Are you gaining weight in midlife even though you’re eating well and exercising? Do you feel tired, hungry, and stuck no matter what you try?

In this episode, Dr. Polly Watson and Nurse Practitioner Kate Willis discuss sustainable weight loss in perimenopause and menopause and why midlife weight gain is more complex than most people realize. They break down the science behind insulin resistance, hormones, stress, and metabolism—and explain practical steps that actually work.

🌸 Midlife weight gain is often driven by hormonal shifts, muscle loss, and changes in metabolic rate—not just calories.
🌸 Insulin resistance can increase belly fat, hunger, and fatigue, even when blood sugar looks “normal.”
🌸 Strength training and adequate protein are essential to improve insulin sensitivity and protect muscle.
🌸 Prioritizing protein, healthy fats, and fiber helps stabilize blood sugar and reduce cravings.
🌸 GLP-1 medications and metformin can be helpful tools when layered onto strong lifestyle foundations.
🌸 Chronic stress and elevated cortisol can worsen insulin resistance and impact thyroid function.
🌸 Sleep, sunlight exposure, and simple nervous system practices can improve metabolic health over time.

If you’re navigating perimenopause or menopause and feel frustrated by stubborn weight gain, this episode offers clarity, validation, and realistic, science-backed steps you can start today.

📘 Try our 10-minute new patient intro course: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course

🩺 Looking for Personalized Hormone Care in North Carolina or Alabama?
Hormone Wellness MD provides expert, evidence-based hormone care for women across North Carolina and Alabama. We care for patients in Raleigh, Charlotte, Wilmington, Chapel Hill, Durham, Greensboro, and Birmingham.

If you’re ready for expert care rooted in evidence and empathy, we’d love to support you.

Website: https://hormonewellnessmd.com
Email: info@hormonewellnessmd.com
Call: (919) 364-3430

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Sustainable Weight Loss: A Metabolic Health Approach Part 1