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Optimal Protein Podcast with Vanessa Spina

The Real Secret to Fat Loss Maintenance: Insights from 30 Years of Research with Dr. James Hill

Optimal Protein Podcast with Vanessa Spina

Vanessa Spina

Fitness, Health & Fitness, Nutrition

4.5758 Ratings

🗓️ 20 October 2025

⏱️ 75 minutes

🧾️ Download transcript

Summary

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In today’s episode, Vanessa sits down with one of the most influential figures in obesity and metabolism research — Dr. James Hill, Professor of Nutrition Sciences at the University of Alabama at Birmingham and co-founder of the National Weight Control Registry. Dr. Hill has spent over four decades studying how people successfully lose weight, maintain it long-term, and preserve their lean mass and metabolic health.

Dr. Hill has led landmark clinical trials such as the Diabetes Prevention Program, Look AHEAD, and the Beef WISE Study on high-protein diets. His decades of work reveal why weight loss is only the beginning — and why the real secret to success lies in learning the completely different skill set of maintenance.

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In this conversation, you’ll hear:

  • The protein “lever” Dr. Hill uses to curb appetite and protect muscle during a cut—plus why the source may matter less than you think

  • Three habits most long-term maintainers share (and one that surprised even him)

  • The moment your “diet” must flip into “maintenance”—and a simple sign you’re ready

  • The smallest daily tweak from his research that predicts whether you’ll regain or not

  • What exercise actually changes in your metabolism beyond calorie burn—and how much you really need

  • The simple resistance-training + protein formula he gives midlife women to keep muscle while losing fat

  • His three-bucket framework (diet, activity, mind state) and a 60-second self-check to find which bucket is breaking your results

  • The mindset shift that moves people from “I always regain” to “this is who I am” — plus a quick exercise to uncover your real why

  • The step-by-step exit plan he uses when patients come off GLP-1s—starting with what to do in week one to avoid rebound

If you’ve ever lost weight and struggled to keep it off, this episode shows you which levers matter most—and how to pull them so your results stick while your metabolism and muscle thrive.

Get delicious high protein meal recipes! Connect with Vanessa on Instagram @ketogenicgirl

Free High-Protein Keto Guide 

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Follow @optimalproteinpodcast on Instagram to see visuals and posts mentioned on this podcast.

Link to join the Facebook group for the podcast

Mentioned in this episode:

• Dr. James Hill’s upcoming book: Losing the Weight Loss Meds: A 10-Week Playbook for Stopping GLP-1 Medications and Keeping the Weight Off — now available for pre-order

• The National Weight Control Registry; The Diabetes Prevention Program (DPP); The Look AHEAD Study; The Beef WISE Study

The content provided in this podcast is for informational purposes only and should not be construed as medical advice. Consult with a healthcare professional before making significant changes to your diet or exercise regimen.

Transcript

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0:00.0

Welcome to the Optimal Protein Podcast. I'm Vanessa Spina.

0:04.1

Hello, my friends, and welcome back to the Optimal Protein Podcast. I'm your host, Vanessa,

0:09.6

and today I am thrilled to be joined by one of the most influential researchers in obesity and metabolism,

0:17.8

Dr. James Hill. Dr. Hill has spent over four decades studying how we lose weight

0:24.4

successfully, how we maintain it, and how we protect our lean body mass and metabolic health

0:30.5

in the process. He's the co-founder of the National Weight Control Registry, one of the largest

0:35.7

studies ever done on successful weight

0:38.5

loss. And he's led landmark clinical trials like the Diabetes Prevention Program, Look

0:43.8

Ahead, and the Beef Wise study on high protein diets. In this episode, we explore what Dr.

0:50.7

Hill's research reveals about high protein diets, fat loss, and muscle preservation.

0:56.8

Why protein improves diet satisfaction, reduces cravings, and helps people stick with their

1:02.2

fat loss long term. What the National Weight Registry Control has uncovered about the

1:08.0

habits of people who successfully keep weight off. How small daily changes,

1:15.1

just 100 calories a day or 2,000 steps can make a huge impact on fat loss overtime. And finally,

1:22.9

Dr. Hill's latest work and research on his brand new book, which is now available for pre-order.

1:29.3

We're going to be talking about GLP1 medications and how to maintain results after stopping

1:34.7

them. So if you've ever wondered how to achieve fat loss that actually lasts, I know that I've

1:41.3

been there losing weight and regaining it afterwards as opposed to actually

1:46.2

maintaining it while protecting lean mass and metabolic health. This conversation is packed

1:52.6

with insights from one of the most respected voices in the field. I can't wait to get into

1:58.4

today's episode and we are going to jump right in after this quick break.

2:03.2

There is one supplement that I consider absolutely foundational for women and that is creatine.

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