The Skinny Confidential Him & Her Podcast - Dr. Gabrielle Lyon On Reaching Your Body Goals, The Truth About GLP-1's, & The Under Muscled Crisis

Episode Date: February 9, 2026

#938: Join us as we sit down with Dr. Gabrielle Lyon – board-certified, fellowship-trained physician, New York Times bestselling author & founder of Muscle-Centric Medicine®. After years of clinical practice, Dr. Gabrielle Lyon identified a revolutionary pattern: her patients weren't suffering from excess fat – they were undermuscled. This critical insight changed everything. In this episode, Dr. Gabrielle gets real about the role of protein, the truth about organ meats in nutrition, the benefits & risks of semaglutide, how to strategically use GLP-1's, the importance of building a strong skeletal muscle system at every age, & insights from her latest book, The Forever Strong Playbook.    To Watch the Show click HERE   For Detailed Show Notes visit TSCPODCAST.COM   To connect with Dr. Gabrielle Lyon click HERE   To connect with Lauryn Bosstick click HERE   To connect with Michael Bosstick click HERE   Read More on The Skinny Confidential HERE   Head to our ShopMy page HERE and LTK page HERE to find all of the products mentioned in each episode.   Get your burning questions featured on the show! Leave the Him & Her Show a voicemail at [phone].   To learn more about Dr. Gabrielle Lyon visit https://drgabriellelyon.com.   This episode is sponsored by The Skinny Confidential The beauty tool that started it all, redesigned to evolve with you. Shop Ice Roller at https://bit.ly/IceRollerSilver.   This episode is sponsored by HERS Check out http://Forhers.com to learn more.   This episode is sponsored by Cozy Earth  Head to http://cozyearth.com and use my code SKINNY for up to 20% off.    This episode is sponsored by BetterHelp Sign up and get 10% off at http://BetterHelp.com/skinny.   This episode is sponsored by The RealReal Get $25 off your first purchase when you go to http://TheRealReal.com/skinny.    This episode is sponsored by Just Thrive Get your health in check and save 20% on your first order at https://justthrivehealth.com/SKINNY with code SKINNY.   This episode is sponsored by Hiya Health Go to http://hiyahealth.com/SKINNY and get your kids the full-body nourishment they need to grow into healthy adults.   This episode is sponsored by IQBAR Text SKINNY to 64000 to get 20% off all IQBAR products, plus FREE shipping. Message and data rates may apply.   Produced by Dear Media

The following podcast is a dear media production. She's a lifestyle blogger extraordinaire. Fantastic. And he's a serial entrepreneur. A very smart cookie. And now Lauren Everts and Michael Bostic are bringing you along for the ride. Get ready for some major realness. Welcome to the skinny confidential, him and her.

Aha. Something that is really interesting about Dr. Gabrielle is that she identified a problem. A long time ago, she noticed her patients weren't suffering from excess fat. They were undermuscled. In this episode, you can expect to learn all about the role of protein. We talk organ meats. We talk semi-glutide. We talk how to strategically use GLP-1s.

And of course, the importance of building a strong skeletal muscle system. Dr. Gabrielle, welcome back to the show. This is the skinny confidential, him and her. We have the person who is maybe responsible she can tell us for changing the food pyramid. That is a flex, like over cocktails at dinner to be like, I change the motherfucking food pyramid. Tell us about this. Okay. First of all, it's a collective effort, right?

These dietary guideline changes, which are tremendous is a collective effort. Okay. Now, I've been teaching about protein. For the last, how long have we known each other? Forever since we've met you. With women specifically, too, I feel like. For the last I've been studying it for over 20 years and then really talking about it over the last 10.

Now you have to understand this information is informed by some of the world leading protein experts and there's probably, I don't know, a handful of them, maybe four. One of them happens to have been and is my mentor, Dr. Donald Lehman. So as the committee was coming together, there was nine individuals on the committee, They had individuals for protein, for fat, for processed foods. I worked very hard to be able to help visibility and positioning for Dr. Donald Lehman. And he is on the guidelines. And he wrote the protein section of the dietary guidelines with his colleague.

So wait. So what was the pyramid to start with and how have you changed it? It was like all upside down. It was like all sorts of breads and grains and carbs and like not like meat was like a very small portion at the top. So what did you do? Well, educated about protein and then was able to position some of these world-class scientists, specifically Don Lehman, to be able to be involved. Because here's the thing. And I think that you can appreciate this with the velocity of social media, information spreads so fast. Doesn't matter if it's right. Doesn't matter if it's wrong.

for example, Dr. Atkins, you've heard about the Atkins diet, Dr. Atkins spent a career, 40 years of a career, to be able to push through to the mainstream. Okay, 40 years. Now, someone could go on TikTok, and in three days, if they have millions of followers, that now becomes the new fad. And there's very little differentiation between truth and fiction.

Why do I say that? Because there are career scientists, and most of the career scientists shy away from social media, they are doing the work, they don't have a bridge to be able to get their science out there, and that's part of the challenge. So I would say one of my primary roles was educating, but also being able to close the gap between career scientists and those that are involved in spreading the message and those involved in being able to get it out there. Can you tell by looking at someone if they're getting enough protein?

You may. Again, this is not science, but some of the things when I think about someone who isn't getting enough protein, and you both have seen this, maybe their hair is really brittle, their skin isn't very bright, maybe it's dry. Sometimes you might see vitamin B deficiencies. You see it around their mouth, this kind of peri orbital dermatitis. Probably over time, sarcopenia, decrease in muscle mass. How much protein should women get every single day and why is it so important to get that protein every day?

Women should not get less than 100 grams of protein a day. Below that, you are at risk. You are at risk for being able to, number one, age optimally. But also, what about recovery and repair? Yeah, that is the bare minimum. And frankly, we've now been able to change that in the conversation. What does that look like to you 100 grams when someone comes to you and they feel overwhelmed? If someone's listening, what is 100 grams like quick?

Easy. Okay. Let's break it out into how about two meals a day. Okay. Two meals a day. First meal, we'll call it a meal, busy mom running around crazy, have a protein shake and maybe two eggs. A 25 to 50 gram protein shake, you're set. That first meal, now you're 50% there.

