use. And what they typically do is they're like, all right, we're going to do 12 workouts a month, right? We're either going to do, we did like 10 of them in the first two weeks, like five days a week. And then
Starting point is 00:15:40 two of them, one a week in luteal phase or vice versa. One study, which I think was probably a little more valid, did either clustered them in the first two weeks or clustered in the second two weeks or just spread them across the entire month, which I think is probably a more valid comparison. And what the majority of them have found is that there is a superior growth response and strength response in the first two weeks of the cycle. Now, I'm not saying that there is a superior growth response and strength response in the first two weeks of the cycle. Now, I'm not saying that there wasn't a growth response or that there were no results in the second half. Simply, if you are going to focus your training, it does make more sense to put more into that the first two weeks than the third. I'm not saying don't train. This is even
Starting point is 00:16:24 outside of the performance changes, which is, this is just looking at it physiologically. So there is absolutely something to that. Now, most of these studies are using fairly moderate training loads. One of the ones that comes to mind, they did like three sets, 12 leg press and three sets, 12 leg curl, either, you know, five days a week for two weeks. And yeah, so it's not like you're doing super voluminous workouts, super intense workouts. I'd have to go back and look to see, you know, if it was, but there was certainly a difference. Now, another consideration here is how women's performance may or may not vary across the cycle. And by performance, I mean, like in terms of their strength, endurance, et cetera. Yeah. So if you look at the research, it all basically says, ah, there's no really
Starting point is 00:17:10 apparent pattern. Okay. Now, a lot of that is in endurance training and endurance training is a very different animal than the weight room. Totally. Right. I was an endurance athlete for years. And even when you're tired, you can go put in the miles, right? It's all kind of submaximal. You can go put in the work, even if you don't feel very good. Yeah. Even, and I don't think they've done a lot, but even with weight training studies, a lot of them are just stupid. I've got a review paper of like 10 studies on the topic and the review says all 10 of these are terrible. I mean, not in scientific terms, basically all 10 of these are low quality, poorly designed, uncontrolled. Some of them rely on women's self-report of where they
Starting point is 00:17:51 are in the menstrual cycle. And that's totally inaccurate. They're just terrible studies. Many of them will like test, oh, we tested thumb strength. Flex are one of my favorite. I love the thumb strength studies or you know hand grip strength and i'm like okay great test one around back squats right test something that might be relevant um and so i think the pattern i've seen in like apparently some early russian literature this is how they did it because they found that most women were strongest about two or three days into the follicular phase right right? They're kind of done with PMS week. And that tends to be the strongest week. Into week two, there can be a little bit of
Starting point is 00:18:33 a drop in performance. So they would train them a little bit lighter. Ovulation hits. And again, you've got that little testosterone spike that may be having a little benefit, a little bit stronger in week three. And then if generally speaking, there's going to be a bad week of the month, it's going to be week four. And any woman listening to this who has experienced what can happen with PMS of varying degrees can understand why that's the case, right? You've got issues with mood, strength, performance, adaptation. There's even coordination issues. So when they've looked at injury rates in athletes, this is like soccer, basketball, stuff like that. ACL injuries
Starting point is 00:19:16 tend to be the highest right after ovulation. There's an increase in joint laxity in the looseness of the joints. So for certain activities, you're very much at risk. There's also can be a lack of a loss of coordination in week four. So doing like super high coordinated complex activities like box jumping or the Olympic lifts can be potentially problematic. So that's, again, that's a general pattern yeah and i've had athletes that absolutely follow that probably the most extreme i've seen i had an athlete that week one she would hit prs like without fail week two be down a little bit week three she'd feel better and week four she couldn't do more than 60 on machines her coordination was just through the crapper she had no strength she
Starting point is 00:20:03 and in it because i'm a dumb, I was a dumb boy, right? Like mid 2000s. I didn't know. I just would look at him just like, what's wrong with you? Go lift the weight. Cause I was part of the problem. And I watched it and watched it. And as I started to look into this, I'm like, okay, I see what's happening. And once I had discerned that pattern for her, I'd be like, all right, week one, we're going heavy. Week two, a little bit more quality, drop the intensity. Week three, going to go heavy. And week four, we're going to go play. And you're just going to do some machine work and keep some movement in. So what I ended up having, rather than try to force the training onto the cycle, which doesn't work, I adapted the training to her individual response.
Starting point is 00:20:43 I love that. And so would you say, I think, one of the things that I'm really grabbing from this is we know substrate utilization is great in week one. We know that we have quite a bit of capacity for work. So that's where you really want to front load, if you will, some of the more complex movements, some of the more training volume. You might see a dip in that second week, but you can still train pretty hard. The third week, you actually get a little bit of a boost, or maybe you stay there. Perhaps that's aided by that small surge of testosterone around ovulation. And in that
Starting point is 00:21:17 fourth week, depending on how you respond, whether that's going to be intense PMS, it's going to be not so intense, you're probably wise to reduce training complexity, maybe reduce training volume. If you're going to deload, that would be the week to deload. Yes, absolutely. Yes. I think that absolutely sort of sums it up in general. Now, one of the things I would add in terms of the performance thing, I think it depends very much on the type of training you're doing, right? If you're doing predominantly bodybuilding training, by which I mean, you know, more moderate weights, higher repetitions, I don't, that doesn't tend to get impacted as much because in kind of like the endurance training thing, it's all kind of submaximal, right? So let's say you're doing sets of 12 and it's like
Starting point is 00:22:05 75% of maximum. If your strength is down five or 10%, it may be a little bit harder, but you can do the workout. You know, if I'm training a power lifter and the workout goal is singles at 90% and their max is down 10%, well, that's now we are doing a max at work. And if I want them to do, you know, even like say triples at 90%, which is a really hard workout and their strength is down 10%, that workout cannot be completed because what should be 90% is now a hundred. Yeah. So I do think it depends very much on the type of training you're doing. And I tend to think that heavier stuff. And again, it's just, it's a math thing. If here's your max, if you're training down here, bodybuilding range, that won't, it'll make it harder. But if you're training here and
Starting point is 00:22:54 this drops or even drops more than the goal, you can't complete the workout. And one thing that, that does come up that you've probably seen is whether whether athlete or not, and I don't want women to think this is only for high-performance athletes, is women who want to train hard can often feel, if they are subject to these kind of performance variations, like either that they're the failure or that their body is betraying them. Like they go in in week four and let's just say that their biology says it's not going to happen. And then they just are like, I should be able to power through this. Well, no. And then again, you've got this whole opposite thing where it's like, oh, you're just making excuses and using noon and I'm not even going to address you're in the US. You know how crazy that stuff gets. But it's like it is a biology.
