Areas of expertise
Metabolic and Weight Health
You have not changed anything and it is changing anyway. That is information about your metabolism, not a verdict on your effort.
What is happening
Weight is a signal,not a measure of discipline.
The two sentences I hear most are some version of "I have not changed anything and I am gaining" and "I am eating less and nothing is happening." Both are usually true, and both are usually telling us something about metabolism rather than about willpower. What the body does with food, sleep and stress changes across a woman's life, and it changes most sharply in the years when her hormones do.
So the useful question is not how to try harder. It is what is actually driving this, whether that is thyroid function, insulin resistance, a hormonal shift, a medication you were put on for something else, or several of those at once. Once we know that, the plan can be built for your body rather than for a general one.
What influences this
The factors a scale cannot see.
- Hormonal shifts through perimenopause and menopause
- Thyroid function, including Hashimoto’s
- Insulin resistance and inflammation
- Polycystic ovary syndrome
- Medications prescribed for something else entirely
- Adrenal and stress-related patterns
- Sleep quality, and how long it has been poor
- Genetics and family history
This is why a plan that works for someone else so often does nothing for you.
How this is approached
What your care can include.
- 01
A medical evaluation aimed at the cause, including what has made this difficult before now and what was happening in your life when it changed.
- 02
Testing where it will guide treatment, which may include thyroid, insulin resistance, polycystic ovary syndrome, adrenal patterns and early markers of metabolic syndrome.
- 03
A review of your current medications, because a surprising number of them influence weight and almost nobody mentions it.
- 04
Treatment matched to what we find, including medication where it is appropriate for you, with the benefits and the risks discussed in full before anything is prescribed.
- 05
Ongoing clinical adjustment as your results come back and your body responds, rather than one plan handed over at the start.
The aim is a body that works better, and health that holds up over time. Not a number you have to keep defending.
← All areas of expertiseQuestions
The three I am asked most.
Do you prescribe medication for this?
Where it is appropriate, it can be part of a plan. I review your medical history, everything you are currently taking and what you are hoping for, then we discuss the options, the benefits and the risks so the decision is genuinely yours.
Will I need labs first?
Not always. I recommend testing when the result will change what we do, and that often means screening for the things that quietly affect weight, including thyroid conditions, polycystic ovary syndrome, insulin resistance and early metabolic syndrome.
What if I am doing everything right and nothing is moving?
Then something is being missed, and that is the most useful place to start rather than the most discouraging one. Weight responds to hormones, thyroid function, medications, sleep and stress, and the work is finding which of those is doing the most in your case.