The Diary Of A CEO with Steven Bartlett - Fat Burning Expert: The Real Reason You Can’t Lose Weight! PCOS, Menopause & Stubborn Belly Fat

Episode Date: August 25, 2025

Sick and tired of fitness myths and diet lies? No.1 nutrition expert Alan Aragon answers all your burning questions, from belly fat and PCOS, to creatine, testosterone and building lean muscle…all b...acked by REAL science!  Alan Aragon is a leading researcher, expert, and educator in fitness nutrition with over 30 years of experience in the field. He is also a nutrition consultant for Men’s Health magazine, and author of books such as, ‘Flexible Dieting’ and ‘Girth Control: The Science of Fat Loss & Muscle Gain’.  He explains:  ⬛ How PCOS affects weight loss, and the science that could reverse it  ⬛ The 2 step method to lose weight in 8 weeks  ⬛ What creatine actually does to your body! ⬛ Why belly fat grows during menopause and how to stop it  ⬛ What really happens when you eat 300g of protein a day 00:00 Intro 02:44 Why Should the Audience Listen to You? 05:31 The Biggest Myths About Protein 09:55 How Many Meals Should We Eat for Optimal Muscle Gain? 12:00 How Much Protein Should We Consume Per Day? 16:42 Is There Any Danger in Too Much Protein? 22:08 How to Lose Weight Fast 24:12 Why Do I Gain Weight After Stopping Ozempic/Ogovi? 25:50 Does Dieting Affect Metabolism? 31:54 Best Diet for Long-Term Weight Loss 32:30 How Do I Specifically Lose Belly Fat? 33:45 Why Is Fat Loss Harder During Menopause? 38:25 HRT During Menopause 41:34 PCOS and Diet Restriction 45:14 What to Do With Irregular Menstrual Cycles 46:47 Muscle Memory 48:07 Is the Gut Microbiome Affecting My Weight Gain? 49:30 Why Do You Eat So Many Eggs? 50:58 Testosterone Levels 51:42 What Supplements Do You Take? 53:39 Creatine 57:02 Ads 57:55 Diet Breaks 1:01:25 How to Get Good at Weight Loss Maintenance 1:05:22 Diet Rebounds 1:10:46 Fasting 1:18:55 Water Fasts 1:20:04 Keto Diet 1:26:04 Gaining Muscle on the Keto Diet 1:28:15 Carnivore Diet 1:30:31 Do Vegans and Vegetarians Struggle to Gain Muscle? 1:31:18 Do Most People Get Enough Protein? 1:36:06 What’s Stopping People From Reaching Their Body Goals? 1:41:17 Your Alcohol Addiction 1:47:20 Ads 1:49:36 Artificial Sweeteners 1:51:22 The Lies We've Been Told About Sugar 1:55:05 Refined Sugar 1:57:34 How Often Should We Go to the Gym Each Week? 1:58:13 How Long Does It Take to Lose Muscle? 2:01:26 How Does Nature Impact Your Life? 2:03:06 Where Can People Find You? Follow Alan: Website - https://bit.ly/3HJBJwY  Instagram - https://bit.ly/4613ASB X - https://bit.ly/3Hrq8CS  Mentorship site - https://bit.ly/45GRZHb You can purchase Alan’s book, ‘Flexible Dieting: A Science-Based, Reality-Tested Method for Achieving and Maintaining Your Optimal Physique, Performance & Health’, here: https://amzn.to/3UG3qda  The Diary Of A CEO: ⬛ Join DOAC circle here - https://doaccircle.com/  ⬛ Buy The Diary Of A CEO book here - https://smarturl.it/DOACbook  ⬛ The 1% Diary is back - limited time only: https://bit.ly/3YFbJbt  ⬛ The Diary Of A CEO Conversation Cards (Second Edition): https://g2ul0.app.link/f31dsUttKKb  ⬛ Get email updates - https://bit.ly/diary-of-a-ceo-yt  ⬛ Follow Steven - https://g2ul0.app.link/gnGqL4IsKKb  Sponsors: ⬛ Linkedin Jobs - https://www.linkedin.com/doac   ⬛ Vanta - https://vanta.com/steven  ⬛ Cadence - https://usecadence.com/ with code DIARY for an extra 15% off first subscription order. Plus month 2: a free Cadence bottle, Month 3: a free 30x sachet pack Learn more about your ad choices. Visit megaphone.fm/adchoices

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Starting point is 00:01:10 Yeah. The second one is creatine is a miracle thing that everybody should be taking. There's almost nothing creatine can't do. Wow. Some statement. Next, is there any harm in eating too much protein? It's rare. And in fact, almost everybody who has some degree of an issue with their body fat levels under-consume protein.
Starting point is 00:01:27 The next question is about PCOS. What would you say to a one? and struggling with PCOS in terms of dietary prescription. That's a damn good question, man. Can I go into detail of this? Because a lot of people are very misinformed about this stuff. The floor is yours. Okay, so...
Starting point is 00:01:42 Alan Aragon has been using science to help elite athletes unlock peak performance for over 30 years. And now he's breaking down the nutrition and training strategies that actually deliver results. It's important to take an evidence-based approach to diet, nutrition, training, supplementation. Because if you don't, then you end up wasting a lot of time. So let's start with protein. So how much protein should I be eating to gain muscle? What is your goal body weight? Around 90.
Starting point is 00:02:06 Take 90 and multiply that by just... There's your protein target. What about calorie restriction? I've heard you say that 10 or 20% of your calories can come from pretty much anything you want. Literally anything. So I could eat back than on to something. And I could still lose weight theoretically. That's true.
Starting point is 00:02:21 And this is reflected in research along with diet breaks. That's one of the tactics that you can use for a long-term adherence to a plant. And I'll explain how. I also want to talk about the ketogenic diet, menopause, fasting, sugars, and this. That always gets me, man. That picture always gets me. Why? I used to drink heavily.
Starting point is 00:02:40 I was overworked and trying to be the best father and the best husband. And it got real bad. I just needed to stop. And I did. How? I just... Wow, really? Yes.
Starting point is 00:02:54 Quick one, before we get back to this episode, just give me 30 seconds of your time. Two things I wanted to say. first thing is a huge thank you for listening and tuning into the show week after week. It means the world to all of us and this really is a dream that we absolutely never had and couldn't have imagined getting to this place. But secondly, it's a dream where we feel like we're only just getting started. And if you enjoy what we do here, please join the 24% of people that listen to this podcast regularly and follow us on this app. Here's a promise I'm going to make to you. I'm going to do everything in my power to make this show as good as I can now and
Starting point is 00:03:28 into the future. We're going to deliver the guests that you want me to speak to, and we're going to continue to keep doing all of the things you love about this show. Thank you. Thank you so much. Back to the episode. Alan. Why should I listen to you? What have you done in your career over the last 30 years that has given you the knowledge, the information, the wisdom that you have on nutrition, dieting, fitness, etc.? Who is Alan? I have over 30 years of experience in the field. The first 10 years consisted of personal training. The second decade of my career was nutritional counseling,
Starting point is 00:04:10 just counseling people on how to eat, what to eat. And then the third decade of my career, which actually running out 13 years now, is the research and education side. My colleagues and I, we, in quotes, do the science. We publish the science. I've been a part of 30 publications. 30 studies.
Starting point is 00:04:33 Yeah, a combination of narrative reviews, systematic reviews and meta-analyses, and randomized controlled trials. And how many people have you worked with directly over the last 30 years in terms of in your nutritional counseling role, but also as a trainer? individually it's it's triple digits groups potentially quadruple yeah and some of those people that you've worked with over the years are fairly high profile yeah yeah probably my most interesting story is getting an email from Steve Austin and the wrestling fans know him as stone cold Steve Austin in so many words he said hey Alan I've been I've been doing my research and you're the guy. So I want to work with you.
Starting point is 00:05:28 I know that you mentioned that you're not working with clients, but could you please make an exception for me? Here's my number. What did you do with him with Stone Cold? I helped him get his nutrition right for his, in quotes, come back to television. It was mainly focused on primarily fat, loss. And you work with Derek Fisher as well, who's the five-time NBA champion, the long-time
Starting point is 00:05:56 LA Lakers player. Yeah. And Pete Sampras, the former world number one tennis player, Grand Slam champion. Yeah, Pete Sampras, that's right. When people come to you and when they message you and DMU, there's probably similar themes, similar themes as to like what they're trying to accomplish and what their goal is. If you just from the top of your head had to state the most popular themes that people are trying to accomplish. What are they? How to improve body composition. What does that mean? How to lose fat and or gain muscle. One of the things that I'm particularly intrigued by, which kind of dovetails into both of those subjects of fat and muscle gain, is the subject of protein. And because there's been so much said about protein. You know,
Starting point is 00:06:45 when I was growing up, they said you have to have protein where after you eat. your meal. You have to have this much protein. You have to have it before you at your meal. It doesn't matter when you have it. So I want to do a bit of myth-busting on the subject of protein. What are the biggest myths that people currently believe about protein consumption? The biggest myth is that they have the hierarchy of importance all screwed up. Like, everybody's worried about how much protein per meal you need to have for this or that goal. When do you need to time protein relative to the training bout or waking or sleeping or all that stuff.
Starting point is 00:07:19 The main thing they need to be focused on is how much protein do they need to eat by the end of the day? Because when you hit that goal, you've basically won the whole game. The relative placement, the distribution and the doses of the protein, the timing of it. Oh, man, it rarely matters. It rarely matters beyond getting that protein in in a way that's comfortable and convenient. for you and in such a way that you can stick to in the long term. Some people are more like grazers.
Starting point is 00:07:55 Some people are more like gorgers. They're both fine as long as you hit the total by the end of the day. So the hierarchy is of utmost importance, get your total daily protein. And then of secondary importance would be what is the distribution of the constituent doses of that protein total through the day? And then a third importance down here is like when specific, are you supposed to time that protein around the training bout? So, so yeah, the way that I put it is like this, the daily total for protein, that is the cake, the distribution of the doses through the day, that's the icing on the cake, and it's a very thin layer of icing. And how do we know that?
