Massage Therapy and Holistic Care

How to overcome barriers to better health

“I just bought a new BPA-free tupperware set.”

This comment, coming from my friend Anna, caught me off guard.

Anna’s a highly competent law professional. She’s a critical thinker and she fights in the heavyweight division when it comes to cutting through BS.

But the Anna I knew was falling into some painful traps that seemed to be bypassing her inner hawk-like skeptic.

She’s wanted to lose around 15lbs for some time now and came to me to share how stuck she was feeling in this goal.

She brought up an avenue she was exploring: the new BPA-free tupperware set.

“Interesting. What inspired you to focus on that?” I asked.

“Well, I’ve been reading about how microplastics in food containers can mess up our hormones and cause weight gain,” she said.

I squinted.

To backtrack, this is right after she told me how she’d been struggling to be consistent at the gym, had been relying on takeout too often, and had been sacrificing boring old sleep for adrenaline-inducing doom scrolling.

So I asked:

“What about trying to get more consistent with your workouts, or prepping more homemade meals during the week?”

And Anna said:

“Yeah, but I’ve tried that a thousand times. If it were that simple, it would have worked already.”

We’ve all done this before.

Ignored or delayed those hard-but-worthwhile habit changes in favor of some ultra-specific, niche magic bullet that’s supposed to “change everything.”

Spent hours of research on the ultimate, most optimal workout instead of devoting those hours to just doing the basic workout you already know how to do.

Waited to feel more inspired, motivated, or just less busy.

Why do we do this?

Buying new gear or a popular supplement feels like making progress.

Consuming YouTube videos or articles about stuff you can change feels like you’re doing something.

And waiting until the “right time” feels, well, right.

Except, nothing actually changes until we take real, consistent action.

We’re clever, us humans. And we’ve come up with lots of sneaky ways to avoid the basic, unsexy, difficult actions we need to take that actually drive change.

In this article, we’ll explore how to take an honest and compassionate look at why you might be distracting yourself from taking impactful action.

You’ll learn:

What the most impactful health habits actually are
Three common barriers to making sustainable progress
A 4-step process you can apply to start taking positive, productive action
How to keep yourself consistent—and achieve your goals

The stuff you know you should do (but probably aren’t doing consistently)

We all know what those basic, fundamental health habits are:

Exercising, ideally 30 minutes a day, putting in moderate-to-vigorous amounts of effort, with a mix of aerobic and resistance training.

Eating mostly nutritious, minimally-processed foods. If 80 percent of your diet comes from whole or minimally-processed foods, you’re doing an excellent job. (Translation: “Perfection” isn’t required; pizza can be part of a healthy diet.)

Eating enough protein to support muscle mass, appetite regulation, and body recomposition goals, if you have them. Aim for about 1.2 to 2.2 grams of protein per kilogram of body weight (for most people, this adds up to about 4-6 palm-sized portions of lean protein per day).

Prioritizing getting seven to eight hours of quality sleep. You can’t always control how well you sleep, but having some wind-down time before bed can help, as can waking up at the same time every day.

Avoiding or at least reducing excessive consumption of alcohol or drugs, including cigarettes. No fun, we know. But it’s for a good cause.

Easily, we could add stuff like prioritizing positive, nurturing social relationships, managing stress, and probably others, but just the above list is uncommonly met.

In fact, only six percent of Americans perform all five of the following basic health behaviors:1

Meet physical activity recommendations
Don’t smoke
Consume alcohol in moderation (or not at all)
Sleep at least seven hours
Maintain a “normal” BMI

If you’re doing the math, that means close to 94 percent of Americans aren’t doing the basics.

Yet, these foundational behaviors also help us achieve a long list of common goals, whether that’s reaching a healthy weight, improving athletic ability, or just living a longer, healthier life.

So why do we struggle so much to do them?

Here are three common barriers we see among clients (and coaches!), plus potential solutions to overcome them.

By the way, ambivalence is normal.

That push-and-pull feeling you have when you think about making a change?

It has a name, and it’s called ambivalence.

Ambivalence describes the mix of feelings you have when you contemplate, say, waking up earlier so your mornings are less stressful, or cutting down on TV time.

We naturally and normally feel ambivalence about change—“I want this, and at the same time, that.”

(For example, wanting to eat healthier, and also wanting to have your favorite treats whenever you want without constraint.)

We also naturally and normally feel resistance towards change—“I want this, and at the same time, not.”

(For example, wanting to stop using your phone as a mindless distraction, but not wanting to deal with the anxiety you get whenever you’re left with your own thoughts.)

These contradictory emotions can seem frustrating, puzzling, or “illogical.” Yet, ambivalence and resistance are fundamental parts of the change process.

The higher the stakes of change, the more likely we are to feel a mix of strong and unexpected emotions, pushback, rebellion, angst, and other types of resistance and ambivalence.

Rather than signaling that the change is a wrong move, strong ambivalence and resistance tend to signal that this change matters to us.

In a sense, it’s good news.

It tells us we care.

Basics Barrier #1: You have ambition overload.

Maybe you’ve decided you want to be healthier. So you declare that, starting Monday, you’re going to exercise for an hour everyday and “eat clean” at every meal and sleep eight hours every night.

(Currently, you don’t have a regular exercise habit, don’t particularly like vegetables, and regularly stay up past midnight.)

Now, let’s be honest: You’re asking yourself to change a lot of stuff at once.

And the last time you created an elaborate plan for overhauling your life…

… Did it work?

Probably not.

(And that’s okay.)

When we feel frustrated or stuck in our current situation, making a plan filled with idealistic dreams can provide us temporary relief.

And our brain has several (normal) cognitive biases that prevent us from judging the future accurately.

We often think we’ll have more time, energy, attention, and motivation in the future than we really do.2 3 4 5

There’s a powerful, instantaneous comfort that comes with overloading our future self. (Because after all, we won’t start the plan until Monday.)

The problem with this is:

Big, complex plans often don’t fit into our already busy, complex lives.

We under-estimate how many smaller tasks are hidden in the bigger plans.

When we (almost inevitably) are unable to execute these ambitious goals, we blame ourselves, our personality traits, our “willpower” or “discipline,” and build a pitiable story about how we “struggle with consistency.” Or how living this way is “impossible”.

Then, sadly, we fulfill that prophecy.

Basics Barrier #2: You think only hardcore, “industry-secret,” or “cutting-edge” stuff works.

This barrier comes from the following common belief:

“If getting healthy just took eating, sleeping, and exercising moderately well, then everyone would be healthy.”

Because everyone knows they should eat their vegetables, get seven to eight hours of sleep per night, and stay active, right?

(We’d agree.)

But let’s go back to the previously mentioned statistic:

Only 6 percent of Americans are consistently performing the most basic health and fitness behaviors.

If we add on slightly more advanced—but still very basic—behaviors like eating five servings of fruits and vegetables every day, optimizing protein intake, and effectively managing stress, that number would shrink significantly.

So, the first thing is to believe that these simple behaviors work. Because they do. It’s just that most people (probably close to 99 percent of us) are not doing them all simultaneously and consistently.

The second thing is to accept that these simple behaviors are a little bit boring. Because they are. Part of the reason we’re attracted to new diets or “magical” supplements is because we just want something more interesting to try.

That’s especially true if we’ve already sort of tried the “eat more vegetables” thing and it didn’t “work” for us in the way we expected.

With something new and cutting-edge, there’s also the possibility of a new outcome, a new us.

And of course, that’s incredibly appealing.

Thing is, most hardcore, “industry secret,” or “cutting edge” tools and strategies are, respectively: unsustainable, inaccessible, or ineffective (or unproven).

They’ll take your effort, your time, and often your money, but without giving you a good return on your investment—all the while distracting you from the stuff that actually works.

Basics Barrier #3: You think your efforts (and your results) have to be perfect.

Another lie in the health and fitness industry is that you have to be “perfect” to maintain great health. You know, eat only organic salads and chia seeds, be able to run a marathon, and wake up at 5 am every day to meditate and write in your gratitude journal.

