We are living through one of the most significant shifts in medicine in generations, and most people don’t fully understand what it means. Dr. Christle Guevarra joins me to zoom out on the entire GLP-1 landscape; from the drug’s origins as a modest diabetes treatment in 2005 to today’s third-generation medications still moving through clinical trials, and what all of it means for the future of obesity, performance, and longevity.
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Connect with Dr. Christle Guevarra
YouTube: https://bit.ly/4vDMVQa
Instagram: https://bit.ly/4mxnfAc
Get Dr. Christle Guevarra’s book, “Bodybuilding Anatomy”: https://bit.ly/3ODIDYd
📺Watch the “Dr. Gabrielle Lyon Show” every Tuesday at 9AM EST:
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⏰Timestamps:
00:00 Intro of Show
06:48 Changes in the Fat Loss Landscape
06:54 Engagement in Competitive Powerlifting
11:29 Perspectives on GLP-1 Medication
26:10 Perimenopause Journey
27:13 Topamax
28:03 Urosepsis
30:23 Weight Loss Programming
31:43 Patients' Decision to Take GLP-1
37:44 Risks and Effects on Taking GLP-1
38:10 Pancreatitis
41:40 Fen-Phen (Fenfluramine/phentermine) / Ephedra
45:59 Who Should Not Take GLP-1?
49:24 Proper Nutrition to Support Taking GLP-1
52:14 Recommendation for the New Dietary Guidelines
59:01 Residency and Sports Medicine Fellowship
1:02:38 Are Athletes Recommended to Take GLP-1?
1:08:49 Lack of Randomized, Controlled Trials for Peptides
1:10:38 Key Take-away's from Dr. Christle
1:13:24 Should Women Weigh Themselves?
1:21:02 Should Women Lift Weights?
1:21:55 What's Next for Dr. Christle?
‼️Disclaimer: The Dr. Gabrielle Lyon Podcast and YouTube are for general information purposes only and do not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast, YouTube, or materials linked from this podcast or YouTube is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professional for any such conditions.
This episode includes paid sponsorships.
The moment you decide to show up publicly, you open the door to opinions from people who would never say those things to your face. Dominique Sachse, journalist, author, and content creator who has lived her life on camera for over three decades, gets honest about what it costs to put yourself out there, why online cruelty is a psychology problem more than a content problem, and how “Teflon Dom” developed the thick skin to let none of it redirect her.
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⏰Timestamps:
00:00 Intro of Show
02:10 Dominique’s Mission
05:13 Women’s Reinvention with Aging
12:07 Handling People’s Opinions in the Media
18:03 Why Dominique Wrote “Life Makeover”
26:08 Activating One’s Faith through Life’s Challenges
29:16 Decision to Leave the News Business
34:12 Traditional Media Transitioning to Online Media
37:09 How to Curate Information
38:42 Effectively Communicating with Journalism and Research Skills
43:17 Managing Conflicts On-and-Off Air
45:28 The Aging Process
49:53 Personal Training with Body Builders
52:33 Changes in Training and Nutrition
54:49 Importance of Discipline
1:00:28 How Dominique Makes Decisions
1:04:03 Dominique’s Goal and Message
1:08:46 Midlife Wellness Protocols
1:14:29 What’s Next for Dominique?
‼️Disclaimer: The Dr. Gabrielle Lyon Podcast and YouTube are for general information purposes only and do not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast, YouTube, or materials linked from this podcast or YouTube is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professional for any such conditions.
This episode includes paid sponsorships.
Only nine scientists were asked to advise on the 2025 Dietary Guidelines for Americans, and Dr. Tom Brenna was one of them. In this conversation, he pulls back the curtain on how dietary guidelines are actually made, why the process has never been the same twice, and what it was like to watch a decades-old saturated fat recommendation get carried forward despite a lack of evidence supporting it at the level of total mortality. This is the dietary guidelines conversation the internet has been missing: straight from someone who was actually in the room.