Starting point is 00:08:40 How do we know that it doesn't really matter what time you have the protein and that the most important thing is just making sure you get the protein that's a great question the reason that we know that distribution doesn't matter as much as the total is through a couple lines of evidence that i can think of so there's yasuda who compared a three meal model with a two meal model and the three meal model had superior effects for for muscle gain but there is a study that was just a published, gosh, within the last month. It was better from a methodology standpoint because they fed the subjects an abundance of protein. So Yasuda and colleagues who tested the two versus three, he totaled everybody out at 1.3 grams per kilogram of body weight per day. That's a total
Starting point is 00:09:35 daily protein dose. And so we know now that that's a suboptimal total if you want to push muscle growth. So for pushing muscle growth, we know you should be at 1.6 grams per kilogram of body weight, which translates to 0.7 grams per pound of body weight. That's where you really want to be if you want to maximize muscular adaptations to resistance training, like muscle size and strength gains. So this latest study, they compared three protein feedings versus five protein feedings. And the totals of protein intake in the day, in both groups, were around a gram per pound. So right around a 2.2-ish grams per kilogram of body weight. So we have the optimized daily total, and we're testing three versus five protein feedings. We're doing progressive
Starting point is 00:10:32 resistance training. And this is the key. This happened in resistance trained subjects. There were no significant differences in muscle size and strengthening between the three protein feedings a day versus five protein feedings a day. And this is the best design study to date on the on the topic. Because when I grew up and read stuff about gaining muscle, it said you had to have like five or six meals a day. And it said that's what bodybuilders do. Whenever we talk about any kind of physical goal, any sort of fitness goal, We have to address two main things. So who's the population and what goal are we talking about?
Starting point is 00:11:18 And maybe a third thing we need to address is what is at stake? So what level are we talking about? So population, goal, what level? What's at stake? So with bodybuilders at elite levels, it is, most of them, consume five, six meals a day. Some of them do like even seven or eight in the off season. And these are individuals who are enhanced.
Starting point is 00:11:51 And so their ceiling for muscle growth and their rates of muscle growth are significantly higher than people who are, in quotes, natural. And the amount of food that these individuals can process and use productively is significantly more. And so with that population, I can see it being pretty standard for them to be consuming at least five, six meals a day, since they tend to have, since they tend to be eating double the amount of the average person. And so, but the interesting thing that happens is that the guidelines from this very sort of fringe elite population, that's what trickles down into the general public and then they're stuck thinking okay maybe i need to eat every two point five hours or
Starting point is 00:12:39 some such but yeah with the with the general population and even um recreational athletes and people who are hobbyists and and stuff you really the impact of actual protein distribution is inconsequential compared to the total so how much protein should i be eating a day because I think you disagree with the recommended daily sort of allowance that they suggest we eat as I think I'm 90 kilograms how much protein
Starting point is 00:13:13 should I be eating to gain muscle lean muscle mass okay so we're going to apply you to the population and the goal and the stakes questions so what would you say your training status
Starting point is 00:13:27 is you're obviously not a beginner um So you're somewhere between intermediate and advanced, right? Yeah. So what is your goal? Just to reduce fat and gain muscle. Okay.
Starting point is 00:13:44 Familiar story, I'm sure. Okay. The way that I do it is I go 1.6 to 2.2 grams per kilogram of target body weight or goal body weight. So that's the range that you would be looking at. Now, with you in particular, I would go more towards the upper end because you mentioned that you part of your goal is to decrease body fat to a to a minor degree but you're still you're pushing the envelope because you're already lean so there's an interesting thing about high balling protein that facilitates that
Starting point is 00:14:27 reduction in body fat really so if I have a lot of protein it helps to reduce body fat. Yeah, yeah, it does. And the way that we know this is because there have been several studies now, four trials, one case study by Joey Antonio and colleagues, and they examined the effect of very high protein intakes, anywhere from about 3.3, all the way to 4.4 grams per kilogram of body weight. roughly, gosh, you know, a gram and a half to two grams per pound.
Starting point is 00:15:05 Is that because you're eating less carbohydrates, you're sort of substituting it for something else, essentially, in terms of you feeling hungry? So if I'm having 3.3 grams of protein, I'm probably not going to be having something else, which is more fatty. Yeah, that's right. That's right. So this particular line of research was done on people who were resistance training, and it was done in free-living conditions.
Starting point is 00:15:29 and they just gave them the assignment to essentially increase their protein intake by 50% and literally add 80 to 100 grams of protein on top of their existing habitual dietary intakes. So what would you say to me then? You'd say push even higher in terms of grams per kilogram of body weight. What is your goal body weight? I don't actually have a goal body weight, to be honest. I just have more of a goal in terms of, like, strength. How about this?
Starting point is 00:16:05 Were you ever in the shape that you are wanting to be in? Yeah. And what was your body weight at that time? I was around 90. I think I was just a little bit below 90 kilograms. So I think I was about 88. Okay. So, you know what?
Starting point is 00:16:20 Let's take 90. Yeah. And multiply that by 2.2. 90 times 2.2. There's your protein target. 198 grams of protein a day. So if a protein shake gives me 20 grams of protein, I need to have basically 10 gram, 10 protein shakes a day.
Starting point is 00:16:38 That seems like a lot of protein. That is a lot of protein. I would give a little caveat here. You can probably achieve your goal with 1.6 grams per kilogram of body weight. So that would be the lower end. So multiply 90 by 1.6, and that's where you can start. So if that 198 number seems kind of far-fetched or even a little bit like, hmm, how would I even achieve that, then start off at the lower end.
Starting point is 00:17:14 Do women have a different prescription in this regard? Is there a different approach if you're a woman? Yeah, if you're a woman, you would almost always start at the low end because women have a higher proportion of body fat. default they have a lower proportion of lean mass so with women it would almost always be all right let's start at 1.6 grams per kilogram of target body weight and see how you do with that and we can always ratchet it up if needed is there any such harm in eating too much protein it's rare you would have to have a pre-existing chronic kidney disease and then it's generally not a good thing to be
Starting point is 00:17:55 high-balling the protein, but even people with chronic kidney disease have to realize the trade-off that they're incurring with a low-protein diet and older age sarcopenia and stuff. How are they going to mitigate that? But for the general healthy population, there have been many studies that have rolled out looking at effects on kidney function, liver function, bone health, and there is virtually zero threat to those organ systems that you would think might be threatened by a high protein intake. So the human organism perfectly well equipped to metabolize and handle high protein amounts. And not all protein is equal, I guess, because you've got these animal proteins and then plant
Starting point is 00:18:42 proteins that come from things like eggs and so on. What is the best type of protein, do you think? Is there such a thing? I think that the best thing you can do is get a mix of different types of protein. It is true that gram for gram, generally speaking, animal proteins are more, in quotes, anabolic than plant proteins, meaning that they stimulate a greater growth response at the muscle level. So they stimulate muscle protein synthesis more potently than plant proteins. And there are, there's maybe one exception to that that we know of, which is mycoprotein, which is a fungus-based protein, that actually outperformed milk protein for stimulating muscle protein synthesis.
Starting point is 00:19:34 So there's interesting exceptions like that. But generally speaking, animal proteins are better for muscle protein synthesis than plant proteins. Now, with that said, Stephen, once you consume a certain amount of total daily protein, then it doesn't appear to matter how much of your protein is animal-based versus how much your protein is plant-based if we're looking at things like muscle size and strength gain because this has been actually compared in controlled interventions
Starting point is 00:20:09 where vegan group has been compared with an omnivore group and total daily protein was optimized at 1.6 grams per kilogram of body weight per day or 0.7 grams per pound in both groups. Progressive resistance training for 12 weeks. No significant differences between groups in muscle size and strength in, whether it was an omnivorous protein intake or whether it was a plant-based protein intake. And we have two studies showing that now. You must have so many moments where you're working with someone through your career who's got a goal
Starting point is 00:20:42 and he feels like they just can't accomplish it, where you find yourself saying the same thing over and over again to people about how to lose fat or to gain muscle mass is that same thing just to have more protein it's a common thing with the general population with the lay public my my protein target is at least 160 grams a day so i just make sure that i have four meals with at least 40 grams of protein per day and it's so easy to do it's incredibly easy to do because Two of my meals per day are just real whole foods. And then two of my meals per day, two to three, are protein smoothies.
Starting point is 00:21:29 And so it is just so incredibly easy for me to get my protein intake through, like, two scoops of protein, bam, that's almost 50 grams of protein right there. So you have two of those a day. I've got more than half my protein covered. But if I have all of my protein in one meal, is that going to impact my ability to gain muscle or lose fat? fat if I have it all in one meal, if I just have like one massive protein shake, if I put like five scoops. Now, if you were telling me, hey, Alan, I want to place really good in the Nationals this year. The NPC Nationals, classic physique or, you know, classic bodybuilding, or just any one of the physique divisions, I would say, you know, you are not going to want to try to get all your
Starting point is 00:22:16 protein in a single meal because what we want to do is we want to maximize the number of microanabolic events in the course of the day. We want to maximize the amount of times you maximally stimulate muscle protein synthesis in the course of the day. And just from a pragmatic standpoint, you could probably do that at least three or four times. And if you're able to do that three or four times in the day versus once with that one big banger of a meal, then you might actually over time gain more muscle than you would have. And this could make the difference between placings at the end of the prep period. So, but as somebody in the general population, theoretically you could. I am going to challenge you to do something here. I asked my audience about weight loss and asked them
Starting point is 00:23:13 for their 15 most popular questions that are currently unanswered for them about weight loss. The first one was, how do I lose weight fast? Ha! So essentially you can engage what could be classified as a protein sparing modified fast. You're basically crash dieting. I don't love doing that, though, honestly. Listen, I've got a wedding. I need to lose it.
Starting point is 00:23:43 weight fast? How do I lose weight fast? Losing weight fast. So you would basically do an aggressive caloric deficit. So anywhere, I would say, 20% below your maintenance needs, 20 to possibly 40, depending on the individual, percent below your maintenance needs. And then keep the protein high. And this is going to default you to relatively low carbohydrate, relatively low fat, and just train regularly don't hurt yourself um protein high you said yeah protein high and calories wise so for example if you maintain that we'll just take a round number 2,000 calories so you would just lop off about a third of that and then just go and see if you can maintain your fat loss while maintaining strength levels relatively.
Starting point is 00:24:45 It's almost inevitable to crash diet and lose some strength in the process. But, I mean, we're talking about something that's not an optimal process. But, yeah, that's the game. Basically, aggressive caloric deficit, key protein very high. And then you just go. And the deficit could be anywhere from 500 to 1,000-ish calories below what you normally take in. The second one is, why do I regain weight after stopping a Zempeg Wagovi, etc? All right, so those GLP1RAs, GLP1 receptor agonist drugs like Wagovi,
Starting point is 00:25:29 they have at least three different mechanisms that all converge towards almost nullifying your hunger and your appetite. response. And so when you cut out the drug, then your normal appetite comes back. And an unfortunate reality for a lot of GLP1 users when they get off the drug is they just don't have the habits and they don't have the skills necessarily to maintain their weight loss. And of course, once again, they're fighting their appetite. So I would say perhaps try a weaning off process. instead of just a jumping off process, a weaning off process where you are reinforcing countermeasures to overeating, where you are reinforcing good training habits and good dietary habits, and where you're also progressively learning how to live with and deal with
Starting point is 00:26:32 sensations of hunger between meals and just train those habits in. and it can be done. I'm not one of the people in the camp who says it's impossible to get off of weight loss drugs successfully. So number three again is, is my metabolism damaged after dieting? And they're asking a question here about something called adaptive thermogenesis. Yeah. Okay.
