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Clearly HormonalAuthor: Komal Patil-Sisodia, MD
Have you ever wondered why your body feels like it's falling apart just as you're hitting your stride in other areas of your life? Join Dr. Komal Patil-Sisodia as she explores womens metabolic health changes that start in perimenopause. The episodes center around educating and empowering women to have open dialogue with their doctors so that they can achieve their best metabolic health. Dr. Patil-Sisodia is board certified in Endocrinology, Obesity Medicine and Internal Medicine. She is also a Menopause Society Certified Practitioner. Any medical discussion on this podcast is purely for educational purposes and is not individualized medical advice. Please consult with your doctor to discuss any health concerns you may have. Language: en-us Genres: Health & Fitness, Medicine Contact email: Get it Feed URL: Get it iTunes ID: Get it |
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Why Your Body Composition Changes in Midlife (Even If the Scale Doesn't)
Wednesday, 14 October, 2026
📱 Send Us a Text Message! We’d love to hear from you! Please include your name and email address so we can reply. Don’t worry — this won’t sign you up for our email list. We’ll only use your info to respond to your question.Your weight has not changed, but your body has. In this episode, Dr. Komal Patil-Sisodia explains why body composition shifts during the menopause transition, why the scale cannot tell the whole story, and what you can do about it. She shares her own experience after a hysterectomy, breaks down the difference between subcutaneous and visceral fat, explains insulin resistance with a classic TV analogy, and walks through a realistic foundation of strength, nutrition, sleep, and sustainable planning. She also covers where menopause hormone therapy and obesity medications fit, and why higher body fat after menopause is linked to breast cancer risk without placing blame on anyone.Clearly Hormonal is for education and is not personalized medical advice. Take what resonates and discuss it with your own healthcare team.IN THIS EPISODEWhy you can gain fat and lose lean tissue without a big change on the scaleWhat body composition is, and why lean tissue is more than muscleWhat the SWAN study found about fat and lean mass during the menopause transitionWhy abdominal fat storage can shift before your periods stopOther contributors beyond hormones: aging, activity, sleep, stress, medications, and conditions like hypothyroidism, prediabetes, and insulin resistanceSubcutaneous versus visceral fat, and what a changing waist measurement may signalInsulin resistance explained, and why less muscle means less sugar used upStrength training at least twice a week, plus building toward 150 to 300 minutes of moderate activityProtein and fiber at meals, personalized protein needs, and why restriction is not the goalSleep, night sweats, sleep apnea, and when to ask about a sleep studyMenopause hormone therapy and body composition: what the evidence does and does not sayWhen obesity medications may be appropriateThe breast health connection, discussed without blameTIMESTAMPS00:00 | Welcome to Clearly Hormonal01:03 | PMOS Course Announcement01:41 | Midlife Body Changes03:41 | What Is Body Composition05:03 | Hormones and Other Factors06:59 | Visceral Fat and Waist07:58 | Insulin Resistance Explained10:59 | What Helps Most11:06 | Strength and Movement12:36 | Nutrition Basics13:58 | Sleep and Barriers15:25 | Hormone Therapy and Meds18:11 | Breast Health Connection19:01 | Key Takeaways and Next WeekCourse announcementThe PMOS Conversation You Deserve is Dr. Komal’s patient course on understanding PMOS and advocating for yourself in the doctor’s office. It includes three months of access plus a monthly live Q&A webinar with Dr. Komal. Introductory pricing runs through October 13, with regular pricing beginning October 20. Monthly webinar calls begin October 21, 2026. Details and enrollment: The Perimenopause Conversation You DeserveConnectInstagram and TikTok: @drpatilsisodiaWebsite: eastsidemm.comQuestions about the course: send a message through the website or DM on socialThanks for listening. Find more info about Clearly Hormonal on the website or Instagram.
