Perimenopause 3- Understanding Cortisol and Perimenopause: What Women Need to Know episode artwork

EPISODE · Jun 19, 2026 · 16 MIN

Perimenopause 3- Understanding Cortisol and Perimenopause: What Women Need to Know

from Well & Wealthy Podcast with Alicia MacPherson · host Alicia MacPherson

Book a free consult https://aliciamacphersoninc.com/applyIn this episode, Dr. Alicia MacPherson breaks down how cortisol regulation changes during perimenopause and its impact on stress, sleep, and fat loss. She emphasizes the importance of understanding cortisol’s true role, debunks common myths, and offers practical strategies to support hormonal health during this transitional phase.Main topics include:The natural rhythm of cortisol and how it gets disrupted in perimenopauseHow estrogen fluctuations influence stress response and cortisol regulationThe connection between cortisol dysregulation, visceral fat, and insulin resistanceThe behavioral and lifestyle factors that worsen cortisol imbalanceEvidence-based techniques for managing cortisol, including dietary choices, movement, and sleep hygieneThe importance of simplifying routines and reducing decision fatigue to support nervous system healthClarifying myths around adrenal fatigue and hormonal depletionPractical tips for aligning lifestyle habits with hormonal needs in perimenopauseTimestamps:00:00 - Why stress impacts women differently in perimenopause02:20 - The typical cortisol rhythm and what changes during perimenopause03:28 - How fluctuating estrogen affects stress regulation and cortisol response04:47 - The link between cortisol dysregulation and belly fat05:41 - Why stress eating is common during perimenopause06:39 - The misconception of adrenal fatigue and the real underlying issues07:36 - Challenges of measuring cortisol and personalized approaches08:30 - The role of exercise and movement in cortisol regulation09:28 - Blood sugar stability as a cortisol management tool10:15 - Practical tips for reducing stress load and decision fatigue11:35 - How household routines and minimalism support nervous system health13:38 - The compounded demands of life during perimenopause15:05 - A holistic view of stress response, hormonal shifts, and fat loss

Episode metadata supplied by the publisher feed · Published Jun 19, 2026

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Perimenopause 3- Understanding Cortisol and Perimenopause: What Women Need to Know

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This episode was published on June 19, 2026.

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