Starting point is 00:23:50 And if you were biologically impacted by it, just like if a male athlete came in and whatever, he was under stress, hasn't slept, et cetera, et cetera. I wouldn't expect him to power through it because it's just not going to happen for whatever reason if he's overtrained. the power through it because it's just not going to happen for whatever reason if he's overtrained. So I think that's something for women to simply consider. Question about, we've talked a lot about how these hormonal fluctuations in the cycle impacts performance. And we've kind of gotten to the conclusion that if you are in a performance or strength sport, it's going to have a much more tangible impact than if you're doing just base level hypertrophy work. I want to look a little bit better. How do these fluctuations, if they do, affect body composition? Because I think that we've talked about the interplay between the psychology and how these hormones affect your mind. And it's
Starting point is 00:24:40 certainly not as easy to manage acute changes in body composition, I think, for women for a variety of sociocultural reasons. There's a lot more social pressure. And so do we see acute changes in body composition? Because one thing I see a lot with my clients is their desire to train from a psychological standpoint is heavily impacted by the way they feel they look when they wake up that day. Are there things that women could glean from this and go, hey, I need to be more gentle with how I communicate with myself because I'm at this point in my cycle versus this point in my cycle?
Starting point is 00:25:17 I think absolutely. And I'd want to go back and make one final point about sort of that menstrual cycle performance thing. You and I can both talk in this idealized theoretical approach, and that's great, but there is so much variance. Ultimately, the women listening to this, or if they have a coach or a trainer, you're going to have to be your own best scientist, right? You need to keep a couple months worth of data. And what I would generally suggest, like just pick a standard workout, like set up a standard workout week, and I'm going to do this every week for the next month or the next eight weeks. Record things like, just pick a standard workout, like set up a standard workout week. And I'm going to
Starting point is 00:25:45 do this every week for the next month or the next eight weeks, record things like rating of perceived exertion, if you're doing endurance exercise report, you know, check heart rate, check and whatever, you can get as deep as you want, you can check motivation, you can check, you know, to see, and you'll start to see a pattern discerned and go, all right, week one, I feel strong, motivated, ready to kill it. Week four, I don't want to get out of bed. And then you can, A, have expectational, you know, manage expectations for that game. We go, look, if I'm going to train like garbage, it is what it is. I'm going to go in, I'm going to adjust my
Starting point is 00:26:26 training, make sure it's successful, make sure I come out of it. Maybe, you know, if you're in a performance sport, maybe go to, you know, do some light technical work, go do something different so that when you move back into week one, where you're just going to kill it, you'll be ready to really kill it. And just, but that's something that's a pattern and there was actually a study they looked at i want to say uh younger soccer players they did that exact thing they gave them the same weekly workout for a month and then looked at you know session rpe and ready to receive desertion all that stuff ultimately that's what you're gonna have to do yeah i can tell you what may generally occur you'll see them say, ah, world records have been set in every week of the menstrual cycle. All older studies, all self-reported. And it's a terrible way of doing things. All right. So to your question, body composition. Absolutely. And again, anyone listening to this
Starting point is 00:27:17 who's experienced this, certainly body weight can vary. Typically, it will be lowest maybe day two or three of the follicular phase, right? It tends to go up a little bit before ovulation. That spike in estrogen makes women's bodies hold more sodium. So if they're on a high sodium diet, they will tend to hold water and their body weight may go up. Week three, it drops back again. Progesterone, one of its nice effects is it antagonizes the receptor involved in water balance. So water tends to drop off. It also antagonizes the testosterone receptor, which again is bad from a performance standpoint, but it's also part of why women that may have issues with oily skin or acne, their skin clears up in in week three because progesterone's effects and then in week four usually if there's going to be big water weight gains that because because the spike in estrogen
Starting point is 00:28:13 causes the body to hold uh sodium and water the dropping progesterone does the same thing you get a leave so it's same same end result for two completely different reasons. And again, anyone listening to this knows that if there's a time when their body weight's going to go up, when they're going to feel puffy or have swollen ankles or their clothes not fit, it's probably going to be in, you know, three to five days before menstruation. Yeah. So, yeah. So that is an issue. One thing that can be done is right for ovulation right before, you know, right into week four, you can reduce your sodium and bring up your potassium that will help a lot yeah light salt high potassium foods don't get straight potassium salt that stuff is gross it tastes like aluminum
Starting point is 00:28:56 do not get half and half light salt or you can get two-thirds potassium one-third light salt or regular sodium that can help. But yeah, absolutely. That can occur. I've had women because I talk about this in my women's book about how we might adjust macronutrient intake. Yeah. General and sort of the too long did to read version of this is, yeah, first two weeks, women's bodies tolerate carbs more.
Starting point is 00:29:22 Carbs should be a little bit higher. Fat should be a little bit lower. Weeks three and four, women don't tolerate carbs as well. Bring carbs maybe down by maybe 10%, 5%, 10%. And we're not talking about huge differences, right? We're talking about 10 or 20 grams of fat increase, which means 25 or 50 grams of carbohydrates down. We're not talking about humongous shifts.
Starting point is 00:29:45 And just as an interesting side note, when I was writing the women's book, I looked at all this physiology and that's what I came up with. And I was like, first two weeks, I keep protein pretty stable. Protein should just be set where it should be set. And then go around with the rest of it.
Starting point is 00:29:59 And I was like, higher carbs, lower fat week one and two, lower carbs, higher fat week three and four. And then the study came out called the menstrual lean study. Oh, boy. And they basically they compared like traditional government guidelines to a diet that was based around the menstrual cycle. And for the women who there was better adherence and they did the exact same thing, like what I had derived before I even read it, which is always nice when all of my my random theorizing and stuff actually seems to match up with what – and it works better because it makes sense. And the same way that matching training to how you feel in the cycle makes more sense in the long term, giving you a diet that you're not going to be able to maintain because you're hungry and your hunger is off the rails in week three and four, not a good approach.