So two eggs is, just so I'm clear, 12 grams, and then 50 grams of protein is two scoops, and you like weigh, I'm assuming. Way, okay? Yes, if someone doesn't want way, there's other options, these rice pea blends. Again, it's all about the amino acids, but if someone is going to want to set their body up for metabolic success and also decrease their hunger, the first meal, I would argue, is the most important. That first meal the day, and it doesn't have to be at 8 a.m. But that first meal, and maybe it's a. 25 gram protein shake and then an extra little added protein. Maybe it's a Greek yogurt too. Before lifting or after lifting? Doesn't matter. Before coffee or after coffee? Well, coffee always comes first. I mean, we can agree on that. I'm just wondering if maybe you have to have it before.

And then let's finish with what the other meal is because you only gave one meal. First off, I don't care when someone has coffee. Personally, I need a caffeine IV to get ready. I mean the joke is I can drink enough caffeine to kill draft horse. Not funny, but true. Okay. The issue about protein and training, it doesn't really matter. As long as you're getting it in, I know that there's a lot of conversation around that. But if we were to look at the science, it's really that protein in a 24-hour period, whether you want to have protein before you train or you want to have it after, as long as you're getting it in, this is most ideal. Okay, and what's the other meal that you're having that's going to give you the 50 grams? If you don't eat a lot,

that last meal before you go into an overnight fast before you go to bed is critical. Because think about it. When you're sleeping, hopefully you're not eating and your body is in this catabolic state. It's breaking down. That last meal before you go to bed is arguably almost just as important. So I would say the first meal and then that last meal. And really getting that between 30 and 50 grams of protein is what you want to be targeting. And that could be steak. Maybe it's a five-ounce steak. Maybe it's a bigger piece of salmon or some kind of protein. The way I like to think about it, and this is exactly why I wrote that playbook. Just so you know, how do we take the science and make it very applicable. If you think about a plate, one-third should be high-quality protein. One-third of that plate

should be fruits and vegetables. And then one third of that plate can be starchy carbs if you're training. Super easy. Yeah, I think like the, it's funny because we joke on the podcast. Like a lot of, I grew up training and doing weight training.

And it's like, as a guy in the gym trying to build muscle, you knew, like, you learn about these things really early. Like if you're hungry and you're going to grab stuff to crash and, like, kind of have that junk, if you eat a bunch of protein or drink a protein shape before, you don't want the junkie stuff after

because you get satiated. We've talked about it on the podcast. So I think like, you know, people, if they're not eating enough protein, you reach for those starch or things or those sugars or those bad foods where in the reverse, if you're getting a bunch of protein, you actually don't want those things, which is why when we go to dinner, you're saying, why don't you want the dessert or this or that? I was like, well, I already just had a shitload of protein. Like my body just doesn't want that stuff.

What you just talked about is the protein leverage hypothesis. And the protein leverage hypothesis is this idea that we dilute our calories by eating a bunch of carbohydrates and processed foods, in essence, to try to get a lot of. that protein need met. Dietary protein and protein is the most essential macronutrient. You need more of it as you age. You cannot make it. You must get it from the diet. You have to get that piece right. Otherwise, your body has somewhat of an inherent knowing. I'm sure you've heard people say, oh, I'm just craving a steak or I'm just craving, fill it in. Your body requires those essential amino acids for a number of things, not just muscle, but think about gut health.

Your body requires threanine, which is an essential amino acid for musin production for the gut. But if we focus on the needs of muscle and you hit the targets of muscle, everything else falls into place. And when you think about satiety, which is what you were saying, GLP-1s are hot topic. Dietary protein at around 30 grams generates a hormone-religious. a gut peptide hormone release, and one of those is JLP1. For the last 50 years, the conversation has been all about obesity. The obesity epidemic, this obesity crisis, it's been all about what we have to lose, never

about skeletal muscle as an organ system about what we have to gain. It is an organ system, just like the heart is part of the cardiovascular system, skeletal muscle beyond aesthetics, beyond mobility. and strength and all these other aspects, it is our focal component for health and wellness and for aging well, we have to have healthy skeletal muscle.

And if we reprioritize the conversation based on something we have to gain versus something we have to lose, we can very proactively begin to solve these conversations and these problems. And then one last thing on that, what about our children? One third of children

are either pre-diagnation, diabetic, I mean, that's a third of our children. It's horrendous. I'd much rather teach them to have good standards now than try to break old behaviors later on. I'm a big organ meat fan. What is your feelings on that? Very nutrient dense. I think, I think it's such a beauty hack that people have not tapped into. I swear it's grown my hair. I used to have extensions. short, blonde, fried hair. It's grown my hair. I think it's helped with my skin, my energy. I ate organs while I was pregnant. I love them, but people tend to be like, I think it's intense. But what is your opinion? Organ meats are amazing. In the U.S., we typically just eat muscle meat.

And I hate to say these things, I don't want to gross anyone out, but... Gross this out. Yes, I am so sorry. Skeletal muscle, is one form of protein, but organ meats that are high in all the fat-soluble vitamins and iron, they are, it's like the ultimate multivitamin. My friend Jessica is making me a heart for Valentine's Day. What kind of animal? I think it's a heart, I want to say deer or elk. But she's bringing me a heart.

And we're going to eat hearts together. Michael's like, I'm totally not going to be in the office. No, she's going to make you eat one, I think. I think she's going to make you eat one, just so you know. I mean, like my brain immediately with all this stuff, it just goes to, like, all the things that were consistently trying to supplement for, all these supplements we're buying off the shelves to try to get these things. Nature provides all of these things in these forms, right? I think we've largely gotten away. I mean, if you would have gone to someone 200 years ago and told them, hey, you're eating, like, they would look at you strangely if you were like, I throw that away or I don't eat that.

Right? That's a lot of, a lot of. A lot of cultures would hunt and look specifically for those organs because they knew what the benefits were. Is there an organ that you like the best or is it not matter? The liver. The liver. Yeah. I think that's my favorite too.

The liver. Heart's a little, I gotta think about the heart. No, she's gonna eat it. I'll eat it probably. Hope Q10. It has, I mean, it does have great nutrients, but the liver, again, it has all of those fat, soluble vitamins. In our practice, I still see patients, in our practice, if we see a woman that has a lot of low iron. One of the things that we recommend for her is eating liver. But only once a week, right?

