🎧 Episode Overview:Dr. Ali Novitsky returns with renewed energy and exciting updates—including an upcoming trip to Japan and life with new chicks!In this episode, she tackles a timely and often misunderstood issue: weight gain in lean women during perimenopause and menopause. Through personal insights and a detailed case study, she explores how hormonal shifts impact metabolism, body composition, and mental health—and how to approach this population with compassion and strategy.1. Understanding Hormonal Shifts·       Estrogen & testosterone decline, cortisol increases·       Impact on muscle mass, fat distribution, energy, and anxiety·       Dr. Novitsky’s personal hormone journey2. Case Study: Laura (Age 45)·       Lean, active woman experiencing weight gain·       Symptoms, lab results, and emotional impact·       Guided steps for clinical management3. Tools for Tailored Assessment·       Importance of motivational interviewing·       Taking weight history and analyzing body composition·       Using InBody scans to assess fat/muscle distribution4. Nutritional and Lifestyle Strategy·       Conducting a nutrition audit·       Realistic food tracking goals·       Importance of strength training in midlife5. Addressing Resistance & Setting Expectations·       Normalizing frustration and resistance·       Setting achievable fat loss goals·       Supporting “naturally thin” women who are metabolically vulnerable6. When Lifestyle Isn’t Enough·       Recognizing when medication may help·       Debunking stigma around pharmacologic support·       Advocating for early, proactive intervention·       Hormonal changes in perimenopause affect more than weight — they impact muscle, mood, and metabolism·       “Normal weight obesity” is real — body composition matters more than BMI·       Strength training is key for sustainable metabolic health·       Compassion + data = successful clinical care 🕒 Timestamps:00:00 – Summer update + trip to Japan00:43 – Weight gain in lean perimenopausal women05:05 – Case Study: Laura09:47 – Motivational interviewing and trust-building13:08 – Hormonal shifts: cortisol, testosterone, thyroid15:00 – Sleep, hunger hormones, and weight19:04 – Detailed weight history22:03 – Body composition metrics that matter29:08 – Nutrition audit tips35:02 – Why strength training is essential42:09 – When to consider medication43:22 – Wrapping up and next week’s teaser🎤 Final Thought:Dr. Novitsky reminds us that weight gain during perimenopause isn’t a personal failure — it’s biology.  With compassionate care and science-backed strategies, women can navigate this life stage with confidence and clarity.🎯 Ready to Personalize Your Health?Work with Dr. Ali• Beginner Strength Training Program – 12 months for only$199! ⁠⁠⁠⁠⁠<a href="https://www.trainerize.me/profile/thefitcollectiveapp/?planGUID=8b488ef7255547cbadab2fe9bf5bf0c2&mode=checkout" target="_blank" rel="ugc noopener noreferrer">⁠⁠⁠⁠⁠Enroll TODAY⁠⁠⁠⁠⁠</a>⁠⁠⁠⁠⁠• Total Fitness Program – A 12-month mind-body experience. ⁠⁠⁠⁠⁠<a href="https://www.trainerize.me/profile/thefitcollectiveapp/?planGUID=fb07cea512af4b05b30dd11c2e827255&mode=checkout" target="_blank" rel="ugc noopener noreferrer">⁠⁠⁠⁠⁠Enroll HERE⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠</a>• The Fit Collective® x InBody USA/Canada – Get 15% off select models. <a href="https://shop.inbodyusa.com//discount/fitcollective?redirect=/collections/at-home-body-composition-scale/products/dialh30?aff=67" target="_blank" rel="ugc noopener noreferrer">⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Click HERE</a>⁠

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267: Navigating Weight Gain in Perimenopause and Menopause

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