The Flipping 50 Show

• 5 Reasons You’re Not Losing Weight or Gaining Muscle After 50

  If you are exercising but not losing weight or gaining muscle after 50, there are some easy and yet not-so-obvious reasons why.  This is for all of you exercising but not getting results.  Whether you or women you work with are interested in gaining muscle after 50, you may like this:  How to Design Strength Programs that Work PRE, peri and post-menopause is a new workshop I'm offering complimentary to our members and existing Menopause Fitness Specialists. If you’re interested as a non-member, add your name here to the notifications list.    5 Reasons You May Struggle Losing Fat or Gaining Muscle After 50 Not Working To Muscular Fatigue  Starting out: 5-6 reps to fatigue Experienced - 2 reps from reserve Workouts to gain muscle strength: Light - in between 6-30 reps Moderate - +/- 15 reps Heavy - 10 or fewer reps Too Little Recovery 3 things that have to recover: Muscle, Connective tissues, Adrenals Muscle 48 hours of recovery is not enough for a lot of people. As we age, we need more recovery time. If you take too little recovery time, you will feed more tired than better and not gain lean muscle mass. Connective tissues (ligaments & joints) Recovery may be slower and healing from an injury or a strain. Take time with warm ups and cool downs. Work on mobility around key joints like ankles, hips and shoulders regularly.  Adrenals Prolonged elevated cortisol after a workout is problematic if already chronic elevation of cortisol exists. Estrogen regulates the HPA-axis (cortisol/adrenal signaling) function. Less estrogen reduces the ability to regulate stressors. Decreasing exercise, reducing inflammation and taxing of the adrenals, improving sleep, nutrition sufficiency, and identifying ways to reduce negative effects of cortisol with tools that work for you.   More Reasons Why You're Not Gaining Muscle After 50 Too Few Calories Or Protein  May limit muscle protein synthesis. If you’re in a caloric deficit: a moderate deficit ( resistance training  high protein intake Can help preserve muscle during fat loss. BUT for muscle growth, a calorie surplus is usually necessary. An 8-week study on heavy resistance training performed in a split routine (with young adults) suggested a much higher protein intake successfully improved fat loss with resistance training in active adults. That was 3.4g protein / kg body weight. For me doing that math at 130lbs would mean an intake of 200g of protein. A recent study pointed out that for muscle strength older adults need adequate protein, and for mass, adequate micronutrient density.   Too Little Sleep Inadequate sleep can lead to a decrease in muscle strength in the post-night session . Sleep, post-exercise recovery and athletic performance seem to be significantly related and it appears that vigorous exercise can intensify the negative relationship between sleep deprivation and recovery.   Not Enough Quality Volume  POST menopause requires more volume than PRE menopause for adequate stimulus. Post-menopause recommendations are 6-8 sets of exercise for any one muscle group per week. PRE menopause:  Per day: 3 to 4 sets per 8 major muscle group  Per week: 48 to 64 sets total, spread out in 2 (or 3) workouts. These work before estrogen and other hormonal declines have occurred. POST menopause: Per day: 6 to 8 sets per 8 major muscle group Per week: 77 to 144 sets total, spread out in 2 (or 3) workouts. That is a wide range but researchers suggested more is needed. More research is needed to determine if this is really true. More importantly, you should test it to see if it’s true for you.  References for Gaining Muscle After 50:  Sports Medicine, 2024, PMID: 38970765. Seattle Midlife Women's Health Study. Menopause, 2009, PMID: 19322116. The Journal of Clinical Endocrinology and Metabolism, 2017, PMID: 29106594. International Journal of Sport Nutrition and Exercise Metabolism, 2022, PMID: 34697259. Journal of the International Society of Sports Nutrition, 2015, PMID: 26500462. Biology of Sport, 2021, PMID: 33795917. BMC Women’s Health, 2023, PMID: 37803287.   Other Episodes You Might Like: Previous Episode - What to Do When Joints Hurt, Ache or Need Replaced? A Doctor Viewpoint Next Episode - You’re Not Really Bloated! More Like This - Extended Cardio and Low Protein Equal Short Term Weight Loss   Resources:  Don’t know where to start? Book your Discovery Call with Debra. Understand how sleep relates to your hormones, muscle mass and weight loss with Flipping 50 Sleep Yourself Strong. Learn how to Design Strength Programs that work pre, peri and post-menopause.  

