Postpartum University® Podcast

Why Women NEED Fat - The Truth About Hormones & Weight Loss | Dr. Beth Westie EP 211

• Maranda Bower, Postpartum Nutrition Specialist

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Postpartum weight loss isn’t what you think it is.

We’re pulling back the curtain on one of the most misunderstood and misrepresented topics in postpartum health: women’s weight. Dr. Beth Westie is here to set the record straight and blow your mind. If you’re a provider still talking about “getting your body back” or encouraging calorie restriction after birth—stop what you’re doing and listen in.

In this episode, we talk about the difference between healing and shrinking, why the weight loss industry fails postpartum women, and how most “health advice” is based on studies done on men. You’ll hear how under-eating, fat restriction, and stress can derail hormone health for years, and why functional medicine and body literacy are the future of postpartum care. This is a conversation every provider needs to be part of.

Check out the episode on the blog: https://postpartumu.com/podcast/why-women-need-fat-the-truth-about-hormones-weight-loss-dr-beth-westie-ep-211/


Key Time Stamps: 

00:00 – Intro: Breaking the postpartum weight stigma
 01:11 – Meet Dr. Beth Westie and her work in hormone-based healing
 02:00 – Differentiating real support from toxic weight loss advice
 04:36 – The male bias in nutrition, fitness, and medical research
 08:25 – Why postpartum women need more fat, not less
 12:23 – The role of stress, depletion, and unmet needs in healing
 16:30 – Why most OBs aren't trained in hormones or root cause care
 19:04 – Hyperthyroidism, nutrient deficiencies, and missed diagnoses
 27:15 – The normalization of postpartum dysfunction
 28:48 – How we shift from symptom acceptance to real prevention
 29:32 – Dr. Beth’s work in hormone testing and functional care
 30:49 – Where to find Dr. Beth + bonus podcast episode link


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Speaker 1:

The postpartum care system is failing, leaving countless mothers struggling with depression, anxiety and autoimmune conditions. I'm Miranda Bauer and I've helped thousands of providers use holistic care practices to heal their clients at the root. Subscribe now and join us in addressing what modern medicine overlooks, so that you can give your clients real, lasting solutions for lifelong well-being. Hey, hey, everyone, welcome to the podcast. I have Dr Beth Westy here. She is the author of the bestselling book the Female Fat Solution, the creator of the 12-Week Female Fat Solution Challenge and Eat for your Cycle Method and the host of the Female Health Solution Podcast so many things. She has made it her mission to change the way women view their health. She's traveling the country to educate and empower women to take their health into their own hands so that they can use nutrition to help women work with their natural cycle of their bodies to achieve lasting weight loss results.

Speaker 1:

I am so glad that you are here and we're having this conversation because, I will tell you, it's probably one of the hardest conversations that I feel like I have, because we're talking about women and weight loss, which is like this societal stigma. There's so much pain behind it. We have all of this pressure, and so usually, when I approach this, I'm like nope, nada, I'm not having this conversation because we're just contributing to that. But you're not doing that and I want to talk to you a little bit about how are you differentiating your content so well so that you're not adding to that stigma, but rather supporting the mothers who just need to be supported and what it is that they want, which is totally normal and fine.

Speaker 2:

Yes, yes, I first up, thank you, thank you for having me here. Like I love talking about this stuff and I love deep diving into this because this is, I feel like, such an important conversation because of, just like you said, the stigma around it. I feel like we're brainwashed, almost you know to to think, oh, this is going to happen to my body at this age, or this thing happens, or this celebrity bounced back, blah, blah, blah, and it's like, oh, this is going to happen to my body at this age, or this thing happens, or this celebrity bounced back, blah, blah, blah, and it's like, yeah, that celebrity has a nanny, a chef, a trainer that come to her house, like, like, come on, and that's not a normal response. So when I talk about you know, especially like the title of my book, the Female Fat Solution it's talking about how our body composition is, how we're built, how we're meant to work and function. And when women feel like something's off I've gained weight and my hormones are off so often they're only told to focus on we'll just lose weight, lose weight, lose weight, lose weight. Then everything else will fix itself. And really, especially for the female body, our body composition is a response to our hormones, our stressors, everything else. So we approach it in a very different way.

