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Midlife Mayhem

Midlife Mayhem

By: joanne lee cornish
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Welcome to Midlife Mayhem, where we embark on an empowering journey through the world of midlife body composition transformation. In this space, we challenge the misconceptions surrounding aging and redefine what’s possible for those navigating the exhilarating terrain of midlife and beyond. Join me as we explore the science, mindset shifts, and practical strategies that can help you sculpt the body of your dreams, proving that age is no barrier to achieving peak vitality and confidence. Whether you’re seeking to shed excess weight, gain lean muscle, or simply feel more vibrant, this podcast is your trusted companion in the pursuit of a healthier, stronger, and more resilient you. Welcome to a new era of limitless possibilities in midlife body transformation. ”Hi I’m Joanne, and I have been coaching body composition for over 30 years. I’ve worked with household names that you know, and I have worked with thousands of people in my group coaching programs. I was a pro bodybuilder in the 90’s with a top 10 physique in the world, but I only knew how to be in shape and out of shape. That frustration led me on a fascinating path of self-study where I found all the answers I could have asked for and more. But I had to dig for the answers, and I have my own ideas on why those answers are not mainstream and why the weight loss industry fails you, but I will save that for a Midlife Mayhem episode. Author of ”When Calories & Cardio Don’t Cut It”New podcast weblogCopyright 2023 All rights reserved. Exercise & Fitness Fitness, Diet & Nutrition Hygiene & Healthy Living Personal Development Personal Success
Episodes
  • NNMT, Cancer & Fat Loss: The Hidden Link You Need to Understand
    Mar 26 2026

    NNMT, Cancer Risk & 5-Amino-1MQ – Where Science Ends and Assumptions Begin

    Alright… this one is interesting.

    Because I talk a lot about 5-Amino-1MQ— mainly in the context of fat loss, metabolic health, and keeping weight off long term.

    But recently, I was in a conversation with a doctor… and he told me he personally takes it because his mother died from a glioblastoma.

    And his reasoning?

    👉 It inhibits NNMT 👉 NNMT is involved in certain cancers 👉 So… maybe there’s something there

    Now before we go any further—

    I am NOT saying 5-Amino prevents or treats cancer. And neither was he.

    What he was doing… was taking a known biological pathway and making an informed assumption.

    And honestly?

    It’s a fascinating one.

    🧬 What is NNMT (and why does it matter)?

    NNMT (Nicotinamide N-Methyltransferase) is an enzyme involved in how your body manages:

    • Energy production
    • NAD+ levels
    • Metabolic function
    • Aging processes

    When NNMT is elevated, it’s associated with:

    • Fat storage
    • Insulin resistance
    • Slower metabolic function
    • Lower NAD+ availability

    👉 This is why it shows up so strongly in midlife weight gain

    And it’s also why I talk so much about 5-Amino-1MQ— because it inhibits NNMT, which can shift the body away from storing fat and toward using energy.

    🔬 Where it gets interesting…

    NNMT doesn’t just show up in metabolism.

    It’s also upregulated in certain cancers, including:

    • Glioblastoma
    • Pancreatic cancer
    • Bladder cancer
    • Ovarian cancer

    In these environments, NNMT appears to support:

    • Tumor growth
    • Cell survival
    • Metabolic adaptation

    👉 In simple terms: cancer cells may use NNMT to survive.

    So researchers have asked:

    What happens if we inhibit NNMT?

    In early-stage research (cells + animal models), 👉 inhibiting NNMT has shown reductions in tumor growth.

    That’s real.

    But here’s the key…

    ⚖️ Where the line is (this matters)

    We have:

    • NNMT is involved in metabolic disease
    • NNMT is involved in some cancers
    • 5-Amino inhibits NNMT

    So the leap becomes:

    👉 “Does taking 5-Amino reduce cancer risk?”

    And the honest answer is:

    We don’t have evidence to say that.

    No human trials. No prevention studies.

    What we have is a mechanistic connection— and a very interesting one.