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• What to Do When Joints Hurt, Ache or Need Replaced? A Doctor Viewpoint

  What do you do when your joints hurt? Do you think this is only temporary because I did too much of something? What can you do when joints hurt, or at least ache? Are you thinking or told about knee replacement? If this is you, this is your episode!   My Guest:  Dr. Joshua Schacter, DO, FAAOS, America’s Holistic Orthopedic Surgeon, is redefining joint care with a commitment to providing actual solutions for his patients. Spending a decade as the Chief of Orthopedic Surgery and Director of the Advanced Orthopedic Center of Excellence, he saw the need for non-invasive, innovative solutions that address the root causes of pain and dysfunction rather than masking symptoms. When his wife was diagnosed with the “breast cancer gene”, the Schacter’s became obsessed with wellness, health and how to accomplish true healing. Dr. Schacter dreamed of a more effective and patient-centered approach, the Pinnacle Method.   Questions We Answer in This Episode: [00:05:25] How did your personal experience cause you to shift your focus from traditional orthopedic care to a more holistic and integrative approach?  [00:21:18] What is orthobiologics?  [00:20:20] How does The Pinnacle Method address not just the symptoms but the root causes of joint pain? How does the Pinnacle Method help patients achieve long-term wellness? [00:21:30] How do the treatments you offer support the natural healing process? [00:37:00] Can you define PRP? The efficacy and timeline, cost and success rate?  [00:37:35] What do you find to be true today on surgery and non-surgical treatments? What evidence or success stories would you share to illustrate the effectiveness of the Pinnacle Method? [00:39:30] Your approach is optimizing overall health and longevity. How do you incorporate wellness and prevention into your care for patients?   Know What You Can Do When Joints Hurt   What is orthobiologics? Use of the body’s own healing capacity. Includes PRP (platelet-rich plasma), stem cells from fat or bone marrow, cord blood.   What is PRP? Platelet-rich plasma: Draw blood → concentrate platelets → inject into affected joint Cost: $2,000–$6,000 per dose   What is The Pinnacle Method? Combines PRP, functional medicine, and BHRT Addresses the whole patient, not just symptoms   Key Takeaways Orthobiologics like PRP and stem cells are effective alternatives to surgery, especially when used early. Steroid injections can accelerate joint degeneration and should be used cautiously. The Pinnacle Method is a patient-centered approach combining regenerative orthopedics, functional medicine, and hormone therapy. Menopause-related hormonal changes significantly affect joint health, making hormone balance crucial. Connect with Dr. Joshua: Website - Pinnacle Sports Medicine Facebook - Dr. Joshua Schachter Instagram - @drjoshuaschacter Instagram - @pinnacleintegrativeorthopedics YouTube - @drknighthawk   Other Episodes You Might Like: Previous Episode - Extended Cardio and Low Protein Equal Short Term Weight Loss Next Episode - 5 Reasons You’re Not Losing Weight or Gaining Muscle After 50 More Like This - Do You Have a Dominant Side? Joint Pain Solutions I’m Using Right Now More Like This - A Trek Up Mt Kilimanjaro with 3 Artificial Joints at 70   Resources: Join the Flipping50 Membership for evidence-based workout programs. Short & Easy Exercise videos in this 5 Day Flip Challenge.

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• Extended Cardio and Low Protein Equal Short Term Weight Loss

