Wellness After 40

GLP-1s After 40 with Dr. Boev: What Women Need to Know

Katie Ewaskiew Season 2 Episode 22

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0:00 | 40:11

GLP-1s, GIP, and weight loss medications are everywhere right now....but what do they actually do in the body, and are they the right choice after 40?

In this episode of Wellness After 40, we talk with Dr. Boev about the most talked-about weight loss drugs today, including GLP-1 and GIP medications. She breaks down how these medications work, why they are effective for appetite and weight loss, and why so many women in midlife are considering them.

This conversation also offers a more cautious perspective on these medications—especially when it comes to long-term health, muscle mass, and sustainability.

Tune in as we cover:

  •  What GLP-1 and GIP medications actually do in the body 
  •  Why weight loss can happen quickly—and what may be missed 
  •  The role of muscle mass and metabolism after 40 
  •  Why understanding food, nutrition, and “food noise” still matters 
  •  What can happen when you stop these medications 
  •  Alternative approaches to support weight loss and long-term health 

If you’ve been curious about GLP-1s or wondering if weight loss medications are the right choice in midlife, this episode will give you a clearer, more grounded understanding.

Of course, these are personal decisions—it’s always best to talk with your medical provider about what’s right for you. But this conversation will give you better questions to ask.

🔗 Connect with Dr. Boev

Learn more about her protocols and work here:
 https://mastermenopause.com/

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SPEAKER_01

The conversation around weight loss right now is loud. And a lot of popular tools are promising fast results. But with these results come some questions that most people don't know where to find the answers to. So today, we are. Let's get into it. Welcome to Wellness After 40, Health, Goals, and Manifestation for Women. The podcast that empowers women in their 40s and beyond them to embrace aging with vitality and purpose. I'm your host, Katie, millennial and beginning. Let's dive into the journey of not just surviving, but thriving after 40. Well, welcome to the podcast Wellness After 40. I am your host, Katie, and today I brought a very, very, very influential guest. Welcome to the podcast, Dr. Christine Boev. Dr. Christine is a PhD-prepared ICU nurse with extensive training and experience with health, wellness, fitness, and anti-aging. Her areas of expertise include metabolic health, supplementation, and the use of alternative therapies to enhance cellular health. She has devoted her career to creating protocols for physiological change in women ages 35 and above. Please welcome to the podcast, Dr. Christine Boev.

SPEAKER_00

Thank you for having me, Katie. I'm really excited to have a conversation that I think your listeners will find a lot of value from.

SPEAKER_01

Yes, I agree. And before we get into the topic of the day that we're going to really get into the nuts and bolts on, can you share a little bit more about your background and what led you to focus on metabolic health for women in midlife?

SPEAKER_00

Yeah, absolutely. So I've always been an athlete. I've always been a healthy person. And for me, when I was in my late 30s, early 40s, my body really started to change and it affected all areas of my life. I gained a bunch of weight. I was really inflamed. And as a scientist, I was like, okay, there's got like there's got to be a better explanation because all the things that I had done in the past to kind of re-equivalate, uh, whatever the word is, myself weren't working anymore. So I was like, okay, let's go to the literature, let's look at the research and really understand what women over the age of 35, what's happening to them metabolically, what's happening to their hormones, and how do I get myself back to where I feel alive and vibrant? And so that's what I did. And I created a protocol for women over the age of 35. And it's a metabolic reset to help you adjust to your changing hormones, to the changing metabolism, because I really do believe as you get older, you can get better. There's no such thing as just accepting some of the negative consequences of aging gracefully. I don't ascribe to that at all.

SPEAKER_01

Amen. Well, thank you. I am all about that as well. And thankfully, we have more and more data and research to get into like how we can age gracefully. And I'm I'm so excited to talk to you more about your protocol. And one of the topics that we're gonna talk about today, I feel like is on the tip of everyone's tongue. So I'm so thankful that you have come on the podcast to demystify, educate, talk to us all about GLP ones. So that is where we're gonna go today. And, you know, I have so many questions, but I guess I should start with, you know, because GLP ones are everywhere right now. And really, you know, more from a high level. Actually, what is it doing in the body from a metabolic standpoint?

