Episode 74: Part II: Weight Loss Resistance in Perimenopause: What Changes After 40

In this episode of the Advanced Women’s Health Podcast, we’re continuing our conversation on weight loss resistance—this time focusing specifically on what happens during perimenopause and menopause.This is one of the most common things I hear from patients in this stage of life: “I’m doing everything the same… and my body is changing anyway.”And the truth is—you’re not imagining it.There are very real, measurable shifts happening in your body during this time. Your hormones are changing, your sleep may be more disrupted, your stress tolerance can shift, and your metabolism starts responding differently.But here’s the most important part: you are not broken.When we understand what’s changing, we can actually work with your body instead of feeling like it’s working against you.In this conversation with Dr. Samantha Maloney, we break down the key drivers behind weight changes in midlife—from insulin resistance and fat distribution to muscle loss, sleep, and stress.We also talk about something I feel very strongly about: weight is not just about calories. It’s about hormones, metabolism, and how your body is functioning as a whole.And while some things do change with age, many of the factors influencing your health are still modifiable—and that’s where we focus our attention.There is so much happening in your body during this phase of life—but that doesn’t mean you’re stuck.When you understand what’s changing, you can start making decisions that actually support your body in a way that feels effective and sustainable.If you haven’t yet listened to Part 1 of this conversation, I highly recommend starting there first.Please follow this show on Spotify. It really helps!