Stress Series - 02 - The Six Distress Subtypes

Episode Title: Developing Resilience in High-Pressure SituationsSummaryWelcome back to the Metabolism, Muscles, & Mindset Podcast with Dr. Ali Novitsky, board-certified obesity medicine physician and expert in stress, strength, and self-regulation.In this episode of the Stress Series, Dr. Novitsky explores how to build true resilience — not in serene environments, but in the moments that truly test us. Whether you're navigating life-or-death emergencies or emotionally charged situations, this conversation reveals how to stay centered and in control, even when your nervous system wants to panic.Using a powerful varicose vein metaphor, she explains how chronic stress is like a “leaky valve” — unless you address the root cause (emotional dysregulation), surface-level fixes like better habits won’t stick. The solution? A simple pause.Dr. Novitsky teaches how a 2–3 second pause in the heat of stress can stop the brain’s “hijack” and activate the prefrontal cortex: our reasoning center. She breaks down three stress scenarios and guides listeners toward the third, most empowering one: awareness, presence, and intentional breath.Drawing from cognitive behavioral therapy (CBT) and dialectical behavioral therapy (DBT), Dr. Novitsky offers a toolkit for regulating emotions, accessing your “wise brain,” and debriefing after stressful moments to rewire your response. Whether in medicine, sports, family dynamics, or everyday life, this episode shows how resilience can be learned — and why it's the key to long-term transformation.Key Points• Beyond the Spa: Real resilience is built in chaos, not calm.• The Leaky Valve Analogy: Fix emotional dysregulation at the root for lasting stress relief.• Stress Is Automatic: The fight-or-flight response can’t be stopped—but it can be reshaped.• The Power of the Pause: A brief, intentional check-in prevents spiraling and restores clarity.• Three Stress Scenarios: 1. Hijacked and unaware. 2. Aware but suppressing. 3. Aware and present—the goal.• Tools from CBT & DBT: Learn to regulate emotions and access clear, productive thinking.• Debrief to Rewire: Reflecting after stress creates new mental pathways for resilience.• Lifelong Practice: Emotional regulation isn’t a finish line—it’s a daily skill worth mastering.Take the DistressRx Assessment HERE!Timestamps• 00:02 – Intro: Managing real-world stress• 02:10 – The “leaky valve” analogy for chronic stress• 04:00 – Understanding the HPA axis and stress physiology• 05:40 – Prefrontal cortex hijacking: why we spiral• 07:10 – The pause as a regulation tool• 09:30 – Scenario breakdown: hijack, suppression, or presence• 11:50 – Staying calm in acute stress (e.g., medical emergencies)• 13:40 – Building confidence by staying grounded• 15:00 – Personal story: trauma and resilience in college athletics• 18:20 – CBT vs. DBT: how emotions shape thoughts• 21:40 – Tools for distress tolerance and “wise mind”• 24:40 – Personal debriefs: your secret weapon for growth• 27:40 – Real-life triggers and emotional awareness• 30:10 – Transform 10: a year-long stress mastery programFollow Dr. Ali Novitsky on TikTok | Facebook | Instagram | YouTubeSubscribe to the Metabolism, Muscles, and Mindset Podcast on Spotify | Apple PodcastsWork with Dr. Ali🔥 ⁠⁠⁠⁠Transform® 10.0⁠⁠⁠⁠ – Enrollment is open! Bonus content available now🌿 ⁠Nutrition Training & Obesity Prevention⁠💪 ⁠⁠⁠Beginner Strength Training Program⁠⁠⁠ – 12 months for just $199!🧘 ⁠⁠⁠Total Fitness Program⁠⁠⁠ – A 12-month mind-body transformation🧪 ⁠⁠⁠Get 15% off InBody Models (USA/Canada)⁠⁠⁠ – Small referral commission may apply

Episode Summary:In this episode, Dr. Ali Novitsky, MD, your favorite obesity medicine doctor & fitness guru, continues her exploration of stress management, building on insights from previous episodes. She recaps the physiology of stress and the six identified stress types: Assertive, Control, Validation, Isolation, Catastrophizing, and Impulsivity. Understanding one’s stress type is emphasized as crucial, since it allows individuals to tailor their approach to managing stress more effectively.Dr. Novitsky introduces a powerful tool: “Name It to Tame It.” By identifying and naming emotions, people can significantly reduce their intensity and regain control over stress levels. She shares a story about a child’s first day at a new school, illustrating how naming feelings of anxiety helped her manage emotions more effectively.The discussion highlights the importance of noticing where emotions are felt in the body and how describing