The truth is, perfection definitely isn’t required.

Depending on how you look at this, this could be a relief to hear, or a disappointment.

On the one hand, it’s nice to know that you don’t have to have it “all together” to be healthy—even above-average healthy.

On the other hand, many of us pursue better health with the belief that our optimal or even “perfect” self will one day, with the right plan or routine, be attainable.

But “perfect” health is an illusion.

Humans, even exceptionally healthy ones, get sick, get weird rashes, have digestive problems, need reading glasses, get into slumps, or just otherwise have a series of bad days.

None of us are “safe” from those life events, and accepting that can feel a little… vulnerable.

It’s much more comfortable to believe that if you just take this powdered algae supplement, or follow this specific morning routine, you’ll be immune to any kind of painful human experience.

The irony is, to achieve your realistic “best self,” you probably have to accommodate your “worst self” too. You know, the one who’d rather watch another episode of Love is Blind than work out, or eat a party-size bag of Doritos and call it dinner.

Because life happens.

Work gets busy.

Or your kid goes through a “phase.”

Or it’s pie season.

Any number of obstacles, distractions, and competing demands make it impossible for perfection to be maintained with any kind of consistency.

Which is why we need to let go of the illusion that a “perfect” self exists—the one who always has the energy, will, and option to make the ideal choice—and support what our real self wants and needs.

We’ve got four steps below to help you.

4 steps to start taking effective (and realistic) action

Now that we know what’s potentially getting in the way of taking productive action, here are four steps to get unstuck.

Step #1: Explore the why before the how.

Before you (or a client) start undertaking something you want to change, it’s helpful to understand your deeper motivations first.

Do a little investigating by asking questions like:

What about this change is important to you?
How serious or pressing is this for you?
Why not continue doing what you’re already doing?

You can also go through one of our favorite motivation-mining exercises, The 5 Whys.

When you know why you want to change something, and you’re clear on the consequences of not taking action, you’ll be more likely to feel that deeper, more sustaining push to keep going, even when things get tough.

Step #2: Prioritize the most effective actions.

We can do all the things!! Really!! We just can’t do all the things… all at once.

Effective change means being able to realistically:

Identify all the tasks, trade-offs, and commitments involved
Prioritize what matters for the results you want
Figure out what to do first

What are the essentials in relation to your goal? Regardless of all goals, they likely include a movement practice, a nutrition practice, and/or a recovery practice.

If you want some guidance on how to select the most effective action for your goal, check out our Skills, Practices, and Daily Actions Cheat Sheet.

Here’s how to use it:

Start with the domain you’re most interested in improving (such as “Nutrition” or “Stress”).

Then, get specific about what skill within that domain you’d like to improve (for example, “Eat well intuitively”), plus the practice that most appeals to you within that skill (say, “Eat to satisfied”).

Lastly, choose a daily action from the list of examples under your chosen practice. (For example, “Record hunger and fullness levels at the start and end of meals.”)

Once you choose your action, make it work for you by following step 3, below.

Step #3: Make sure you can take action, even on your worst day.

“I like to challenge a client to set a pathetic goal. If it’s so pathetic, then obviously you can do it, right?” says Kate Solovieva, PN Super Coach and Director of Community Engagement.

Sound inspiring?

Maybe not.

But if you’ve been struggling with consistency, it’s exactly where to start.

Ask yourself:

What can I do on my absolutely worst day where everything goes wrong? How much time, effort, or enthusiasm will I realistically have?

Five minutes of walking? 10 push-ups? One extra portion of veggies? Three conscious deep breaths before every meal? Nothing is too small; it just has to be something.

Now you’ve got your floor.

Then ask yourself:

What can I do on my best day, when I feel on top of the world and circumstances are on my side? How much time, effort, or enthusiasm will I realistically have?

One-hour of all-out effort at the gym? Two hours of meal prep that will feed you and your family for the next three days? A 45-minute guided meditation?

This is your ceiling.

Now that you’ve identified your “floor” and your “ceiling,” you’ve defined a flexible range of actions that can adapt to your fluctuating, unpredictable, real life.

But applying this range requires a paradigm shift:

Your health habits aren’t an “on” or “off” switch; they’re on a dial.

When life is sweet and smooth, you can turn your exercise, nutrition, and sleep dials way up—if you want. Bust through your PRs at the gym, eat all the arugula, meditate like a monk.

But if life gets nuts, you don’t have to switch off completely.

Just turn the dial down a little.

The below is a visual representation of how this might work for exercise, but you can apply this same thinking to your nutrition, sleep, stress management, or whatever you’re working on.

The important part: Even if you do your “floor” or “dial level 1” action—even if it’s for days on end—it still “counts.”

You still get the gold star.

Doing the bare minimum isn’t failing.

It’s succeeding, in the context of a real, messy, beautiful life.

Step #4: Create an ecosystem that supports you.

Health and fitness professionals often forget how different their lives are from their clients.

For example, many coaches work at gyms, enjoy being physically active, and hang out with other active people. Exercising regularly is almost easier to do than not do, because, as Coach Kate says, “they’ve built a life that makes that habit seamless.”

So if you want to make your health goals more likely, Coach Kate offers this advice:

“Build an ecosystem that makes failing nearly impossible.”

When they want to make a change, many people assume that good intentions and willpower will be enough to carry them through. (And when they fail, naturally, they blame themselves for being “bad” or “weak.”)

We often forget about the context and environment that shapes our behaviors—making certain actions more likely or less likely to occur.

A recent review from Nature Reviews Psychology ranked different behavior change strategies and found that access was the number one influencer of people’s behaviors. (People who lived in neighborhoods with affordable grocers close by ate better, just like people who had to drive a long distance to the closest gym were less likely to exercise.6)

Not everyone can change neighborhoods, but most people have some degree of control over their more immediate environments, and can leverage this power to shape desired behaviors.

One example is the “kitchen makeover,” where you make sure foods you want to eat are washed, prepped, and at the front of the fridge, ready to eat on a whim. Meanwhile, foods that don’t support your goals get tossed, or relegated to the highest cupboard. (When you need a stepladder from the basement to reach the cookies, you might find you eat them less.)

(If you want to try it out, check out our Kitchen Set-up Assessment worksheet.)

Think about the goal you want to achieve, and the behaviors that support it. Then, evaluate how you might make small changes to your environment by:

Using a trigger: Sometimes called a “cue” or a “prompt,” a trigger is simply a reminder to do a desired action. For example, you might block the door of your home office with a kettlebell, reminding you that, every time you leave or enter the office, you have to do ten kettlebell swings. If you’re trying to cut down on mindless phone time, you can install an app that reminds you to shut things down after 20 minutes on social media.
Decreasing “friction”: Supermarkets put candy next to the checkout, making it easy to slip that chocolate bar into your cart while you’re standing in line, likely bored and hungry. You can be equally sneaky about encouraging positive behaviors too, such as putting fruit on your counter, ready for a quick snack, or packing your gym bag the night before, so it’s ready to grab on your way out the door before you change your mind.
Constraining available options: Whether it’s deleting time-sucking apps off your phone, removing foods you know you lose control around from your kitchen, or heck, creating a capsule wardrobe so you waste less time in the morning getting dressed, constraint can actually free up a lot of time, brain power, and energy.

Invest your energy building the ecosystem that nudges you to make desired actions the obvious choice. This requires a little more work on the front end, but the payoff will be greater for less overall work.

Embrace C+ effort.

If you’re a perfectionist, or a former straight-A student, that line hurt to read.

(Don’t worry. This C+ won’t result in your parents telling you that they’re disappointed.)

But what all of the above barriers and solutions have in common, is that they recognize and work with our inherent imperfection.

None of us is perfect, and expecting as much often results in failure (or at best, short bursts of success, followed by a crash).

Adopt an attitude of compassion and acceptance towards your human self—who’s most likely trying their hardest—and work with your vulnerabilities, instead of constantly expecting yourself to grit your teeth against them.

