
Midlife can make a woman feel as though her body has suddenly changed the rules—but those changes are not a personal failure, and they are not “just aging.” In this episode of Sisters in Sobriety, Sonia and Kathleen help unpack the relationship between perimenopause, metabolic health, alcohol, blood sugar, stress and movement with Dr. Shawna Darou, ND. A naturopathic doctor with more than 20 years of experience, Dr. Darou translates complex women’s health information into clear, practical steps for building strength and vitality through midlife and beyond.
Why does alcohol suddenly hit harder in midlife? What do belly weight, brain fog, disrupted sleep, afternoon fatigue and persistent food noise reveal about insulin resistance? How can women use GLP-1 medications and continuous glucose monitors more responsibly—and why can excessive fasting or carbohydrate restriction backfire? The conversation also explores sugar cravings in early sobriety, chronic stress, menopause and the habits that support long-term metabolic health.
Dr. Darou explains why menopause is a metabolic transition, not only an estrogen transition; how alcohol interrupts nighttime blood sugar regulation and fat oxidation; and why muscle acts as a “metabolic sink.” She shares a realistic starting point: prioritize protein, add daily movement, walk after meals and build strength gradually. Flexible consistency, proper recovery and movement that feels genuinely enjoyable matter more than perfection.
Dr. Darou also shares her unexpected evolution from engineer to naturopathic doctor—and from someone who did not identify as an athlete to a competitive runner who began racing at 50. Her story challenges narrow ideas about aging and shows how confidence, community and ambitious new goals can emerge later in life.
This is Sisters in Sobriety, the support community that helps women change their relationship with alcohol. Check out our substack for extra tips, tricks and resources.
Timestamp Highlights
01:00 — Meet Dr. Shawna Darou 02:00 — From engineering to women’s health 05:00 — The pandemic’s metabolic impact 06:00 — Movement as a longevity lever 07:00 — Becoming an athlete at 49 09:00 — Why women over 40 need new possibilities 13:00 — Metabolic health beyond weight 15:00 — Early signs of metabolic dysfunction 17:00 — How insulin resistance fuels cravings 18:00 — Reversing dysfunction without diet culture 20:00 — GLP-1 benefits and risks 23:00 — Why midlife changes the rules 26:00 — Using a continuous glucose monitor responsibly 32:00 — Chronic stress and blood sugar 35:00 — What alcohol does metabolically 38:00 — Why alcohol hits harder in midlife 39:00 — Sugar cravings in early recovery 41:00 — The “yes with a boundary” approach 47:00 — Protein and post-meal movement 56:00 — Flexible consistency, intensity and recovery
Dr. Darou’s Links
Website — www.drshawnadarou.com Instagram — @drshawnadarou
SIS Links
💌 Sisters In Sobriety Substack – where the magic (and the mocktail recipes) happen
📸 Sisters In Sobriety Instagram
🌐 Kathleen’s Website Kathleen does not endorse any products mentioned in this podcast
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