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Female-Specific Exercise & Nutrition for Health, Performance & Longevity | Dr. Stacy Sims

In this episode, my guest is Dr. Stacy Sims, Ph.D., an exercise physiologist, nutrition scientist, and expert in female-specific nutrition and training for health, performance, and longevity. We discuss which exercise and nutrition protocols are ideal for women based on their age and particular goals. We discuss whether women should train fasted, when and what to eat pre- and post-training, and how the menstrual cycle impacts training and nutrition needs. We also explain how to use a combination of resistance, high-intensity, and sprint interval training to effectively improve body composition, hormones, and cardiometabolic health, offset cognitive decline, and promote longevity. We also discuss supplements and caffeine, the unique sleep needs of women based on age, whether women should use deliberate cold exposure, and how saunas can improve symptoms of hot flashes and benefit athletic performance. Dr. Sims challenges common misconceptions about women’s health and fitness and explains why certain types of cardio, caloric restriction, and low-protein diets can be harmful to women’s metabolic health. Listeners will learn a wealth of actionable information on how to improve their training and nutrition to enhance their health and how to age with greater ability, mobility, and vitality. Access the full show notes for this episode: https://www.hubermanlab.com/episode/dr-stacy-sims-female-specific-exercise-nutrition-for-health-performance-longevity Pre-order Andrew's new book, Protocols: https://protocolsbook.com *Thank you to our sponsors* AG1: https://drinkag1.com/huberman Maui Nui Venison: https://mauinuivenison.com/huberman Eight Sleep: https://eightsleep.com/huberman Waking Up: https://wakingup.com/huberman *Huberman Lab Social & Website* Instagram: https://www.instagram.com/hubermanlab Threads: https://www.threads.net/@hubermanlab Twitter: https://twitter.com/hubermanlab Facebook: https://www.facebook.com/hubermanlab TikTok: https://www.tiktok.com/@hubermanlab LinkedIn: https://www.linkedin.com/in/andrew-huberman Website: https://www.hubermanlab.com Newsletter: https://www.hubermanlab.com/newsletter *Dr. Stacy Sims* Website: https://www.drstacysims.com Books: https://www.drstacysims.com/booksandmore TEDx Talk: https://www.youtube.com/watch?v=e5LYGzKUPlE Blog: https://www.drstacysims.com/blog Instagram: https://www.instagram.com/drstacysims X: https://x.com/summerstack YouTube: https://www.youtube.com/@DrStacySims Facebook: https://www.facebook.com/drstacysims LinkedIn: https://www.linkedin.com/in/stacy-t-sims-phd *Timestamps* 00:00:00 Dr. Stacy Sims 00:02:24 Sponsors: Maui Nui, Eight Sleep & Waking Up 00:07:03 Intermittent Fasting, Exercise & Women 00:12:50 Cortisol & Circadian Rhythm, Caffeine & Training 00:17:25 Reps in Reserve, Rate of Perceived Exertion (RPE); Age & Women 00:21:06 Pre-Training Meal & Brain, Kisspeptin 00:26:45 Post-Training Meal & Recovery Window 00:29:59 Sponsor: AG1 00:31:48 Hormones, Calories & Women 00:34:24 Women, Strength Improvements & Resistance Training 00:39:10 Tool: Women & Training Goals by Age Range 00:44:16 Women, Perimenopause, Training & Longevity 00:47:14 Women & Training for Longevity, Cardio, Zone 2 00:51:42 Tools: How to Start Resistance Training, Machines; Polarized Training 00:58:23 Perform with Dr. Andy Galpin Podcast 00:59:10 Menstrual Cycle & Training, Tool: Tracking & Individual Variability 01:04:31 Tool: 10-Minute Rule; High-Intensity Training & Menstrual Cycle 01:08:36 “Train Hard & Eat Well”; Appetite, Nutrition & Menstrual Cycle 01:12:22 Oral Contraception, Hormones, Athletic Performance; IUD 01:20:57 Evaluating Menstrual Blood, PCOS; Hormones & Female Athletes 01:26:31 Iron, Fatigue; Blood Testing & Menstrual Cycle 01:29:33 Caffeine & Perimenopause; Nicotine, Schisandra 01:34:24 Deliberate Cold Exposure & Women, Endometriosis; Tool: Sauna & Hot Flashes 01:42:19 Tools: “Sims’ Protocol”: Post-Training Sauna & Performance; “Track Stack” 01:49:37 Women, Hormones & Sleep, Perimenopause & Sleep Hygiene 01:52:54 Supplements: Creatine, Water Weight, Hair Loss; Vitamin D3 01:57:21 Protein Powder; Adaptogens & Timing 02:00:11 Pregnancy & Training; Cold & Hot Exposure 02:06:19 Tool: Women in 50s & Older, Training & Nutrition for Longevity 02:09:38 Tool: Women in 20s-40s & Training, Lactate 02:12:18 Tool: What is High-Intensity Training?, Cardiovascular Sets & Recovery 02:17:22 Training for Longevity, Cellular & Metabolic Changes 02:19:30 Nutrition, 80/20 Rule 02:23:30 Listening to Self 02:26:00 Zero-Cost Support, YouTube, Spotify & Apple Follow & Reviews, YouTube Feedback, Protocols Book, Social Media, Neural Network Newsletter #HubermanLab #Fitness #Nutrition Title Card Photo Credit: Mike Blabac - https://www.blabacphoto.com Disclaimer: https://www.hubermanlab.com/disclaimer

