Dr. Lauren Colenso-Semple

speaker
771 appearances 1 recordings 1 series first heard Feb 2026 last heard 16 Feb

Dr. Lauren Colenso-Semple’s voice in public audio — every appearance, attributed to the second.

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Recordings per month over the last 12 months — 1 in all, peaking in Feb 2026 with 1.

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And so if you have parents who have never really paid attention to their diet, have never really engaged in sport or structured exercise or resistance training, then how they fare through the aging process does not have to be the same experience for you.
Some would hypothesize that there's a kind of reproductive advantage to having more fat around the hips.
And so then across the menopause transition, when you no longer have that reproductive function, then that explains the reason why you would start to gain more fat around the midsection and lose fat around the hips.
Do we have the data to support that?
Not really.
This is more kind of looking back at evolutionary biology and kind of trying to piece things together as to why it might be the case.
That said, not all men have what we would say, you know, male pattern fat distribution, and not all women have what we would say is female pattern fat distribution.
So yes, you're right that there's a tendency to have, you know, one or the other, but it's not necessarily a one size fits all.
Yeah.
And you hear, oh, never do zone two training because of cortisol.
Don't do high intensity training because of cortisol.
And so then you're stuck with these women who are thinking that, you know, any intensity is bad because of cortisol.
As you said, this is real manifestations of Cushing syndrome that are being kind of twisted to say, okay,
Hey, are you a little stressed?
Have you gained some fat around your midsection?
It must be cortisol.
So it's a really compelling pitch to people, usually to sell them some ineffective cortisol-reducing supplement, which we don't need and they don't work.
If you actually have chronically elevated cortisol, then you need to be treated with medication, not some natural supplement.
So I think the important point here is that those...
cortisol increases are normal and necessary.
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