Real Health and Weight Loss Podcast

What if the missing piece isn’t another diet, but learning how to work with your brain when food feels loud? In this honest conversation, Dr Lucy speaks with Louise Govier, a 59-year-old woman from England, about moving from years of frustration, dieting and feeling stuck to building habits that better support her health. Louise shares why reducing sweet and savoury “sugar” foods helped quieten her constant thoughts about eating, but also why food was only one part of the picture. Together, she and Dr Lucy explore emotional eating, non-hungry urges, intermittent fasting, strength training, sleep, stress management and the mindset tools that helped Louise navigate difficult moments. You’ll hear the powerful metaphors that made a difference for her, including the “dog on the couch”, using guardrails rather than rules, and learning when to “snip the thread” of an unhelpful habit. This isn’t a story about perfection or quick fixes. It’s about self-awareness, practising new skills and returning to what helps when life gets messy. If food noise, all-or-nothing thinking or repeated restarts feel familiar, Louise’s experience may leave you feeling understood, encouraged and more hopeful about your own next step. For more information about Real Life Medicine and our programs and special offers: https://www.rlmedicine.com/ Episode, show notes & transcript https://www.rlmedicine.com/from-food-noise-to-food-freedom-why-mindset-matters See omnystudio.com/listener for privacy information.

What if your brain is filtering your life for evidence that you’re failing, without you even realising it? In this episode, Dr Lucy and Dr Mary explore the reticular activating system, or RAS, and how this powerful brain filter can shape your mindset, habits, and momentum. Think of it like your social media algorithm: what you pay attention to, your brain is more likely to show you again. That can leave you noticing every mistake, feeding all-or-nothing thinking, and asking, “What’s the point?” But with awareness and intention, you can begin to direct your focus towards the small actions, opportunities, and evidence that support the life you want to build. Dr Lucy also shares a candid personal experience of recognising an unhelpful spiral and recommitting to the habits that help her feel better. You’ll hear practical ways to use specific goals, visualisation, self-care, and positive attention to help your brain work with you, not against you. This isn’t about pretending life is perfect. It’s about choosing where you place your attention, one realistic step at a time. For more information about Real Life Medicine and our programs and special offers: https://www.rlmedicine.com/ Episode, show notes & transcript https://www.rlmedicine.com/stuck-in-a-negative-spiral-start-here See omnystudio.com/listener for privacy information.

Is getting older something to fear, or something worth embracing? In this episode, Dr Lucy and Dr Mary have an honest, warm conversation about what post-menopausal life actually looks like, and why it does not have to be the doom and gloom we are so often told to expect. They talk through the real physical changes that can come with menopause, including shifts in metabolism, bone and muscle health, and visceral fat, and why stress management may help support these changes. They also explore the social side of ageing: why women can start to feel invisible as they get older, and how to find a healthy balance between caring for your appearance and tying your self-worth to it. Throughout, they share personal stories and practical lifestyle strategies, from nourishment to sleep to prioritising yourself, that may support your health through this life stage. You will walk away with a grounded, hopeful perspective: that the post-menopausal years can be a time of wisdom, agency and glory, not decline. If you are moving through menopause or supporting someone who is, tune in for a reminder that this stage of life deserves to be lived loudly, not hidden away. For more information about Real Life Medicine and our programs and special offers: https://www.rlmedicine.com/ Episode, show notes & transcript https://www.rlmedicine.com/post-menopause-the-glory-years See omnystudio.com/listener for privacy information.

