The Mel Robbins Podcast
The Mel Robbins Podcast
January 1, 2026

Your Body Reset: The Proven Protocol to Get Stronger, Lose Fat, & Take Control of Your Health

Quick Read

Neurosurgeon Dr. Betsy Grunch shares her proven protocol for spinal health and overall well-being, drawing from her personal journey of overcoming severe back pain and obesity.
Nicotine is a major accelerator of degenerative disc disease, constricting blood flow to the spine.
Sedentary lifestyles and 'tech neck' (looking down at phones/screens) exert immense, cumulative pressure on your spine.
Sustainable health change focuses on consistent, manageable habits like food logging, proper lifting, and strategic exercise, not crash diets.

Summary

Dr. Betsy Grunch, a leading neurosurgeon, reveals actionable strategies to protect and strengthen your spine, emphasizing that many common back issues are preventable. She shares her personal transformation from being overweight and experiencing debilitating back pain after childbirth to losing 100 pounds and regaining control of her health. Dr. Grunch highlights four key areas to avoid for spinal health: nicotine use, a sedentary lifestyle, improper lifting, and poor sleeping positions. She explains the physiological impact of each, such as nicotine's vasoconstrictive effect on spinal discs and the cumulative strain of 'tech neck.' The episode also covers the importance of core strength, protein intake, and a strategic approach to exercise, including overcoming gym intimidation. Dr. Grunch stresses that pain is not normal and encourages listeners to advocate for their health, emphasizing that the body is designed for success and sustainable changes are possible at any age.
This episode provides a clear, expert-backed roadmap to proactive spinal health and overall physical well-being. Dr. Grunch's blend of medical expertise and personal experience makes complex health concepts accessible and actionable, empowering individuals to prevent common injuries, manage pain, and foster a stronger, healthier body for the long term. Her advice directly counters common misconceptions about aging and pain, offering hope and practical steps for anyone feeling stuck in an unhealthy cycle.

Takeaways

  • Avoid nicotine entirely to prevent accelerated degenerative disc disease and inflammation in the spine.
  • Combat a sedentary lifestyle by moving every 30-60 minutes, even if it's just a short walk or using a standing desk.
  • Lift objects properly by bending your knees and using your legs, not your back, to prevent acute injuries.
  • Optimize sleep by maintaining a neutral spinal alignment; avoid stomach sleeping, use a pillow under your knees (back sleepers) or between your knees (side sleepers), and ensure firm neck support.
  • Address 'tech neck' by holding your phone at eye level and raising computer monitors to reduce up to 60 lbs of pressure on your neck.
  • Prioritize protein intake (0.8-1 gram per pound of body weight) to support muscle growth and prevent muscle breakdown, which is crucial for spinal support.
  • Keep a food log to become aware of eating habits and identify areas for sustainable dietary changes, focusing on anti-inflammatory foods.
  • Strengthen your core and glutes with exercises like glute bridges and bird dogs to provide essential support for your spine.
  • Overcome gym intimidation by scouting the gym beforehand, asking for a tour, and planning your workout to build confidence.

Insights

1Nicotine's Devastating Impact on Spinal Health

Nicotine is a potent vasoconstrictor, meaning it narrows blood vessels. This significantly decreases blood flow and nutrient delivery to the spinal discs, accelerating degenerative disc disease. It also increases systemic inflammation, contributing to chronic pain. Dr. Grunch states she can identify a smoker's X-ray due to this accelerated degeneration.

Nicotine is one of the biggest accelerators of degenerative disc disease in our spine. I can look at two X-rays and I can tell you which one's a smoker. It's mindblowing.

2The Cumulative Damage of 'Tech Neck'

Your head weighs 10-15 pounds when upright. Leaning forward at an angle to look at a phone or computer screen, a posture known as 'tech neck,' increases the effective weight on your spine to up to 60 pounds. This sustained pressure weakens neck muscles, causes tension, arthritis, and can lead to chronic headaches and disc issues, especially concerning for younger generations.

