Midlife Unfiltered: The Season Of Me
Hello and welcome to Midlife Unfiltered. It’s great to have you here. Really. It is. Thank you. Why I Started Looking Those body changes, noticeably different, is where the conversation starts. I talk about the changes I saw and felt in my body, a few years post-menopause that had me wondering. The new belly fat that had never shown up like this before (even after two kids) and a shifting gut routine. Around the same time, I got serious about my bone health, reversing my osteoporosis to osteopenia. I explain how I started running my own ‘N-of-1’ experiments, changing mostly what I ate, one variable at a time to see what impact that might have. The CGM Experiment I share why I chose Vively for my two-week CGM trial. An Australian option that measures and interprets glucose data, with an AI bot and a human team to ask questions of. I wanted to know and to have some support as I went along. I talk about deliberately pushing the experiment, changing up my usual diet some days to see what impacts that had on my glucose levels. Logging sleep, exercise, and nutrition each day. That logging was important. It helped enormously to know how what I was eating and doing that lead to the glucose response in my body. What Surprised Me I walk through what surprised me: * Refined carbs (bread especially) were the biggest triggers - pastries, scones, pizza even oats all spiked me, but bread was the worst offender. * Broken sleep wrecked my nighttime glucose, pushing me straight into the red zone. * Protein flattened my spikes — even pasta with bolognaise and parmesan was fine. * My morning coffee with soy milk and collagen was okay for the most part too. This is my body’s data - everyone’s results will look different. Turning It Into Something for My GP I talk about asking Claude.ai to condense Vively’s 31-page report of my daily data and logs into a summary version to give to my GP (General Practitioner) at my up coming annual check-up. The report was not a tool to self-diagnose, but one to open a deeper conversation with my doctor based on my data and the patterns observed. The Outcome: more indepth blood tests to be done that included fasting glucose + fasting insulin + HbA1c together, so we can calculate my HOMA-IR score. I’d not had that done before. Fasting insulin isn’t part of a standard Australian blood panel, so it’s an out-of-pocket add-on that’s roughly AUD$30, but I think is worth it. Enter Dr Florence Comite I talk about discovering endocrinologist and precision-medicine practitioner Dr Florence Comite, in a podcast conversation with Dr Vonda Wright (I follow Dr Vonda for bone health insights). Dr Comite talked about the five biomarkers every midlife woman (and man) should test for: fasting glucose, fasting insulin, HbA1c, cholesterol risk ratio, and free testosterone. So much of what was said in that conversation made sense to me, I bought Dr Comite’s book Invincible - defy your genetic destiny to live better, longer and have devoured it from cover to cover learning much. She also recommends her patients wear a CGM for at least 2 weeks, to gather their unique data that gives clues to their sugar metabolic health. Boom! Literally what I had just done. The Window of Opportunity To act and influence the tragectory of our metabolic health. I specifically talk about a chapter in her book that really stood out for me - its chapter on Aging Pattern #1: A Disorder of Carbohydrate Metabolism. Could this be what I’d just seen wearing my CGM? I talk about how she writes that insulin resistance can show up decades before diabetes does. Not years, decades! So why do we wait? Similar to my bone health journey, if I had known my status earlier, I’d be in a completely different position today. I would have made sure to strengthen my bones well before perimenopause, so the later decline wouldn't have been so detrimental. Armed with the right information and know-how early enough, decades is a significant window of opportunity to act and influence our metabolic health for the better - for future You and Me. Why wait? Precision Medicine & N-of-1 Medicine I explore the concept of precision medicine, drilling into genetics, biomarkers, lifestyle and environment instead of leaning on large population averages. And N-of-1 medicine, where you’re not the average, you’re the whole study. I raise the open question of whether this kind of more personalised care will ever be available to everyone, not just those who can afford it, in the decades to come. What will a visit to the doctor in 10, 15, 20 years look like? Final Thoughts I close by reflecting on how subtle and gradual midlife changes can be, and how continuous data plus context (sleep, activity, food, timing) lets you catch the nuance instead of waiting for something to become a diagnosis. I talk about the value of small, consistent tweaks, and the honest, open partnership I have with my own GP because we’re setting my health plan, together. Thanks for being here. I hope you find this episode helpful. What’s been your CGM experience or curiosity about wearing one? Let me know in an email (hello@midlifeunfiltered.com.au) or comment below. If there is someone you think might benefit from hearing it, please share this with them. References * Vively [https://www.vively.com.au] (CGM program, Australia): https://www.vively.com.au * Dr Florence Comite & Dr Vonda Wright, “The 5 Biomarkers Every Midlife Woman Must Test” — The Dr Vonda Show, #156: * Dr Florence Comite, Invincible: Defy Your Genetic Destiny to Live Better, Longer [https://www.theinvinciblebook.com]: [https://www.theinvinciblebook.com] https://www.theinvinciblebook.com * Dr Vonda Wright [https://www.drvondawright.com]: https://www.drvondawright.com Thank you to everyone who tuned into my live video! Join me for my next live video in the app. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit midlifeunfiltered.substack.com [https://midlifeunfiltered.substack.com?utm_medium=podcast&utm_campaign=CTA_1]
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