PODCAST · health
Docs Who Lift
by vfgt
Drs. Spencer and Karl Nadolsky talk about nutrition, medicine, and fitness through the lens of two physicians who lift weights. Both doctors are former NCAA division 1 wrestlers who have gone into medicine. Dr. Spencer Nadolsky is a board certified family physician specialized in obesity medicine and lipidology. Dr. Karl Nadolsky is a board certified endocrinologist also specialized in obesity medicine.
Episodes
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Retatrutide & Beyond: Eli Lilly Exec on Next-Gen GLP-1s
Docs Who Lift finally got a big pharma exec on the show. Dr. Ken Custer is President of Lilly's Cardiometabolic Health, and he came straight from the EASD conference in Milan with fresh data on what's coming after tirzepatide.If you've been waiting on retatrutide, this is the episode. Spencer and...
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Food Noise Is Real, and Now We Can Measure It
Dr. David Allison and Dr. Emily Dhurandhar join Dr. Spencer Nadolsky and Dr. Karl Nadolsky to break down their new research on food noise. Patients on GLP-1s kept describing the same thing: the constant background chatter about food finally went quiet. Allison and Dhurandhar convened an expert...
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Does Metabolically Healthy Obesity Even Exist?
Dr. Christian Rodriguez joins the show straight from Pennington Biomedical, where he works alongside obesity research legends Eric Ravussin and Steve Heymsfield. He breaks down his new review on metabolically healthy obesity and why the old "zero metabolic syndrome criteria" definitions are so...
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Is Your Obesity Genetic? Food Noise and Bardet-Biedl Syndrome Explained
Could your weight gain and non-stop thoughts about food actually come from a rare condition you were born with? In this episode of the Docs Who Lift podcast, Dr. Spencer Nadolsky and Dr. Karl Nadolsky chat with weight expert Dr. Jesse Richards about Bardet-Biedl Syndrome (BBS). This rare…
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PCOS Renamed to PMOS? Here's Why and What Changes for You
In this episode they cover why the name polycystic ovarian syndrome has been misleading from the start given that you do not need polycystic ovaries to have the condition and you can have polycystic ovaries without having the condition at all, what the Rotterdam criteria actually are and why…
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Are Peptides the New Snake Oil? What the Actual Science Says With Barbell Medicine
Dr. Spencer Nadolsky and Karl bring on Dr. Austin Baraki and Dr. Jordan Feigenbaum from the Barbell Medicine crew for a conversation that cuts through one of the most hyped and least understood topics in the health and fitness space right now: the research peptides that millions of people are...
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Retatrutide Phase 3 Results: What the Data Actually Means
Dr. Spencer and Karl Nadolsky sit down with David W, a nurse practitioner and one of the actual patients enrolled in the Triumph 1 retatrutide phase 3 trial, to break down the data that was just presented at the American Diabetes Association conference and explain why everyone in obesity medicine...
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GLP-1 Maintenance: What Happens When You Lower Your Dose, Switch Medications, or Stop Entirely
Dr. Spencer Nadolsky and Karl break down two brand new randomized controlled trials that put hard numbers on a question they have been navigating clinically for years: what actually happens to patients on GLP-1 medicines when they try to lower their dose, switch to a cheaper option, or come off...
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Are GLP-1 Medicines Shredding Your Bones? Here Is What the Actual Evidence Says With Dr. Susan Brian
Dr. Spencer Nadolsky and Karl sit down with Dr. Susan Brian, a Yale-trained endocrinologist, certified menopause provider, and medical director of a clinic with seven endocrinologists who runs an active bone fragility fracture clinic, to answer the question that has been flooding social media…
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Heavy Metal Toxicity: Separating Real Risks From Influencer Scams | Dr. Eryn Russo
Dr. Spencer Nadolsky and Karl sit down with Dr. Eryn Russo, a board-certified occupational and environmental medicine physician with nearly 20 years of experience working at Hill Air Force Base, where she deals with real toxic metal exposures every single day. She is one of less than one percent…
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GLP-1 Genetics: Predicting Weight Loss and Side Effects With 23andMe's Dr. Adam Auton
Dr. Spencer Nadolsky and Karl sit down with Dr. Adam Auton, geneticist at 23andMe, to break down a brand new paper using data from over 27,000 people that identified specific genetic variants linked to how well GLP-1 medications work and how likely someone is to experience side effects. 23andMe…
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Do GLP-1 Medicines Actually Cause Muscle Loss? New Research With Dr. Henning Langer
5:37 PM Dr. Spencer Nadolsky and Karl sit down with Dr. Henning Langer, PhD researcher at the Charité in Berlin and founder of his own muscle metabolism lab, to break down his newly published paper combining rodent and human data to look directly at what GLP-1 medicines actually do to skeletal...
