Mini Pause #62: Train Like A Man. Except Like A Girl.

TL; DR (Too Long; Didn't Read)

If there is one thing that irritates me to no end—it’s the cutesy-wootsy combination exercises women are fed under the guise of “weight training.”

These “combination” exercises—like a squat to overhead press or a plank to single-arm row–are popular in many women’s circles but are highly ineffective for pretty much any outcome.

They are the exercise equivalent of a jack-of-all-trades, master of none.

I think the real reason they irritate me is they reinforce the idea that women should do MORE with LESS. Build muscle with LESS time, and in this case, LESS efficiency.

These movements often force you to compromise on weight selection and your ability to generate force, meaning neither muscle group is trained optimally. Instead, focus on separating compound lifts and training them to failure for the best strength and muscle gains.

As women, we should luxuriate in our training and do movements that actually work for us.

Now you know how I really feel!

WHY Should You Ignore Combo Moves?

It's a tale as old as time: women are given a budget and constraint to work within instead of actual reasonable expectations.

Do more with less!

Train 2 body parts in 1 movement!

Lose weight in half the time!

How about we do more with more and take our time training our muscles properly?

(P.S. Have you ever seen this recommendation for men?)

These “combo” moves serenade you with the promise to engage multiple muscles at once, but they fail to account for fundamental biomechanics.

Large muscle groups like your quads and glutes require heavy loads, while smaller muscle groups like your shoulders or arms can’t handle nearly as much weight.

Do you think you are going to shoulder press a weight that is appropriate for your legs? Of course not.

So, by default, you have to select a weight appropriate for the smaller muscle group—this exercises the shoulders—rendering half of this exercise (the lower body squat part) useless.

Similarly, adding instability—like balancing on one arm while holding a plank while rowing—limits your ability to generate force in the very target muscle (the lats), making the movement less effective for muscle growth and strength development than a barbell row or a bent over dumbbell row.

WHAT are the Worst Exercises?

🚫 Squat to Overhead Press — Squatting is a lower-body powerhouse move that demands heavier loads, while overhead pressing is a smaller, weaker movement that requires lighter weights. The result? You’re either lifting too light for your legs or too heavy for your shoulders, making this an ineffective way to train either muscle group.

🚫 Plank to Single-Arm Row — This movement combines a core stability hold with an upper-body pulling exercise, meaning your lats (back muscle) won’t get enough resistance for real strength gains. Instead, your focus shifts to stabilizing your hips and shoulders, making this more of a balance challenge than an effective strength exercise.

🚫 Burpee to Bicep Curl — Burpees are a cardiovascular conditioning exercise, while bicep curls are a targeted strength movement. Trying to do both in one movement results in sloppy form, poor muscle engagement, and an increased risk of injury.

🚫 Jump Lunge with a Lateral Raise — Like the squat-to-press issue, lunges demand heavy weights to challenge the legs, while lateral raises require significantly lighter weights to properly target the shoulders. Combining them makes it impossible to load either effectively.

🚫 Russian Twists Holding Heavy Dumbbells — Adding weight to Russian twists does not increase effectiveness–it just strains your lower back. Most people compensate by twisting from the lumbar spine instead of the obliques, putting unnecessary stress on the spine.

HOW to Think About Training Instead

Prioritize Compound Lifts First — Exercises like squats, deadlifts, pull-ups, and presses should be done on their own with heavy enough weights to challenge the target muscle group.

In this way, I feel women should have the right to train like men, to divide muscle groups up, and work them close to failure.

Train Stability Separately from Strength — If you want strength, do strength exercises. If you want explosive power, do explosive power exercises. If you want stability, do stability exercises.

Yes, this seems simple and obvious when I write it with this level of sarcasm, but the point I'm making is to focus the exercise on the goal and outcome you want. If you want big muscles, you need to train them **with enough weight** to challenge them to grow.

Follow a Logical Training Structure — Generally (emphasis on generally), strength training should start with big, multi-joint exercises first, followed by accessory movements. Avoid cramming multiple unrelated movements together just for the sake of making an exercise look more “functional.”

NOW: 3 Simple Steps to Start Today

1️⃣ Ditch inefficient combination exercises and replace them with dedicated strength movements.

2️⃣ Ensure each muscle group is challenged appropriately with the correct weight and form.

3️⃣ Structure your workouts with compound lifts first, then finish with accessory movements and stability work.

Train smarter, not trendier Bettys. You got this.

What I Recommend

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Mini Pause #61: The Best Compound Exercises For Perimenopausal Women

TL; DR (Too Long; Didn't Read)

Strength training is essential for perimenopausal women to maintain muscle mass, metabolic health, and keep you looking like the snack you are.

The best compound exercises for overall muscle hypertrophy include squats, hip thrusts, lunges, deadlifts, overhead presses, and pull-ups.

Focusing on the eccentric phase, pausing in the lengthened position, and using progressive overload is gnarly…but will maximize results. I've included exercises and modifications that can be done at the gym or at home to suit your space and equipment.