SPEAKER_00

So right now there are basically three GLP medications that are that are out there. There's your GLP ones, which we'll talk about. Then there is your GLP GIP, and then there is your third one, which isn't completely in prime time, but a lot of people are using it, and that's Reditrutide. So I'll just go over them, not like a pharmacist, but like a human. What are they? What do they do, and how they impact your body? So the first one is just your regular GLP one, which stands for glucagon-like peptide one. That's your Ozempic. That's the first one that kind of came out. Everybody was going crazy for it. And basically, we make this, they're all hormones, okay? Glucagon-like peptides, they're hormones, they're from the incretin family of hormones that are released from your gut. So after you eat, your body releases these hormones from your gut. And basically what they do is they tell your brain, like, hey, you're full, you're good, like you, you don't need to keep eating. But it also does a couple other things. It slows your stomach emptying. So food kind of hangs out a little bit longer, and then it increases insulin release. So when let's say I just actually did, I ate an apple, right? I'm chewing up the apple, and my pancreas is going to release insulin to try to shuttle the glucose of the apple into my cells because it can't just sit in the bloodstream, right? And then it also decreases glucagon. So the people that have taken Ozempic, it is a natural appetite regulator. Okay. So that's the first one. It makes you less hungry. You basically just don't eat as much. Okay. It doesn't burn fat, it doesn't build muscle. You just don't eat as much. The second type is um what you are familiar with, manjaro or trzepitide. And that is a combo. Okay, so it's GLP plus GIP. And GIP, you don't really need to know this, but it's a glucose-dependent insulotrophic polypeptide. Right? Why is that important? Well, what they found, and these things have been around for a long time, but when you put the GLP and the GIP together, not only does it decrease gastric emptying, it tells your brain you're full, but it also will um enhance, plays more of a role in fat metabolism and storage. So the GIP interacts with the brain to help influence your appetite. So the trisepatite or the Manjaro, which your listeners are familiar with, it's the new and improved osempic. Okay, it works better. You'll have better results if weight loss is your goal, and because it's a synergistic effect of two different compounds. The last one, which I know your listeners have heard of because you can buy it online, even though it's not technically approved, is GLP GIP plus glucagon. And that is um retatrutide, which people call retta. Um, the cool kids do anyway. And again, it's the first two that I just talked about, and then they throw in glucagon. And glucagon is very much a fuel mobilizer, so it makes you less hungry, it burns stored energy, it supports fat loss, and it helps with metabolism. So that's kind of a broad overview. And then recently there was approved um an oral ozempic. So it's just the GLP, right? But it's in an oral form. So all of these peptides need before the oral form, so trusepatide and raditrutide are injectables. So you need a small syringe, pinch some skin, stick it in there. Um, so right now we do have an oral version. I know I just said a lot of things, so I'll I'll pause for a moment.

SPEAKER_01

No, I mean, I don't think anyone has ever broken it down in a way that was that understandable. So, first off, thank you. I mean, and I have, you know, kind of heard about the the different types just by the brand name, but I didn't really understand what their differences were. So that was very, very helpful, educational. Like that was very, that was a great like way to kind of understand in a snapshot what all of these are, because I think that, you know, we we have so much information, but we don't understand how really how to use it. So I appreciate that very much. And so for women in their 40s or maybe even even older than that, what's changing physiologically that would make these medications more relevant or maybe even more complex?

SPEAKER_00

I don't I don't know if it's so what's changing physiologically as we get older is our hormones, right? So regardless, when you turn 35, the amount of estrogen that you make goes down. And estrogen is your primary metabolic hormone. So when you have more estrogen, you your metabolism improves, right? And so what happens is you get to this age, and the and similar to what happened to me, right? The things that used to work, like, oh, I can just stop eating this and work out more and you know, kind of get back to back to normal. That doesn't happen anymore. And it is extremely frustrating. So women are looking at like, well, hey, I can I can inject this into my body once a week, and I'm not craving sugar anymore. You know, the amount of calories that I take in a day go down dramatically. And so it it has been looked at as a tool for weight loss. But I think what's important here, Katie, is your goal is not just weight loss. And I think that is a really important thing for your listeners to understand. As you get older and you're a female and you're going through perimenopause and menopause, yeah, maybe you need to lose some weight. But what is that weight? Because what happens, and this is what I see as a trainer and as a nutritionist, is people start taking this medication, they don't change the way they eat, they don't work out, and they lose muscle mass. And muscle is precious, it is so precious because it is your your fountain of youth. You know, as you get older, your goal is to hang on to muscle for dear life, like like your life depends on it. So if your sole uh way of losing weight is by taking GLP or GLP GIP, you're going to lose the weight that you need the most. And we're so conditioned to be hyper-focused on the bathroom scale number. And that doesn't tell you the full picture. It's just one little piece of data that uh can really be detrimental if that's just your goal is weight loss.

