Imperfect Progress with Anne Guzman Anne Guzman

Welcome to Imperfect Progress!! We're talking all things KNEE PAIN today with Orthopedic Surgeon Dr. Howard Luks who specializes in sports medicine.



Dr. Luks was Chief of Sports Medicine and Arthroscopy at New York Medical College for over 20 years, where he taught the next generation of Orthopedic Surgeons about the needs of athletes of all ages. 


Inside the podcast I ask the burning questions about:


When you push through knee pain, and when is it a sign to dial it back?
The complexities of inflammation and pain management.
When knee surgery might be necessary and who is a suitable candidate.
Mysteries of joint health and aging. Are your joints really "torn" or wearing out?
Why can some people run marathons well into their 80s, while others struggle with joint agony in their 40s?

Dr. Luks shares insights into the impact of factors like excess weight, diet, and lifestyle on inflammation and joint pain, offering a holistic perspective on the issue.

We explore intriguing new research emerging from GLP-1 drugs like Ozempic, which show promise for alleviating joint pain (this is INTERESTING!).

Dr. Luks provides valuable advice on steps patients can take before considering knee surgery, emphasizing the importance of holistic approaches to joint health.

And finally, we confront the realities of aging and joint pain, discussing how individuals can navigate these challenges while maintaining an active lifestyle.

If you're anything like me, you NEED this episode! Tune in today and embark on this enlightening journey with Dr. Howard Luks, uncovering the secrets to managing knee pain and optimizing joint health.

Have you ever pushed yourself to the limit in a ride or race, only to be held back because you're struggling to breathe? You're not alone - as many as half of athletes face respiratory issues. During this episode of the Imperfect Progress Podcast, Dr. James Hull, a pulmonologist and Professor at the ISEH- the Institute of Sport
Exercise and Health at UCL unpacks what athletes may be struggling with and why a diagnosis can be complicated.

We'll explore the differences between asthma and exercise-induced laryngeal obstruction - EILO - and why the sensations and solutions differ. Dr. Hull shares how misdiagnosis can hamper athletic careers when the root cause goes unaddressed. And how conditions are influenced by factors like local pollution levels and lung infections.

When you listen you'll gain tools to advocate for your own respiratory health evaluation. Proper diagnosis is key to treatment maximizing performance potential long-term. Don't let breathing hold you back - tune in to improve your understanding and keep advocating for yourself with this knowledge in hand.

To learn more from Dr. Hull follow him @Breathe_to_win on X (Twitter). To learn more from me and get updates about podcasts, sports nutrition, and mindset, follow me on X (Twitter) @guzmannutrition, and here on LinkedIn and Instagram.

If you haven't yet subscribed to my newsletter, head to anneguzman.com. You'll get more sports nutrition, sports science, and mindset insights to help you succeed in sports and life. Head to the footer of any page on my website and join over 500 athletes and active people in this curious and driven community today.



Now let's step inside and learn how to breathe easier.

Osteoporosis, the "Silent Thief," erodes bones without a whisper. Whether you're an athlete or just cherish mobility, your bones are partners in every adventure. During this podcast we unveil the secrets of your skeletal strength, embracing aging gracefully and embracing life's potential.

Your bones are always building and breaking down, shaping your strength, agility, and health. Your choices matter: what you eat, how you move, genetics, age – they all impact your bone health.

Today, we dive deep with bone health expert Dr. Lora Giangregorio. She's a Professor in Kinesiology, a member of Osteoporosis Canada's Advisory Council. This isn't a dry lecture, but a practical exploration:


What exercises truly bolster bone health?
Does resistance training work after menopause?
How does yoga fit in?
Can vibration boards really make a difference?
The importance of sports nutrition and energy intake for bones.
And the silent impact of under-eating.


We unravel a DEXA scan's significance, delve into osteoporosis rates among males, and spotlight the power of a holistic bone health approach. Plus, discover valuable resources to fortify your bone training journey.

If you're active and you want to have that freedom to do all of the exercises you love for as long as you live, NOW is the time to pay attention to your bones. Prevention is everything.

You can learn more from Dr. Giangregorio on twitter (now X) at: Giangregorio.

