Stop Chasing the Scale: The Real Danger Women May Be Overlooking As They Age

In this episode, we explore why muscle may become increasingly important as women age, how menopause and hormonal changes can affect metabolism and recovery, why traditional dieting may sometimes work against long-term strength, and how women can become smarter consumers in a wellness world filled with supplements, trends, trackers, and conflicting advice.

Rachel also shares a deeply human side of her story, from delivering more than 1,000 babies as a certified nurse midwife to finally earning her private pilot’s license at 55 after a journey that took 15 years.

Her story is a reminder that there is no arbitrary age at which curiosity, adventure, growth, or reinvention has to stop.

Rachel Smith, DNP, FNP-C, CNM, NBC-HWC, is the founder of Aspect Wellness and a specialist in obesity medicine, hormone optimization, and midlife performance.

With nearly two decades of clinical experience, Rachel helps high-performing women build the physiological and psychological capacity to live fully, not simply live longer.

Her work brings together evidence-based medicine and real-world performance, translating complex science around muscle, metabolism, hormones, cognition, sleep, resilience, and longevity into practical strategies women can use in everyday life.

A former certified nurse midwife who has delivered more than 1,000 babies, Rachel is also a private pilot and outdoor enthusiast. She speaks nationally on midlife performance, longevity, and what it takes to create what she calls a high-capacity life.

Rachel is also the author of the forthcoming:

CALIBRATED: A Precision Medicine Guide to Hormones, Cognition, and Peak Performance in Midlife. Due Fall 2026

🎥 Watch the full conversation with Rachel Smith: https://youtu.be/xF-C2sy1ieQ

Chapters:

0:00 Promo Video