There will be times you’re getting “A’s” in fitness. That’s awesome. And you also don’t need to aim for C+. Just don’t think of yourself as a failure when you have to dial it down.

Living a healthy, meaningful life means constantly striving to do our best—while also allowing for flexibility, mistakes, and bad days (or seasons).

You’ll be surprised at how much better “good enough” is than nothing. Especially in the long run.

References

Click here to view the information sources referenced in this article.

Liu, Yong, Janet B. Croft, Anne G. Wheaton, Dafna Kanny, Timothy J. Cunningham, Hua Lu, Stephen Onufrak, Ann M. Malarcher, Kurt J. Greenlund, and Wayne H. Giles. 2016. Clustering of Five Health-Related Behaviors for Chronic Disease Prevention Among Adults, United States, 2013. Preventing Chronic Disease 13 (May): E70.
Buehler R, Griffin D, Peetz J. Ch 1: The planning fallacy: cognitive, motivational, and social origins. In: Zanna MP, Olson JM, editors. Advances in Experimental Social Psychology. Academic Press; 2010. p. 1–62.
Kruger J, Evans M. If you don’t want to be late, enumerate: Unpacking reduces the planning fallacy. J Exp Soc Psychol. 2004 Sep 1;40(5):586–98.
Buehler R, Griffin D, Ross M. Exploring the “planning fallacy”: Why people underestimate their task completion times. J Pers Soc Psychol. 1994;67(3):366–81.
Buehler R, Griffin D, Ross M. Inside the planning fallacy: The causes and consequences of optimistic time predictions. Heuristics and biases: The psychology of intuitive judgment. 2002;250–70.
Albarracín D, Fayaz-Farkhad B, Granados Samayoa JA. Determinants of behaviour and their efficacy as targets of behavioural change interventions. Nature Reviews Psychology. 2024 May 3;1–16.

If you’re a coach, or you want to be…

You can help people build sustainable nutrition and lifestyle habits that will significantly improve their physical and mental health—while you make a great living doing what you love. We’ll show you how.

If you’d like to learn more, consider the PN Level 1 Nutrition Coaching Certification.

The post How to overcome barriers to better health appeared first on Precision Nutrition.

Why Pregnancy Cushions are a Must-Have for Massage Therapists

Hot towel cabinets are a convenient way to keep cloth, disposable towels or neck wraps etc. warm, within reach and provide your clients with a luxurious massage experience. These stylish cabinets also look good in your studio or salon as they sanitize the towels and ensure they are safe to use.

Weight gain and menopause: It’s not in your head (but it might not be caused by what you think)

Reviewed by Helen Kollias, PhD and Brian St. Pierre, MS, RD

At some point in my mid-40s, the scale started climbing.

A pound or two turned into five, then 10, then 20.

It seemed as if I was doing all the right things: Eating less, moving more, rinse, repeat. Yet, the harder I worked, the less the scale seemed to respond.

Had perimenopause destroyed my metabolism?

It sure felt like it.

However, after asking my doctor to run a series of tests, I learned that my metabolism was, in fact, fine. Instead, like the vast majority of midlife women, the true causes of my weight gain stemmed from several subtle issues that I would have sworn, at the time, didn’t apply to me.

If, like me, you or your client are currently stuck in what feels like an eat less, gain more cycle, this article is here to help.

In this story, you’ll discover:

Several reasons women gain weight at midlife that have nothing to do with a “slower metabolism”
Why intense exercise and strict diets can backfire after menopause
11 crafty ways to get a handle on midlife weight gain

First, what is menopause?

Many women refer to midlife hot flashes and inconsistent menstruation as “being in menopause” or “menopausal.”

However, menopause isn’t a phase as much as a transitional moment that separates menstruation from non-menstruation.

Once you’ve gone 12 consecutive months without a period, you’ve reached menopause. For most people, that moment arrives somewhere between ages 46 and 56.

The hot-and-dewy months and years leading up to that 12th missed period are technically known as “perimenopause.” 

Perimenopause means “around menopause.”

Some people refer to this time as the menopause transition. This is when estrogen levels fluctuate. Menstrual cycles lengthen and shorten and, at times, disappear, only to return a few months later. For many people, this marks the beginning of symptoms like hot flashes, sleep issues, vaginal dryness, mood changes, and, yes, creeping weight gain.

(For a thorough overview of the many changes that can happen during this time, read: ‘What’s happening to my body!?’ 6 lifestyle strategies to try after menopause)

How much weight do women gain during menopause?

Many women think of menopause and weight gain the same way many young parents think of two-year-olds and tantrums: Inevitable.

However, not all women gain weight during the menopause transition, explains Helen Kollias, PhD, who is an expert on physiology and molecular biology, and a science advisor at Precision Nutrition and Girls Gone Strong.

On average, in the West, women gain four to six pounds during the three-and-a-half years of perimenopause, or about one to two pounds a year.1 2

That’s double the rate of weight gain in pre-menopausal women, though it’s roughly the same amount men gain at midlife, notes Dr. Kollias.

In other words, the menopause transition may not be solely to blame for those extra pounds on the scale. Aging may play a significant role, as we explore below.

The real reasons the scale climbs

Several factors conspire to add pounds to your frame during the menopause transition.

You’re not sleeping as well.

Maybe this sounds familiar: You wake repeatedly with sweat pooling under your breasts and sheets that are uncomfortably damp (or soaked).

Even if you don’t have night sweats, plenty of other issues might keep you awake.

First, there’s worry—over aging parents, teenagers with car keys, money needed to replace that leaking roof, some strange bodily sensation you’re worried might be cancer, the colonoscopy or mammogram you don’t want to schedule but also don’t not want to schedule, the sex you’re not having, and so many others.

Plus, if you’re like me and you have osteoarthritis in multiple joints, your body hurts. Or your skin might itch. Or your legs are restless. Or you’re bloated.3 4 5 6

My point: Problems that make sleep uncomfortable can multiply with age.

Because of this, I’ll sometimes wake four or more times a night, as the red sections of this readout from my smartwatch show.

These bad nights often set up a vicious cycle:

The following day, I feel as if I’m two inhales away from death. So, I keep myself going with caffeine, which makes the next night just as bad or worse.

Lack of sleep indirectly adds pounds to your frame in several ways:

When you’re sleep-deprived, it’s harder to cope with negative emotions, which may mean you turn to food for solace.
In addition, your decision-making gets compromised, so it’s harder to choose an apple when a chocolate chip cookie is also available.
Plus, sleep deprivation intensify both appetite and cravings (which we’ll discuss more in the next section)

(Want to get a handle on some of the sleep challenges unique to this transition? Check out: How menopause affects sleep, and what you can do about it)

You’re hungry, and not for celery.

True story: When I was in my early 30s, someone once told me about her intense cravings, and I thought, “Cravings? What are those exactly?”

(Don’t hate me.)

Those days now feel foreign to me. Post-menopause, I spend most of my morning wondering how soon I can eat lunch, what I might have for lunch, whether it’s okay to have a snack now, and, if so, what it should be.

After lunch, I go on to spend the afternoon thinking about dinner.

It’s as if my appetite never flips off.

For the longest time, I thought something was wrong with my brain or metabolism.

It didn’t occur to me that the increased hunger, appetite, and cravings likely stemmed from my repeated awakenings each night.

Until I checked out the research.

In one study, people who were sleep-deprived reported higher levels of hunger and a stronger desire to eat. When provided access to snacks, they consumed twice as much fat compared to days when they weren’t sleep-deprived.7

In another study, when healthy, young study participants slept four hours a night, they consumed 350 more calories the following day.8

The annoying cycle of weight and food preoccupation

Hormonal transitions (puberty, pregnancy, menopause) often cause changes to women’s body shape and size.

Sometimes that’s welcome (“Ooh, a butt!”) and sometimes it’s not (“Darn, a butt!”).

