Exhausted, Gaining Weight, and Feeling Off? THIS is Why

Tamsen Fadal • May 21, 2025
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Tamsen Fadal

@tamsenfadaltv

About

Tamsen Fadal is host of The Tamsen Show podcast and a New York Times bestselling author. Tamsen's book How To Menopause was an instant NYT bestseller. She is the executive producer of the award winning documentary The M Factor and The M Factor 2: Before the Pause. Tamsen is having conversations to help get you the answers you deserve about this time in life from perimenopause, menopause, reinvention, wellness, and everything that comes with major life change. If you're navigating symptoms, career shifts, or just want to feel like yourself again, you're in the right place. Expect expert advice, honest stories, and tools to help you thrive. Let’s redefine this chapter, together. Medical Disclaimer: This content is for educational and entertainment purposes only and is not medical advice. If you need medical advice, please consult a medical provider.

Video Description

🧡 My New York Times bestselling book How To Menopause → https://bit.ly/4loCIlp 🧡 Today’s episode is sponsored by Noom Weight! Stay focused on what’s important to you with Noom’s psychology and biology based approach. https://www.noom.com/menopause/?question=true&upv=3&sp=google&utm_source=youtube_ctv&utm_medium=ott&utm_campaign=tamsen_hrt_may2025&utm_term=hrt You’re eating healthy. You’re working out. You’ve cut sugar, carbs, and wine. And yet, the belly fat won’t budge — and no one is giving you real answers. In this episode, I sit down with Dr. Rocio Salas-Whalen, renowned physician, to finally explain what’s actually going on in your body during midlife and what you can do to feel better in it. From hormones to insulin resistance, thyroid health, and stress, this conversation connects all the dots you’ve been missing. Dr. Rocio gives the real talk most women aren’t getting in their doctor’s office. If you’re tired of being dismissed and want real answers, this is the clarity you’ve been craving. We talk about: - Why belly fat increases in perimenopause and how to reverse it - The exact labs to request to check for insulin resistance - How your thyroid may be slowing you down even with “normal” results - Why visceral fat matters and how to reduce it safely - How stress and poor sleep sabotage weight loss and how to fix both - What and when to eat to lower blood sugar and inflammation - How to push for better care when your doctor won’t look deeper This episode is your roadmap to finally understanding your body and reclaiming it. CONNECT WITH TAMSEN 🧡 The Tamsen Show on Instagram: https://www.instagram.com/thetamsenshow 🧡 Instagram: https://www.instagram.com/tamsenfadal 🧡 TikTok: https://www.tiktok.com/@tamsenfadal CONNECT WITH Dr. Rocio Salas-Whalen. 🧡 Visit: https://nyendocrinology.com 🧡 Instagram: https://www.instagram.com/drsalaswhalen 🧡 LEAVE A REVIEW If you enjoyed listening to the podcast, we'd love for you to leave a 5-star review on Apple Podcasts to help others discover the show: https://podcasts.apple.com/au/podcast/the-tamsen-show/id1799976761 Timestamps: 00:00 - Intro 02:07 - Why Dr. Rocio Dedicated Her Life to Women’s Health 07:00 - The Real Reason Belly Fat Shows Up in Midlife 12:42 - Tamsen Finds Out She’s Pre-Diabetic—Here’s Why 13:29 - What Hashimoto’s Is and Why It Shows Up in Midlife 15:09 - The Dangerous Difference Between Subcutaneous and Visceral Fat 16:56 - Two Proven Ways to Reduce Midlife Fat Without Medication 20:30 - Why Fasting Doesn’t Work for Women in Perimenopause 23:04 - The Medications Changing the Game for Midlife Weight Loss 24:55 - How Stress, Sleep, and Cortisol Affect Midlife Weight 27:36 - Why Your Thyroid Probably Isn’t the Problem 29:34 - The Truth About Gluten and Dairy 30:37 - The #1 Test Every Woman in Midlife Should Ask For 33:17 - Do You Really Need Cardio to Lose Belly Fat? 34:46 - Rapid Fire True or False About Tamsen Fadal: Tamsen is a journalist, best-selling author, and menopause advocate with over 4M followers. As host of The Tamsen Show Podcast, she’s become a powerful voice in the menopause conversation. She produced and executive produced PBS’s The M Factor: Shredding the Silence on Menopause, a groundbreaking documentary calling for change in how we approach women’s health. She’s also the author of How To Menopause, the ultimate guide to navigating midlife with confidence. From SXSW to Capitol Hill, Tamsen champions policies that break the stigma around menopause and empower women at work and beyond. After 30 years as a TV anchor, she now leads the charge in midlife health advocacy. Featured in Oprah Daily, The Today Show, NYT, and more. Medical Disclaimer: This content is for educational or entertainment purposes only and is not medical advice. If you need medical advice, please consult your doctor or medical provider. #howtomenopause #WomenOver50 #MidlifeWomen

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