Ever wondered why some women sail through perimenopause while others feel like everything's fallen apart? In this episode, Dr Lucy is joined by pharmacist and nutritionist Sarah Gray, author of It's Not You, It's Perimenopause, to explore the surprising link between your gut and your hormones. Sarah introduces listeners to the estrobolome, a group of gut bacteria that may help support how the body processes oestrogen during the menopause transition. They chat about why gut diversity often dips in perimenopause, and continues in the post menopause period. They also discuss the real differences between prebiotics, probiotics and fermented foods, and why not every yoghurt or jar of sauerkraut on the shelf actually contains live cultures. If you've been putting your symptoms down to just getting older, this chat offers a fresh, evidence-informed way to think about what might really be going on, and some simple, practical changes to try. It's a fascinating listen for anyone wanting to feel more at home in their body during perimenopause and beyond. Here are Sarah’s links and special offer for our listeners: 🌐 Website: https://thenutritionpharmacist.com/ 📚 Book: It’s Not You, It’s Perimenopause https://thenutritionpharmacist.com/perimenopause-book 🎁 Special offer: Get 10% off Sarah’s book with code PERI10 . 📸 Instagram: https://www.instagram.com/the_nutrition_pharmacist/?hl=en 📘 Facebook: https://www.facebook.com/profile.php?id=100063626828191 For more information about Real Life Medicine and our programs and special offers: https://www.rlmedicine.com/ Episode, show notes & transcript https://www.rlmedicine.com/have-you-heard-of-the-estrobolome See omnystudio.com/listener for privacy information.

Ever wondered why random aches and pains, a frozen shoulder or stubborn hip pain seem to show up out of nowhere in midlife? In this episode, Dr Lucy chats with physiotherapist Katherine Tsebelis, founder of Physio Moves and creator of the Vibrant Femmes masterclass, about the surprising link between perimenopause, menopause and musculoskeletal pain. Kath explains why declining oestrogen may contribute to tendon issues like plantar fasciitis, greater trochanteric pain syndrome and frozen shoulder, and why these are so often misdiagnosed as unrelated injuries. She shares how isometric loading, gentle strength work and simple exercise snacks, like squatting while the shower warms up, may help ease pain and support your bones and joints for many people. They also discuss why it's worth chatting to your doctor about HRT, and why enough protein, calcium and vitamin D matter too. If you've been putting your aches and pains down to just getting older, this conversation might change how you see them. You'll come away with practical, doable strategies to keep moving and build strength, wherever you are in your menopause journey. Tune in to find out how small, consistent steps can make a real difference. Instagram: Kath Tsebelis Physio Get free workbook on the musculoskeletal syndrome of menopause: kathtsebelis.com For more information about Real Life Medicine and our programs and special offers: https://www.rlmedicine.com/ Episode, show notes & transcript https://www.rlmedicine.com/what-do-sore-feet-have-to-do-with-menopause See omnystudio.com/listener for privacy information.

Why is it so hard to start a healthy habit, even when you know it's good for you? In this episode, Dr Lucy and Dr Mary share a simple mindset tool that can make exercise, sleep and other healthy choices feel far easier to stick to. They explore why your brain naturally magnifies the effort of a task while minimising its benefits, and how your reticular activating system decides what you notice and focus on. You'll hear about noble procrastination, that sneaky habit of putting everyone else's needs ahead of your own, plus why getting comfortable with a bit of discomfort helps you grow. Relatable stories, from dog walks in the rain to cold morning swims, show how this plays out day to day. The idea at the heart of it all is simple: shift your focus to what you're gaining rather than what it costs you, and healthy habits may start to feel a lot more doable. Press play to hear how a small change in perspective could make this week's healthy choices that bit easier. For more information about Real Life Medicine and our programs and special offers: https://www.rlmedicine.com/ Episode, show notes & transcript https://www.rlmedicine.com/how-to-motivate-yourself See omnystudio.com/listener for privacy information.

What if the real “hack” is stopping chasing hacks altogether? In this episode, Dr Lucy and Dr Mary ask what’s actually helping your health and what’s just cluttering up your life. You’ll hear them laugh about useless things they’ve bought, talk about why our brains love shiny promises, and explore how all‑or‑nothing thinking around steps, sleep and food can keep you stuck even when you’re trying hard to be healthy. They hint at a simple structure they use inside Real Life Medicine to help women in midlife focus on what matters most, without counting calories or living at the gym. If you’re tired of trackers, trends and conflicting advice, this chat may help you feel clearer about your next small step and less worried about doing it all perfectly. Wondering what they focus on instead of hacks and gadgets? Press play and find out. For more information about Real Life Medicine and our programs and special offers: https://www.rlmedicine.com/ Episode, show notes & transcript https://www.rlmedicine.com/boring-basics-beat-biohacking See omnystudio.com/listener for privacy information.