Some women—like me—don’t worry too much about their weight or body shape. Then, we gain unexpected (and unwanted) pounds, and with that, a new (also unwanted) preoccupation with the scale.

Many women also find that as they try to get a handle on the scale, their preoccupation with food may (frustratingly and paradoxically!) shoot upwards—especially if they turn to restrictive diets or food rules for a solution. 

Interestingly, this preoccupation with food can occur whether or not someone is actually reducing their calorie intake. In other words, this phenomenon can happen when someone just thinks about reducing their food intake.

The phenomenon has a name: It’s called cognitive dietary restraint (CDR), and it can create a frustrating cycle of body image dissatisfaction, food preoccupation, and stress. 

In one study, people who used a low-carb, intermittent fasting protocol to lose weight reported more frequent episodes of binge eating and more intense food cravings.9 

In another study, postmenopausal women who scored high in CDR excreted more of the stress hormone cortisol than women who scored lower in this measure.10 Higher levels of CDR in pre- and postmenopausal women were even associated with shorter telomeres, a sign of accelerated aging.11

All this to say, leaning too hard into self-criticism and extreme dieting can backfire. Which is why the strategies we suggest later in this article focus more on adding more nutritious, appetite-regulating foods, and prioritizing things like mindfulness and movement. 

With these approaches, you’ll be less likely to feel deprived, and more likely to feel satisfied—and hopefully, empowered.

You’re moving less.

As humans age, we develop chronic low-grade inflammation and weakened immune function. When combined with the crummy sleep we mentioned earlier, along with other biological changes, this can interfere with the body’s ability to recover from intense exercise.

The result: If you do too many vigorous workouts too close together, you’ll start to feel run down, sore, and unmotivated.12 13 14

Other issues that crop up around midlife can also interfere with movement, like chronic injuries or joint pain.

(A personal example: Due to osteoarthritis in my feet and spine, I switched from running to walking. This is easier on my body, but isn’t as efficient at burning calories.)

Finally, due to those pesky time-sucks known as full-time jobs and caregiving responsibilities, you might not be as active in your 40s and 50s as you were during your 20s. Plus, over the past few decades, multiple inventions (hello, binge-watching) have conspired to keep people on the couch and off our feet.

So, can you blame your hormones for anything?

Other than messing with your sleep which, in turn, messes with your appetite and energy levels, fluctuating estrogen and progesterone likely aren’t behind your extra pounds—at least, not directly.

If they were, menopause hormone therapy would help people stop or reverse weight gain. (It doesn’t.15)

However, shifting hormonal levels are responsible for where those extra pounds appear on your body. As estrogen levels drop, body fat tends to migrate away from the thighs and hips and toward the abdomen, even if you don’t gain weight

Old tactics may stop working after menopause

The “Rocky” weight loss method was my go-to when I was younger.

Whenever I wanted to drop a few pounds, I imagined I was a character in one of those “couch potato gets super fit” movies.

In addition to walking and running, I embraced the sweat-til-you-vomit workout du jour. (Remember Tae Bo?) I also cut out foods, food groups, or entire macronutrients. A couple of times a week, I skipped lunch or dinner.

It worked.

Until, of course, it didn’t.

Now, whenever I push too hard in the gym, I either get injured or feel so unbelievably tired that I must take four days off from all forms of movement. If I try to do anything extreme with my diet, I eventually eat every crunchy or sweet thing I can find, including stale crackers.

For these reasons, after midlife and beyond, the countermeasures for weight gain aren’t strict diets (looking at you, intermittent fasting) or barfy workouts.

Instead, to limit weight gain after menopause, you need to get wise about finding ways to tip calorie balance in your favor without triggering overpowering hunger, cravings, and fatigue.

Regardless of age or stage, fundamental nutrition and fitness strategies still apply—and work.

What changes after menopause is how you tackle these fundamentals.

Experiment your way to better results

The best menopause plan will look different for each person.

That’s why experiments are so important.

Precision Nutrition coaches often use experiments to help clients discover essential clues about what they need (and don’t need) to reach their goals. Based on the results you get from each experiment, you can make tiny tweaks, test them, and decide whether they work for you—until you find something that does work for you.

How to run an experiment

Health experiments are no different from the scientific method you learned about in middle school.

Choose a question to answer, such as, “Would I feel less munchy at night if I ate a protein-rich snack every afternoon?”
Run an experiment to test your question. In the above example, you’d track your hunger and cravings before adding the snack—to get a baseline—and then continue to track them for a couple weeks after adding the snack.
Assess what you learned. Did your ratings of hunger and cravings drop? Remain the same? Go up? What about your actual nighttime food consumption? This information can help you determine your next steps.

Below are 11 experiments worth trying during and after menopause. We’ve separated them into three categories: sleep, hunger, and energy.

(And if those 11 options aren’t enough, we’ve got more ideas here: Three diet experiments that can change your eating habits)

Experiments for improved sleep

Below, you’ll find a mere smidge of the many sleep tweaks you can try and test. For more ideas on potential sleep experiments, check out our 14-day-sleep plan and story about cognitive behavior therapy for insomnia.

Experiment #1: Reset your body’s circadian clock

As you age, your body starts to behave like an old clock that continually runs slow.

Even if you used to be a morning person, you might wake groggy, as if your body doesn’t know it’s morning. Or, your body might tell you “time for bed” at weird times, like the middle of the afternoon. Then, after spending several hours fighting the urge to nod off during work meetings, you find that, when it actually is bedtime, you’re staring at the ceiling in the dark.

This is why it’s helpful to experiment with zeitgebers, which are environmental and behavioral time cues that help to set your body’s internal circadian clock.

These experiments might include the following:

Get up at the same time every day, regardless of how you slept the night before.
Spend 10-20 minutes in the sunlight as soon as possible after you wake.
Take a cold shower at the same time each morning or a hot shower or bath at the same time each evening.
Get outside frequently during the day, especially whenever you feel sleepy.
Exercise at the same time daily. Try first thing in the morning or 4 to 6 hours before bed. Bonus points if you do it outdoors.
Eat meals, especially breakfast, at the same time every day.

Experiment #2: Remove “I’m uncomfortable” from your sleep vocabulary

How you run this experiment will depend on what’s causing discomfort. We’ve listed a few possibilities below.

If you tend to wake feeling uncomfortably hot: Experiment with cooling technology. This might range from the very affordable, such as turning the thermostat a degree or two cooler or using a fan, to the more expensive, such as cooling electric mattress pads.
If you wake feeling bloated: If you’re constipated, try some prunes, a small daily serving of beans, a little psyllium fiber, or just extra water to get things moving. Or, you might try consuming a smaller meal or avoiding fatty foods in the evening.
If an uncomfortable “I need to move” sensation creeps into your legs at night: Talk to your doctor about restless legs syndrome, a condition that tends to worsen with age and/or iron deficiency. A physician may also give you ideas to cope if itchy skin or joint pain is keeping you up.

Experiment #3: Time caffeine strategically

We know we’re almost picking a fight with this suggestion. However, it’s worth investigating, especially if you consume caffeine in the afternoon or evening.

If you’re like most people, it will take your body about five hours to clear half the caffeine from your system. That means about half of your 4 p.m. latte is still energizing your system at 9 p.m.

But here’s the thing: Some people metabolize caffeine much more slowly than others, taking roughly twice as long to clear it from their bloodstream.16

Interestingly, even if you had no issues with caffeine when you were younger, you might have issues now, as caffeine clearance tends to slow over time.17

To see if caffeine is a problem, you’ve got a couple of options.

Try slowly shifting your consumption earlier by 30 to 60 minutes. (If you usually have your last coffee at 4 p.m., cut yourself off at 3 p.m., then 2 p.m., then 1 p.m., then noon.)
Switch to a lower caffeine source. (Try a bean blend that’s half decaffeinated. Or, you could switch to a lower-caffeine beverage such as green tea or maté.)

(Yet more solutions to common problems: The five top reasons you can’t sleep)

Experiments to reign in hunger

The tactics below likely won’t surprise you. After all, they form the bedrock for solid nutrition and good overall health.