Speaker 2:

Where and again after having kids or at different points in your life with different stressors, things like that, your body can shift and change to adjust to what's going on in your environment and that's normal. So not to think of it like, oh, I had three kids, I should still fit in the same pants I wore in high school. It's like your bones weren't even done growing in high school. You know it's not the same and it's okay that it's different. And to embrace yourself at your healthiest body, when you feel the best, when you feel most vibrant. That's your new body that you live in and that's that's a good place to be in.

Speaker 2:

And then for women as well, right, like it's not just having kids and going through that process and everything else. Then we go through a whole other process perimenopause and menopause right, where your body's going to change again. So to acknowledge there's this whole section in my book where I call it the seven bodies of Eve, acknowledging the different bodies that women live in throughout our lives. And to understand that your body physically will change and that's an okay thing to have, right, and it's designed that way on purpose you know, Just hearing you talk, I did not intend on asking you this question, but this just came up.

Speaker 1:

Like what, if all of that we know about weight loss was really just there for men weight loss Like? Is that real? Is that a thing that all of these dietary plans and you know fad diets where they built for men? Yes, Not women?

Speaker 2:

Yes, A hundred percent. A hundred percent there's, and what's funny is that I've gotten in. This is in the past. I don't do those as much anymore, but I used to get in like online arguments with people you know in the comments.

Speaker 1:

So easy to do, so easy to get. You just have to exist in today's world.

Speaker 2:

Right, and I would have. I'm going to throw out a stereotype here. Like dude bro, trainer, like it's calories in, calories out. This is how it works. Blah, blah, blah. I'm like, yeah, for a male, because you have the same hormones every 24 hours. Super easy, right. There's a couple of great books that I always love to reference Whenever we start having this conversation. I'm like, if you want to deep dive on it, the book Doing Harm by Maya Doonesbury and then the book Invisible Women. Those two the doing harm is specific to medical and then to medical stuff and research and the pharmaceutical research and all that stuff and how it's done mostly on men. It's still done mostly on men. All those other things, even medications that are designed for women, testing is done on men.

Speaker 1:

Why those are incredible books. I love them. I was obsessed with them. I talked about those books for six months after reading them. Yes, yes.

Speaker 2:

No joke, it will. It will really. But it's the same thing when we talk about exercise and nutrition and weight loss and that whole thing, they. So there was, um, a gal I worked with and she was like well, my trainer told me I need to take these supplements before and after I work out and that I should see this amount of fat loss in this timeframe because that's what this research has shown. And I was like, send me the research, I'm going to read the study, like I. You know I have science background.

Speaker 2:

I spent a lot of time reading research and studies and things like that. So I went and found the origin of the study of when they tested, tested these, you know, products like before and after workouts to get you to fat burning, and all that stuff. I was like, oh, you realize that they tested this on division one male college athletes between the ages of 18 and 22. And they did it for like three weeks. So they did like a body fat percentage. They had them take these supplements and then they tested them again afterwards and they said, oh, they lost 5% body fat because of these supplements.

Speaker 2:

And I was like you are a 48 year old woman who is in perimenopause. It is not going to work the same for you. So you're not doing it wrong, you're not screwing up, you have. You have a different body right and different stress levels and everything. So of course all that stuff is not going to. It's not going to be the same. I'm not saying it's wrong to do, but to have the same expectation that I should lose that much body fat in three weeks Nope, right it's. You can't measure your success using someone else's ruler.

Speaker 1:

Would you say that women's bodies require more fat in order to function well than a man's?

Speaker 2:

A hundred percent. Oh, a hundred percent. That's a baseline when you talk about minimum body fat percentage and this has been true and people don't realize the male body can get down to 4% body fat and still function really, really well, right. But for women, if you get below, what happens Like your period can stop. It disrupts your entire endocrine system and your body goes into a survival mode. And there are some women who are in that restrictive state for so long that it can cause lasting damage on their organs and hormone production.

