Dr. Jessica Shepherd

This could be the experience and the timeframe. So I would definitely say... hot flashes and night sweats kind of here or there. People will be like, did I just have a hot flash? And then you may not feel it again for months. Definite change in weight. I've had so many women who come in and being like, I'm doing the same two mile run. I'm doing the same elliptical for an hour.

This could be the experience and the timeframe. So I would definitely say... hot flashes and night sweats kind of here or there. People will be like, did I just have a hot flash? And then you may not feel it again for months. Definite change in weight. I've had so many women who come in and being like, I'm doing the same two mile run. I'm doing the same elliptical for an hour.

This could be the experience and the timeframe. So I would definitely say... hot flashes and night sweats kind of here or there. People will be like, did I just have a hot flash? And then you may not feel it again for months. Definite change in weight. I've had so many women who come in and being like, I'm doing the same two mile run. I'm doing the same elliptical for an hour.

And now the weight's going absolutely nowhere. Irregularity in periods. That's where we start to see lighter, heavier. Now I have two times a month. Now I skip three months. Then it came back. And a lot of that has to do with that fluctuation. Remember the car assembly line? Some people didn't show up to work that day. They're just like, I'm not doing the assembly line.

And now the weight's going absolutely nowhere. Irregularity in periods. That's where we start to see lighter, heavier. Now I have two times a month. Now I skip three months. Then it came back. And a lot of that has to do with that fluctuation. Remember the car assembly line? Some people didn't show up to work that day. They're just like, I'm not doing the assembly line.

And now the weight's going absolutely nowhere. Irregularity in periods. That's where we start to see lighter, heavier. Now I have two times a month. Now I skip three months. Then it came back. And a lot of that has to do with that fluctuation. Remember the car assembly line? Some people didn't show up to work that day. They're just like, I'm not doing the assembly line.

Yes. And so those start to happen through that timeframe.

Yes. And so those start to happen through that timeframe.

Yes. And so those start to happen through that timeframe.

Why did we gain weight there? So we gain for multiple reasons. Again, it's never just one thing. So our fat cells do respond to estrogen. We know that the estrogen receptors are all over the body.

Why did we gain weight there? So we gain for multiple reasons. Again, it's never just one thing. So our fat cells do respond to estrogen. We know that the estrogen receptors are all over the body.

Why did we gain weight there? So we gain for multiple reasons. Again, it's never just one thing. So our fat cells do respond to estrogen. We know that the estrogen receptors are all over the body.

Right. So think about when you're pregnant and you do gain weight. That's for a safety reason to kind of cushion the body to accommodate the pregnancy, right? So fat cells do respond to estrogen. I thought it was because I was eating my way through the entire day.

Right. So think about when you're pregnant and you do gain weight. That's for a safety reason to kind of cushion the body to accommodate the pregnancy, right? So fat cells do respond to estrogen. I thought it was because I was eating my way through the entire day.

Right. So think about when you're pregnant and you do gain weight. That's for a safety reason to kind of cushion the body to accommodate the pregnancy, right? So fat cells do respond to estrogen. I thought it was because I was eating my way through the entire day.

We can blame it on the fat cells, but there's accommodations into how they respond. So they can shrink, they can get bigger, they can migrate, and then they can usually go back. So typically after pregnancy, a lot of people will go back to the way that their bodies appeared before.

We can blame it on the fat cells, but there's accommodations into how they respond. So they can shrink, they can get bigger, they can migrate, and then they can usually go back. So typically after pregnancy, a lot of people will go back to the way that their bodies appeared before.

We can blame it on the fat cells, but there's accommodations into how they respond. So they can shrink, they can get bigger, they can migrate, and then they can usually go back. So typically after pregnancy, a lot of people will go back to the way that their bodies appeared before.

In perimenopause, that response, remember we said chemical messengers, but if there's no estrogen, the receptors, they're waiting for it. It's not responding. So fat cells can enlarge, but maybe they now don't have the capacity to shrink. Oh, wait a minute.

In perimenopause, that response, remember we said chemical messengers, but if there's no estrogen, the receptors, they're waiting for it. It's not responding. So fat cells can enlarge, but maybe they now don't have the capacity to shrink. Oh, wait a minute.