However, before you disregard them with a “been there, done that!” consider: How many of the below are you actually doing consistently?

Experiment #1: Add a protein serving

It may seem counterintuitive to add a serving of food to your meals when you’re trying to eat less.

However, this one tactic may help reign in appetite and hunger.

Protein takes longer to digest than does carbohydrate or fat, so it helps you feel full and satisfied for longer.

In addition, you may find, as I did, that you’re not consuming anywhere near as much protein as you think. (Find out how much you need here: ‘How much protein should I eat?’ Choose the right amount for fat loss, muscle, and health)

Try one or both of the following:

Consume at least 1 to 2 portions of lean protein at every single meal
Prioritize snacks that contain protein—hard-boiled eggs, turkey sausage links, Greek yogurt, cottage cheese—instead sweets or chips.

Experiment #2: Choose high-fiber carbohydrates over lower-fiber ones

Fibrous plant foods can help fill you up with fewer calories.

To see the difference, you might monitor how you feel after consuming a near-zero-fiber food, such as your favorite assortment of snack chips. The following day, when it’s time for the same snack or side dish, opt for something with more fiber, such as roasted nuts, a side of beans, a salad, or a piece of fruit. Notice how the fiber-rich option affects your appetite and hunger for the next few hours.

Another experiment worth trying: Include one to two portions of produce with every meal you consume. Track your sensations of hunger to see if they make a dent.

Experiment #3: Log between-meal indulgences

You may be reaching for more snacky foods and beverages than you realize.

These foods don’t need to be 100 percent off-limits; you just want to be intentional about your consumption and portion sizes.

For a couple of weeks, keep track of alcohol, sweets, and treats that you eat between intentional meals and snacks.

Review your notes at the end of each day to see if these more impulsive or less mindful eating episodes align with your memory of what and how much you consumed.

Experiment #4: Move after meals

Increased inflammation coupled with decreased muscle mass, among other factors, leads many people to become more insulin-resistant with age.18 Cells don’t respond as readily to the hormone, which means more glucose stays in the bloodstream rather than entering cells that can use it for energy.

Through a complex set of mechanisms, this can drive up hunger and overall appetite.

Consuming protein- and fiber-rich meals will help, as we mentioned earlier.

So will movement. Walking for as little as two minutes after meals can help your body process the carbohydrates you consumed, improving blood sugar levels, finds research.19 20

In addition, by removing yourself from your kitchen, you create a habit that helps to psychologically shift you away from “eating” and over to “the kitchen is closed.”

Experiments for more energy

To address midlife brain fog and fatigue, you’ll want to do all you can to encourage good sleep. In addition, see if the below suggestions make a difference.

Experiment #1: Prioritize strength training over intense cardio

This was a hard lesson for me because I love intense cardio.

However, now in my 50s, if I try to fit in two weekly strength training sessions and two weekly spin sessions, I feel drugged—as if someone spiked my coffee with tranquilizers.

When my Precision Nutrition health coach suggested I dial back on the cardio for a couple of weeks, I won’t lie. I thought about firing her.

But then I took her advice and rediscovered what it felt like to be alert.

Don’t get me wrong: I still do cardio. But I’m smart about it. I now know that I can’t do everything, at peak intensity, and expect to feel rested and alert daily. There’s a balance.

Strength training is increasingly important at midlife to protect bone strength and maintain muscle mass. Aim for at least two weekly sessions. Then, fit in cardio around those sessions.

If you feel worn out, experiment with doing low- or moderate-intensity cardio (like brisk walking, slow cycling, or swimming) over higher-intensity cardio (like an hour-long spin class).

Or, if you love higher intensities, keep doing them, but shorten your duration.

Or, just save those vigorous sessions for when you got great sleep the night before.

Experiment #2: Try active recovery

Active recovery can help increase blood circulation and the removal of waste products that may have built up in your muscles during intense exercise sessions.21

This can include light activities such as walking, swimming, yoga, or stretching. You can also try massage, foam rolling, or a long, hot bath.

Experiment #3: Consider creatine

Lots of folks think of creatine monohydrate as something people take to get jacked.

However, more and more evidence points to creatine’s benefits for people in midlife and beyond.

The supplement may be especially helpful for muscle recovery.

In research that pooled the data from 23 studies, study participants who took creatine experienced fewer indicators of muscle damage 48 to 90 hours after intense training than participants who didn’t supplement.22

The supplement may also help you to think clearly, especially after a bad night of sleep, finds other research.23

Finally, by promoting cellular energy throughout the body (including the brain), creatine may help to blunt fatigue and boost mood.24 25

A daily dose of three to five grams works for most people.

The winning midlife mindset

There’s one final experiment that I want to tell you about.

It has to do with embracing a mindset of acceptance.

Think back to other difficult phases of your life. For me, parenting an infant with colic comes to mind. Gosh, I was so tired back then that I likely would have forked over my entire 401k in exchange for one solid night of sleep.

However, I knew that the stage was temporary. That knowledge helped to keep me going.

Midlife can be similar.

You likely won’t weigh at 55 what you did at 25. That’s okay. However, the night sweats, brain fog, and fatigue are all fleeting. You will eventually establish a new normal.

In the meantime, see if you can accept that your body may look and feel different now. Shift your focus away from trying to look and feel like your younger self and toward consistently embracing new behaviors that will help you age with strength, vitality, and contentment.

After all, you have much more control over your behavior than the number on the scale.

References

Click here to view the information sources referenced in this article.