these sensations can be as effective as naming them. Dr. Novitsky encourages listeners to take 90 seconds to sit with their emotions, breathe, and practice mindfulness as a way to regulate emotional responses.Breathwork is presented as a simple yet powerful strategy for emotional regulation, and Dr. Novitsky encourages the audience to integrate this practice. As the episode concludes, listeners are reminded to take the stress type test linked in the show notes, which will be helpful for the ongoing series. She also announces the upcoming Transform 10 program — focused on emotional regulation and stress management, beginning in January.Dr. Ali invites everyone to continue exploring these vital topics together and to discover ways to transform stress into a superpower.Time Stamps:00:00:00 - Introduction to Stress ManagementAn overview of the podcast series on stress, including previous episodes and the importance of understanding stress types.00:01:11 - The Six Stress TypesDiscussion of the six identified stress types: Assertive, Control, Validation, Isolation, Catastrophizing, and Impulsivity.00:02:05 - Stress as a Health PriorityThe significance of stress management and its acceptance compared to physical health issues.00:03:19 - Name It to Tame ItIntroduction of the tool for emotional awareness and regulation, emphasizing the importance of naming emotions.00:04:11 - Real-Life Application: A Personal StoryA personal anecdote about the host's daughter experiencing anxiety on her first day at a new school.00:06:00 - The Power of Naming EmotionsExplaining how identifying emotions can reduce their intensity and help in managing stress.00:08:07 - Describing Physical SensationsThe importance of recognizing and describing physical sensations associated with emotions.00:10:05 - Emotional Processing and Family DynamicsInsights into family discussions about emotions and the role of shared experiences in emotional regulation.00:12:05 - The 90-Second RuleExplaining the significance of the 90-second timeframe for processing emotions and the role of breathwork.00:13:43 - Breathwork TechniquesIntroduction to breathwork as a tool for emotional regulation and its accessibility in various situations.00:15:10 - Engaging in Fun Breathing ExercisesA light-hearted approach to practicing breathwork with family to enhance emotional regulation.00:17:39 - The Superpower of Emotional AwarenessEncouragement to embrace emotional awareness and the benefits of understanding one's feelings.00:18:31 - Upcoming Programs and ResourcesInformation about the Transform 10 program and the importance of enrolling for further support in stress management.Work with Dr. Ali🔥 ⁠⁠⁠Transform® 10.0⁠⁠⁠ – Enrollment is open! Bonus content available now🌿 Nutrition Training & Obesity Prevention💪 ⁠⁠Beginner Strength Training Program⁠⁠ – 12 months for just $199!🧘 ⁠⁠Total Fitness Program⁠⁠ – A 12-month mind-body transformation🧪 ⁠⁠Get 15% off InBody Models (USA/Canada)⁠⁠ – Small referral commission may apply

Episode SummaryDr. Ali Novitsky, MD—physician, obesity medicine specialist, and strength-focused coach—dives into six dominant stress types and how spotting yours helps you regulate at the source. Drawing on years of coaching high-achieving women (especially physicians), Ali explains why addressing root stress beats symptom management, how to get “out of your head and into your body,” and what practical resets look like in real life. Expect clear examples, quick-start tools, and a compassionate, muscle-first approach to sustainable health.The Six Ditress Types (Quick Guide)Impulsivity — Acts fast to end discomfort; struggles to pause, risking burnout. *Try:* micro-pauses, urge surfing, 60–90s delay before action.Validation — Seeks external approval; second-guesses self. *Try:* self-validation scripts, “good-enough” reps, boundary micro-steps.Catastrophizing — Jumps to worst-case; superb risk-spotter but anxious. *Try:* evidence checks, bounded “worry windows,” solution sprints.Isolation — Pulls inward to avoid vulnerability; reliable yet guarded. *Try:* one safe share/day, grounding in the body, scheduled reconnects.Control — Tightens rules and plans; rigid when life shifts. *Try:* 90% plan experiments, two-option flexibility drills.Assertive — “Fix it now” mode; can read as aggressive. *Try:* wait–observe–act protocols, clarifying questions first.Why This Matters* Early regulation > downstream damage. Catch your pattern before it drives overeating, overworking, people-pleasing, or doom planning.* Not your personality. A stress type is a *trainable* response, not your identity.