Want to keep learning about sports nutrition, sports science and mindset!? Perfect. Follow me on X (twitter) , IG or LinkedIn and sign up for my monthly newsletter! I dig deeper into interesting topics and leave you with resources to learn more. Just head to Anneguzman.com and subscribe on the bottom of any page.

I love hearing from listeners and newsletter readers so don't be shy! If there are topics you want to hear about, let me know.

To support my podcast, please take a moment and head to my podcast on Apple and give this podcast a 5-star rating if you love it or any other episode! Please leave a review. It takes 2 minutes and can make a HUGE difference in getting my podcast out to more listeners. Thanks in advance I appreciate you! Please share this episode with family or friends who can benefit. Trust me, most people need to learn about bone health! It's not making front pages of the news!

Until next time, remember, all progress is imperfect. Ride the waves when they come and keep moving when you are facing adversity. Trust that the universe gives you what you need. Everyone struggles. Don't believe social media. YOU DO YOU and know that I am rooting for you. Thank you for being part of this community.

Pro cyclist Haley Smith is no stranger to the cycling world. She's a force on two wheels, and vulnerability and her willingness to share her inner struggles is a super power in and of itself.



If you struggle with confidence, are always comparing yourself to others, and obsess about watts per kilo or data, listening to conversation is guaranteed to help you loosen your grip a bit and enjoy the process of sport more. And isn't that the point of it all?



During this powerful conversation Haley lets us into her mind as we unravel and discuss how she:




Survived anorexia
Builds confidence
Measures progress
Uses data in training
Plans to use her Sport Psychology degree
Practices mindfulness
Changed her mindset about watts/kilo
Came to realize that she is ENOUGH
Manages comparison to competitors
Sets process goals and what they mean to her



I've been waiting for this conversation because I knew it would be meaningful, helpful for others and authentic. I know that every athlete, coach, parent and person can take something away from Haley's insights that will help them to shift their process in sport and their mindset, tipping it towards a more positive direction.



Understanding more about how Haley thinks makes it easy for me to understand why she's crushing. A big part of that is that she's found JOY in the process and sees beauty in the sport of cycling. You can follow Haley here.



Before you jump in, if you would like to support me and this podcast, please take two minutes now and head over to Apple or Spotify and give my podcast a rating, leave a comment about what you thought of the episode! THIS REALLY HELPS PUSH THE PODCAST OUT to more listeners.



I do this podcast to share quality information and conversations and I want as many people as possible to hear these important messages. THANK YOU IN ADVANCE!



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IG: ⁠⁠⁠@guzmananne⁠⁠⁠ and ⁠⁠⁠@imperferctprogresspodcast ⁠⁠⁠Twitter: ⁠⁠⁠@guzmannutrition⁠⁠⁠ 

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Thank you for being a part of this amazing positive community and thank you for listening. Share this episode on your favourite social media platform and tag me! I love meeting listeners from across the world.

Are you tired of the frustration and disappointment of struggling to follow through on your habits? Have you ever experienced the pain of starting a new routine only to find yourself skipping days or abandoning it altogether? It's a disempowering cycle that leaves us wondering why we can't stay on track.

During this podcast episode, I've had an enlightening conversation with renowned Neuroscientist and Psychologist Dr. Scott Frey.

Join us as we dive deep into the realm of limiting self-beliefs and discover powerful tactics to help you finally break free from the cycle of unfulfilled habits.

It's time to follow through and reach your true potential by beginning a transformative journey of habit-building success.


Embark on Dr. Frey's captivating journey as a neuroscientist shaped by his upbringing by his incredible single mother who lived with Multiple Sclerosis. Dr. Frey's story is inspiring and a huge reminder that we can overcome self-limiting beliefs, create new habits, and intentionally change our lives.



When you listen today you'll learn about:




Overcoming obstacles with specific tactics for habit formation.
Strengthening neural pathways to achieve your goals.
Breaking free from self-limiting beliefs: and understanding the danger of absolute statements.
Unveiling the power of imagery in the mind.
The differences between the flow state of cycling and running and intentional meditation.
Harnessing the power of your environment to stick to your habits.
The science behind stroke recovery and learned disuse.
Fascinating insights into the brain's adaptation after limb loss.
The 30 day deal we made LIVE together to keep one another accountable!
How you can connect with Dr. Frey and his new business to learn about his coaching for transformative results.

