Midlife Mayhem hosted by body composition expert, Joanne Lee Cornish is intended to explain the madness that can occur during midlife. Offering information and solutions to help you avoid what most people experience in Midlife. Aimed at both men and women. Joanne can help those who want to be helped
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Midlife Mayhem hosted by body composition expert, Joanne Lee Cornish is intended to explain the madness that can occur during midlife. Offering information and solutions to help you avoid what most people experience in Midlife. Aimed at both men and women. Joanne can help those who want to be helped
Are You Building Muscle or Breaking Down? Let Bloodwork Decide
Midlife Mayhem
29 minutes 25 seconds
3 months ago
Are You Building Muscle or Breaking Down? Let Bloodwork Decide
If you’ve hit a plateau with your workouts… if you're gaining fat despite training hard… or if you're feeling constantly tired and inflamed, your bloodwork might have the answers.
In this episode, we dive into:
What the DHEA-to-cortisol ratio really tells you about stress, recovery, and resilience
The exact numbers you want to see (with examples)
Key blood markers like CK, AST, LDH, CRP, and what they reveal about muscle breakdown
How to interpret patterns that signal overtraining or burnout
Because you don’t build muscle in the gym—you build it when you're recovering properly. Let's make sure you're set up to build, not break down.
🔬 DHEA-to-Cortisol Ratio: What It Means
Hormone Ratio
What It Means
✅ ≥ 10:1
Healthy recovery, strong stress resilience, good environment for fat loss & muscle gain
⚠️ ≤ 5:1
Stress outweighs recovery; may stall progress, impair sleep, increase fat storage
❌ ≤ 2:1
Burnout, poor training response, HPA axis dysfunction, inflammation, fatigue
🧮 Example Calculations:
DHEA-S 150 / Cortisol 10 = 15:1 ✅
DHEA-S 90 / Cortisol 18 = 5:1 ⚠️
DHEA-S 40 / Cortisol 22 = 1.8:1 ❌
💪 Blood Markers That Reveal Muscle Breakdown
Marker
Optimal Range
Concern Threshold
What It Indicates
DHEA-S
W: 100–200 / M: 150–300 mcg/dL
<70 (W), <100 (M)
Anabolic status / stress buffer
Cortisol (AM)
8–15 mcg/dL
>23 (stress), <6 (burnout)
Stress response or adrenal fatigue
Creatine Kinase (CK)
30–150 U/L
>500 = intense training, >1,000 = concern
Muscle breakdown marker
AST / ALT
AST <40 / ALT <56 U/L
AST >80 without liver issue = muscle strain
Post-exercise stress or liver burden
LDH
140–280 U/L
>400 U/L
Chronic tissue stress or poor recovery
CRP (hs-CRP)
<1.0 mg/L
>3.0 = systemic inflammation
Inflammation, potential overtraining
Urea / Creatinine
Urea: 10–20 / Cr: <1.2
Depends on hydration, protein, renal function
Contextual clues for stress and protein turnover
🧠 What Affects These Markers?
Overtraining or lack of deloads
Low-carb or low-calorie diets
Emotional stress and poor sleep
Hormonal changes (especially in midlife)
Poor gut health or chronic inflammation
These markers give you insight into whether your training is building your body—or breaking it down.
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Midlife Mayhem
Midlife Mayhem hosted by body composition expert, Joanne Lee Cornish is intended to explain the madness that can occur during midlife. Offering information and solutions to help you avoid what most people experience in Midlife. Aimed at both men and women. Joanne can help those who want to be helped