Fibre-maxxing, high protein everything, GLP-1 injections... diet trends come and go, but does your body actually care what's fashionable? In this episode, Dr Lucy Burns and Dr Mary Barson take a good look at why real food, higher protein and lower carb eating remains one of the most effective approaches for metabolic health, no matter what's currently having a moment on social media. Dr Lucy and Dr Mary unpack why our physiology hasn't caught up with our rapidly changing food environment, and why that matters for anyone trying to lose weight or improve their health. They explore the difference between trendy fibre and food-industry fibre, why adherence (not willpower) is usually the real barrier to lasting change, and how GLP-1 medications can work in partnership with a real food, lower carb approach rather than replacing it. They also bust the myth that these medications are "cheating," explaining how they may help quiet food noise so people can actually use the tools they've learned. If you've ever felt like low carb is old news, this episode is an evidence-informed reminder that some fundamentals never really go out of style. Tune in for practical insight you can actually use, trendy or not. For more information about Real Life Medicine and our programs and special offers: https://www.rlmedicine.com/ Episode, show notes & transcript https://www.rlmedicine.com/is-low-carb-still-relevant See omnystudio.com/listener for privacy information.

Is creatine a game-changer for your health, or just another overhyped supplement clogging up your social media feed? In this episode, Dr Mary Barson and Dr Lucy Burns cut through the noise to give you an honest, science-backed look at one of the most talked-about supplements right now. Dr Mary and Dr Lucy explore what creatine actually is, what the evidence really says about its benefits for muscle building and brain function, and who may actually benefit. They bust the alarming myths circulating online about kidneys, cancer, and hair loss, explain why the research is far more nuanced than the clickbait headlines suggest, and give their take on gummies. You'll walk away knowing how to make a truly informed decision about creatine, rather than one driven by fear or social media hype. If you've been wondering whether this supplement belongs in your routine or worried by the scary claims out there, this is the episode for you. For more information about Real Life Medicine and our programs and special offers: https://www.rlmedicine.com/ Episode, show notes & transcript https://www.rlmedicine.com/does-creatine-work See omnystudio.com/listener for privacy information.

Peptides are all over social media, but are they actually safe? In this episode, Dr Lucy and Dr Mary unpack what peptide hormones really are and why the booming, murky peptide market has them concerned. They explore where these products are really coming from, what can go wrong when nobody's checking what's in the vial, and why some of the newer trends aimed at young people worry them most as doctors. If you're curious about peptides, or worried about a loved one who is, this episode gives you plenty to think about. For more information about Real Life Medicine and our programs and special offers: https://www.rlmedicine.com/ Episode, show notes & transcript https://www.rlmedicine.com/what's-the-deal-with-peptides See omnystudio.com/listener for privacy information.

Is magnesium really worth the hype, and which one should you actually be taking? In this episode, Dr Mary and Dr Lucy cut through the confusion around "magnificent magnesium" to help you make clearer, more confident decisions without the marketing spin. You'll hear why magnesium matters for energy, metabolic health, sleep and nervous system regulation, and why so many people may not be getting enough from modern diets alone. The doctors explore the most common forms, including citrate, glycinate and the newer magnesium L-threonate, covering what the evidence suggests, potential side effects, cost and when each one may be useful. There's also a must-know safety tip about hidden vitamin B6 in combined supplements that could affect your nerves over time. By the end, you'll have a practical, no-nonsense guide to whether a magnesium supplement may help you, what to look for on the label and when real food may be enough. It's the kind of grounded, honest conversation you can take straight to your next chat with your GP or pharmacist. Listen now, your sleep and your cells will thank you. For more information about Real Life Medicine and our programs and special offers: https://www.rlmedicine.com/ Episode, show notes & transcript https://www.rlmedicine.com/what-s-the-best-sort-of-magnesium See omnystudio.com/listener for privacy information.

