292: The Key to Aging Strong - with Alan Rozanski
BIOptimizers - Awesome Health Podcast
Release Date: 11/20/2025
BIOptimizers - Awesome Health Podcast
The conversation around menopause is evolving toward a more holistic understanding of this transition. One crucial, yet often overlooked, aspect is the profound connection between menopause and gut health. Nurse practitioner Cynthia Thurlow is shedding light on what she terms the "menopause gut" to help women navigate this stage with vitality. The Gut-Hormone Connection Hormonal shifts during perimenopause and menopause have a direct and significant impact on the gut microbiome. This complex ecosystem of trillions of microbes is intricately linked to nearly every system in our body. As Thurlow...
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While many perceive tinnitus as a problem solely with the ears, it is actually a neurological condition occurring in the auditory brain. The Auditory Brain Connection Because the brain possesses neuroplasticity—the ability to adapt and change—this "brain buzz" is not necessarily a permanent condition.In a deep dive into the subject, Dr. Ben Thompson, an audiologist and tinnitus expert, reveals that Tinnitus is not a disease itself, but rather a symptom of an underlying issue within the auditory system. The Impact of Stress A healthy brain typically utilizes a filter mechanism to...
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For decades, the conversation around starting a family has been dominated by a single, ticking sound: the biological clock. We're told that age is the ultimate arbiter of reproductive success. But according to Harvard-awarded fertility specialist Gabriela Rosa, age is only one piece of a much larger puzzle. If you've been told that your "labs are normal" but you still aren't pregnant, or if you're facing the daunting prospect of IVF, it's time to look deeper. Based on Gabriela Rosa's pioneering F.E.R.T.I.L.E. Method, here's why health matters more than age, and what's truly missing from the...
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Dr. Burke started working in health food stores while in college at the University of Michigan. In the late 70s and early 80s, he worked with industry pioneer Dr. Earl Mandel, eventually managing a chain of 170 stores. For 42 years, he hosted a national radio talk show focused on health. He now hosts the Honest Health with Jeffrey Burke podcast and serves as the Director of Education for Kokora Life, founded by Rick Scalzo. The Industry Evolution He credits his interest in natural medicine to his Ukrainian and Polish grandmother, who used to forage for mushrooms and dandelion tea and kept a...
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Health insurance in America is expensive on purpose, not by accident. Chris Hamilton argues that confusion and hidden incentives are the real products big carriers sell… and employers and employees pay the price. How Insurance Giants Game the System Under federal rules, large insurers in the USA can only keep about 15 percent of premiums as profit, which sounds protective until you realize it pushes them to grow the total cost of care. To do that, they've built a "massive ecosystem that's able to bill the insurance company" by buying physician groups, pharmacies, and pharmacy benefit...
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The old playbook of "buy ads, rank for keywords, and wait for patients" is failing. According to Paige Velasquez Budde, CEO of Zilker Media and author of The Strategic Business Influencer, we've entered an era of "corporate suspicion." Trust in institutions is at an all-time low, while trust in individuals is skyrocketing. For health and wellness organizations, you can no longer rely on your company brand alone. AI Search Demands Leader Visibility Patients now find health providers through AI platforms like ChatGPT, not just Google. Budde calls this Generative Engine Optimization (GEO). Unlike...
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Are you constantly battling fatigue, brain fog, and persistent bloating? You might be dealing with a silent instigator: LPS endotoxins. We recently dove deep into this topic with Martha Carlin, a pioneering microbiome researcher and founder of The BioCollective. Here's what you need to know about this stealthy driver of chronic inflammation. What is LPS? LPS, or lipopolysaccharide, is an endotoxin—a component of the cell wall of gram-negative bacteria in your gut. While these bacteria are normal, problems arise when they die and release inflammatory debris. In a healthy gut, this isn't a...
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With long-term health, the mouth is often overlooked. For most people, the dentist is someone only seen for a cleaning or to fix a problem like a cavity or crown. However, according to Dr. Jonathan B. Levine, a world-renowned oral health expert, we are undergoing a massive paradigm shift. It is time to stop seeing the mouth as separate and recognize it as a critical data center for your entire body's well-being. This new approach, which Dr. Levine's practice calls "mouth mapping," is poised to change how we manage everything from heart disease to sleep. The Biological Connection: Mouth...
