Understanding Hormonal Changes in Midlife Women

The Truth About Hormones &Body Fat

If you’re a woman in midlife witnessing changes in your body, let’s be honest—hearing one more expert say “just move more and eat less” might make you scream. That tired, oversimplified advice ignores the very real ways our bodies change—and the decades of life we’ve already lived in them.

Midlife, generally defined as the ages between 37 and 65, isn’t just a calendar phase. It’s a biological, emotional, and identity-shifting chapter. For women, it often marks the beginning of perimenopause—the transitional period leading up to menopause, when the ovaries gradually produce less estrogen. Menopause itself is defined as the 12-month mark after your final menstrual period, but the hormonal fluctuations and symptoms often begin years before and can last well beyond that point.

To really understand what’s happening in our bodies now, we have to rewind the clock.

From puberty, our bodies have been shaped by an elegant hormonal dance. Estrogen, progesterone, and to a lesser extent testosterone, govern everything from our cycle to our skin, from our energy to our emotional responses. These hormones rise and fall in predictable patterns until they don’t. And when they don’t, you feel it.

Hot flashes. Sleep disruptions. Brain fog. Mood swings. Slower recovery from workouts. A scale that doesn’t seem to budge no matter what you do. And the silent undercurrents like the gradual loss of bone density—osteopenia—that often go unnoticed until it’s too late.

These aren’t random annoyances. They’re signals. And they deserve to be understood.

In this post and in today’s podcast episode, I talk with registered dietitian and research wizard Maryann Jacobsen about what actually helps us thrive during perimenopause and menopause. We get into why muscle is metabolic gold, why cardio isn’t always the answer, and how biofeedback your body’s own cues like hunger, energy, sleep, and mood can tell you more about what’s working than any calorie tracker or influencer’s reel ever could.

We also challenge the idea that your bathroom scale is the best measure of health. Spoiler alert: it’s not. Tools like DEXA scans provide deeper insight into your bone density and lean mass—two things that matter more than “weight” ever could in this stage of life. And while your smart scale using bioelectrical impedance might not be as accurate, it can still help you track general trends if you know how to interpret it.

One part of our conversation that hit me hard was Maryann’s mention of the body fat research around fertility. Scientists have found that a minimum of 17% body fat is required just to get a menstrual cycle, and about 22% is needed to maintain ovulation. But here’s the real shocker: in mature women, regular ovulatory cycles are often supported best at 26–28% body fat. (PMID: 3117838, 2282736) That means what many of us have been taught to chase ultra-lean physiques (around 17 BF% or so), chronic calorie restriction, or overtraining can actually backfire on our reproductive health, bone health, and overall vitality.

In populations where food is scarce or physical demands are high, we see patterns: delayed first periods, longer gaps between births, earlier menopause. It’s the body adapting for survival. But in modern life, we sometimes impose these same conditions on ourselves in the name of “fitness.”


And while estrogen usually gets the spotlight in menopause care often treated as the main character it’s progesterone that deserves a standing ovation. Many women are told they “need progesterone” just to protect themselves from estrogen’s effects, as if it’s merely a buffer. But that undersells its brilliance.

The name progesterone literally means “pro-gestation,” but its impact goes far beyond fertility. Progesterone is a master regulator. It stabilizes tissues, supports metabolic balance, calms inflammation, protects against stress, and even plays a role in brain health. While estrogen stimulates, progesterone shields. While estrogen builds, progesterone restores.

Fascinatingly, our bodies produce far more progesterone than estrogen especially after ovulation and during pregnancy. That’s not a fluke. It reflects just how critical progesterone is to our overall well-being.

So when ovulation slows or disappears in midlife, it’s not just your period going quiet. It’s this entire downstream network of hormonal resilience especially progesterone that starts to fade. And that’s when symptoms ramp up.

Understanding this isn’t just about managing menopause. It’s about honoring your biology, updating your strategy, and supporting your body like the powerful, responsive system it actually is.

