A Podcast Designed to Bridge the Gap Between Macros, Metabolism, and Functional Medicine. Here we focus on translating complex concepts into leverage for your health, fitness, and nutrition goals with a special emphasis on content for coaches & health professionals. Sam Miller is a best-selling author in the field of nutrition and metabolism has more than 15 years of experience as a health, fitness, and nutrition coach. His programs help coaches and health professionals improve their clients ...
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It S Time To Transform Our Health System Podcasts

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S 826: Untangling Nutrition Myths, Longevity Lies, and the Real Health Crisis —Part 1 from the Strong New York Podcast
24:16
24:16
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24:16I recently joined Kenny Santucci on the Strong New York podcast and we discuss the long-term impact of generational habits, the role of gut health in performance and recovery, and the evolving landscape of hormone therapy and medical interventions — hope you enjoy Part 1! ---------- My Live Program for Coaches: The Funct…
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S 825: Q&A Coaching Tools - Periodization vs. Habit Stacking, The Dutch Test, Menopause and More!
32:21
32:21
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32:21Overdue for a Q&A episode and wanted to shed some light on some coaching tools and bust a much about the periodized approach vs habit stacking and share why they are not mutually exclusive. Topics include: - Q&A’s on Our Team Page - Please Share, Rate, and Review - Transition Mode Disclaimer - Periodized Approach vs Habit Stacking? - Value from Hea…
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S 824: Optimal Testosterone and Weight Training, The Rise of Blood Work and Lab Testing, Finding A Quality Functional Health Coach and More on The Barbell Shrugged Podcast
26:59
26:59
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26:59I've joined Anders Varner and Doug Larson again on the Barbell Shrugged podcast and we had a lengthy discussion around some popular topics right now. Specifically, I wanted to bring two featured clips back to this show all around testosterone and lab work that I think you'll find interesting. Topics include: - Testosterone and Weight Training - The…
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S 823: 7 Things I've Changed My Mind On Over The Last 15+ Years In The Health and Fitness Industry
32:53
32:53
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32:53Being in this industry for a good amount of time now and with my own personal priorities changing along with being presented new evidence, there are many things I've changed my mind on in the health and fitness space. In today's episode, I want to highlight 7 of them specifically and explain why I've changed my mind on these topics. Topics include:…
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S 822: HRV 101: An Introduction to Understanding Heart Rate Variability, Nervous System Balance, and Recovery
20:18
20:18
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20:18One of the hot button topics within physiology and specifically in the area of recovery is heart rate variability. The time between heart beats can tell us a lot about how recovered we are from the previous training session and other physiological indicators. Whether this area is brand new to you or you've read studies on it before, I think you'll …
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S 821: From Burnout to Breakthrough: How Fernanda Transformed Her Coaching and Her Health
46:18
46:18
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46:18In this episode, I sit down with Fernanda from Forward Coaching — one of my long-time listeners turned FNMS Student and is now in Mastery. We explore her powerful evolution from frustrated personal trainer dealing with chronic symptoms to confident health coach delivering transformative results. Fernanda shares the winding road of working with 15+ …
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S 820: Lean Women with PCOS, Adrenal Dysfunction, and Stubborn Belly Fat
21:18
21:18
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21:18Received a great question around the concept of skinny PCOS and what that entails so covering that in today's Q&A along questions about adrenal fatigue, tips for check in photos, and more. Topics include: - Skinny PCOS - What is PCOS? - Fixing Adrenal Fatigue - Looking Broadly at Physiology - Losing Weight but Not in the Gut - Tips for Check In Pho…
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S 819: Women’s Hormones Spotlight: Understanding HRT vs. Birth Control in female transformations
32:02
32:02
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32:02There's a trend right now in the health and fitness industry to talk about all the drawbacks and negative consequences surrounding birth control and in some cases HRT but these compounds and medications do help some individuals. It's important to understand especially as a novice coach wanting to help in a deeper capacity the physiological effects …
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S 818: Understanding the Effects of Menopause, Stages, Sleep and Hormonal Changes, and More!