  Short term weight loss sounds great BUT it’s not all fat – it’s muscle! Muscle will be much harder to regain as we age because of anabolic resistance..  Clothes might feel loose and you get weight loss compliments. But short term weight loss is just giving a “false positive” honeymoon period. This might mean you divorced muscle, the love of your life.   1. Muscle Mass Loss (Sarcopenia) Protein Deficiency Protein is essential for building and maintaining muscle tissue. Insufficient protein intake exacerbates muscle atrophy and increases the risk of falls and injuries. Excessive Cardio Prolonged cardio can lead to a breakdown of muscle tissue for energy, particularly if glycogen stores are depleted. This can worsen age-related muscle loss and counteract maintaining strength and function. 2. Bone Health (Osteoporosis) Protein Deficiency Protein is needed for bone health and bone density. Inadequate protein intake, especially after menopause, increases the risk of osteoporosis and fractures. Osteoporosis Risks After menopause, risk of osteoporosis increases due to declining estrogen levels and can weaken bones prone to fracture. Sarcopenia and Osteoporosis Link Having both increases the risk of falls and fractures. Poor nutrition leads to sarcopenic obesity and increases the risk of osteoporosis. 3. Other Negative Effects Reduced Physical Function Since inadequate protein leads to muscle loss, this reduces strength, impaired balance, and decreased ability to perform daily activities. Slow-Healing Injuries Protein repairs tissues. Deficiency can slow wound healing and recovery from injuries. Weakened Immune Function Amino acids from protein build antibodies and maintain a healthy immune system. Low protein intake can lead to frequent illnesses and infections. Potential Cardiac Issues (Excessive Cardio) Associated with potential adverse cardiac effects, such as myocardial fibrosis and an increased risk of atrial fibrillation, in some individuals. Musculoskeletal Injuries (Excessive Cardio) Increases the risk of musculoskeletal issues like osteoarthritis and stress fractures.   What Can You Do Instead of A Short Term Weight Loss Recommendations: Prioritize protein intake with 30 grams each meal. Balance cardio and strength training to build and maintain muscle mass. Listen to your body and avoid pushing yourself too hard or engaging in prolonged, strenuous exercise if it causes excessive fatigue or pain.   References:  Chucherd O, Vallibhakara O, Vallibhakara SA, Sophonsritsuk A, Chattrakulchai K, Anantaburarana M. Association of Sarcopenic Obesity and Osteoporosis in Postmenopausal Women: Risk Factors and Protective Effects of Hormonal Therapy and Nutritional Status. Arch Osteoporos. 2025 Jun 26;20(1):83. doi: 10.1007/s11657-025-01573-w. PMID: 40569474; PMCID: PMC12202630. Filip Vuletić, Berte Bøe, Considerations in the Aging Female Athlete, Operative Techniques in Sports Medicine, Volume 32, Issue 2, 2024, 151091, ISSN 1060-1872, https://doi.org/10.1016/j.otsm.2024.151091.   Other Episodes You Might Like: Previous Episode - Simple Ways to Know if You’re Following Protein Rules in Menopause Next Episode - What to Do When Joints Hurt, Ache or Need Replaced? A Doctor Viewpoint More Like This - Protein for Menopause Hormone Support   Resources:  Join the Flipping50 Membership for evidence-based workout programs. Short & Easy Exercise videos in this 5 Day Flip Challenge. Get the Flipping 50 Protein & Fiber supplements for women over 50 to support muscle health, enhance recovery, and meet daily nutritional needs.  

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• Simple Ways to Know if You’re Following Protein Rules in Menopause

  The protein rules in menopause change.  We’ve talked about protein before. But not like this.  Instead of a complicated, Smart Scale, DEXA scan-based check your numbers hard line obsession, you’re going to get down-to-earth, easy to hear support for your protein rules in menopause.    My Guest: Jordan Robertson is an evidence based naturopathic doctor, and the owner of The Confident Clinician, a software built specially to help clinicians make research-backed decisions for their patients with nutrition, supplements and lifestyle medicine.   Questions We Answer in This Episode: [00:03:19] Why do protein needs change as we age? [00:22:48] What simple ways can women use to tell if muscle mass is reducing during menopause, and when should we try to change it? [00:27:42] What happens if women don’t make these changes with their muscle mass and appetite? [00:32:51] What are the best sources of protein in the diet? Your thoughts on plant vs animal protein?  [00:37:06] What is your opinion about 5-6 small meals vs 3 meals with bigger bolus?    Protein needs, especially in menopause, go up. As we age, the ability to make muscle gets harder.   Protein Needs Calculation for ideal protein intake: body weight in kg * 1.5 (if you have your weight in lbs, divide by 2.2 to convert to kg) Before: 0.8 - 1 gram of protein per kg body weight per day (based on nitrogen loss) Now: 1.2 - 1.7 grams of protein per kg of body weight per day Depends on who you are and what you need (e.g. your age, gender, lifestyle, athlete, digestive issues, protein resistance, etc.)   Let’s Dive Deep Into The Protein Rules in Menopause   Muscle Mass Physical: Check if your body shape has changed, even if your weight stayed the same. Functional: Can you get off the chair without using the arms on the chair? Can you get up off the floor relatively easily? Do you find your walking speed has changed? Body Composition Scan: Many clinics will have a bioelectrical impedance analysis to look at muscle mass and body composition. Best to test the rate of chance over time (after x months, as prescribed by clinic). If you are seeing a reduction in speed, strength and power in any of your daily life activities or in the gym, then we can make an assumption that we are having some loss of muscle tissue.   Plant VS Animal Protein Have a well-balanced diet that includes plant-based protein. The addition of plant-based protein has additional health benefits which can improve our cardiovascular health.   Does Protein Timing Matter Just hit your daily protein with consistency. If 30 grams of protein per meal is difficult, you need to add one more meal. If post-workout protein helps you hit your protein target, continue. Your health journey gets more difficult if your protein timing starts to consume you and your time (e.g. spreadsheet, magnetic to your fridge, etc.).   Connect with Jordan: Instagram - @drjordannd   Other Episodes You Might Like: Previous Episode - Listener Menopause Exercise Question: Are You Exercising Too Much, Too Little, or Just Right? Next Episode - Extended Cardio and Low Protein Equal Short Term Weight Loss More Like This: Protein for Menopause Hormone Support Where Protein Recommendations for Women Come From? Building Muscle During Menopause: A Protein and Exercise Review   Resources: Join the Flipping50 Membership for evidence-based workout programs. Short & Easy Exercise videos in this 5 Day Flip Challenge. Get the Flipping 50 Protein & Fiber supplements for women over 50 to support muscle health, enhance recovery, and meet daily nutritional needs.