If we want to balance and optimize our hormones in midlife, we have to re-evaluate our goals. This isn’t about grinding harder it’s about getting smarter. And to get smarter, we need to zoom out.

Ovulation isn’t just some fertility footnote-it’s the main event of your cycle. But many of us were taught that the bleed is the cycle. Nope. That’s just the after-party. The headliner? Ovulation.

Why does this matter in midlife?

Because ovulation is what triggers the production of progesterone a hormone that plays a critical role in metabolism, mood, sleep, brain function, and bone health. And spoiler: progesterone is the first to dip off the radar as we enter perimenopause. That’s why your energy feels off, your sleep gets weird, and your tolerance for stress tanks. Your body isn’t broken—it’s adapting.

Here’s where things click into place: your body will only ovulate consistently if it feels safe and nourished. That means you’re eating enough, not overtraining, and not living in a cortisol-fueled chaos spiral.

Ovulation isn’t just about reproduction it’s a vital sign of health.
And the two hormones that anchor your entire cycle, estrogen and progesterone, do so much more than regulate periods.

From bone density to brain function, from insulin sensitivity to mitochondrial health, these hormones influence nearly every system in your body. So, when they fluctuate…. or flatline… you feel it. Not just in your body, but in your entire day to day experience.

So, let’s break the rules, rewrite the midlife playbook, and finally start listening to the wisdom our bodies have been whispering all along.

LINKS:

In-depth-guide-on-midlife-weight

The Hidden Risks of Ozempic: Rapid Weight Loss Can Weaken Bones and Muscles

Farmer Vs Banker episode Move More, Eat Less? The Lie That Won’t Die

Resistance-exercise-perimenopause-symptoms

To take hormone therapy or not to take hormone therapy

The Case for Cardio

Contrary to popular belief, a larger body may actually be healthier (insta post)

Why Are Americans So Obsessed With Protein? Blame MAGA.

Midlife stress and its ripple effect on health

Meet your new post-40 nervous system

Beyond the Before-and-After: The Truth About Social Media and Body Image

🎙️ Welcome back to Taste of Truth Tuesdays! This week, we’re diving deep into the fascinating and impactful world of body image and social media, guided by two incredible guests who bring evidence-based insights and a passion for accessibility in mental health research.

🧠 First, let me introduce Dr. Hannah Jarman, Ph.D., a trailblazer in psychology whose work sheds light on how we perceive ourselves in the digital age. Alongside her is the brilliant Ms. Claudia Liu, a Ph.D. candidate whose research explores the intersection of social media and body image. These two share a common mission: making complex research not just understandable but applicable in everyday life

Body image—it’s a term we hear often, but what does it really mean? At its core, body image is your perceptions, beliefs, feelings, thoughts, and actions related to your physical appearance. Think of it as your personal relationship with your body. Sounds simple, but in a world shaped by curated social media feeds and fitspiration photos, it’s anything but.

To ground our discussion, we’ll be exploring the four components of body image, starting with Perceptual Body Image—how you see yourself. Here’s the catch: the way you see your body often doesn’t match reality. It’s a perception distorted by negative self-talk and societal pressures. But awareness is the first step. Interrupting that loop of negative talk can help shift your perception toward something healthier.

Next, there’s Affective Body Image, which reflects how you feel about your body—your likes and dislikes. These feelings are deeply influenced by the media we consume, from TV and movies to social media trends like “fitspiration.” Here’s the thing: hating your body is not a prerequisite for change. Dissatisfaction and acceptance can coexist. Making intentional choices about what media you engage with can profoundly impact how you feel about yourself.

Then we have Cognitive Body Image, or the thoughts and beliefs you hold about your body. Ever heard someone say, “I’ll be happy when I hit my goal weight”? It’s a dangerous trap because happiness isn’t tied to a number on the scale. Chasing an external solution for an internal problem often leads to harmful patterns and a cycle of discontent.

2018: My leanest physique post-bodybuilding competitions. I sat here feeling self-conscious, convinced I looked ‘fat.’ It’s wild to look back and realize how much my mind distorted my reality.