This conversation moved me. It takes many different turns, and there's much to act on after you listen.

You can learn more about Dr. Scott Frey and his business Cerebral Performance here.


If you'd like to support me in my mission to amplify and translate science to active populations like you, please head to my podcast where you listen and give it a 5-star rating!  I would be super appreciative! This moves it up on the rankings, and this means MORE PEOPLE GET CREDIBLE SCIENTIFIC INFO! You can find it here on Apple or here on Spotify.


If you're here listening you have a hunger for knowledge! There's more to learn from my monthly newsletter. Visit Anneguzman.com, swiftly scroll to the bottom of the page, and seize the opportunity to subscribe to my exclusive monthly Performance Hub Newsletter. Join an elite community of 500+ passionate athletes, practitioners, and coaches who stay ahead of the game by embracing the latest sports science insights every month.

Your voice matters too! Share your desired topics, and I'll curate content that truly resonates with your interests. Email or message me about what you're keen to learn. Become a part of this transformative community today. I look forward to seeing you in the community.


Follow me on my social platforms to keep learning and being inspired to be your best. Like what you're learning and hearing? Tag me! IG: ⁠⁠⁠@guzmananne⁠⁠⁠ and ⁠⁠⁠@imperferctprogresspodcast ⁠⁠⁠Twitter: ⁠⁠⁠@guzmannutrition⁠⁠⁠ LInkedIn: ⁠⁠⁠AnneGuzman ⁠⁠⁠TikTok: @guzmananne.



And with that, let’s jump inside the podcast and build some lasting habits!

How can under eating, over exercising, high stress events and losing your period as a result, potentially contribute to poorer heart health? The science is surprising and it isn't being talked about enough. My guest today sheds light on all of these. It's important information that's not getting out to many athletes and coaches.

Today’s guest Dr. Chrisandra Shufelt is an expert in women’s heart health and menopause, Dr. Shufelt is Professor and Chair of the Division
of General Internal Medicine, Senior Consultant at the Mayo Clinic Women’s Health, and Associate Director of the Women’s Health Research Center at Mayo
Clinic in Jacksonville, Florida. Dr. Shufelt is awomen’s health internist with fellowship training in vascular biology and women’s health and a certified
menopause practitioner. She’s the immediate past president of the North American Menopause Society where is now on the board of trustees.

Her NIH-funded research focuses on young women with hypothalamic amenorrhea evaluating the impact on immune and vascular health.

During this podcast we discuss:


The effect of early and late onset of a female's first period on future heart health.


How losing your period from over exercise, under nutrition or high stress events could impact bone
health.


 How estrogen impact vascular health and how this can impact your performance as an athlete.


Early and late menopause, hormone replacement guidelines and considerations.


Hormone replacement for bone health in young female athletes with amenorrhea.


Prevalence of amenorrhea in athletes.


Estrogen throughout your lifespan and how this relates to heart health.


Dr. Shufelt's NEW STUDY and how to join because she is recruiting athletes NOW.



There's so much to learn in this episode. EVERYONE should listen, male or female, coach, parent or athlete.

To learn more about Dr. Shufelt's study (women 18-40 who have missed more than 3 periods in a row due to stress, over exercise or under nutrition) call the study coordinator at this number: 904-953-9805.

You can follow Dr. Shufelt on twitter here: https://twitter.com/cshufeltMD

If you're here listening you're hungry to learn, whether it's for health, performance or both. That means you should head over to Anneguzman.com, scroll to the bottom of the page and subscribe to my monthly Sports Science Minute newsletter! Join 500+ athletes, practitioners and coaches who are learning the latest in sports science monthly. Have topics you'd like to hear about? Email me!


Follow me on my social platforms to keep learning and being inspired to be your best. Like what you're learning and hearing? Tag me! IG: ⁠⁠@guzmananne⁠⁠ and ⁠⁠@imperferctprogresspodcast ⁠⁠Twitter: ⁠⁠@guzmannutrition⁠⁠ LInkedIn: ⁠⁠AnneGuzman ⁠⁠TikTok: @guzmananne.

If you'd like to support me in my mission to amplify women in science and translate science to active populations like you, please head to my podcast where you listen and give it a 5 start rating!  I would be super appreciative!



And with that, let’s jump inside the podcast!