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The Critical Importance of Strength Training and Eating More Protein with Dr Gabrielle Lyon #296

Sep 20, 2022 1h 55m 12 insights
My guest today believes that the single biggest problem with our health these days is not that we carry too much fat but that we don’t carry enough muscle. She believes that if we start to focus and prioritise our largest organ – our muscle – we can burn more fat, improve our body composition, decrease our risk of disease and increase our energy levels. Dr Gabrielle Lyon is a family medicine and osteopathic doctor who has specialised in geriatric care. What she’s seen and learned as an end-of-life physician has led her to investigate the importance of skeletal muscle as a means for people to live longer, stronger and better lives. She now focuses her practice on what she calls Muscle-centric Medicine. In this conversation, Gabrielle makes the case that the quality of our lives is in direct correlation to the health our muscles. Gaining muscle, she explains, won’t just help us slim down. It can change metabolism, reversing insulin resistance and other risk factors for chronic disease such as type 2 diabetes and heart disease. And it’s equally important for reducing sarcopenia (age-related muscle loss), protecting our skeleton, improving mobility and balance, and reducing fall risk with age. Many of us aren’t aware that we lose muscle mass from as early as our 30s - so for most of us, it’s something we need to prioritise immediately. Gabrielle explains what type of protein we should be eating and how much, we cover what exact combination of exercise Gabrielle recommends to her patients and we discuss why for women in their peri-menopausal years, muscle loss is a very real problem that needs addressing. Gabrielle is realistic about the amount of effort her recommendations require and I find it really refreshing that she’s not trying to sugar-coat anything to make it more palatable. She’s someone who deeply cares about the health of her patients and wider society and wants to empower us all with practical knowledge that will help improve the quality of our lives. I really enjoyed my conversation with Gabrielle – I hope you enjoy listening. Gabrielle also has her own podcast The Dr Gabrielle Lyon Show https://podcasts.apple.com/us/podcast/the-dr-gabrielle-lyon-show/id1622316426 Support the podcast and enjoy Ad-Free episodes. Try FREE for 7 days on Apple Podcasts https://apple.co/feelbetterlivemore. For other podcast platforms go to https://fblm.supercast.com. Show notes https://drchatterjee.com/296
Actionable Insights

1. Prioritize Muscle Health for Longevity

Shift focus from solely fat loss to prioritizing muscle health, as muscle is the body’s largest endocrine organ and is crucial for burning fat, improving body composition, reducing disease risk, increasing energy, protecting the skeleton, improving mobility, and reversing insulin resistance. This is the “organ of longevity” and directly correlates with quality of life, improving survivability across nearly all disease states.

2. Optimize First Meal Protein Intake

Make the first meal of the day the most important for muscle protein synthesis, aiming for 30-55 grams of high-quality protein. This is critical because the body is catabolic overnight, and hitting this threshold, especially with sufficient leucine (around 2.5g), stimulates muscle growth machinery (mTOR), which is vital for all adults, particularly as anabolic resistance increases with age. Plant-based individuals may need to aim for the higher end (55g) to account for protein quality.

3. Engage in Strength Training Weekly

Incorporate strength or resistance training three to four days a week, focusing on compound, multi-joint movements (e.g., squats, deadlifts, bench press, kettlebell carries). The goal is hypertrophy (muscle growth) through metabolic and mechanical stress, working to perceived exertion or near failure, as this builds “body armor,” improves glucose disposal, and increases total caloric expenditure, enhancing survivability and resilience.

4. Incorporate High-Intensity Interval Training

Perform high-intensity interval training (HIIT) at least once a week, potentially twice for women in menopause. This involves short, all-out efforts (e.g., three 20-second bouts with 3-minute rests) to create metabolic flux, utilize substrates, and significantly improve insulin resistance by enhancing glucose transport into skeletal muscle, providing a potent stimulus in a short amount of time.

5. Adopt a Discomfort-Embracing Mindset

Cultivate a mindset that embraces physical and mental discomfort, recognizing that challenge is essential for human thriving and growth in all domains. This means pushing the body to uncomfortable levels, potentially including one to two “suck” workouts per week, as this discipline augments physiological responses and builds resilience.

6. Aim for High Daily Protein

Strive for a total daily protein intake of one gram per pound of ideal body weight to optimize muscle health and counteract anabolic resistance. This overall daily target, combined with strategic meal distribution, is crucial for maintaining and building muscle mass, especially as the efficiency of protein utilization decreases with age.

7. Maintain Cardiovascular Training Base

Include at least 150 minutes of moderate to vigorous cardiovascular training per week (e.g., running, brisk walking) to improve mitochondrial health, overall wellness, and immune system function by stimulating the secretion of beneficial myokines like interleukin-6, which can counterbalance inflammatory mechanisms.

8. Model Physical Activity for Children

Establish a family culture of physical activity and discipline, as children are highly anabolic and benefit significantly from early training for muscle mass potential. Parents should model active behaviors, making physical activity a non-negotiable and fun part of daily life to foster long-term health and prevent childhood obesity.

9. Limit Mealtime Carbohydrate Intake

For sedentary individuals, limit carbohydrate intake to a maximum of 40-50 grams per meal to prevent excessive insulin stimulation and optimize glucose disposal. This helps manage blood sugar levels and supports overall metabolic health, as the body has a meal threshold for processing carbohydrates efficiently.

10. Consider Creatine for Aging

For aging individuals, particularly those at risk of falls or muscle wasting, consider supplementing with 5 grams of creatine daily, in addition to optimizing protein intake, to help offset muscle loss and support muscle health and function.

11. Exercise Caution in Menopause

Women in perimenopause and menopause should be mindful of an increased risk of injury due to decreased estrogen affecting tendons and ligaments. While increasing training is crucial, avoid highly explosive movements like box jumps on their own and prioritize careful, controlled resistance training.

12. Supplement BCAAs with Lower Leucine

If a meal’s protein source is insufficient to reach the leucine threshold (e.g., a single salmon fillet or plant-based meal), consider adding a branched-chain amino acid (BCAA) powder in a 2:1:1 ratio (leucine, isoleucine, valine) to boost leucine levels and trigger muscle protein synthesis, ensuring all essential amino acids are still consumed from food.