Stronger with Time

Dr Tony Boutagy
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Nov 25, 2025 • 1h 3min

Hormone Replacement Therapy Explained: What Actually Happens in a Menopause Doctor Consultation - with Dr. Nadya Chami, Menopause Gynecologist

📲 Instagram → https://www.instagram.com/tonyboutagy/🎧 Watch on YouTube → https://www.youtube.com/@tonyboutagy-PhD/Most menopause advice on social media comes from doctors who don't see patients. Dr. Nadya Chami actually works with menopausal women every single day.In this conversation, she explains what really happens in a menopause consultation, how specialists make treatment decisions, and why individualised care matters more than blanket protocols from social media.What you'll learn:What actually happens during a menopause consultation and how treatment decisions are madeThe 2002 study that scared a generation off hormone replacement therapy (HRT) - and what's changed sinceBody-identical hormones vs. synthetic: why type and delivery method matterTestosterone therapy for women: research on libido, muscle, bone, and cognitionWhy sex hormone binding globulin (SHBG) can block testosterone effectivenessNon-hormonal options when menopausal hormone therapy isn't suitableSleep solutions: night sweats vs. anxiety vs. bladder issuesWhy body composition changes are the hardest menopause problem to solveWhether you can stay on hormone therapy indefinitely or should wean off at 60Key insight: Menopause care requires working with a specialist who considers your complete medical history and individual circumstances - not following rigid social media protocols.Guest: Dr. Nadya Chami is a specialist obstetrician and gynecologist working exclusively in menopause gynecology at Prince of Wales Private Hospital and the Menopause Hub (Royal Hospital for Women).Resources:Dr. Nadya Chami → drnadyachami.com.auThe Menopause Hub → Royal Hospital for Women, SydneyIf you found this valuable, follow for more evidence-based insights.
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Nov 11, 2025 • 1h 43min

How Often Should You Train Each Muscle? The Science of Frequency - with Jake Doleschal

How often should you train each muscle group for optimal growth?Strength coach Jake Doleschal breaks down why training muscles 2-3x per week with moderate volume beats once-weekly high-volume approaches - and how it aligns with modern science.You'll learn:Why twice weekly training outperforms once weekly with high volumeHow muscle growth peaks in 48 hours but atrophy starts by day 5Why 3-4 sets per week maintains muscle but doesn't build itHow to structure AAA vs. ABA workout splitsThe enhanced lifter problem: copying 40-set workouts leads to overtrainingCNS fatigue and practical recovery strategiesExercise selection: start with muscle regions, not set countsPractical guidelines: 8-16 exercises per sessionWhy rep ranges (5-15) don't significantly impact hypertrophyWhat pre-steroid era bodybuilders got right about sustainable trainingIf you found this valuable, subscribe for more evidence-based training insights and share this episode with someone who's spinning their wheels in the gym. 📲 Follow us on Instagram → @tonyboutagy
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Nov 3, 2025 • 1h 29min

Strength, Cardio & Nutrition: How It All Fits Together - Round Table with Prof. Paul Laursen, Jake Doleschal & Dr. Dana Lis

This is a special round table episode where three experts come together to discuss what most podcasts keep siloed: how to integrate strength training, endurance work, and nutrition into one cohesive program.You'll learn:Why training frequency (2-3x/week) matters more than total volume for most peopleThe non-linear dose response: first sets give the most stimulusHow to balance high and low intensity without constant fatigueWhy males and females respond similarly to the same training programsWhen to train fasted vs fed (and why gut health matters)Protein targets: 1.7-2.5g/kg body weight for muscle gain or fat lossZone two vs HIIT: when to use each and how to balance them30/30 intervals: why short work/rest periods optimize adaptationsThe parallels between interval training and cluster sets in the gymHow to structure your week for strength + endurance without interferenceWhat changes for athletes over 55-60 years oldKey insight: Context always matters more than rigid rules. Training adaptation equals molecular signaling plus autonomic balance. 📲 Follow me on Instagram → @tonyboutagy
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Oct 20, 2025 • 1h 2min

Cutting Through the Noise: What 8 Researchers Want You to Know - Summary Podcast with Dr. Tony Boutagy

📲 Follow me on Instagram → @tonyboutagyThis is a summary episode of Stronger With Time, where I look back at eight powerful conversations and share the key insights I took away as both a coach and lifelong student of exercise science.You'll learn:Why vitamin D testing matters and how to use sensible sun exposure (Prof. Michael Holick)How to gradually increase fiber intake without digestive distress (Dr. Joanna McMillan)Why resistance training programs don't need to be different for men and women (Prof. William Kraemer)Where to find reliable menopause information beyond social media (Dr. Jen Gunter)When to get a DEXA scan and how resistance training builds bone site-specifically (Dr. Jared Merkin)Which wearables actually track sleep well and why recovery strategies matter (Prof. Shona Halson)How short interval training compares to steady-state for glucose control (Prof. Jonathan Little)Why most cardio and strength advice for women is missing critical nuance (Dr. Alyssa Olenick)Whether you're coaching women, training through menopause, or simply want clarity in a noisy fitness landscape - this episode gives you the science-backed highlights from eight world-class experts.
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Oct 13, 2025 • 1h 8min