Yeah. Okay. Because you don't want to eat too much. That's right. Switching to your practice a little bit because you still do see patients. What is a common denominator you're seeing with most new patients that, not existing patients, but new patients that come to you and say, okay, I want to like, I want to figure my life out. What are the things you're seeing? Well, from a medical perspective, definitely body composition. With the increased use of GLP-1s, we are now able to treat. obesity, but we're swapping the obesity epidemic for an epidemic of sarcopenia. It's really two sides to the same coin. And then when people come off these GLP-1s, they are now smaller, they put the weight back on, and they've lost more muscle. Obesity to sarcopenia, for sure.

And that is definitely something that we see. And really focusing on treating skeletal muscle, being able to rebuild their body composition is huge. I mean, we see a whole. whole bunch of other things. But as I begin to think about what is probably one of the things that we're seeing with the biggest shift, and it's with the use of GLP ones. What about deficiencies? What are most people deficient in when they first come to see you? Women typically iron. We see a lot of iron deficiency. And iron deficiency isn't just diet. For example, if someone has a parasite, one of the most common causes of anemia worldwide is hookworm, or some kind of helmet infection. Is anyone?

in your opinion using GLP1 strategically because we've heard so many different things on this show. Is there a way to use it in a way that makes sense? We use it all the time in clinical practice. Okay. And what do you recommend if someone wants to use it? Well, it depends on what they need, meaning are we treating someone for type 2 diabetes or obesity or are there various other off-label uses? For example, perhaps this individual has inflammation or even this. How about this? We were talking about this before. When I was in residency, I was probably 35 pounds heavier than I am now. I showed Lauren a picture. It's unrecognizable.

And I'm a very small person, maybe 110 pounds. And at the time, I was using food to really self-medicate. I was up for 24 hours. I'm on call. I'm eating the gram crackers at the nursing station. I couldn't regulate my intake. I was so stressed. And again, the criteria for the use of GLP-1s, everyone has their opinion. There's the clinical, the guidelines of how overweight someone would be or the use with type-2 diabetes. But what about the person that is maybe 10 to 35 pounds overweight and wouldn't necessarily count as suffering from obesity should they be allowed to use it? And had I had access to it then, it probably would have changed the trajectory of the next three years. In a positive way.

Yes. But how do you mitigate that? You train. You train. So you're telling people, let's say there's a client that you have, you can use a GLP1, but you have to train and eat protein. You have to get the lifestyle composition stuff right. If that is not right, you're going to circle the drain, realistically. Fast forward for someone that gets into later years and has sarcopena, like what ends up happening to those people?

Sarcopena, we've seen what that looks like to frame it out for the viewer or the listener. It's kind of that more frail person. You've seen perhaps your grandparents all of a sudden get thinner and smaller and almost disappear. That's what I think about when I see sarcopenia. That's when you hear those stories of, you know, an elderly person falling and breaking their head and then dying and they're going to recover. That's exactly right. They don't have the muscle to protect them. Yes.

The primary way to prevent against that is training, is really resistance training. There's no way around it. People will say, well, I walk and isn't that great. Yes, it's great. Pilates, is it great? Yes. However, I think if we know that there is this aging phenomenon, skeletal muscle changes. That tissue changes.

The best way to build it and maintain it is to add in resistance training. There's a million different ways to get it right. but there's only one way to get it wrong. We were in the, we were traveling the other day, and I slipped when I got out of the shower, embarrassingly enough. It's not funny. I'm not trying to allow.

It's out of control. I slipped. It's like living with a geriatric. I fall in and I can't get up. I slipped and fell. If somebody would have seen me in this position, it would have been humiliating. Never, like, we would never see me in this position.

But I landed and I thought to myself, I'm like, this is what happens to people. And if you don't have muscle to protect, You break a bone, you can't get up, you can't catch yourself, or you take a fall that you just can't recover. I think that's a common story. And it sounds like, oh, that wouldn't happen to me. But we all know of elderly people that fall and die, go into a home, whatever. And I think like that, after having that, I'm like, oh, shit, this is, it can happen easier than you think.

And you guys are fit and young. We're using JLP ones now, which, by the way, I'm in full support. But what does the data show in terms of weight loss? people can lose 14%, 24% their body weight. It's not all fat. You accelerate the loss of muscle. And GLP-1s, I think we're going to find that they're actually good for muscle. Because part of muscle we're talking about, it's not just how much, but it's also the health and the quality of that tissue.

GLP-1s, I think, help improve the quality when combined with resistance training. There's something called IMAT. I don't know if you've heard of it. it's intermuscular adipose tissue. Now, if you think back to the steak, it's like a filet versus a waggo. You want your muscle to look like a filet rather than a waggou steak. And I think that this is really part of what drives metabolic disease, insulin resistance, diabetes, cardiovascular disease that we're not looking at. We're not actually looking at the quality of the muscle tissue.

And I think that GLP-1s are going to show and prove. to support muscle health in that way by reducing that fat in the muscle. Now, this acceleration of aging, I think, is really important because the listener or viewers probably thinking, well, JLP1, this is so amazing. And I would say yes. However, because it allows for such significant weight loss, if you do not protect muscle, then you might not have to be geriatric to fall and break a hip. it can happen. I do believe that we are at the precipice of a different kind of epidemic that we've never been before because we've never had access to these medications in the same way.

You are so right about this. I'm starting to see it in young women who are using GLP ones and not lifting weights and using protein. It's a look like they've lost a lot of weight. I think that's what I'm seeing. Yes. It's a different epidemic. It's like everyone got so thin, but then they're not putting on the muscle. Imagine if you've never been taught about proper protein intake, and then you've definitely never been taught about weightlifting and putting on muscle, and then you get access to these tools and you drop all this weight. That's a really hard deficit to come back from because all of a sudden you've lost all this weight, all this muscle, you don't understand protein intake, and then you also don't know how to weight lift. The deck is now stacked against you. And then what about bone density? And this is where I think that we're really in for trouble. low bone mass, one of the indicators, perhaps meaning how could you identify it early, is low muscle mass. And if we accelerate the loss of muscle and we decrease our high quality protein intake and perhaps these people are not training, we are going to see an increase in osteoporosis and osteopenia that we have never seen before.