* Better teams & relationships. Shared language around stress patterns creates harmony and effectiveness.Ali’s Approach* Root-first: regulate stress before chasing outcomes.* Muscle-first: prioritize strength for longevity, energy, and metabolic health (especially 35+).* Personalized: plans that honor genetics, life stage, and mindset—sometimes the work is muscle-building, sometimes body acceptance, sometimes gentle resets.Key Takeaways* Name your dominant type and two “early tells.”* Pair each tell with a tiny, body-based reset.* Progress is seasonal: adapt goals without judgment.* Community and safe coaching make change stick.Timestamps00:00 - What “stress types” are and why start here00:00:49 - Targeting root stress vs. symptom management00:01:20 - Regulate upfront to prevent reactive habits00:01:52 - Stress Type Quiz00:02:14 - Chronic stress and behavior/health00:02:35 - Regulated vs. chronic stress00:02:45 -How these six types emerged from real-world coaching00:03:39 - The TRANSFORM concept: body-first regulation00:04:21 - Patterns among high-achieving women00:06:10 -Catastrophizing vs. Numbness00:06:42 - Dominant vs. secondary patterns00:07:04 - Using your type in daily life00:07:35 - Using types to improve relationships/teams00:08:20 -Types ≠ personality labels00:09:02 - Control (expectations & flexibility)00:13:01 - Impulsivity (build the pause muscle)00:15:09 - Validation (approve from within)00:19:09 - Catastrophizing (turn it into problem-solving)00:21:10 - Isolation (safe vulnerability)00:26:01 - Assertive (act without reactivity)00:30:08 - Recap of all six types + first steps00:31:04 - Common triggers by type & targeted resets00:32:18 - TRANSFORM 10.0 overview00:33:00 - What’s next: research, tools, and supportWork with Dr. Ali💪 ⁠Beginner Strength Training Program⁠ – 12 months for just $199!🔥 ⁠Transform® 10.0⁠ – Enrollment is open! Early Bird Pricing Until October 1 - bonus content available now🧘 ⁠Total Fitness Program⁠ – A 12-month mind-body transformation🧪 ⁠Get 15% off InBody Models (USA/Canada)⁠ – Small referral commission may apply

Metabolism, Muscles, & Mindset Podcast with Dr. Ali Novitsky, MDStress Types & Relationships Series Episode 01: Understanding Stress as a Signal, Not a FailureWelcome to a brand-new season of Metabolism, Muscles, & Mindset! After a revitalizing summer spent in Japan and Portugal, Dr. Ali Novitsky, board-certified obesity medicine physician and strength expert, kicks off a powerful 12-part series on stress — what it really is, how it shows up in the body, and why it’s not a personal failing.In this episode, Dr. Novitsky reframes stress as a physiological signal, not a flaw. You’ll learn the science behind the HPA axis, the real impact of chronic cortisol, and how simple practices like breathwork, strength training, and time in nature can help you regulate and thrive. Plus, she teases a free stress-type quiz coming in the next episode to help you personalize your approach.🧠 Key Points Covered• Stress Is InformationStress is not the enemy — it’s a body signal that communicates where you are and what you need. Learn to identify where you carry it and how it manifests uniquely for you.• HPA Axis 101Understand how the hypothalamic-pituitary-adrenal (HPA) axis influences your hormones — especially cortisol — and how it affects your blood pressure, blood sugar, mood, memory, and focus.• Chronic Load, Real CostsProlonged stress can lead to insulin resistance, hypertension, and cognitive decline. But early regulation and nervous system care can change your health trajectory.• Regulation Beats WillpowerTrying to “push through” stress often backfires. Instead, learn how to soothe your nervous system so your habits can actually stick.• Go-To Tools for Daily RecoverySimple but powerful tools like diaphragmatic breathing, mindfulness, strength training, and being in nature restore your baseline and build resilience.• Perimenopause & StressHormonal shifts can amplify your stress response. Prioritize muscle, protein, recovery, and self-compassion during this phase.Take the Quiz Now and discover your unique stress type and match targeted tools to your patterns!