Cardio, Strength & Female Fitness: Cutting Through the Confusion - with Dr. Alyssa Olenick

What if most of the "female-specific" training advice you're hearing is missing the bigger picture?Dr. Alyssa Olenick breaks down the science of what actually works for women - from cardio programming to strength training protocols - and why the fear-based messaging around hormones, cortisol, and zone training is doing more harm than good.You'll learn:How to spot BS fitness advice (hint: absolutes and fear-mongering are red flags)Why cardio isn't "destroying your hormones" - and what poor programming actually looks likeThe truth about zone training: when it matters and when you can ignore itHow to balance HIIT, steady-state, and recovery across your weekWhy the "cortisol from cardio" fear is overblown (and what actually raises cortisol)What makes a good resistance training program (spoiler: it's not just 5x5 heavy lifting)The menopause training narrative: why 8-12 reps still workHow to train with intention instead of just "going hard" every sessionWhy fitness status matters more than sex differences in training response
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Oct 6, 2025 • 1h

Carb Restriction, Ketones & HIIT: Glucose Control and Metabolic Health - with Prof Jonathan Little

What if small, precise changes in food, walking, and training could restore glucose control?Prof. Jonathan Little shares practical, evidence-based strategies from his lab on how carb restriction, exercise intensity, and ketones affect metabolic health.You’ll learn:• A research-tested 12-week very-low-carb model for type 2 diabetes remission (PMID 33653718)• Why fasting insulin rises 5–10 years before glucose does (PMID 22644836)• How a 10–15 min walk ≈ 30 min after meals flattens glucose spikes (PMID 35985050)• What LDL particle size reveals about cardiovascular risk (PMID 34159352)• When metformin supports - not blunts - exercise benefits• The science behind pre-sleep protein for morning glucose control• Why HIIT and moderate training both improve insulin sensitivity• The real impact of exogenous ketones as fuel and signal (PMID 27475046)
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Sep 29, 2025 • 1h 23min

Sleep, Recovery & Wearables: Evidence-Based Strategies with Prof. Shona Halson

What really drives better sleep and recovery?Prof. Shona Halson - one of the world’s most respected experts in the field - shares what decades of research actually supports, and what to ignore.You’ll learn: • Why 8 hours is a useful guideline, but consistency matters more • How naps and “non-sleep deep rest” can help (and when they hurt) • Which wearable data is reliable vs. misleading • The role of hormones, perimenopause, and menstrual symptoms in sleep • Why evening meals, alcohol, and caffeine disrupt rest more than we think • How stress, low energy availability, and overtraining impair recovery • The truth about compression, ice baths, and sauna use • When protein timing and presleep nutrition really make a difference
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Sep 22, 2025 • 46min

Bone Health, DEXA Scans & Training: What Every Midlife Woman Should Know - with Dr. Jarrod Meerkin

How strong are your bones - and how do you know?In this conversation with Dr. Jarrod Meerkin, we break down what DEXA scans really tell us, how bone density changes across the lifespan, and the role of exercise, genetics, and lifestyle in protecting against osteoporosis.You’ll learn: • When peak bone mass is reached and why it matters • The differences between DEXA, QCT, PQCT, and ultrasound scans • Why the lumbar spine and hip are the gold standards for assessment • How genetics, hormones, and nutrition shape bone density • The silent nature of bone loss and why scans matter before age 70 • What T-scores and Z-scores actually mean • How resistance and impact training influence bone health • Why calibration matters when comparing DEXA results
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Sep 15, 2025 • 1h 9min

Misinformation in Women’s Health: Hormones, Supplements & Menopause Myths - with Dr. Jen Gunter

Why are women still bombarded with misinformation about their health? From “bioidentical” hormones to probiotics, celebrity-endorsed supplements, and viral myths, Dr. Jen Gunter helps us separate fact from fiction.You’ll learn: • Why misinformation spreads so easily in women’s health • How mouse studies and anecdotes mislead the public • The truth about vaginal health, probiotics, and lubricants • What “bioidentical hormones” actually are - and aren’t • How doctors determine hormone therapy dosing • When hormone therapy helps, and when it doesn’t • Why sleep, nutrition, and exercise still matter most • How language in medicine (like “ovarian failure”) is evolving
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Sep 8, 2025 • 1h 13min

Resistance Training for Women: Strength, Periodisation & Menopause with Professor William Kraemer

What does the science really say about resistance training for women?In this conversation with Professor William Kraemer, one of the most cited exercise scientists in history, you’ll hear the lessons from five decades of research on strength training, program design, and women’s responses to training.You’ll learn: • Why women can safely follow the same strength principles as men • What the early large-scale female training studies actually showed • How symptomatology (sleep, hot flushes, joint pain) shapes menopause training • The fundamentals of sets, reps, loads, and rest for women • How to use flexible non-linear periodisation in real life • Why context, not theory, determines whether training advice worksResources & Links: • Kraemer WJ et al. — Evolution of resistance training in women: History and mechanisms for health and performance → https://doi.org/10.1016/j.smhs.2025.01.005 • Kraemer & Fleck — Designing Resistance Training Programs → https://www.amazon.com/Designing-Resistance-Training-Programs-4th/dp/0736081704

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