When I look back at photos of myself at my leanest—whether it was during my bodybuilding competitions or soon after—I remember how uncomfortable I felt in my body even then. This always reminds me that body image isn’t actually about how your body looks; it’s about your relationship with your body and, ultimately, with yourself.

Finally, Behavioral Body Image—the actions we take based on our perceptions, feelings, and beliefs. When someone struggles with negative body image, they might engage in destructive behaviors like over-exercising, disordered eating, or social withdrawal.

Today, we’ll unpack these components with Dr. Jarman and Ms. Liu and dive into their groundbreaking research on the impact of social media and fitspiration on our body image. We’ll also share actionable tips to help you reshape your relationship with your body and your digital environment.

Get ready for an enlightening and empowering conversation. Let’s go!


Dr. Hannah Jarman, a research fellow at Deakin University in Melbourne, Australia, who specializes in body image, eating disorders, and the influence of media. Dr. Jarman’s interest in this field began when a young child in her life, around 5 or 6 years old, started expressing distress about her body, saying things like “I’m fat, I need to lose weight.” This was concerning not only because of the child’s age, but also because her family had a history of eating disorders. Recognizing the red flags, Dr. Jarman sought advice from a lecturer specializing in body image, which sparked her passion for research and intervention.

This led to her work on body image interventions in schools and later, a PhD on the impact of social media on adolescent body image and well-being. Dr. Jarman’s work continues to explore the critical intersection between media influence and body dissatisfaction, aiming to identify predictors and create effective prevention strategies for eating disorders.

Claudia, a final-year PhD candidate in Psychology at Melbourne University. Claudia’s research focuses on disordered eating, body image, and digital health—an emerging area in the field. Her passion for this work stems from her own personal experiences with disordered eating and negative body image during her younger years. Growing up in Southeast Asia, where thin ideals were heavily glorified, Claudia internalized these societal pressures, which led to unhealthy behaviors. Fortunately, she overcame these challenges, and this journey inspired her to pursue a PhD, hoping her research can provide insights and support for others facing similar struggles.

I’ve also seen in the data that children as young as 5 are struggling with negative body image, and I can really relate to Claudia’s experience. I, too, have struggled with disordered eating. I’ve enrolled in eating disorder therapy and have been given some of the most extreme programs, like having to eat the same meal plan six times a day for 12 weeks. The strictness of it led to binges, and it was clear that something wasn’t working.

Thank you to all the researchers out there, because while I don’t have a PhD, I did pursue a psychology certification as part of my continuing education for personal trainers. The more I worked with clients, the more I realized the connection between psychology and nutrition. Many of my clients came to me wanting to “lose weight”, but before we could even start thinking about that, we had to address underlying issues like under-eating, yo-yo dieting, and inconsistency. I had to teach them that they had to earn their right to diet, which was a difficult but crucial concept to stress. That’s when I knew I needed to learn more about psychology—it wasn’t just about the physical aspect but the mental and emotional work that had to come first.

Dr. Jarman adds, it’s so ingrained in our society, these ideals and these pressures and dieting. If you think about the people around you, how many—probably the majority, particularly of females, but also a lot of males—struggle with these issues and have unhealthy relationships with food or exercise or whatever it may be. These perfect ideals are supposedly so easy, and they should all be achieving them. But that’s absolutely right.

Men do have the pressure as well, like this big masculine look or the negative term of ‘dad bod.’ Men are also getting objectified or judged. So much of what the fitness industry sells is a psy-op. They’re just trying to sell you the idea that you can control this. It’s like in the religious world, where we have something called the prosperity gospel—‘If you do this, you’ll get God’s blessing.’ Diet culture plays the same tune: ‘If you do this, you’ll get that.’ It’s a deep psychological hook, tapping into our need for control. This need triggers dopamine, which reinforces these behaviors. Whether it’s following rigid fitness plans or religious dogma, it’s the dopamine hit that keeps us hooked. I appreciate you guys getting on here.

