Ep. 292: The New Rules of Midlife Weight Loss: Part 2

For decades, women were told that weight loss was simple: eat less, exercise more, and the pounds would come off. But in perimenopause and menopause, the rules change dramatically — and many women are left frustrated, exhausted, and wondering why nothing works anymore.

In this special 3-part podcast episode, The New Rules of Midlife Weight Loss, Paloma physician Dr. Linda Goggin unpacks the science behind hormonal weight gain, metabolic slowdowns, thyroid dysfunction, gut health, and the new generation of treatment options transforming women’s health in midlife. The episode is hosted by patient advocate, author, and Paloma advisor Mary Shomon.

In these powerful episodes, you’ll learn why the strategies that worked in your 20s and 30s often fail after 40, how estrogen, progesterone, testosterone, cortisol, and thyroid hormones reshape metabolism, and why chronic dieting and overexercising can actually make weight loss harder. Dr. Goggin explains the “perfect storm” of hormonal shifts that drive stubborn belly fat, fatigue, inflammation, muscle loss, insulin resistance, and cravings — even when women feel like they’re doing everything “right.”

Part Two dives into the medical and metabolic tools reshaping midlife care, including personalized hormone replacement therapy (P-HRT), thyroid optimization, and GLP-1 medications such as semaglutide and tirzepatide. Dr. Goggin explains how customized hormone support can improve fat distribution, preserve muscle, enhance insulin sensitivity, and restore vitality when properly integrated into a broader treatment plan. The conversation also tackles one of the most overlooked contributors to stubborn weight gain: suboptimal thyroid function — including why “normal” thyroid labs may not always mean optimal health. You’ll also hear an honest discussion about the benefits, limitations, and cautions surrounding GLP-1 medications for women navigating hormonal transitions.

Whether you’re struggling with unexplained weight gain, fatigue, hormone imbalance, thyroid issues, or simply feeling like your body no longer responds the way it once did, this series offers a fresh, evidence-informed roadmap for navigating midlife health.

🎧 Listen now, and you'll come away with practical insights, renewed hope, and a deeper understanding of what truly works for women in perimenopause and menopause today!

You can also watch the full event on YouTube at

https://www.youtube.com/live/bPe-UDjpGyA

ABOUT PALOMA HEALTH

⁠⁠Paloma Health ⁠⁠⁠⁠⁠⁠⁠⁠is an online medical practice focused on treating hypothyroidism, Hashimoto’s, perimenopause, menopause, and hormonal weight gain. From online visits with your provider to easy prescription management and lab orders, we create personalized treatment plans for you.

Become a member⁠, or try our at-home test kit and experience a whole new level of hypothyroid care. Use code PODCAST to save $30 at checkout.

Disclaimer: The $30 discount is only valid for first-time Paloma Health members and test kit users. Coupon must be entered at the time of checkout.

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