Starting point is 00:26:57 So this is not really a short shot here. Okay. So the process of metabolic adaptation is kind of complex. And it happens in both directions, whether you try to. gain weight or whether you try to lose weight. So earlier we talked about an increase in non-exercise activity thermogenesis or NEET, an increase in neat in response to an increase in calories. So that occurs. And across studies, I gave an example that showed a 336 calorie increase in NEET when a thousand calories were stacked on top of people's maintenance. But there are other
Starting point is 00:27:36 studies where the caloric increase was not quite that aggressive. So on average, increases in neat or non-exercise activity thermogenesis are about 2 to 300 calories. So you increase your energy expenditure about 2 to 300 calories if you're overeating. Yeah. So your body will start to twitch more and move more burning more non-active calories. That's correct. When you're overeating, yeah. So that's an adaptation. That's the adaptation. That's the adapt. in the caloric surplus side. So in the caloric deficit side, it's just the opposite thing,
Starting point is 00:28:15 just the mirror of it. So people decrease their non-exercise activity thermogenesis or their need. They decrease it on average like two to three-ish hundred calories as a result of dieting. So this is part of a metabolic adaptation that occurs with dieting. Is this why people don't think, the calories in calories out system is working for them sometimes, because they don't realize
Starting point is 00:28:41 that if they're in a calorie deficit sometimes, they are subconsciously moving around less, which means that they're burning less calories. So actually, they're not in a calorie deficit. Yes, that's correct. So with the dieting side of things, which is much more of a public health issue, weight loss, is much more of a necessity than the weight gain. It's, I'm a, It's tougher for most people, because in addition to the decrease in non-exercise activity that'll cost people 2 to 300-ish calories that they're no longer burning at the end of the dieting cycle, then you've got what's called adaptive thermo-reduction. Okay, so you mentioned adaptive thermogenesis.
Starting point is 00:29:29 Technically, that is the, there's non-shivering adaptive thermogenesis and there's shivering adaptive thermogenesis but that all has to do with increases in energy expenditure in response to cold environments so that's technically that's what adaptive thermogenesis is it's an increase in energy expenditure when people diet there's something called adaptive thermo reduction and that is that part of it is a decrease in non-exercise activity thermogenesis you're basically saying that the body changes when we're in a calorie deficit it stops doing as much yes that's the activity part yeah but then there's also the metabolic part so we've got a decrease in non-exercise activity yeah then we have adaptive thermo reduction which has to do with a metabolic component
Starting point is 00:30:20 that has to do with the sympathetic nervous system and also potentially thyroid output as well so there's this metabolic change that goes on there's behavioral or activity change that goes on So when people say I've got a slow metabolism, they might be telling the truth. When people say I have a slow metabolism, what's usually happening is they have a pretty massive drop in neat or non-exercise activity to the order of 2 to 300 calories. Now, adaptive thermo reduction is another 50 to 100 calories. Okay. So we're looking at in the neighborhood of like possibly 3, 400 calories.
Starting point is 00:31:04 that they're no longer burning as a result of the dieting process. Now, if you take somebody with clinically diagnosed hypothyroidism, then their resting metabolic rate could be 7 to 10% lower than somebody without a thyroid issue. So you add another 1 to 200 calories less burned over here, then you have the potential for 5 to 600 calories of energy expenditure that this person is challenged with at the end of their dieting cycle. So I guess it is kind of true in a way that people understand it,
Starting point is 00:31:42 that if you overeat your metabolism, as far as they understand what their metabolism is, is increasing. And if you under-eat, then your metabolism is slowing down. Yes, but I have to emphasize the major component that slows down is your non-exercise activity. You're not moving around as much. Yes. The other components, like adaptive thermo reduction and potential thyroid issues,
Starting point is 00:32:08 that is the minor component. The major component is a drop in fidgeting, a slowing of the rate that you walk around, and increase in the amount you sit around. And you can control that? Yes. It's hard to put a finger on it. But as long as you know that stuff goes down, I'll give you an example of physique competitors. They are, as they're cutting, cutting phase progresses,
Starting point is 00:32:32 They're literally lying around in between their cardio sessions and their resistance strain sessions and their Tupperware meal sessions. They're no longer tapping their heads, you know, tapping their fingers and bobbing their heads and they're no longer have a pep in their step. They're no longer doing non-exercise activities, basically. Question four. What diet actually works best for long-term weight loss, keto, low-fat, Mediterranean, intermittent fasting? and you've got to give me a answer, yeah.
Starting point is 00:33:08 I'll say it in one sentence. The diet with enough protein, enough total calories, that is comprised predominantly of healthy food choices, that fits the individual's personal preferences and tolerances. How do I lose belly fats? specifically? Can you target the belly? Targeting belly fat specifically is a matter of targeting total body fat. You can't necessarily spot reduce the belly fat. Now, if we go a layer deeper, it is possible for certain diets
Starting point is 00:33:54 to be more conducive to preventing visceral fat gain or maybe even accelerating visceral fat loss. Visceral fat is the fat within the abdominal cavity around the organs. And so it is possible for certain diets to be more conducive to reductions in visceral fat. And that would be diets that have a lower proportion of saturated fat. What's an example of a saturated fat food? Fatty, land animal meats. So land animal fats are going to be your saturated. fats that are more conducive to visceral fat gain. So if you were to switch out, let's say
Starting point is 00:34:37 fatty cuts of meat, just trim that fat out. And if you replaced it with something like avocado nuts, olive oil, seeds. On menopause, why is fat loss harder and what actually works? Okay. During the menopausal transition, which begins at a woman's mid-40s on average and then ends in the mid-50s, there are changes physiologically in hormones. that can challenge a fitness program. So it can challenge their ability to execute the fitness program and adhere to it. And so things like hot flashes and joint pain, changes in sexual function, and poor sleep, all of those things can converge to lead to a decreased ability to stick to a
Starting point is 00:35:31 program and do the necessary physical activity and dietary adherence to reach the sort of the standard rate of progress for body composition change and so the solution to that would be simply you don't have to rearrange a whole program because somebody's going through menopause you don't have to cut out nutrients and do any special things what has been effective is just lowering the expectation of progress so whereas i would typically have somebody gun for a pound a week of fat loss somebody in the menopausal transition
Starting point is 00:36:07 they have more challenges to that going on simultaneously so we would go for about half of that protein what do they do in terms of protein just keep the protein high same range yeah so with protein I got to say there's sort of a two-tier
Starting point is 00:36:25 recommendation so the general public with average goals we'll do just fine on 1.2 to 1.6 grams per kilogram of body weight. That's kind of like the general population average goal, folks. Somebody like yourself, somebody like me and folks who are oriented towards maybe pushing the envelope a little bit more than the average,
Starting point is 00:36:51 1.6 to 2.2 grams per kilogram of body weight. And, you know, there's a little margin over here for people on the fringe physique competitors who I would have no problem seeing them go higher than that 2.2 grams per kilogram cutoff. Is there anything else that Perry or menopause or women need to understand about gaining muscle and keeping fat off when they're going through menopause?
Starting point is 00:37:19 Is there anything else that we've missed? You know, I would just emphasize the understanding that midlife presents... maybe the highest point of psychological stress in people's lives. So starting from the late 40s, going all the way into people's 50s and 60s, it's like that, you know, the concentrated period in the menopausal transition, mid 40s to mid 50s, is when people are dealing with ailing parents, the stress of ailing parents, the stress of kids going through high school or college,
Starting point is 00:37:55 the stress of hitting a high point in their kids. careers, the pressures thereof, the time and the energy that is necessary to allocate for all of those things, all of those things distract from, oh, I've got a fitness program here. Oh, my coach is making me do this and this and this. And now he's making me diet like this. That's the thing that I would emphasize. There's nothing special or different that needs to be done. And in fact, there's a lot of mythology that's circulating the space right now where coaches and gurus and even some physicians are telling women that they are just doomed to gain a bunch of belly fat and lose a bunch of muscle during menopause. It just happens. You're doomed. Well, that's just not
Starting point is 00:38:41 true. There is a study called the Swan Study. That's the longest and largest study of its kind. and the average amount of fat gain during the entire menopausal transition was 1.6 kilograms which is 3.5 pounds and the average amount of muscle loss total during the menopausal transition was 0.2 kilograms.
Starting point is 00:39:04 That's about half a pound of muscle loss. Statistically significant, yes. Insurmountable, no. And are there going to be outliers who experience double the muscle loss and double the fat gain of that, yes. But none of this is insurmountable. What do you think about taking, is it HRT? Does that help? Yeah, well, it helps those who need it.
Starting point is 00:39:34 So HRT should be looked at on an individual basis. One of the things that really annoys the absolute crap out of me is when I'm seeing the comment sections on social media with people telling everybody that, hey, you just turn 40 time to go on HRT that is between you and your doctor people are trying to universalize major changes like HRT some people definitely benefit from it
Starting point is 00:40:03 and just the same there are a lot of people who don't need it the people that benefit from it do they find it easier to gain muscle mass and to not gain fat is that kind of like what That is a common, that is a common result, yes. But my thing with HRT is this. So there has to be a symptomologic reason to get on it. So you have to be incurring or experiencing symptoms that are disrupting to your quality of life, regardless of what your blood labs are. Like for testosterone, for example.
Starting point is 00:40:42 if you are out of range for testosterone, on the lower end, let's say, but you have no symptoms and you feel fine, you perform great in all aspects, then it's really up to you whether it bugs you enough that you're below range or on the lower end of the range to correct that. It's up to you. And so symptomologically driven, now the other thing to look at with HRT is, and a lot of people, they get a single testing point and they judge their need to get on a hormonal replacement therapy
Starting point is 00:41:17 based on a single test. What people need to do is see whether there is some sort of trend going on in one direction or another or not. And if that trend is going in a bad direction over time, and you can do this by just multiple time points over an extended period, it's debatable, six months, 12 months to see what's going on.
Starting point is 00:41:41 Try to correct things through lifestyle and diet, and often they are correctable. I've come across many cases where a guy will be underslept, overworked, eating like crap, gets his testosterone levels tested. Oh, you're right at the bottom or you're even below range. Oh, time for HRT. Well, hold on a second. Let's get this guy some sleep. Let's improve his lifestyle, improve body composition. and then bang, testosterone levels double.
Starting point is 00:42:15 This is not an uncommon thing. And so I'm very much a proponent of, first, are there symptoms driving the justification for HRT? And then secondly, are we basing things on a single time point, or did we actually see a trend over time? My next question is about PCOS. A lot of women are struggling with PCOS, and that's causing them to have irregular menstrual cycles and fertility issues.
