
"I’m eating exactly the same way I always have, but I’m gaining weight." If this sounds like you, you aren’t alone—and you aren’t broken. In this episode, Dr. Rachel Pope sits down with registered dietitian Gretchen Spetz to explain why the traditional "calories in, calories out" model fails women in perimenopause and menopause.
As estradiol declines, our bodies undergo a profound physiological shift. Our basal metabolic rate can drop by up to 300 calories, our "fullness" hormones become less sensitive, and our cells become more resistant to insulin. The result? Frustration, fatigue, and the "midsection creep" that seems to happen overnight.
Gretchen Spetz is a registered dietitian who specializes in integrative and functional nutrition. She joins the show to provide a "food-first" roadmap to navigating these changes. We move past the grim statistics to focus on the silver lining: the specific tweaks you can make today to outsmart your biology.
Gretchen Spetz, MS, RDN, LD, IFNCP, is the founder of The Functional Kitchen. She uses a functional medicine approach to help women in midlife address the root causes of chronic disease and weight management through nutrition and lifestyle.
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