The School of Doza Podcast

Picking up from last episode on visceral fat, Nurse Doza connects the dots to the liver and blood sugar: fat built up around the organs is associated with fatty liver and less insulin responsiveness, often with no symptoms for years. He explains why labs are a snapshot while a daily trend line fills the gaps, what metabolic age can show, and his homework: set recent labs next to your pod numbers and bring questions to your provider. Next up: sleep, then stress and your heart.

FEATURED PARTNER
Hume Health makes the Hume Pod and companion app that Nurse Doza uses for a daily body-composition trend line between lab draws. In this episode he is clear about its role: it does not measure blood sugar and it does not diagnose anything. Labs and a provider do that. The pod is the "movie" between lab "snapshots," and one number he watches closely is metabolic age, which pulls body composition together to show how metabolism is tracking compared to actual age. His own reading was 44 when he started and has recently been 40, which he describes as feedback rather than a trophy.

👉 Get the Hume Pod, 20% off with code NURSEDOZA: https://humehealth.com/

Readings from at-home devices are estimates and aren't intended to diagnose, treat, cure, or prevent any disease. Affiliate disclosure: School of Doza earns a commission when you use this code.

JOIN THE SCHOOL
Bring your labs and your questions. Inside the School of Doza, every Wednesday at 1 PM Central there's a live group consult with Nurse Doza, a good place to ask how your numbers fit together. Start with a free trial and see whether it's a fit.

👉 Start your free trial: https://community.schoolofdoza.com/c/start-here

5 KEY TAKEAWAYS

Visceral fat doesn't just sit there. The fat around your organs is metabolically active, and research associates it with fat accumulating in the liver and with a body that's less responsive to insulin, which makes blood sugar harder to manage.

Fatty liver and insulin resistance are often quiet. Many people feel completely fine for years, which is why lab work and a provider's guidance matter even when nothing feels off.

Labs are a snapshot; a trend line is the movie. A lab draw tells you where you were on one day. Between draws, a daily trend in body composition can show direction, as long as you treat it as context and not as a diagnosis.

Know what the tool can and can't do. The Hume Pod does not measure blood sugar and does not diagnose. At-home body composition readings are estimates, and research comparing impedance-based visceral fat estimates with CT imaging has found limited agreement, so trend matters more than any single number.

Metabolic age is feedback, not a trophy. It combines body composition into one number compared with actual age. Nurse Doza's moved from 44 to 40; his homework is to put recent labs next to pod numbers, see whether visceral fat and metabolic age are moving in the right direction, and if not, take that to your provider.

RESOURCES
Based on peer-reviewed literature:

Visceral fat & insulin resistance – Zhang M, Hu T, Zhang S, Zhou L. Associations of Different Adipose Tissue Depots with Insulin Resistance: A Systematic Review and Meta-analysis of Observational Studies. Scientific Reports, 2015. https://www.nature.com/articles/srep18495

Visceral fat & fatty liver – Schäffler A, Schölmerich J, Büchler C. Mechanisms of Disease: adipocytokines and visceral adipose tissue—emerging role in nonalcoholic fatty liver disease. Nature Clinical Practice Gastroenterology & Hepatology, 2005. https://www.nature.com/articles/ncpgasthep0186

Liver fat & insulin resistance elsewhere in the body – Meex RCR, Watt MJ. Hepatokines: linking nonalcoholic fatty liver disease and insulin resistance. Nature Reviews Endocrinology, 2017. https://www.nature.com/articles/nrendo.2017.56

Liver lipids & hepatic insulin resistance – Perry RJ, Samuel VT, Petersen KF, Shulman GI. The role of hepatic lipids in hepatic insulin resistance and type 2 diabetes. Nature, 2014. https://www.nature.com/articles/nature13478

Limits of at-home impedance estimates – Lu H-K, Chen Y-Y, Yeh C, et al. Discrepancies between leg-to-leg bioelectrical impedance analysis and computerized tomography in abdominal visceral fat measurement. Scientific Reports, 2017. https://www.nature.com/articles/s41598-017-08991-y

Also useful (not peer-reviewed): NIDDK, Symptoms & Causes of NAFLD & NASH, which notes the condition often has few or no symptoms. https://www.niddk.nih.gov/health-information/liver-disease/nafld-nash/symptoms-causes

🔗 Connect with Nurse Doza:
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This episode covers what GLP-1s don't do for your body — and how to support the parts they leave to you. Nurse Doza walks through five areas the medication was never designed to handle: muscle, liver, gut, bone, and sleep. You'll learn why resistance training matters more once you start, how your gut makes GLP-1 on its own, the dopamine and "food noise" connection, and which nutrients support the work the injection can't do.

