07/31/2026
For decades, women have been told that the goal is to become smaller.
It's no wonder that many women try to manage body composition changes during perimenopause by trying to eat less.
But during this stage of life, I think we need to broaden the conversation.
Weight management may still be one of your goals, but how you get there matters.
As estrogen declines, women naturally lose muscle more quickly. At the same time, muscle becomes increasingly important for metabolism, blood sugar regulation, bone health, strength, balance and maintaining independence as we age.
That's why I spend so much time talking to my patients about preserving muscle.
That means:
- Eating enough to support your body
- Prioritizing protein
- Challenging your muscles through resistance training
- Thinking about the body you want to have 10 or 20 years from now
Healthy aging isn't about becoming as small as possible.
It's about building a body that's strong enough to support the life you want to live.