51:54
51:54
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51:54Even if your coaching practice predominately serves women from 20-35, this is still an important episode for you from a multitude of perspectives. Today's episode will be covering menopause in women, signs of early menopause or perimenopause, why you should care as a coach, and much more! Topics include: - Menopause Overview - Average Age of Menopa…
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S 817: Women and Gut Health: Why Women Are More Likely to Suffer From Gut Issues Than Men
27:16
27:16
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27:16Do women suffer from gut issues more than men? If so, what would cause this discrepancy? Today's episode will examine the research around gender differences and gut health, why there's a 2:1 ratio between women and men when it comes to IBS symptoms, and how we can troubleshoot this issue. Topics include: - Why Women Suffer From Gut Issues Compared …
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S 816: GLP-1s, Ozempic, Testosterone, HcG & Fertility: What’s Changing in Weight Loss, Telehealth, and Functional Medicine
48:29
48:29
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48:29Wanted to answer a few questions we haven't covered yet on this platform discussing the science of GLP-1, HRT, fertility options and considerations, and more. Topics and questions include: - The Science of GLP-1 - Gluconeogensis - What Concerns Me About GLP-1 Use - HRT, Men, and Fertility - HRT Application Example - Testing and Freezing Sperm Optio…
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S 815: Food Comas Explained: Insulin Resistance, Blood Sugar & The Science of Post-Meal Fatigue
21:50
21:50
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21:50Do you or your clients ever feel tired after a meal? While this is common, this is not supposed to be normal. There are many considerations when it comes to potential post meal fatigue and we'll dive into those in today's episode! From size of the meal, to sensitivities and food allergies, to gut health considerations, there are many areas to be aw…
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S 814: Chronic Stress and Fat Gain: Cortisol, Insulin & the Impact on Metabolism
20:40
20:40
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20:40Can stress make you fat? Is there more to fain gain than a calorie surplus? We'll talk about stress and fat accumulation, a sure fire recipe for insulin resistance, the role of cortisol and fat gain, and much more. Topics include: - Stress and Fat Accumulation - A Recipe for Insulin Resistance - Gluconeogenesis - The Role of Cortisol - Fasted State…
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S 813: Women’s HRT and Menopause: Debunking the Most Common Hormone Myths, Misconceptions, and More!
45:25
45:25
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45:25Menopause carries a lot of physiological changes and today's episode is to what extend that looks like and how Hormone Replacement Therapy (HRT) plays into aiding certain hormonal changes. Topics include: - HRT After Menopause - Overview Of What We’ll Cover - Menopause Episode - Time Course of HRT and Type of HRT - Oral Estrogen Use - Dropping Horm…
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S 812: The Hidden Role of PCOS in Women’s Weight Loss: New Research on PCOS and Metabolism
28:25
28:25
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28:25A popular topic around women's health is PCOS, insulin resistance, and potential issues this can cause when attempting to lose fat in a dieting phase. Does PCOS directly affect fat and weight loss efforts or is there more to it? I want to share a recent meta-analysis on this topic and what we can learn as coaches or someone in their own transformat…
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S 811: Sleep Science: Why Blue Light Blockers Are Not a Magic Pill, Duration of Screen Time and Sleep Issues, Arousal Levels Before Bed, and More!
19:19
19:19
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19:19Do you or your clients feel like you're doing everything for your sleep including blue light blockers but still struggling with sleep? There are a few reasons for this I want to cover today that are not talked about a lot. I want to review circadian rhythms, how screen time affects sleep quality, GABA signaling, and more. Topics include: - Importan…
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S 810: Debunking the Myth of Expensive Healthy Eating
19:07
19:07
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19:07How expensive is it to eat a primarily whole food diet in today's economy? Surprising less than you might think compared to the average spending that occurs. In today's episode, I want to investigate the average American's food costs, where they spend money for food by category, and debunk the myth that it's "too" expensive to eat healthy. Topics i…
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S 809: Beyond the Bathroom: The Truth About Fiber That Most Coaches Miss
40:06
40:06
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40:06In the coaching world, “eat more fiber” is practically a reflex. Fiber isn’t just one thing. It’s a category of compounds with very different effects depending on solubility, viscosity, and fermentability. Most basic nutrition coaches stop at “soluble vs. insoluble.” But if we’re trying to help real humans with real gut issues, metabolic dysfunctio…
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S 808: The Root Cause of Client Hair Loss: A Metabolic & Nutritional Perspective
44:42
44:42
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44:42Many individuals start the journey towards their transformation to achieve a specific aesthetic goal. Hair is a very large component to that and a good amount are struggling with hair loss in some fashion. Today's episode will cover the 3 specific types of hair loss, potential treatments and solutions, and more! Topics include: - Chasing Aesthetics…
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S 807: The Ultimate Guide to Metabolic Adaptation: How Your Hormones and Metabolism Respond to Chronic Dieting
46:08
46:08