Featured Product
Gut (Digestive Health) by MSW Nutrition — $104

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These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. If you take any medication, talk with your provider before adding a new supplement.

👉 Get Gut here: https://mswnutrition.com/products/gut

Join the School
If you're on a GLP-1 and nobody has walked you through the muscle, liver, and gut side of it, you're not alone — that conversation rarely fits into a 15-minute appointment. Inside the School of Doza, it's the conversation we're having every week.

Every Wednesday we host a live Ask Me Anything that runs like a group consult — labs, protein targets, supplements, what you're noticing on your medication. You bring the question, Nurse Doza answers it directly, live. These are live-only sessions, so you have to be in the room.

Every course. Plus Nurse Doza, every week. All-Access gets you every self-paced course in School of Doza, live Tuesday classes, and weekly AMAs with Nurse Doza. $35 a month, cancel anytime.

👉 See All-Access: https://community.schoolofdoza.com

5 Key Takeaways

A GLP-1 changes your appetite — it does not build muscle. Weight coming off includes muscle mass and bone density, which is why resistance training matters more once you start, not less.

Research links GLP-1 receptor agonists to reduced visceral and liver fat, but your liver still needs nutrients — B9, B12, B6, magnesium, selenium — to do its actual work. The medication does not supply those.

Your gut makes GLP-1 on its own. Gut enteroendocrine cells produce it after a meal, so gut health and your natural GLP-1 production are the same conversation.

"Food noise" has a dopamine component. Your gut, brain, and adrenal glands all make dopamine, and research describes dopamine acting as an anti-incretin — meaning dopamine and GLP-1 move in opposite directions.

Bones and sleep are the two areas nobody mentions. Weight-bearing exercise plus vitamin D3 and K2 support bone density, and poor sleep works directly against glucose control and appetite regulation.

Timestamps
00:00 START – Welcome and episode overview

02:09 – Class is in session: the three areas, and the bigger picture

02:50 – Area one: your muscle, and why resistance training beats cardio

04:35 – Muscle as an organ, and what fatty muscle looks like on a CT scan

06:57 – Simple resistance work anyone can start at home

08:05 – Area two: your liver, visceral fat, and insulin sensitivity

09:25 – Why the liver still needs nutrients in order to function

11:51 – MTHFR, B9, and glutathione production

13:35 – Area three: your gut is where GLP-1 is made

16:15 – The insulin analogy, and how to actually fix the gut

18:40 – Glutamine, the gut powder, and what the research shows

21:08 – Leaky gut, tight junctions, and berberine

23:29 – Dopamine, food noise, and the anti-incretin effect

32:39 – Bones: fracture risk, vitamin D3 and K2

34:56 – Sleep, glucose, and appetite

Resources

GLP-1 receptor agonists and visceral/liver fat (PLOS ONE, 2023): https://pmc.ncbi.nlm.nih.gov/articles/PMC10449217/

GLP-1 receptor agonists in non-alcoholic fatty liver disease (IJMS, 2023): https://pmc.ncbi.nlm.nih.gov/articles/PMC9865319/

Role of folate in liver diseases (Nutrients, 2024): https://pmc.ncbi.nlm.nih.gov/articles/PMC11206401/

Glutamine supplementation and metabolic variables in diabetes (Nutrition & Metabolism, 2020): https://pmc.ncbi.nlm.nih.gov/articles/PMC7517657/

Circulating dopamine, dietary glucose, and GLP-1 action in white adipose tissue (IJMS, 2023): https://www.mdpi.com/1422-0067/24/3/2464