Starting point is 00:30:48 And then even – in week three and four, not a good approach. And then even in week three and four is really interesting. They even said, look, your metabolic rate's up a couple hundred calories. If you want to add a little treat and they allowed, you know, whatever, a hundred grams of dark chocolate, whatever it was, you can take advantage of that because it's still within your calorie allotment. Because look, you're going to have those cravings anyway. you can either fight with them. And if some women get away with that, or you can, you know, and we can even look at that from a fat loss standpoint, right? So let's say you're dieting for fat loss. That was my follow-up question. You eat three to four, your metabolic rate's up, whatever, 200 calories extra a day. There's two ways to look at it. You can eat 200 calories more if you want and still be in the same deficit, or you can keep
Starting point is 00:31:31 your calories where they are and get a little, you know, eat out a little bit more fat loss when the body's using more fat for fuel, assuming it doesn't backfire. Yeah. Depends on the person. Totally. Hey guys, just wanted to take a quick second to say thanks so much for listening to the podcast. And if you're finding value, it would mean the world to me if you would share it on your social media. Simply screenshot whatever platform you're listening to and share the episode to your Instagram story or share it to Facebook. But be sure to tag me so I can say thanks and we can chat it up about what you liked and how I can continue to improve. Thanks so much for supporting the podcast and
Starting point is 00:32:09 enjoy the rest of the episode. I like that a lot because I do think that women have a tendency to punish themselves because I'm not adhering to the deficit. I'm failing my coach. I'm failing my program. I was doing so good. And then just out of nowhere, I really started to struggle with my cravings and I don't understand why that might be. And I love the idea of, Hey, like, you know, we're going to have you in a deficit, but let's give you an extra 200 calories when you can afford it. Because to your point, it's probably going to increase dietary adherence and it's probably a lot less aggressive on your physiology than just eating or not eating that additional 200 calories and having to take on a more, I guess we would call it aggressive deficit
Starting point is 00:32:58 when hormonally, you're probably way less inclined to tolerate something like that. Yes. And in that, and adding to that, and this was something, again, something I came across in some study is women, I said women's appetite is most well controlled in the first two weeks of the cycle for me. And from a logical standpoint, this is for someone who's just starting and mood tends to be the best. You tend to not have any of those issues. If a woman is going to start a new diet or is going to start a new training
Starting point is 00:33:29 program, the first two weeks of the cycle are the best time to do it because they're setting themselves up for at least two weeks of relatively easier success. Right? If you go, all right, just ovulated, I'm going to start a new diet tomorrow when your appetite cravings, blood sugar, blood sugar also gets unstable. I forgot to mention that can drive appetite. That is the wrong time to start a diet. And I'm not saying most people aren't going to want to wait, but you need to be aware of that. Yeah, certainly. You're going to have to adjust your expectations.
Starting point is 00:33:59 I haven't looked into it a lot, but there's even research that when women decide to try to stop smoking or drinking, their success rates depend on where in the cycle they start. And I'm not up on the data enough to say when, but it's all better to take this into account than not. Absolutely. I mean, you're talking about, do you want to have two weeks of high friction dieting, or do you want to have two weeks of low friction dieting? And if you can get 10 to 14 days under your belt where you're like, I'm rocking, I'm in a rhythm, I have some confidence, you'll do much better in the long run than if you're like, God, I tried that diet for two weeks and every day it was fucking miserable. Yeah, that's exactly, that's absolutely it. And you can even go further than that. I mean,
Starting point is 00:34:41 you mentioned one thing. All right. Well, we're going to use, you know, we're going to set the deficit for the first couple of weeks. But when we know a woman is burning a little few more calories, let's raise calories a little bit. Because again, that if that improves adherence over week three and four, well, damn, now you've got a month under your belt going into the next two weeks. And now you've got six. So now you've gone through six weeks of hopefully, you know, solid success. You know, even go even further than that. One of the things I've, you know, talked about for God years now, you know, the idea of a diet break of, you know, just taking calories to maintenance in between, and they're finally starting to study it. And one of the things I wrote about in the
Starting point is 00:35:20 women's book is, you know, if it fits your schedule, if you're going to do a two week diet break, the time to do that is during weeks three and four, because you're burning a few more calories. It's hard to adhere to the diet. Go ahead and do that. Calories a little bit higher because maintenance a lot easier to maintain, obviously. And then boom, you're set. You start again at the beginning of the follicular phase, boom, you're right back into two weeks of solid dieting. So we talked a lot about the interplay between the menstrual cycle in training with regards to how these hormones impact your training, but what are some ways that training impacts these hormones? Because amenorrhea is quite a popular topic of conversation. I find that it's very prevalent.
Starting point is 00:36:02 I'll check my DMs and I get questions all the time from women going, wow, I missed my period or I haven't gotten my period or I started doing this diet or that diet. And what ways do, let's just call it conventional training models and conventional diet culture, the way women tend to approach food if they're not educated dieters, how can those disrupt the cycle that we're talking about? So without getting too far into the weeds, because this is one of those topics you could spend hours on. Yeah. Central cycle dysfunction is depressingly highly common in women. Yeah. And when women started to enter sports really significantly in the 80s and 90s, they started to see these problems where women would either lose their cycle completely, amenorrhea, or they would develop what's called oligomenorrhea. And that's a cycle length between 35 and 90 days, an infrequent cycle, which can be its own issue. And there was all kinds of ideas, right? It typically was seen in, excuse me me athletes that emphasize or sports that emphasize
Starting point is 00:37:05 thinness running ballet gymnastics uh they're now seeing in in men slightly more frequently and it's in runners and horse jockeys of all things because horse shots maintain a terrifyingly low body weight like 105 pounds for you know i mean they mean, they're, they're short, but even so they starve themselves. And there was like, so all kinds of theories over why the most prevalent one and it's still around is that it was a body fat percentage thing, which made a certain logical sense, right? They, they had identified already that women, that girls didn't start menstruating until they crossed a critical body fat. So the logic was that, well, women need a minimum of body fat to maintain the menstrual cycle. And again, there's a certain logic to that.
Starting point is 00:37:53 Having enough body fat to support pregnancy, to support breastfeeding, to support all of that would seem to be important. Probably my favorite theory, and i just mentioned this because i think it's funny and again we're talking early days yeah uh chronic nipple stimulation can actually inhibit the menstrual cycle like breastfeeding of a certain pattern can cause women to lose their cycle the way western women breastfeed it doesn't but the way they breastfeed in in other countries where the the children just because it raises prolactin levels. Yes. And that inhibits reproduction. They thought that maybe the nipple stimulation from running up and down in a bra.