⏱️ Timestamps00:00:00 – Introduction and summer recap (Japan, Portugal)00:00:43 – Announcing the 12-episode stress series00:01:14 – Boundless Life cohort experience00:02:29 – From stress workshop to episode roadmap00:03:11 – Research base & screening tool overview00:03:42 – Understanding the HPA axis00:04:46 – Reframing stress as feedback00:05:07 – Stress scale and arousal zones00:06:12 – Befriending stress signals00:06:55 – Why proactive stress care protects health00:07:27 – Regulation vs. willpower00:08:10 – “Spa” analogy for nervous system downshifting00:09:02 – How stress disrupts sleep, nutrition, and training00:10:07 – Physiology deep dive continued00:11:00 – HPA mechanics in daily life00:12:06 – Health consequences of chronic cortisol00:13:01 – Chronic stress & insulin resistance00:14:05 – Cardiovascular and cognitive effects00:16:02 – Stress in perimenopause00:16:45 – Tools: breath, mindfulness, strength, nature00:17:28 – Portugal routines: morning workouts outdoors00:18:09 – Recognizing rising stress and intervening early00:19:02 – Additive stressors & compassionate audits00:19:25 – Befriending stress to reclaim agency00:20:08 – Personal daily regulation strategies00:21:11 – Consistency beats intensity00:21:53 – Intro to six distress types00:22:25 – Quiz announcement for next episode00:22:47 – Closing and teaser for Part 2📲 Follow Dr. Ali NovitskyTikTok | Instagram | Facebook | YouTube💼 Work with Dr. Ali💪 Beginner Strength Training Program – 12 months for just $199!🔥 Transform® 10.0 – Enrollment is open! Early Bird Pricing Until October 1 - bonus content available now🧘 Total Fitness Program – A 12-month mind-body transformation🧪 Get 15% off InBody Models (USA/Canada) – Small referral commission may apply

Episode Summary: The Invisible Weight of Emotional Exhaustion and BurnoutIn this week’s episode, Dr. Ali Novitsky explores the profound impact of emotional exhaustion on both mental and physical health. Emotional stress, often overlooked, can lead to elevated cortisol levels, inflammation, and hindered weight loss. Despite these effects, many hesitate to take time off for emotional well-being.Emotional Stress & Physical HealthDr. Novitsky details how emotional stress triggers physiological changes — such as fluid retention and inflammation — that directly affect health outcomes. Elevated cortisol from stress is particularly impactful on metabolism and weight regulation.Research on Emotional Stress ResponsesDr. Novitsky introduces her current research involving 150 women in the Transform program. The study categorizes emotional stress types and applies targeted interventions to help participants better manage their emotional responses and reduce burnout.The High Achiever TrapHigh achievers often overextend themselves by prioritizing others. Dr. Novitsky shares personal stories of being caught in this cycle — over-delivering and sacrificing mental health. She emphasizes the critical need for boundaries to avoid emotional inflammation and burnout.Boundaries as Emotional ProtectionSetting boundaries is essential for mental health. Dr. Novitsky explains how saying “no,” even when it’s difficult, can protect emotional space and prevent burnout. She encourages listeners to assess where they need to draw lines — with others and themselves.Mental & Emotional InflammationFast-paced thinking and chronic stress often result in what Dr. Novitsky calls “mental inflammation.” She discusses how emotions drive thoughts, leading to restlessness and burnout. Creating mental boundaries helps slow this cycle.Practical StrategiesListeners are urged to take an “inventory” of their emotional health and boundaries. Tools include:Identifying areas of emotional floodingSetting personal boundariesReducing commitments that cause strainRecognizing when the dopamine hit of “yes” becomes harmfulPrograms & ResourcesDr. Novitsky highlights several FIT Collective offerings:Transform Program (72 CME credits, enrolling now for a January start)CME Nutrition Training ProgramGenetics SeriesBeginner Strength and Total Fitness programsMore information is available at thefitcollective.com.Closing MessageDr. Novitsky looks forward to sharing upcoming workshop data on emotional stress types and encourages listeners to prioritize emotional self-care. Protecting your space, she says, is not selfish — it’s essential.Timestamps00:00:10–00:00:31: Intro + Emotional Exhaustion 00:00:31–00:01:24: Stress Impact + Cortisol 00:01:24–00:02:17: Emotional Stress Response + Research 00:02:17–00:03:30: Stress Types + Transform Program 00:03:30–00:04:23: Emotional Focus + Dysregulation 00:04:24–00:05:17: Burnout Causes + High Achiever Mode 00:05:17–00:06:54: Boundaries + Over-Functioning 00:06:54–00:08:23: Saying No + Family Priorities 00:08:23–00:10:22: Boundary Struggles + Emotional Health 00:10:22–00:11:26: Cortisol, Inflammation + Genetics 00:11:26–00:13:03: Mental Burnout + Fast Mode 00:13:03–00:14:28: Emotional Boundaries + Protection 00:14:28–00:15:52: Self-Boundaries + Preventing Burnout 00:15:52–00:18:07: Research, Programs + Conclusion🎯 Ready to Personalize Your Health?Work with Dr. Ali• Beginner Strength Training Program – 12 months for only $199! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Enroll TODAY⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠• Total Fitness Program – A 12-month mind-body experience. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Enroll HERE⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠• The Fit Collective® x InBody USA/Canada – Get 15% off select models. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Click HERE⁠

