201 - Lily Spechler - Fuel Before You Fix episode artwork

EPISODE · Jan 21, 2026 · 52 MIN

201 - Lily Spechler - Fuel Before You Fix

from Long Covid Podcast · host Jackie Baxter & Lily Spechler

I sit down with Lily Spechler, a registered dietitian and long hauler, to unpack why weight change in Long Covid is a metabolic story, not a willpower issue. We map a safer path: fuel first, stabilise blood sugar and blood flow, then make tiny adjustments that your body can tolerate.• Adding 10–15% above BMR to halt weight gain and calm stress signals• Glucose spikes from standing and why compression and electrolytes help• Why cutting calories can worsen dysautonomia and fatigue• Protein-forward plates with modest carbs to flatten swings• When weight loss is medically useful in MCAS, hypermobility and sleep apnoea• Stabilise first, then small deficits from added calories• Safe strategies for unintentional weight loss using high calorie, low volume foods• Using CGMs to link symptoms to glucose patterns• Practical supports: salt, fluids, compression, pacing and low histamine choicesLinks: Connect with Lily: https://www.longcoviddietitian.com/services-5Our previous episode: https://www.buzzsprout.com/1835170/episodes/14847447Message me! (I can't reply to these messages) For more information about Long Covid Breathing courses & workshops, please check out LongCovidBreathing.com (music credit - Brock Hewitt, Rule of Life) Support the show~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~The Long Covid Podcast is self-produced & self funded. If you enjoy what you hear and are able to, please Buy me a coffee or purchase a mug to help cover costsTranscripts available on individual episodes herewww.LongCovidPodcast.comFacebook Instagram  Twitter Facebook Creativity GroupSubscribe to mailing listI love to hear from you, via socials or [email protected]**Disclaimer - you should not rely on any medical information contained in this Podcast and related materials in making medical, health-related or other decisions. Please consult a doctor or other health professional**

I sit down with Lily Spechler, a registered dietitian and long hauler, to unpack why weight change in Long Covid is a metabolic story, not a willpower issue. We map a safer path: fuel first, stabilise blood sugar and blood flow, then make tiny adjustments that your body can tolerate. • Adding 10–15% above BMR to halt weight gain and calm stress signals • Glucose spikes from standing and why compression and electrolytes help • Why cutting calories can worsen dysautonomia and fatigue • Protein...

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201 - Lily Spechler - Fuel Before You Fix

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This episode is 52 minutes long.

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This episode was published on January 21, 2026.

What is this episode about?

I sit down with Lily Spechler, a registered dietitian and long hauler, to unpack why weight change in Long Covid is a metabolic story, not a willpower issue. We map a safer path: fuel first, stabilise blood sugar and blood flow, then make tiny...

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