Starting point is 00:38:35 Oh my gosh. It's like, it's very easy to look 30 years ago and go, oh, they were, they were, they were working from the best science of the day. And I imagine the guy who came up with that in the lab thought he was fucking brilliant at that point. Yeah. And just randomly, there is a stunning amount of research into sports bra design because it is a very real issue for women. Yeah. Because there is many women who have larger breast report that breast
Starting point is 00:39:02 discomfort is one of their big barriers to exercise. So like, this isn't, it's easy for us to, you know, but it's not, it's not a joke. Even in the weight room, this is an issue that guys don't really deal with. If women have large, you know, there are exercise choice considerations. A woman with larger breasts to do a chest supported row may not be very comfortable. Even bench pressing can be a set. It can change their center of gravity regardless. So this went back and forth and they were like, ah, it was the stress of exercise and it was body fat. The problem was if you're looking at runners, runners are typically running too much, staying really lean year round and eating too
Starting point is 00:39:44 little. So you couldn't really separate one from the other, right? You've got this whole cluster of things that are happening. Many had eating disorders. So finally researcher named Anne Lukes came along and there was a concept called energy availability, right? So energy availability is calorie intake minus exercise calorie expenditure, right? Now this isn't the same as energy balance calories in versus calories out yeah you can conceptualize this as being the number of calories that are left over to the body after exercise right because everything in your body uses calories your heart beating your brain braining, your kidney kidneying, all that uses up calories.
Starting point is 00:40:26 So energy availability, it's what's left after exercise is kind of paid for. And certain parts of human physiology are more important than others, right? So many women with extreme diets report what? Their hair and nails stop growing. It's actually called telogen effluvium. I don't know why, but that's when hair stops growing, telogen effluvium, T-E-L-O-G-E-N, which I guess is a hair thing. Anyway, because not having your hair grow is not going to kill you. Immune function does go down. In the short term, that's not going to kill you. If your brain stops working, bad things happen. If your heart stops pumping, bad things happen. If your heart stops pumping,
Starting point is 00:41:10 bad things happen. Well, the reproductive system is not required in the short term. So when energy availability falls too low, that was the theory. So Anne Luke's came along and did some really well-controlled studies where she took women, it was short term five days and she either kept food intake the same and ramped exercise to create a specific energy availability or she kept exercise the same and dropped calories so we created the look to see what was causing what because she had done research showing that if you look at female athletes some will have have a menstrual cycle at 12% and others will lose it at 24%. There was no critical. There had to be something else. And what she found was that when energy availability fell too low, whether it was from too much activity or too little food, there were changes in reproductive hormones. Something called luteinizing hormone, which I don't want to get into.
Starting point is 00:42:01 It's just one of the main reproductive hormones. Thyroid hormone crashed., cortisol went up. There was kind of this global, very similar to what occurs in starvation or long-term dieting. All right. So first she did this study, just, just crushed it, just super low energy availabilities. Then she went back and looked at these different thresholds, 50, 40, 30, 20, 10, and showed that at this, at 30 Kcals per kilogram of lean body mass, right? Body fat doesn't use a lot of calories. Yeah. That there was a critical threshold below which these, these hormonal change. Now they didn't see a loss of menstrual cycle, but it was the hormonal changes that down the road, right? Now there's been a million studies
Starting point is 00:42:42 ever since then. And what they find is that it's not quite as clean cut right they will find women who are at like 32 who have menstrual and it's just between a five-day study and long term yeah in the same way that if i if i starve someone for five days their metabolism will crash we know that If I then give them a moderate deficit for six months, well, metabolic rate will slow down. Eventually it just takes longer. So there is this energy availability threshold, but it can be generated through one of two ways. A lot of exercise, a lot of, cause she also showed was that you can do a ton of exercise as long as you keep food and take up the negative effects. So it really was,
Starting point is 00:43:25 and if body fat plays a role, it's secondary, it's indirect. Typically, you don't see amenorrhea in women carrying excess body fat. One exception being bariatric surgery, because women lose, people lose like 100 pounds in a matter of weeks. But you typically don't see the problem till women get below, you know, 20, 22%. So body fat is permissive, it is involved. But if you've got a woman at 22%, and her energy availability is too low, she may lose her menstrual cycle. Yeah, woman at 15% body fat who's eating enough, maybe completely fine. So yeah, that kind of summarizes it quite well. And I think what we see a lot is I want to look a certain way. I have a desired aesthetic outcome and I'm going to ramp up my training and I am going to ratchet down my
Starting point is 00:44:17 calories and boom, something happened. How, I guess I should say, how quickly can acute disruption in the menstrual cycle occur if somebody starts the prototypical Western wedding crash diet exercise regimen? I don't, I don't necessarily have an answer. I don't know if I can say completely offhand, but that's fair. Women can start like within five to seven days of an extreme change in energy availability. You will already start to see these hormonal changes occurring. So a woman goes, all right, I'm going to just like jump into two hours of exercise and take my calories as low as I can. By day five to seven, they will see a decrease in active thyroid hormone. They will see changes in luteinizing hormone, which eventually will cause problems down the road. There's this sort of stereotypical hormonal response.
Starting point is 00:45:09 So it can be very quick. Now, there's another wrinkle I do want to mention. So back in the early days, it was self-reported. And again, they couldn't know what they didn't know. I'm not being critical of 30 year old research the best is what they they have and what they saw was there was either eumenorrhea which is just a regular menstrual cycle or amenorrhea the lack of it did you say regular or irregular regular eumenorrhea means regular e you just means normal or regular or whatever that Latin's been too many years ago. Amenorrhea, A just means not. So oligomenorrhea, which again, kind of a different thing or can be, that gets into PCOS and some other stuff. But what more recent research has found
Starting point is 00:45:56 is that there are two, what they call subclinical menstrual cycle dysfunctions. Okay. So the first one is what's called a luteal phase defect. Okay. And as the name suggests, luteinizing hormone, luteal, like these are all related, right? Is the luteal phase starts to become, I want to say shortened. Now the cycle doesn't change. A woman will still menstruate, but the system is already starting to go awry. Got it. And the problem is everything looks normal. There's no, and that's why they couldn't pick it up in the early studies. You have to do really involved blood work. It'd be like really involved ultrasound to determine this.