SPEAKER_01

To to ask, you know, who who is this medication actually appropriate for? Like, is it a tool that we could use in our weight loss journey, or is it only for a specific group of people?

SPEAKER_00

So I think that answer doesn't have a direct, that question doesn't have a direct answer. I think the answer is it depends. You know, it's designed for people who are type two diabetics. And, you know, based on how they work, it makes sense, right? It improves insulin resistance. It, I'm sorry, improves insulin sensitivity. So your blood sugar is not going to be as high because your insulin is doing a better job of getting it out of the blood and into the cell. And if you are morbidly obese and you're a type 2 diabetic, then I think this is a great option, right? And that's what it's designed for. The problem is the the women and men who have maybe 20 pounds to lose are like, well, I can just do this and it's going to get rid of the 20 pounds, but it doesn't fix the root of the problem. And if you don't have a strong foundation of health and fitness, then your building, your body, yourself is going to be broken. And so, yes, you can lose the 20 pounds, but it's probably muscle. And I have plenty of clients that are on these medications, but they are strength training. They're prioritizing protein. I am monitoring their muscle mass and their body fat. So they can be used smartly, but it can't be the only thing that you're doing, diabetic or not. You have to have healthy habits.

SPEAKER_01

Okay. Well, that makes that makes sense. It can be in conjunction if you do meet some parameters and if you do decide to take it. Um, and as long as you are adding in other elements that are really important for your overall health, then it's not necessarily the wrong tool to choose. But I'm curious, do you because I feel like all the information we have out there is all that it does when you're using it. Is there any education or data out there on what happens when you stop? Like, do you go right back? Like, what are we finding out any information about when people stop using it? What happens to our body, or do you have to use it forever?

SPEAKER_00

The short answer is yes. So, what we know from the literature so far, and again, the popularity of these medications has only been in the last two years, really, that it's gotten to be as everybody knows about it and wants to understand it. But the latest research shows that once you stop using the medication, you're going to regain at least 75% of the weight that you lost. Now, if you have developed some good habits, if you've built that strong foundation while you're on that medication, you can definitely mitigate that number. The problem is these medicines are expensive and it's very difficult to have the same type of results or to maintain what the weight that you've lost if you stop taking them. So, and it's so it's difficult. So, are you committing to$400 a month for the rest of your life? You know, that's the question that you need to ask yourself.

SPEAKER_01

Yeah, you know, it is one of those things that you only kind of see the the glitz and the glamour of it. And so I'm like, where is the information about like the actual side effects? You start to hear about hair loss and and other things that are happening to people, but are there any other pieces of this hype that we are not or that we're kind of being like not showed? Are there any other misconceptions on GLP1s that we really should be aware of?

SPEAKER_00

I think the the big thing is is the look. You know, you can you can look at somebody who's who has been taking these medications and they look like a candle wax, like their face is all sunken in, and it's not a it's not a good look. So you lose that amount of weight, you've got the hair loss, the skin elasticity, because you're just you're losing weight for wherever, wherever it was, right? And so when people say, like, oh, you have ozempic face or you have hair loss, it it's those unintentional consequences, but you're so obsessed with that number on the bathroom scale that you're like, eh, it's fine because I've still, you know, lost 20 pounds. The biggest thing is the muscle loss. Biggest thing because as you alluded to, you need muscle to support your bones. And if you don't have strong bones, you're gonna end up with osteoporosis, you're gonna get older, you're gonna fall, you're gonna break your hip, you're gonna end up in a nursing home. To me, that's not a high quality life. And so really understanding what is happening from a long-term standpoint is important. Some of the other risk factors, like they're not super common. You know, you'll hear people say, Oh, they have stomach paralysis. Those are very rare. And it's it's not super common. You know, when you are selling a medication or promoting a medication, you do have to talk about every possible thing that could go wrong. And yes, gastroparesis, which is slowing down of the eye, the GI tract, is one of them. But again, it's not super common.

