# Embracing Lifestyle Medicine with Dr. Paola D'Aleman

Page: https://stenobird.com/podcast/karaoke-wine-podcast-7116743/embracing-lifestyle-medicine-with-dr-paola-d-aleman
Text version: https://stenobird.com/podcast/karaoke-wine-podcast-7116743/embracing-lifestyle-medicine-with-dr-paola-d-aleman.md
Podcast: [Karaoke Wine Podcast](https://stenobird.com/podcast/karaoke-wine-podcast-7116743)
Published: 2026-06-16T11:00:00+00:00
Episode link: https://share.transistor.fm/s/eabbc00e
Audio file: https://media.transistor.fm/eabbc00e/e951f117.mp3
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JSON: https://stenobird.com/v1/public/podcasts/karaoke-wine-podcast-7116743/episodes/embracing-lifestyle-medicine-with-dr-paola-d-aleman
Duration seconds: 3828

## Resource

On Karaoke Wine, Jules and Tessa welcome Dr. Paola D’Aleman, a board-certified physician from Colombia and CEO of Somaentis in Boca, for the first of a three-part series on lifestyle medicine and metabolic health. Dr. D’Aleman explains lifestyle medicine as a branch of conventional medicine built on six pillars—nutrition, movement, stress management, sleep health, reducing toxic substances (including tobacco and alcohol), and meaningful relationships—and how it supports prevention, chronic disease improvement, and medication de-prescribing when appropriate. The conversation addresses obesity as a chronic metabolic condition, the role of GLP-1 medications alongside lifestyle changes, and the need to stop stigma. Using a DEXA scan, they debunk BMI and scale weight, discuss visceral vs. subcutaneous fat, and review Juliana’s results, recommending muscle gain and body recomposition. They also clarify perimenopause/menopause definitions, fertility considerations, and how maternal metabolism and epigenetics can affect offspring. 00:00 Welcome and Guest Intro 01:11 Why Lifestyle Medicine 03:03 Six Pillars Explained 04:14 Medications and Prevention 05:16 Obesity as Chronic Disease 06:43 GLP-1s and Stigma 10:05 Precision Medicine Data 11:02 DEXA Scan Basics 11:58 Beyond the Scale 13:44 Muscle Longevity Focus 16:15 Menopause Definitions 20:49 Fertility and Metabolism 27:36 Epigenetics and Inheritance 33:10 Prenatal Planning and Next Steps 34:57 Starting DEXA Results 35:48 Debunking BMI 36:56 DEXA Metrics Explained 37:31 Visceral Fat Risk 39:36 Lean Mass for Longevity 41:50 Recomp Not Weight Loss 44:04 Muscle Gain Targets 47:57 Pregnancy Readiness 49:38 Lift Weights Eat Well 52:18 Building a Care Team 56:07 Preventive Medicine Shift 01:00:04 Key Takeaways Wrap Up

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