Why Women Gain Weight During Perimenopause (Even Doing Everything Right)

You’re eating the same. Exercising the same. Doing everything “right.” So why does your body suddenly feel different? In this episode, Dr. Annie Armstrong sits down with Dr. Marcy Nelson, family medicine physician and certified menopause practitioner, to discuss what actually happens during perimenopause and menopause, and why so many women experience unexpected symptoms long before menopause officially begins. We discuss: • Why weight gain shifts toward the midsection • Hormones and metabolism changes • Why fasted workouts may backfire for some women • Sleep disruption and cortisol • Brain fog, joint pain, and lesser-known symptoms • Strength training and longevity • GLP-1 medications and common misconceptions • How hormone shifts affect recovery and performance Many women are told menopause is simply hot flashes and aging. In reality, symptoms can begin years earlier and may affect energy, sleep, recovery, body composition, and overall quality of life. If you've ever thought: "I'm doing everything right… so why do I suddenly feel worse?" this conversation is for you. Learn more about Head 2 Toe Spine & Sports Therapy: https://www.head2toeclinic.com Book an appointment: https://head2toeclinic.janeapp.com Follow Head 2 Toe: Instagram:   / head2toeclinic   Facebook:   / head2toeclinic   #perimenopause #menopause #hormonehealth #womensover40 #hormonetherapy #lynnwood