Belly fat in perimenopause and menopause can feel impossible to lose, even when you’re eating well and exercising. So what actually works? In this special episode, Tamsen brings together the best advice from some of The Tamsen Show’s top experts on midlife weight gain, visceral fat, metabolism, hormones, insulin resistance, and GLP-1 medications.
From the best exercises for building muscle and losing fat to how much protein and fiber you really need, these experts break down what’s happening to your body in midlife and the changes that can actually make a difference
In this episode, you’ll learn:
- Why belly fat increases during perimenopause and menopause
- The difference between belly fat and dangerous visceral fat
- The best exercises for changing your body composition
- How protein, fiber, sleep, stress, and insulin resistance affect weight
- Why eating less may actually be working against you
- What women should know about GLP-1 medications in midlife
Featuring:
Dr. Rocio Salas-Whalen — Endocrinologist & Obesity Medicine Expert, author of Weightless
Dr. Shannon Ritchey, PT, DPT — Physical Therapist & Founder of Evlo Fitness
Dr. Amy Shah, MD — Nutrition Expert & bestselling author of Hormone Havoc
Dr. Alexandra Sowa, MD — Dual board-certified Internal & Obesity Medicine physician, author of The Ozempic Revolution
Everything you’ve been wondering about stubborn belly fat in midlife, all in one episode.
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guest appearing in this episode
Dr. Rocio Salas-Whalen, Dr. Shannon Ritchey, Dr. Amy Shah, MD, and Dr. Alexandra Sowa
Chrissy Metz is opening up to Tamsen Fadal about one of the biggest decisions she's ever made for her health.
Follow Dr. Salas-Whalen on Instagram
Get Dr. Salas-Whalen's book, Weightless: A Doctor's Guide to GLP-1 Medications, Sustainable Weight Loss, and the Health You Deserve
Dr. Ritchey on Instagram
Check out Evlo Fitness
Follow Dr. Shah on Instagram
Get Dr. Shah's book, Hormone Havoc: A Science-Backed Protocol for Perimenopause and Menopause
Follow Dr. Sowa on Instagram
Get Dr. Sowa's book, The Ozempic Revolution: A Doctor’s Proven Plan for Success to Help You Reverse Obesity, End Yo-Yo Dieting, and Protect Yourself from Disease
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
01:34 Why Belly Fat Suddenly Appears in Midlife
04:49 Why “Normal” Hormone Tests Can Miss Perimenopause
06:17 Visceral Fat vs. Belly Fat and What’s Actually Dangerous?
07:37 The 2 Things That Help Reduce Belly Fat Without Medication
09:55 Why Under-Eating Can Make Midlife Weight Gain Worse
13:40 The 30-30-3 Nutrition Framework for Midlife
15:23 Why You Can’t Spot Treat Belly Fat
18:28 The REPS Formula for Building Muscle After 40
28:09 Can GLP-1s Help With Menopause Belly Fat?
32:39 How Stress and Poor Sleep Cause Weight Gain in Midlife