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Website: https://bit.ly/3O3cNUv
Instagram: https://bit.ly/4s7UF9N
LinkedIn: https://bit.ly/4shYfyl
References:
https://ajcn.nutrition.org/article/S0002-9165(24)00527-6/fulltext
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⏰Timestamps:
00:00 Intro of Show
00:14 Dr. Tom Brenna’s Background
05:19 Working with IBM
08:46 Family Life
10:38 2015 vs. 2025 Dietary Guidelines for Americans
28:06 American Society for Nutrition: Behind-the-Scenes of Dietary Guidelines
32:10 History of Saturated Fat
42:17 Different Types of Fat
45:23 How Are People Eating during World War II
51:09 The Whole Milk for Healthy Kids Act of 2025
53:58 What is Saturated Fat?
57:57 Link between Saturated Fat and Cardiovascular Diseases
1:05:53 Saturated Fat vs. Total Mortality
1:13:13 Best Studies on Saturated Fat
1:14:42 Reduction of Saturated Fat = Lowered LDL Cholesterol
1:22:35 Pregnancy and Fish Consumption Myths
1:37:55 Recommended Nutrition
1:39:59 Different Types of Oil and Effects on Health
1:42:04 Omega 3’s and 6’s Recommendation
1:50:02 Omega 3 Fatty Acids and ADHD
1:50:54 What’s Next: Precision Nutrition and Genetics
‼️Disclaimer: The Dr. Gabrielle Lyon Podcast and YouTube are for general information purposes only and do not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast, YouTube, or materials linked from this podcast or YouTube is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professional for any such conditions.
This episode includes paid sponsorships.
In a world flooded with conflicting health advice, how do you actually figure out what’s true? Dr. David Allison, one of the most rigorous scientific minds in obesity and nutrition research, shared the exact framework he uses to evaluate evidence, from peer-reviewed trials to podcast recommendations to AI-generated summaries. He explains the difference between trusting science as a process and trusting individual studies, why most nutrition epidemiology functions more like advertising than research, and how ordinary people can build a reliable filter for health claims without a PhD.
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⏰Timestamps:
00:00 Intro of Show
03:55 Dr. David Allison’s Background
09:50 Principles vs. Scientific Data
14:48 What is Doubly-Labeled Water?
16:42 Misconceptions on Diet
21:08 Concept of Human Discomfort
24:18 Childhood Obesity
28:49 Research: What Really is the Purpose?
31:14 Can We Trust Science?
40:54 INSERT LINK: NEWSLETTER ON OBESITY AND ENERGETICS
40:54 Obesity: Causes and Treatments
50:29 Different Outcomes from Weight Loss Drugs
57:21 Safety is a Social Judgment
1:00:18 Making Decisions in a Noisy Landscape
1:08:29 Podcasts as a Good Source of Information
1:16:09 Stance on Ultra-Processed Foods and Seed Oils
1:22:50 Dr. David’s New Projects
1:29:40 How to Make Good Decisions
‼️Disclaimer: The Dr. Gabrielle Lyon Podcast and YouTube are for general information purposes only and do not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast, YouTube, or materials linked from this podcast or YouTube is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professional for any such conditions.
This episode includes paid sponsorships.
Up to 70% of dementia may be preventable, so why aren’t more people talking about what actually drives cognitive decline? In this episode, I’m with Dr. Tommy Wood, neuroscientist and author of “The Stimulated Mind,” to explore the lifestyle levers that protect your brain across a lifetime. Learn how white matter hyperintensities develop and whether they can reverse, what MCTs and ketones actually do for a glucose-starved brain, and why social connection may be the most underrated variable in cognitive aging. What is the one change you could make today that would most protect your brain tomorrow?
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📺Watch the “Dr. Gabrielle Lyon Show” every Tuesday at 9AM EST:
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⏰Timestamps:
00:00 Intro of Show
01:52 Elite Athlete’s Brain and Emotional Regulation
06:51 How to Regulate Emotions
11:30 Mindset Impacting Hormonal Responses
15:39 Future-Proofing the Brain
19:42 Brain Development vs. Shrinkage
26:11 Dementia Types, Causes, and Prevention
39:29 Social Isolation Influencing Cognitive Function
50:00 Social Stress’ Drivers
52:34 Non-Negotiable’s to Avoid Dementia Risks
57:42 Seafood Consumption Beneficial for Brain Function
1:03:35 Alcohol and Sleep Impacting the Brain
1:10:16 Is Brain Function Recovery Possible?
