Dr. Spencer Nadolsky

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117 appearances 1 recordings 1 series first heard May 2025 last heard May 2025

Dr. Spencer Nadolsky’s voice in public audio — every appearance, attributed to the second.

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Now, I don't gatekeep because I'm like, I can't force anybody to lose weight. I do think the clinical benefits of losing the adipose... outweigh not losing that at a post if they're not going to strength train, but like strongly encourage, strongly push it.
So if I could, you know, be very paternal and make sure everybody does, yeah, everybody would be weight training at least two, three times a week, if not more, but two, three times a week. Yeah.
Yeah. So function, functionality, physical function, just living, activities of daily living, making sure that, hey, can you get up the stairs? Hey, maybe you got to pick up your bag of groceries and bring it up the stairs. All those types of things are so important. It goes back to the quality of life thing. And if you're not going to enjoy life, it's not worth it.
I mean, at least in my opinion, I don't know, maybe other people feel differently, but it's not fun to live a not fun life.
No, I need to see it because it was supposed to be really good about obesity and everything.
yeah it's you'll still see it right now like i'll get patients that they'll their doctors will be like no no you just need to go running and they're like but i don't feel like running it's miserable if you've got a lot of weight now so i do have some marathoning patients with obesity but it's not common and the last thing they want to do is go for a run that's uncomfortable for them so you get them strength training and it's something they feel comfortable doing like
To get discouraged by a doctor to do that, especially when there's great data for it, it's very frustrating. Thankfully, there's a lot more data. Actually, the guidelines say try to strength train a couple days a week, so that's good. It's still being pushed out there.
AI is going to take over anyway.
It's just crazy.
I love AI. I talk to it all day, all day long. Because I use Claw, ChatGPT, and Grok, and I cross-reference and then reference my other things and make sure that it helps me learn. And it's so smart, but it hallucinates sometimes when you cross-reference. But it's the future. I know it.
Yeah, who the hell is going to, the AI is not going to come fix my toilet.
I think the trades are going to get... I agree. I think that's... Unless they get robots, I suppose, but that's future, future, future.
Yeah. We'll see. Some of these things are beating. I mean, and I could see it. I've talked to Claude and these things, and it's like, oh, man, this thing is very compassionate when talking to me. I'm like, oh, man, this thing's better than me. I'm done.
Yeah. So we're publishing some case studies where we have a prospective trial or I should say a prospective study, not a trial. We're not doing a randomized trial. First, we actually will be doing a randomized trial, but we're showing minimal fat-free mass loss. So For people listening, you can follow my chief science officer, Dr. Grant Tinsley, who's a big-time body composition expert.
But he goes into how DEXA scans don't look at muscle directly, but it's a fat-free mass loss. And when people lift weights and eat adequate amounts of protein, not even overdoing it, but lifting weights, it's minimal. It's minimal. It's 10% or less or sometimes zero or even they gain fat-free mass. It's amazing.
Yes, by far.
Yeah, because this is like kind of standard sports medicine literature where the bodybuilders, the athletes... And when you look at that data, you need to send the signal to the muscle. You can give the muscle building blocks, but if you don't have the signal to build, it's not going to build anymore. It can maybe a little bit.
But if you're not sending that signal to the muscle to grow or even just stick around, it's gone. So its magnitude is higher of importance now. And if anybody wants, so people like Brad Schoenfeld, Stu Phillips, those guys are kind of pioneers in that stuff. But it actually crosses over to obesity with these medicines. Actually, I was at an obesity conference and we did a debate.
I was going against a guy, John Jakisek, brilliant exercise researcher. And we had to pick sides of resistance training versus aerobic training when it comes to obesity. And back then, it was 2022 or 2023. Yeah, 2022 it was. Had to have been. Yeah, 2022 maybe. And I picked resistance training, of course. And I went through all of it.
And back then, these drugs were just kind of coming out and people weren't talking about it as much. But I made the argument that like, look, these medicines will get people walking around and being physical activity. Nothing can replace resistance training. You just can't, you can't replace it with anything. You have to do it. You can't take more protein just to try to make up for it.
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