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BETTER! with Dr. Stephanie Estima | Strength, Body Composition & Perimenopause

Look. Feel. Perform. Why Muscle Is the Answer to All Three After 40 with Andy Galpin, PhD

1 tim 7 min6 juli 2026

If you've ever felt like your body stopped cooperating in your 40s — the recovery that takes days instead of hours, the muscle that seems to disappear no matter what you do, the fitness advice that just doesn't land anymore — this conversation is your explanation.

Dr. Stephanie and Dr. Andy Galpin cover why fast-twitch muscle fiber loss is the real aging problem nobody's talking about, what perimenopause actually does to your recovery capacity (and why the answer isn't just "train less"), why fasted versus fed training is far more personal than the internet would have you believe, the look/feel/perform triad as a framework for ditching shame-based motivation for good, and why bone mineral density is the one number every woman over 40 should know — and most don't.

This isn't about getting smaller. It's about building a body that works for the next 40 years.

🎤 Episode Overview:
(00:00) Intro/Teaser
(04:08) Bone Density, Elite Athletes, Social Media & Muscle Biopsies
(09:26) Cardio or Weights at 48?
(16:34) HRV, Perception & What Actually Matters
(22:02) The Six-Week Shred Lie
(29:53) Fast-Twitch Fibres, the Soleus,& Why Aging Steals Your Power
(41:53) Preserving Power
(45:06) Training Through Injury vs. Fixing It First
(49:02) Fasted vs. Fed Training
(56:13) Perimenopause, Recovery & Grace + Fortitude
(01:02:23) Look/Feel/Perform, Self-Talk & the Devotional Shift
(01:10:31) After Party — Stephanie's Highlights & Final Thoughts

📎 Resources mentioned in this episode: https://drstephanieestima.com/podcasts/ep476

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ONESKIN - With age, skin becomes thinner, produces less collagen, proliferates at a slower rate, and accumulates damage. Fight back and save at https://oneskin.co/better with code BETTER.

INCREDIWEAR - Whether you're an athlete, dealing with chronic joint pain, or just someone who wants to feel better in your body — this is worth trying. Head to https://drstephanieestima.com/incrediwear and use code DRSTEPH20.

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P.S. When you're ready, here are two ways Dr. Stephanie can help you:

Subscribe: The Mini Pause— My weekly newsletter packed with the most actionable, evidence-based tools for women 40+ to thrive in midlife.

Build Muscle: LIFT— My progressive strength training program designed for women in midlife. Form-focused, joint-friendly, and built for real results.


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