1:18:43 Use of Ketones and Glucose for Cognitive Recovery
1:23:09 Power of Mindfulness
1:27:06 Get Dr. Wood’s Book
‼️Disclaimer: The Dr. Gabrielle Lyon Podcast and YouTube are for general information purposes only and do not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast, YouTube, or materials linked from this podcast or YouTube is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professional for any such conditions.
This episode includes paid sponsorships.
Metabolic flexibility is your body’s ability to efficiently burn fat or carbohydrate depending on demand, may be one of the most important and least understood markers of long-term health. In this episode, I’m with Dr. Martin Gibala to explore the emerging science of Fat Max, why mitochondrial quality is central to both performance and longevity, and how sprint interval training produces comparable mitochondrial adaptations to traditional endurance work in a fraction of the time. Could the key to better metabolic health be less about the hours you log and more about how hard you’re willing to push?
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Website: https://bit.ly/3Nfz410
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Email: [email protected]
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⏰Timestamps:
00:00 Intro of Show
01:26 What is High-Intensity Interval Training?
05:04 HIIT to Improve Health Fundamentally
08:23 Exercise Ratio for General Individuals vs. Athletes
14:29 Dr. Lyon's Workout Routine
16:47 High-Intensity Interval vs. Sprint Interval Training
20:23 New Studies on Sprint Interval Training
24:57 The One-Minute Workout
26:57 CAROL Bike Mechanics
28:59 Benefits of High-Intensity Interval Training
37:21 Fuel Utilization: Sprint Interval vs. Slow, Steady-State Training
45:38 Metabolic Flexibility Definition
46:41 Fat Max Definition and Evaluation
50:26 Zone Training Model
58:00 Designing the Health of the Nation
1:04:04 How to Improve Body Composition
1:11:40 REHIT: Reduced Exertion, High-Intensity Training
1:21:59 Does HIIT Prevent Sarcopenia?
1:27:27 VO2 Max: Factoring Age and Sex
1:34:28 Designing the Ideal Workout Week
1:39:14 Importance of Rest Intervals
1:45:14 Connect with Martin
‼️Disclaimer: The Dr. Gabrielle Lyon Podcast and YouTube are for general information purposes only and do not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast, YouTube, or materials linked from this podcast or YouTube is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professional for any such conditions.
This episode includes paid sponsorships.
The most decorated woman in motorsports history will tell you she feared losing far more than she loved winning, and that fear is exactly what drove her to the top. In this episode, I’m with racing legend Danica Patrick to unpack the psychology of elite performance, from the “blind faith” that carried her through two decades of racing to the nervous system conditioning she built starting at age 10. What would be possible for you if you learned to channel pressure instead of escaping it?
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📱Connect with Danica Patrick
Website: https://bit.ly/4lfA9SQ
YouTube: https://bit.ly/3OVYeCk
Instagram: https://bit.ly/4bht0Ni
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⏰Timestamps:
00:00 Intro of Show
02:05 Understanding the Idea of Pressure and Challenge as a Kid
05:00 Managing Wins and Losses
09:45 Automaticity to Fear
11:44 Managing Nervous System under High Pressure
17:34 Danica's Pre-Performance Rituals
20:21 Performance Becoming One's Identity
21:23 Danica Working with Dr. Lyon
26:24 Discipline for Proper Recovery
28:47 Tips for Someone Going through the Same Issues
31:01 Working with Different Doctors
34:01 Women's Intuition in Hiring
37:14 Women in Male-Dominated Industries
41:42 There Are No Shortcuts to Success
43:01 Performing in High-Pressure Situations
45:51 Importance of Having Alone Time
48:34 What is Home Energy?
51:20 Flow of State: Passion and Creativity
55:51 Medicine in the AI Era
59:32 Rapid Fire Q&A
‼️Disclaimer: The Dr. Gabrielle Lyon Podcast and YouTube are for general information purposes only and do not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast, YouTube, or materials linked from this podcast or YouTube is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professional for any such conditions.