Speaker 1:

Okay, let's talk about this because this is something that I see so frequently, especially in postpartum, where it's like, okay, I got to get my body back, I got to lose the baby weight, right, we see and hear all of those terms quite regularly, and so one of the first things that they do is they start restricting their diet and, of course, fat has always been, you know, considered, the thing that makes you fat. I think for a lot of people that still exist and a lot of people still not take in the amount of fat that they need, especially during these diets. Then lots of things happen. There's a cascade effect of negative symptoms that occur. So let's talk really quickly about, like, what happens when a woman, particularly in the first several months or maybe in even the breastfeeding years maybe she's not breastfeeding and she's, like, in the first couple of years postpartum, what fat is she needing in order for her body to function? And then what happens to her when she doesn't get that I know, huge question.

Speaker 2:

Yeah, I love this. I think there's a lot of factors that go into this, so I'll talk about some of the, I'll say, generalized nutrient recommendations or things to think about for yourself specifically. But the other thing that I want to mention here is especially the female body's response to stress and how our, how our hormones change, our nutrient levels are going to be different, and what our body requires with stress Now, birthing another human and however that fashion happens for you, stress, right. And then the postpartum experience and what type of support do you have and you know are? Is it? Are you having your first or your fifth babe, right, like what's you know are? Is it? Are you having your first or your fifth babe, right, like what's? You know what's going on in your life that? Do you still have the same amount of support to have a good postpartum?

Speaker 2:

I mean, I did a talk at my alma mater recently and I said that one of the biggest things I see is that in other cultures women will be so supported after birth and we are just not here Like. There's cultures where they women give birth and they lay in bed for 40 days, four zero 40, over a month. You're in bed, you get up to bathe and go to the bathroom. You have food brought to you, the baby's brought to you, somebody else's changing the diaper. You hang out, you feed the babe, you hand it off. You know 40. Do you know anybody that's had that like in real life Do?

Speaker 1:

you know anybody that's had that like in real life Only in other cultures? Because I have relentlessly studied anthropological, yeah, it's, it only happens elsewhere. And you look at, like the studies of women in, say, malaysia who have depression rates of like three percent because they take care of their bodies and have these rests and they have a government that supports them and paid leave and like all the things Right. Yeah, Amazing, like we have the answers. Yeah, we do, we really do.

Speaker 2:

Yes, it's just this like. So I really think that that's a big part of this. I really really do so. But in our Western world here then, how do we navigate that? How do we? Whatever, and I'm going to just say this up front, I was no better. I was in graduate school when I had my first two kids and I was back in classes two weeks later after C-sections, like I. So I wonder why I was so nutrient depleted or struggled so much.

Speaker 1:

I think we can all. We all have those stories right, like whether by choice or whether we felt like pushed right Because there's a lot of women out there who don't have a choice, they have to return back to work or whatever it is that they're doing Right. I think we all have those stories on some level where we feel like we were pushed into, you know, the system and not able to rest and recover as we should have. Yeah, yes, so.

Speaker 2:

so, with that in mind and getting enough healthy fats and an overall nutrients, a big piece of it also is that being pregnant and the hormones and everything that shifts and changes in your body, body composition changing right, your body fat percentage is going to go up and a lot of times, just because you're strength I mean you can still be active, lift weights, all that stuff while you're pregnant.

Speaker 2:

It's just not going to be a main focus for your system, if you know what I mean, right? So it's very normal for women who are, I'll say, generally active and they work out and they're like, yeah, I feel like my strength has come down or just, especially during the third trimester, not being able to do certain physical exertion that they could before, which means your muscle mass goes down and that body fat percentage goes up, naturally. So then postpartum it's a slow process to, because the female body doesn't build muscle as quickly as the male body does, it doesn't repair, it doesn't all that stuff. And again, if you're nursing, if you're all this other stuff, it's not going to be a main priority again, which is okay. But then give your brain the timeframe of of. You know people say year in, year out for a kid right. I mean at least, if not more.

Speaker 1:

really it's two right, it's the amount of fat that the brain needs to complete its rewiring process, which takes two solid years, is massive, just that alone. So like that mom brain, which I fully believe never ends, ever. My oldest is five. I don't think that ever goes away. I've talked to so many moms like, and I am. I am a huge proponent of nutrition and the best health and of course, I am in no way shape, form or fashion perfect in anything that I do. But like it's a thing, right, but at the same time, like it was so much more in those first two years, right, which was a biological, normal response to having a baby and just simply needing more fat. I, okay, response to having a baby and just simply needing more fat, okay, I really want you to tell everybody, like, what kind of doctor you are and did you ever, in your training as that kind of doctor, get any sort of female hormonal health education?

