Dr. Rocio Salas-Whalen

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288 appearances 3 recordings 2 series first heard Apr 2025 last heard May 2025

Dr. Rocio Salas-Whalen’s voice in public audio — every appearance, attributed to the second.

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So anytime that we tip the scale from one side, it's bad. So we need to find the medium, right? We need to find the balance because that's also more sustainable long term than something extreme.
Das ist es. Okay, warum? Weil Sie wissen müssen, was Ihre Muskelmasse ist. Longevität ist direkt proportional zur Muskelmasse. A low muscle mass increases all-cause mortality. We don't say that with high body fat. We say you're going to develop osteoarthritis. We know chronic diseases can come out of high body fat mass. But we don't say it increases all-cause mortality.
As we say, low muscle mass, and the studies are there that show that patients that have sarcopenia or low muscle mass, their mortality is increased, all-cause mortality is increased. Why is that? Because then we're more prone to falls, right? If you don't have muscle mass, it means that you're lacking protein in your diet and we need protein for our bones too, right?
Then you're going to be more prone for fractures, right? Es wird dir einfach nicht die Independence geben. Und auch Muskel ist anti-inflammatorisch, richtig? Also mehr Muskelmasse zu haben, ist wirklich die Gesundheit gleich. Also für jede Frau in der Zwischenzeit oder vor der Zwischenzeit,
Du musst wissen, was deine Muskelmasse ist, weil das dein größtes Waffen ist, um lange Jahre zu leben und unabhängige lange Jahre, richtig? Das ist das, was dir helfen wird, aus der Toilette selbst zu kommen, aus dem Bett selbst zu kommen, wenn du schlägst, um dich aufzunehmen, richtig? Also definitiv, denke ich, ist es sehr wichtig, dass wir wissen, was deine Muskelmasse ist.
Yeah, they can do waist circumference. But really, I mean, body composition machines are pretty much everywhere now. I don't think there's a reason why not to have one. Even in your gym, you can have one.
Yeah, definitely. So cardiovascular exercise is good for two things. Mental health, right? And the second is for cardiovascular health. But it's not important for fat loss. Got it. Okay. And I feel that's a lot of... A mistake that women in midlife make, thinking that cardiovascular exercise will make them or help them lose body fat.
For my patients, I tell them, if it's good for your mental health, then keep it. But if the goal is fat loss, then really we need to concentrate more on strength training.
Ja, und auch, wenn du das Druck des Gewicht-Losses, des Fett-Losses mit Kardio entfernt hast, kannst du es mehr genießen, oder wenn du es wirklich nicht magst, dann kannst du etwas tun, was du eigentlich magst, in Bezug auf Übungen.
Genau.
Was ist es? Cortisol-Face ist das, was wir Cushing-Syndrom nennen. Das ist eine echte Krankheit. In dieser Krankheit, wenn wir die Diagnose bestätigen, sehen wir Cushingoid-Faces oder eine große, rote Face. But just simple stress is not going to give us that round cushionoid face that you're mentioning.
False. It burns muscle, right? So you need the energy, the fuel to support when you're exercising, when you're doing cardio. But if there's no food, then the muscle starts to break down to produce that energy that you need.
That one panicked me. There is no reason not to eat carbs after 40. Ist Osempic Butt real, wahr oder falsch? Irgendwo zwischen. Osempic doesn't cause muscle loss and Osempic Butt is referring to the drooping of the gluteus. And that's because you're losing muscle, but not just in your butt everywhere, right? So it could be the Osempic arm, the Osempic leg.
It can happen if you don't have the right supervision in this medication.
False. We really, endocrinologists, don't use the word balance so much. You can lose weight even in perimenopause if you're not using hormone replacement therapy. You can still potentially lose weight.
Very, very true. So visceral fat increases insulin resistance, insulin resistance increases visceral fat, and then you get into this vicious cycle.
Very true. Definitely. And we talked about elevated cortisol from not sleeping, right? So that's going to promote waking. And if you're not sleeping, you're going to be tired during the day and you may be less prone to want to exercise and eat healthy.
False. We need the same amount of protein.
False. It works for nobody, but many people do it. But really, if we're talking about high protein in your diet, building muscle, intermittent fasting is going to make it very complicated for you to meet that amount of protein.
True, very true, because you can rebuild muscle at any age.
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