Again, we are now entering a new landscape. And that's why I'm really happy about these new food guide pyramid, this new food guide pyramid is, and people have all sorts of opinions about it. Oh, yeah. But you cannot argue that whole high quality foods are important. And here's who it affects. The food guide pyramid, here's who it affects, or these dietary guidelines. It affects any institution that receives federal funding. Because they were receiving funding for a faulty food pyramid.

Right. Military, schools. nursing homes. Their decisions are informed by the dietary guidelines. Wow. No more meatless Monday, friends. All right. As women, we're often told to listen to our bodies, but too often we're left without the information to actually understand them. Knowing what's going on inside your body matters, especially when reassurance alone isn't enough. So enter hers. I have told you guys about hers, but if you're unfamiliar, hers is rethinking the outdated healthcare system to finally give women what they deserve. Care that's convenient, supportive, and built around their real needs. Everything is

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with comfort that makes the little moments count.cozyEarth.com. This episode is sponsored by Better Help. February's here, Valentine's is upon us, and here's the thing. Sometimes it can feel like everyone else has it all together in their love's life, whether married, dating, or single. But the truth is, most of us are all just still figuring it out. I know I am constantly just figuring it out. Don't tell my wife, Lauren. But no matter where you are on your romantic journey, therapy can help you find your way. I think this is so important as we get older, as we start taking dating more seriously as we're in intimate relationships and serious relationships. Therapy can help everyone be the best version of themselves and set them up to also have great relationships. We've had so many high

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I'm not, I'm just making a commentary on the things that we've learned to feed our children ourselves over years of doing the show and taking care of ourselves, like I look at that food that's in that school cafeteria. There's no way my child can eat that stuff. Like there's no way I would feed them that stuff in my own home. But to your point, the schools are being funded in that way, and that's the kind of food that they can then provide from that funding. And they have to comply.

With this shift in the dietary guidelines, again, we have to build stronger, more resilient humans. And that starts with ourselves, but really are children. And with these new changes, it reprioritizes health as opposed to thinking about just preventing deficiencies. And what becomes even more critical, when we're young, we're shaped by our environment, by what we think. I don't want my son to spend 40 years trying to unlearn poor eating behaviors because that's what he was exposed to. This is a real opportunity. I mean, think about crazy it is. Back in the day, you go to the hospital for some sickness or illness, and they would give you, like, a huge thing of jello.

It's still happening. They still do that. So it's still happening. It's like, let me give you a giant gelatin sugar bomb while you're fighting some sickness or disease. That should only happen on spring break. But that's like, but that's like, I want my jello in a shot. But it's crazy if you think about it. I mean, I remember going and I'd visit like my grandparents in the hospital as they got older and they'd be like, they'd be like whipped cream with jello. And I'm like, as a kid, you're excited. But when you think about it, no. And I mean, as a kid, you're excited. But when you think about it. I can't believe that's the things that you're feeding to people when they're ill. Are you raw dogging? What's that? It says right here that you're doing device-free walks. The new name for that.

I don't think you understand. Have you guys not seen Paul Saladino's raw-dogging? Raw-dogging is when- Hold on. We have to. We have to redefine these years. No, raw-dogging has been redefined by Paul Saladino. He talks about it.

I don't know if you could just redefine raw-dying. All over the internet. I'm with Michael. You sit without any devices and you just sit. And you sit in nature and you take it in. There was a trend where these guys would get on a flight and be like, I'm raw dogging the flight. Again, you're saying that. Definitely not parents.

What does raw dogging mean again? Raw dogging means like you're going in without any protection in a sexual connotation. Yeah, you know what I mean. Like wink, wink. It's changed now. The name's changed. Yeah. But they're now saying like in this context, raw dogging a flight is like you sit there.

No book, no music, no materials. That sounds like a dream, do you mean? It's like meditated. I just sign me up. I'm ready to come on an airplane. So that's why it says on my notes that you love device free walks. That's raw dogging your walk. Okay.

Do it post on this. It's going to go viral. You should say, I'm raw dogging. Are you? Hi, I'm Dr. Gabrielle-Lahens. And you know, your wife is a genius. Yeah. The content will get attention.

Here is the reality. We are always looking for comfort. We have a culture defined on seeking more comfort. Yep. As opposed to seeking more friction. When we seek friction, why does this even matter? I do think that we have to become a bit tougher. How do we do that?

You have to practice it. You have to raw dog. I cannot believe I'm saying that. Yes, if my mom listens to this, she can die. But we create more friction through our environment and our behaviors. How can you do that? Raw dogging would be a way for many people to create friction. And I put this where this came from is this playbook.

The Forever Strong Playbook shows you ways and highlights ways to actually make your life harder, not easier. Like what? Raw dogging. Okay. Having conversation with someone that you don't want to have and that's difficult. Ooh. Deciding that you, instead of having any kind of packaged food, just you pick it, you create

something where let's say you can't use the microwave or anything else. You have to prepare. Again, that's kind of like a whatever one. But what about this morning getting in a freezing cold, cold plunge when it was freezing out? Yes. That was uncomfortable. That's another one. Flipping a coin, I see you like coffee, flipping a coin.

Heads you get to go into that coffee store and actually buy the coffee tails, you don't. Okay. Training without music. I love training without music. You do? Well, you do have a kid. I mean, I understand. Oh, it's kind of meditative.

No, she, you would not like lifting with Lauren. She puts on like Basanova. And then we have to go deadlift. I don't want to listen to shove it up the ass music. I don't know what kind of music you're listening to. Raw dog and shove it up the ad. This is a lot here, no, Lauren.

There's sometimes the gym has like intense music that's so gnarly. It is. I'm trying to get my cortisol down while I left. Let me share with you how one way that my husband creates friction. And I cover this in the playbook. There's emotional friction.

