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Most people think getting in shape after 40 comes down to trying harder. It doesn't. I had chronic shoulder pain, chronic back pain, and joints that felt stiff every morning. I'm a plastic surgeon who sees this same pattern in patients every day. In the last 12 months I reversed all of it. At 47, I'm in the best shape I've been since my early 30s. It came down to three specific inputs I had been missing my entire career.

In this episode, I'm going to walk you through exactly what I eat and do every day, why protein and creatine are the non-negotiable foundation, how insulin control is the piece most people never address, and four steps you can start tonight.

⏱️ TIMESTAMPS 
0:00 What I Eat and Do Every Day as a 46-Year-Old Plastic Surgeon (My Health Protocol) 
0:51 How I went from chronic pain to best shape since my 30s 
1:28 Protein: why most people are dramatically underfueled 
3:05 How to anchor every meal around protein first 
4:09 Creatine: the most studied supplement people over 40 ignore 
6:37 Insulin: the real reason fat loss stalls despite effort 
9:13 Body composition scans and why the scale misleads you 
11:06 How targeting inflammation cleared my chronic joint pain 
13:24 My exact daily protocol: protein, creatine, training, and diet 
16:19 Four steps you can start tonight

❓ QUESTIONS ANSWERED

How much protein do you actually need over 40 to change your body composition? 
The target is 1 gram per pound of lean body mass daily. For most people this is significantly more than they are currently eating, and it is the single biggest lever for preserving muscle and changing body composition after 40.

Does creatine actually work for people who are not athletes or bodybuilders? 
Yes. Creatine is one of the most-studied supplements in existence and supports both muscle energy production and cognitive function. After 40, neither muscle nor mental sharpness is maintained by default, and 5 to 10 grams daily directly protects both.

Why can't I lose fat even when I'm eating less and working out consistently? 
When insulin is chronically elevated from a diet high in sugar and processed carbohydrates, your body stays in fat storage mode regardless of calorie intake. Controlling insulin is the hormonal prerequisite for fat loss. Calorie restriction alone cannot override it.

📱 RESOURCES 
Website: www.apresplasticsurgery.com 
Instagram: https://www.instagram.com/apresplasticsurgery/

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ABOUT DR. ARIC AGHAYAN: 
Dr. Aric Aghayan is a board-certified plastic surgeon, member of the American Society of Plastic Surgeons and The Aesthetic Society, and founder of Apres Plastic Surgery in Portland, Oregon. With 14 years of practice and over 2,500 procedures performed, he specializes in breast procedures, high-definition liposculpture, and post-weight loss body contouring. He was one of the first surgeons in the Pacific Northwest to offer Motiva implants and the Preserve minimally invasive breast augmentation.

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