Dominique Sachse on Aging Well, HRT, and Building Muscle After 50 artwork

Dominique Sachse on Aging Well, HRT, and Building Muscle After 50

The Dr. Gabrielle Lyon Show

April 14, 2026

The moment you decide to show up publicly, you open the door to opinions from people who would never say those things to your face.
Speakers: Dominique Sachse, Dr. Gabrielle Lyon
**Dominique Sachse** (0:00)
Beauty and aging can look this way to one person and this way to another. And here's the word that I want to remove from everybody's vocabulary, and that is the word should, what aging should look like. Because your should isn't my should, and it could evolve and it could change just like we do over time.

**Dr. Gabrielle Lyon** (0:22)
Now the women are exposed to a lot more online, a lot of unrealistic images, it's her basis.

**Dominique Sachse** (0:32)
Yeah, it's great to look good. Yeah, it's great to have abs. Yeah, it's great to have, you know, cuts in the shoulders, all wonderful things. But you have to know the why of what you're doing.
Right now, I can't show up for myself in a way in the gym or physically that I want to, because I might hurt myself. I might cause more damage than benefit because I'm not in a good place.

**Dr. Gabrielle Lyon** (0:57)
And you said embrace change. I would say that is very difficult for people.

**Dominique Sachse** (1:04)
It is.

**Dr. Gabrielle Lyon** (1:05)
And it's scary. What has changed over the last decade for you in terms of your training and nutrition?

**Dominique Sachse** (1:12)
Here's the part that really scares me about it all.

**Dr. Gabrielle Lyon** (1:25)
Dominique Sachse, welcome to the show.

**Dominique Sachse** (1:27)
Thank you for having me. What an honor. And can I also say how joyful to come back to Houston and to be able to spend some time in my hometown and see familiar faces. And it's a joy to be here.

**Dr. Gabrielle Lyon** (1:41)
You know, we were chatting before we started recording this idea that typically the podcast is MDs or PhDs. And really, I have no initials after my name. We were joking about how sometimes that can be difficult. And one thing though that unifies the guests is there is this thread of they are the best at what they do. And you have been in local TV news before you started this now pretty large YouTube of over a million and a half followers. As a TV personality living a very public life.
Now, here we are, and 2026 cannot believe it.

**Dominique Sachse** (2:24)
No.

**Dr. Gabrielle Lyon** (2:24)
There has been, there's just been so many transitions. You've lived your life very publicly in front of the camera. And as women, I do believe that this is the era of women.

**Dominique Sachse** (2:35)
Wholeheartedly agree with you. I feel like in a way, and as you describe it, and sometimes even as I think about it in my quiet moments, I feel like I have lived so many different lives, but yet the same life because there's sort of a common thread that runs through everything, which is a desire to execute my passion. So my passion has always been to communicate. I love being a communicator. I love being a storyteller. I love getting messages across. I like having impact and whatever I do or say for it to matter to somebody, right? I mean, we all are here with a purpose to have impact and effect change. So my feeling is, well, what does that look like?
And when I was in the news business, you know, like you said, for forever, I feel like I started when I was 12, but I mean, it's total 30 years.
In a local market like this, or even on a national level, your job is to take information and convey it and relay it in a way that is not only digestible, but relatable because there are news presenters on every channel. So why would you tune in to my channel or the other channel?
It's because you have a sense of connection with that person. It boils down to personality and relationship and then the ability to be able to take a story and make it like I'm talking directly to you and not thinking about 100,000 or a million people out there. But it's between me and you. That intimacy has always mattered to me. So even though I did that for so long and then shifted into YouTube, and then shifted into podcasting, it's still that same commonality of I want to affect change, I want to have an impact, I want to present information that is meaningful to somebody, that might spark a thought or inspire them to do something differently or see themselves differently. And I want it to feel like, just like I'm talking to you right now, I want her to feel that way too. So that's what I mean when I say there's a common thread.

**Dr. Gabrielle Lyon** (4:42)

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