WHY are Compound Movements So Important?

And when I say compound, I DO NOT mean squatting paired with an overhead shoulder press, or some other silly combination of movements (I will go on a rant about these another day).

Working on eccentric control and progressive overload can help prevent injury–which, in addition to muscle growth, is a primary lifting objective in midlife.

If you want to maintain mobility, independence, and a strong physique, resistance training is non-negotiable. As estrogen and testosterone levels fluctuate during perimenopause, muscle loss—partially due to the reduced activation of satellite cells—and bone density decline become real concerns.

For my Dark Roast Bettys: Satellite cells are specialized muscle stem cells responsible for muscle repair and regeneration. They are located between the muscle fiber membrane and its surrounding connective tissue. When muscles experience stress or damage—such as from strength training—satellite cells activate, multiply, donate, and fuse with existing muscle fibers to repair and grow stronger muscles. This process is essential for muscle hypertrophy, allowing muscles to recover and grow after training.

However, during perimenopause, the decline in estrogen and testosterone can reduce the efficiency of satellite cell activation, making muscle recovery and growth more challenging.

This is why progressive overload, eccentric training, and proper recovery strategies become even more critical to maintaining and building muscle mass.

Strength training–particularly compound movements that are multi-joint and multi-muscle movement patterns–stimulates muscle growth, improves joint stability, and supports overall metabolic function.

WHAT are the Most Effective Compound Lifts for Muscle Hypertrophy?

Compound lifts engage multiple muscle groups and joints at once, making them the most efficient way to train for hypertrophy. It also means that the motor coordination and pattern can be more difficult to master because there is a LOT happening at once.

Here are the must-do movements:

1️⃣ Squats: The reigning Queen of lower body exercises, squats work the quads, hamstrings, glutes, and core. Variations include:

  • Barbell Back Squat (gym)
  • Goblet Squat (home/gym)
  • Bulgarian Split Squat (home/gym)
  • Wall Sit (home, isometric strength focus)

2️⃣ HIP THRUSTS: Essential for glute development, hip thrusts also engage the hamstrings and lower back.

  • Barbell Hip Thrust (gym)
  • Dumbbell Hip Thrust (home/gym)
  • Glute Bridge (bodyweight, home/gym)

3️⃣ LUNGES: A unilateral movement that improves balance, coordination, and strength.

  • Walking Lunges (gym/home)
  • Reverse Lunges (knee-friendly)
  • Step-Ups (home/gym, great for stability and strength)

4️⃣ DEADLIFTS: A total-body movement that strengthens the posterior chain, including hamstrings, glutes, and back. IF you want a deep line in your back muscles, this is how it's done:

  • Conventional Deadlift (gym)
  • Romanian Deadlift (hamstring focus)
  • Kettlebell Deadlift (home/gym)
  • Sumo (yes these count, despite arguments online)

5️⃣ OVERHEAD PRESS: A compound upper-body movement that also engages the core and rotator cuff of the shoulder in addition to the deltoid

  • Barbell Overhead Press (gym)
  • Dumbbell Shoulder Press (home/gym)
  • Landmine Press (joint-friendly variation)

6️⃣ PULL-UPS: Though primarily an upper-body movement, pull-ups engage the entire posterior chain, including the glutes and core.

  • Assisted Pull-Up (band or machine)
  • Negative Pull-Up (Jump up to the top of the bar and slowly lower / eccentric focus)
  • Scapular Retractions while Deadhanging

HOW Can You Implement These Exercises at Home or in the Gym?

Focus on the Eccentric Phase: Lower the weight slowly (3-4 seconds down) to increase muscle tension and stimulate growth.

Pause in the Lengthened Position: Hold at the bottom of squats or lunges for 2-3 seconds to build strength and stability.

Use Progressive Overload: Lift heavy for YOU. Approaching muscle failure is the goal in a range of motion you can own. Gradually increase resistance by adding weight, increasing reps, or adjusting tempo.

Recovery Matters: Prioritize protein intake, sleep, and mobility work to support recovery and maximize results. Aim for 1.8-2.2g of protein per kg of ideal body weight daily.

NOW: 3 Simple Steps to Start Today

1️⃣ Pick 2-3 of these compound movements and add them to your routine 2-3x per week.

2️⃣ Slow down the eccentric phase and pause at the bottom to increase strength and stability.

3️⃣ Track your weights and aim for small increases weekly to keep progressing.

What I Recommend

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Health Optimisation Summit Comes to Austin

It’s official! I’m speaking at the Health Optimisation Summit in Austin, Texas! I'll be talking about perimenopausal strategies like muscle, meals, and stress management.

Europe’s biggest health event lands in Austin on April 12-13. You'll hear game-changing health insights from nearly 40 industry-leading experts covering topics from biohacking and nutrition to functional and preventative medicine.

Spend two full days at the Palmer Events Center surrounded by Paleo-inspired wisdom, innovative health tech, and a community that feels like family.

If you purchase your ticket now and use code DRSTEPHANIE, you'll save 10% on VIP or General Admission.