Starting point is 00:46:32 So that's kind of the first stage. And I have a study somewhere and it was like with as little as two to three hours of exercise a week, some women would develop luteal phase defect. So it didn't even take that much. The next stage is anovulation. Now the egg isn't being released because again, these hormones are all starting to go south at this point. And again, there may still be some, there may still be menstruation there. It's not apparent. And, and because of other things that are going on with bone mineral
Starting point is 00:47:01 density loss and stuff like these are kind of like silent menstrual site and women may have this and not know because everything looks normal unless a woman's trying to become pregnant and can't or you can get ovulation tests and things of that nature but these were kind of hidden until it developed into the full-blown dysfunction and full-blown loss of cycle and like i said oligomanorrhea into, I don't know if we have time for that whole conversation. It can develop, short version, it can develop sequentially. It can be eumenorrhea, luteal phase defect, and they go in sequence, luteal phase defect, on ovulation, oligomanorrhea, amenorrhea.
Starting point is 00:47:40 But as often as not, this oligomanorrhea is due to women with high elevated testosterone levels polycystic ovary syndrome because originally they just they didn't know they saw it in athletes then they started looking and they were like well we're seeing this in athletes who are not showing this catabolic physiology who are more muscular who who are stronger, who are in power sports like swimming. And they looked and they were like, oh, the elevated testosterone is causing, so it can occur sequentially. And the difference is if a woman's always had an irregular menstrual cycle, like from day one, she probably has PCOS. If a woman has never had an irregular cycle if it was always normal and then develops it's part of the sequence so that's how you diagnose that's how you sort of
Starting point is 00:48:32 differentially diagnose it women pcos don't just audit you know now when pcos can lose their cycle but they are coming from that base of the array so anyway so we've got all of that so women even at a subclinical energy availability right right, it's a little bit low, may develop one of these, you know, subclinical dysfunctions, but not develop full blown amenorrhea. that sort of speaks to the 30 is that all women with amenorrhea have been found to have an energy availability below that 30 kcal per kilogram lean body mass. However, being below 30 doesn't guarantee that you will develop amenorrhea. Does that make sense? Yeah. So basically what you're saying is not all women who are under 30 are going to see amenorrhea, but all women with amenorrhea are under that threshold. Correct. And the treatment for amenorrhea in this case, and amenorrhea can be caused for any women's bodies or for any number of reasons. This is
Starting point is 00:49:36 what's technically called functional hypothalamic amenorrhea because it's a change in the hypothalamic hormones. The treatment is train less and eat more. And when good luck getting women to do it, but that is the, you know, when they've taken athletes, they give them enough calories to get them back up to like 35. Eventually their cycle returns. Yeah. And some researchers have thrown out that 45 is, is, uh, optimal efficient. However, this is really, if you're not training three, four hours a day, that's going to be way too many calories. That's like 22 calories, you know, per pound of lean body mass. That's way at the extremes. Now something came out of this was like late two
Starting point is 00:50:19 thousands. When this first value got thrown out this 30, suddenly the dieting culture said, never go below that value, which is great in theory. However, if you're trying to, if we're trying to get extremely lean, we're talking contest levels, physique levels, 12%. Eventually, she's got to cross that threshold. There's no getting around it. The ideal, the goal is to cross it as late as possible and to stay there for as short a time as possible. Right. Now I'm not saying all women will have to go under this. Right. Um, however, if you're trying to get to the extremes of leanness at some point, that's just the realities of dieting. And at that level,
Starting point is 00:51:05 that's probably, you know, again, some women do, there's also something after what's 14 years of what's called reproductive age, right? Now this is different than biological age. Reproductive age is the number of years since a woman started menstruating. So if a woman started menstruating at 12 and she's 20, she's got an eight-year reproductive age. Gotcha. If at 14 years reproductive age, women's systems become far more resistant to these issues. Gotcha. For whatever reasons. It's actually when a woman's pelvis stops developing.
Starting point is 00:51:39 So there's something going on there. But the unfortunate reality is most women who are running into this, who are adolescent or, you know, teenage female athletes, early twenties, they haven't reached that point and they're going to run into that problem if they go. But yeah, so let's look at, you know, classic, what I call toxic, toxic dieting culture. I'm going to jump into as much exercise as I can stand and as low calories within a week, problems can start. And even if a menorrhea doesn't happen for a couple months. You're going to see some dysfunction.
Starting point is 00:52:10 You will see some dysfunction. And there's actually some women's book. I cited some case studies of physique athletes. And this is tracking one athlete. So one of them, she started her diet right at the 30 level. She was already on too few calories. She lost her menstrual cycle within the first month of dieting. Yeah.
Starting point is 00:52:31 She did not have a cycle for the next six months of her prep. Coming out of the diet, she decided to do very slow reverse dieting to avoid fat gain. Yeah. She didn't get her cycle back for like another year after the show. So she, she went 18 months without a cycle and there was another, another physique athlete. They followed. She's, she didn't cross the 30 threshold to like a month before her show. She lost her cycle for a month, came out of the show, bumped her calories, got her cycle back within a month. Now, again, these are case studies.
Starting point is 00:53:05 I'm not saying that this proves anything, but it is sort of an example of what we're talking about. There are better and worse ways of going about this type of thing. It's a great point because reverse dieting has become extremely popular, particularly with women who have done a lot of work to achieve a certain level of leanness. And it's very understandable that you would want to maintain as much of that as possible while you reintroduce calories. But it sounds like what you're saying is if you've had amenorrhea or you're experiencing hormone dysfunction from having ratcheted your calories down too much, a reverse diet is about
Starting point is 00:53:40 the slowest way to get back to normal possible. Yes. Because you're staying in a deficit longer and you're not going to renormalize anything till you get at least above that critical threshold. Now you don't necessarily, right? And again, if we're looking at like a physique dieter, like classic, you know, who's getting down to 10% body fat, she's not trying to sustain that forever.