SPEAKER_01

Okay. Well, so let's let's say someone you had, because you had mentioned you have some clients that are using GLP1s and you're working with them on it. So, what are some things that we should be doing? If we did decide we were doing a GLP one or any of the other types, if we do use them, what are some things that we should be absolutely doing alongside them? Think like nutrition, strength training, lifestyle. What is kind of what come to my mind? But what are we should we should absolutely do to protect our long-term health?

SPEAKER_00

So the first thing you need to do is track your nutrition and make sure that you're getting enough protein. And I hear this all the time. Like, I can't hit my protein goal because I'm just not hungry. Well, there are so many opportunities to get protein. I work with a company First Form, and we have a clear protein, which is amazing. It's like a juice. I'm like, put the clear protein in your water. You can sip on that all day long and get 44 grams of protein, and you won't even really notice it. It doesn't like have that full feeling. So you've got to make sure that you are nutritionally hitting your macronutrients, and those are different for everybody, but most people are not even close to hitting their protein goal. And then you've got to strength train because strength training is the foundation for muscle health, bone health. And when you have more muscle, you're more metabolic. So you burn more calories at rest simply because you have more muscle on your frame. And that's really the goal. Um, and then also your brain health. You know, all of that nutrition and protein and good um fueling, I like to call it fueling, helps with brain health because brain fog is real as you get older. And if you're not fueling because you're just determined to lose weight no matter what, you're not going to feel intellectually strong.

SPEAKER_01

So, this idea of the old school mentality, like what we've always known for keeping ourselves healthy and at a better weight and all the things when it comes to diet and exercise, that sounds like that's still the gold standard. And technology just hasn't really caught up to that yet.

SPEAKER_00

I think, like I said before, the weight on the bathroom scale is just one piece of data. I think we have we still have an obesity epidemic in this country, regardless of how many medications we're shelling out. Because if you look at somebody's body fat percentage, it's still high. And you don't have that muscle that is going to offset the body fat. So that is a big part of it. I like to, when I'm working with somebody, I like to do progress photos. I like to do measurements with the tape measure. And how do your clothes fit? How do you feel? Versus what is that number on the bathroom scale show? Like that's so important.

SPEAKER_01

Yeah, I think that is something that is really hard to let go of. I mean, I was raised in like the 90s and it was diet culture. Like you had to be, I mean, we had really skinny eyebrows, we had had to have really skinny brought bodies. And so, I mean, everything had to be so small. So I think that, you know, women in our 40s, we all grew up with that. And that was kind of what we were always taught to make us know that we are in a healthy lane as well. We had a healthy weight. So I think that the education is there as long as we just kind of take it.

SPEAKER_00

Yeah, I do think people are starting to understand that muscle-centric physique is so important. I think there's a lot more uh talking about it. There's a lot more research about how important it is to have a physique that has a decent amount of muscle on your frame. And I'm not talking about becoming a bodybuilder or a fitness competitor or anything like that. But, you know, you should have a decent physique where you can see your arm muscles, your shoulder muscles. You know, your abs are there for all of us. It's just under maybe some layers of that we can, you Know, just slowly pull away from and you're just gonna feel better. You're gonna have better mobility, balance, vitality, all of it. And so that's what I focus on is body composition, decreasing the amount of body fat, increasing the amount of skeletal muscle mass. And most people, you know, the the parameters out there, you should be for women, 20% is kind of the ceiling for body fat. And I bet you most people are well above that, but we don't pay attention to body fat percentage the way that we should.

SPEAKER_01

So most women are taking this medication and men as well, but for this podcast, we talk to women. Most women are taking it because they do want to lose weight. And we talked about at the very beginning, you know, we have a decrease in estrogen, which is one of the culprits of us gaining weight, holding on to weight, especially in the midsection. And so if a woman is listening to this and she thought she was going to do GLP1s to help get rid of that, what would you suggest she should do instead? Like, how do we start to manage this weight gain that is harder to get rid of because of all of the hormone reductions? And then, you know, our lifestyle, like how how can we actually start to really work on losing weight?