Starting point is 00:42:47 What would you say to a woman who is struggling with PCOS in terms of dietary prescription? Okay. So PCOS shares a lot of metabolic characteristics with type 2 diabetes. So there is insulin resistance going on. There is impaired glycemic control going on. And so we can pretty much justify being cautious with total amount of carbohydrate intake with PCOS. With type 2 diabetes, there's two tiers of importance dieterally. So of first importance with type 2 diabetes, you have to structure the diet so that it allows body fat loss. The success of GLP1 drugs has actually proven that at the heart of type 2 diabetes is overeating, an abundance of body fat.
Starting point is 00:43:47 So the way that type 2 diabetes happens is in genetically predisposed individuals, they gain total body fat, and then they gain visceral fat, an undue amount of visceral fat, and then this leads to insulin resistance and impairment of glycemic control. So, PCOS is very similar in this regard. There is no standard or consensus-based PCOS diet protocol. But because it shares so many similar characteristics with type 2 diabetes, then we can pretty much employ the same principles of how we would intervene with type 2 diabetes, which would, number one, put a priority on total body fat reduction. and then tier number two would be all right do we need to restrict carbohydrates even further and so that would be very similar with with PCOS and at kind of a population level with type
Starting point is 00:44:44 two diabetes roughly 130ish grams of carbohydrates a day seems to be sort of the sweet spot below which people have an easier time controlling their blood sugar than above that total amount but that's just a statistical average we still have to look at things case by case My girlfriend, she has PCOS and she did the ketogenic diet with me. She's on at the moment. We've been doing it for about eight weeks now. We do it intermittently throughout the years. And she said her menstrual cycle has perfectly corrected itself.
Starting point is 00:45:16 I think at its maximum it was like 60 days her menstrual cycle. And then because she's restricted her carbohydrates, as you were saying, in this way using keto, it's like she said it's perfect. It's like perfectly predictable now. That's awesome. I say that in part because people, I think people don't. With PCOS, you have irregular menstrual cycles, don't often consider that. Carbohydrates, sugar, glucose, whatever, could be the perpetrator.
Starting point is 00:45:43 Yeah. Yeah, well. Because it's framed as a disease. Like, you're born with it. Maybe it's heritable. Maybe there's an element of truth to that. But it's crazy that that dietary intervention had such a profound impact on her in particular. It's glad to hear that you've found something that works.
Starting point is 00:45:59 that's yeah that's an you know that's anytime you present with some sort of clinical condition I would first tell you hey see see an endocrinologist or see a doctor who specializes in that particular issue and in terms of menstrual cycles generally if you do have an irregular menstrual cycle is there anything you should be thinking about number one see a doctor number two consider whether or not you are overtraining and under eating yeah so what happens with female physique competitors, menstrual disruption, menstrual cessation, a few months into prep, sometimes even a few weeks in a prep, depending on how aggressive the diet is. And so menstrual disruption is very common in competitive athletes and in recreational
Starting point is 00:46:49 athletes who have to maintain a certain level of leanness while maintaining a high volume of exercise is that the body from an evolutionary perspective saying listen we don't have the energy to have a baby here so we're just going to shut this down that is right on so you kind of do you don't want to be restricting your calorie consumption too much if you have an irregular menstrual cycle and you're trying to correct that yeah no no um the so-called female athlete triad begins with overtraining under eating potential eating disorder nurturing going on there and then down the line the menstrual cycle gets disrupted and stops, and then hormonal changes happen that are negative, and then ultimately results in osteopenia, osteoporosis.
Starting point is 00:47:37 And so that chain of events is unfortunately really common with women who don't pay attention to a healthy menstrual cycle. People use this term all the time, muscle memory. I thought it was nonsense. But I spoke to someone the other day, and they said to me, actually, no, your body does have a muscle memory, which means that if I fall off now and I stop going to the gym, my body is going to be able to get back to my current physique faster because I was here once upon a time. Is this true? Is this true? There's some debate going on amongst the community, what goes on physiologically with, like when you train, you create new myonuclei. So you increase
Starting point is 00:48:22 your so-called myonuclear domains. And those stay relatively. permanent even during times of detraining. But there's still the so-called proprioceptive or motor component to training that sticks with people, sort of the skill aspect of it that sticks with people to be able to execute the movements and do the things to cause the adaptations. So not only do you have that muscle memory
Starting point is 00:48:49 from the myonuclear domain standpoint, but you have the motor learning at the neurological component, and to a degree, you also have the skeletal component to be able to capacitate those, that rebound in loading and muscle regain, muscle regain, rather. Is the gut microbiome playing a role in my ability to lose weight? Not a big one. Of course, if I... Why did you make that sound? Well, there's some people in the space who put the microbiome as the master of regulator
Starting point is 00:49:25 everything. But it's definitely a part of the axis of organ systems that manifest whatever result we're looking at. It's part of it, yes. But it's not the main puppeteer of everything. Everything works in concert. And I'll just give you an example there. So there are certain supplements that are claimed to be able to, in quotes, fix the gut microbiome. cause greater weight loss. So there have been many studies looking at this sort of phenomenon. And while there is a statistically significant effect in some cases, the absolute amount that they can help for things like body fat loss or body weight loss is usually not practically significant. It's too small to be considered meaningful. And so I wouldn't necessarily rely on
Starting point is 00:50:22 changes in the gut microbiome for impacting, like, global changes in body fat. Here I have 20 eggs. I heard that you eat 20 eggs per week, which is about, you know, four eggs a day potentially. Why do you eat so many eggs? Well, number one, I'm one of those weirdos who actually loves eggs. I love the taste of them. They're a great source of protein, a decent source of fat, most of the fat, and there is oleic acid, by the way, which is a monosaturate that predominates olive oil. It's a low saturated fat thing. Of course, the knock on eggs is their cholesterol content. But interestingly, it's dietary saturated fat that has the greater magnitude of impact on blood lipids than dietary cholesterol,
Starting point is 00:51:15 interestingly enough. I recognize that the major health aid. agencies would want you to stop your egg consumption to like one a day, possibly two a day if you're an elderly person. But I take the health agencies or even the consensus guidelines as a, okay, that's cool. That's a good starting point. I happen to like eggs. I'll eat more than that. Check my blood. Check my health. I'm doing just fine. So I'm one of those people who can do four eggs a day just fine. Is this part of your broader testosterone? protocol? I like the fact that eggs are conducive to testosterone production. So you're 53 years old, right? Yes. Do you test your testosterone levels? I have not tested my testosterone levels in
Starting point is 00:52:06 forever, but I'm not concerned with it. Because once again, it would be a symptom-driven thing for me to even care. So if I was experiencing the symptoms of low testosterone, then that would me a reason to check it out and see what's going on and then I would have to take a step back and look and see what can I modify with lifestyle what do I have available to change non-drug-wise and you know what if I ever need to take exogenous testosterone if that day ever comes well then so be it I'm just not there what supplements do you take every day I take a multivitamin. I take two multivitamins actually. The reason why I take two multivitamins is because
Starting point is 00:52:52 really a certain key nutrients in there they have to be in such small amounts per single pill that it's really just meaningless. And so I take two multivitamins, one of them with iron, one of them without iron, and I also take fish oil. I take magnesium
Starting point is 00:53:13 and I take vitamin D3. I take vitamin C. And by the way, I really should preface this, this is the bro-science side of my personal habits because I'm taking my vitamins more on placing your bets basis rather than, hey, man, this is just the bottom line, evidence base. I think everybody should do this. Okay, so I want to make sure that's clear.
Starting point is 00:53:36 I also take magnesium and I also take collagen. And I also take creatine. if I told you you could only take three of those supplements which three would you pick that's a damn good question man can I have uh can I'm going to count my two multis as one so you're multivitamin would that be the first one yes okay so multivitamin and omega-3s fish oil vitamin D3 so you've sacked off the creatine you're a genius that's those are those would be those would be the top three i would cry can i add creatine in
Starting point is 00:54:18 there could i squeeze it in there no no no no oh bro to pick three so you pick the multivitamin omega-3 vitamin d3 well it might humble me to kick the creatine out so okay fine i'll leave those three you call creatine king creatine yeah why'd you call it that it's the only non-pharmacological supplement that really, really has very strong and deep and broad evidence base for enhancing the effects of resistance training. So strength gains and size gains, more strength than size. The size gains, they come with the initial loading phase where a lot more intramuscular water happens or intracellular intramiocellular hydration that is the the big immediate part of
Starting point is 00:55:13 creatine that that folks feel when they go on it and when they go off of it so you'll lose a few pounds of lean mass if you get off of creatine i call it concretine because it has possibly close to a, I want to say it's reached over a thousand studies. And the majority of those studies show positive effects. Usually with creatine, if you were to compare a group taking creatine versus a group not taking creatine. So the creatine group will have like a 20% increase in their lifting capacity, whereas the non-creatine group will have like 12ish percent increase in their lifting capacity over a typical study length, eight to 12 weeksish. And so that is a significant strength gain advantage. And over the long term, that would definitely augment muscle hypertrophy as
Starting point is 00:56:11 well. And once you're loaded with creatine, so being loaded with creatine means that you saturate your muscle creatine stores. And that requires either a loading phase of 20 to 25 grams per day for five to seven days, or a maintenance phase that you engage, like three or five grams a day, you'll be loaded at about 30 days. And so during that loading phase, it's pretty common for people to gain roughly 2% of their body weight as lean mass. People seem to talk about creatine, like it's this miracle thing that everybody should be taking. That's one of the few supplements that it seems all the experts I speak to, about this stuff seem to agree upon that obviously vitamin D omega-3 comes up all the time
Starting point is 00:56:59 and ultivitamins but creatine seems to yeah nobody seems to have much of an issue with it or be able to point to many side effects of taking with it both for men and women yeah it's got the musculoskeletal benefit there believe it or not there's even benefits for creatine on joint health so um not only that not only the athletic performance and muscle hypertrophy side But there are things like improved glucose control, improved memory. So different domains of cognition can be enhanced by creatine. The level of creatine in the brain can increase with supplementation. And then you create a pro-energy environment in the brain,
Starting point is 00:57:43 and that's how these positive effects on memory happen with creatine supplementation, especially in people with cognitive decline. so so there's almost nothing creatine can't do wow some statement a business is only as good as the people inside it so how do you make sure you're hiring the best our sponsor LinkedIn can help you find these applicants quickly
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Starting point is 00:58:43 time comes to make your next hire, make it count and promote your job on LinkedIn. Head to LinkedIn.com slash DOAC. That's LinkedIn.com slash DOAC. see in terms and conditions apply. Diet breaks. What's a diet break? And why does that, why is that a useful tool? Yes. So one of the big things that dieters encounter are progress plateaus. And so we can define a progress plateau as four to possibly eight weeks of no change in body composition despite good compliance to the program. With that definition out of the way, then intervening and overcoming or managing a plateau is really sort of this individualized process that needs to be looked at case by case where, for example, if somebody feels like
Starting point is 00:59:38 they're in the midst of a plateau and they have been on program, then there's really only two reasons the plateau happen. So reason number one is that their compliance was inconsistent. So poor compliance is number one. Or number two, they have reached energy equilibrium. So they've reached a genuine and bona fide new maintenance point. But there's something that is overarching with the plateau concept that people need to understand. So we automatically look at progress plateaus as something negative.
