Why does it feel like your body is changing overnight in perimenopause? In this episode Dr. Jila breaks down the science behind weight gain during menopause from the hormonal shifts that change fat distribution to the difference between visceral and subcutaneous fat. 

She explains why the scale and BMI don’t always tell the full story, what “skinny fat” really means, and how muscle mass, sleep, stress, and nutrition all play a role in metabolism. Dr. Jila also explores treatments that work (and those that don’t), the role of medications like GLP-1s, and practical steps women can take to support their health through this transition. 

It’s an honest, empowering conversation that helps reframe midlife not as the beginning of the end, but as a hormonal reboot with the right tools and knowledge. 

More from Dr. Jila 

Website: jilamd.com 

Instagram: @drjilasenemar 

LinkedIn: Jila Meyer 

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