SPEAKER_00

Yeah. So when we were younger, it was all cardio, right? We were cardio queens, we were on the stairmaster, and and we were doing all those things. That is not going to do the trick anymore. As you get older as a female, cardio has to go way down, strength training has to go way up. If you're listening to this and you're like, I think I might want to try a GLP, what I recommend is do everything else first. Build the foundation. Get your strength training in order, get your macronutrients in order, make sure your nutrition is on point. And if you've done that for one year, one year working with somebody like me, and you're dialed in and you're doing everything and nothing is working, then maybe go to a provider and say, Listen, I've been doing everything right for a year. Nothing's changing. I still have got all of this extra body weight that I'm hanging on to, this body fat that I'm hanging on to. It is truly a lifelong commitment, though, because once you stop taking it, those hormones that you've been giving yourself to decrease your appetite and delay gastric emptying, they're gone. And so your old habits, your old hunger habits and things will be back. However, if you've built that foundation, you can mitigate that getting gaining all of the weight back a lot easier. So there are options, but it's a huge commitment and it's not a quick fix and it's not without risk. So set the foundation first before you just jump right in because you're like impatient or frustrated or whatnot. The other thing is get your hormones checked. You know, if you're 40 and your period is irregular and you're having any sort of symptoms at all, you can't sleep, you have brain fog, hot flashes, check your hormones and work with your provider to figure out if hormone replacement makes sense. Because sometimes just putting that fuel back in your tank is enough to make you feel like yourself again.

SPEAKER_01

And I know you mentioned a little bit about your protocol, that's something that you started out with to help women in this stage of life live their healthiest life. Can you tell us a little bit more about that protocol program? Like, what does it entail?

SPEAKER_00

Yeah. So what I start with is a 30-day metabolic reset where we eliminate foods that are high in inflammation for women in their 30s and above. And getting rid of that stuff like dairy and gluten and sugar and alcohol is really important to try to pull back the curtain and see underneath what's going on with your body. And like for the first, you know, five-ish days, it's like, oh, I really want, you know, fill in the blank, X, Y, and Z. And then you really start to feel the sense of clarity, the brain fog lifts, your skin looks kind of glowy. And I work with you to make sure that you are eating the right proportion of proteins, carbohydrates, and fats, depending on your goals, total calories do matter. And then strength training, because that is really the key, guys, is strength training, you know, four to five days a week in a program that is designed just for women who are trying to change their body composition, meaning decreased body fat and increased muscle. And so I work with you one-on-one. And my the results are really astounding because when you eliminate the stuff that causes inflammation, that causes cortisol increases, your body self-regulates. Your hormones kind of start to regulate themselves and you start to feel better. You have more energy, and then you can work on the process of fueling, moving, lifting, and getting back to getting back to what I like to say normal.

SPEAKER_01

If I could ask you some specific questions on nutrition and in strength training, because I think that these are also things that should be debunked. When it comes to nutrition, like when you talk about foods that cause inflammation, you go through a protocol on taking out maybe some of the heavy hitters that for most people. And then, but how do we know what is actually causing inflammation in our body? Is it just like doing a food diary or is it something that we should get tested on? Like, do should we do a food food challenge with our doctor? Like, where's or or does your program have the steps for that?

