270: Cortisol, Insulin, and Why the Scale Won't Move in Midlife episode artwork

EPISODE · May 12, 2026 · 29 MIN

270: Cortisol, Insulin, and Why the Scale Won't Move in Midlife

from Total Health in Midlife with Elizabeth Sherman · host Elizabeth Sherman

You've been eating reasonably well. You're moving your body. You're trying to get enough sleep. And the scale still won't move. If that sounds familiar, this episode is going to give you something most health advice never does: an actual biological explanation for why your body is responding the way it is right now, in this phase of your life.Elizabeth came across an article recently about cortisol and menopausal weight gain, and it stopped her mid-scroll. Not because it was telling her anything she didn't already know, but because it put into plain language something she sees in her clients constantly and realized she hasn't explained clearly enough on this podcast. This episode is her response to that article, and it's one of the most direct conversations she's had about the science behind her work.This is not another episode about eating less and moving more. It's an honest explanation of what is happening inside your body during perimenopause and menopause, why chronic stress and poor sleep have a direct biological impact on your weight, and why the advice you've been following was never designed for the body you have now.If you've ever felt like you're doing everything right and still going nowhere, this episode is going to make a lot of things make sense.The Listener Takeaway: Why This Episode MattersWhat this episode offers is something the diet and wellness industry rarely provides: a straightforward, non-shame-based explanation for why your body is doing what it's doing. The weight that won't move, the exhaustion, the feeling that you're trying and nothing is working, these are not signs that something is wrong with you. They are signs that your body has changed significantly, and the tools and advice you've been given were never updated to match it. Understanding that distinction is genuinely useful, and it changes everything about how you approach your health from here.WHAT YOU'LL LEARNWhy cortisol behaves differently in menopause and perimenopause, and what that means for your weight, your energy, and your ability to manage stress the way you used toThe real reason sleep deprivation and chronic stress aren't just lifestyle inconveniences: they are direct biological inputs that change how your body stores and burns fatRESOURCESTake the free quiz8 Habits That Healthy People Do and Why They Don't StickHey! I love hearing from you. Send me a text. Let me know what resonated with you. I submitted a talk for SXSW 2027: Biohacking Is Just Dieting in a Lab Coat. Community voting runs through August 23rd, and it's part of what determines who gets on stage in Austin next March. If this resonates, I'd love your vote: CLICK HERE. Free account required, takes about a minute. If you’re a woman in midlife who wants better health without obsessing over weight, you’re in the right place. I’m Elizabeth Sherman, a life and health coach and host of the Total Health in Midlife Podcast.After coaching hundreds of women, I know the real problem usually isn’t “not enough information” – it’s too much of it, and not knowing where to start. With close to 300 episodes, this show can feel that way too.To make it easy, I created a free Listener’s Roadmap that helps you figure out which episodes are right for you right now. Tell me what you’re struggling with – low energy, emotional eating, stress, sleep, exercise, or all of the above – and I’ll point you to a curated path of episodes and resources to get you moving.Download your free roadmap at https://elizabethsherman.com/roadmap.

Episode metadata supplied by the publisher feed · Published May 12, 2026

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You've been eating reasonably well. You're moving your body. You're trying to get enough sleep. And the scale still won't move. If that sounds familiar, this episode is going to give you something most health advice never does: an actual biological explanation for why your body is responding the way it is right now, in this phase of your life. Elizabeth came across an article recently about cortisol and menopausal weight gain, and it stopped her mid-scroll. Not because it was telling her anyt...

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270: Cortisol, Insulin, and Why the Scale Won't Move in Midlife

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This episode was published on May 12, 2026.

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