Acute sleep deprivation and the GLP-1 response (Nutrition & Diabetes, 2013): https://pmc.ncbi.nlm.nih.gov/articles/PMC3697408/

Sleep and GLP-1 in patients with abnormal glucose tolerance (Journal of Sleep Research, 2017): https://onlinelibrary.wiley.com/doi/full/10.1111/jsr.12552

Gut (Digestive Health) — MSW Nutrition: https://mswnutrition.com/products/gut

Berberine Plus (Weight Management) — MSW Nutrition: https://mswnutrition.com/products/berberine-plus

Liver Boost (Detox) — MSW Nutrition: https://mswnutrition.com/products/liver-boost

Watch this episode on YouTube: https://youtu.be/_nf6axyr5lk

Connect with Nurse Doza
🔗 Connect with Nurse Doza:

See All-Access — $35/month, cancel anytime: https://community.schoolofdoza.com

YouTube: https://www.youtube.com/channel/UCwcKyagDi468WscAOWM5VHA

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Website: http://www.nursedoza.com/

LinkedIn: https://www.linkedin.com/in/jonathan-mendoza-dc-aprn-np-c-0609a038/

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In this School of Doza episode, Nurse Doza kicks off a new series on the health numbers that matter more than the scale. Using the Hume Pod and app, he explains how body composition (body fat percentage, skeletal muscle mass, and visceral fat) tells a fuller story than weight alone, why two people at the same weight can differ, and a simple morning weigh-in habit that tracks trends, not daily swings. Next up: how these numbers connect to your liver and blood sugar.

FEATURED PARTNER
Hume Health makes the Hume Pod and companion app Nurse Doza uses in this series to look beyond body weight. Stepping on the pod shows body fat percentage, skeletal muscle mass, and visceral fat, and the app displays where you are alongside reference ranges so you're not guessing. Hume Health also backs its devices with a 10-year warranty.

👉 Shop Hume Health: https://humehealth.com Use code NURSEDOZA for 20% off.

Disclosure: Hume Health provided the device featured in this series, and School of Doza earns a commission when you use the code NURSEDOZA. Only products Nurse Doza personally uses are featured. Body composition readings from at-home devices are estimates and are not intended to diagnose, treat, cure, or prevent any disease. Talk with your healthcare provider about your results.

JOIN THE SCHOOL
Making sense of your numbers is easier with support. Inside the School of Doza, members learn alongside others working on the same goals, and every Wednesday at 1 PM Central there's a live group consult where you can bring your questions about labs, nutrition, supplements, and lifestyle.

👉 Start your free trial: https://community.schoolofdoza.com/c/start-here

5 KEY TAKEAWAYS

Weight is just one number. The scale can't show what your weight is made of, and two people at the same weight can have very different body compositions.

Body composition adds the missing detail. Beyond weight, the Hume Pod reports body fat percentage, skeletal muscle mass, and visceral fat, giving a more complete picture of where you stand.

Visceral fat is the one you can't see. It sits deep in the abdomen around the organs, is associated with insulin resistance and fatty liver, and can be present even in people who look lean.

Trends beat daily numbers. Nurse Doza suggests weighing in the same way, at the same time each morning, then watching the trend in muscle and visceral fat rather than fixating on the weight itself.

This is Part 1 of a series. Up next, he connects these numbers to liver health and blood sugar.

RESOURCES
Based on peer-reviewed literature:

Normal BMI, high body fat – Systematic review and meta-analysis of "normal weight obesity" (normal BMI with high body fat) and cardiometabolic risk factors. Frontiers in Endocrinology, 2022. https://pmc.ncbi.nlm.nih.gov/articles/PMC8987277/

Visceral fat & insulin resistance – Review of how visceral adipose tissue accumulation and liver fat relate to impaired insulin signaling. Current Opinion in Endocrinology, Diabetes and Obesity, 2012. https://pmc.ncbi.nlm.nih.gov/articles/PMC4038351/

Visceral fat, liver fat & insulin sensitivity – Study of visceral and subcutaneous fat, intrahepatic lipid, and muscle microvascular function as independent contributors to obesity-associated insulin resistance. JCI Insight, 2017. https://pmc.ncbi.nlm.nih.gov/articles/PMC5499371/