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46:08I've covered this area in similar episodes in the past but this episode plays specifically into mitigating metabolic adaptation and understanding that transcend changes happen within a diet phase and its our job as coaches to be the adaptation manager. Topics include: - Episode Overview - What Happens During Metabolic Adaptation - Dietary Rebound E…
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S 806: Beyond the Gym: FNMS Student Filipe on the Ethical Duty of Transformative Health Coaching
34:20
34:20
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34:20Join me as I chat with Filipe, a seasoned gym owner and personal trainer, as we delve into the evolving landscape of health and fitness. Filipe shares his 16-year journey, from building a successful brick-and-mortar gym to embracing functional health and online coaching and the ethical obligation to provide deeper health solutions for clients. Topi…
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S 805: How to Build a Client Experience That Sells for You: Referrals and Retention Start with This 3 Step Framework
31:57
31:57
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31:57Do you know your ABC's when it comes to your client's journey? Whether you do or not, I'm really excited to share this framework and teach it to you for the first time or remind you of these important aspects of your coaching business. Topics include: - Customer/Client Experience - ABC’s of the Client Journey - Sale to Get a Customer vs Getting a C…
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S 804: Complex Client Case Progression + Avoiding Hormonal and Metabolic Issues: Revisiting The Perfect Storm Client Case
37:14
37:14
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37:14Back in Episode 371, I introduced a perfect storm client case AKA where gut and hormone dysfunction collide and on today's episode, I wanted to extend and expand that conversation. We'll be looking at some potential health issues, key considerations, and more when it comes to being in a deficit, using SHREDS, examining micronutrient status, and mor…
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S 803: Overcoming Comparison Syndrome: The Proven Recipe My Clients Use to Beat The Transformation Comparison Trap
24:41
24:41
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24:41Social media has a sneaky way of making us feel like we’re not doing enough — in this episode, I unpack the sneaky damage caused by comparison syndrome. The mental spiral that convinces us we’re falling behind when we’re actually right on track. Using a powerful (and delicious) analogy of baking cookies, you'll learn why changing the “oven temperat…
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S 802: From Assistant Coach to Business Owner, Increasing Confidence with Content, The Comprehensive Client Case, and More with FNMS Student Hannah Burness
46:03
46:03
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46:03I am joined by a special guest on today's episode and you'll get to hear her experience within the Functional Nutrition & Metabolism Specialization program. Hannah is now a FNMS graduate but came to us actually as an assistant coach looking to improve her expertise and became so confident in her abilities, she went off on her own and starting her o…
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S 801: Small Sacrifices, Big Results: The Truth About Trade-Offs in Health and Success
17:34
17:34
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17:34Are your daily choices leading you closer to your goals—or further from the life you want? We explore the quiet cost of comfort and the overlooked magic of momentum. From skipping a workout to scrolling instead of investing in your growth, I explain how small, seemingly insignificant trade-offs shape our long-term health, confidence, and success. T…
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S 800: Timeless Marketing Principles for Health and Fitness Professionals Plus the REAL Competition for Your Coaching Business
15:01
15:01
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15:01I wanted to briefly chat about a few key philosophies and concepts when it comes to coaching, your coaching business, and what I believe are timeless marketing principles that will serve you well. Topics include: - Overview of Distractions - My Enneagram 3 Tendency - Deep Work and The One Thing Resources - My Book Writing Example - Offers and Extra…
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S 799: Why AI Fails Most Coaches: The Blind Spot in AI-Powered Coaching
16:48
16:48
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16:48In this episode we unpack one of the biggest mistakes coaches and health professionals make when using AI tools. I break down why even the smartest AI struggles with the context and emotional nuance required for effective coaching. If you’ve ever felt let down by AI-generated content or unsure how to get the most out of tools like ChatGPT or Gemini…
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S 798: Metabolic Health Meets Optimal Business Health: Discover How Our FNMS Coaches Are Taking Their Careers To The Next Level
25:47
25:47
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25:47As our FNMS program has grown and evolved, so have our students and their success not only in the level of solving more complex client cases but seeing their business grow as well. Today's episode is an FNMS mentee mashup and you know I talk a lot about the program but I want to give you some viewpoints of coaches just like you who took the leap an…
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S 797: FNMS Case Study: Enhancing Confidence and Certainty in the Client Experience with Mauro Stara
41:35
41:35
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41:35Excited to be joined today by one of my FNMS mentees Mauro. Mauro is a former banker turned Founder of Starathletes. He joins me today to discuss his time with Metabolism School and the FNMS program, how his client's benefitted from his expanded skillset and knowledge, and what advice he has for folks on the fence thinking about joining FNMS. Topic…
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S 796: Doctors or Drug Dealers? Plus Kitchen Sink Supplement Protocols, Tough Client Cases, And Shady Functional Medicine...