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It is a staggering statistic that an estimated 90% of women and up to 50% of men in North America struggle with binge and emotional eating. For those caught in this exhausting cycle—marked by shame, frustration, and the feeling of being completely out of control—the common response is often another diet, followed by self-blame for lacking willpower. However, according to emotional eating and hormone expert Amber Romaniuk, focusing on willpower is exactly the wrong approach. Individuals are attempting to fix a deep, multi-layered issue with a surface-level solution. The true healing, she...
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We all want to age with vitality and independence. Yet, there's a stark statistic looming over Americans: 1 in 3 people over 65 will suffer a fall. This "overlooked aging crisis" isn't just about a broken bone; it's often the starting point for a decline in health, confidence, and independence. According to Dr. Alan Rozanski, a distinguished professor of medicine, the solution isn't a new drug or a complex medical procedure. It's a proactive, powerful strategy he calls "muscle care." The Real Reason We Fall The primary driver behind this crisis is a natural process that we've accepted for too...
info_outlineWe all want to age with vitality and independence. Yet, there's a stark statistic looming over Americans: 1 in 3 people over 65 will suffer a fall. This "overlooked aging crisis" isn't just about a broken bone; it's often the starting point for a decline in health, confidence, and independence.
According to Dr. Alan Rozanski, a distinguished professor of medicine, the solution isn't a new drug or a complex medical procedure. It's a proactive, powerful strategy he calls "muscle care."
The Real Reason We Fall
The primary driver behind this crisis is a natural process that we've accepted for too long: muscle loss, or sarcopenia. Dr. Rozanski lays out the startling reality of what happens when we remain sedentary.
"If you're not doing resistance training, you are going to lose, even from the age of 30 on, you're starting to lose about 3-8% of your muscle mass per decade, and that accelerates after age 60."
This isn't just a cosmetic issue. That loss of muscle mass is directly linked to a loss of strength, power, and… most critically… balance. When you have to stop a stumble or catch yourself, you're relying on muscle. When that muscle isn't there, a simple trip becomes a disaster.
The Answer: Stress Your Muscles
The good news, as Dr. Rozanski explains, is that this decline is not inevitable. We have a powerful tool to fight back.
"You've got to stress your muscles, you know? We call it muscle care," he states. He emphasizes that this muscle loss "can be largely minimized if you are doing resistance training."
The benefits go far beyond just being stronger. Dr. Rozanski notes that resistance training "promotes better immunological health, biochemical health, better mindset, greater sense of resilience, stronger muscles, and you decrease your risk of falling."
This is the key takeaway: building strength is a direct investment in your stability and your ability to live life on your own terms.
Start With One Simple Move
For many, the idea of "resistance training" conjures images of intimidating gyms and complex machines. Dr. Rozanski insists on a different approach, one that prioritizes consistency over intensity.
"We want psychological success before aerobic success," he says. He calls this "the power of the first step."
The goal isn't to become a bodybuilder. The goal is to get on the playing field. "Choose one exercise," Dr. Rozanski advises. "Let's get you to do one thing that you will do each day."
His favorite starting point for someone completely sedentary? "My favorite would be just to do a sit-to-stand. You know, sit in a chair, have your hands up against your chest, and just get up without using your hands, go back down."
Resistance Snacks Work Wonders
You don't need to block out an hour every day. Dr. Rozanski is a proponent of what he calls "resistance snacks," or "exercise snacks."
These are small, manageable bits of exercise you can do throughout your day. "Dedicating about a half hour twice a week," he says, is enough to start making a profound difference.
You can develop a simple repertoire of 5 or 6 exercises that target your core, upper body, and lower limbs. A few sit-to-stands, some calf raises, or stepping up and down on a stair. This small, consistent effort builds the resilience you need.
Aging doesn't have to mean a loss of independence. By actively caring for your muscles, you are building a biological insurance policy against falls and decline. As Dr. Rozanski puts it, starting this practice, even in the smallest way, "is a tremendous investment in terms of your life."
In this podcast you'll learn:
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Why 1 in 3 Americans over 65 will fall… and how "muscle care" is the key to independence.
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The shocking reality of muscle loss: 3-8% per decade starting at age 30, accelerating after 60.
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Dr. Rozanski's "power of the first step" philosophy and why sit-to-stands are the perfect starting exercise.
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The concept of "resistance snacks"... small bits of exercise throughout your day that build real strength.
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Creative ways to integrate micro-strength training into daily routines (like squats at lunch) as a practical, sustainable way to stay strong at any age.
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