In this episode of the Fit Physician Podcast, Dr. Deb Marshall shares her inspiring journey from aspiring physician to hospitalist in palliative care. She discusses her early struggles with self-doubt, body image issues, and the impact of diet culture on her life. After facing the unexpected loss of her father, Deb found strength through fitness and community, leading to a transformative journey that reshaped her approach to health and well-being. She emphasizes the importance of self-care, resilience, and the power of believing in oneself.

IN THIS EPISODE:

00:00-The Journey to Becoming a Physician

10:08-Overcoming Body Image Issues and Diet Culture

18:12-Navigating Grief and Finding Strength

27:13-Transformative Fitness Journey and Self-Discovery

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In this episode, Jake and Dr. Suzanne Rutherford discuss the importance of dietary fiber and provide tips on how to increase fiber intake. They cover topics such as the definition of fiber, the role of fiber in optimizing health and longevity, the difference between soluble and insoluble fiber, the recommended daily intake of fiber, and practical ways to incorporate fiber-rich foods into the diet. They also address the question of whether a plant-based diet is necessary to meet fiber requirements.

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In this episode of The Fit Physician Podcast, Jake and Dr. Suzanne Rutherford dive deep into the benefits of dietary fiber, exploring its role in reducing the risk of all-cause, cardiovascular, and cancer mortality. Building on the success of the first Science Snack about estrogen replacement therapy, this second edition looks at a systematic review and meta-analysis published in 2023 that compiles data from 32 studies involving over 2.5 million participants globally.

Dr. Rutherford discusses the immense benefits of increasing fiber intake and explains how fiber might just be the strongest lever you can pull for longevity and disease prevention. She breaks down the types of studies included in the analysis, defines key terms like relative risk reduction, and emphasizes that even small increases in fiber intake can yield significant health benefits.

Click here to view the study

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In part 2 of this series, Dr. Gamache talks all things hormone replacement therapy. She explains that testosterone therapy can improve libido, brain fog, energy levels, and muscle mass. Additionally, she discusses the role of estrogen replacement therapy in perimenopause and menopause, emphasizing the importance of starting hormone therapy within the first 10 years of the last period to prevent chronic diseases. In this conversation, Dr. Nathalie Gamache discusses the importance of understanding and managing perimenopause and menopause to live our best lives. She emphasizes the need for individualized treatment plans and the role of hormone replacement therapy. Dr. Gamache also highlights the impact of lifestyle factors such as exercise, nutrition, and sleep on menopausal symptoms.

GUEST BIO:

Dr. Nathalie Gamache is a highly accomplished gynecologist with a strong background in menopause and hormone therapy. She started her career as a biology teacher that fostered her love of human biology and passion for teaching. In typical Nathalie fashion, her dreams didn't stop there and she later pursued an education in medicine. She completed a fellowship in menopause in 2005 and worked as a clinician and surgeon at The Ottawa Hospital until 2012. Dr. Gamache specializes in areas such as menopause, hormone therapy, sexuality, premenstrual syndrome, premature ovarian insufficiency, and cancer survivorship.

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In this highly anticipated episode, we sit down with none-other-than Dr. Nathalie Gamache, a leading expert and innovator in menopause treatment. During the discussion, she breaks down the hormonal changes that occur during perimenopause and menopause. She explains how the onset of symptoms such as heavy and irregular periods, mood swings, anxiety, and sleep disturbances, to name a few, occurs. In part one of this two-part series, Dr. Gamache gives us a firsthand view of what it’s like to be one of her patients and talks about the importance of optimizing overall health and what factors to consider prior to hormone replacement therapy.

GUEST BIO:

Dr. Nathalie Gamache is a highly accomplished gynecologist with a strong background in menopause and hormone therapy. She started her career as a biology teacher that fostered her love of human biology and passion for teaching. In typical Nathalie fashion, her dreams didn't stop there and she later pursued an education in medicine. She completed a fellowship in menopause in 2005 and worked as a clinician and surgeon at The Ottawa Hospital until 2012. Dr. Gamache specializes in areas such as menopause, hormone therapy, sexuality, premenstrual syndrome, premature ovarian insufficiency, and cancer survivorship.

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In this episode, Jake and Suzanne introduce a new segment called Science Snacks where they review research articles related to fitness and nutrition. They start by discussing a study on transdermal estrogen therapy and its effects on muscle mass in early menopausal women. The study found that women who received estrogen replacement therapy showed significant improvements in muscle size compared to the placebo group. However, there was no significant difference in strength between the two groups. Suzanne highlights the importance of understanding how estrogen affects muscle and encourages women to have conversations with their healthcare providers about hormone therapy.

IN THIS EPISODE:



00:00-Introduction to the Science Snack segment

01:20-Overview of the study on transdermal estrogen therapy

03:03-Anabolic resistance and the effects of estrogen loss in menopause

06:22-Details of the study design and training protocol

09:08-Findings of the study: Muscle size vs. strength

11:21-Discussion on study limitations and potential improvements

13:13-Takeaways and implications for menopausal women

15:28-Conclusion and invitation to future episodes on menopause

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Dr. Hanley shares her journey of getting back into fitness after having two children and overcoming disordered eating. She discusses her background in organized sports and the societal pressure to achieve a specific body type. She also talks about her introduction to nutrition and the emphasis on weight and appearance rather than fueling the body. Dr. Hanley highlights the common experience of disordered eating in childhood and the impact of societal norms. She credits therapy and becoming a mother as turning points in her relationship with food. She shares her journey of overcoming food and body image issues, finding sustainable habits, and prioritizing her health as a physician mom. Margaret's story serves as an inspiration for other physicians and moms who are looking to prioritize their health and feel better in their bodies.

IN THIS EPISODE:

00:00-Introduction and Background

09:08-Unpacking Disordered Eating and Seeking Therapy

14:20-Joining the Fit Physician Program and Making Sustainable Changes

26:17-Finding Time for Workouts as a Busy Mom

38:50-The Impact of Nutrition and Fitness on Energy and Function

41:16-The Importance of Prioritizing Your Well-being

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In this episode, Dr. Kathleen Martin Ginis, PhD discusses the challenges of sticking to an exercise routine. She explains that exercise is not a single behavior but a complex set of behaviors that require time, planning, and effort. She emphasizes that exercise is a lifelong commitment that needs to adapt to changes in lifestyle, seasons, and health. Dr. Ginis also highlights the importance of finding intrinsic reasons and values associated with exercise to sustain long-term adherence. She suggests strategies such as scheduling exercise in advance, setting specific times, and creating a plan to overcome barriers. The conversation also touches on the role of self-efficacy, the power of starting small, and the need for self-compassion during setbacks. The conversation explores the importance of external coaching, the power of comebacks, the role of self-efficacy, the impact of perceived benefits on motivation, the significance of strength training for body image, the value of positive self-talk, the effectiveness of scheduling, and the challenges of habit formation in exercise behavior.

IN THIS EPISODE:

00:00

Introduction

02:10

The Challenges of Sticking to an Exercise Routine

09:13

Scheduling and Prioritizing Exercise

16:43

Finding Intrinsic Motivation for Exercise

17:07

Building Self-Efficacy and Confidence in Exercise

20:29

Overcoming Obstacles and Maintaining Consistency

27:08

The Power of Perceived Benefits and Feelings of Improvement

36:28

Reflections on Changing Perspectives

41:22

Because You Are Worth It

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