Starting point is 00:54:03 Yeah. Or shouldn't be, right? She should not trying to sustain that forever or shouldn't be. She should be coming back up to 18% or 20%. Now, if we're talking about a female dieter who's gotten to, let's say, 18%, which is lean but not excessively so, she may have lost her menstrual cycle. If she brings up her calories over the next six weeks, this is six more weeks that she has an insufficient energy availability now the physique dieter has to regain body fat if they're if they're if they are trying to treat a female runner who's the 12 body fat yeah she's gonna have to regain some body fat yeah 18 may not
Starting point is 00:54:37 have to regain body fats but she is gonna have to and and what happens is, and we know, we've known this for years, right? You can achieve energy balance. It's, it's not a number. It's a moving, it's a moving target. Yeah. Because, and as much as like, this is going to come across as like talking about starvation mode or whatever. So you've got a woman who's at too low of energy availability.
Starting point is 00:55:04 Her thyroid hormones are low. Her metabolic rate is lowered because of this. When she comes back up to a sufficient energy availability, it's like 35 and her thyroid hormones improve and all these other things improve. Her NEAT will probably go up because she's not exhausted all the time. She can train more intensely. She may still be in energy balance while being at a higher energy availability. Gotcha. So she won't necessarily regain it because that's of course the fear. Yeah. Now I will say, you know, fine. You don't have to bring up calories like immediately. Would
Starting point is 00:55:38 that be ideal? Sure. But if you want to take a week to bring them back in so you don't lose food control, that's fine. This idea of taking six to eight weeks to come back up to calorie balance, all you're doing is potential long-term damage. Another thing in that vein, another case study, this one researcher, Trent Stellingworth, he followed this. Sounds like a porn star, not a researcher. Yeah, right? star not a yeah right um he followed this elite female runner for like seven years and tracked everything her body composition body fat bone mineral density energy bill training blah blah blah blah and what she would do is out of season she would stay about 14 15 body fat but with sufficient calories to support her training, to support her progress.
Starting point is 00:56:26 And then right before her competition phase, she dropped down to 10 to 12. She would lose her menstrual cycle. Everything would go down into the toilet. She would compete, but she would bring it right back up immediately. She'd come right back to 15% sufficient energy availability. And what he found was she set numerous PRs, some records. She never got injured. She was able to stay in her training intensity because she took a very pragmatic approach to it. Yeah. I gotta be 12% to compete as a runner,
Starting point is 00:56:56 but I'm not even going to attempt to do it because you can't train effectively on calories that low your recovery's down. So yeah. Now, does this mean that a woman should never do a crash diet? Well, not necessarily. You have to accept that there will be consequences for it. And if it is done, it should be short-term, right? If you want to, you know, because again, I've written a book about crash dieting,
Starting point is 00:57:19 but it's like, yeah, if you're a lean woman, two weeks tops. Yeah. The problem is when women try to do it week after week after week after week without a break. There is the debatable possibility, what if you insert higher calorie days? Will this offset the problem? There's very limited research on this. This would be something like a refeed, if you will. Right.
Starting point is 00:57:46 I've actually gotten really away from that term because it tends to be people like, I just eat every food that's not nailed down. I just think of it as a maintenance day. And I find that I think psychologically that avoids some of the problems people get into. So, and Luke's again, she's done this, like this is her career, right? This is just what she's done. And she's generated some of the best data on this that's ever been seen. Is they knew that in animals, if you starved them and then refed them for one day, everything would normalize.
Starting point is 00:58:14 Now, animals work on a much faster timeframe than we do. Like one day for a rat is like seven days for a human. So she took women and she put them on five days of super low energy availability. And then she did overfeed them. It was something like double maintenance. It was like 6,500 calories a day for one day, something just crazy. Whoa. And there was no change in hormone levels. It did nothing. It's just too small of a window. One day was not enough. Now there was another study that was actually looking at something completely different. And what they did was three days of
Starting point is 00:58:50 total fasting, but I went and mapped it out and the total deficit was actually about the same, three days of no food versus five days. And then just, and they measured hormones and everything went into the toilet. And then just for whatever reason, they were like, we're going to let them eat at maintenance for two days and then remeasure them. And everything had normalized. So two days might be a sweet spot, whereas one day is just insufficient. Correct. And it may depend on the degree of low energy. Maybe if you're at 10 K cals per kilo, maybe different, we don't have that data. But, and if you look at really what I've said over the years, I don't think that one day per week at maintenance really does much metabolically. I've really changed because I just don't think the data supports it.
Starting point is 00:59:38 Or even psychologically. Yeah. I mean, it can, you know, I think two days is better. We then get into debates. Do they have to be two days in a row? What if you have two days, a Wednesday and a Saturday? Will that offset it? We don't really know at this point. We do know that a two-week diet break will certainly reverse it. They're starting to see similar phenomenon in men, which has its own issues. What they used to call the female athlete triad that had to do with all this, which had, to me, the unfortunate acronym of FAT. I think they could have probably done better since it was seen in lean women who were starving themselves, but that's just me. They're now calling it relative energy deficiency syndrome to really emphasize that this is an energy availability issue yeah neither here nor there but in men there was an old study it was like navy seals or army rangers who went through eight hours of like 16 hours a day of activity too little sleep like 400 calories a day, like just, I mean, military training. The end of it, they lost all their body fat. Their testosterone levels were castrate.