Starting point is 01:00:14 When people need to reorganize or reframe their perception of what a plateau is, and the plateau is just the body doing its job. When we look at the body as an adaptive survival unit, then homeostasis is a big part of that. So if the body achieves homeostasis, then hallelujah, we're going to live. We're going to survive. So if, for example, somebody has a lot of weight to lose,
Starting point is 01:00:44 let's say somewhere to the order of over 20 pounds, 20, 40, 60 pounds to lose, they have to understand that multiple plateaus will be encountered on route to their ultimate goal. And the way that the body changes is always going to be this surge, slow, stop pattern. And it just continues this way. And with every progressive plateau, the surge part gets shorter. and the slowing part and then the plateau part gets longer. So you can think of it as staircases and landing.
Starting point is 01:01:27 So with each successive plateau, the staircase gets shorter, the landing gets longer. But it's supposed to go like that. And the plateaus should be getting longer because the ultimate goal, after all, is a plateau of sorts. And when people come to realize that, then they can look at plateaus as what I call maintenance practice. So if they have that mental shift from seeing plateaus as this negative thing where I need to go sniff out the next great diet or the next great product, they can look at it as, all right, so the plateau is a good thing. The body is doing its job. Now we have an
Starting point is 01:02:06 opportunity to practice maintenance. And think about it this way too, Stephen. Anybody can get weight off. But weight loss maintenance really is the issue. So the better you get at weight loss maintenance, then the more you can win the game. How do I get good at weight loss maintenance? All right. So in order to properly maintain, you have to properly get there. So properly getting there means that you have to do your best to maintain your lean body mass while you're losing body fat. So what happens to a lot of people when they diet is they lose a lot of lean body mass along with body mass you mean muscle yes muscle mass muscle mass along with their fat mass and so muscle tissue is something very important to keep on the
Starting point is 01:03:00 body while you're losing fat because muscle is we can look at it as are metabolically active every tissue is metabolically active even even body fat but muscle tissue specifically is the center of our dietary fuel usage. It is the metabolic engine of the body, if you will. And so if you're losing muscle tissue, you're really losing metabolic leverage while you're losing body fat. So the way that I infer that is that muscle's very greedy.
Starting point is 01:03:35 It takes up a lot of calories. So if I lose my muscle, when I drop my weight, it's almost like the greedy guy who sucks up all my calories is no longer there and so I'm quite likely just to rebound quite quickly. That's a great analogy and it's accurate too and in fact there is a phenomenon that in the literature it's called collateral fattening and that happens when the body senses an energy crisis at the end of a diet where you've lost a bunch of muscle mass the body senses that oh my gosh we just lost a bunch of precious tissue we have to do whatever we can to get it back and so your hunger signals ramp up and your body kind of behaviorally and even
Starting point is 01:04:25 metabolically does what is necessary for you to feed that back as soon as possible and this does not necessarily happen certainly not to that kind of magnitude if you keep your muscle mass while you're losing body fat. You don't experience this collateral fattening type of phenomenon where people just rebound like crazy because their appetite is out of control at the end of the diet. So the way that you preserve muscle mass during the fat loss process is a couple things.
Starting point is 01:04:57 So you have to make sure that your rate of weight loss isn't indicative of something that's too quick. So about a half a percent to a full percent, of your body weight lost per week is as fast as you really want to go. So roughly a pound a week. Some people who start off heavier, okay, two pounds a week is fine at the very beginning. But you generally don't want to lose more than 1% of your total body weight per week because then that increases the chances that you're losing an undue amount of muscle mass along with your fat mass.
Starting point is 01:05:36 and so if you can in essence control the weight loss rate then you will keep your lean mass now the other two things that need to be going on at the same time are you need to be resistance training and you need to be consuming enough protein so strength training protein enough protein you got resistance training and then you have sort of a top speed limiter on how much weight that you lose per week. And 1% loss a week, 1% loss a week is spectacular, actually, for most people. Even a pound a week, even half a pound a week. You're looking at, like, in two years you lost 50 pounds. Most people took like two decades to put on that 50 pounds. So you actually don't want to lose weight too quickly or else you are
Starting point is 01:06:24 susceptible to rebound? It is going to come off quickly if you have a lot of weight to lose. It'll come off quickly at the beginning. So for example, somebody who is in a state of obesity, let's say they weigh 250 pounds, and let's say they're losing two, two and a half pounds a week at the beginning of the program, that's fine. But on average, on average, you would want to look at roughly a pound a week is a good benchmark. And I still would not frown upon or scoff at a half a pound a week for certain cases. And we can talk about, some of those stubborn cases like on the topic of plateaus for example i had a client uh i'm sure she doesn't mind being named she's a great person pam pam greshock she's a veteran coach in the
Starting point is 01:07:16 space uh she's perimenopausal so she's in her her 40s and she wanted to lose what we calculated out to be eight pounds of fat and she stored the majority of it where she didn't want it, was around the midsection. And I had it in mind that, okay, this is somebody who's perimenopausal, so there's going to be a lower rate of progress going on. This is somebody who is highly trained, so she doesn't have a lot more muscle to put on that would give her some extra, in quotes, metabolic leverage for the whole process of improving body composition.
Starting point is 01:08:01 So she's highly trained, perimenopausal, wants to lose eight pounds of fat, which would represent the final eight pounds, sort of that pushing the envelope. Knowing those three things, I knew that this is going to be a difficult and slow-going process. So whereas I would normally have somebody expect
Starting point is 01:08:26 roughly, or at least gun for a pound a week loss, for Pam it was more like are you going to be okay with one to two pounds per month if we can get rid of one to two pounds of body fat per month i would be happy with it and i think you should be happy with it and so i convinced her of that and with her wanting to lose eight pounds i think it helps to give people a visual of what a certain amount of weight loss looks like So coincidentally, a gallon, a gallon jug, if you fill it with butter, that's eight pounds. And so I had her visualize this eight pound jug. And I also had her do a butter visualization too. So a standard stick of butter is four ounces. So four sticks of butter is one pound.
Starting point is 01:09:25 And in her case, she wanted to lose, well, she wanted to lose eight pounds. So that's 32 sticks of butter that would be removed from her body at the end of the dieting cycle. Is that what this is here? What is this? That is 10 pounds of butter. This is an amazing freaking visual. And this is because you asked about diet breaks as a tool for people achieving long-term weight loss or just breaking through plateaus or managing plateaus. So every 5 to 10 pounds that somebody loses in a dieting cycle is high time for a diet break. The way you can define a diet break, put some parameters on it.
Starting point is 01:10:12 So it's what I call non-yolo maintenance. So you take off the rules, take off the restrictions, but you're not eating with sheer abandon. You're just relaxing the diet. You take a week off the diet either every 4 to 8 weeks while you're dieting. or you take a week off of the diet every five to ten pounds that you lose. And the sound of five to ten pounds seems like, oh, that's nothing. But no, it's a milestone. This is ten pounds?
Starting point is 01:10:43 Yes. That's crazy. Ten pounds of butter off the body. So, yeah, every time you lose ten pounds, it's five to ten pounds. And in my experience, is high time to take a diet break to just alleviate the mental and the physical fatigue of dieting. And that's one of the tactics that you can use for a long-term adherence to a plan.
Starting point is 01:11:10 On the topic of plateaus, when you're dieting, you will hit a point where the plateau periods or the maintenance phases are going to be longer than the dieting phases. I think that's ideal to be able to hit that point for a long-term weight loss goal. And so it's a lot easier or at least a lot less intimidating for somebody to know that they're going to be dieting for four to eight weeks at a time in between a, let's say, a two to three month maintenance phase.
Starting point is 01:11:46 What about fasting? Do you think that fasting is, because a lot of people talk about this thing called autophagy where if you fast or, I don't know, 48 hours, your body switches into the state of autophagy where it starts to heal and repair it. itself are you a fan of fasting for weight loss or for autophagy or other things for the control of calories in fasting is legit and it's also legit for it it actually works as a as one of the options for dieting there just has been a massive accumulation of studies showing that it works great so the intermittent fasting variants we have one we talked about earlier time restricted eating and we've got every other day fasting and then the other third major variant would be twice weekly fasting or the five two type of model and then you have a consecutive day fasting
Starting point is 01:12:45 type of models as well which are less studied because there's just more risk involved in them and it's tough to you know incur that risk in research when you bring up autophagy that's where I kind of have to push back on, not on your mentioning of it specifically, but just in general, people will say, they'll make claims that, you know, autophagy, and we can say that, we can explain autophagy as a way that the body gets rid of parts of damaged cells. it's an important process within the body and it is a catabolic process or a breakdown process but the thing is it happens in a caloric deficit regardless of whether fasting is involved or not really yes you maintain hypochloric conditions atophagy ramps up um you can have a linear
Starting point is 01:13:48 hypochloric model or a non-linear or intermittent hypokolaric model and you'll get similar degrees of autophagy if you match the caloric deficit by the end of the week now the other interesting thing about autophagy is that you can ramp up autophagy through exercise and not only that but both major types of exercise will increase autophagy so resistance training increases autophagy. Endurance aerobic type training increases autophagy. So if you want to, in quotes, chase autophagy, then doing it through intermittent fasting
Starting point is 01:14:32 or just going through prolonged periods of not eating can be a double-edged sword. Whereas the atophagy increases through exercise, they almost don't have a downside. And so a lot of times with intermittent fasting, it can be a great tool for people who need to lose excess body weight. But what I'm seeing in the community is people thinking that intermittent fasting is something that is necessary to do regardless of your body fat level.
Starting point is 01:15:01 That is either necessary or beneficial. And that's not actually true per the research. There's one study in particular that looked at men who are already lean. And I believe this was by Templeton and colleagues. where they compared a linear dieting model with an every other day fasting model. What does that mean every other day fasting? So they took 24 hours off?
Starting point is 01:15:27 Yes, yeah. So it was, yep, every other day. And then the same deficit by the end of the week between the two groups. And the intermittent group actually lost more lean body mass than the linear. your caloric deficit group. They lost more lean body mass.
Starting point is 01:15:52 So they lost more weight? They lost more muscle. They lost more muscle. Yeah. And so that gives us a hint that fasting is great until it isn't because you've achieved what you needed to achieve. And so then it just kind of becomes a tool. It's always just a tool to help people control calories in.