This episode includes paid sponsorships.
I’m joined by Dr. Heather Hirsch to debunk the persistent myths surrounding hormone replacement therapy and explain why the 2002 Women’s Health Initiative data was so widely misinterpreted. We discuss how optimized estrogen, progesterone, and testosterone levels can protect your heart, bones, and brain health, helping you move past "normalized suffering" and into a proactive state of longevity. Whether you are in perimenopause or well past the ten-year window, you'll learn how to navigate personalized dosing and clinical data to reclaim your vitality and extend your health span.
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📱Connect with Dr. Heather Hirsch:
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LinkedIn: https://bit.ly/4u6rjeb
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Newsletter: https://bit.ly/402QCAj
⏰Timestamps:
0:00 Intro of Show
6:00 Hormone Replacement Therapy: Where Are We Now?
11:25 What is Menopausal Hormone Therapy?
13:39 How Safe is Hormone Replacement Therapy?
18:39 Access on the Studies on HRT
23:10 Risks of Hormone Replacement Therapy
27:24 Estrogen Does Not Cause Breast Cancer
31:19 Estrogen and Accelerated Bone Loss
34:51 Preventative Benefits of Estrogen
38:47 Lifespan vs. Health Span
39:22 When to Start Hormone Replacement Therapy?
45:15 Blood Markers
47:26 Progesterone: Effects, Timing, Dosage
52:38 Testosterone: Effects, FDA Approval, Benefits, Risks
1:00:44 Analysing the Numbers
1:04:13 Link of HRT and Cognitive Function
1:09:28 What Are Women Doing Wrong?
‼️Disclaimer: The Dr. Gabrielle Lyon Podcast and YouTube are for general information purposes only and do not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast, YouTube, or materials linked from this podcast or YouTube is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professional for any such conditions.
This episode includes paid sponsorships.
Male fertility is declining, and most men have no idea why.
In this episode of The Dr. Gabrielle Lyon Show, Dr. Gabrielle Lyon sits down with Dr. Michael Eisenberg, Director of Male Reproductive Health at Stanford University and Chief Medical Advisor of SwimClub, to break down what truly determines sperm health and reproductive success.
They discuss:
If you care about fertility, hormones, metabolic health, or the future of men’s health, this conversation is essential.
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Chapters:
00:00 Sex habits, libido, GLP-1s, and what counts as male infertility
01:46 Metformin and male fertility, what the Denmark study found
07:27 How long sperm take to regenerate after meds, illness, or chemo
09:24 GLP-1 medications, weight loss, and semen quality in men
10:52 Testosterone therapy, anabolic steroids, and why sperm shuts down
16:41 Sperm as a vital sign, fertility as a window into long term health
19:14 Microplastics and environmental toxins found in semen
22:21 Paternal age and sperm quality, DNA fragmentation and pregnancy risk
26:03 Supplements and nutrients for sperm quality, what matters and why
30:00 Sex frequency, masturbation, libido, and fertility myths
35:38 Male infertility guidelines and medications that quietly lower fertility
48:41 Semen quality and future disease risk, diabetes, cancer, mortality
54:45 Anabolic agents, sperm banking, and how long frozen sperm lasts
1:04:14 PRP for severe male infertility, azospermia and real outcomes
1:16:41 New frontiers in male fertility, immune profiles, genomics, omics
Disclaimers: This episode includes paid sponsorships.
The Dr. Gabrielle Lyon Podcast and YouTube are for general information purposes only and do not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast, YouTube, or materials linked from this podcast or YouTube is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professional for any such conditions.
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Self-doubt holds more people back than lack of skill or intelligence.
In this episode, Dr. Gabrielle Lyon sits down with Dr. Shadé Zahrai to explore the science of confidence, self-trust, and peak performance. They break down why confidence comes after action, how self-image shapes success, and the four psychological drivers that determine whether you thrive or stay stuck.
You will learn how body language influences perception, why high performers plan for failure, how perfectionism leads to burnout, and the subtle communication habits that undermine credibility. Most importantly, you will discover how to build what Dr. Zahrai calls Big Trust so you can back yourself before you feel ready.
