PCOS, Perimenopause, and Fat Loss: A Real Client Case Study (Ep. 122) episode artwork

EPISODE · Apr 13, 2026 · 31 MIN

PCOS, Perimenopause, and Fat Loss: A Real Client Case Study (Ep. 122)

from Where Women Win with Sarah Fechter

We're sticking with the theme of client case studies for the entire month of April, I'll be providing an inside look at a variety of real client case studies inside the SF Coaching Method.  In today's episode is one I've been really looking forward to recording, because we're going to unpack a real client case study that sits at the intersection of PCOS, perimenopause, fat loss, and hormone health. And before I even get into her story, I want to zoom out for a second here because one of the biggest problems women are facing right now isn't just symptoms, it's where the nuance gets lost. There's a massive amount of information online about hormones, PCOS, perimenopause, insulin, and of course, fat loss. And a lot of it is either oversimplified, taken out of context, or just not applicable to real life. So what that does is it creates a constant feeling of, am I doing this right? Should I be doing more? Why isn't this working for me? And what I want to do in this episode is give you a clearer lens in a better understanding of what's happening. We're going to talk through what's happening physiologically in PCOS and perimenopause, why fat loss can feel more complex in this phase. How metabolism, stress and hormones are all interacting. And I'll walk you through the real case study of how this played out over the course of about nine months with my current client.   Time Stamps:   (0:57) Client Case Study I'm Excited To Dive Into (2:35) Defining Perimenopause (7:18) Insulin (9:49) Energy and Stress (14:18) My Client's Background and Lifestyle (17:02) TPO Antibodies (21:27) Changes In Months 3 and 4  (28:36) The SF Coaching Method ----------  Apply for SF Coaching Method  https://sarahfechter.ac-page.com/sfhq-cc Complimentary Health Content  https://sarahfechter.ac-page.com/Health_Wellness_Community ----------  Follow Me On Instagram - https://www.instagram.com/sarahfechter.ifbbpro/   Check Out My Website - https://www.sarahfechter.com ----------  This Podcast is for general informational purposes only and does not constitute the practice of medicine, nursing, other professional health care services, or any professional practice of any kind. Any reliance on the information provided in this Podcast is done at your own risk and Sarah Fechter Fitness LLC expressly disclaims any and all liability or responsibility for any direct, indirect, incidental, special, consequential or other damages arising out of any individual use of, reference to, reliance on, or inability to use, this Podcast or the information presented in this Podcast. All contents and design for this Podcast are owned by Sarah Fechter Fitness LLC. Always consult your professional team before beginning any exercise or nutrition program.

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PCOS, Perimenopause, and Fat Loss: A Real Client Case Study (Ep. 122)

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