Dr. Novitsky’s message is clear:“It’s never too late to start strength training."Whether you’re in your 30s or 70s, building muscle and improving strength is one of the best things you can do for your body and mind.In this inspiring episode, obesity medicine expert, Ali Novitsky, MD, dives deep into the transformative power of strength training, especially its profound benefits for anti-aging, longevity, and overall health.With a special focus on individuals aged 70 and older, Dr. Novitsky shares why now is the perfect time to begin — or restart — your strength journey, no matter your age or fitness level.💪 Strength Training for Every AgeDr. Novitsky introduces a comprehensive strength training program. Launched on June 17, 2024, this program is tailored for beginners and older adults, offering:52 weeks of unique strength workoutsJust 10 minutes, 3 times a weekThree fitness levels – with no repeated workoutsAccessible to all, regardless of experience or equipmentHer excitement is palpable as she celebrates the increasing participation of those over 70 in this program — a powerful sign of shifting mindsets around aging and wellness.🔑 Key Benefits of Strength Training🧠 Brain & Mood:Boosts BDNF (brain-derived neurotrophic factor) and endorphins for better memory, focus, and mental well-being.💪 Muscle Preservation:Muscle mass naturally declines ~1% per year after age 30. Resistance training can preserve and rebuild this critical tissue.🦴 Bone Density:Increases bone strength and reduces the risk of fractures and osteoporosis, vital for aging well and staying mobile.🦵 Joint Health:Improves joint lubrication and reduces risks of tendonitis and other injuries by strengthening the muscles that support joints.🩸 Hormonal Balance:Improves insulin sensitivity, regulates blood sugar, and positively influences hormones like cortisol, ghrelin, leptin, testosterone, and growth hormone.⏳ Longevity & Independence:Regular strength training can extend lifespan and health span, allowing people to live longer with a higher quality of life — and with greater independence as they age.🧭 Practical Tips for Getting StartedDr. Novitsky emphasizes starting small:Try 10-minute workouts 3x/weekOr one 30-minute session to beginThe goal? Build consistency, not perfectionEven brief but consistent strength training routines can dramatically shift your trajectory toward better health and vitality.🧰 Program Options & ResourcesLooking to begin or advance your training? Explore these offerings:Beginner Strength Training Program – For those just getting started, with no equipment or prior experience.Total Fitness Program – For intermediate and advanced individuals, with 20–30 minute workouts.Transform Coaching Program – Comprehensive lifestyle coaching, including fitness and nutrition guidance. Earn 72 CME credits.👉 Visit thefitcollective.com and click “Programs” to learn more.Stay tuned for future episodes packed with expert insights, real-life success stories, and actionable health strategies.Timestamps:00:00 – Introduction & program excitement00:31 – Program launch overview01:14 – 52 unique workouts & no repeats03:00 – Beginner encouragement04:04 – Muscle mass loss with age06:23 – Bone density benefits07:27 – Joint health improvements08:19 – Mental health & BDNF09:22 – Hormonal effects of training14:41 – Strength training & longevity15:57 – How to get started16:38 – Explore more programs17:01 – Final thoughts & encouragement🎯 Ready to Personalize Your Health?Work with Dr. Ali• Beginner Strength Training Program – 12 months for only $199! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Enroll TODAY⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠• Total Fitness Program – A 12-month mind-body experience. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Enroll HERE⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠• The Fit Collective® x InBody USA/Canada – Get 15% off select models. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Click HERE⁠