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How Often Should You Really Lift Weights? Feat. Dr. Stuart Phillips
Dr. Spencer Nadolsky and Dr. Karl Nadolsky sit down with Dr. Stuart Phillips, senior author on the newly updated American College of Sports Medicine position stand on resistance training, to break down what 137 systematic reviews and over 30,000 participants actually tell us about building…
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Bimagrumab and Semaglutide: The BELIEVE Trial Results With Dr. Steven Heymsfield
Dr. Spencer Nadolsky, Dr. Karl, and chief science officer Dr. Grant Tinsley sit down with Dr. Steven Heymsfield, physician at the Pennington Biomedical Research Center and lead author on the BELIEVE trial, to break down what happens when you combine bimagrumab with semaglutide and why over 90...
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Menopause, Muscle, and the Myths | Dr. Alyssa Olenick
Dr. Spencer and Karl Nadolsky bring on Dr. Alyssa Olenick, exercise physiologist and postdoctoral researcher in menopause and metabolism, to cut through the noise on one of the most misrepresented topics in women's health. Dr. Olenick holds a PhD in exercise physiology, completed postdoctoral...
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The Truth About Creatine (Doctors Discuss)
Takeaways: Creatine is a naturally occurring compound that helps regenerate ATP, the energy currency of the cell. Supplementing with creatine can enhance performance in high-intensity exercise but may not be beneficial for endurance activities. The majority of creatine is stored in muscle, and...
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Top Sleep Doctor: Stop Taking Melatonin Like This
Takeaways: The 11-Minute Rule: Why blue light isn't the villain you think it is. The Melatonin Mistake: Why "less is more" (and the exact dosage for success). Trackers vs. Reality: When to throw away your Apple Watch or Oura Ring. The Bedrock Principle: Why sleep is the lead domino for fat loss…
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GLP-1s and Fertility What to Know Before Trying to Conceive
Get The Lucky Egg Book Here Takeaways:Dr. Lucky Sekhon is a reproductive endocrinologist and author of 'The Lucky Egg'.The pathway to reproductive endocrinology involves extensive training in OB-GYN and specialized fellowship.Social media became a tool for Dr. Sekhon to combat misinformation…
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Reclaiming Excellence: A Conversation with Brad Stulberg
TakeawaysExcellence is not a standard but a process of becoming.Involved engagement means caring deeply about what you do.The pursuit of excellence shapes you into a better person.Consistency is key to achieving long-term goals.It's important to align your pursuits with your values.Youth sports…
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Oral GLP-1 (Wegovy) Is Here: Dosing, Switching, and What to Expect
Key Episode TakeawaysOral Wegovy is real, but it’s not “just a pill version of the shot.” Absorption rules, dosing schedules, and patient selection matter a lot more than most headlines suggest.Switching from injections to oral GLP-1s requires a plan. The transition isn’t one-size-fits-all, and...
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Breaking Down the New Food Pyramid (Great or Confusing)
Takeaways:Dietary guidelines have evolved since the 1980s.The food pyramid was introduced in 1992 and has influenced public perception.New dietary guidelines emphasize healthy fats but retain some old recommendations.There are contradictions in the new guidelines regarding saturated fat and…
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Cortisol Myths vs Reality: What Your Adrenals Actually Do
Takeaways:Cortisol is essential for various bodily functions, especially during stress.Adrenal glands have a circadian rhythm that affects cortisol production.Cushing's syndrome can result from excess cortisol and has specific symptoms.Diagnosis of adrenal disorders requires careful testing and...
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GLP-1 Side Effects Deep Dive: Slimmer's Paralysis, Bladder Spasms, & Reactive Hypoglycemia.
Takeaways:Slimmer's Paralysis is a recognized condition.Ethical boundaries are crucial in patient relationships.Medical professionals must maintain professionalism at all times.Humor can sometimes arise in serious discussions.Patient stories should always be handled with care.The importance of...
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GLP-1s and Breast Milk: What the New Research Actually Found
Takeaways:Drug transfer during lactation is complex and challenging.Semaglutide was not detected in women taking any dose.Low amounts of tears epitide were found in milk.Tissue damage can affect drug absorption.Mastitis and engorgement complicate the lactation process.Injections are necessary for...
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How to Build Healthy Routines That Actually Stick
Takeaways:Behavior change is a complex process that requires understanding motivation and discipline.Motivation is not just a feeling; it's a psychological skill that can be developed.Many common phrases about behavior change are misleading and oversimplified.Exercise should be viewed as a choice...
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The Truth About Testosterone Therapy in Women (with Dr. Susan Davis)
Testosterone therapy can improve libido in postmenopausal women. Sexual dysfunction in women is complex and multifactorial. Low sexual desire is only considered a disorder if it causes distress. Psychosocial factors play a significant role in sexual health. Testosterone levels do not change...
