151. 🎙 Alcohol, Menopause and Metabolism: What Women Need to Know

Many women in midlife notice alcohol affects them differently — from sleep and hot flashes to weight and energy. In this episode, I share my own journey with stepping back from alcohol and unpack the science on how it impacts hormones and metabolism in menopause. Plus, practical strategies to help you rethink your relationship with alcohol without guilt or extremes.

In this episode, we’ll explore:

➤ What alcohol does to hormones, sleep, and metabolism in midlife

➤ Why it feels emotionally and culturally hard to change our drinking habits

➤ The myths (like red wine and heart health) that still linger

➤ Practical ways to rethink alcohol without guilt or extremes



✨ Reflection prompts:

➤ What’s your current relationship with alcohol — habit, treat, stress relief, or something else?

➤ If you experimented with cutting back, what small change would you try first?

I hope this episode helps you reflect intentionally on your choices, especially during a season when your health and wellbeing matter more than ever.

My favourite Organika Passionfruit electrolyte for daily consumption
https://amzn.to/3KaxAmF

Episode 139. Reconsidering Alcohol (March 2025)
https://www.sashahighmd.com/podcasts/high-on-life/episodes/2148986132

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WORK WITH ME
Join my Weight Loss Coaching Program for women, Best Weight
https://www.sashahighmd.com/bestweight

Recover Strong for Binge Eating
https://www.sashahighmd.com/bed

Ontario-Wide Virtual Obesity Management Clinic
https://www.highmetabolicclinic.com

150. The Top Cognitive Distortions Keeping You Stuck

Most of the time, what keeps us stuck in our health journey isn’t food or exercise — it’s our thought patterns. All-or-nothing thinking, “shoulds,” catastrophizing… these distortions twist reality and keep us cycling in guilt, shame, and frustration.

In this episode, I break down the top cognitive distortions I see in my coaching clients (and in my own life too!), with real examples and practical ways to shift them. If you’ve ever thought, “I blew it, might as well start again Monday,” this one’s for you.

You’ll walk away with tools to catch unhelpful thoughts, reframe them, and start renewing your mind so that lasting change actually feels possible.

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Join my Weight Loss Coaching Program for women, Best Weight https://www.sashahighmd.com/bestweight

Recover Strong for Binge Eating
https://www.sashahighmd.com/bed

Ontario OHIP-covered Obesity Medicine
https://www.highmetabolicclinic.com

We all love quick fixes, but when it comes to health they rarely work — and often leave us stuck in a cycle of starting over. In this episode, I share why quick fixes are so tempting, the hidden costs they carry, and what lifelong change really looks like.

If you’ve ever felt stuck in the cycle of starting over with every new diet, this episode will encourage you to slow down, build trust with yourself again, and embrace sustainable habits that bring peace and freedom.

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Tiktok - https://www.tiktok.com/@sashahighmd

WORK WITH ME

Join my Weight Loss Coaching Program for women, Best Weight https://www.sashahighmd.com/bestweight

Recover Strong for Binge Eating - https://www.sashahighmd.com/bed

Ontario Obesity Management Clinic - https://www.highmetabolicclinic.com

In this episode of High on Life, I’m joined by Margo Green, a registered psychotherapist (qualifying) who specializes in body image, disordered eating, addiction, burnout, and self-compassion—especially for women navigating menopause and mood disorders.

We’re talking all about how we relate to our bodies—and how practicing self-compassion can transform your health journey.

Together, we explore:

• What body image is and how it impacts our behaviours
  
  
• Why self-worth and weight often get tangled together
  
  
• How self-compassion supports sustainable change without shame
  
  
• What therapy can offer on a weight management journey
  
  
• Practical steps you can take to start healing your body image today
  
  

This episode is for anyone who’s ever felt discouraged in their body, stuck in shame, or unsure how to care for themselves with both structure and kindness.

💛 You are not alone—and there is hope.

