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Dr. Ashley Dwyer joins Tim Riley to break down how chronic underfueling and overtraining wreck your hormones, what the polyendocrine metabolic ovarian syndrome (PMOS) diagnosis changes about previous PCOS treatment, and what creatine benefits for women actually look like in practice.
Ashley Dwyer went from retail pharmacy to NPC bodybuilding to complete hormonal burnout before she hit 30. Every specialist she saw handed her a prescription instead of asking one question about how she was training or eating. Sound familiar?
Tim and Ashley dig into the real mechanics behind HPA axis dysfunction and thyroid suppression, signs of endocrine burnout that most athletes brush off as just being tired, and why your labs can say "normal" while your body is running on fumes. They cover the four distinct subtypes of PMOS, why carbs and cortisol have a direct relationship your coach probably never explained, and what a legitimate reverse dieting after bodybuilding show protocol actually looks like when it is done right.
If you or someone you coach is under-eating, overtrained, and wondering why nothing is working, this episode has the answers. Subscribe to never miss another episode!
Produced by
Q6 Media
https://q6.media
00:00:00 - Introduction
00:01:55 - College Football and Weight Room Culture
00:07:55 - Retail Pharmacy Life
00:11:15 - NPC Bodybuilding, Orthorexia, and Undereating
00:15:40 - Endocrine Collapse and Conventional Medicine Failures
00:23:00 - Underfueling in Athletes and the Female Athlete Triad
00:28:53 - HPA, HPT, and HPG Axes
00:34:30 - Down-Regulation and Intuitive Eating
00:40:00 - Clinical Intake Process and Reverse Dieting Protocol
00:46:40 - PCOS Reclassified as PMOS and Western Medicine Shortcomings
00:52:15 - The Three Root Drivers of PMOS
00:58:30 - Supplements vs. Foundations
01:04:22 - Three Things, Rant and Rave, and Alternate Careers
01:10:10 - Overrated vs. Underrated and Unsolicited Advice
#CoachEmUpPodcast #DrAshleyDwyer #PCOS #PMOS #HormoneHealth #FemaleAthlete #MetabolicHealth #FunctionalHealth #Podcast #WomensHealth