Starting point is 01:16:14 One of the beautiful things about fasting, And whether it's time restricted eating or whether it's some sort of variant of alternate day fasting or twice a week fasting, is that it works in research regardless of whether people are meticulously tracking things or not. And so that can be a boon for individuals who don't necessarily like to micromanage their stuff. But for people who are trying to maximize retention of lean mass while they're pushing the envelope of fitness, it can definitely be a double-edged sword once you're already lean. But if I do want to maximize the benefits of autophagy, the best way to do that is fasting versus just calorie restriction, I'm assuming. We don't know what the optimal level of autophagy is that would actually confer health benefits.
Starting point is 01:17:07 We don't know what that threshold is. And there's different ways that people try to measure autophagy. it's very hard to correlate certain levels of autophagy with certain degrees of disease prevention. We're not there yet. I don't think, I think big picture wise, I think that autophagy is an algorithm running in the background that is more of a bystander type of thing than a driver,
Starting point is 01:17:40 similar to insulin and glucagon. So the insulin and glucagon axis works when you feed versus when you're fasting. So glucagon levels go up. What's glucagon? Glucagon is a hormone that mobilizes fuel stores in the absence of food, in the absence of calories. And autophagy is similar in that regard. and I think that a focus on pushing autophagy is sort of missing the forest for the trees
Starting point is 01:18:16 because if we were to push autophagy to its end then we could go all the way to a phenomenon called autosis which is runaway cell death which happens in starvation in some cases and so I think that we need to focus on other things like how do we maintain a certain body fat percentage while maintaining a certain physical activity level while maintaining a certain dietary pattern. I think that it's those things that are much more productive to target
Starting point is 01:18:51 than seeing how far can we push autophagy before potentially going into runaway cell death. I was looking at the benefits of this thing they call autophagy, and it says the proven likely benefits are cellular cleaner, so repairs damaged proteins and organelles, I believe, improving cell efficiency, metabolic health improves insulin sensitivity, neuroprotection, heart and muscle quality, maintains mitochondria, helps adapt to training and oxidative stress, immune tuning and longevity. There's sort of strong animal evidence, I believe, around the longevity component, but the research that I was reading talked about how it can backfire because tumors may use autophagy to survive
Starting point is 01:19:40 and some treatments for established cancers aim to inhibit it. And if you overdue fasting, as you said in the study you cited, you can lose muscle, which is not great and be fatigued, etc. There is a bit of a trend, I think, with people doing a lot of water fasts and stuff like that quite periodically. I think it's rising. Even sort of juice fasts and stuff like that.
Starting point is 01:20:01 What's your take on those types of fasts? I'm not a big fan, Stephen. I think that the cycle that people go through, at least in the developed world, is that they go through the year, then November comes around, and then the holidays hit. They overdo it from November to through December all the way up to the end of the year, and they're like, oh boy, I have 10 to 20 pounds that I want to lose. and then they just use these sort of fasts and these detoxes to crash off the bad decisions of the previous few months. And then the cycle repeats annually. So I think that it's a much healthier approach for people to secure and reinforce the right habits
Starting point is 01:20:55 through the entirety of the year. instead of jumping on the fast to get rid of the holiday binges. This sort of brings me to the ketogenic diet. My dad used the ketogenic diet, and I think actually my brother as well, but also a few of them my friends in my life used it as a way to drop their fat quite quickly to sort of recomposite their body very, very quickly. And the results of seeing someone on the ketogenic diet quite astounding because my friend the other day sent me the chart of his weighing scales at home
Starting point is 01:21:30 and it's the sort of gradual increase upwards and then he did the ketogenic diet where he cut out carbohydrates and sugars basically almost entirely and it's just straight line down in his body his body weight what is your perspective on the ketogenic diet what is it good for what is it not good for is it good at all it is a very effective way to lose weight and fat and that's for a few big reasons. First of all, if somebody goes from their typical Western dietary pattern to the ketogenic diet, then they're automatically cutting out a lot of highly processed, hyper-palatable carb-fat-combo junk foods and snacks
Starting point is 01:22:17 that are just energy-dense, easy to over-consume mindlessly. That's the good thing about the ketogenic diet in addition to, well, they're finally eating enough protein now. And so along with the increase in protein comes an increase in satiety and a better hunger control. Now, the negatives of the ketogenic diet, the big one is that the majority of people who engage a ketogenic diet, they don't do it permanently. For one reason or another, they're no longer on the keto diet. and this is reflected in research as well, even in vulnerable populations who would stand to benefit from that level of restriction.
Starting point is 01:23:00 So usually what happens in research is you take a group, two groups of subjects, and one is on the high-carb, low-fat controlled diet, and one of them is on a ketogenic diet, which can be achieved by a maximum of 50 grams of carbohydrate in the day or less. Then you're on the keto diet. So what happens at the 12-month point in the diet, and sometimes at the six-month point, the keto group is now consuming about two to three times more carbohydrates than the original 50-gram assignment. So they rebound?
Starting point is 01:23:35 They just insidiously creep up the carb intake. There's something about the ketogenic diet that the majority of people who engage it just can't stick to. It's too restrictive for people. they can't stick to it but by what you're saying they also end up rebounding above where they were before they end up rebounding like i'll give you a specific example there was one study well there was the a to z study where um the individuals on the atkins diet ended up consuming what looked a lot like the zone diet the zone diet yes the zone diet is a 40
Starting point is 01:24:19 percent carbohydrate, 30 percent protein, 30 percent fat. So it's the keto diet, roughly? The keto diet is more like 60 to 80 percent fat, and then, you know, 15 to 20-ish percent protein, and then the carbohydrates are the remainder, the minor percentage. So what happens is, like the people who started off at 50 grams of carbohydrate at the beginning of the study, the keto group, at the 12-month point, they were. they crept that carbohydrate intake up to around 150 grams of carbohydrate, whereas their assignment was 50 grams of carbohydrate a day. This is a common theme in long-term keto studies, is this up-creep
Starting point is 01:25:07 in carbohydrate intake over time because people can't maintain the 50 grams of carbohydrate max required to stay in ketosis. And I'm not saying that there aren't a lot of people out there who are just living the keto life permanently, they're out there. Yeah. But they are in the minority. I see them in the comment section whenever I talk about keto. I see people say, like, I've been on the keto diet for five years, for seven years, for ten years.
Starting point is 01:25:35 Sure. There's huge communities of folks who've been on keto for five, ten years. They're longer. And that's great. More power to these folks. But claiming that this is a universal. solution ignores the reality that some people, most people, per the research, the majority, can't stick to it. So that's the caveat, one of the caveats of the keto diet. The other one
Starting point is 01:26:02 would be for those who can stick to the keto diet for long enough. You really have to look at the quality of the diet in order for it to be cardiovascularly healthy. If you're going to engage let's say an 80, 85% fat diet for the rest of your life, there's going to be very different effects if that 80 to 85% are from land animal fats versus from nuts, avocados, olive oil. Very different cardiovascular effects going on there. And so that's the other caveat with the keto diet. There's a Mediterranean type of keto diet that is healthy. and that has you know it is one of these cardiovascularly protective types of diets that you can engage
Starting point is 01:26:53 whereas if you just do like beef bacon and butter from here on out then you don't have the best cardiovascular risk trajectory what about gaining muscle on the ketogenic diet if i'm restricting carbohydrates is it more difficult to gain muscle mass the short answer is yes And the nuanced answer is you still can gain muscle on keto. And the body is really resilient and quite genius at manufacturing the carbohydrate endogenously or from within the body. So your body can make carbohydrate out of lactate and fill at least partially your muscle glycogen stores. and so going on a zero carbohydrate diet doesn't necessarily end up with the type of results that you might imagine for somebody who's completely avoiding carbohydrates.
Starting point is 01:27:56 And in the research comparing strength gains from a high-carbohydrate low-fat diet versus a keto diet, the keto folks, as long as they're equated with protein and total calories with the control diet, they've got similar strength gains. It's quite an interesting phenomenon. Muscle size gains is a different story. Interestingly, almost always there's some advantage to the high-carb, low-fat control group compared with the ketogenic diet group when it comes to both gains in lean mass as well as retention of lean mass during dieting.
Starting point is 01:28:37 And one of those things is more or less obvious. It's like you simply carry more muscle glycogen when you're on a high carbohydrate low-fat diet. And muscle glycogen is the stored form of carbohydrate within the muscle and then a minor amount in the liver. And for every gram of carbohydrate that you store is glycogen, there's three-ish grams of water stuck to it. and so just sitting there you're carrying more more muscle mass more fullness on a non-ketogenic diet what about the carnivore diet a lot of people have talked about that recently and which is just a diet where you just eat meat what's your point of view on that well okay it's a little silly and it's a little extreme but it has some merit to it so the carnivore diet when you get on it
Starting point is 01:29:31 it's similar to how when people go on a keto diet after they've been doing the standard Western diet since forever. So the standard Western diet has too much of everything. It's got too much total calories, too much refined carbohydrate. It's got too much of this type of fat and too much. It's got a moderate amount of protein, but you're also eating everything under the sun, from burgers to fries to cakes to ice creams to cookies. In addition to pasta and everything else.
Starting point is 01:30:00 so when you go from that excess of everything to the carnivore diet you automatically and spontaneously eat far fewer calories than you used to on your standard Western diet so the carnivore diet is actually the lesser of the evils when we're comparing it to the standard Western diet and you can even try to optimize the carnivore diet like some people engage a carnivore diet that is just extreme, like beef and salt. Okay, so that is very appealing to people who have a tendency to jump on the carnivore diet because it's even more extreme. And people with tendencies towards the extremes, they'll, a lot of them are ex-vegans,
Starting point is 01:30:45 actually, carnivores, because they can only be on one extreme side or the other. It's tough for them to be in the gray scale here. But the carnivore diet is the lesser of the evils. It can be optimized if that's even possible if people had more variety within their carnivore model, within their plant-free diet model. Like, for example, if somebody went carnivore instead of doing beef and salt, he had a rotation of fatty fish, poultry, beef, eggs, dairy, and who knows, maybe he might even justify protein powder in there for a dessert. Who knows? It's still animal-based. Do you find that vegans and vegetarians struggle more to gain muscle mass, typically?
Starting point is 01:31:37 Vegans and vegetarians in the general population do, because they're not aware of how to structure the diet and the training program to achieve that. What are they missing? They're just not eating enough total calories. and they're not eating enough protein, generally speaking. Now, there are some vegans who will drink a bunch of Mountain Dew and have potato chips and things like that and still stay vegan, and Oreo cookies are vegan, I believe, as well.