Starting point is 01:00:49 Their cortisol was through the roof. Their thyroid was crashed. Like they showed the same hormonal profile that you see. They refed them completely for one week while keeping activity high and their hormones basically normalized. So within one week of maintenance calories, that now, will that necessarily reverse amenorrhea? No, that's not what I'm saying. However, if a woman wants to do that, maybe we need to put a diet break every six to eight weeks where they take a week and raise calories. Maybe like we talked about, we schedule that. So it's going to happen in the luteal thing. Of course, it's worth mentioning, if a woman loses her menstrual cycle,
Starting point is 01:01:29 there is no menstrual cycle dynamics. The hormones aren't changing anymore. They're just all tanked, right? They're just all tanked. Exactly. They're just all in that place. But if she's still menstruating, there's still a cycle and there's probably some sort of subclinical disorder. Well, maybe do a week at maintenance or even two weeks at maintenance during the week three and four. You know, do that every would be every six weeks or every 10 weeks. Right. It has to be alternated. And then that helps to normalize your hormones. normalize your hormones. And again, diet long enough, get lean enough by keeping calories too low. It's not a matter of if it's going to happen, it's a matter of when it's going to happen. The idea is to prolong that point for as long as possible, but as importantly,
Starting point is 01:02:20 to reverse it as quickly as possible. Makes a lot of sense. So just to circle, go ahead. Just to circle the wagons here beforeons here before I move on to a few quick questions that might not be too quick because they're about birth control. But for women with a conventional healthy menstrual cycle where we're looking at a follicular phase, ovulation, and alludial phase, the hormonal variations for healthy women, we want to try to, if we can, for performance training, front load it into that follicular phase, be a little bit gentler with how we train on the back end. For people who are training for physique, you're probably going to do a little bit better in the follicular phase, but the style of
Starting point is 01:03:02 training isn't as demanding. So you'll be relatively okay staying consistent. Substrate utilization is going to be different. You'll use more carbs in the follicular than the luteal. You'll use fat perhaps more efficiently in the luteal than the follicular. Body compositional changes, water changes, whether that be fluid or sodium related, are going to be all over the place. So it's always a good idea to track your cycle, gauge how you're doing. If you're working with a coach or if you're not, you recommend really getting a good idea of where you are on that 25 to 32 days, getting in a rhythm, and tail programming or, and your nutrition to kind of your unique situation to the best of your ability. Correct. And the one thing I would add about sort of if you're physique training, right, we've now established that kind of any repetition range to
Starting point is 01:03:56 a degree will work. Right. And it may very well be said in the follicular phase, when you're stronger, when your recovery is better, well, you can go a little bit heavier. You can go sets of six to eight or eight to 10. And then in the luteal phase, weeks three and four, when you maybe don't feel quite as strong, well, do your sets of 12 to 15. Love that. Love that. That's awesome. And so there's, you know, and you could do it again, the same thing for performance athletes to less of a degree. If you're never going to hit PRs in week one, boom, go do it. Go hit your 90% plus for singles and just put it up. Week two, maybe you're doing doubles or triples at 85. Maybe in week three, we're going to do slightly more. You might be a little bit stronger, you might not. And in week four, well, maybe you're just going to go do technical work at 65%
Starting point is 01:04:41 if the coordination is there, right? That way you're at least training productively towards your goal, or maybe not. Maybe you don't even have that and you just got to do what you're going to do and do pulls or, you know, whatever it is. Runners and, you know, we're not going to get into endurance sports, but there's probably places there as well where you're better off, you know, you don't use carbs as well in weeks three and four. High-intensity training that require carbohydrates is not going to go as well. Maybe that's when you do more long, slow endurance training. Maybe that's when you really utilize that body's ability to use fat for fuel.
Starting point is 01:05:17 Then weeks one and two, when you've really got the ability to use some carbs well, that's when you do your time trial work and your HI and cycle and cycle it that like i said endurance sports whole separate thing again it's also submaximal it doesn't matter as much no i still i love the idea of if you're going to you know making the assumption if we train close enough to failure we're going to get a hypertrophic stimulus regardless of the rep range if you want to train in more of a mechanically tensioned, focused rep range, like a three to eight, do that during the follicular phase. If you want to stimulate maybe more of the metabolic pathways
Starting point is 01:05:54 or those higher rep ranges, sprinkle those in. And then maybe in that fourth week, like you said, if you want to isolate and do machine work where the movement complexity is very low, you're highly stable, that would be the time to really hammer those things. Absolutely. I love that. So last question, and this is an interesting one because I get it a lot, and it's the interplay
Starting point is 01:06:15 between birth control and hypertrophic or muscle building potential. And so I really just want to simplify this as much as I can. And so I really just want to so terrible that it hurts me sometimes. Without getting into that, because birth control could be an entire hour to try to explain it. Yeah. We're going to have to do an episode just on birth control. Yeah. The short version of this that I said super quickly is birth control, there's a synthetic estrogen. There is a synthetic progesterone called a progestin. Okay. Mainly I'm going to focus on the progestin. Progestin can act kind of synthetic progesterone called a progestin. Okay. Mainly I'm going to focus on the progestin. Progestin can act kind of like progesterone depending on the type. There's four
Starting point is 01:07:10 different generations that have been developed over the years, type, you know, first generation, second, third, fourth. They all vary in how they impact a woman's body. But in this context, the main thing is how do they impact the androgen receptor? Are they androgenic or not? Androgenic just means masculinizing. They're called anabolic androgenic. So it's basically sort of sending all the bad signal with none of the good signal, essentially. Yeah. Right. Second generation was a little bit less androgenic. Third generation is the least androgenic. Fourth generation is anti-androgenic, meaning that it binds the receptor and blocks it, right? So that's the main antiandrogenic progestins. There's Yaz. Well, the commercial brands are Yaz and Yasmin. It's called drospironone is the actual progestin. Women love it. They drop body water. They lose
Starting point is 01:08:18 weight, clears up their skin, acne, oily skin, because it's preventing the testosterone in their body from having any impact. Yeah. That would have the single worst effect on muscle gains great because of course it would it makes a lot of sense it hasn't been studied directly in this sense and their research on this is all terrible they're like who's gonna pay for that right well i mean they do it but it's like because it's an important question but a lot of these birth control studies are like all right we took 10 women they were on five different kinds of birth control that are all acting differently in the body and then we had them compared to and then we took the data and we smooshed it together i'm like you got to be kidding me something like 50 of all women are
Starting point is 01:08:57 on birth control and you couldn't find 10 on the same kind you've got to be joking occasionally researchers would be like all right we put them on either a second or a third gen, whatever, like that actually did good research. So probably really the study that, and it's weird, got published as a poster in 2009. And it just got published as a full paper like a week ago. Oh shit. Good timing. I really want to, I really want to email the researcher and go, why did it take this 12 years to get published? I don't know what's going on. It must have been a peer review hell. So what they did was they took women not on birth control and women on birth control and trained them for eight weeks hypertrophy training.
Starting point is 01:09:39 And what they found is that the birth control prevented muscular gains. Okay. And the non-birth control gained like three pounds, kilo and a half, something like that. But then they divided it up and they said, all right, the more androgenic birth control, the ones that have a progestin that binds harder to the androgen receptor gained less muscle. They gained like 0.3 kilos. The less androgenic birth control gained about a kilo. So it was about half a kilo difference. It's a big difference.
