EP 36: Fact Vs Fad: Women's Health Myths on Protein, Cycles, Muscle And Menopause w/Dr. Lauren Colenso-Semple
The Vitality Collective Podcast w/Dr. Jeremy Bettle
Release Date: 09/03/2025
The Vitality Collective Podcast w/Dr. Jeremy Bettle
Episode Summary Dr. Michael MacPherson joins the show to break down blood flow restriction training from the ground up, covering the biology, the practical application, and the creative ways it's being used far beyond the traditional rehab setting. We dig into the three core mechanisms driving BFR adaptations, why it produces similar hormonal responses to heavy lifting with a fraction of the load and muscle damage, and how to start using it safely whether you're recovering from surgery, training for performance, or simply trying to stay strong as you age. This is one of the most evidence-based...
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Episode Summary Dr. Paul Hansma, a physicist at UC Santa Barbara, shares his personal journey from five years of debilitating chronic shoulder pain to complete recovery through brain retraining. We explore the critical difference between acute tissue injury and chronic pain that lives in neural pathways, why physical therapy and surgery often fail to resolve persistent pain, and the science behind pain reprocessing therapy. Paul breaks down the sensation anxiety theory, explains why fear amplifies pain signals, and provides practical tools for interrupting the pain cycle including breath work,...
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Episode Summary Former Head Strength and Conditioning Coach of the LA Lakers, Dr. Tim DiFrancesco joins the show today to discuss his journey from the NBA to building TD Athletes Edge, where he helps everyday people train like athletes. We explore the gap between what elite sports medicine looks like and what the general population actually needs, why most people overcomplicate recovery, and how to build a training program you can actually sustain for decades. Tim shares insights from working with Kobe Bryant, the importance of finding your sustainable training intensity, and why motion...
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Episode Summary Dominic Matteo joins the show to discuss why most people don't need another diet plan. They need skills. Drawing from his own 125-pound weight loss and over a decade coaching thousands of clients, Dominic breaks down the difference between knowing what to eat and actually being able to do it consistently. We talk about the continuum mindset versus all-or-nothing thinking, why external structure often needs to come before intuitive eating, and how to build sustainable change by doing the best you can where you are with what you have. Guest Bio Inspired by his own journey...
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Trusting the process, navigating imposter syndrome, and earning your place in high-performance sport. Olympian and professional sailor Anna Weis shares what it really takes to belong at the highest level. Episode Summary Anna Weis is the first woman to serve full-time as a grinder and jib trimmer in SailGP, racing 50-foot foiling catamarans at over 100 kilometers per hour. She went from summer camp sailing in Fort Lauderdale to the Tokyo Olympics, then broke into professional sailing in a role many doubted a woman could physically handle. We explore the work ethic instilled by her high...
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Episode Summary A Conversation Between a Performance Coach and Dietitian. It's January and the gym is packed with people who have no idea where to start. Instead of gatekeeping or complaining about New Year's resolutioners, Jeremy and Erika break down exactly how to walk into a gym for the first time, find your spot, and build a sustainable strength training practice. This conversation emerged from real questions Erika's clients asked about starting in the gym, covering everything from avoiding the all-or-nothing mentality to understanding the difference between soreness and injury. We explore...
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Episode Summary You have one trillion cells in your body and ten trillion bacterial cells that make up your microbiome, meaning you're literally one-tenth human. Kara Siedman, a registered dietitian and diabetes educator working at the intersection of biotech and wellness, explains why the microbiome is the foundation everything else is built on. From the gut X axis connecting your microbiome to every system in your body, to the surprising difference between probiotics and postbiotics, to why 80% of people are walking around with some form of dysbiosis, this conversation breaks down complex...
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Episode Summary Shaun Bemis spent 20 years in Naval intelligence, primarily sitting in front of computers finding the enemy. Late in his career, something shifted during a Thanksgiving run in New York City, and he decided to run the NYC Marathon before turning 40. That simple goal spiraled into ultramarathons, including a 75K race on Mount Kilimanjaro and countless DNFs that taught him more than any finish line ever could. In this conversation, we explore the difference between grind culture and strategic difficulty, why the white belt mentality is essential for growth, and how stacking small...