SPEAKER_00

Yeah, so it really depends on you know the severity of your inflammation. But most of us have some degree of inflammation. Like if you're somebody who's like, my midsection is all of a sudden I have a muffin top and I can't see my abs anymore, and I'm gaining weight right in the middle, that's inflammation. And so what I like to do is let's get rid of the top, you know, 10 things that cause inflammation. There's a bunch of them, but the ones that we tend to really like, alcohol is a big one. Just 30 days. Can we can we do 30 days without alcohol? I don't think that's that big of a deal, right? High fructose corns, corn syrup, sugars, like artificial foods, MSG. Let's get rid of all of that and see how you feel. Then what I like to do is slowly reintroduce these foods. So we'll start with one that is like, oh my God, I hate not having dairy. Like, okay, all right, let's let's bring dairy back into the mix and see how you feel. Everybody's different. What I notice is people will be like, oh yeah, I did my Greek yogurt and I woke up and I had a pimple on my face, or I had a blemish, or I felt really mucusy. Does that mean you should never eat dairy again? Not really, but you need to decide how much do you love it? You know, same thing with gluten. Gluten is very pro-inflammatory. So can we, there's so many gluten-free options now. I mean, back in the early 2000s, there weren't any. So can can you substitute some things so that you're not inflamed as much? And it's not that hard. You know, it's not that hard. I think most women have the biggest problem with alcohol because it's our coping mechanism. You know, you're cooking dinner, you're having a glass of wine, it's social. I get that. But when you step away from alcohol for 30 days, it's amazing what happens. And then you're like, hmm, do I miss it that much? You know, it's a personal decision.

SPEAKER_01

And are there any other signs of inflammation that we should notate, uh, other than weight gain? You mentioned some skin issues. Is there anything else that we we should notice? Like that's inflammation in our body.

SPEAKER_00

I would say the biggest one, well, the two biggest are brain fog and sleep disturbances. So, you know, when you can't like find your words, you're looking for like that right word or that somebody's name, and it's like you can't dig it out of the universe. That is not normal to not be able to remember things is at our age, like we're not, we're young, we're hot, we're like just getting better. So we need to be able to be articulate with what we're trying to say and communicate. So brain fog is a big one. Um, sleep disturbances, huge, right? Because if we're not sleeping, then we're gonna not gonna feel energized the next morning. And then any sort of like mucus, mucus in your throat, your nose, any sort of congestion tends to show up as inflammation versus like seasonal allergies.

SPEAKER_01

Yeah, and other than weight gain, is it what else does inflammation do to our body?

SPEAKER_00

Well, inflammation causes insulin resistance, it causes mortality. I mean, it causes us to age faster. The four things that you and I are gonna die of if we don't get into some traumatic accident are cancer, heart disease, metabolic diseases like diabetes and Alzheimer's. The root of all four of those diseases is inflammation. So if we can, oh, in cancers, all of our cancers. If we can keep our inflammation down, our risk of developing a chronic disease goes down exponentially. So it's not just about the weight gain, but it's about longevity. And inflammation is the root cause of all of those things. It's not talked about enough, but it is grossly important. So if you're somebody who, you know, you feel inflamed, you're, you know, when you're in your 40s, you should not have a whole lot of blemishes on your skin. Your skin is a reflection of what's happening at the cellular level. Like there are markers for inflammation that you can check. And the this is a whole nother podcast, but your gut microbiome is where all of the disturbances in inflammatory responses live. So you've got to make sure that that is that fuel that we're fueling our body with is appropriate for us so that we've got a strong immune system and we're not inflamed.

SPEAKER_01

And you also mentioned that you work with clients on strength training. And so I have a question about strength training for you as well. You mentioned four to four to five days a week. What type of strength training are we looking for? Are you okay with body weight strength training? I'm thinking like Pilates, yoga, those are more body weight. Are you talking about we should be lifting heavy, heavy?

SPEAKER_00

So, in my opinion, and I'm a certified personal trainer, is I think women need to do four to five days of weight lifting. Okay. So, what I do is I'll break it down and I will do two days of lower body, two days of upper body, and then that fifth day would be like maybe a full-body metabolic type of conditioning workout. I like to keep the heart rate stable, you know, zone two. I don't think big spikes in our heart rate as we get older are helpful. Again, they cause us to be inflamed. So we want to avoid that. I do Pilates once a week. Um, to me, Pilates is the sprinkles on top of the ice cream sundae. I like it, it works those little muscles and it works in a different way. I also like to do yoga. Um, I'll usually do yoga once a week. So I will mix those in. But my non-negotiable is my strength workout. So Mondays today, I did lower body. I always do lower body on Mondays. I do lower bodies on Thursdays. And it's very strategic in the way that I program workouts for women because what we need is not what my husband needs when he goes to the gym. So it's very different. And I will tell you, when I was younger in my 30s, all I cared about was cardio. The sweatier, you know, I did orange theory, I did anything that gave me that endorphin release of I feel like I'm gonna die. This is amazing. And as we get older, our body doesn't respond to that in a favorable way. Our body thinks somebody's trying to kill us. So it responds by storing fat. And that's why women get so frustrated when they get older. Like, why isn't this working anymore? I'm doing all these things. It's because you're working in a way that is counterintuitive to what your body actually needs, and you're causing yourself to be in a state of hyper cortisol.

