
When women hit midlife, it can feel like their bodies start to betray them overnight. Weight creeps on despite doing "all the right things," energy plummets, and those tried-and-true habits suddenly stop making a difference. Society blames willpower, leaving women feeling broken and ashamed. But what if it’s not your fault—and biology holds the real answer?
This week, I’m joined by Dr. Caissa Troutman, an obesity medicine physician and menopause specialist, who runs Midlife reMDy/WEIGHT reMDy, a Direct Care Wellness practice in central Pennsylvania. In this episode, she shares her personal story, unpacks the four key metabolic hormones, and explains why the “eat less, move more” model completely ignores the complex hormonal disruptions of perimenopause and menopause. Together, we explore a compassionate, science-based path to feeling better in your body.
If you're tired of fighting your changing body and ready to understand what's really happening during this life stage, this conversation will transform how you think about midlife health.
References
Connect with Dr. Troutman
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Eastside Menopause & Metabolism
Audio Stamps
00:40 - Today’s guest, Dr. Caissa Troutman, shares how her personal struggles led her to create a practice focused on midlife, weight, and hormone health.
04:30 - We unpack the deep-rooted shame around midlife weight gain and why the 'eat less, move more' myth is failing so many women.
08:40 - Understanding your midlife biology means recognizing when willpower isn’t enough and knowing how to use every tool available to support your body and brain.
13:53 - The importance of validating women’s experiences and how metabolic hormones change during perimenopause and menopause.
17:56 - Hormone therapy improves overall health, not weight loss, and realistic expectations are key.
20:13 - Dr. Troutman focuses on hormone therapy, weight management, and realistic health goals for midlife women seeking to feel better.
27:44 - Dr. Troutman helps patients define success through non-scale wins, steady progress, and greater body awareness for sustainable health.
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