Starting point is 01:10:11 Now, well, it is and it isn't. All right. If you are an elite athlete, a female powerlifter, an elite Olympic lifter who is trying to maximize your muscle gain and your performance to the highest level, that matters. If you are the, I, I got, I hate to use the word typical or average, cause it sounds really, really demeaning. And I don't mean it in that sense. If you are a female who is training for just general body comment, like, cause trust me, recreational track athletes or trainees will bust their butts just as hard as anybody else. So I'm not, I'm not saying like that's a lesser goal, but you have to ask yourself are the benefits of birth control, the potential benefits, whether it's controlling my menstrual
Starting point is 01:10:50 cycle, they can help prevent anemia because you're not losing iron in the blood every month. Birth control can have a number of benefit effects. Is that half, is that half kilo muscle different? Does that matter to me? You see the same thing in the aerobic studies. They're like, all right, this birth control lowers performance by 5%. Does that matter for the average trainee? No. Does it matter for an elite runner? Yeah. So it's sort of, so if I were going to make a suggestion, it would be an oral form of birth control, combined oral contraception. The synthetic estrogen doesn't seem to matter much. Although one study said it wasn't the progestin at all. It was the estrogen does.
Starting point is 01:11:30 At this point, tomorrow, a study could come out that say everything I'm saying is wrong, and I'll be okay with that. I am drawing inferences from a lot of various research. The problem is that estrogen, the synthetic estrogen can cause women to hold more water. estrogen, the synthetic estrogen can cause women to hold more water. That shows up as lean body mass. Who the hell knows? And it would be combined oral birth control that had a third generation progestin, which means, I have to look it up. Go for it. Those are, they're called desogestrel, gestidine, and norgestimate containing pills. Let me share my screen real quick. And then I guess the other form that I'm aware of is somebody with a very rudimentary knowledge of these things is IUDs. Okay. Yeah. And that's actually worth bringing up because there are, you've got the other forms of birth
Starting point is 01:12:24 control. You got the pills is sort of the most traditional one you've got the patch the ring the implant the next one on implant depo provera depo provera is awful i will say that it is easy because it's a shot once every three months it causes the most weight gain it causes muscle loss it doubles the risk of obesity it causes bone mineral density loss i will thump till the end of my day is that that stuff should be taken off the market. Why are we all still using a 50-year-old high-potency synthetic progesterone? Has nobody come up with anything better in the last 50? I don't believe that they can't.
Starting point is 01:13:01 Just get them researchers, stick them in a lab, and don't give them any pizza until they work this out. This is not an intractable problem, right? Just you got to motivate them with the right thing. Okay, so the hormonal IUD is different than all the rest of these. All these other forms of birth control are putting synthetic hormones into a woman's body and essentially replacing them. They are causing changes in her, you know, luteinizing hormone, what's called follicle stimulating hormone. All forms of birth control actually lower testosterone by about half, which is another consideration, lower free testosterone by half. This is why they're used to treat polycystic ovary syndrome, which tends to have to, and it treats the acne, the oily skin, the body hair, all that stuff to reduce the testosterone, which is great.
Starting point is 01:13:46 If you're a PCOS woman who wants the health benefits, PCOS women have a huge advantage in sports. They may have doubled the testosterone of women. So again, context. Anyway, the hormonal IUD is purely local. It releases a synthetic progestin, which thickens the endometrium. It also is a barrier method because it's like a copper IUD. But it doesn't, a tiny, tiny, tiny amount of the synthetic hormone gets to a woman's bloodstream. So, woman will still menstruate. Her hormones will still cycle normally. It should not impact muscle gain or perform now nor will it if woman's got huge performance variations nor will it level those out right that is another valid reason for a female because if
Starting point is 01:14:34 her performance is doing this and this and this if you're a female athlete you may be losing one week 52 you know whatever you may be losing 12 weeks a year to not being able to train hardly at all. That's a consideration. Many women will use contraceptives, not only for contraception, but to simply regulate their menstrual cycle so that they don't have a week where they're incapacitated so that it level, at least levels things out. You have to weigh that. Yeah. There are pros and cons to all of it. I love it. The IUD shouldn't affect muscle gain. It will still provide contraception, but it will not flatten out a woman's hormonal cycles if they're there. I think it's a perfect place to wrap it up. It's unfair to talk about the menstrual cycle and not
Starting point is 01:15:20 in some capacity talk about the ways that women go to manage it therapeutically with things like birth control. Oh, absolutely. Lyle, wonderful conversation as always. So appreciative of your time. Thank you for having me. There's plenty of women who are going to listen to this and who are going to want to find your work and your resources. Where can they do that? So my website since forever is just called bodyrecomposition.com. That's where my articles are. My books can be found at store.bodyrecomposition.com. That's where my articles are. My books can be found at store.bodyrecomposition.com.
Starting point is 01:15:48 And if you really want to deep dive into this, you know, I wrote the women's book. It's 425 very technical, small font pages. It's not an easy read. But if you really want to dive into the depths of this, my Facebook group is extremely active, also called Body Recomposition. I got a lot of brilliant experts in my group. I tend to attract, I got a great OBGYN who can handle the questions that I'm not, you know, that I'm not usually medical type stuff. I am on Instagram, but I mainly post dumb memes and bad jokes. So if you're looking for fitness content, that's not where to go.
Starting point is 01:16:27 But yeah, my Facebook group is really where I'm most active at this point. I got a lot of smart people in there. Cool, Lyle. Hey, thanks again so much for your time. I know this will be really valuable. And we'll do a third episode soon. Sounds good. All right, man.
Starting point is 01:16:39 Have a good one. You too. All right, everybody. There you have it. Thank you so much for tuning in. And thanks again to Lyle for coming on. What a resource he is. What a great friend to the show he has been.
Starting point is 01:16:51 Cannot wait to sit down with him in the next couple months and record the third episode in this series on women's physiology. If you listen to this and you learn something about it today, or something at all today, please share this episode. There are so many women out there looking to improve their health, their performance, their aesthetics, using resistance training and using nutrition,
Starting point is 01:17:14 but using it improperly because they are victims of this nasty diet culture and some of the more pervasive myths and just the lack of nuance that is brought into the discussion when we talk about women's physiology. It's very different from men, and we need to begin to evolve the dialogue there and stop treating women like little men. So please, please, please, if you enjoyed the episode, hit subscribe, share, leave me a five-star rating and review on the iTunes store if you're an Apple
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