    🔄 The bigger pattern

    Here’s where it gets even more compelling…

    NNMT increases with:

    • Age
    • Obesity
    • Insulin resistance

    And those same conditions are associated with:

    • Higher cancer rates
    • More chronic disease
    • More metabolic dysfunction

    So now we’re looking at a broader picture:

    👉 A metabolic environment that becomes more vulnerable over time

    And NNMT may be one of the players in that shift.

    Not the cause. Not the cure. But part of the story.

    🧠 Take this the right way

    This is not a recommendation.

    This is not a protocol.

    This is simply a lens.

    • One enzyme
    • One molecule that inhibits it
    • Two very different areas of research that overlap

    👉 That intersection is worth understanding.

    Just remember:

    Interesting ≠ proven Mechanism ≠ outcome

    🛒 If you want to explore further

    If you’ve been following my work, you already know I use and talk about:

    • 5-Amino-1MQ
    • SLU-PP-332

    You can learn more or get them here:

    👉 www.joanneleestore.com

    Use code:

    👉 DAISY for 20% off

    ⏳ Expires April 1

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    31 mins
  • Insulin: Fat Storage or Muscle Tool?
    Mar 22 2026

    Insulin Isn’t the Enemy: Why Carbs Might Actually Help You Build Muscle

    Show Notes

    Before we dive in, a couple of quick reminders.

    My Muscle Month program starts March 29, and it only runs once a year. If you’ve been thinking about joining, this is the time. The program walks you through exactly how muscle is built and protected in midlife — including insulin, carbohydrates, mTOR, AMPK, and how to actually use these tools to your advantage.

    You can join at musclemonth.com. The cost is $525, and if you’d prefer to split the payment just email me at www.joanneleestore.com.

    Now onto today’s topic.

    In this episode I talk about insulin, and why it has been given such a terrible reputation in the health and fitness world. For years we’ve heard that carbohydrates spike insulin, insulin stores fat, and therefore carbs must be the problem. And while there is some truth buried in that narrative, the reality is far more interesting.

    Insulin is not the villain. It’s actually a tool.

    Yes, when insulin is chronically elevated it can absolutely prevent fat loss. A prolonged high-insulin state is one of the biggest reasons people struggle to lose weight, particularly in midlife. Stress, sedentary lifestyles, constant snacking, poor sleep and excessive carbohydrate intake can all push insulin up and keep it there. When that happens, the body simply can’t access stored body fat efficiently.

    But that doesn’t mean insulin itself is the problem.

    Insulin is one of the body’s key growth signals, alongside protein, testosterone and growth hormone. It helps move nutrients into cells, including glucose and amino acids, which means it plays a direct role in muscle repair, recovery and growth. If someone completely avoids carbohydrates out of fear of insulin, they may actually be removing one of the body’s natural tools for maintaining muscle.

    A big part of the conversation in this episode is about environment. Hormones respond to the environment we create. If someone is stressed, sedentary, eating constantly and sleeping poorly, insulin will behave very differently than it will in someone who is active, training, eating strategically and giving the body periods where insulin can come back down.

    When used correctly, insulin can actually support both muscle building and fat loss. Timing carbohydrates around activity, especially training, can help direct those carbohydrates into muscle where they’re stored as glycogen rather than fat. Insulin also helps move amino acids into muscle tissue, which is critical for protecting muscle as we age.

    I also share a little about my own experience. For many years I ate very low carbohydrate and it worked well for me. But after a major surgery in my 50s where I lost a significant amount of muscle, I had to rethink my approach. Bringing carbohydrates back in strategically allowed me to support muscle again, sleep better, recover better, and overall feel better.

    The big takeaway from this episode is simple: insulin is not the enemy. It simply reacts to the environment we create. When we understand how it works, it becomes something we can use to our advantage rather than something we fear.

    And if you’d like to go deeper into how all of this works — especially in midlife — Muscle Month starts March 29. You can learn more and sign up at musclemonth.com.

    Also, if you’d like to catch the new weekly live sessions, head over to YouTube and subscribe to Joanne Lee Cornish so you’ll get notified when I go live.

