The Diary Of A CEO with Steven Bartlett

Podbit · The Diary Of A CEO with Steven Bartlett

Women’s Fitness Expert: What You NEED To Know About Dieting & Exercise | Dr. Stephanie Estima

Explore episode Jun 29, 2026
Health & Fitness
The Truth About Cortisol Spikes and PCOS

Women’s Fitness Expert: What You NEED To Know About Dieting… · Jun 29, 2026 Health & Fitness

The fear of cortisol spikes during HIIT is misplaced. Cortisol rises during all forms of intense exercise — including strength training — because it's the mechanism that enables effort. For women with PCOS, both zone 2 cardio and high-intensity sprint intervals improve glucose disposal, making both valuable tools rather than threats.

Where this was said

Are Cortisol Spikes Really A Problem?

At 58:12 · chapter starts 56:47

Dr. Estima offers a practical perimenopause tip: on nights with poor sleep — common during hormonal transition — doubling the creatine dose to 10 grams helps restore alertness and cognition, because creatine struggles to cross the blood-brain barrier in smaller amounts. Protein shakes are treated as a convenience tool for travel and dietary gaps, not a daily staple. The cardio conversation reframes the entire paradigm: rather than something done to 'burn off' food or get smaller, cardio should be approached as an investment in healthspan and lifespan — training for the decades ahead, not the Instagram post of today.

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