Muscle mass & insulin resistance – Prospective study linking greater thigh muscle area with lower future insulin resistance. Diabetes & Metabolism Journal, 2018. https://pmc.ncbi.nlm.nih.gov/articles/PMC6300439/

At-home body composition devices: estimates, not diagnoses – Comparison of bioelectrical impedance (BIA) visceral fat estimates with quantitative CT, showing moderate agreement. Scientific Reports, 2021. https://pmc.ncbi.nlm.nih.gov/articles/PMC8154961/

🔗 Connect with Nurse Doza:
JOIN MY SCHOOL for FREE: https://community.schoolofdoza.com/c/start-here

YouTube: https://www.youtube.com/channel/UCwcKyagDi468WscAOWM5VHA

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Website: http://www.nursedoza.com/

LinkedIn: https://www.linkedin.com/in/jonathan-mendoza-dc-aprn-np-c-0609a038/

TikTok: https://www.tiktok.com/@nursedoza

Twitter: https://twitter.com/nursedoza

Fatty liver and belly fat tend to show up together, and this episode makes the case that it isn't a coincidence. Your liver is one of the main places your body decides whether fat gets stored, moved, or burned for fuel. Nurse Doza walks through six things that get in the liver's way — insulin resistance, too little brown fat, gut damage, eating when you're not hungry, poor methylation, and shallow sleep — and what the research says about each one.

FEATURED PRODUCT
Liver Boost (Detox) — $111

Sixteen ingredients in a single capsule — milk thistle, NAC, alpha-lipoic acid, turmeric, broccoli seed extract, green tea extract, selenium — formulated to support phase I and phase II liver detoxification and your body's own glutathione production.*

This whole episode is about clearing the path for the organ doing the work. Liver Boost is support for that organ while you change the sleep, the food, and the fasting window. One to two capsules a day.

Through October 31: buy 2, get 1 free — 3 bottles for $222, roughly a six-month supply. No code needed; the discount applies at checkout.

👉 Get Liver Boost here: https://liverboost.mswnutrition.com

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Individual results vary; this is education, not medical advice.

JOIN THE SCHOOL OF DOZA
If this episode left you looking at a lab report that never had fasting insulin or leptin on it, that gap is exactly what the School of Doza was built for. Same for the belly fat that hasn't moved in a year of doing everything right.

Every Wednesday there's a live Ask Me Anything that runs like a group consult — labs, nutrition, supplements, liver questions, belly fat questions. You bring it, Nurse Doza answers it directly. It's live only and never recorded, so being in the room is the whole point.

Inside you will also find the courses referenced in this episode — fasting, the liver, MTHFR, and sleep — plus the community working through the same things you are.

👉 Start your free trial: https://community.schoolofdoza.com/c/start-here

5 KEY TAKEAWAYS

Insulin resistance usually shows up before the weight does. Research associates fatty liver with higher insulin resistance, and the early liver changes often appear ahead of obesity — which is part of why "eat less, move more" stalls out for so many people.

Fat tissue behaves like an organ, not a storage closet. Inflamed white fat around the middle loses some of its ability to help regulate insulin, and cold exposure is associated with more brown fat activity and better clearance of circulating glucose and triglycerides.

The gut tends to struggle first. Dysbiosis and a compromised gut lining are linked to liver fat and inflammation, and your gut microbiome is part of your own GLP-1 production — which is rarely part of the conversation.

Leptin is insulin's shadow. It rises when you eat, it tracks with how much body fat you carry, and leptin resistance is why people end up eating on schedule instead of on hunger. Neither leptin nor fasting insulin is on a standard panel.

Methylation and deep sleep are the two clearance pathways nobody checks. MTHFR variants are associated with higher fatty liver risk, and short sleep duration is associated with fatty liver — so the overnight hours matter as much as the plate.