🎙️ The BMI Paradox: A Deep Dive into Body Composition and HealthHosted by Dr. Ali Novitsky, MD – Obesity Medicine Expert and Fitness GuruIs BMI really the best measure of health? In this thought-provoking episode, Dr. Ali Novitsky takes us beyond the scale and into the science of body composition. Sharing her personal story and medical expertise, she unpacks the BMI Paradox—why a “normal” BMI doesn’t always mean healthy, and why being labeled “overweight” might not be as bad as it sounds.👩‍⚕️ Ali’s Personal BMI Story:Growing up, Dr. Ali was always “bigger” than her peers. She opens up about the emotional impact of BMI labels and how her perspective evolved as a physician and fitness expert.🧬 Genetics & Body Type:Ali shares how her parents’ body types (meso-endo and mesomorph) shaped her view of health. Their longevity and mindful habits inspired her holistic approach to wellness.📉 Debunking the BMI Myth:Although BMI is still required for medication approvals, Dr. Novitsky explains why the Obesity Medicine community is shifting away from using it as a sole health indicator. Her previous podcast began this discussion—today, she deepens it.👭 Meet Samantha and Suzanne:Two fictional patients help illustrate the paradox:Samantha: BMI 23 (normal), but 38% body fat = normal weight obesity.Suzanne: BMI 28 (overweight), but high muscle mass and low body fat = metabolically healthy.⚠️ Normal BMI Isn’t Always “Healthy”:Samantha’s body fat puts her at higher risk for metabolic issues despite her “healthy” BMI. Suzanne, although labeled overweight, has a body composition that protects her from many of the same risks.💪 The Power of Muscle Mass:Muscle isn’t just for looks—it improves insulin sensitivity, supports metabolic function, and, in Ali’s case, helped manage her PCOS.🧠 Individualized Treatment Plans:Using motivational interviewing, body composition analysis, and targeted nutrition, Ali explains how she’d approach care for both patients:Samantha: Build muscle, reduce body fat through nutrition, possibly consider medication.Suzanne: Maintain muscle, refine nutrition to support long-term fat loss goals.🧰 Practical Tips for Listeners:Dr. Ali shares real-life action steps:Strength trainingNutrient-dense eatingRegular follow-upsExploring support tools like GLP-1s or metformin when needed✨ Final Thoughts:Your health is more than a number on a chart. Dr. Novitsky encourages listeners to challenge outdated measures, focus on what’s really going on inside, and embrace individualized health strategies.🎧 Whether you’re like Samantha, Suzanne, or somewhere in between—this episode will inspire you to reframe how you view your body, your health, and your goals.🧬 Explore Our Programs:Beginner Strength Training (12 months for $199!) – Enroll Today »Total Fitness Program – 12-Month Mind-Body Experience – Join Here »The Fit Collective® x InBody USA/Canada – 15% Off – Get Offer »⏱️ Episode Timestamps:00:00 – Intro & Ali’s Personal Story01:56 – Family Genetics & Body Types02:59 – BMI in Obesity Medicine Today03:20 – Samantha’s Case: Normal Weight Obesity05:58 – Suzanne’s Case: Healthy at Higher BMI09:12 – Individualized Treatment Strategies15:09 – Lifestyle Interventions19:47 – Muscle Mass in Women21:14 – Final Thoughts & Program Invitations👉 🔔 Never miss an episode! Click here to follow us on Spotify » #TheFitCollective #BodyComposition #BMIParadox #WomenInMedicine #MuscleMatters #HealthBeyondBMI #DrAliNovitsky #ObesityMedicine

🎧 Episode Overview:Dr. Ali Novitsky returns with renewed energy and exciting updates—including an upcoming trip to Japan and life with new chicks!In this episode, she tackles a timely and often misunderstood issue: weight gain in lean women during perimenopause and menopause. Through personal insights and a detailed case study, she explores how hormonal shifts impact metabolism, body composition, and mental health—and how to approach this population with compassion and strategy.1. Understanding Hormonal Shifts·       Estrogen & testosterone decline, cortisol increases·       Impact on muscle mass, fat distribution, energy, and anxiety·       Dr. Novitsky’s personal hormone journey2. Case Study: Laura (Age 45)·       Lean, active woman experiencing weight gain·       Symptoms, lab results, and emotional impact·       Guided steps for clinical management3. Tools for Tailored Assessment·       Importance of motivational interviewing·       Taking weight history and analyzing body composition·       Using InBody