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The Rich Roll Podcast · April 27, 2026 · 2h 9m

What We're Still Getting Wrong About Women's Health & Fitness: Dr. Stacy Sims Live

Dr. Stacy Sims

Dr. Stacy Sims joins Rich Roll for a live audience episode to challenge conventional health and fitness advice for women. Drawing from her expertise in exercise physiology and nutrition, she argues that fasting, excessive cardio, and calorie restriction can be detrimental to female physiology. Instead, she advocates for heavy resistance training, eating in a fed state before and after workouts, aligning meals with circadian rhythms, and reframing perimenopause as a phase of opportunity rather than decline.

This summary was generated from show notes and public descriptions, not from a full transcript review. Details may contain inaccuracies.

Canon

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Women Are Not Small Men
Dr. Sims reinforces her foundational mantra that female physiology demands distinct health and fitness protocols, not scaled-down male advice.
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Novel

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Fed-State Training Aligns with Female Hormonal Physiology
Training with pre- and post-workout nutrition supports muscle protein synthesis and hormonal balance in women, contrary to fasted-training trends.
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Highlights

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Why Fasting and Calorie Restriction Can Backfire for Women
Sims explains that intermittent fasting and low-calorie diets can spike cortisol in women, especially during perimenopause, leading to increased belly fat and metabolic slowdown.
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Heavy Lifting Is Essential for Female Longevity
Sims advocates that women should lift heavy weights to build bone density, preserve lean mass, and improve insulin sensitivity.
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Perimenopause as an Opportunity Rather Than Decline
Sims reframes perimenopause as a critical window to reassess health protocols and emerge more robust.
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