There's mental friction. There's physical friction. We have to invite these things. in. Yes, a cold shower, yes, a ice plunge, yes to all the physical. Now, here's another level. Okay. We live in Texas, and Texas storms are something else. Right. And four in the morning, my husband is making so much noise. He's waking me up. He's waking the kids up. And I'm like, what are you doing? He's like, well, honey, I got to get ready to go to work. I'm like, sweetie, you don't wake up for another hour. What are you doing? He said, well, I committed to myself.

I run to work every day. Oh, God. I said, that's great, but it's like a monsoon outside. He said, well, what kind of man would I be if I only committed to my standards when it was easy? Hold on, but I have a couple questions for your husband. Why does the whole house have to wake up with this monsoon run? I agree with you because he in and he's up. He's a monsoon.

We need to know that we're up. We need people to know that we're up. I don't understand that. However, what he was doing, I thought, was amazing. The reason he had to go so early is because he had to wrap the gear in waterproof stuff, know that he has enough time to change and have it showered and have it all together. So he had to go there an extra hour early. To me, this is friction and annoying.

And again, what does this do? It creates capacity. It's making the commitment even though, but especially when it's not easy. Especially when it's not easy. And when we start to learn how to do that, it's the same as going to the gym. It's just a different kind of workout. So the theory is when you just sit in silence and you do nothing and just look at nature, that's creating friction.

For some people. I had a former business partner. I know. I'm like, I'm like, sign me up to that's life. I was younger in my career and we were working on something and like anything that anyone, like anything you do that's worth doing is hard.

It's not easy, right? And I remember I complained to her and I said, oh, my God, this is so hard. And she looked at me. She's like, yeah, of course it's hard. Like, what are you winding about? Like, why do you expect to get these great results? without it being hard. And I think to your point, we live in a time when we think that comfort should be the default, right? And whenever we get out of that comfort zone, we're like, well, something's

wrong. I actually like tend to disagree and say, like, if you're comfortable, that's when things might be a little bit wrong. Your theory is to do the hard thing. It will increase your strength, capacity, and resilience. So you want us to pick the hard thing. If you do the hard thing, if you do the hard now, life will be easier. How do you apply that to your own life? Give us tactical tips. Okay. I set standards for myself. Okay. I set training standards, nutrition standards, time standards with my family and with my friends, and within my profession. Meaning it doesn't matter if I've been working, I don't know, three weeks straight. If I set a standard for what I'm going to execute on, I do it. I don't go based on my feelings. For example, it's been a very busy season with this book and I have two kids. I purposefully don't have full-time childcare and I also have a man-child who's in surgical residency. He's in his third year of surgical residency in a second career. I still keep up my commitments to training. It's four days a week no matter what. It doesn't matter if

I was up because Shane is kicking me in the morning because it's four in the morning or our son is still sleeping with us. It doesn't matter. I'm still executing on these standards that I set for myself. And also nutrition standards and picking at least one extra hard thing to do a day. Doesn't matter. Like give me an example of a hard thing. Like I said, it's been a very busy season. I don't want to spend an extra hour at night reading.

reading data and research. I want to just chill and watch Landman. But I don't. I finish what I need to do. It would be so much easier. It's extra reading. I committed to extra reading. I don't have to do that.

I just want to go to bed instead of stay up until one. And then wake up at six. This is why they say life is choices, though. Yeah. Because doing the hard thing ends up making your life easier. It's so interesting, isn't it? The easy choice at first makes your life harder in the long run. It's much easier to max out your credit cards and not save anything and get instant gratification than it is to be disciplined, live a little bit less than you'd like to and set the money aside for a reign to do it.

But it's easier to spend the money and to not save. I think that you guys could probably relate to this is when you live a life that you're constantly creating hard things, then you have to become creating. at pushing yourself. Comfort kills and you have to always be cultivating that capacity in some way or another. One of the things that I have seen with within my own practice with other patients and also my friends is they're always pushing and that becomes the normal. It's a default. It's a default to always push and you have to really ask yourself, am I really challenging myself? Because you become good at doing hard things. It's also hard to sometimes when you like to push to understand that maybe other people don't like to push.

That's been hard for me to understand that like I can't control how hard other people want to push. I can just be a good example as best I can. And if, you know, friends or family want to push that hard, it's up to them. It's not up to me projecting my opinion onto them. That's been difficult for me. I'm sure you can relate. You've seen this art. There's an article that came out that I'm, I'm, I apologize to the writer, because I can't remember who wrote it, but it's going crazy on X right now, but it's like 41 million views. And the article is about how to change your life in a day. And it's a really long article. People can probably search it and find it because it's, you know, it's being received very well. But one of the things in the article is that it's talking about goals for the year. And it says, well, the problem is, is like the speaker or the author or the bodybuilder or the CEO. They don't like set a goal and then have to amp themselves up. to get there. They become that person ahead of time and they do things that an individual that would be

in that position would do regularly. Like, meaning like they don't just like sprint towards losing 30 pounds and then stop and go back. It's like they change their whole way of life and there's choose like that that's the new default state for them, right? Like that might mean they're getting upro. That might mean they're training four days a week. That might mean they're reading extra at night. But it like becomes who you are. It's not like something you move in and out of in order to make these changes and achieve these kind of goals that we want and we tell ourselves we want, you literally have to change your default state and become somebody who just does those things. It is a good point. And in order to do that, you have to be really discerning. Right now, we live in a world of distraction. And it's very easy

to become distracted. Distracted by our own thoughts that don't matter. Distracted by the phone that beeps, you name it, distraction is everywhere. The people that become really successful, and I don't mean just monetarily successful. I would say even health-wise, those that are able to manage their discernment. It's the most important thing to be able to manage your attention and where your attention goes.

It's almost probably, you're right, and nowadays, because it's so distracting and it's so loud, if you can manage your attention and put it on the right things, that is a big hack to becoming successful. And it's hard. You know what helps me?

bite size amounts. So I used to think if I wanted to write a book, I had to sit down for seven hours a day and write a book. What I've realized, and you could tell us, is to write a book,

it's actually 45 minutes a day every day. And you show up. And it's kind of like training. It's like reps. And you just keep showing up even when you don't want to and 45 minutes doesn't feel as overwhelming as seven hours.

The bite size bits add up. Consistency. Is that how you approach this? Were you someone who sat down to digital at once? It depends on what was happening. Yeah. But I was very structured. Yeah.