32:23
32:23
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32:23I am all for the rise in functional medicine and the emphasis on prevention over the old model of solely treating issues once they arise but there's a trend amongst functional medicine I'm starting to be concerned about. What concerns me is some of the pages and pages of supplements costing hundreds of dollars for clients when their lifestyle pract…
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S 795: Diet Quality and Fat Loss: Research Review on Clean Eating vs. Flexible Dieting Metabolic Effects, Weight Loss, and More!
29:48
29:48
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29:48The great debate between "if it fits your macros" and quality is everything when it comes to food, what actually matters? I want to breakdown a recent study on this very topic and give you my thoughts and perspective. Topics include: - Does Quality Matter? - Ratio of Whole vs “Processed” Foods - Recent Study Details - Insulin Sensitivity Considerat…
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S 794: Optimize Muscle Gains Using These 5 Lab Tests
32:39
32:39
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32:39While several factors go into optimizing muscle growth, one advanced way is tracking certain biomarkers or biometrics and in today's episode, we'll be looking at the top 5 biomarkers you should be looking at if you want to optimize muscle growth for you or your clients. We'd be here for several hours if I went over every single one so we'll cover t…
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S 793: How Mentee Sarah Fechter IFBB Pro Upgraded Her Skillsets and Confidence Through Metabolism School
41:34
41:34
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41:34One of my currents mentees Sarah Fechter joins me on the podcast to discuss her experience and results with my Functional Nutrition and Metabolism Science Specialization program. She has a very unique background in running hip hop group dance classes in the past while also being an IFBB Pro. If Sarah's story resonates with you and you're looking to…
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S 792: The Adrenal Health-Cortisol Connection, Circadian Dysregulation, Inflammation and Emotional Health Considerations, and More!
26:05
26:05
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26:05In many instances, cortisol is discussed in conjunction with chronic dieting but chronic dieting isn't the singular variable that determines our adrenal health. In today's episode, we'll discuss the adrenal health-cortisol connection, how sleep and circadian dysregulation impacts adrenal health, and other factors to keep in mind as a coach or on yo…
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S 791: The 3 Biggest Issues in Functional Medicine Space
29:47
29:47
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29:47While I love the growth of the functional medicine space increased content around the topic, and it's approach, there are some drawbacks that I want to talk about in today's episode. There's 3 distinct issues within the functional medicine space that I want to cover today including content creation, supplementation, and how the client is viewed thr…
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S 790: 8 Evidence Based Reasons for Supplementation
50:13
50:13
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50:13There's an arguably overwhelming amount of supplements out on the market and a good amount of them are completely useless and only result in expensive bathroom trips. I don't know about you but I'd like to get the most out of my supplements and not flush money down the drain. I want to share with you eight evidence based reasons for supplementation…
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S 789: Could Your Gut Health DIRECTLY Impact Your Gains In The Gym? New Research REVEALED
18:35
18:35
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18:35Could your gut health be directly impacting your gains and progress in the gym? In today's episode, I'm going to share new research that answers this question with a resounding "YES". We'll discuss gut health and muscle function, a study around elite water polo players — results of the study and implications, and more. Topics include: - Gut Health …
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S 788: The FNMS Difference: Find Out How These Students Are Solving Complex Problems & Thriving as In Demand Experts
15:31
15:31
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15:31One of if not the coolest part of my job is seeing coaches thrive within our FNMS program and chase their vision for what they want as a coach. I want to share a short mashup episode today with a few of my FNMS students and alumni to showcase the wide array of coaches we help at Metabolism School. You've heard me talk a lot about the FNMS program b…
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S 787: The Gut Health Breakdown: 5 Key Factors Driving Digestive Dysfunction
25:41
25:41
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25:41We hope you're enjoying this series of the top 5 coaching concerns to watch in 2023! Today's installment is gut and microbiome focused as we examine stress and gut issues, circadian rhythms, medication use, and much more. Topics include: - Top 5 Gut Health Considerations - Overview of Today’s Episode - Life Stressors and Gut Issues - Circadian Rhyt…
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S 786: Most Overprescribed Medication in Client History: The Science of Gut Health, Antibiotics, and More!
