Why Do Women Gain Weight During Menopause?

Let’s get real—most health advice for women over 40 is outdated, oversimplified, or just flat-out wrong.

I’m Dr. Evan Nadler, a pediatric obesity specialist. And even though I don’t treat perimenopausal women directly, I’ve been studying the biology behind obesity long enough to recognize when something’s being ignored—and women's metabolic health has been ignored for decades.

In this video, I unpack what’s really going on with perimenopausal weight gain—beyond the myths about estrogen—and explain why traditional diet advice doesn’t work. I’ll also walk through cutting-edge insights into progesterone, insulin resistance, and why lifting weights might be more powerful than counting calories.

Spoiler: It’s not your fault. It is your biology. But it’s not hopeless.