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Episode Summary Taylor Johnson made what colleagues called "career suicide" when he left the NFL for esports, but that decision revealed something most people miss: elite performers across all domains face the same cognitive demands. Whether you're a 17-year-old gamer competing for millions or a C-suite executive making high-stakes decisions under pressure, your brain is your moneymaker. In this conversation, we explore how Taylor brought traditional sports performance principles into cognitive domains, why meditation is actually training for real-world pressure, and the specific habits that...
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Episode Summary Kent Bray was a director at Citibank, an Oxford Blue, and a professional rugby player who had achieved everything society told him would bring happiness. Instead, he found himself consuming 20 to 30 grams of cocaine weekly, spending £80,000 a year on his addiction, and nearly dying before entering rehab at 140 pounds. In this conversation, we explore the dangerous intersection of high achievement and internal collapse, why successful men struggle to ask for help, and the specific tools that created Kent's recovery. This is a raw, honest discussion about people pleasing,...
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In this episode, Dr. Jeremy Bettle speaks with Dr. Lauren Colenso-Semple, PhD a science communicator with expertise in female physiology and exercise. They dismantle common myths and misinformation surrounding women's fitness and dieting, offering a practical, research-backed framework for building strength, lean mass, and bone health. They discuss how to build a consistent and sustainable fitness routine, why trusting the process is more important than chasing fads, and how to spot red flags from influencers who may be doing more harm than good.
Guest Bio
Lauren Colenso-Semple, PhD is a science communicator with expertise in female physiology and exercise. Through her research, teaching, public speaking, and online platforms, Dr. Lauren is known for making complex topics accessible—and for calling out the myths that hold women back from reaching their full potential. She is also a seasoned fitness professional with extensive hands-on coaching experience and a co-owner of the MASS Research Review, where she helps bridge the gap between cutting-edge research and practical fitness strategies.
Links
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Dr. Lauren Colenso-Semple Instagram: @drlaurencs1
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Mass Research Review: massresearchreview.com
Top Three Takeaways
- Focus on the long game — Be patient and consistent with your training, focusing on long-term goals rather than quick fixes. All meaningful changes take time, but the physiological adaptations you build will be worth the effort .
- Do what you enjoy — Physical activity of any kind that you enjoy is a key piece of a sustainable plan. You can make your exercise framework flexible by picking exercises you like, using machines, or working with a trainer to find a routine that works for you.
- Lift weights for longevity — If you are unsure where to start, begin by lifting weights. Strength training provides benefits for muscle, bone, and physical function that will help you set yourself up for better aging and long-term independence.
Topics Covered
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Women are not "small men," but they are also not "large mice". Research in humans, not animals, should be used to inform training and nutrition recommendations.
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The idea that women should avoid lifting weights because they will get "bulky" is a myth that has historically led to ineffective fitness programs being marketed to women.
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"Heavy" is a relative term in weightlifting; the goal is to train at an intensity that is challenging and close to failure for you.
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Progressive overload means continuously challenging yourself by adding more weight or more repetitions over time as you get stronger.
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Body composition—the ratio of muscle to body fat—is more important for longevity than the number on a scale.
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Chronically under-fueling your body can interfere with muscle growth because your body will prioritize essential functions over optional goals.
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There is no evidence to support that fasted training is a waste of time or that it negatively impacts your ability to build muscle or lose fat.
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There is no scientific basis for syncing your training with your menstrual cycle. Doing so can actually hinder progress by disrupting consistency.
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Be cautious of influencers who recommend complex protocols based on small-scale studies and remember that there is no "good" or "bad" muscle fiber type distribution.
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The goal of a workout program should be to prepare your body for the activities you love to do, not to restrict you from them.