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If you are only focusing on building muscle, you are missing half the equation for long-term mobility. In this mashup episode, Dr. Gabrielle Lyon brings together top orthopedic experts to discuss the critical importance of joint and tendon health.

While muscle develops relatively quickly, your tendons and ligaments can take 6 to 9 months to fully adapt to a new training stimulus. This gap is where most injuries happen. We dive deep into the biological mechanics of tendons, the"athletic accommodation timeline," and why you must progressively overload your connective tissue—not just your muscle bellies.

You will learn:

1. The Menopause Connection: Why women face a 30% higher risk of arthritis and rapid bone loss after age 50, and the role of estrogen in joint inflammation.
2. Osteoporosis Prevention: Why high-impact "flight" exercises (jumping) are more effective for bone density than traditional lifting alone.
3. The Frozen Shoulder Mystery: How to identify the warning signs and why this condition is often linked to hormonal shifts rather than trauma.
4. Injury Recovery & Prehab: The truth about PRP, needle tenotomy, and the "anti-fragility" mindset needed to build a resilient body.
5. The History of Muscle: How ancient Greek views of "pneuma" and the "gift of strength" shaped our modern misunderstanding of movement.

Stop training until you break. Learn how to track your progress, prioritize stability over raw mobility, and design a life built for anti-fragility.

0:00 - The Gap Between Muscle and Tendon Adaptation

1:32 - What Are Tendons? Visco-Elasticity and Force Dissipation

4:36 - The Rotator Cuff: Stabilizing the "Golf Ball on a Tee" 6:40 - The Athletic Accommodation Timeline: Why 6-9 Months Matters

8:36 - Progressive Overload for Connective Tissue, Not Just Muscle

11:36 - GLP-1s and Bone Health: Does Ozempic Increase Fracture Risk?

14:34 - Preventing Osteoporosis: The Power of Impact Training

18:15 - Bisphosphonates vs. Mechanical Loading for Bone Quality

21:10 - The Hidden History of Muscle: From Galen to Ancient Greece

26:48 - The Myth of "Pneuma" and the Soul in the Muscle

30:55 - Supercompensation: The "Gift from Zeus" in Performance

36:35 - Defining Impact Exercise: Why "Flight" is Better for Bones

39:48 - Building Your Base: Why Bone Health is Won Before Age 30

42:38 - Oral Contraceptives and Peroperative Blood Clot Risks

45:21 - The Hard Truth: How Nicotine Destroys Orthopedic Healing

47:55 - Testosterone and Muscle Mass vs. Bone Density in Women

51:41 - Relative Energy Deficiency in Sport (RED-s) and Stress Fractures

55:53 - Long-Term Menopause Consequences: Mobility and Hip Fractures

1:01:58 - Tendinopathy Treatments: Needle Tenotomy, 10X, and PRP

1:07:26 - Full Thickness vs. Incomplete Tendon Tears

1:12:05 - Prehab is Real: The...

Pre-Order The Forever Strong PLAYBOOK and receive exclusive bonuses: https://drgabriellelyon.com/playbook/

Want ad-free episodes, exclusives and access to community Q&As? Subscribe to Forever Strong Insider: https://foreverstrong.supercast.com

Thank you to our sponsors:

1. BodyHealth - Use the code LYON20 to get 20% off your first order https://bodyhealth.com/
2. Manukora - Visit MANUKORA.com/DRLYON to save 31% plus $25 worth of free gifts.
3. BON CHARGE - Holiday Sale https://boncharge.com for 25% off
4. Our Place - Visit fromourplace.com/DRLYON and use code DRLYON for 10% off

Find Dr. Gabrielle Lyon at:

1. Instagram:@drgabriellelyon
2. TikTok: @drgabriellelyon
3. Facebook: facebook.com/doctorgabriellelyon
4. YouTube: youtube.com/@DrGabrielleLyon
5. X (Twitter): x.com/drgabriellelyon
6. Apply to become a patient – https://drgabriellelyon.com/new-patient-inquiry/
7. Join my weekly newsletter – https://institute-for-muscle-centric-medicine.ck.page
8. Pre-order my new book - https://www.amazon.com/exec/obidos/ASIN/1668085623

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.

Timestamps:

0:00 - FDA Lifts Blackbox Warning on HRT

1:08 - Definitions: Viralization & Androgens

3:08 - The New Landscape of Women's Health

4:46 - Gold Standard Testing: Mass-Spec

5:52 - Finding the Estrogen Sweet Spot for Men

8:07 - Testosterone Lab Ranges for Women

10:16 - Is Testosterone Safe for Women?

13:30 - Anabolic vs. Androgenic Steroids

16:56 - HRT Red Flags: Who Should Not Start

18:19 - Longevity Benefits of HRT

21:23 - Estrogen's Role in Brain Health

24:32 - Performance Impact in Young Women

33:03 - Type 2 Muscle...

If you or someone you know is experiencing suicidal thoughts, emotional distress, or a mental health crisis, call or text 988, or chat via 988lifeline.org.

Support is available 24/7. You are not alone, and help is available.

Pre-Order The Forever Strong PLAYBOOK and receive exclusive bonuses: https://drgabriellelyon.com/playbook/

Want ad-free episodes, exclusives and access to community Q&As? Subscribe to Forever Strong Insider: https://foreverstrong.supercast.com

Dr. Gabrielle Lyon sits down with renowned medical correspondent and OB/GYN, Dr. Jen Ashton, for a profoundly personal and candid conversation about navigating life's most intense tragedies while maintaining a public career.

Dr. Ashton bravely opens up about the devastating suicide of her first husband, a world-class surgeon, 18 days after their divorce was finalized. She shares the raw reality of being in clinical shock and how the immense tragedy became an unexpected catalyst for post-traumatic growth.

Dr. Ashton, who holds a Master's degree in Nutritional Sciences, also brings her medical expertise to current health debates:

• The Power of Fitness: Learn how resistance training became Dr. Ashton's lifeline to snap her out of emotional numbness and shock.
• The Hormone Misinformation Crisis: They discuss the flawed data and flawed media that led to 20 years of women being under-treated for menopause after the Women's Health Initiative (WHI).
• GLP-1 Myths: Dr. Ashton breaks down the top myths surrounding GLP-1 medications, the difference between absolute vs. relative risk, and the non-weight related benefits that are just beginning to emerge.
• The Problem with Extremes: They address the societal tendency to seek out quick-fix solutions in health, menopause, and obesity care, arguing that the true sweet spot is in a nuanced, moderate position.
• Finding Love Again: Dr. Ashton shares the unexpected miracle of finding profound love with her current husband, legendary sports executive and TV producer, Tom Werner.

About Jen Ashton: Retiring stiff paper gowns and unrelatable medical advice, Dr. Jennifer Ashton, a Board-certified Ob-Gyn, author, and TV medical correspondent, breaks the barrier between doctor and patient. Affectionately referred to as your all-in-one ‘BFF’/Ob-Gyn, Dr. Jennifer Ashton marries an unparalleled medical background with an accessible‘girl’s-girl’ attitude. Though Dr. Ashton can easily speak to the latest beauty and fashion trends, this Ivy League graduate means business when it comes to women’s health.

Thank you to our sponsors:

• Timeline - Get 20% off your order at https://timeline.com/LYON
• OneSkin - Get 15% off with the code DRLYON – https://www.oneskin.co

Find Jen Ashton at:

• Book: Life After Suicide - https://a.co/d/0HvOeSH
• IG: