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Mayim Bialik's Breakdown

The GLP-1 Warning No One Is Giving You: Dr. Stacy Sims on Muscle Loss, Birth Control, Perimenopause & the Female Physiology Research That Was Never Done

Mayim Bialik's Breakdown

Mayim Bialik

Comedy, Health & Fitness, Mental Health

4.85.9K Ratings

🗓️ 19 May 2026

⏱️ 102 minutes

🧾️ Download transcript

Summary

What if everything you’ve been told about fitness, hormones, dieting, and “healthy habits” was built for the WRONG body? In this episode of Mayim Bialik's Breakdown, Dr. Stacy Sims (exercise physiologist and leading expert in female nutrition & performance) exposes the shocking truth about why women are STILL misunderstood in science, and how it’s silently wrecking health, metabolism, and longevity.


Dr. Sims breaks down:

– Why women are drastically underrepresented in research (and why it’s more complicated than just sexism)

– Hidden biological & hormonal differences that make “one-size-fits-all” health advice completely ineffective for women

– Dark side of GLP-1 weight loss drugs, diet culture, and over-exercising, and how they’re quietly destroying quality of life

– Strength training: Why lifting heavy is the key to fat loss, brain health, longevity, & hormonal balance

– Alarming link between contraceptives, brain development, anxiety, & bone density in young women

– Why fasting doesn’t work the same for women & how it can backfire hard

– Why women NEED higher body fat & why chasing “lean” can be harmful

– Overlooked connection between muscle, glucose control, brain function, & osteoporosis prevention

– How poor nutrition is ruining your sleep (and the surprising food that can fix it fast)

– Dangers hiding in peptides

– Why most multivitamins are failing you (and how too much of ONE nutrient can actually harm you)

– Nutrient deficiencies almost everyone is dealing with (especially if you’re busy, stressed, & overworked)

– Why diet & exercise feel impossible for so many women & the systemic reasons behind it

– Science behind saunas, cold plunges, & whether they’re actually worth it

– Creatine explained like never before: brain fog, stress resilience, ADHD, sleep cycles, muscle performance - who needs it & how much

– Why you might be drinking water WRONG (and how overhydration is making you bloated)

– Shocking differences in lifespan vs. healthspan between men and women, especially for Alzheimer’s & dementia

– How strength training can literally protect your brain as you age

– 5 NON-NEGOTIABLE habits every woman needs during perimenopause & menopause

– Fiber intake mistakes that are wrecking gut health and hormones (especially after 40)

– Why Hormone Replacement Therapy isn’t the answer for everyone, and what to do instead

– How AI & social media are spreading dangerous health misinformation (why women are the biggest targets!)


This isn’t just another health episode, this is a wake-up call.


If you’ve ever felt like your body isn’t responding the way it “should”…you’re not broken. The system is.


This could be the most important health conversation you hear this year!


If you're struggling with OCD or unrelenting intrusive thoughts, NOCD can help. Book a free 15 minute call to get started: https://learn.nocd.com/BREAK


They can't harm you, if they can't find you! Use code MAYIM at the link below and get 60% off an annual plan: https://incogni.com/mayim


Get 20% off all IQ Bar products - plus free shipping by texting BREAKDOWN to 64000.For a limited time, get $250 off Cove Pure water filtration at http://www.covepure.com/breakdown


Get 15% off + a FREE bottle of MassZymes ($20 value) when you go to https://bioptimizers.com/breaker and use code BREAKER. Limited-time offer, only available through this link (not on Amazon or in stores). Grab it while it lasts.


Revised edition of Dr. Stacy Sims book, ROAR: Match Your Food and Fitness to Your Unique Female Physiology for Optimum Performance, Great Health, and a Strong Body for Life: https://www.penguinrandomhouse.com/books/592889/roar-revised-edition-by-stacy-t-sims-phd-with-selene-yeager/


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Transcript

Click on a timestamp to play from that location

0:00.0

My MB Alex breakdown is supported by Helix sleep. Bring is in the air and so are all of the allergens that come with it. Spring allergens means you need more sleep, but there are a ton of factors that can prevent us from getting a good night's rest. Night sweats, back pain, feeling the person next to you when they roll over a million times. We were so excited to hear that Helix wanted to partner with us. I've had my Helix mattress for about five years now and I have been sleeping so much better. Jonathan and also our kids love their Helix mattresses and all of those issues, night sweats, back pain, motion transfer, those things are significantly better with a Helix mattress. Helix delivers your mattress right to your door, which is so much fun with free shipping in the US. They have a 120 night sleep trial and limited lifetime warranty plus.

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Go to helixleap.com slash breakdown

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That's helixleap.com slash breakdown

1:04.9

for 27% off site wide. That's helixleap.com slash breakdown for 27% off site wide. helixleap.com slash breakdown. We are now in a time in history where there are so many people that are overfed and undernourished. Two billion people worldwide have my Konucchi and deficiency. Eat a wide variety of foods, 30 different plants a week. 30 different plants a week. There is an endemic happening. Aussie purses risks to ELP1. They're lost at bone density, they're lost at muscle mass. For every 10 pounds that you lose on a GLP1, up to four pounds can come from muscle. When people are hot, they'll weight loss. What do we have to gain with putting muscle on? We have more control over what we're eating. Better sleep, better immunity, better blood glucose control, better cognitive function. We have the capacity to gain a higher quality of life for whatever age you want. Dr. Stacey Sims is an exercise physiologist and pioneering nutrition scientist. My frustration of being an athlete and researcher in academia, noticing that there was no real representation of women. I want to close that gender gap. What happens to the amygdala when you give oral contraceptives at a young age? We see changes that are not reversible. That increases the capacity for anxiety and fear. Tell us five things that every woman should be doing for her health. Hi, I'm Mayama Yalek. And I'm Jonathan Cohen. And welcome to our breakdown. Today we're going to be tackling some of the biggest myths and trends in the health and nutrition industry, specifically as they relate to female physiology. And if you're thinking, I'm not a woman, maybe I'll turn this episode off. Stay tuned because we cover things that totally blew my mind from the huge dangers of GLP ones to the real truth about creatine, the biggest mistake people are making and you're likely drinking water

3:09.5

total of GLP ones to the real truth about creating the biggest mistake people are making. And you're likely drinking water totally wrong. This episode also covers things that many of us take for granted, like our understanding of why people go on birth control, why people lift heavy weights, how to protect your brain, how to live a longer and more vibrant life. These are things that impact men and women differently, but understanding the differences in physiology can make a huge difference. And we're speaking to Dr. Stacey Sims, the author of Roar, a really, really fantastic book, Match Your Food and Fitness, your unique female physiology for optimum performance, great health, and a strong body for life. But as we said, we're not just going to be talking about how these things impact women. We're going to be talking about the differences in male and female physiology and how so many of the trends that you might be following, you're actually approaching in the wrong way. We're also going to talk about a deficiency that impacts two billion people worldwide. And when you hear the list of symptoms, you might be surprised to find you may be at risk for this deficiency. This episode is also in honor of Women's Health Month. We could not think of a better guest to have for this very special episode than Dr. Stacey Sims. So without further ado, let's welcome to the breakdown Dr Dr. Stacey Sims. Break it down. Thanks for having me. You're excited. We're very excited to talk about Roar. And I'm really like your target audience for this book and this message. And I noticed that on page 50, there is a crushing it as a 50 year old vegan. And I thought, Stacey, didn't need to put me in your book. That is so embarrassing. Well, maybe, yeah, you know, there you go. There's lots of us who are 50 year old vegans. So why not? I wonder if you can talk about sort of the why of this book. What is special and unique about what you are helping everyone, but women in particular understand about their bodies? Yeah, I mean, it stems from my frustration of being an athlete and researcher, where as a researcher in academia, and first learning it and then trying to actually do it, noticing that there was no real representation of women.

5:25.0

And if women were included, they're included in studies that were with men, just to bulk up how many people are in the study, or they're very small, and they're only in like one phase of the menstrual cycle, so the really wasn't that much there, because they just generalize stuff. And through my racing career, people will always ask me questions. And I was like, okay, well, I'm going to go to lab and answer this.

5:46.4

And the book stemmed from my co-author who saw me at... And through my racing career people will always ask me questions. And I was like, okay, well, I'm going to go to lab and answer this.

5:46.0

And the book stemmed from my co-author who saw me at USA Cycling. She's like, no one is talking about this. And to me, I was like, why are we not talking about this? I've been researching this for at least 15 years because we need to do a book. So we had co-labbed on, she was a journalist, me co-labbed, and I'm a whole bunch of stuff

6:04.5

and every time we talked about the menstrual cycle, women needing different recovery, how we respond in the heat differently, hydration, everyone was like, oh my gosh, this is so interesting. So that was the birth of the book. One of the things that I think it's important to talk about, you know, and this is really true for every aspect of research, you know, whether it's biology, whether it's neuroscience,

6:29.2

whether it's biology, whether it's neuroscience, whether it's medication, whether it's aging, the reasons that studies tend to be historically all male is not just because of systemic misogyny and all of the reasons you can give, but one of the complexities of the human body for women and the physiology of women is that we have a very special monthly cycle that is really not ideal for a study where you're trying to reliably track basic physiological metrics. And so the solution has been to only do studies on men and treat women like kind of an extrapolation of what we find in men. Can you speak not only to your field, but to the general reason that we shouldn't just dismiss it as, oh, the patriarchy is just trying to, you know, screw women with research. It's a lot more complicated than that. Absolutely. I mean, I always start with, it's a historical perspective, right? We know the patriarchy and who was in the room was men. That's how scientific design started. And I don't think people really grasp onto that and how endemic it is. But we know that it's not just the menstrual cycle and sex hormones, it's also specific sex differences. We know like when you're looking at stress and environmental stress for a woman who is pregnant, there's a higher incidence of spontaneous miscarriage when they're carrying an X-Y rather than an X-X. So we look at, you know, people don't know that. I was talking to a well-known OB and she said, we never learned that.

8:05.1

How do you know that? It's like because when you look at sex differences from birth, you start to see all these things that happen in utero and then go through. But no one really says anything until like puberty and they're like, oh, the girls are going through this crazy stuff. And look, my boy is getting so strong and lean. Yeah, he doesn't talk, but that's kind of the aggression.