Speaker 2:

Yeah, so I'm a chiropractor by training, that's what my doctorate is in and then I also did a program for acupuncture and Chinese medicine. So I'm licensed in acupuncture and Chinese medicine and that is where I did all of my extensive training, work in female hormones and everything else, and then also with the functional medicine training that I have. So I'm also a functional medicine practitioner, also with the functional medicine training that I have.

Speaker 1:

So I'm also a functional medicine practitioner, so one of the things that I that I normally see, and I see quite frequently, is like this expectation that especially obese, right At that six week checkup that we're just going to, they're going to have that information, they're going to know about female hormones, they're going to know about our pelvic floor, they're going to know about a perinatal mental health, and it's like y'all you have to understand that that is not part of their training. They are not trained for that. They are trained for acute postpartum care within the first couple of days. Nurses are as well like postpartum nurses. They have your back and can help you in those first couple of days after having a baby. Outside of that is not within their scope. Yeah, at all.

Speaker 2:

A hundred percent. A hundred percent and this is something and I'll share this as a like anecdotal story that goes along with this that a lot of times people think my OBGYN, they see this all the time, this is what they trained in women, hormones, all that stuff. They are looking for the big bad things, right? They're not looking for let's get you functioning at your best, let's get you feeling better, functioning better. All those basic things, nope, they are looking for like are you bleeding out or are you able to actually survive? If you are breathing and have a pulse, you're good to go see you later, right, it's so different. So my first kid, when I went in for my six week checkup for everything, they took a look at me and I had a C-section. He was a breach and I had some other complications. So I had a C-section, they checked me, they checked all the things. They were like oh, you look, you look good, you know how are you doing? And I was like I am really tired. I'm like I'm like really tired. And they were like well, is he sleeping? I was like he's, he's a good sleeper, he's a good eater, he's like off the charts for height, weight growth. All the things were fantastic with him. I was like, but I'm really struggling. And they're like well, you're a new mom, that's normal, you know, that's normal, that's fine, okay, okay. And then I went in to get adjusted. It was literally like two days later and I was actually at the student clinic at my school it was because I was still a student there and I went in with my son and his little carrier and I walked in and, on my way in, like, so I parked the car and I've got to bring him in his the baby carrier into the clinic. I had to stop halfway to put him down Cause I couldn't. I was so fatigued when I say tired, like I was physically fatigued I couldn't carry him and I've been an athlete my whole life. I did it like lifting weights, all this stuff I worked out through my pregnancy, right, I was so exhausted so could not even carry him 30 feet without having to stop and put him down.

Speaker 2:

I get into the clinic, they check me in, they look at stuff, right, they're talking about things, you know and then they ask me the same question like how are you feeling? You know, and I was like I'm just real fatigued, I'm real tired, but they continue to ask more questions how tired? Is this different than before? What are your other symptoms? Do you have dry eyes? Do you have like dry skin anywhere? Do you have this, this and this?

Speaker 2:

And they started asking questions about my diet, nutrition, all these things. Then they sent me for a blood panel immediately. They were like something's wrong If you can't walk from the car to the clinic without putting him down, something's wrong. Or they were like oh yeah, because the other um, I had lost all my baby weight by six weeks. That was another thing. My OB was like great job, that's what she told me, great job.

Speaker 2:

And at the other clinic they were like you, you're like like literally two pounds from your pre-baby weight. Or like huh, huh, okay, let's, let's take you for some labs right now. Like go upstairs to the lab, get blood drawn, and then you know we'll run the labs the next day. My labs cause. They were like are you iron deficient? Is something wrong? Right, they did a whole panel of things. I had hyperthyroidism. My thyroid went completely kazoo, which is why I lost the weight, which is why I was so fatigued. I my hair was falling out like crazy. But again they were saying oh, it's postpartum, this is normal. You're a new mom. Of course you're going to be tired.