And I need more than 45 minutes for me personally because for the first 45 minutes, I'm bitching and complaining in my mind about sitting down to write the book. Before I have to go train on Monday by Sunday night, I'm bitching and complaining about it. But I expect that. I'm very well prepared for my own human weakness. I tend to work in chunks, typically between one to three hour chunks. Okay. So is that how, that's how you approach the book? You would work from one to three hours a day. Well, this book was the book I originally wanted to write. And as you guys know, pretty much that first book has to be what the publishers want or your main message. But I wrote the playbook because people need a tactical field manual. Yeah. And I was sitting there thinking. They want the details from you. Yeah. And also I was thinking, why are there so many health and wellness books? It's either health and wellness books, it's either health and wellness books over

here and then mindset books over here. But the reality is you have to get the mind piece right to be able to take the next right step. There's a gap between interest being interested and then taking action. What are some red flags of people that you work with that you see need a shift and what are the shifts that you recommend? It's very hard to teach someone if their mind is already made up. Yeah. That's great. Yeah. If they come to me and they sit down and they say, I am sick, I'm never going to get better. I'm always going to have this chronic fatigue, X, Y, and Z, they've already made up their mind. Yeah. So do you try to go back at that or do you just say, you know, what you've made up your mind and this is what, this is the narrative? I will stop at nothing to get them better. So you say like, let's change your mindset? Maybe not directly. Yes, I will. But typically, The most effective changes come from something internal. And rather than telling them to do it, how do I help lead them into a reorientation to a different belief system?

Because typically it's just habit. What we're thinking, it's just habit. We don't reevaluate those thoughts in a moment, but you can. Speaking of hard things, this is going to get the men, and maybe some of the women's attention, erectile dysfunction, low muscle quality. Yeah. You've talked about it. Wait, so people can't get a boner if they don't have muscle?

40% of men by the age of 40 have erectile dysfunction. 40%. Wow. 50% of men by the age 50 have erectile dysfunction. So they're on Viagra? No, maybe. She's saying that you will have erectile dysfunction by that. 50% of men by the time they hit 50 have erectile dysfunction.

Wow. And you're saying that's linked to low muscle quality. I was senior author on a paper. I don't know if you know this, but I still do. do research. I see patients, but I'm still actively involved in doing research. This is a shout out to my colleagues at Baylor. By the way, Dr. Mohed Kara coined the term sex span. Should definitely have him on. Sex span. And he helped write the testosterone guidelines. This guy is a G. So sex span meaning like, I don't want to go, how long you're able to continue to. Yes.

Okay. But your health of your. I would love to talk to him. He's extraordinary. It's been on my podcast, by the way. Anyway, we published a paper that really healthy muscle mass and strength to better erections. Stronger you are, the more jacked you are, the better your erection. The penis does feel better when you're pumping iron. Yeah, well, I'm sure. Like when you, it does, it feels like a stronger appended. It's a stronger, well, yeah, I mean, I was assuming like the body's connected.

And if you have more muscle and better blood flow and you're in better shape, then why would it not, why would that not make sense? That's exactly right. But what is so important about this paper is that it actually connects skeletal muscle as an organ system. Because right now in the literature, it's primarily power, strength, athleticism, and then pathology, sarcopenia. But in order to really move the needle and focusing on muscle-centric medicine, then we have to begin to build a body of literature that shows how muscle mass is related to various health outcomes. I now know why Khalil wanted to lift weights. He wanted to deal. But it's why. But you wanted to make his penis feel bigger.

It's why. There's a shout out. Kalio, we love you. Literally, we're talking about you before the show. People with good muscle mass or composition, you tend to see people with tighter skin to their faces, clearer skin. Watch, go into a gym and look at people that are carrying a lot of muscle mass. You two women included.

Our friend, our friend Sandy, like these women have. tight skin to their faces. Better blood flow? Yeah. Why do you? Yeah. It's connected. It is all connected.

And 40% of your body is muscle. I mean, Sandy might have 50 because she's so fit. She's jacked. But if 40% of our body is this organ system, then we have to begin to take very seriously how we care for it and what its role is for other things. Like you said, tighter skin. Why do you use muscle? you use, it's the only organ system we have voluntary control over.

A hundred percent voluntary control. Quick break to talk about Just Thrive. Lauren and I love this company so much. We've had the founders of Just Thrive on this podcast multiple times, and that's because we love a company that has great products that is doing good in the world and putting things out that are helping people take care of themselves. If you're one of those people that have accepted bloat, cravings, and the post-meal crash after eating as your new normal, I'm challenging you to feel better and I'm giving you the cheat code

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Take the Just Thrive Feel Better Challenge today and save 20% on your first gut essentials bundle. visit just thrivehealth.com slash skinny and save 20% off with promo code Skinny. See the difference for yourself or get a full product refund. No questions asked. That's just thrive health.com slash skinny. Be the best you with Just Thrive. Let's take a quick break to talk about Haya. Everyone's talking about their New Year's resolutions, but here's the one change that could impact your family for decades to come, your kids' health. Lorna and I put such an emphasis on this podcast and on this show talking about supplements that adults can take, how we can live our best life, what we should be using, what we should not be using. One thing that we don't talk nearly

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So all of their products are clean label certified. They're entirely free from gluten, dairy, soy, GMOs, and artificial ingredients. You should also know that they're packed with clean, delicious ingredients like magnesium, Lions mane, and more. So if you're looking for a plant protein bar in your bag, this is a great choice. What I like about this bar in particular is, yes, there's plant protein, but there's also tons of fiber and no added sugar. So they don't add sugar to this, which is great. They also have this thing called the IQ mix. It's a zero sugar drink mix and it hydrates with electrolytes and improves mood and boost clarity. I am a big electrolyte before coffee girl. Have to have it. And then they have IQ Joe, a mushroom coffee designed for mental clarity and it's packed with 200 milligrams of natural caffeine. It also comes in four different flavors and they're truly all delicious. I

I've tried the IQ Joe mushroom coffee, and I did it before a podcast, and I could not believe the mental clarity that I got. It was really nice, and there wasn't like a come down from coffee. And right now, IQ Bar is offering our special podcast listeners 20% off all IQ bar products, including the ultimate sampler pack plus free shipping. To get your 20% off, text Skinny to 64,000. Text Skinny to 64,000. That's Skinny to 64,000. Message and data rates. may apply. See terms for details. Introducing the skinny confidential ice roller. Reimagined. Think sleeker lines, a softer pink, a custom buttery dust bag, and a silver roller, not pink anymore, that is ice colds. I wanted to do a juge on the iconic ice roller. I wanted to update it.