Lipoedema might be the missing piece in your health story. In this episode, Dr Lucy and Dr Mary shine a purple light on this under-recognised condition that mostly affects women and is often mistaken for “just being overweight”. You’ll hear how lipoedema is different from lymphoedema, why the fat on your legs and arms may not respond to diet and exercise like the rest of your body, and the typical signs that doctors often miss. They also chat about how common it may be, why so many women are told to simply lose weight, and what current awareness campaigns are trying to change. If you’ve ever felt dismissed or blamed for a body shape that doesn’t make sense, this conversation will give you clarity, language to advocate for yourself, and a new lens on what might really be going on. Press play and find out whether lipoedema could be part of your story. For more information about Real Life Medicine and our programs and special offers: https://www.rlmedicine.com/ Episode, show notes & transcript https://www.rlmedicine.com/could-it-be-lipoedema See omnystudio.com/listener for privacy information.

If you've ever felt like exercise is just another thing you're failing at, this episode is for you. The truth is, you don't need a punishing gym program to protect your brain and your metabolic health. The evidence suggests that small, varied movements woven into your day may be just as powerful as any structured workout routine. In this episode, Dr Lucy and Dr Mary introduce the concept of the "exercise salad", the idea that your body and brain do best with a mix of different movement types, not just one. They explore why muscle strength matters for both metabolic health and brain protection, how a little "huff and puff" may help reduce dementia risk for many people, and why mobility and balance are the often-forgotten ingredients that keep you moving well for life. They also dig into the all-or-something mindset that can transform how you approach movement on your busiest, most exhausted days. You'll walk away with practical strategies you can start today without changing your clothes, joining a gym, or carving out extra time. From calf raises at the kettle to sit-to-stands off the toilet, this episode makes movement feel genuinely doable. Tune in and build your own exercise salad. For more information about Real Life Medicine and our programs and special offers: https://www.rlmedicine.com/ Episode, show notes & transcript https://www.rlmedicine.com/the-exercise-salad-why-variety-beats-the-perfect-workout-every-time See omnystudio.com/listener for privacy information.

What if golf changed your life in ways you never expected? In this episode, Dr Lucy Burns chats with Rebecca Laut, a woman who picked up golf in her 30s and found far more than a hobby. Rebecca shares how getting out on the course helped her stay active while managing PCOS and insulin resistance, and how combining movement, lifestyle changes, and a GLP-1 medication led to something she never thought possible: a healthy pregnancy. You will also hear about her female-founded golf apparel brand Clubdayze, why 60% of new golfers in Australia are now women, and why golf might just be the best lifestyle medicine you have never tried. A great listen for any woman who thinks golf is not for her. Website: https://www.clubdayze.com Instagram: https://www.instagram.com/clubdayze For more information about Real Life Medicine and our programs and special offers: https://www.rlmedicine.com/ Episode, show notes & transcript https://www.rlmedicine.com/is-golf-good-for-your-health See omnystudio.com/listener for privacy information.

Do you reach for food when you're stressed, tired, or overwhelmed? In this episode, Dr Mary Barson and Dr Lucy Burns break down the real reasons behind emotional eating. No guilt, no shame. Just clear, practical tools you can use right now. Learn the PHALTS framework to spot your triggers, understand what your brain is actually doing when cravings hit, and discover simple "hot tools" to pause before you eat. You'll also get the "cool tools" to build lasting emotional resilience. This episode will change how you see your relationship with food. For more information about Real Life Medicine and our programs and special offers: https://www.rlmedicine.com/ Episode, show notes & transcript https://www.rlmedicine.com/brain-based-solutions-to-stop-emotional-eating See omnystudio.com/listener for privacy information.