Knight MG, Anekwe C, Washington K, Akam EY, Wang E, Stanford FC. Weight regulation in menopause. Menopause. 2021 May 24;28(8):960–5.
The Royal Australian College of general Practitioners. Australian Family Physician. [cited 2024 Aug 11]. Obesity and weight management at menopause. Available from: https://www.racgp.org.au/afp/2017/june/obesity-and-weight-management-at-menopause/
National Institute on Aging [Internet]. [cited 2024 Aug 10]. Sleep Problems and Menopause: What Can I Do? Available from: https://www.nia.nih.gov/health/menopause/sleep-problems-and-menopause-what-can-i-do
Feng J, Luo J, Yang P, Du J, Kim BS, Hu H. Piezo2 channel-Merkel cell signaling modulates the conversion of touch to itch. Science. 2018 May 4;360(6388):530–3.
Fourzali KM, Yosipovitch G. Management of Itch in the Elderly: A Review. Dermatol Ther. 2019 Dec;9(4):639–53.
National Institute of Neurological Disorders and Stroke [Internet]. [cited 2024 Aug 10]. Restless Legs Syndrome. Available from: https://www.ninds.nih.gov/health-information/disorders/restless-legs-syndrome
Hanlon EC, Tasali E, Leproult R, Stuhr KL, Doncheck E, de Wit H, et al. Sleep Restriction Enhances the Daily Rhythm of Circulating Levels of Endocannabinoid 2-Arachidonoylglycerol. Sleep. 2016 Mar 1;39(3):653–64.
Covassin N, Singh P, McCrady-Spitzer SK, St Louis EK, Calvin AD, Levine JA, et al. Effects of Experimental Sleep Restriction on Energy Intake, Energy Expenditure, and Visceral Obesity. J Am Coll Cardiol. 2022 Apr 5;79(13):1254–65.
Colombarolli, Maíra Stivaleti, Jônatas de Oliveira, and Táki Athanássios Cordás. 2022. Craving for Carbs: Food Craving and Disordered Eating in Low-Carb Dieters and Its Association with Intermittent Fasting. Eating and Weight Disorders: EWD 27 (8): 3109–17.
Rideout CA, et al. High Cognitive Dietary Restraint is Associated with Increased Cortisol Excretion in Postmenopausal Women. The Journals of Gerontology. June 2006; 61 (6):628-633
Kiefer, Amy, Jue Lin, Elizabeth Blackburn, and Elissa Epel. 2008. Dietary Restraint and Telomere Length in Pre- and Postmenopausal Women. Psychosomatic Medicine 70 (8): 845–49.
Li DCW, Rudloff S, Langer HT, Norman K, Herpich C. Age-Associated Differences in Recovery from Exercise-Induced Muscle Damage. Cells. 2024 Jan 30;13(3).
Alfaro-Magallanes VM, Benito PJ, Rael B, Barba-Moreno L, Romero-Parra N, Cupeiro R, et al. Menopause Delays the Typical Recovery of Pre-Exercise Hepcidin Levels after High-Intensity Interval Running Exercise in Endurance-Trained Women. Nutrients. 2020 Dec 17;12(12).
Harvey PJ, O’Donnell E, Picton P, Morris BL, Notarius CF, Floras JS. After-exercise heart rate variability is attenuated in postmenopausal women and unaffected by estrogen therapy. Menopause. 2016 Apr;23(4):390–5.
Espeland, M. A., M. L. Stefanick, D. Kritz-Silverstein, S. E. Fineberg, M. A. Waclawiw, M. K. James, and G. A. Greendale. 1997. Effect of Postmenopausal Hormone Therapy on Body Weight and Waist and Hip Girths. Postmenopausal Estrogen-Progestin Interventions Study Investigators. The Journal of Clinical Endocrinology and Metabolism 82 (5): 1549–56.
Institute of Medicine (US) Committee on Military Nutrition Research. Pharmacology of Caffeine. National Academies Press (US); 2001.
Nehlig A. Interindividual Differences in Caffeine Metabolism and Factors Driving Caffeine Consumption. Pharmacol Rev. 2018 Apr;70(2):384–411.
Shou J, Chen PJ, Xiao WH. Mechanism of increased risk of insulin resistance in aging skeletal muscle. Diabetol Metab Syndr. 2020 Feb 11;12:14.
Nygaard H, Tomten SE, Høstmark AT. Slow postmeal walking reduces postprandial glycemia in middle-aged women. Appl Physiol Nutr Metab. 2009 Dec;34(6):1087–92.
Bellini A, Nicolò A, Bazzucchi I, Sacchetti M. The Effects of Postprandial Walking on the Glucose Response after Meals with Different Characteristics. Nutrients. 2022 Mar 4;14(5).
Dupuy O, Douzi W, Theurot D, Bosquet L, Dugué B. An Evidence-Based Approach for Choosing Post-exercise Recovery Techniques to Reduce Markers of Muscle Damage, Soreness, Fatigue, and Inflammation: A Systematic Review With Meta-Analysis. Front Physiol. 2018 Apr 26;9:403.
Doma K, Ramachandran AK, Boullosa D, Connor J. The Paradoxical Effect of Creatine Monohydrate on Muscle Damage Markers: A Systematic Review and Meta-Analysis. Sports Med. 2022 Jul;52(7):1623–45.
Gordji-Nejad A, Matusch A, Kleedörfer S, Jayeshkumar Patel H, Drzezga A, Elmenhorst D, et al. Single dose creatine improves cognitive performance and induces changes in cerebral high energy phosphates during sleep deprivation. Sci Rep. 2024 Feb 28;14(1):4937.
Smith-Ryan AE, Cabre HE, Eckerson JM, Candow DG. Creatine Supplementation in Women’s Health: A Lifespan Perspective. Nutrients. 2021 Mar 8;13(3).
Rae, Caroline, Alison L. Digney, Sally R. McEwan, and Timothy C. Bates. 2003. Oral Creatine Monohydrate Supplementation Improves Brain Performance: A Double-Blind, Placebo-Controlled, Cross-over Trial. Proceedings. Biological Sciences / The Royal Society 270 (1529): 2147–50.

If you’re a coach, or you want to be…

You can help people build sustainable nutrition and lifestyle habits that will significantly improve their physical and mental health—while you make a great living doing what you love. We’ll show you how.

If you’d like to learn more, consider the PN Level 1 Nutrition Coaching Certification.

The post Weight gain and menopause: It’s not in your head (but it might not be caused by what you think) appeared first on Precision Nutrition.

What Type of Insurance Do I Need As a Massage Therapist?

Today, in a world where every moment is documented, the situation for massage therapists has changed a lot. Personal injury lawyers are more willing than ever to take on lawsuits and claims. As a massage therapist, you must stay diligent and informed. Keep up with the latest studies, techniques, and trends. Above all, having a […]

The REAL way to optimize testosterone

Reviewed by Denise Asafu-Adjei, M.D., MPH

A few years back, PN co-founder John Berardi, PhD, posted a shirtless photo of himself on his 47th birthday.

He called it his “anti-regress pic” and thanked 30 years of squats, deadlifts, presses, and chin-ups—among other exercises—for his chiseled six-pack, pumped chest, and bulging biceps.

The question many commenters posed:

“Are you on testosterone?”

Dr. Berardi explained in a follow-up post that while he wasn’t against testosterone replacement therapy (TRT) for people who needed it, he himself was not on this therapy, and his testosterone levels were boringly “normal.” He also offered some thought-provoking ideas about testosterone and aging.Dr. Berardi’s take is the opposite of what you generally hear, especially these days when…

The mainstream opinion seems to be that declining testosterone is a harbinger of aging, frailty, and impotence—not to mention a threat to masculinity.
Increasing numbers of middle-aged men are ditching traditional medical checkups for men’s-focused telehealth clinics that specialize in testosterone enhancement.1
Reddit communities have popped up solely to obsess over neuroscientist Andrew Huberman’s supplement recommendations for optimizing testosterone.
Media outlets pump out story after story about “testosterone boosting” foods to eat and “testosterone lowering” foods to avoid.

Whether you’re a coach who fields the “How do I optimize testosterone?” question from clients—or just a regular dude hoping to age well—it’s easy to feel overwhelmed and confused by the conflicting information.

Are declining testosterone levels normal?

Do testosterone-boosting supplement regimens actually work?

Who benefits from testosterone therapy—and who doesn’t?

In this story, we’ll explore those questions and more.

What is testosterone?

Secreted by the testes, testosterone is the sex hormone responsible for male sexual characteristics such as big muscles, deep voices, and hairy chests. It’s a chemical messenger that plays a key role in various processes throughout the body, including sperm production and bone density.

(In women, who also need testosterone to keep various processes humming, testosterone is secreted by the ovaries and adrenal glands. Their bodies just make much less of it; about 10 to 20 times less than men.)

Possibly because of its relationship with muscle growth and sex drive, a lot of cisgender men think of testosterone in binary terms, with lower testosterone being bad and higher testosterone being good.

However, it’s more accurate to think of the relationship between testosterone and health as a continuum that goes from too low (problematic) to too high (also problematic), with the healthy range falling between the two extremes, says Denise Asafu-Adjei, MD, MPH, urologist, men’s health expert, and assistant professor of urology at Loyola University Chicago-Stritch School of Medicine.

As the chart below shows, the dangers of extremely low testosterone are similar to the risks of extremely high amounts (typically only achievable with the use of anabolic steroids).

Problems associated with extremely LOW testosterone
Problems associated with extremely HIGH testosterone

Brittle bones
Reduced body and facial hair
Loss of muscle mass
Low libido (sex drive)
Shrunken testicles
Erectile dysfunction
Low sperm count
Gynecomastia (increased breast tissue)
Irritability
Poor concentration
Fatigue
Depression

Blood clots
Heart damage
High blood pressure
Shrunken testicles
Low sperm count
Enlarged prostate
Acne
Fluid retention
Increased appetite
Insomnia
Headaches
Irritability
Mood swings
Impaired judgment

Low testosterone vs. lower testosterone

Testosterone levels naturally ebb with age, with most men losing about 1 to 2 percent annually starting around age 40. By age 75, most men have 30 percent less of the hormone than they did at age 25.2

(Fun fact: Between ages 25 and 80, men can expect their testicles to shrink 15 percent.3)

However, age-related drops in testosterone are not the same thing as “low testosterone.”