This ice roller for me has always been more than just a tool. It's about, helping us depuff and sculpt and calm the skin in a way that feels intentional. And I wanted the ice roller to feel evolved. It's changed. You've changed. So yes, the new gorgeous, stunning, beautiful ice roller is still going to do the same things. It reduces puffiness and redness in your face. I used it this morning before I put on my makeup. It definitely helps with the under eye bags. Of course, it helps boost circulation and radiance. I just feel like it really helps stimulate blood flow and gives me that tighter, more radiant skin. And then it also is known to give you a smoother, tighter-looking skin.

So what I like to do is I like to combine facial massage with cold therapy. And this really helps give you a really nice foundation before you even apply your skin care. This ice roller for me is a full circle moment. I think that a lot of you bought the ice roller, you know, five, six years ago when we launched it. And now I am launching something that feels. more in alignment with where you're at. It's so beautiful, you guys. It's just softer and more effortless in every way. And I really put my own touches on every single little step, from the packaging to the colors, to how it feels, to even the roller. It's all been elevated just for you.

So the ritual, the Lauren ritual, is you do cold therapy to help fight inflammation. You roll it, you glide it across your face. I put it on my jawline. my neck, I roll it down. Your skin is just going to appear smoother and tighter before you go in for the kill with the skincare and the makeup. Don't skip the cold therapy. The new ice roller is an upgrade designed to meet the standards of today, and I hope you guys love it as much as I do. This is the beauty tool that started it all. Redesigned to evolve with you. I'm showing it on YouTube, too, if you're on YouTube, if you're seeing me visually. Get it why it's hot at shop skinnyconfidential.com. That's shoppskinieconfidential.com. Do you think everyone who's listening should get a Dexa scan so they know where they're at?

I do. I do. Now, Dexa has its limitations. Basically, Dexa is how we've traditionally looked at body composition, muscle mass, bone density. But where Dexa is great is bone, but it extrapolates, meaning it puts together all the rest of the lean tissue, organs, muscle, everything else. It doesn't give you. a direct measure of muscle. We haven't been testing directly skeletal muscle mask quality. How do you test that or test that? Hopefully we'll have more access to it, but typically MRI, CT we don't recommend. You can use ultrasound, but this is a major gap in the way forward, which I believe it's going to start to close because it's not just how much muscle you have. It's also what does that muscle look like? What is the quality of that muscle? And I really had an aha moment, you know, if you think about the landscape of science. In science and pretty much everything related to humans, we talk about something, we believe it, and then we build upon that. For the

longest time, people focus on body fat percentage. Body fat percentage, if you're 30% body fat, these are going to be the health outcome problems. And I had a woman, her name is Dr. Melanie Cree. She's an MD PhD. She is one of the world leading experts on people. E-C-OS. The number one caused a female infertility. And I said, Melanie, tell me, what is the percent body fat that really pushes towards infertility? And she looked at me kind of like I was an idiot. And she said, you know, it has nothing to do with body fat percentage. It has everything to do with the percentage of fat in their muscle. Is that, does that have anything to do with why people who are on GLP-1s I've heard are getting pregnant quicker.

Possibly. Possibly, yes. And why do I bring this up? Because you said Dexa. And I said, well, I'm mad, intramuscular adipose tissue. How are we testing for that? And she goes, well, it's really difficult to do at a population level. Because right now, what we have access to is Dexa for most people. But there are some imaging companies that are going to start to use MRI. And I will say one more side note on this. The simple act of doing physical activity improves your muscle health.

Whether your body fat percentage changes or not, your muscle gets healthier and it reduces this inner muscular adipose tissue, which if we believe her hypothesis, this is what's driving in part insulin resistance, the metabolic component of PCOS, cardiovascular disease, because skeletal muscle is so central for our metabolic health, if it's unhealthy, then we see, you know, diabetes, obesity, cardiovascular disease. These are not diseases primarily of obesity. They're diseases of skeletal muscle first. What supplement stack and aminos should people be on? I'm a big amino person. I love aminos. So I do too. If you are trying to get your protein intake, but you are eating lower calories, or you just don't have a big appetite,

I recommend essential amino acids with a lower protein meal. For example, you asked me, okay, well, what does 50 grams of protein look like for you? Today, believe it or not, I went to the gym before I came here. I always trained from 7 to 8, but I need to be home by 7.30. So I went to the gym from 7 to 7.30. Cut it a half an hour short, but I will tell you, my trainer, it doesn't matter. He makes me get it in. It's like a side of throw up.

It was rough this morning. but I didn't have as much as I wanted for breakfast, so I added in essential amino acids to bring up that meal. Do you do powder, supplement? I do. When we travel, we bring a lot of aminos with us. Yeah, and I use body health. Body health aminos. I put, typically I'll use anywhere from one to three scoops in a protein shake or with yogurt.

I love Greek yogurt. Okay. And that bumps up your meal because it's really those essential amino acids that you need. You're a creatine fan, I'm sure. Yes. Okay. So you recommend creatine. What else?

I recommend creatine. I think omega-3 fatty acids are really important. Omega-3 is for the brain. And then also urolithin-A. I don't know if you've tried urolithin-A. Timeline. Yeah, I like timeline. Yeah, I like time.

I like that stuff. I like that stuff. I was taking that for a while. I like fatty 15. Do you have ever heard of that? I have heard of it. I have heard of it. We like it.

I mean, that stuff is like omega-3's on steroids. It's just one ingredient. Just C-15. I'll have to look more into it. We've had Dr. Watson on this, Ben Watson on this podcast twice, which is interesting. It's found in dolphins, right? No, she discovered it working with the U.S. Navy in dolphins. I didn't realize the U.S. Navy has like a dolphin department.