40:07
40:07
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40:07This medication has extended the human life span 20-30 years and has many applicabilities. However, this medication also has many side effects that often go ignored. Today, we're discussing antibiotics and when they can be helpful, harmful, and everything in between. Topics include: - Talking Antibiotics - Where Antibiotics Can Be Helpful and Harmf…
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S 785: The Low-FODMAP Diet: Implementation Scenarios, Digestion and Gut Health Considerations, Pro's and Con's, and More!
37:38
37:38
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37:38As fitness and nutrition professionals, it's understandable to be skeptical about "named" diets but I wanted to clear up some confusion on one in particular. The Low-FODMAP diet (or Fermentable Oligosaccharides, Disaccharides, Monosaccharides and Polyols in case you were curious) is a nutritional strategy that isn't meant to be long term or a lifes…
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S 784: The Gut-Brain Axis in Client Transformation
27:04
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27:04The more we learn about the relationship between the gut and the brain, the more we understand how interconnected they are and why the rise of depression and anxiety is alarming when factoring in gut issues. We'll talk about the nervous system pathways between the gut and brain, the importance of the vagus nerve, the role of short chain fatty acids…
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S 783: Got Gut Health? Part 4: Stomach Acid, Digestive Enzymes, and Bile
23:34
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23:34Concluding our 'Got Gut Health?' series, in part 4, we will discuss stomach acid, digestive enzymes, bile, and tests you can do at home to assess stomach acid levels if you so choose. ---------- Join Our Gut Health 101: Demystifying Digestive Health on April 16th, 2025 ---------- Topics discussed: - Gut Health 101 Workshop - Digestive Health’s…
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S 782: Got Gut Health? Part 3: An Introduction to Gut Dysbiosis
28:09
28:09
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28:09Continuing our 'Got Gut Health?' Series, today's episode will dive into the topic of gut dysbiosis, the gut microbiome, and issues that arise from gut dysbiosis. Topics include: - Part 3 of Got Gut Health Series - Gut Health 101 Workshop - Gut Dysbiosis - Gut Microbiome Starts at Birth - What is Bacterial Dysbiosis? - Potential Side Effects - IBS -…
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S 781: Got Gut Health? Part 2: Intestinal Permeability and "Leaky Gut"
25:52
25:52
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25:52Continuing our series in part 2, we will be covering a recently popular topic with some controversy and a lot of misconceptions around it. "Leaky gut" or as it is actually known intestinal permeability has either two camps: it's the problem and solution to all of your health problems or it's complete nonsense. Like most things, it is somewhere in t…
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S 780: Got Gut Health? Part 1: Defining Good Digestion
28:41
28:41
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28:41In lead up to our next workshop around the science and solutions needed to solve client digestive complaints, today is Part 1 of a 4 part series where we are diving into all things gut health. What better way to start off this series than defining digestion itself. What is good digestion? What does acute and chronic constipation and diarrhea look l…
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S 779: Centers of Inflammation: Understanding Root Causes of Inflammation in Client Transformations
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34:01Extending our conversation about inflammation, it is important to understand the mechanisms of inflammation, how it presents in the body and mind, and the types of inflammation. Today's episode will cover the three types of inflammation, simplifying cytokines and their role inflammation, fat and muscle tissues considerations, and much more! Topics …
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S 778: Rethinking "Functional" Health: A Movement to Change Our Industry by Prioritizing People Over Protocols
23:28
23:28
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23:28An advanced understanding of nutrition, metabolism, gut health, and hormones should not make clients feel “more broken” or further away from their goals. In today's episode, I want to explain the impact of our influence as coaches and why being as client-centric as possible will benefit this industry the most. When a good portion of the health coac…
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S 777: Macro Troubleshooting: 5 Reasons for Adding Protein to Client Programs
18:32
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18:32Wrapping up our macro troubleshooting series, today's episode will cover when to add protein to your client's protocols. We'll talk about when your client's are experiencing hunger issues, if they are less than 0.8 grams per pound a day, and a secret bonus consideration I have for you at the end. Topics include: - Previous Episodes in Series - 5 St…
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