SPEAKER_01

I have always heard that, you know, replacing strength training for cardio was because it's helping build the muscle and cardio is not, it's not toning the muscle, it's not building muscle mass. But I've never heard it talked about in that way. So that was great information that it is in introducing this level of cortisol that our body, our fight or flight, our parasympathetic nervous system is like, I am not. I mean, I guess maybe it's because at 43, I already am in fight or flight driving through a carpool line at a school. So I'm like, I don't need to be chased by the invisible bear anymore and run on that treadmill. So thanks for that permission. I appreciate that very much.

SPEAKER_00

We're very evolutionary, you know. Our body, I mean, we were built the same way people were built 2000 years ago, and there wasn't all of this stimulation constantly. So we're always in sympathetic when we're not supposed to be. We're supposed to be make majority parasympathetic, which is your rest and digest. Our central nervous systems are out of control right now, and it's all of the stimulation that's constantly coming at us. So when I program your workouts, I also put in option, I call it optional daily cardio. And that is go outside, go for a walk, walk your dogs, get in nature, get some vitamin D, like just move your body, but don't do anything that is too high intensity, where you go into an anaerobic metabolism where you're ramping up your sympathetic nervous system. Cardio should be more for your mental health than anything else.

SPEAKER_01

So if someone is wanting to work with you, wanting to get more deep into this protocol, and then obviously you said it's personalized to the client, how can we get in touch with you? How can we work with you further?

SPEAKER_00

Yeah. So my website is mastermenopause.com. And you can also find me on any of the socials. I'm pretty active on Instagram and it's DR Dr. Christine Boeb.

SPEAKER_01

And I'll put all that in the show notes too. So if you're on the go and you would like just to plug and play, I will put all of that in the show notes for you so you can connect with Dr. Christine further.

SPEAKER_00

Amazing. Thank you. Appreciate that.

SPEAKER_01

Absolutely. Thank you. Well, to wrap up today, I just have one more question. And I'm curious if you could give one piece of advice about weight loss or metabolism, as all the things as we age that you hear all the time but you don't agree with, what would that be?

SPEAKER_00

So my advice is be patient and trust the process and allow your body to heal and do the things that it wants you to do.

SPEAKER_01

It's also it gives us a a little bit of a break to be like, you know what? I don't need to get this done in 30 days. This can wait and this is gonna take time, and this is for the rest of my life, not just for the next month.

SPEAKER_00

Exactly. Exactly. And that's really what I see is this impatience that leads to this cycle of starts and stops, and they never make progress.

SPEAKER_01

Well, Dr. Christine, it was such a great conversation today. Thank you so much for your wealth of knowledge. I cannot wait to share this episode with everyone, and I can't wait to hear uh from all my listeners about starting your protocol. So thank you again.

SPEAKER_00

Yes, thanks for having me.

SPEAKER_01

This was such an important conversation because there's so much hype and noise around these medications right now, and not a ton of clarity. A special thank you to Dr. Boev for coming on and talking about these drugs, what they are, how they work in your body, and why so many women in midlife are turning to them. And yes, they can change appetite, they can lead to weight loss, but what they don't do is just as important. They're not gonna help you build muscle, they're not gonna teach you how to nutritiously fuel your body, and they're not going to lead you to develop habits that will actually support you long term. Because life after 40 isn't just about losing weight quickly, it's about maintaining your strength, supporting your metabolism, and actually feeling good in your body over time. Of course, these are personal decisions, and it's always best to talk with your medical provider about what's right for you. But hopefully, this conversation gives you some better questions to ask. You can check the show notes for Dr. Boev's website to learn more about her protocols and how she works with clients. If this episode helped you think about things a little differently, please share it with someone who's been asking these same questions. As always, thank you so much for being here, for following along with me on this journey as we try to live our most healthy lives. Until next time, this is Wellness After 40.