Docs Who Lift

Docs Who Lift

Drs. Spencer and Karl Nadolsky talk about nutrition, medicine, and fitness through the lens of two physicians who lift weights. Both doctors are former NCAA division 1 wrestlers who have gone into medicine. Dr. Spencer Nadolsky is a board certified family physician specialized in obesity medicine and lipidology. Dr. Karl Nadolsky is a board certified endocrinologist also specialized in obesity medicine.

Episodes

June 23, 2025 33 mins

Learn what age-related macular degeneration (AMD) is

What causes AMD

The types of AMD

The update on NAION - listen to last year's podcast all about it

Why we aren't too concerned

Click here to join Dr. Spencer's online clinic Vineyard

Click to read the JAMA AMD article

Click to read the Ophthalmology journal AMD article

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  • Menopausal hormonal therapy should not be a blanket recommendation for everyone going through menopause
  • Weight management in women is influenced by hormonal changes throughout life stages.
  • Retrospective analyses can provide insights but have limitations.
  • The wellness industry often oversimplifies complex medical issues.
  • Hormonal replacement therapy may have subtle benefits for weight management.
  • Confounding factors like SSRIs can co...
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Takeaways:

  • The MAHA report aims to address public health issues but lacks actionable policies.
  • Historical context is crucial for understanding current dietary guidelines.
  • Funding for nutrition research has been inadequate, impacting the quality of data.
  • Public perception of nutrition often outpaces scientific evidence.
  • The evolution of dietary guidelines reflects political and social influences.
  • There is a need for more rigorous nutr...
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May 13, 2025 46 mins

Click to read Joy Prescriptions

Drs. Karl and Spencer talk to Dr. Tiffany Moon all about Joy Prescriptions. Learn how to stop chasing perfection and embrace connection. 

00:00Introduction to Dr. Tiffany Moon

02:02Journey to Reality TV: The Real Housewives of Dallas

05:58Life After Reality TV: Finding Joy and Purpose

09:59The Joy Prescription: A New Approach to Life

17:01Work-Life Integration: Balancing Career and Family

22:09Empowering Wo...

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May 12, 2025 20 mins
  • Tirzepatide is more effective for weight loss than semaglutide.
  • Cost-effectiveness is crucial in prescribing weight loss medications.
  • Patients with severe obesity should receive more expensive medications for better outcomes.
  • Both medications show significant benefits for obesity-related conditions.
  • Long-term studies indicate sustained weight loss with both drugs.
  • Gender differences affect weight loss outcomes with these medications...
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Takeaways

  • MASH is a significant obesity-related complication.
  • Semaglutide shows promise in treating MASH.
  • Weight loss is crucial for improving liver health.
  • Bariatric surgery remains the most effective treatment.
  • The Essence trial indicates a 63% resolution of NASH.
  • New medications are being developed for obesity treatment.
  • Early intervention is key to preventing severe liver damage.
  • Accessibility of medications is a major concern.
  • Comp...
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April 25, 2025 36 mins

Drs. Karl and Spencer chat with return guest Dr. Lauren Semple about creatine, protein, cortisol, fasting exercise, and training in women.

Follow Dr. Lauren's instagram

Join Dr. Spencer's online clinic

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April 11, 2025 25 mins

Drs. Karl and Spencer discuss a new study looking at tirzepatide and metabolic rate. They also discuss a patient case of tirzepatide induced anhedonia.

Here is the tirzepatide study

If interested in joining Dr. Spencer's clinic Vineyard - Click Here

 

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March 19, 2025 25 mins

Drs. Karl and Spencer discuss the claim that GLP-1 meds cause more fat cells.

Learn about if and how GLP-1 meds increase fat cells and what that means along with other claims about these medicine.

Join Dr. Spencer's online clinic that specializes in GLP-1 medicines

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March 11, 2025 23 mins

Drs. Karl and Spencer talk to Dr. Kenneth Qiu all about direct medical care - the future of medicine.

Learn about how bypassing insurance and creating a relationship directly with a doctor can improve your health and save money in the long run.

Follow Dr. Qiu on Linked in

See Dr. Spencer's direct care model with Vineyard

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Drs. Karl and Spencer discuss with Dr. Grant Tinsley all about the new analysis of how much "lean mass" is lost with tirzepatide, the most powerful medicine available for weight loss.

Learn:

The difference between fat free mass and lean mass and lean soft tissue and muscle.

If GLP-1 medicines cause muscle loss specifically

How to minimize muscle loss when taking these medicines

Our new study together.

Click here for the tirzepatide paper

...

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February 17, 2025 25 mins

Drs. Karl and Spencer discuss how bad the Hims and Hers ad was.

From an outside perspective, the ad may have seemed good.

But when you dig deeper, it was actually really bad.

Listen to learn.

Join Dr. Spencer's new online clinic - Vineyard.

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February 12, 2025 38 mins

Drs. Karl and Spencer chat with NMN and NAD expert Dr. Charles Brenner all about these supposed longevity supplements.

Learn about NAD metabolism

Whether it's worth supplementing or not with NAD or NMN

Follow Dr. Brenner on Twitter

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Drs. Karl and Spencer chat with Dr. Fatima Cody Stanford all about obesity, genetics, and her appearance on 60 minutes.

Does Dr. Sanford believe lifestyle doesn't matter for obesity?

Find out by listening!

Watch Dr. Stanford's 60 minute clip 

Join Dr. Spencer's Obesity Clinic

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Drs. Karl and Spencer chat about the new Lancet Commission's report on Clinical Obesity along with the new study on high dosed Wegovy. 

Learn:

How 7.2 mg of Wegovy (semaglutide) compares to 2.4 mg

What the proposed definitions of clinical and preclinical obesity are

Click here to join Dr. Spencer's new online clinic

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January 10, 2025 31 mins

Drs. Karl and Spencer chat with Dr. Sowa about her book The Ozempic Revolution.

Learn:

Why she wrote the book.

The top 3 things to know when starting a GLP-1 medicine.

Also hear the top criticism from Drs. Karl and Spencer. You will laugh.

Click here to get the book

If you're on a GLP-1 currently and want to switch to Dr. Spencer's new clinic, Click Here

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December 23, 2024 40 mins

Drs. Karl and Spencer discuss the concept of "microdosing" GLP-1 receptor agonists along with talk about the new top line results from REDEFINE which studied the new drug CagriSema.

 

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Drs. Karl and Spencer chat with Dr. Lauren Colenso-Semple all about how the menstrual cycle and how it should affect your workout programming.

 

Should you change your workouts around your menstrual cycle? 

Find out by listening!

 

Check out her instagram

Read her paper on exercise and menstrual cycles

Read her paper on protein synthesis throughout the menstrual cycle

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Drs. Karl and Spencer discuss the topline results from Surmount 5 which put Zepbound (tirzepatide) against Wegovy (semaglutide) for weight loss. They also discuss some news around compounded GLP-1s.

Learn:

Weight loss and glycemic differences between tirzepatide and semaglutide

What the FDA is thinking for compounded GLP-1s

If you're not on Dr. Spencer's virtual clinic waitlist, click here

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