📍 If you’re in Ontario and want support with body image or mental health, you can connect with Margo at www.highmetabolicclinic.com/psychotherapy

In this episode, Dr. Sasha High sits down with the three incredible dietitians from the High Metabolic Clinic to give you a behind-the-scenes look at what it’s really like to work with a dietitian. Whether you're at the beginning of your weight loss journey or looking to deepen your relationship with food, this conversation is packed with practical wisdom and compassionate guidance.

👥 Guests: Tedi Nikova, Ina Benkova, and Victoria Upshaw — Registered Dietitians at the High Metabolic Clinic

What You’ll Learn:

• What to expect from an initial dietitian assessment
  
• Effective strategies for sustainable weight loss
  
• The role of emotions and psychology in eating behavior
  
• How to recognize if binge eating disorder (BED) treatment may be needed
  
• Actionable first steps for those just starting out
  
• How to choose the right dietitian for your needs
  
• What long-term success really looks like
  
  

Links & Resources:
🔗 Learn more or connect with our dietitians: www.highmetabolicclinic.com/nutrition

📌 Follow us on Instagram: @sashahighmd

In this episode of High on Life, I’m answering a question I get all the time: How much weight can I realistically expect to lose?

I’m breaking down:
✅ Why weight loss isn’t just about willpower—it’s influenced by your biology and genetics
✅ The false promises of diet culture and why they set us up for disappointment
✅ Why aiming for 5-10% weight loss is both realistic and powerful for your health
✅ What research shows about weight loss with lifestyle changes and medications
✅ How to shift your mindset from chasing a “goal weight” to building a sustainable, healthy lifestyle
✅ Why hitting a plateau doesn’t mean failure—it means stability
✅ The truth about BMI and why it’s not the ultimate measure of health

If you’ve ever felt frustrated by weight loss or wondered why it’s so hard to keep weight off, this episode will give you clarity and encouragement.

🎧 Tune in now, and if this episode helped you, please subscribe and share it with a friend!

FOLLOW SASHA

Instagram - https://www.instagram.com/sashahighmd/

Tiktok - https://www.tiktok.com/@sashahighmd

WORK WITH ME

Join my Weight Loss Coaching Program for women, Best Weight https://www.sashahighmd.com/bestweight

Recover Strong for Binge Eating - https://www.sashahighmd.com/bed

Ontario OHIP-covered Obesity Medicine https://www.highmetabolicclinic.com

Dr. Sasha High, Internal Medicine and Obesity Medicine physician, breaks down a common patient question: which GLP-1 medication is best for weight management?

On today’s episode, we review data for Ozempic (Semaglutide), Wegovy (Semaglutide 2.4mg) and Mounjaro (Tirzepatide) for obesity treatment. We discuss:

• Weight loss efficacy
• Blood sugar control for Type 2 diabetes
• Cardiovascular outcomes
• Other conditions such as chronic kidney disease and sleep apnea

Most relevant to the Canadian consumer is the discussion around insurance coverage and practical considerations like monthly cost.

Reminder that you still need to speak with your own healthcare provider about what treatment is most appropriate for you and this is for educational purposes only.

If you’re in Ontario and need support from a multidisciplinary team for chronic weight management, The High Metabolic Clinic is my program that offers holistic virtual care from obesity specialists, registered dietitians and psychotherapists across Ontario through telemedicine. You can get more info at www.highmetabolicclinic.com. We do need a referral from your Family Doctor.

Family doctor, mom, and founder of TheSmartPhoneEffectMD, Dr. Alison Yeung joins us to tackle one of the biggest parenting challenges today: raising healthy, connected kids in a digital world.

We discuss:

• The real risks kids face online—from anxiety and depression, to AI, sextortion and grooming
  
  
• The critical link between screen time and mental health
  
  
• The 5 R’s for smartphone readiness
  
  
• What age-appropriate digital routines can look like
  
  
• How parents can model healthy tech habits
  
  

Whether your child already has a device or you’re trying to delay that first phone, this episode is packed with insight, research, and practical strategies to help you feel empowered — not overwhelmed.

🔗 Resources & Links:
→ Follow Dr. Yeung and download her Digital Guide for Parents on Instagram @TheSmartPhoneEffectMD
→ Share this episode with a friend or fellow parent