Hypogonadism is the medical term for low testosterone levels, and it affects about 35 percent of men older than 45 and 30 to 50 percent of men who have obesity or type 2 diabetes, according to the Endocrine Society, one of the professional public health organizations that sets hypogonadism treatment guidelines.

Not only can overly low testosterone make you feel fatigued and do a serious number on your sex drive, but it can also harm your bone and cardiovascular health, says Dr. Asafu-Adjei.

“You need testosterone for good bone strength,” says Dr. Asafu-Adjei. “As you get older, you’re already dealing with weaker bones, so having lowered testosterone isn’t going to help.”

Alternatively, bringing levels up to normal seems to offer cardiovascular benefits, she says. (The big caveat here is up to normal—not far above it.)

The importance of referring out

What if you or your client have most of the hallmark symptoms of hypogonadism but still have blood levels of testosterone in the normal range?

“Many men over 30 who feel down or low energy will now automatically blame their testosterone,” says Dr. Asafu-Adjei. “Their symptoms might be related to testosterone, but they also could be related to not sleeping, stress, or some other factor.”

That’s why seeing a healthcare professional specializing in men’s health and testosterone management is so important.

Such a physician can screen you or your client for dozens of other problems (like stress and poor sleep) and conditions (like diabetes, obesity, or sleep apnea) that either mimic the symptoms of hypogonadism or interfere with the production or signaling of testosterone.

In other words, supplemental testosterone is the answer for some men with symptoms of hypogonadism, but not all of them. An extensive workup is required.

“There are overlapping symptoms with low testosterone as well as a lot of nuances around hormone treatment,” says Dr. Asafu-Adjei.

“For example, outside of your total testosterone, we also look at your testosterone-to-estrogen ratio and other related hormones. That’s why it’s so important to go to someone who knows what they’re doing. They’ll take a deeper dive to figure out the root of the problem.”

So, if you specialize in coaching middle-aged and older men, get a urologist or endocrinologist in your referral network.

Testosterone and aggression

Many people assume that, in high amounts, testosterone turns men into pushy, road-rage-fueled jerks. However, the association between the hormone and behavior is much more complex.4

As it turns out, both too much and too little testosterone can lead to irritability.

In addition, the link between testosterone and aggression depends a lot on someone’s personality, upbringing, context, social norms, and more.

For example, in one experiment, researchers asked forty young men to play a video game that involved accepting and rejecting offers from a proposer. If someone deemed the proposal too low, they could reject the offer and punish the person for making such a substandard ask. Alternatively, if they considered the offer beneficial, they could accept it as well as reward the person.5

Researchers injected some of the men with testosterone as they played the game.

As expected, players treated with the hormone were more likely to punish proposers, especially if they considered the offer unfair. However, if they perceived the offer as fair, they rewarded the proposer more generously.

The increased testosterone amplified aggression, but also generosity.

Some researchers refer to this phenomenon as “the male warrior hypothesis,” which holds that testosterone may function to help some men protect and cooperate with their “in group” (such as their family, friends, and coworkers) while simultaneously punishing anyone seen as an outsider.6

7 evidence-based ways to optimize testosterone… naturally

On the Internet, if you look for ways to boost testosterone through lifestyle, you’ll quickly become inundated with supplement recommendations and lists of T-boosting and T-harming foods.

However, research-supported ways to optimize testosterone generally center on the fundamental dietary and lifestyle measures you’ve long heard are good for you.

They include the following:

Testosterone optimizer #1: Make sure you’re eating enough.

Your body prioritizes thinking (your brain) and movement (your muscles) above sex (your reproductive organs).

Think about it this way: If there was a famine, the last thing you’d need is another mouth to feed.

So, when you chronically burn more calories than you consume, hormone levels generally drop. (This is true in both men and women.)

“A lot of men in their 20s and 30s come to me about their low testosterone levels and their low testosterone symptoms,” says Dr. Berardi. “These are mostly guys who prioritize exercise. They work out a lot and watch what they eat. In other words, they are men experiencing mid- to long-term negative energy balance.”

Dr. Berardi’s advice is often not what men expect.

If their eating and exercise routines suggest they’re in a chronic negative energy situation, he simply recommends they eat an extra healthy snack or two a day.

“In situations like this, adding a couple hundred extra calories of high-quality protein and carbohydrate often fixes everything,” he says.

Those added calories could come from a couple scoops of whey protein mixed in milk with a nut butter and banana sandwich on the side, he says.

Another favorite snack of Dr. Berardi’s: A bowl of steel-cut oats with protein powder, cacao powder, dates, raw nuts, and nut butter.

Keep in mind: Eating too much (and gaining fat) can also affect testosterone, as we’ll cover soon. Use our FREE nutrition calculator to ensure you’re consuming the right amount of calories and nutrients to support hormone production.

Testosterone optimizer #2: Prioritize sleep.

Testosterone production has its own circadian rhythm: It’s higher in the morning and lower at the end of the day.

As you sleep, levels rise again, peaking during your first segment of rapid eye movement. This may explain why various sleep disorders—including sleep apnea—are associated with testosterone deficiency.7

A handful of small studies have looked at what happens to hormone levels when men skimp on sleep.8 In one of these studies, participants slept just five hours a night for eight days, resulting in a 10 to 15 percent drop in daytime testosterone levels. 9

The right amount of sleep varies from one person to another. However, if you routinely get fewer than seven hours and wake feeling exhausted, it’s a good bet you’re not getting enough. If you wake unrefreshed or struggle to sleep soundly, our 14-day sleep plan can help.

Testosterone optimizer #3: Maintain healthy body fat levels.

Body fat secretes aromatase, an enzyme that can convert some testosterone into estrogen.

According to some research, men categorized as overweight or obese tend to have slightly higher levels of estrogen, as well as the stress hormone cortisol. 10 11

More research is needed to know whether these slightly higher estrogen levels are enough to contribute to hypogonadism.

In the meantime, however, a healthy body composition is vital for overall good health and may also help to optimize testosterone.

Keep in mind, as we said above, that too little body fat can also negatively affect testosterone levels. To ensure your body fat levels are in the optimal zone, use our FREE body fat calculator.

Testosterone optimizer #4: Get moving.

Regular exercise is associated with elevations in testosterone. It can also help you sleep more restfully and keep body fat in check.

Resistance training offers more of a testosterone boost than endurance exercise. (Two to three sessions a week is a great benchmark.)

However, endurance exercise can also help, providing you exercise at the right intensity, finds research. (That’s 30 minutes of rigorous activity, four to five times a week.12)

Overtraining without enough recovery can lead to the opposite effect though, potentially causing gains to plateau and suppressing testosterone.13

(See our FREE exercise library for 400+ expert how-to videos and a 14-day at-home workout program.)

Testosterone optimizer #5: Consume a well-rounded, healthy diet.

In addition to helping you avoid nutrient deficiencies that can drive down testosterone levels, a healthy diet protects your blood vessels.

That’s crucial for getting erections.

A study of 21,469 men found that those who consumed foods consistent with the Mediterranean diet had a lower risk of developing erectile dysfunction over ten years compared to men who didn’t follow the diet.14

“Mediterranean diets are also known to promote heart health,” says Dr. Asafu-Adjei.

The Mediterranean diet emphasizes fruit, vegetables, whole grains, nuts and legumes, and healthy fats from foods like olive oil, eggs, and fatty fish. It de-emphasizes red and processed meat, sugar-sweetened beverages, and sodium.

However, eating patterns that center on minimally processed whole foods likely offer the same benefits.

Many fruits, veggies, and other minimally processed whole foods are rich sources of flavonoids, a plant chemical that helps to improve blood flow and testosterone production.

(This visual eating guide can help you choose the best foods for your body.)

Testosterone optimizer #6: Avoid chronic emotional stress.

When you’re under stress, your body produces cortisol and other hormones that prepare you to fight, flee, or freeze. As these stress hormones flood your body, they suppress the production of reproductive hormones like testosterone.15

This high-cortisol, low-testosterone phenomenon is a likely consequence of millions of years of evolution.