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From Injections to Pills: Breaking Down the New Oral GLP-1 Data
Show Notes: In this episode of Docs Who Lift, the Nadolsky brothers welcome back Dr. Sean Wharton, clinical trialist and one of the leading researchers behind the next generation of oral GLP-1 medications. Together, they break down:The OASIS-4 trial results on 25mg oral semaglutide and how it...
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De-Emphasizing BMI, Prioritizing Health: What’s New in the ACE Obesity Guidelines
In this episode of Docs Who Lift, the Nadolsky brothers dive deep into the newly released American Association of Clinical Endocrinology (ACE) Algorithm for Obesity Care led by Dr. Karl himself. They explore:Why ACE moved away from a BMI-only approach to a person-centered, complication-centric...
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Debunking The Myths of Metabolism and Weight Loss
Takeaways The book aims to dispel myths surrounding the Biggest Loser study. Miscommunication in media has led to public confusion about metabolism. Metabolic adaptation is a response to weight loss, not a determinant of it. Cultural factors significantly influence eating habits and food choices....
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Menopause Medicine Meets Obesity Care: Doctors React
Takeaways Menopausal women often prioritize weight gain concerns over other symptoms.The study observed an association between hormone therapy and weight loss with GLP-1 medications.Retrospective studies have limitations but can provide valuable insights.Future research should focus on randomized...
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Women’s Fitness Needs Debate: Dr. Stacy Sims vs. Dr. Lauren Colenso-Semple
We covered:Fasted trainingProtein timingand many more fitness topics!Hear Dr. Lauren Colenso-Semple and Dr. Stacy Sims discuss outcomes versus mechanisms and much moreTap Here for Dr Stacy Sims References Tap Here for Dr. Colenso-Semples References Dr. LCS Instagram Dr. SS Instagram Hosted by...
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Do You Really Lose Muscle on Semaglutide or Tirzepatide?
Takeaways The podcast features Dr. Grant Tinsley, a body composition expert. The discussion revolves around a case series on body composition effects. GLP-1 receptor agonists are a focus of the research. The importance of resistance training in weight loss is emphasized. Patient case studies...
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Predatory Lab Testing: What They’re Not Telling You
TakeawaysDirect-to-consumer lab testing is on the rise, with significant marketing efforts behind it.Many patients feel brushed off by traditional healthcare providers, leading them to seek alternative testing options.Communication between patients and healthcare providers is often inadequate,...
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CVS Pulled the Plug on Zepbound?!
In this episode of the Dr. Lift podcast, hosts Dr. Spencer Nadolsky and Dr. Karl discuss the recent changes in obesity medication coverage, particularly focusing on the CVS Caremark decision to drop ZEPBound from their formulary in favor of Wegovi. They explore the implications of this decision…
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More Than Weight Loss? GLP-1s and Cardiovascular Risk
In this episode of the Dr. Lift podcast, hosts Dr. Spencer Nadolsky and Dr. Karl discuss the Surpass CVOT trial, which evaluates the cardiovascular outcomes of Monjaro compared to Dulaglutide (Trulicity). They delve into the significance of the trial, the implications of the results, and the...
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Semaglutide vs. Tirzepatide: Are We Closing the Gap?
How the STEP-UP trial came to life, and what made the 7.2mg dose possibleWhat the data actually says about weight loss and side effects at higher dosesWhy trial design, pharmacokinetics, and estimands matter more than you thinkWhat’s coming next in obesity meds: duals, triples, and even...
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Clinical vs Anthropometric Obesity
Takeaways The study examines the overlap between clinical and anthropometric obesity. Anthropometric measures include waist circumference, waist-to-hip ratio, and BMI. Challenges exist in applying the Lancet Commission's definitions in clinical practice. Metabolically healthy obesity is a debated...
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GLP-1 meds and macular degeneration
Learn what age-related macular degeneration (AMD) isWhat causes AMDThe types of AMDThe update on NAION - listen to last year's podcast all about itWhy we aren't too concernedClick here to join Dr. Spencer's online clinic VineyardClick to read the JAMA AMD articleClick to read the Ophthalmology...
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Menopause, MHT, and GLP-1 medicines
Menopausal hormonal therapy should not be a blanket recommendation for everyone going through menopause Weight management in women is influenced by hormonal changes throughout life stages. Retrospective analyses can provide insights but have limitations. The wellness industry often oversimplifies...