Andrew HubermanhostDr. Stacy Simsguest
Jul 22, 20242h 28mWatch on YouTube ↗

CHAPTERS

  1. 0:00 – 13:00

    Intro, Why Female-Specific Science Is Different

    Huberman introduces Dr. Stacy Sims, highlighting her background in exercise physiology and nutrition with a focus on women. They frame the episode around correcting male-centric fitness and nutrition standards and giving women stage-of-life-specific protocols.

  2. 13:00 – 35:00

    Fasting, Fasted Training, and Kisspeptin: Why Women Pay a Higher Price

    They dissect intermittent fasting vs. time-restricted eating and explain why sustaining long morning fasts and fasted high-intensity training are generally harmful for active women. Sims details female metabolic flexibility, cortisol responses, and the role of kisspeptin neurons.

  3. 35:00 – 50:00

    Pre- and Post-Workout Fuel: Protecting the Brain and Lean Mass

    Sims shifts the focus from “calories burned” to brain signaling. She explains how small pre-workout doses of protein (and carbs for cardio) protect hypothalamic sensing, enable higher intensities, and why women’s recovery window for protein and carbs is shorter than men’s.

  4. 50:00 – 1:12:00

    Strength Training Fundamentals, RPE, and Age-Specific Programming for Women

    They define RIR (reps in reserve) and RPE (rating of perceived exertion), outline why women gain strength fast via nervous system adaptations, and map out resistance and high-intensity training priorities for each age band, with a special focus on perimenopause.

  5. 1:12:00 – 1:36:00

    Moderate-Intensity Traps, Orangetheory-Style Workouts, and Polarized Training

    Sims critiques popular group HIIT classes that keep women in moderate intensity, raising cortisol without delivering the hormonal or neuromuscular benefits of true sprints. She clarifies what “polarized training” actually looks like for women.

  6. 1:36:00 – 1:53:00

    Menstrual Cycle Physiology: Follicular vs. Luteal, Ovulation, and Fueling

    They unpack menstrual cycle phases and why population averages can mislead individual women. Sims emphasizes personal tracking, points out that many cycles are anovulatory, and offers pragmatic guidance for training and fueling through the cycle.

  7. 1:53:00 – 2:03:00

    Amenorrhea, Energy Availability, and the Myth that Heavy Training ‘Breaks’ Periods

    Sims dismantles the belief that high-intensity or heavy strength training inherently disrupts menstrual cycles. She traces the cultural roots of this myth in elite sport and clarifies that inadequate fueling—not training itself—is the problem.

  8. 2:03:00 – 2:27:00

    Oral Contraceptives, PCOS, and Menstrual Blood as a Diagnostic Goldmine

    They explore the history and design of the pill, including the ‘fake period’ withdrawal bleed, and discuss emerging research on brain effects and rapid diagnosis using menstrual fluid. Sims also touches on PCOS nuances and athletic populations.

  9. 2:27:00 – 2:41:00

    Iron, Blood Testing Timing, and Caffeine/Adaptogens for Women

    The discussion moves to iron loss with menstruation, strategic supplementation windows, best timing for hormone/lab tests, and sex-specific considerations for caffeine and adaptogens like ashwagandha, tulsi, and schisandra.

  10. 2:41:00 – 2:57:00

    Heat vs. Cold: Sauna for Performance and Hot Flashes, Cold for Specific Cases

    Sims draws on her environmental physiology background to compare cold and heat exposure for women. She recommends milder cold and strong preference for sauna, especially after training, to expand blood volume and improve vasomotor symptoms in midlife.

  11. 2:57:00 – 3:12:00

    Pregnancy, Training, and Safety with Heat and Cold

    They address training through pregnancy, emphasizing maintenance over gains and listening to the body. Sims describes how physiological changes naturally cap intensity and clarifies what is and isn’t supported regarding heat and cold.

  12. 3:12:00 – 3:26:00

    Supplements, Protein Targets, and Food Choices for Women

    Sims outlines her top supplement priorities—creatine, vitamin D3, quality protein, adaptogens, and mushrooms—and discusses eating patterns for sufficient protein, diverse carbs, and mostly plant-based fats, while still allowing flexibility and enjoyment.

  13. 3:26:00

    Life-Stage Protocols: 20s–30s vs. 40s+ and the Magic-Wand Wish

    They synthesize life-stage recommendations: fun, varied training with heavy emphasis on strength and lactate exposure in younger women; and in older women, heavy lifting, sprints, jump training, and higher protein. Sims closes by wishing women could hear—and trust—their own bodies over cultural noise.

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