The Biology of Trauma® With Dr. Aimie podcast

Could Your Trauma Be Disrupting Your Metabolism? The Weight Health Conversation

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➡️ Get the full episode breakdown at Biology of Trauma® Podcast – Episode 164: Could Your Trauma Be Disrupting Your Metabolism? The Weight Health Conversation

What if the reason your body is holding onto weight has nothing to do with what you're eating — and everything to do with hormones you may not have heard about? 

In this episode, Dr. Aimie talks with registered dietitian and author Ashley Koff to unpack the hidden world of weight health hormones: GLP-1, leptin, ghrelin, and more — and why optimizing them matters for everybody, not just people trying to lose weight. What you'll hear will change how you see your body — not as something failing you, but as a sophisticated ecosystem sending you signals worth decoding.

Ashley reveals why 93% of Americans are metabolically dysregulated, how trauma and chronic stress directly suppress the hormones that regulate metabolism and body composition, and why "weight loss" as a goal is actually working against your biology. Whether you're curious about GLP-1 medications, perimenopause weight changes, or just why the scale never seems to match your effort — this conversation will shift everything.

In This Episode You'll Learn: 

  • (00:00): Introducing the connection - weight, metabolism and GLP-1
  • (02:04): The weight-trauma connection: Why the body holds on despite every effort
  • (03:00):  What “weight health” means biologically — and why weight loss as a goal misses the point
  • (05:59) The incretin discovery: How GLP-1, leptin, ghrelin, and seven other weight health hormones regulate your biology
  • (09:50).Why 93% of Americans show signs of suboptimal metabolic health — and what that actually means for you
  • (10:33) Ashley’s pizza framework: The right sequence for assessing your metabolic ecosystem
  • (14:54) How to assess your weight health hormones — and why a blood test alone won’t tell you what you need to know
  • (22:56) Perimenopause and menopause: Why digestion fails first — and how that drives belly fat and brain fog
  • (30:14) Learned behaviors vs. hormone imbalance: How to tell what is biology and what is a survival strategy from childhood
  • (37:29) Where to start: Ashley’s first step for anyone wanting to optimize weight health
  • (40:41) The deliciousness signal: Why a “seven or above” is a physiologic mechanism, not a preference
  • (44:05) Ashley’s final message — where to find (her book) Your Best Shot and her clinical resources

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