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The Science of Myostatin inhibitors, GLP-1 meds and Muscle Mass
Dr. Grant Tinsley joins the discussion as the body composition expert. Myostatin is a key regulator of muscle growth. Wendy Whippete the most jacked muscled up dog The concern of GLP-1 receptor agonists and muscle mass loss. Overview of Courage trial looking at semaglutide and trevogrumab and…
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Current State of Nutrition Research and MAHA
Takeaways: The MAHA report aims to address public health issues but lacks actionable policies. Historical context is crucial for understanding current dietary guidelines. Funding for nutrition research has been inadequate, impacting the quality of data. Public perception of nutrition often…
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Joy Prescriptions
Click to read Joy PrescriptionsDrs. Karl and Spencer talk to Dr. Tiffany Moon all about Joy Prescriptions. Learn how to stop chasing perfection and embrace connection. 00:00Introduction to Dr. Tiffany Moon02:02Journey to Reality TV: The Real Housewives of Dallas05:58Life After Reality TV: Finding...
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Zepbound versus Wegovy
Tirzepatide is more effective for weight loss than semaglutide. Cost-effectiveness is crucial in prescribing weight loss medications. Patients with severe obesity should receive more expensive medications for better outcomes. Both medications show significant benefits for obesity-related...
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Semaglutide for metabolic dysfunction associated steatotic liver disease (MASH).
Takeaways MASH is a significant obesity-related complication. Semaglutide shows promise in treating MASH. Weight loss is crucial for improving liver health. Bariatric surgery remains the most effective treatment. The Essence trial indicates a 63% resolution of NASH. New medications are being...
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Top 5 Women's Fitness Myths
Drs. Karl and Spencer chat with return guest Dr. Lauren Semple about creatine, protein, cortisol, fasting exercise, and training in women.Follow Dr. Lauren's instagramJoin Dr. Spencer's online clinic Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our…
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GLP-1 and metabolism and depression
Drs. Karl and Spencer discuss a new study looking at tirzepatide and metabolic rate. They also discuss a patient case of tirzepatide induced anhedonia.Here is the tirzepatide studyIf interested in joining Dr. Spencer's clinic Vineyard - Click Here Hosted by Simplecast, an AdsWizz company. See...
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Do GLP-1 meds cause more fat cells?
Drs. Karl and Spencer discuss the claim that GLP-1 meds cause more fat cells.Learn about if and how GLP-1 meds increase fat cells and what that means along with other claims about these medicine.Join Dr. Spencer's online clinic that specializes in GLP-1 medicines Hosted by Simplecast, an AdsWizz...
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Future of medicine - Direct Care
Drs. Karl and Spencer talk to Dr. Kenneth Qiu all about direct medical care - the future of medicine.Learn about how bypassing insurance and creating a relationship directly with a doctor can improve your health and save money in the long run.Follow Dr. Qiu on Linked inSee Dr. Spencer's direct…
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Tirzepatide and Muscle Loss with Dr. Grant Tinsley
Drs. Karl and Spencer discuss with Dr. Grant Tinsley all about the new analysis of how much "lean mass" is lost with tirzepatide, the most powerful medicine available for weight loss.Learn:The difference between fat free mass and lean mass and lean soft tissue and muscle.If GLP-1 medicines cause...
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The Super Bowl Hims and Hers Ad
Drs. Karl and Spencer discuss how bad the Hims and Hers ad was.From an outside perspective, the ad may have seemed good.But when you dig deeper, it was actually really bad.Listen to learn.Join Dr. Spencer's new online clinic - Vineyard. Hosted by Simplecast, an AdsWizz company. See…
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ABOUT THIS SHOW
Drs. Spencer and Karl Nadolsky talk about nutrition, medicine, and fitness through the lens of two physicians who lift weights. Both doctors are former NCAA division 1 wrestlers who have gone into medicine. Dr. Spencer Nadolsky is a board certified family physician specialized in obesity medicine and lipidology. Dr. Karl Nadolsky is a board certified endocrinologist also specialized in obesity medicine.
HOSTED BY
vfgt
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Frequently Asked Questions
How many episodes does Docs Who Lift have?
Docs Who Lift currently has 160 episodes available on PodParley. New episodes are automatically indexed when they're published to the podcast feed.
What is Docs Who Lift about?
Drs. Spencer and Karl Nadolsky talk about nutrition, medicine, and fitness through the lens of two physicians who lift weights. Both doctors are former NCAA division 1 wrestlers who have gone into medicine. Dr. Spencer Nadolsky is a board certified family physician specialized in obesity medicine...
How often does Docs Who Lift release new episodes?
Docs Who Lift publishes regularly with 160 episodes available. Check the episode list for the typical release schedule.
Where can I listen to Docs Who Lift?
You can listen to Docs Who Lift on PodParley by clicking any episode. We provide an embedded audio player for direct listening, and you can also subscribe via your preferred podcast app using the RSS feed.
Who hosts Docs Who Lift?
Docs Who Lift is created and hosted by vfgt.
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