TIMESTAMPS
00:00 START – Welcome and episode overview

02:54 – #1 Insulin resistance

05:59 – Fasting to lower insulin

07:14 – Diet, simple carbs, and berberine

08:44 – #2 Not enough brown fat

11:35 – Cold exposure and thermogenesis

14:03 – #3 Gut issues and your own GLP-1

16:33 – Leaky gut, dysbiosis, and testing

18:58 – The inflammation cascade: IL-6 and hs-CRP

22:02 – #4 Eating when you're not hungry

23:25 – Leptin resistance and the missed signal

25:52 – Fasting insulin and leptin on labs

28:28 – #5 Poor methylation and MTHFR

33:21 – #6 Deep sleep

38:07 – Liver Boost and the October offer

RESOURCES
Links are printed as visible text — YouTube strips hyperlinks from descriptions.

Non-alcoholic fatty liver disease and insulin resistance — https://pmc.ncbi.nlm.nih.gov/articles/PMC10638269/

Brown adipose tissue, cold exposure and hepatic fat (Cell Reports Medicine) — https://www.cell.com/cell-reports-medicine/fulltext/S2666-3791(21)00255-X

Role of Leptin in Non-Alcoholic Fatty Liver Disease (Biomedicines, 2021) — https://pmc.ncbi.nlm.nih.gov/articles/PMC8301314/

Leptin secretion and body energy stores (Metabolism) — https://www.sciencedirect.com/science/article/abs/pii/S0026049514003060

Gut microbiome and NAFLD: impact and therapeutic potential (Frontiers in Microbiology, 2024) — https://pmc.ncbi.nlm.nih.gov/articles/PMC11632136/

MTHFR C677T and A1298C polymorphisms and NAFLD risk (PLOS ONE) — https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0154337

MTHFR variants and non-alcoholic steatohepatitis — https://pmc.ncbi.nlm.nih.gov/articles/PMC2797657/

Liver detoxification and endogenous antioxidants — https://pmc.ncbi.nlm.nih.gov/articles/PMC10181083/

Short sleep duration and non-alcoholic fatty liver disease — https://pmc.ncbi.nlm.nih.gov/articles/PMC11729180/

Liver Boost by MSW Nutrition — https://mswnutrition.com/products/liver-boost

School of Doza — free trial — https://community.schoolofdoza.com/c/start-here

CONNECT
🔗 Connect with Nurse Doza:

JOIN MY SCHOOL for FREE: https://community.schoolofdoza.com/c/start-here

YouTube: https://www.youtube.com/channel/UCwcKyagDi468WscAOWM5VHA

Instagram: https://www.instagram.com/nursedoza/

Website: http://www.nursedoza.com/

LinkedIn: https://www.linkedin.com/in/jonathan-mendoza-dc-aprn-np-c-0609a038/

TikTok: https://www.tiktok.com/@nursedoza

Twitter: https://twitter.com/nursedoza

Muscle after 40 is the thing women are told to ignore, and it is the one that changes everything. Nurse Doza breaks down why skeletal muscle is an organ, how it makes its own estrogen, why insulin resistance shows up in muscle first, and how much protein menopause actually calls for. Plus the amino acid most women have never been told about.

Featured Product
Liver Boost (Detox) by MSW Nutrition — a comprehensive formula designed to support phase I and phase II liver detoxification of environmental toxins.* Estrogen doesn't simply disappear once it has done its job: it gets conjugated in the liver and cleared through bile. This episode is about the estrogen your muscles make, and the liver is the organ standing at the end of that pathway — the same organ Nurse Doza points back to when he talks about glycogen, fatty liver, and hormones in your forties.

October only: buy 2, get 1 free — 3 bottles for $222, a six-month supply. No code needed; the discount applies at checkout.

👉 Get Liver Boost here: https://liverboost.mswnutrition.com

Also mentioned in this episode — Gut (Digestive Health), the L-glutamine powder Nurse Doza takes at 8 grams each morning, 4 grams per scoop, nothing else added.

👉 Get Gut here: https://mswnutrition.com/products/gut

These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

Join the School of Doza
If this episode named something you have been living with — aches that got written off as aging, a scale that will not move no matter how little you eat, hormone advice that contradicts itself every time you ask — the School is where those questions get answered directly instead of in a comment thread.

Every Wednesday at 1pm Central there is a live Ask Me Anything that runs like a group consult. Labs, nutrition, supplements, what is actually going on in your body. You bring the question, Nurse Doza answers it in the room. These are live sessions, not recordings — you have to be there.