Speaker 1:

Isn't it so crazy that we we say things like that and I, you know, having those initial skills of like or not initial, like those important skills of like, are you bleeding out? You know those very specific like. That's the traditional, and not even traditional I'm going to that ER. Right, if there is a major infection that I am not able to fight at home, we're going to the ER. There's emergency scenario in which I'm going to show up and receive that kind of care, but the long-term care, the, the care that's going to help us keep us healthy, has to come elsewhere, or at least from a provider who said, hey, I want to provide this and so, therefore, I'm going to go get that additional training so that I learn these things and that I'm not just, you know, practicing this in a way of modern medicine, because it doesn't work in that, in that way whatsoever. Yes, it's a crazy experience. I will tell you that after my I don't even remember was it second or was it third, I think it was, I think it was second after my second Yep, um, I, uh, right around the seven month mark, I hit 82 pounds, and I had no idea, cause I am, I've always been like a super tiny person in my life, always very, very tiny. Like the only times that I've ever broken a hundred pounds, so just for reference, um, was because I was pregnant, right, just like itty bitty tiny person. And so I've never kept a scale in my like it was just never a necessary thing for me and because I had always beaten myself up. I've spent, you know, all of my high school years trying to gain weight right and trying to, and I was like no, never am I going to have a scale to gain weight right and trying to, and I was like no, never am I going to have a scale. So I had no earthly idea until my body, like was literally I say literally internally, literally falling apart, Like things were just not functioning and my guts were inside out, as at least they felt like it was, when I was diagnosed with ulcerative colitis and all of these things because of postpartum and so many things where people were saying, oh yeah, it's just motherhood, oh yeah, like, yeah, you're going to feel crappy. Yeah, your hair's going to fall out, yep, yep, yep, yep, you're tired. Of course, yeah, you know, I got all of these food allergies after having a baby too. Like totally normal. I feel you sucks, you know. And so this idea that was reinforced over and over and over again.

Speaker 1:

It wasn't until I went to my daughter got sick and I ended up having to take her in because she was struggling to recover to her provider. And her provider looked at me and was like no, no, no, no, no, no, no, like something's up. When was the last time you had tests and I was like tests, what do you mean? They said. They said I was okay and she was like uh, no, no, we should get you in. I was like okay, I'll do it, yeah, whatever you want. You know, every abnormal test coming back, I was so depleted, I was so deficient, I was anemic.

Speaker 2:

I would like everything, everything anemic, all those things, right, I had a horrific thyroid storm, right. And how did these things just like happen and I want to say, almost go unnoticed for so long, right, like. Just my theory on this right is that it goes back to the like what we talked about earlier with the weight loss stuff, or like expecting us to like bouncing back or all these things, restrictive things, and I'm going to call it being brainwashed by a lot of these messages. Growing up, you know magazines, tv shows, movies, the way people talk, the way people you know in your family might say things about your body or how you look or whatever that are not helpful. And then we lose touch with how we should be feeling about ourselves and really understanding Because that's one of the number one things that you know when I do hormone testing for women at all different stages of their life, they're getting a hormone, they're getting a urine test for hormones, because they either have gone in, already gotten a blood panel and their results were normal, right, and or they've been like, yeah, you don't need it, or I think you need an anti-anxiety med.

Speaker 2:

I don't think it's your hormones, I think you need an anti-anxiety med. I don't think it's your hormones, I think it's. You must have anxiety, you know, or something, or depression, and they're searching for an answer. Yeah, and we see it on a Dutch test versus you know anything else. But it's because we doubt ourselves and so we're looking for, like like there's something wrong. There's got to be something wrong. I don't feel right. No matter what I do, I can't shift and change it. All this stuff like what the heck is wrong with me and it plays with your mind, because then you feel kind of nuts, you know, because you're not, you don't trust yourself almost. But we've not been told, yeah, we've been not told to lean into that, we've been told to like, ignore that. No pain, no gain. You know, brr, sweat is fat, crying brr.

Speaker 1:

You know, for me too. I mean, my first kid I had 15 years ago and any conversation around postpartum was fairly taboo. It wasn't something that you said. You did not talk about postpartum, and I remember this specifically because I went a little crazy, because I started to discover all of the things that I thought I knew about postpartum. Because I was to discover all of the things that I thought I knew about postpartum because I was in deep postpartum depression and anxiety. And then I was like, reading things online, I was like what do you mean?