I didn't either. And they've got a lot of departments. Yeah, but I guess they were like, anyways, that's a whole other podcast. We've done it, but you should try that stuff. What other supplements? Well, we were talking about how foods, whole foods, really everything should be able to come from Whole Foods. That creatine is one thing where it would be very difficult to get enough creatine. So let's say in one pound of meat, there might be half a gram of creatine.

So no one is getting five grams of creatine, three to five grams for muscle, 10 to 12 for brain health. It's very difficult to eat that much. I'm at five. You think go up? Yeah. For brain health. You would tell me to go up. Yes, I would.

If I sleep poorly, I will do like 10 to 15 in the morning because just to fix the brain. And there's also some data to compensate. for that low sleep. Is this overwhelming for you? Oh, you're overwhelming. Why? Because he sleeps, he tells me his fucking sleep score

every single morning and we have to go over the data and da da da da da and it's just like he probably does 10 scoops every day because he... No, because I think sometimes people like they do, they rely too much on like intuition

and intuition's one thing but if you have, we had glucose goddess on the podcast yesterday. I love Jesse. Yeah, and she's great and she was, and I might have to get one of these monitors

because I was like, oh, that sounds interesting. If you do the monitor, that's divorce. I like the data because I can figure out, I don't. I promise you if he does that monitor, I'm saying this on air, I will be single on Bumble. Bumble. Tinder? Or one of them. I don't know. I'll be, I'll be like ready to go. I can't do that. I might have to, I might have to be single then. I need the data. No, no, no. I can't. We had a good run. You know, like, you guys are unbelievable. Go back to your supplements. Creatine. Creatine for brain is great. It's going to be very difficult to eat that.

essential amino acids critical we're not eating that much food also especially with the use of glp1s you still protein is the most important macronutrient your lithon a mitochondria mitopure 1 000 milligrams a day you're going to start to see its impact on not just muscle but also i believe brain and joints all immune function all kinds of things vitamin d that's hit or miss people feel one way or the other, but we recommend it. Omega-3 fatty acids. One that I'm obsessed with, which I am using every day's beta-hydroxybutyrate, ketone, obsessed with it for brain function and memory. T-keyone the little shots? I don't use the little shots. I use them. It's a packet called Let's Go. It's some really cute packets, like a liposomal, beta-hydroxybuty. And I have no relation.

Just to put you into ketosis quickly? Well, I don't measure ketones, but I use it for brain function. Okay. And try that way. Yeah, I have no relationship. to this company, but I love the owner. Her name is Bonnie and I'm obsessed with this product. I like the little shots of ketones, but I got to try this too. But this actually tastes,

I mean, you can take it and it tastes good. It tastes okay. Yeah. Okay. Okay, so what can people expect, and we've covered a little bit, but what could people expect in the new book? This playbook, it's a tactical field manual.

It has workout. It has mindset. it has recipes. By the way, the berry crumble. What page is that on? It's so good. I wish I could tell you. The egg in a hole is my favorite. I mean, we've done all of these recipes. It also has recovery tools. Talks about the Green Beret tactical nap, how to nap. If you haven't had a lot of sleep, what to do, you pre-caffeinate, all of this. It's great. And I've leaned on some of the experts who I really trust. And we created it.

the tactical field manual. I like how you broke it out, how to think, how to eat, how to move, how to recover, and then the human advantage. Beautiful book.

Congratulations. Dr. Gabriel Lyon, the Forever Strong Playbook available on Amazon. Where can everyone find you to ask you questions

about raw dogging? Just kidding. I would make a joke and give you my husband's phone number, but I'm not going to do that. And your husband is a former seal,

right? He's a former name. So be careful, guys. Don't be sending weird messages in the DMs. It's going. find you. He will run through a monsoon to get you. And now he is a

third year surgical resident, which is pretty tremendous. Good for him. That's a tent. Yeah. He's tremendous. He still can't find his socks, so go figure. Oh, the where's my? I'm going to do a skit on where's my. That's every guy. When I hear where's my, every single

woman on the planet can relate. He'll be like I swear to God, this was the one lately. That's because you guys move our stuff. Where's my trousers with the hole in the knee. I'm like, forgive me. I have a lot of the things going on. Then you're worried about your trousers with the hole in the knee. Marriage counseling real quick. I ripped the back of my pants the other day because I got in the car with my phone and my phone was in my pocket and ripped my pants. Okay. So I took the pants and I put

them on the stairs to my office. Wrong place to put them. Because I was going to then the next day see them and take them to the tailor. I can't do it. And she. No, I don't want it on the stairs. That's not where they go. But she put it where they go. Moved the pants away. And. And, And then I asked her where they were there. And she said, they're at the tailor. So I said, great. This is such a dumb story. And then I said, okay, a few days went by, I said, where's the pants?

She says, I don't know. And I said, you told me, you took it with it. And then so I was asking more. The point of the story is, don't put your pants on the stairs. The point of the story, she's mad because she moved something. I asked where they were because I didn't move them. And then she got mad that I asked where she put them. A place for everything and everything in its place.

Because you did not remember moving them because you're OCD and crazy. A little bit. I'm OCD. in my house. I mean, everything has a place and everything should be labeled where it goes. Let me share where to find me. And I also want to express the importance of this book. She's like, can we get off your pants for a second. No, no, no, I love the pants story. And I can relate. My husband can navigate Afghanistan, but he can't find his socks. Okay. I just, I don't buy it. Honestly, I probably, it's probably easier to navigate in Afghanistan.

You'll find those fucking pants the other day. Okay, one more story. He will call me when I'm traveling for this kind of stuff. And be like, when are you coming home? Oh my gosh. This is harder than deployment because of our two kids. four and six. I'm like, honey, you got this. Okay, all kidding aside, Americans are going to become healthier. And this is the moment. The new dietary guideline changes are already in this playbook. It will teach you how to implement roughly 90% of the changes to build a healthier, better version of yourself. You know, we talk a lot about protein and nutrition, but the reality is we need to build better, stronger, more resilient humans. And we can do that. The Forever Strong Playbook,

Dr. Gabrielle Lyon, thank you for coming on the show. Thank you for coming back. Thank you so much for having me.