How to Lose Weight During Perimenopause (Doctor's Guide)

Doctor Drop It with Dr Barbara Hessel · May 7, 2026 · 15m

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If you are in perimenopause and nothing is working anymore, you are not doing anything wrong.

The diet and exercise approach that kept you lean in your 30s is now physiologically mismatched to what your body is doing right now.

Estrogen is fluctuating wildly. Insulin is storing fat in your belly. Muscle is disappearing faster than you realize.

Your old approach never stood a chance against all four of these happening at once.

In this episode, I'm going to break down the four hormonal shifts that make weight loss harder…