The Liver Course is running right now, class plus Q&A every Tuesday, wrapping October 13 with Building Your Liver Protocol. September 29 is The Gut Liver Loop, which connects straight to the gut and muscle conversation in this episode.

Your first 7 days are free, so you can sit in on an AMA or a class and decide for yourself.

👉 Start your free trial: https://community.schoolofdoza.com/c/start-here

5 Key Takeaways

Your muscles are an organ, not just tissue. Skeletal muscle is a collection of muscle, connective, nervous and vascular tissue working together, and it releases signaling molecules of its own. Treating it as decoration misses what it actually does for posture, structure, and metabolism.

Skeletal muscle makes its own estrogen. Beyond the ovaries, muscle carries the enzymes to produce what researchers call myogenic estrogen. Exercise appears to support that local production, which in turn supports muscle mass, function, metabolism, and repair — a loop that matters most for women after menopause.

Menopause raises the protein bar. The general recommendation is 1.0 to 1.2 grams of protein per kilogram of body weight per day. At 150 pounds that is roughly 68 to 81 grams daily, which is four to five eggs in the morning and something comparable at every other meal.

Insulin resistance shows up in muscle first. Skeletal muscle is where most insulin-driven glucose uptake happens, so it is also where impaired glucose handling appears earliest — often years before anything shows on a routine panel. As estrogen falls, insulin sensitivity tends to fall with it, which is part of why weight becomes harder to manage in the forties.

Toning versus bulking is a programming decision. Moderate weight, 8 to 12 reps, 2 to 3 sets, bodyweight and banded work mixed in — that builds strength and shape without the volume and intensity that drive maximum size. Bulk is something you train for on purpose, not something that happens by accident.

Timestamps
00:00 START – Welcome and episode overview

01:45 – What is happening inside the School of Doza

03:00 – #1: Your muscles are an organ, not just tissue

04:39 – #2: Your muscles need estrogen

05:20 – Myogenic estrogen: made in skeletal muscle

07:01 – Atrophy, aches, and estrogen receptors

08:10 – Protein in menopause: the actual number

08:50 – The protein math: 68 to 81 grams a day

11:16 – When protein is simply too much food

13:40 – L-glutamine, and four grams per scoop

14:35 – #3: Insulin, the most anabolic hormone you make

15:48 – Estrogen, insulin, and the ovaries

18:12 – Glycogen, fatty liver, and fatty muscle

20:33 – #4: You will not bulk up unless you want to

25:18 – #5: Testosterone is not always the answer

Resources

Why are muscles considered organs — WellBX: https://wellbx.com/why-are-muscles-considered-organs-a-deep-dive-into-their-complex-anatomy

Myogenic estrogen and skeletal muscle — J Endocrinol Invest, 2025: https://link.springer.com/article/10.1007/s40618-025-02726-x

Menopause and metabolism — Oura: https://ouraring.com/blog/menopause-and-metabolism/

Skeletal muscle insulin resistance — PMC: https://pmc.ncbi.nlm.nih.gov/articles/PMC2811436/

How to lift without bulking — Simply Strong: https://www.simplystrongapp.com/blog/how-to-lift-without-bulking

Low testosterone in women — Cleveland Clinic: https://my.clevelandclinic.org/health/diseases/24897-low-testosterone-in-women

Hume Health body composition (Things We Love, code NURSEDOZA): https://schoolofdoza.com/recommendations

Liver Boost by MSW Nutrition: https://liverboost.mswnutrition.com

Gut by MSW Nutrition — L-Glutamine: https://mswnutrition.com/products/gut

🔗 Connect with Nurse Doza

JOIN MY SCHOOL for FREE: https://community.schoolofdoza.com/c/start-here

YouTube: https://www.youtube.com/channel/UCwcKyagDi468WscAOWM5VHA

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Website: http://www.nursedoza.com/

LinkedIn: https://www.linkedin.com/in/jonathan-mendoza-dc-aprn-np-c-0609a038/

TikTok: https://www.tiktok.com/@nursedoza

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