Starting point is 01:32:09 But vegans can still gain muscle on par with omnivores if they structure it right. Are most people that you encounter and have worked with over the years not getting enough protein like the average person on the street yes almost everybody who has been
Starting point is 01:32:32 overweight or obese or just had some degree of of an issue with their body fat levels almost all of them under consumed protein what about people that are very skinny because I've got lots of friends that would be in the skinny
Starting point is 01:32:51 fat category where they've they kind of they look very very very skinny but they've got you know a little bit of a role here and they often say to me that they just can't gain weight I've heard this a lot from friends I just can't get gain weight I've heard I need to have more protein but you know I'm just not gaining any weight yeah that is the in quotes hard gainer phenomenon and people will have different degrees of body fat in that category but these folks what they actually have an issue with is a spontaneous increase in what we call non-exercise activity thermogenesis. So basically, it's an increase in spontaneous movement, just an increase in fidgeting, you know, tapping, moving around, just being more hyper-kinetic in
Starting point is 01:33:44 response to increasing their caloric intake. In 24 hours, you and I expend X amount of calories. So total daily energy expenditure is composed of various components. So there is a resting energy expenditure component. So our so-called resting metabolic rate, or it's also called resting energy expenditure or basal metabolic rate. Those are all interchangeable. That is the amount of calories that your body burns in a 24-hour period just to stay alive, okay? So if you were bedridden, the amount of calories you burn just through your vital organs and your systems working, that's your resting energy expenditure. Now, the other part of energy expenditure is your active energy expenditure. So active energy expenditure consists of, we can subdivide it
Starting point is 01:34:40 into your exercise activity and your non-exercise activity. With hard gainers, it's their non-exercise activity that spontaneously goes up when they try to eat more to gain weight. It's an interesting study done in the late 1990s by Levine and colleagues where he took a group of normal weight subjects. It was a mostly male sample of subjects. and he fed them a thousand calories above and beyond their maintenance requirements. And I believe this was for 10 weeks.
Starting point is 01:35:16 What happened during the study and as a result of eating 1,000 calories above their maintenance needs, they ended up burning, on average, 336 calories through an increase in non-exercise activity. so that is a very interesting phenomenon one of the subjects in that study actually ended up burning almost 700 calories as an increase in their non-exercise activity thermogenesis and so what happens to this archetype this hard-gainer person is they just start fidgeting more they just start walking faster they just start sitting less They start bobbing their head more. And they can even just subconsciously train harder, train more. And their energy expenditure side just ramps up spontaneously in response to an increase in calories. So if someone is a hard gainer and they struggle to gain weight because of this sort of spontaneous energy usage, what advice would you give them to stop moving? Eat more.
Starting point is 01:36:30 Okay, so the principle would be to eat more. The practice would be eat more in a way that you get those calories in easily and conveniently. And so you can structure liquid meals, two in a day, but they rarely need three shakes to have between their meals at any point in the day where it's convenient. And then you just literally add nutrition and calories that way. And so that's the solution, just literally eat more. I think the thing that sits underneath everything we're talking about is motivation, whatever that means, which is like having the motivation to stick to something, discipline, whatever you want to call it.
Starting point is 01:37:17 When you look back through the last 30 years of your career, are there any similarities in the thing or the catalyst moment that made somebody finally stick to it? Stick to the diet, stick to the exercise regime, stick to the whatever. Are there any themes of a person going from struggling to disciplined? So the first thing that comes to my mind is they finally arrive at the point where their physical goals become priority number one. Changing the body, so losing body fat, gaining muscle, achieving your eye. ideal body composition. That is a colossally difficult goal.
Starting point is 01:38:06 Whenever I work with somebody who's preparing for a contest of some sort, whether it is in the more elite line of physique contests or whether they're just joining a transformation challenge, but they're both very, very serious, and they both are putting their program at the top of their priority list. So when I say top of your priority, I mean, you do what you need to do to stay alive and keep breathing as a top priority. And right there is your physical goals. Okay.
Starting point is 01:38:41 So the big problem with people who find that they can't hit their goals or they can't stay consistent or they're just having a struggle losing X amount of body fat or even a struggle gaining X amount of muscle is that they simply have. five other things that are prioritized in their day above and beyond their program. So they have five universes of excuses that can come in the way of sticking to the program. So somebody has to be at the point in their lives where they're going to make it a top priority. Because there's nothing metabolically different from these physique competitors and these people who join these challenges versus somebody in the general population who's, just struggling, the people in the physique contests will always hit their goal. Within 1% at the end of the prep period, they'll always hit their goal. And so they're not a different species. They're not a different animal. They don't have special metabolisms. They just have
Starting point is 01:39:47 different priorities. And so that is the difference. You have to hit a point where your physical goal becomes priority one. And is there anything... that one can do in your opinion or that you try and do when you were a trainer back in the day to make this someone's priority? You can sit somebody down and review with them the what are the reasons why you're doing this. Name me three good things that you think will come out of this or three drivers that you can think about and then you can just have them write that down and then they can be reminded that way.
Starting point is 01:40:33 But fundamentally, Stephen, they have to arrive at that point sort of on a self-initiated way. You can't really make the horse drink, you know? You can pull them towards the freaking pond, but, you know, they almost have to get there themselves. And you can facilitate it only to a certain degree. And after you ask them, okay, what? What are the reasons?
Starting point is 01:40:59 Then you can also have them put in their face, okay, what are the barriers? So to have them right down to your three biggest stumbling blocks. And so then you can give them two sets of things to think about that will keep them on task and motivated. You're 53 years old? 53 years old. You looked very different at 40 years old. Ah, yes, sir, I did. Yeah, whoa, buddy.
Starting point is 01:41:26 Yep, yep. I remember that guy. That's an amazing shot. You look younger now. I do actually. Thank God. Thank God. Yeah.
Starting point is 01:41:40 Yeah. That always gets me, man. That picture always gets me. Why? It was when my first son was seven-ish, and my younger baby was about four. And so parents with young children are very stressed out. Bad habits, I used to drink heavily. I started drinking heavily at that point.
Starting point is 01:42:11 And I drank heavily from when I was 40 until I was about 46. Were you an alcoholic at 40 years old? Oh, yes. Oh, yes. What did that look like? It was, it got. really bad towards the final couple years. I'm talking a bottle, bottle and a half of wine, a night by myself. Seven days a week? Seven days a week. And the bottle and a half, that's almost a thousand calories of regret is what it was. Yeah. Do you know what caused that?
Starting point is 01:42:57 Stress vectors in life, you know, being a dad, trying to be the best husband, becoming successful in terms of coming into demand with projects and people approaching me with business partnerships and me thinking, geez, I worked like two decades for this, for this stuff to happen. How can I turn anything down? So I said, yes, I'll do that. Yes, I'll do that. Yes, yes, yes, yes. And then pretty soon your yes is just stack up and your work pa stacks up like this. All of those things, you know, they kind of converge into this mix of stress and anxiety and alcohol is a very convenient and very available and very acceptable means to engage in a substance. that acts as an anxiety band-aid. My alcohol addiction was a very real thing, and I'm really glad I overcame it. Through this period from 40 to 46-47, who were you, and what is it that you did
Starting point is 01:44:19 that made you realize something had to change? so during that time period I was just very reactive to my environment I was just going with the flow I honestly was not as ambitious as I should have been and focused on my goals I was comfortable
Starting point is 01:44:48 I was comfortable and the unfortunate thing about the drink and fortunate thing too is it hit it hit a rock bottom point where I knew that it wasn't a matter of all right I got to pull back or how am I going to moderate and this and that it was more like I just need to stop I just need to stop and I need to redirect this tendency towards routine, this tendency, this sort of obsessive, compulsive thing of needing to do the same thing daily, just redirect it. How did you know you needed to stop? Oh, I knew that I needed to stop because my professional and personal life
Starting point is 01:45:34 basically imploded all because of my own actions. Now, for you, was it just a case of, right, I'm going to stop doing this? Or did you have to, did you go somewhere? Did you get support? Did you seek some counseling or anything like that? So I have been able to just make the hardcore commitment to stop and keep that commitment. And I've been able to redirect my ritualistic tendencies towards training and good nutrition. And I get a lot of questions.
Starting point is 01:46:07 Like every year I do a post on Instagram about how, okay, it's year six now. not a single drink. Here's what I've learned during that time. And then next month, actually on the 25th of August, that's going to be year seven. So I'm going to do the same thing. And so the question I always get is, so how do you stay abstinent? Like, what do you do to not slip up? And what I do is if I get kind of a craving or a nagging or a feeling,
Starting point is 01:46:43 like, oh, my God, I got to have some alcohol. Then I just sit back and I think through the scenario in my mind of me drinking to my degree of satisfaction, degree of, you know, S-facedness. And then I kind of picture that. And then I picture how it might last for an hour or two. And then after that hour or two, I may have made some really bad impressions on one or more people. After that hour or two, I may have plowed through the hot wings at 2, 3 a.m. And then after that, feel like hell the next morning, definitely can't work out that day. And then where did that get me?
Starting point is 01:47:30 And so I just go through that scenario in my mind. And then when I'm done going through that scenario, it takes like a minute. And I'm right back at where I need to be mind-frame-wise. the same could also apply that sort of visualization, that pre-mortem where you kind of play out the scenario and see what the consequence would be can also be applied to many things we're talking about today around diet and workouts and stuff like that, like playing it forward to see how you'll feel about it in the future and sort of visualising those consequences. Thank you for showing that. I think it's somewhat dovetailed into what we're talking about
Starting point is 01:48:08 changing your life and motivation and discipline, like how does change occur in people? you said, it's when it becomes a priority. And quite clearly in your life, it became a priority for a number of reasons. Quick one. I want to talk about something we all need to take seriously, which is cybersecurity. Whether you're a first-time founder facing your very first audit or a seasoned professional who's been through it all, staying compliant is getting more critical than ever and more complicated, I have to say. And that is where Vanta comes in, who is a sponsor of this podcast. Vanta takes the pain out of security compliance, automating the tedious but essential process of proving
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Starting point is 01:49:20 Electrolites are absolutely exploding at the moment. And it's for good reason. People are getting more and more into their health and fitness. And one of the things that I think we've recently discovered as a society is the profound impact that electrolytes have on hydration, but also the impact that hydration has on how you feel, how you perform, how you think. So, with all that in mind, and because I became quite obsessed with electrolytes, I decided that I was going to launch my own electrolytes company as you do. And as I was doing that, I spoke to my friend George Heaton. And I said, George, I'm launching this electrolytes business. Can you take a look at it? He said, Stephen, me and my friend Ross have already developed one and would love to show it to you.
Starting point is 01:49:53 And then they put me in this WhatsApp group and said, we're building a brand called Cadence. We haven't launched yet, but take a look. I took a look. I tried the cans. I tried the sachets, and I fell in love. So I shut down my own electrolytes company and took a stake in this one called Cadence, which has been by far in a way the best product in terms of taste, but also. also in terms of performance, 500 milligrams of sodium, 190 milligrams of potassium, 30 milligrams of magnesium, no sugar. Delicious taste. Give it a shot, go to usecadence.com,
Starting point is 01:50:26 and join what I believe to be is the fastest growing electrolytes company on planet Earth. Cheers. How do you feel about artificial sweetness? Are there any watchouts that we should be aware of? Generally speaking, they're a nothing burger. and there's a lot of scaremongering around artificial sweeteners. But there is one artificial sweetener that has a kind of a crappy track record for both impairing glucose control and also weight gain, and that's saccharin.