Speaker 1:

So many women experience depression, like this is just, and it was very much like this is how it is. Go to your provider, get your pills, get your therapy. And I was like okay, okay, but so many women experience this and like why do I feel so alone? So I became that crazy person who would go like I'd see another mom in the grocery store and I'd be like hey, hey, like you have a kid, like look, we've got a kid, a kid right. Like you got a kid, I got a kid. Cool, how are you? Are you feeling okay? Like, are you feeling like nuts? Like I'm feeling nuts and they would like me. Like, okay, can I have this conversation Are you sane, right. And then it was like, yeah, I feel insane, like I feel crazy and I, this is happening and I I'm going through this depression. I think it's depression, I don't, I don't even know, right, and like it was, it was so eyeopening for me and so I think 15 years ago, like nobody was having these conversations, they were very taboo.

Speaker 1:

And now we live in a world where it's like everybody's having the conversation about postpartum, but it's all about and this is the stage that we're in right, the pendulum swings. And now we're talking about, yeah, everybody loses their hair Depression and anxiety so popular it's, you know, normalized to feel anxiety. And normalized, you know, we've normalized is what we've done. We've normalized all of these symptoms. Yep, your hormones are out of balance. Yep, your thyroid is probably gonna crap out on you, and guess what Everybody's does.

Speaker 1:

Because we're all talking about it and this is super important and again, these conversations are so necessary. But it needs to move into wait a second, we're all experiencing this and we've recognizing that we're all experiencing this. Now we have to move into how are we going to stop this from happening, because, guess what? It's actually not normal. And so in our, in today's world, it's normal, right, and 15 years ago it was taboo.

Speaker 1:

And so now we have to shift the conversation and continue talking about it, like not end the conversation, but start the conversation of how are we going to make this better, how do we prevent this from happening in the first place?

Speaker 1:

What? What can we do for providers to give them the education? What can we do for moms to ensure that they don't even get to this place in the, you know, in the first place? And those I feel like sometimes I'm like always like 10 to 15 years ahead of the game, just as I was, like you know, having those taboo conversations at the grocery store.

Speaker 1:

And now it's like you know, I'm having those conversations and there's a lot of people who are like you're crazy, you can't see things like that. And then, you know, there's people who are listening in here and people like you who are like nope, these are the conversations that we're having and I think the tides are shifting, where the pendulum is swinging. We're moving into that direction, albeit slow. We'll be there in 15 years and then I'll be thinking of something else, right? So, yeah, yeah, it's a crazy thing, but I I'm so grateful for all of the work that you do and everything that you have shared here and your experiences and all of that and you do an amazing amount of work for moms. Can you share a little bit about what it is that you do and where people can find you?

Speaker 2:

Yeah, yeah. So I work with people virtually all over the world and we do a lot of hormone testing, which is a Dutch test it stands for dried urine test for comprehensive hormones and then make natural recommendations off of that. Sometimes it's nutrient recommendations, supplemental exercise, lifestyle changes all those things that really help your body function better so you can get back to feeling like you at whatever stage of life that you are in. And we'll also do like GI mapping, some other testing like that as well, but that's our real main focus. I have a team of doctors that I work with and, yeah, you can find me on the interwebs. You know website drbethwestiecom and you know Facebook, instagram, youtube, tiktok it's all Dr Beth Westie.

Speaker 1:

So yeah, beautiful. And of course, we are going to have all of that linked here as well, and we did a podcast episode for your podcast as well. So I am on your podcast, you're on my podcast, so check in, because she has a podcast as well. It's absolutely amazing. And then we have a completely different conversation over there. So if you love this, go take a look at that as well. We'll make sure to link that in the comments or in the show notes for you as well.

Speaker 2:

So, yeah, perfect, yeah, in the comments or in the show notes for you as well. So yeah, perfect, yeah, thank you again. There's so many things right.

Speaker 1:

I know so many pieces. Well, I appreciate you so much. Thank you again for for being here. This has been amazing.

Speaker 2:

Yeah, thank you for having me.

Speaker 1:

Thanks so much for being a part of this crucial conversation. I know you're dedicated to advancing postpartum care and if you're ready to dig deeper, come join us on our newsletter, where I share exclusive insights, resources and the latest tools to help you make a lasting impact on postpartum health. Sign up at postpartumu the letter ucom which is in the show notes, and if you found today's episode valuable, please leave a review to help us reach more providers like you.

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Maranda Bower

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