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• Listener Menopause Exercise Question: Are You Exercising Too Much, Too Little, or Just Right?”

  Listener Menopause Exercise Question: Are You Exercising Too Much, Too Little, or Just Right?”   Recently, a listener asked a menopause exercise question, "I'm doing strength training three times a week for 30 minutes. Is that too much? If you have wondered, or wonder what is enough, too much or the Goldilocks for you, this is for you.   Based on a study in Ireland called Menowell (not to be confused with the bars), almost 70% of us get our information from friends and 50% get information from social media. So, beware. Even researchers right now are spending a lot of time and energy getting eyeballs and making shocking statements. Instead of merely sharing the facts, they’re being as inflammatory as the influencers they claim not to be.    Quick Overview: Menopause can bring bone loss, muscle loss, metabolic changes, mood shifts & symptoms like hot flashes and sleep troubles. Promise: By the end, you'll know how to calibrate exercise for maximum benefit and minimal burnout, even if you’re not experiencing any of these.    Why exercise is non-negotiable? Exercise is medicine.  Muscle is medicine and an endocrine organ.  Muscle is HRT if you allow it to be.  Like any other medicine, the right dose and timing are crucial.    How much is too little? I could answer in a very generic way: Minimum WHO/HHS guidelines:  150 min moderate aerobic + 2 strength sessions weekly  Under 150 min weekly leads to missed benefits like bone density maintenance and cardiometabolic protection   This is not a generic podcast and you’re not a generic woman.  So, let’s answer with the uniqueness you deserve. Whether you’re exercising too little or too much your body leaves both objective and subjective data.    Red flags of Undertraining and Overtraining: Persistent fatigue Ongoing symptoms Plateau in strength/mood/weight.   More Answers to Your Menopause Exercise Questions   When exercise becomes too much: Excessive high-intensity sessions >3× weekly without recovery ups injury risk—especially for connective tissue for women in midlife.  Overtraining stress can aggravate symptoms, disturb sleep, mood, and adrenal health, appetite/cravings and libido.    Finding the sweet spot: Measure muscle and body fat (See Resources for my smart scale picks.)  Measure waist girth  Measure bone density through Dexa scan    Do-It-Yourself checklist: Track energy, sleep, mood, focus, libido, digestion, elimination (See Resources for Flipping50 Progress Tracker)  Between your objective and subjective measures, are you getting what you want? Not just immediate but long term?    References:  Cooper, D., Ward, K., Kavanagh, R. and O’Connor, S. (2023) ‘‘MenoWell’: A pilot 6-week novel, online, multimodal exercise and health education programme for women in all stages of menopause living in Laois, Ireland’, Physical Activity and Health, 7(1), p. 303–318.   Other Episodes You Might Like: Previous Episode - Essential Oils for Menopause Hormones | Essential How-to for Essential Oils Next Episode - Simple Ways to Know if You’re Following Protein Rules in Menopause More Like This - Exercise and Hot Flashes and Other Menopause Symptoms   Resources:  Join the Flipping50 Membership for evidence-based workout programs. Opening soon! Save your spot! Monitor your progress with Flipping50 Progress Tracker. Try OneSkin for SPF on face, lips and body. My top picks for 2025 Smart Scale Picks for Body Composition. Don’t know where to start? Book your Discovery Call with Debra. Join the Flipping50 Insiders Facebook Group and connect with Debra and the community.

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