Karaoke Wine Podcast

On Karaoke Wine, Jules and Tessa welcome Dr. Paola D’Aleman, a board-certified physician from Colombia and CEO of Somaentis in Boca, for the first of a three-part series on lifestyle medicine and metabolic health. Dr. D’Aleman explains lifestyle medicine as a branch of conventional medicine built on six pillars—nutrition, movement, stress management, sleep health, reducing toxic substances (including tobacco and alcohol), and meaningful relationships—and how it supports prevention, chronic disease improvement, and medication de-prescribing when appropriate. The conversation addresses obesity as a chronic metabolic condition, the role of GLP-1 medications alongside lifestyle changes, and the need to stop stigma. Using a DEXA scan, they debunk BMI and scale weight, discuss visceral vs. subcutaneous fat, and review Juliana’s results, recommending muscle gain and body recomposition. They also clarify perimenopause/menopause definitions, fertility considerations, and how maternal metabolism and epigenetics can affect offspring. 
 
00:00 Welcome and Guest Intro 
01:11 Why Lifestyle Medicine 
03:03 Six Pillars Explained 
04:14 Medications and Prevention 
05:16 Obesity as Chronic Disease 
06:43 GLP-1s and Stigma 
10:05 Precision Medicine Data 
11:02 DEXA Scan Basics 
11:58 Beyond the Scale 
13:44 Muscle Longevity Focus 
16:15 Menopause Definitions 
20:49 Fertility and Metabolism 
27:36 Epigenetics and Inheritance 
33:10 Prenatal Planning and Next Steps 
34:57 Starting DEXA Results 
35:48 Debunking BMI 
36:56 DEXA Metrics Explained 
37:31 Visceral Fat Risk 
39:36 Lean Mass for Longevity 
41:50 Recomp Not Weight Loss 
44:04 Muscle Gain Targets 
47:57 Pregnancy Readiness 
49:38 Lift Weights Eat Well 
52:18 Building a Care Team 
56:07 Preventive Medicine Shift 
01:00:04 Key Takeaways Wrap Up 

Creators and Guests

Host
Juliana Scaminaci
Juliana is the epitome of the Rising Phoenix. Always reinventing herself from working in fashion, banking, and biotech; there is nothing that can stop her. She brings her humor and a very colorful life to the podcast.
Host
Tessa Tierney
Tessa is a firestorm of a lady. She brings decades of experience in the corporate world and the ladder is never high enough. She brings her tenacity and wit to the podcast!

What is Karaoke Wine Podcast?

Two best friends. Jules and Tessa, share unfiltered conversations about life in their 30s -- wild experiences, hot topics, and everything in between -- all over a glass of wine. Pour yourself a drink and join the fun!