Battling the Perimenopause Pounds
Alicia Shelly, MD FACPNovember 21, 202400:12:58

Battling the Perimenopause Pounds

Did you know? Perimenopause can cause unexpected weight gain—even with no changes in diet or exercise.

In this episode, Dr. Shelley discusses how hormonal changes during perimenopause—like declines in estrogen, progesterone, and testosterone—can lead to weight gain, especially around the abdomen. This transition period also brings a slowed metabolism, reduced lean muscle mass, and increased hunger hormones, which can make weight management more challenging.

To manage these changes, Dr. Shelley emphasizes adopting heart-healthy diets like the Mediterranean or plant-based diets, strength training to preserve muscle and bone health, and incorporating realistic lifestyle adjustments for balanced nutrition and physical activity.

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00:00 Understanding Menopause and Weight Gain
2:00 Defining Perimenopause and Its Symptoms
3:12 Hormonal Changes and Their Impact on Weight
4:18 Lifestyle Factors Contributing to Weight Gain
8:21 Strategies for Managing Weight During Perimenopause
10:36 Heart Health and Dietary Recommendations
11:44 Physical Activity and Strength Training

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