Dr Natalie Crawford

Then you're flipping over into pro-inflammatory.

Things that are pro-inflammatory tend to also disrupt the gut microbiome.

It all makes sense when you think about it.

Normal BMI, but internally high body fat.

And what happens is they have low muscle mass.

And the frailty data out of the WHI, so the Women's Health Initiative, looked at multiple things, not just breast cancer and heart disease, but they followed these women even off of HRT for decades.

And when they looked at frailty scores in the elderly and protein intake above 1.6 grams per kilogram, had the lowest frailty scores just based on protein intake alone.

Yep.

I've had an evolution with the way I think about fasting.

When I first kind of was stepping out of the box and what's happening in menopause and why was my body composition, I didn't know what to call it back then, but what was all this going on that was new?

And all my patients were having it as well.

And these were my girlfriends.

I worked in a small town with a big university and

These are PhDs and we're running marathons.

We're doing all this stuff and everyone's kind of complaining of the same thing.

And so fasting seemed to be helpful.

And my girlfriends were trying, we all kind of did this fasting thing and I was like super excited about it.

Everybody felt better, blah, blah, blah, blah, blah.

Okay, so fast forward, I'm learning more about hormones, body composition, protein intake, all of these needs.

And suddenly as I'm counseling my patients, I'm realizing I can't meet my own protein goals if I'm trying to fast at the same time.