If you lean forward at an angle like you're looking at our phone, and we all do it, that force of weight becomes up to 60 lb.

3Pain is a Signal, Not a Normal State

Dr. Grunch challenges the common belief that pain, especially chronic pain or pain related to life stages like postpartum, is normal. She emphasizes that pain is the body's signal that something is wrong and requires attention, not dismissal. This perspective encourages individuals to seek medical advice for persistent pain rather than enduring it.

I want to normalize that pain is not normal. That's a signal to your body to make a change.

4Sustainable Change Through Self-Awareness and Planning

Dr. Grunch's personal journey of losing 100 pounds involved realizing that crash diets and unrealistic exercise routines are unsustainable. She advocates for small, consistent changes, food logging to understand eating habits, and planning meals to avoid impulsive unhealthy choices. She also highlights adapting exercise routines to fit personal schedules, like working out at night, as key to long-term adherence.

I try my best to food prep because I don't have to think about it because if I'm left to my own means it's dangerous... It's sustainable change over time and change over time is one of the hardest things to do because it's you have to change your mindset and you have to do it forever.

5The Importance of Core and Glute Strength for Spinal Support

The spine is primarily supported by surrounding muscles, including the abs, back muscles, pelvic floor, and diaphragm. A sedentary lifestyle weakens these muscles, making the spine vulnerable. Strengthening the core and glutes, through exercises like glute bridges and bird dogs, is crucial for maintaining spinal stability and preventing pain.

Your back is not just your bones, your discs, your joints, your ligaments. It's mostly supported by your muscle... those muscles atrophy. They get weaker. You're not supporting yourself.

Lessons

  • Eliminate all forms of nicotine from your life to protect your spinal discs and reduce inflammation.
  • Incorporate regular movement throughout your day, aiming to stand or walk for at least 5-10 minutes every hour, especially if you have a desk job.
  • Adopt proper lifting techniques by bending your knees and engaging your legs, not your back, even for light objects.
  • Optimize your sleep posture by avoiding stomach sleeping, using a pillow under your knees (back sleepers) or between your knees (side sleepers), and ensuring your neck is in neutral alignment with a firm pillow.
  • Actively combat 'tech neck' by raising your phone and computer monitors to eye level to reduce strain on your cervical spine.
  • Track your food intake using a food log or app to identify unhealthy patterns and make conscious, sustainable dietary changes, prioritizing anti-inflammatory foods and adequate protein (0.8-1g/lb body weight).
  • Integrate core and glute strengthening exercises like glute bridges and bird dogs into your routine, and consider consulting a physical therapist for proper form.
  • Overcome gym intimidation by visiting a new gym without working out, asking for a tour, taking photos of equipment, and planning your workout in advance.

Quotes

"

"Nicotine is one of the biggest accelerators of degenerative disc disease in our spine. And I can look at two X-rays and I can tell you which one's a smoker. It's mindblowing."

Dr. Betsy Grunch
"

"In order to care best for others, you have to care for yourself. And if I could go back and tell my younger self one thing, it would be that it's okay to love yourself. It's okay to take time for you."

Dr. Betsy Grunch
"

"Your back is not just your bones, your discs, your joints, your ligaments. It's mostly supported by your muscle."

Dr. Betsy Grunch
"

"Your head weighs anywhere from 10 to 15 pounds. So when we are sitting upright, we have 10 to 15 pounds pushing down on our spine. If you lean forward at an angle like you're looking at our phone... that force of weight becomes up to 60 lb."

Dr. Betsy Grunch
"

"Pain is not normal. That's a signal to your body to make a change."

Dr. Betsy Grunch
"

"The biggest thing that I would stress is to know that you're in the driver's seat. You're in you're the driver of your body. You're the driver of your life."

Dr. Betsy Grunch

Q&A

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