Early humans who were more interested in mating than fleeing from sharp-clawed wild animals didn’t usually live long enough to pass their genes to the next generation.

However, not all short-term stressors dampen testosterone. Some can raise it temporarily, including exam stress or exercise.16

So, aim for the stress sweet spot where you feel energized and engaged with life but not so busy and harried that you have no time to relax, sleep, or enjoy life.

(Learn more: How to tell the difference between good stress and bad stress.)

Testosterone optimizer #7: Prevent zinc deficiency.

As a certified health coach, it’s out of your scope of practice to recommend supplements to treat a condition like hypogonadism.

In addition, the boost someone might get from a supplement pales in comparison to the six pieces of advice above, or to testosterone therapy.

With that important caveat out of the way…

There is a correlation between low zinc intake and low testosterone levels.17 18

However, to benefit from supplementation, someone must truly be deficient in the mineral. Simply topping off someone’s already adequate zinc stores likely won’t lead to a testosterone boost, and may even cause harm.

Checking for and treating a mineral deficiency requires the expertise of someone trained in medical nutrition therapy. If you lack this training, encourage clients with low testosterone to talk to their healthcare professionals about whether a zinc supplement might help.

Use the Deep Health lens

Let’s circle back to Dr. Berardi’s hypothesis, first mentioned at the beginning of this story:

Some evolutionary biologists have indeed theorized that men evolved to have higher testosterone levels when they’re younger (to encourage mating) and lower levels when they’re older (to encourage parenting).19

However, this is more of a theory than a certainty.

What we can say with certainty is this: There’s no one-size-fits-all protocol for healthy testosterone levels.

When testosterone drops after middle age, some men feel lousy.

Even when they do everything right in the lifestyle department—exercising, eating a healthy diet, sleeping enough, and so on—they’re unable to raise testosterone into the normal range. For these men, a healthcare professional, thorough evaluation, and, if warranted, testosterone therapy can be life-changing.

At the same time, plenty of other men continue to thrive well into (and past!) middle age.

Sure, they may be unable to pack on muscle like they used to. But, if they’re paying attention, suggests Dr. Berardi, they might notice other pluses. Maybe they’re more patient, nurturing, and empathetic, for example.

“Don’t get me wrong. I’d be very unhappy with an inappropriate or clinically significant lowering of my hormone levels,” says Dr. Berardi. “However, if I can stay in the normal range and symptom-free with good lifestyle practices, I don’t think I have too much to worry about.”

Dr. Berardi recently turned 50.

“I’m at this stage where I see an interesting fork in the road,” he said.

“Will I gracefully accept aging and see this as a new season—or will I fight against it? I could color my hair, do hair transplants, top up my T levels, and get Botox injections. Or I could accept that there will be some eventual decline and ask, ‘What am I getting in return?’”

References

Click here to view the information sources referenced in this article.

Hudnall MT, Ambulkar SS, Lai JD, Pham MN, Fantus RJ, Keeter MK, et al. Characteristics of men who use direct-to-consumer men’s health telemedicine services. Int J Impot Res. 2023 Dec;35(8):753–7.
Decaroli MC, Rochira V. Aging and sex hormones in males. Virulence. 2017 Jul 4;8(5):545–70.
Barone B, Napolitano L, Abate M, Cirillo L, Reccia P, Passaro F, et al. The Role of Testosterone in the Elderly: What Do We Know? Int J Mol Sci [Internet]. 2022 Mar 24;23(7).
Geniole SN, Bird BM, McVittie JS, Purcell RB, Archer J, Carré JM. Is testosterone linked to human aggression? A meta-analytic examination of the relationship between baseline, dynamic, and manipulated testosterone on human aggression. Horm Behav. 2020 Jul;123:104644.
Dreher JC, Dunne S, Pazderska A, Frodl T, Nolan JJ, O’Doherty JP. Testosterone causes both prosocial and antisocial status-enhancing behaviors in human males. Proc Natl Acad Sci U S A. 2016 Oct 11;113(41):11633–8.
Muñoz-Reyes JA, Polo P, Valenzuela N, Pavez P, Ramírez-Herrera O, Figueroa O, et al. The Male Warrior Hypothesis: Testosterone-related Cooperation and Aggression in the Context of Intergroup Conflict. Sci Rep. 2020 Jan 15;10(1):375.
Agrawal P, Singh SM, Able C, Kohn TP, Herati AS. Sleep disorders are associated with testosterone deficiency and erectile dysfunction—a U.S. claims database analysis. Int J Impot Res. 2022 Dec 6;36(1):78–82.
Su L, Zhang SZ, Zhu J, Wu J, Jiao YZ. Effect of partial and total sleep deprivation on serum testosterone in healthy males: a systematic review and meta-analysis. Sleep Med. 2021 Dec;88:267–73.
Leproult R, Van Cauter E. Effect of 1 week of sleep restriction on testosterone levels in young healthy men. JAMA. 2011 Jun 1;305(21):2173–4.
Stárka L, Hill M, Pospíšilová H, Dušková M. Estradiol, obesity and hypogonadism. Physiol Res. 2020 Sep 30;69(Suppl 2):S273–8.
Wrzosek M, Woźniak J, Włodarek D. The causes of adverse changes of testosterone levels in men. Expert Rev Endocrinol Metab. 2020 Sep;15(5):355–62.
Riachy R, McKinney K, Tuvdendorj DR. Various Factors May Modulate the Effect of Exercise on Testosterone Levels in Men. J Funct Morphol Kinesiol [Internet]. 2020 Nov 7;5(4).
Hackney AC. Hypogonadism in Exercising Males: Dysfunction or Adaptive-Regulatory Adjustment? Front Endocrinol. 2020 Jan 31;11:11.
Bauer SR, Breyer BN, Stampfer MJ, Rimm EB, Giovannucci EL, Kenfield SA. Association of Diet With Erectile Dysfunction Among Men in the Health Professionals Follow-up Study. JAMA Netw Open. 2020 Nov 2;3(11):e2021701.
Khan SU, Jannat S, Shaukat H, Unab S, Tanzeela, Akram M, et al. Stress Induced Cortisol Release Depresses The Secretion of Testosterone in Patients With Type 2 Diabetes Mellitus. Clin Med Insights Endocrinol Diabetes. 2023 Jan 3;16:11795514221145841.
Afrisham R, Sadegh-Nejadi S, SoliemaniFar O, Kooti W, Ashtary-Larky D, Alamiri F, et al. Salivary Testosterone Levels Under Psychological Stress and Its Relationship with Rumination and Five Personality Traits in Medical Students. Psychiatry Investig. 2016 Nov;13(6):637–43.
Te L, Liu J, Ma J, Wang S. Correlation between serum zinc and testosterone: A systematic review. J Trace Elem Med Biol. 2023 Mar;76:127124.
Hunt CD, Johnson PE, Herbel J, Mullen LK. Effects of dietary zinc depletion on seminal volume and zinc loss, serum testosterone concentrations, and sperm morphology in young men. Am J Clin Nutr. 1992 Jul;56(1):148–57.
Gray PB. The descent of a man’s testosterone. Proc Natl Acad Sci U S A. 2011 Sep 27;108(39):16141–2.

If you’re a coach, or you want to be…

You can help people build sustainable nutrition and lifestyle habits that will significantly improve their physical and mental health—while you make a great living doing what you love. We’ll show you how.

If you’d like to learn more, consider the PN Level 1 Nutrition Coaching Certification.

The post The REAL way to optimize testosterone appeared first on Precision Nutrition.

Choosing the Best Hot Towel Cabinet for Your Massage Business

Hot towel cabinets are a convenient way to keep cloth, disposable towels or neck wraps etc. warm, within reach and provide your clients with a luxurious massage experience. These stylish cabinets also look good in your studio or salon as they sanitize the towels and ensure they are safe to use.