Discover why women gain weight during and after menopause and what steps can be taken to minimize and manage metabolic changes.

I feel I could write a lengthy book on this topic alone. Over my years of private practice,I have been around many menopausal women, both personally and professionally and of course have gone through this transition myself. I have seen women’s frustration about suddenly being heavier and their dismay at the unwelcome reshaping of their bodies, including the redistribution of fat from the hips to the midline that occurs during menopause. The startling scientific fact is that over 40 percent of women ages 45 to 60 are not just overweight but considered obese.

If sleep is our greatest life support system, why is it the first thing to go as we enter perimenopause?

Sleep is often one of the first things to shift during perimenopause. Changes often begin with symptoms like insomnia — difficulty falling or staying asleep, as well as stress, anxiety, and depression. Many of these signs or symptoms may occur months to years before irregular periods, the first hot flash, or the onset of brain fog.

So why does sleep disruption so often arrive first? Dr. Fields , breaks down the delicate hormonal dance happening behind the scenes — and what happens when that rhythm starts to change.

In this look at one of the most misunderstood parts of menopause, Dr. Fields explains what to watch for and when to seek care.

Perimenopause — the transitional time between having periods and menopause — doesn't always announce itself. Instead, it appears as a series of unexpected changes that leave many women wondering what's happening.

Understanding the signs puts you back in control. As research and treatment options continue to expand, it's possible to move through this phase with confidence, not just coping, but actually thriving.

Perimenopause usually begins in a woman's early 40s, but women can experience symptoms in their 30s or 50s. Research shows that the earlier we identify and treat symptoms of perimenopause, the better we can address not only those symptoms but lower the risk of cardiovascular and neurologic disease in the future.

Here are five signs or symptoms that you might be in perimenopause.

If stressed, learn to Breathe!

When searching for a simple stress management approach, the ancient practice of breathwork stands out for its accessibility and effectiveness. It's free, available on demand, and as an emotional regulation tool, can provide instant results. This method, centered on the conscious control of breathing, serves as a powerful tool for enhancing both mental health and physical wellbeing.

Breathwork provides a wide range of health benefits, including improved moods, reduced high blood pressure, and enhanced relaxation. It can also be effective in managing symptoms of chronic conditions like COPD and asthma, improving cognitive functions such as alertness and memory, and fostering creativity and quality sleep.

Additionally, breathwork has been found to reduce anxiety and depression, and increase heart rate variability, indicating improved fitness and mental health.

Often paired with meditation, there are several types of breathing practices available.

The human body is a healing machine. It is designed that way. But with today’s ever-increasing level of toxicity and stress, your gut is constantly under attack. Image Art by @wildspiritcolorado

CNN (1/3, LaMotte ) reports, “For the sixth year in a row, the Mediterranean style of eating earned the title of best overall diet, according to 2023 ratings announced Tuesday by U.S. News & World Report.” In addition, “meals from the sunny Mediterranean...ranked first in the categories of...best diet for healthy eating and best plant-based diet, the report said.”