If you struggle with overthinking, imposter thoughts, or feeling capable but not fully confident, this conversation will give you practical tools to change how you show up.
00:00 Confidence science: feeling vs appearing
00:51 The opposite of self-doubt and why confidence comes after action
01:53 Self-trust before confidence
03:03 Nonverbal confidence cues: posture, eye contact, smile, pace
07:30 Body language feedback loop: posture and recall
09:26 Shadé’s PhD on self-doubt under pressure
12:22 What makes people successful: self-image
12:30 Self-image blueprint and why change does not stick
14:29 The Four A’s: Acceptance, Agency, Autonomy, Adaptability
20:26 The self-awareness gap and changing personality traits
22:30 Expectation bias and the scar experiment
25:54 Self-doubt types: signal vs verdict
28:30 Visibility, influence, and the people around you
31:16 Which traits are easiest to change
35:56 Why capable people still stay stuck
40:25 Michael Phelps and visualizing failure recovery
42:30 Stop rumination: stimulus control for worry
47:45 Self-improvement vs perfectionism vs burnout
56:53 The 4 inner deceivers: Judge, Protector, Neglecter, Ringmaster
1:11:22 Peak performance and Big Trust
1:19:19 Communication habits that kill credibility
1:24:18 Stop over-apologizing and reframe emotion
1:29:47 Daily habits to build Big Trust and audit your circle
Thank you to our sponsors:
Find Dr. Dr. Shadé Zahrai at:
Find Dr. Gabrielle Lyon at:
Disclaimers: This episode includes paid sponsorships.
The Dr. Gabrielle Lyon Podcast and YouTube are for general information purposes only and do not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast, YouTube, or materials linked from this podcast or YouTube is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professional for any such conditions.
Want ad-free episodes? Subscribe to Forever Strong Insider: https://foreverstrong.supercast.com
This episode brings together standout moments from The Forever Strong Experience, packed into one powerful episode.
Featuring highlights from:
In this mashup, they break down:
Perfect if you’re tired of conflicting nutrition advice and want clear, evidence-based guidance you can actually use.
Thank you to our sponsors:
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Chapters:
00:00:00 The truth about nutrition
00:01:06 Why is it so hard to follow health advice?
00:03:07 What actually holds people back from progress?
00:05:26 When “clean eating” backfires
00:05:57 The nutrition “rule” that does more harm than good
00:06:37 Why medicine got obsessed with BMI and fat
00:08:47 Body composition fundamentals: what to do first
00:10:53 “Rules” for better body composition (practical guidelines)
00:13:20 Do you have to lift heavy to build muscle?
00:16:24 Strength vs hypertrophy: what matters most as you age
00:17:46 Sponsor: Our Place + What if muscle were taught as an organ system?
00:20:14 Is obesity actually the root cause?
00:21:24 Midlife: why “nothing’s working” (what’s really happening)
00:23:21 Is it metabolic change or lifestyle, sleep, and stress?
00:28:40 The most impactful shift for a muscle-centric nutrition plan
00:30:44 Food anxiety: can you scare yourself into being fit?
00:32:41 Digestion and absorption: making a muscle-centric lifestyle work
00:33:42 The truth about nutrition: eat real food, food is medicine, personalize
00:36:23 Sponsor: Four Sigmatic + Biggest myths in training and nutrition
00:44:06 One thing to stop doing immediately
00:45:31 Stress and the nervous system: how it affects digestion
00:46:29 Practical tips for staying consistent under high stress
00:48:09 The danger of sarcopenia (where we’re headed)
00:50:14 Midlife expectations: slower progress, better strategy
00:53:52 The long-term impact of eliminating food groups
00:55:04 Healing vs cutting foods: what to do instead
00:57:15 Sponsor: Cozy Earth + The myth you wish would die
01:01:21 Travel: how to create “safety” and stay fed
01:02:37 The airport backup plan (the “oh no” foods list)
01:04:49 Expected challenges: planning so you don’t act surprised
01:06:03 Boundaries and resistance training: what’s the standard?
01:07:43 Mindset, trauma, and wellness (ACE questionnaire)
01:13:13 Final question: What does “Forever Strong” mean to you?
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