If you've been struggling with menopause belly fat or perimenopause weight gain, despite eating well and exercising, you're not alone. Hormone changes affect your metabolism, muscle mass, stress hormones, and even your gut health, making it much harder to lose weight the way you used to. The good news is there are science-backed ways to work with your body instead of against it.
This episode is part of Tamsen's series breaking down the biggest topics from her New York Times bestselling book, How to Menopause, one conversation at a time. This week, it's belly fat.
Tamsen shares what finally worked after interviewing leading experts in menopause, nutrition, endocrinology, and longevity, and why the answer isn't eating less or doing more cardio.
Inside the episode:
- Why estrogen changes where your body stores fat
- The protein and fiber goals that support muscle and metabolism
- Why strength training beats more cardio in midlife
- How cortisol, sleep, and chronic stress keep belly fat hanging around
- The connection between gut health, inflammation, and weight gain
- Why drinking less alcohol made such a noticeable difference
- The five habits that helped Tamsen feel stronger, healthier, and more confident
If you're tired of doing everything "right" and still not seeing results, this episode will help you understand why your body changed and what to do next.
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guest appearing in this episode
Tamsen Fadal
If you've been struggling with menopause belly fat or perimenopause weight gain, despite eating well and exercising, you're not alone.
Resources
medical disclaimer:
The information provided in this podcast is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional regarding any medical concerns or treatment options. The views expressed by guests are their own and do not necessarily reflect those of The Tamsen Show.
0:00 Intro
3:53 The Protein and Fiber Goals That Help Burn Belly Fat
9:38 Why Strength Training Beats Cardio for Women Over 40
12:45 Stop Dieting Harder Because It Could Be Making Belly Fat Worse
16:43 The Gut Health Connection to Hormones, Bloating, and Belly Fat
19:04 How Alcohol Makes Menopause Belly Fat Harder to Lose
21:29 The 5 Habits That Actually Reduce Menopause Belly Fat
22:05 Why Building Strength Matters More Than Being Skinny
22:59 How to Feel Like Yourself Again










