In The Know With Nina

Ep. 073: Measuring what Matters in Functional Medicine


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What if menopause is not just about getting older, but a true metabolic turning point—and what changes when clinicians stop focusing only on the number on the scale and start looking at body composition, visceral fat, muscle mass, and lived experience?

In this episode of In the Know with Nina, Dr. Nina Crowley is joined by functional medicine practitioner Monique Class for a conversation on how body composition analysis can help clinicians better understand the metabolic shifts that occur during perimenopause and menopause. Drawing from more than 35 years of experience in functional medicine, Monique shares how advanced metrics like visceral fat and skeletal muscle mass can help move the conversation beyond weight alone and toward a deeper understanding of metabolic health.

Together, they explore menopause as a metabolic inflection point, discussing how hormonal changes influence fat distribution, insulin sensitivity, inflammation, and muscle loss. The discussion highlights how clinicians can combine body composition data with lab markers, symptoms, and patient experience to personalize care and guide more effective interventions.

Dr. Crowley and Monique also discuss the evolving role of hormone replacement therapy and GLP-1 medications, emphasizing that while these tools can support metabolic health, sustainable outcomes still depend on individualized lifestyle strategies, behavior change, and ongoing monitoring.

Key Takeaways

  • Why menopause represents a metabolic inflection point rather than simply a stage of aging
  • How body composition analysis helps clinicians move beyond scale weight alone
  • The role of visceral fat in inflammation and cardiometabolic risk
  • Why preserving skeletal muscle mass becomes increasingly important with age
  • How functional medicine approaches integrate labs, symptoms, and lifestyle data
  • When hormone therapy and GLP-1 medications may support metabolic health
  • Why personalization and patient-centered goals are key to successful lifestyle change

About my Guest

Monique Class, MS, APRN-BC, IFMCP, is a board-certified Family Nurse Practitioner, international lecturer, and Co-Founder of The Center for Functional Medicine. A recognized leader in women’s health, mind-body medicine, and coaching, she combines advanced clinical expertise with a patient-centered approach. Monique serves as Senior Faculty at the Institute for Functional Medicine and the Center for Mind-Body Medicine, Director of Coaching Development at the Functional Medicine Coaching Academy, and Clinical Instructor at the Yale Graduate School of Nursing.

How to Connect

LinkedIn: linkedin.com/in/monique-class-ms-aprn-bc-436260a0

Instagram: https://www.instagram.com/moniqueclassfxmed/

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In The Know With NinaBy seca North America | Body Composition Analysis Solutions