scans to assess fat/muscle distribution4. Nutritional and Lifestyle Strategy·       Conducting a nutrition audit·       Realistic food tracking goals·       Importance of strength training in midlife5. Addressing Resistance & Setting Expectations·       Normalizing frustration and resistance·       Setting achievable fat loss goals·       Supporting “naturally thin” women who are metabolically vulnerable6. When Lifestyle Isn’t Enough·       Recognizing when medication may help·       Debunking stigma around pharmacologic support·       Advocating for early, proactive intervention·       Hormonal changes in perimenopause affect more than weight — they impact muscle, mood, and metabolism·       “Normal weight obesity” is real — body composition matters more than BMI·       Strength training is key for sustainable metabolic health·       Compassion + data = successful clinical care 🕒 Timestamps:00:00 – Summer update + trip to Japan00:43 – Weight gain in lean perimenopausal women05:05 – Case Study: Laura09:47 – Motivational interviewing and trust-building13:08 – Hormonal shifts: cortisol, testosterone, thyroid15:00 – Sleep, hunger hormones, and weight19:04 – Detailed weight history22:03 – Body composition metrics that matter29:08 – Nutrition audit tips35:02 – Why strength training is essential42:09 – When to consider medication43:22 – Wrapping up and next week’s teaser🎤 Final Thought:Dr. Novitsky reminds us that weight gain during perimenopause isn’t a personal failure — it’s biology.  With compassionate care and science-backed strategies, women can navigate this life stage with confidence and clarity.🎯 Ready to Personalize Your Health?Work with Dr. Ali• Beginner Strength Training Program – 12 months for only$199! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Enroll TODAY⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠• Total Fitness Program – A 12-month mind-body experience. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Enroll HERE⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠• The Fit Collective® x InBody USA/Canada – Get 15% off select models. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Click HERE⁠

Genetic Testing and Stress: A New Approach to Weight LossEpisode Summary:In this episode, Dr. Ali Novitsky delves into the intricate relationship between cortisol and weight loss. As an obesity medicine doctor, she teaches about cortisol, a stress hormone, in a way that anyone can understand - and how this important chemical can significantly impact weight loss efforts.Listeners will walk away with a new understanding of how to stop battling their biology, reconnect with their bodies, and embrace a compassionate, personalized approach to long-term health.1. The Stress-Weight Loss DisconnectHow cortisol — the body’s primary stress hormone — impacts fat retention, appetite, insulin resistance, and even skeletal muscle loss.Why traditional advice (eat less, move more) often fails under chronic stress conditions.2. Cortisol’s Five-Fold Impact on Fat LossEnhances fat storage via lipoprotein lipase.Raises blood sugar through gluconeogenesis.Promotes insulin resistance, sabotaging metabolism.Stimulates cravings for sugary, fatty foods.Depletes muscle mass — especially under high-exertion training paired with emotional stress.3. How Stress Alters Appetite & MotivationThe biological basis behind binge-eating urges and low exercise motivation during stress.How stress-related sleep disruption increases ghrelin (hunger) and suppresses leptin (satiety).4. The Power of Genetics and PersonalizationWhy Dr. Novitsky utilizes genetic testing (e.g., Genomind) to identify cortisol-related SNPs and tailor strategies accordingly.Insight into Dr. Novitsky’s own cortisol sensitivity and how it shaped her evolution.5. Mind-Body Fitness: A Holistic Training PhilosophyHow Dr. Ali moved from calorie-obsessed fitness to personalized, neuroscience-driven strength training.Why “less is more” when it comes to training under chronic stress and how to work with your nervous system, not against it.Examples of muscle-preserving success — even among clients on GLP-1 medications like her 70-year-old mother-in-law. 6. Transformational Coaching & CommunityA behind-the-scenes look at Dr. Ali’s Transform program; not just a fitness plan, but a full-body reset grounded in self-compassion and personal truth.Why clients return not for new content, but for the safe, sustaining sisterhood and the life-changing mental shifts.