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    45 mins
  • The Gallbladder Explained: Digestion, Gallstones, and Weight Loss
    Mar 18 2026
    The Gallbladder: What It Does, Why It Gets Removed, and Why Rapid Weight Loss Can Cause Problems 🎯 Muscle Month Starts March 29 Enrollment is now open for Muscle Month, my once-a-year program focused entirely on building muscle and improving body composition in midlife. If you’ve spent years focused only on weight loss, this program will show you why muscle is the real key to metabolism, longevity, and changing your body shape. The program includes detailed coaching on: • muscle building in midlife • training strategies that actually work • metabolism and body composition • how to eat to support muscle without gaining fat Learn more and join here: musclemonth.com 🎉 Supplement Discount To celebrate our new puppy Daisy, there is currently a 20% discount on my supplements. Use code: DAISY This applies to: • 5-Amino-1MQ • SLU-PP-332 • Sleep Support These are the only body composition supplements I personally use consistently. Shop here: joanneleestore.com ⚠️ Discount expires April 1 Episode Overview In today’s episode of Midlife Mayhem, we’re talking about an organ that is removed surprisingly often — the gallbladder. Many people are told the gallbladder is “no big deal” and that you can live perfectly fine without it. While it’s true that you can live without a gallbladder, it does play an important role in digestion, particularly when it comes to processing dietary fat. In this episode, Joanne explains what the gallbladder actually does, why gallstones form, and why rapid weight loss can significantly increase the risk of gallbladder problems. What the Gallbladder Actually Does The gallbladder is a small organ located underneath the liver. Its primary job is to store bile, a digestive fluid produced by the liver. When you eat a meal that contains fat, the gallbladder contracts and releases bile into the small intestine. Bile acts like a detergent, breaking fat into smaller droplets so digestive enzymes can process it efficiently. Without a gallbladder, bile is still produced by the liver — but instead of being stored and released when needed, it drips continuously into the intestine. For some people this causes no problems. For others it can lead to digestive issues such as bloating, diarrhea, or difficulty tolerating fatty foods. Why Gallstones Form Gallstones are hardened deposits that form when the chemical balance of bile becomes disrupted. Bile is made up primarily of: • bile salts • cholesterol • bilirubin Most gallstones are cholesterol stones. They develop when bile contains too much cholesterol and not enough bile salts, allowing cholesterol to crystallize and gradually form stones. Risk factors include: • hormonal changes • genetics • metabolic issues • diets high in processed foods and refined carbohydrates The Rapid Weight Loss Connection One of the most surprising causes of gallstones is rapid weight loss. When weight is lost quickly, large amounts of stored fat are released into the bloodstream and processed by the liver. This increases the amount of cholesterol entering the bile. At the same time, people who are dieting often eat less fat, which means the gallbladder doesn’t contract as frequently. When bile sits in the gallbladder longer while cholesterol levels are rising, it creates the perfect conditions for gallstones to form. This is why gallstones are often seen after: • extreme dieting • bariatric surgery • very low calorie diets • prolonged rapid weight loss What Happens During a Gallbladder Attack Many people have gallstones and never know it. Problems occur when a stone blocks the bile duct, which can cause a gallbladder attack. Symptoms often include: • severe pain in the upper right abdomen • pain that radiates to the shoulder or back • nausea and vomiting • sweating and fever-like symptoms If the blockage persists and the gallbladder becomes inflamed, surgery is often recommended. Life After Gallbladder Removal Gallbladder removal is one of the most common surgeries performed today. It’s typically done laparoscopically and patients often go home the same day. However, digestion does change afterward because bile is no longer released in controlled bursts during meals. Some people notice little difference, while others experience: • digestive discomfort • diarrhea after fatty meals • difficulty digesting high-fat foods Over time most people adapt, but dietary adjustments and digestive support can be helpful. Final Thoughts The gallbladder may be small, but it plays an important role in digestion. Gallstones can develop due to hormones, genetics, metabolic health, diet, and surprisingly often rapid weight loss. Understanding how the gallbladder works helps explain why certain dieting approaches and metabolic conditions can increase the risk of gallbladder problems. 🌐 Learn more about Joanne’s coaching and programs: joannelee.com
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    30 mins
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