8:27.4

And then we get to our reproductive years. And it's always that taboo, but that time the month, or oh, I need to go on an oral contraceptive pill because my periods are really heavy. And so it's just kind of been dismissive. And I always sit back and go, how does this really affect women? It's like, it's 2026, we still don't know why endometriosis happens. We don't know why PCOS happens. We looked historically at research on like aspirin and heart attack that whole cohort was men generalized to women. We see the original osteoporosis research was done on men that were like supplied estrogen to see how it would instigate bone growth. So we see all this stuff that instead of actually using women, they use men and try to create an environment that was similar to a woman's body. It's like that's ridiculous. Like come on. If only we could make men act more like us and understand us by giving them a little estrogen, but it's actually not that simple. It's not that simple at all. Target tissue and a whole bunch of other things. I feel like we need a little more attention to what you just mentioned. In terms of sex differences and in terms of spontaneous miscarriage, can you explain a little bit what that is and what it means even though it's a little bit off topic, but I don't wanna pass that by. Yeah, so when we're looking at, they call it the the fragile XY because the XX is actually the more dominant kind of genome. And the reason why we have differences is there are certain, when you have a double X, there are certain things that are turned on and turned off according to the two X's, but with XY, you don't have that capability. So we see that the fetus, who's in X, Y, actually is more fragile. So when you start looking at what's happening under high stress conditions, the X, X becomes more stress-resilient. There's actually some epigenetic changes that are occurring within the growth and development that is making the female fetus more stress-resilient. And that leans into the more stress resilient from immunity to mental capacity onward through life. So when we start talking about the dominance of the male culture, I might, but you're the weaker sex. So to speak. Well, and I think, yeah, and sort of in genetic terms, the notion is that if you have two X chromosomes, which women do, you have an X chromosome that can rescue anything that comes up that one chromosome kind of throws out there. If you're missing a little bit, if there's some micro deletion, the other X chromosomes like, we got this, like we're okay. And you don't have these maternal autosomal recessive. We don't have those issues. Whereas with an X, Y, if something goes a little bit different on the X chromosome, there's nothing to rescue it. Because the male chromosome is very different. And it's funny, I don't know if you remember, you know, back to biology class, right? The Y chromosome is actually very, very teeny tiny, you know, compared to the X. Obviously it does all the things it needs to do to create a male. But when people talk about this sort of default being female, it's because it's the Y chromosome that actually signals, hey, we got a boy here and puts into motion the changing of the ovaries into the testes and all these sorts of things. My MBA, be Alex Breakdown and supported by cove pure researchers of a documented male fish developing female characteristics in rivers all over the United States. It comes from birth control pills that wastewater treatment plants couldn't fully filter out and that's the same water that runs into your home and that's why we are now using cove pure to purify our water. Here's how this contamination happens. People take medication, their bodies don't absorb all of it, the rest gets flushed, and it goes to waste water treatment plants that honestly were never built to catch these kind of pharmaceutical compounds. So estrone from birth control pills, antibiotics, antidepressants come right back out of your tap. Your standard picture filter from the store just doesn't cut it here. The compounds are too small, they're too persistent. You need something that is filtering more at a molecular level, and that's exactly what Covpura does. The Clear Wave Reverse Osmosis technology is certified to remove up to 99.9% of contaminants. Estrone, PFA, lead, arsenic, basically anything that isn't water gets filtered out. When you get your first taste of cove pure water, you're going to be like, oh my gosh, why is this water so delicious? Because it's delicious. That's what clean water is supposed to taste like. It's funny because I was like, how different can water taste? Guess what? It can taste very, very different. And that's why we're so excited to have cove pure as a sponsor. Those fish didn't have a choice about

13:08.2

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13:19.8

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You know, I struggled to get good quality sleep and I just assumed it was stress. But as I learned during paramanopause and menopause, your hormones shift in a way that affect your magnesium levels. And low magnesium, it makes everything harder, not just sleep, focus, mood, your tolerance for stress. That's why I have added magnesium breakthrough by by optimizers to my nightly routine. It's a blend of seven different forms of magnesium designed to support relaxation and overall sleep quality. Try it. See if you wake up more rest and refreshed. You've got nothing to lose and a lot to gain. By optimizers offers a 365 day, no questions asked money back guarantee. Magnesium breakthrough is a huge breakthrough to improve hormonal balance, to help with focus, decrease brain fog, improve sleep hygiene overall. Bi optimizers makes it very easy. Jonathan, what do they get when they go to bi optimizers.com slash breaker and use the code breaker? You get 15% off your entire order in a free bottle of massimes. Bi optimizers best selling digestive enzyme. That'll be added to your order automatically when you use our exclusive code. That's a $20 product free on top of your discount already. This is a limited time offer and while supplies last, you can't get it on Amazon, you can't get it in stores. This offer exists in one place. Our link, our code, that's it. So maybe you were already thinking about it, this is the sign. to buy Optimizers.com slash breaker, use the code breaker, grab it before it's gone. Make 2026 the year, you finally start sleeping again. Mine be Alex Breakdown is supported by by optimizers. I struggled to get good quality sleep and I just thought like, ugh, it's stress. But I learned during paramanopause and menopause, your hormone shift, and it affects your magnesium levels. Low magnesium makes everything harder, not just sleep, but focus, moods, stress tolerance. That's why we added magnesium breakthrough by bioptimizers to our nightly routine. It's a blend of seven different forms of magnesium designed to support relaxation and overall sleep quality. Try it, see if you wake up more rest and refreshed. You've got nothing to lose and a lot to gain. Bioptimizers offers a 365 day, no questions asked, money back guarantee. Magnesium breakthrough is a fantastic way to improve that hormonal imbalance that especially happens with magnesium. And then you have better focus, you have better sleep hygiene in general. Bi optimizers makes it so easy. Here's what you get when you go to bioptimizers.com slash breaker and use the code breaker. 15% off your

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