Ep 45 - Weight Loss Is a Contact Sport | What We Get Wrong About Body Image with Dr. Gabrielle Fundaro
The Vitality Collective Podcast w/Dr. Jeremy Bettle
Release Date: 11/05/2025
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,...
info_outlineThe Vitality Collective Podcast w/Dr. Jeremy Bettle
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 deeply insightful conversation, Dr. Jeremy Bettle sits down with Dr. Gabrielle Fundaro, an exercise scientist and coach who specializes in weight-neutral approaches to health and body image. Dr. Fundaro shares her personal journey from chronic dieting and physique competition to recovering from disordered eating while coaching others through similar struggles. They explore why weight loss is like a contact sport with inherent risks, the difference between body image and appearance, and what it means to pursue health without making the scale the centerpiece. This conversation tackles informed consent in coaching weight loss, the psychological factors that increase risk during weight loss attempts, and why liking how you look doesn't necessarily mean you have positive body image. It's an essential episode for coaches, health professionals, and anyone struggling with the relationship between their body, food, and fitness.
Guest Bio
Dr. Gabrielle Fundaro is a nutrition scientist, wellness coach, and mentor who helps individuals and health professionals build sustainable, values-aligned wellbeing free from diet culture. As the founder of Trust & Nourish, she teaches an evidence-based approach to eating and behavior change that centers self-trust, satisfaction, and long-term wellbeing. She also mentors coaches in ethical, client-centered practice through CEU-approved education on responsible weight loss coaching, weight neutral approaches, and navigating body goals with nuance and care.
With a background as an Exercise Science professor and years of experience translating research into practical guidance, she’s known for bringing clarity, compassion, and meaningful perspective to complex conversations about health.
Links
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Instagram: @trust_and_nourish
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Website: trustandnourish.com/start
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Upcoming Webinar (mid-November): Coaching Weight Loss Responsibly
Three Actionable Takeaways
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Remember that liking the way you look does not mean you have a positive body image. Fortunately, you can focus on training a positive body image, which is about having a flexible perspective toward your appearance and being respectful and trustful of yourself regardless of how you look.
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An appearance-based weight loss goal isn't necessarily harmful, unethical, or wrong, but it is riskier than other goals. You need to be aware of the risks and realities and get honest with yourself about what you're hoping weight loss will bring you, because nothing is guaranteed except for a smaller body.
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Establishing a healthy relationship with yourself is a long process, but it's foundational for building a healthy relationship with fitness and food. This relationship needs to come from a place of appreciation and self-care rather than dissatisfaction and striving for unrealistic perfection.
10 Takeaways
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Weight-neutral approaches decentralize weight loss as the primary outcome and instead focus on modifiable health-promoting behaviors, measuring improvements in blood pressure, strength, psychological markers, and relationship with food rather than the scale
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Intentional weight loss carries inherent psychological risks that increase based on historical factors like chronic dieting, personality traits like perfectionism, and external pressures from family or coaches
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The goal people state outwardly often isn't their real goal. Someone saying they want to get healthier may really mean they want to lose weight but know that's not as socially acceptable to say anymore
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Body image refers to the thoughts and feelings you have about your body internally, while appearance is your external physical form that others can see
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Positive body image isn't about liking your appearance but about having flexibility toward it and not being preoccupied with controlling how you look
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When someone expresses beliefs that weight loss will dramatically improve their life quality, relationships, or happiness, that's a sign they've internalized weight stigma and hold unrealistic expectations
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Tracking macros can create a restrict-binge cycle where people eat perfectly during tracking periods but then overeat significantly during untracked times
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The psychology of why someone came to you as a coach is inseparable from the work. If you're not addressing emotions and thoughts about body and weight in an informed way, you may be causing harm
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Even coaches and health professionals with extensive knowledge struggle with behavior change when life circumstances change, proving it's never just about information
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Taking weeks off from the gym due to life demands doesn't mean you've lost everything. Flexibility and self-compassion across different life seasons is key to long-term consistency