If you’re entering perimenopause and suddenly noticing more abdominal fat, higher cholesterol, poorer sleep or increased anxiety, you’re not imagining it.

In this episode, I’m joined by Professor Sarah Berry to unpack what actually changes in women’s cardiometabolic health during the menopause transition

We explore why premenopausal women are often metabolically protected compared to men, what shifts during perimenopause, and how declining estrogen impacts fat distribution, blood glucose control, inflammation and cholesterol.

WHAT YOU WILL LEARN

• Why cardiometabolic health often worsens during perimenopause

• When visceral fat redistribution typically begins

• The role of estrogen in fat storage, cholesterol and inflammation

• Whether hormone therapy protects against abdominal fat gain

• How glucose dips can drive an extra 300+ calories per day

• What ApoB really means and why it matters beyond LDL

• The truth about seed oils, saturated fat and cardiovascular risk

• Why soy isoflavones work for some women but not others

• How replacing typical snacks with almonds predicted a 30% drop in cardiovascular risk
TIMESTAMPS:
00:00 Intro: Why Cardiometabolic Risk Increases During Perimenopause

05:01 Does Hormone Therapy Protect Against Visceral Fat & Cholesterol Changes?

13:42 How to Improve Your Gut Microbiome through Diet
19:01 Why Belly Fat Increases in Perimenopause (Estrogen, Hunger & Blood Sugar)

27:39 Saturated Fat Explained: Butter vs Yogurt & The Food Matrix

45:31 Eating Speed, Late-Night Meals & Metabolic Health in Midlife

VALUABLE RESOURCES

• Take the BioSyncing Quiz to help you understand what’s actually happening in your body — and how to fix it.

👉 https://biosyncing.scoreapp.com/

A BIG thank you to our sponsors who make the show possible:

• Stride - Find out your biological age and how your daily habits are influencing it with DNA, bloodwork and microbiome testing with a Stride One membership
👉 https://www.getstride.com/angela/ for 10% off

ABOUT THE GUEST

Professor Sarah Berry is a Professor of Nutritional Sciences at King’s College London and Chief Scientist at ZOE. She leads large-scale research on personalised nutrition, metabolic health and how individuals respond differently to food, including the global PREDICT studies.

Instagram: https://www.instagram.com/drsarahberry/

X: https://x.com/saraheeberry

ABOUT THE HOST

Angela Foster is an award winning Nutritionist, Health & Performance Coach, Speaker and Host of the High Performance Health podcast. A former Corporate lawyer turned industry leader in biohacking and health optimisation for women, Angela has been featured in various media including Huff Post, Runners world, The Health Optimisation Summit, BrainTap, The Women’s Biohacking Conference, Livestrong & Natural Health Magazine.

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Disclaimer: The High Performance Health Podcast is for general information purposes only and do not constitute the practice of professional or coaching advice and no client relationship is formed. The use of information on this podcast, or materials linked from this podcast is at the user's own risk. The content of this podcast is not intended to be a substitute for medical or other professional advice, diagnosis, or treatment. Users should seek the assistance of their medical doctor or other health care professional for before taking any steps to implement any of the items discussed in this podcast.

This Podcast has been brought to you by Disruptive Media. ⁠https://disruptivemedia.co.uk/