⏱️ Timestamps:00:00:00 - Introduction and Eye Appointment00:01:09 - Cortisol Connection with Weight Loss00:02:45 - Genetic Testing and Cortisol Response00:04:10 - Typical Case Scenario00:05:37 - Understanding Cortisol's Impact00:08:06 - Cortisol and Blood Sugar Levels00:09:32 - Cortisol's Effect on Appetite00:10:48 - Skeletal Muscle Mass Loss00:12:57 - The Sleep-Cortisol Relationship00:14:40 - Strategies for Managing Stress00:17:11 - Conclusion and Program Offerings🎯 Ready to Personalize Your Health?Work with Dr. Ali• Beginner Strength Training Program – 12 months for only $199! ⁠⁠⁠⁠⁠⁠⁠⁠⁠Enroll TODAY⁠⁠⁠⁠⁠⁠⁠⁠⁠• Total Fitness Program – A 12-month mind-body experience. ⁠⁠⁠⁠⁠⁠⁠⁠⁠Enroll HERE⁠⁠⁠⁠⁠⁠⁠⁠⁠• The Fit Collective® x InBody USA/Canada – Get 15% off select models. ⁠⁠⁠⁠⁠⁠⁠⁠⁠Click HERE⁠

Nutrition and Exercise Strategies by a Female Physician In this energizing episode, fitness coach for women physicians and nutrition expert, Ali Novitsky MD, shares her best tips for sticking to a healthy eating plan while traveling. Whether you’re a busy doctor, on a family vacation, or just aiming to eat intuitively on the go, Dr. Ali breaks down how to maintain your fitness, nutrition, and mindset — even when you’re far from your usual routine. Learn how intuitive eating, flexible structure, and a focus on purpose can help you feel great without food guilt or fitness stress.From Japan With Love 🇯🇵As Dr. Ali preps her passport and yen for a long-anticipated family trip to Japan, she opens up about common anxieties around breaking fitness routines while on vacation, and how to stay intentional and well without feeling restricted.🧠 Mindset Reset: Why We Struggle with Routine ChangesHumans thrive on consistency. Dr. Ali reframes vacation not as a derailment but as a ✨scheduled interruption✨— a chance to practice flexibility, presence, and self-trust.🎯 Purpose First: What’s Your Trip Really For?Are you traveling for abs or for adventure? If your goal is connection, culture, and rest, your plan should reflect that.🍽️ G.O.A.L.S.: The Intuitive Eating Framework🥄 Get hungry first🍲 Observe for fullness💗 Allow feelings🏃 Love movement💥 Stop perfectionismPlus: 🥩 Prioritize protein, 🍭 Limit added sugar, 🍷 Be picky with indulgences.💪 Move with JoyFrom hotel-room workouts to scenic walks, keep it light, fun, and empowering.😴 Recharge ModeRest = results. Dr. Ali’s golden rule: nothing amazing happens after 9 PM 🌙.👜 Pack Light, Travel LighterSkip the stress. Bring what serves you. Leave the clutter — mentally and physically.🌀 Re-entry Like a ProReturn home with ease by building in a buffer day to emotionally re-align and ease back into routine.🧬 What’s New at The FIT Collective:🧠 48 CME Nutrition Training (30 CME for obesity board cert)💪 DIY Beginner + Total Fitness Programs🧬 Genetics Cohort: Swab now, work with Dr. Ali in Sept.🌐 Explore Programs at thefitcollective.com → Click “Programs”🪄 Final Encouragement:This isn’t falling off — it’s a strategic detour toward sustainable wellness. 💖🧘‍♀️ Vacation as Self-CareSkip the scale, not the experience. Travel becomes restorative when we nourish ourselves with presence and intention.👯 You’re Not AloneThousands have shared the same worries about “losing progress.” Dr. Ali offers compassion, not perfection.📣 Get InvolvedLove this episode? Share it with a friend, review it, or DM Dr. Ali with your favorite takeaway.💌 Stay ConnectedSubscribe for more episodes on intuitive eating, physician wellness, and sustainable health strategies.⏱️ Timestamps00:00:00 - Introduction and Personal Update00:00:13 - Upcoming Vacation to Japan00:00:44 - Vacation and Fitness Goals00:01:16 - Concerns About Losing Progress00:01:37 - Purpose of Vacation00:02:18 - Balancing Health and Memories00:02:29 - Tips for Managing Routine Disruptions00:03:55 - Mindset and Routine Disruptions00:05:10 - Handling Unplanned Trips00:07:18 - Getting Comfortable with Uncertainty00:08:00 - Setting Goals for Vacation00:10:00 - Intuitive Eating Principles00:11:02 - GOALS Mnemonic00:12:07 - Protein and Sugar Guidelines00:14:02 - Nutrition Strategy for Traveling00:14:34 - Exercise on Vacation00:15:38 - Loving Movement00:16:20 - Prioritizing Rest00:17:28 - Travel Light00:18:28 - Re-entry Phase00:19:01 - Importance of Routine00:20:00 - Reflecting on Routine Interruptions00:21:08 - Creating a Travel Protocol🎯 Ready to Personalize Your Health?Work with Dr. Ali• Beginner Strength Training Program – 12 months for only $199! ⁠⁠⁠⁠⁠⁠⁠⁠Enroll TODAY⁠⁠⁠⁠⁠⁠⁠⁠• Total Fitness Program – A 12-month mind-body experience. ⁠⁠⁠⁠⁠⁠⁠⁠Enroll HERE⁠⁠⁠⁠⁠⁠⁠⁠• The Fit Collective® x InBody USA/Canada – Get 15% off select models. ⁠⁠⁠⁠⁠⁠⁠⁠Click HERE⁠