Does your brain seem to work against you when it comes to healthy habits? In this episode, Dr Mary and Dr Lucy explore ADHD and why so many women, especially in midlife, find healthy living hard to stick to. They explain the gap between knowing what to do and actually doing it, and share simple, practical tools to bridge that gap. You will learn why it is not about trying harder, how to manage demand overload, and five clear strategies to make good habits stick, including anchoring, habit pairing, and shrinking the change. Whether you have ADHD or not, this episode is full of tools you can start using today. Visit https://www.rlmedicine.com/ For more information about Real Life Medicine and our programs and special offers: https://www.rlmedicine.com/ Episode, show notes & transcript https://www.rlmedicine.com/practical-steps-to-improve-habits-if-you-have-adhd-helpful-even-if-you-dont See omnystudio.com/listener for privacy information.

Did you know women are twice as likely to develop Alzheimer's disease as men, and oestrogen may be a key reason why? In this episode, Dr Lucy Burns and Dr Mary Barson break down the real science behind oestrogen's role in brain health and dementia prevention, why the infamous 2003 WHI study sent doctors running scared for decades, and what the latest evidence actually means for women in midlife. If MHT is not right for you, don't worry, protecting your brain is never a one-trick pony. This is the episode every woman in midlife needs to hear. Research mentioned in this episode: Paganini-Hill A, Henderson VW. Archives of Internal Medicine. 1996 Kim YJ et al. Alzheimer's & Dementia. 2021 Nerattini M et al. Frontiers in Aging Neuroscience. 2023 Cipriano GL et al. International Journal of Molecular Sciences. 2024 Melville NA et al. The Lancet Healthy Longevity. 2025 For more information about Real Life Medicine and our programs and special offers: https://www.rlmedicine.com/ Episode, show notes & transcript https://www.rlmedicine.com/can-hrt-prevent-dementia See omnystudio.com/listener for privacy information.

Did you know dementia is now the leading cause of death in women in Australia, and your metabolic health plays a huge role? In this episode, Dr Mary Barson and Dr Lucy Burns break down the different types of dementia, including why Alzheimer's is sometimes called "type 3 diabetes", and how insulin resistance, inflammation, and poor sleep can quietly damage your brain for decades before any symptoms show up. You'll learn what you can actually do, from food and sleep to stress management and movement, to protect your brain starting right now. This one could change your life. For more information about Real Life Medicine and our programs and special offers: https://www.rlmedicine.com/ Episode, show notes & transcript https://www.rlmedicine.com/how-to-prevent-dementia See omnystudio.com/listener for privacy information.

You know metabolic health matters, but what can you actually do about it? In this episode, Dr Lucy Burns and Dr Mary Barson break down the key levers you can pull to improve your metabolic health, and none of them require calorie counting or hours in the gym. You'll learn why just 10 minutes of movement after a meal can lower your blood sugar, how even five minutes of exercise improves your sleep, why chronic stress silently drives insulin resistance, and why going to bed on time might be the most powerful health tool you're not using. Simple, practical, and backed by science, this one is worth your time. For more information about Real Life Medicine and our programs and special offers: https://www.rlmedicine.com/ Episode, show notes & transcript https://www.rlmedicine.com/how-to-fix-metabolic-health See omnystudio.com/listener for privacy information.

Do you feel tired, hungry, and like your body is working against you? Dr Lucy Burns and Dr Mary Barson break down exactly what metabolic health is and why it matters far more than just the number on the scales. In this episode, you'll learn how your body converts food into energy, why high insulin can lock your stored fat away like cash in a term deposit you cannot access, and how conditions like type 2 diabetes, heart disease and dementia are all rooted in the same metabolic imbalance. The best part is that your metabolic health is not fixed and it can start to change in weeks, not years. Tune in to understand what is really going on in your body and why simple, real food changes can make a profound difference. Website links: For more information about Real Life Medicine and our programs and special offers: https://www.rlmedicine.com/ Episode, show notes & transcript https://www.rlmedicine.com/what-is-metabolic-health See omnystudio.com/listener for privacy information.