Starting point is 01:51:03 So saccharin is the one artificial sweetener that's kind of bombed out at the mom shelter there. as far as the literature is concerned. But the good news about saccharine, by the way, it's the little pink packet things, it's not really commercially pervasive. So it's not that popular anyway. No, it's almost commercially extinct. So the other sweeteners like sucralose, aspartame, stevia,
Starting point is 01:51:32 or some people call it stevia, they're all fair game. They're all in the same boat, all pretty dang innocuous. And you'd have to consume impossible amounts of those things to incur negative health effects and in a lifetime, really. Because some people have thought that they're potentially carcinogenic, these sort of artificial sweetness that you find in certain diet beverages. Yeah, no, that's definitely a leap. That's definitely a leap based on animal data and completely unrealistic doses and conditions that are irrelevant to human physiology. it's more dangerous stepping out and breathing in the city air basically what is the most important thing
Starting point is 01:52:16 we haven't talked about that we should have talked about alan for the people that are sat at home listening to this really damn good question okay so if we look at the things people care about that don't freaking matter in terms of diet they fixate on weird buzzwords like they fixate on And they don't even have to be weird words, but like sugar, for example, there has been such scaremongering around sugar to the point that people don't delineate between added sugars to the diet versus sugar that is intrinsic or naturally occurring in foods. For food. Things like fruit, fresh fruit.
Starting point is 01:52:59 And even milk has naturally occurring sugar in it, lactose, can be problematic for some of the population. But look at fresh fruit. I've actually heard people vilify fruit because it has sugar. And it's one thing to take an idea and put out a plausible claim. Okay, so yeah, it's got sugar. And then, you know, we all know that if you add a ton of sugar to the diet, you lower the quality of the diet,
Starting point is 01:53:30 and then you can push your bets towards negative health consequences down the line. Okay, that's fine. that's reasonable. But even though fruit has sugar, it also has a ton of other beneficial components to it. And it's in this low calorie, high water, high micronutrient density package that is satiating and displaces stomach space for otherwise junky foods that you may, that a lot of people would have consumed instead of that fruit. But beyond all that, that. Forget about all the reasoning and stuff. Let's look at the literature. Does fruit cause negative health consequences? Does it cause things like impaired blood glucose control? Does it cause
Starting point is 01:54:21 obesity? Does it cause weight gain? It does the opposite of all those things. Fresh fruit actually has been shown to improve glycemic control, improve body weight, improve body composition, and improve the protection against a range of cardiometabolic diseases. cancer. So it doesn't really matter what anybody says. We just have to face the evidence. There's something called the glycemic index that was big in the 80s and 90s and people were, it's kind of come back around again. Glycemic index. We've got to avoid the high glycemic index foods and things like that. And there's a couple of fruits that actually have a high glycemic index. That would be pineapples and watermelons.
Starting point is 01:55:04 Watermelons. Yeah. High on the GI scale. But the way that glycemic index, index is determined is you get 50 grams of carbohydrate from a given food, regardless of the amount that you have to eat, 50 grams of it, and then you measure its effect on your blood sugar levels for two hours after ingestion. It's going to say, because watermelon's seen as keto-friendly, which is, but it burn. Watermelons have what's called a low glycemic load, so they have a very low amount of carbohydrate per serving.
Starting point is 01:55:31 Yeah, per serving, yeah. Even though the carbohydrate itself, if you were to gather 50 grams of it, would have a a more pronounced effect on blood sugar elevations. And so they're, even though fruits, those fruits have a high GI and certain foods have a high GI, they have a low glycemic load. And ultimately, people need to stop, stop and think about things. Like the longest living populations on the planet do not avoid fruit. The fruit is a regular part of their intake.
Starting point is 01:56:04 What about the white stuff? the white sort of added sugar. Is it called refined sugar? Yeah, refiner we can call added sugar. What about the added sugar? Added sugar is problematic in two different ways, at least. So the first way is it's diluting the nutrient density of the diet. It's a phenomenon called micronutrient dilution when you have just a bunch of junk micronutrient-free calories in the diet.
Starting point is 01:56:32 The other way that it poses a problem is because of the, it is usually packaged with highly processed and engineered, refined carbohydrate, and fat combination foods. So your classic desserts, pastries, cookies, cakes, things like that. And so the sugar itself, if I were to just put up a jar of sugar in front of you and say, hey, I challenge you to not just spoon that in, you'll go, oh, no problem. You know, it's people paint sugar out to be this inherently evil thing, but the way that it gets into trouble is when it is a part of these hyper-palatable, highly processed, highly engineered dessert and snack foods. And so that is the main issue with added sugar.
Starting point is 01:57:24 And the various health organizations, I mentioned the Institute of Medicine or now the National Academy of Medicine saying, hey, we need to cut off our added sugars. 25% of the diet. There's the World Health Organization who presents the sort of the absolutely terrified version of that where they want people to max out their added sugar to 5% of the calories in the diet. But that's usually not realistic. And it gets a little bit extreme to the point of being pathological. So what would you say? About 10% of total calories max with added sugar. And that would fall kind of right into this discretionary caloric allotment of 10 to 20 percent of calories, kind of from whatever you want. And I would want to qualify that 10 to 20 percent margin by saying that if you're hypercaloric, in other words, if you're consuming
Starting point is 01:58:23 more calories than you're taking in, you're trying to gain weight or something like that, you probably want to keep your discretionary calorie allotment to 10 percent or your indulgence food to 10% rather than 20%. How many days a week do you go to the gym? Four to five. I'm just trying to confront this question mark in my head about if you go to the gym seven days a week, for example, is that not giving your body enough time to rest? But I guess it depends what you're doing there and how hard you're working.
Starting point is 01:58:50 Yeah, and a great example of that is total sets per week. Okay. You know, like you can cram, let's imagine for a given muscle group, you do like nine sets a week or 10 sets a week. You could probably get those in in a single session, but it's more productive to probably spread it out over at least two days. How long does it take for me to start to lose muscle? Oh, man.
Starting point is 01:59:17 Okay, that is a good question and a tough one. So muscle loss happens very rapidly in bedridden individuals. So lean mass, especially critically ill folks, oh man, goes really fast. contrast that with you taking a week off or even two weeks off but it's more of like an active rest where you're not just merely sitting around you could probably go a couple weeks before you start noticing material drops in strength and fitness uh three weeks yeah you'll definitely i think you'll definitely feel that
Starting point is 02:00:01 And do I need to work out till failure in terms of resistance training and, like, you know, bicep curls, whatever, in order to get gains? Do I need to be going all the way until I can't curl it anymore? It depends on the goal. You mentioned that your goal was to gain muscle. Yeah. So in reality, and this question is surprisingly more complex than you might hope it's going to be. But, okay, when people try to train to failure, and this has been tested out in the research literature, they usually automatically leave one to two reps in the tank, even three reps in the tank, and even trained, even resistance trained subjects.
Starting point is 02:00:49 When you tell them to train a failure or leave one rep in reserve, they'll routinely leave actually two to three reps in reserve. So people underestimate their abilities to push. They usually, it's almost an automatic margin there that the body sort of regulates and governs and sort of automatically prevents you from going. So with that said, I think that most people can train to failure without worrying about whether they're violating the golden guidelines seen in the literature. It's very common for the consensus in the exercise science community, even in the hypertrophy folks to say, yeah, leave one to two reps in reserve. I think that depends on the exercise.
Starting point is 02:01:42 So you'd be kind of a fool to be doing lateral raises to think that you can't do partials for lateral raises and still get some benefit out of it. And you'd be kind of a fool to think, yeah, I'm going to do. concentration curls here i'm going to leave uh one to two reps in reserve no that's different on the other hand deadlifting benching squatting these sort of a free weight barbell multi-joint types of movements oh they're they're more conducive to leaving one to two reps in the tank but for single joint isolation exercises and even machine exercises and lighter loads where it's safe take it to failure man tradition on this podcast where the last guest leaves a question for the next not knowing who they're leaving it for and the question left for you is how does nature impact on your life
Starting point is 02:02:35 it has quite a big impact um yeah it has an impact and and obviously the environment is important i'm wondering through the lens of what you do in terms of you know you know mindset and health and psych you know these kinds of things if you think much about being outside versus being inside. You know, I've even read some interesting studies around people that run outside versus on a treadmill have more sort of have cognitive benefits because the brain is stimulated more. I think that there's a good amount of literature on the psychological benefits of just being in nature or even getting some sun.
Starting point is 02:03:27 And I think that there's epidemiological, like population-based data showing that marine communities tend to be the longevity champs. Marine, what does that mean? Communities that live by the ocean are close to the ocean. And... Probably that all that omega-3, they're eating from the fish. And that factors in as well, for sure. But just the kind of almost the metaphysical effective
Starting point is 02:03:53 going to the beach, you know, that's got to play it. And so, yeah, I think it definitely has an effect, and I think that there are data that we can point to this as it does. Alan, where should people go right now if they want to learn more from you? Where is the best place to follow you for more information as you continue to investigate and educate on the science of all of the things we've talked about today? My website is Alanaragon.com.
Starting point is 02:04:21 That's the hub of everything. And maybe my most active social media platform is Instagram. So that is at the Alan Aragon. And this book I have in front of me, when did you write this book? I wrote that thing from, well, it includes the 30 years of experience that I was talking about earlier. So I've just crammed the 30 years into there. But the actual writing of that took from about 2020, all the way to 2022.
Starting point is 02:04:55 It took about two years. So first published in 2022, and it's really like a Bible. That's kind of the way I describe it. It has everything in it from... What I love about it is you have all these pictures as well. I'm glad you like it. Well, I mean, it's like, it's, dare I say,
Starting point is 02:05:10 it's quite like a nice accessible textbook. Well, there's been a couple of professors who've adopted it and made it a part of their curriculum. Yeah. Interesting. Doesn't surprise me. Hunter Waldman is one of them. Yeah.
Starting point is 02:05:28 Thank you so much, Alan. Thank you for doing what you do. People love your message because it's so demystifying in a world that is increasingly mystified by lots of information from lots of different people. So please do continue to do what you're doing. And I'm rooting for you in this new season of life where you're going to get even closer to patients once again and clients once again and be even more hands on with your community. So I highly recommend everybody goes and follows you on Instagram to keep track of how they can join your community
Starting point is 02:05:53 and be one of those people that you directly impact with your work. And yeah, I'm going to subscribe to your review so that I can stay ahead of all of the scientific literature as and when it comes out, because for me it is quite demystifying, but you're one of the great voices in this space of simplification and understanding, so I applaud you for that. I think it's all learnable, it's all teachable, but thank you so much for the opportunity to be on this show. This is huge, and thank you all for tuning in.
Starting point is 02:06:23 Thank you. We're done.

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