A little bit off-mic, season 2 was exploring breaking free from diet culture, body-neutral fitness, and focusing on performance-based goals. While you might see some changes in aesthetics, that’s just a bonus. The real focus is on getting stronger, improving blood markers, or simply walking every day. I’ve learned as a personal trainer that even when clients achieve their weight loss goals, it doesn’t always lead to a better body image or happiness. So, what is body appreciation, and why is it so crucial for mental well-being?

Body Appreciation

Claudia: “Yeah, I can take that one. So, body appreciation is basically a key or core positive body image concept that involves recognizing, valuing, and respecting the body for its functional capacity and its health, rather than how it looks. I know you mentioned that earlier on. So, it’s really about shifting the focus away from aesthetics and towards its functional capacity and functionality. Over the past 10 years, there’s been a surge in research showing that greater body appreciation is associated with a number of psychological outcomes—such as improved self-esteem, better quality of life, and overall emotional and physical well-being. Studies also show that body appreciation encourages people to adopt healthier, more flexible eating patterns, like intuitive eating. For these reasons, it’s been proposed as a potential protective factor against issues like body dissatisfaction, symptoms of disordered eating, and building resilience against societal pressures to fit unrealistic beauty standards. So, that’s kind of my interpretation of body appreciation and why it’s so important.”

Dr. Jarman: “I guess just adding to that briefly as well, I think the focus really is understanding that our bodies are wonderful. They do so much for us, and we get so caught up in how they look and the expectations in that area, that we forget how lucky we are to have a functioning body. OK, maybe you don’t like your arms or think they’re flabby, but you can hug your child or do all these incredible things that we just get so caught up in and forget. It’s about being able to take a step back and really think about and appreciate and value those things.”

You: “And also, I think body appreciation can go a level deeper for those who might be disabled or have lost certain abilities—maybe weren’t born with them, but have lost the ability to move in certain ways. That can be really difficult, because… But you can still find ways to appreciate the small things, like the sun on your skin. Or, maybe you can’t walk or hug your child like you once could, but there are still ways to appreciate the vessel that you dwell in, and that helps you interact with the world. That’s why I like body appreciation. It strips away a lot of those pressures and ideal body standards. And I think for fitness, it really… I don’t know what happened, if it’s always been poison, but wellness culture became so focused on looks. I was raised in the ‘90s—Jessica Simpson was considered fat. That slim, hair-thin ideal was pushed. And now, I’m almost 40—just crazy, that’s what I was raised with. The low-rise jeans…”

Hannah: “They’re back now, maybe just in Australia, but they’re back!”

You: “No, no thanks!” (laughter)


How Social Media Shapes Body Image and Eating Behaviors: Understanding Its Impact on Mental Health and Well-Being

Social media has become a double-edged sword in terms of its influence on our body image and eating behaviors, especially among young women. Dr. Hannah Jarman, a research expert in the field, sheds light on the complexities of this issue, drawing from the latest findings in the field.

Research consistently shows that social media tends to worsen our body image. It often leads to comparisons, where we measure ourselves against the seemingly “perfect” lives and bodies of others. This sense of inadequacy can drive us to want to change our appearance, often through unhealthy means, believing that losing weight or attaining a certain body ideal will bring happiness.

Dr. Jarman explains that while time spent online used to be the primary focus of research, recent studies have shown that the content we engage with plays a more significant role in shaping our mental health. Specifically, appearance-focused content—such as photo edits, filters, and comparison-driven posts—are more harmful than we might realize.

Interestingly, content that is perceived as “inspirational” can also contribute to this negative cycle. Instead of motivating positive behaviors, it can lead to feelings of pressure and shame, pushing individuals further away from the very practices meant to improve their well-being. Instead of encouraging exercise or body appreciation, these idealized portrayals often result in a sense of failure, making it harder to engage in self-care.

So, what can we do to become more aware of the impact social media has on our mental well-being? Dr. Jarman suggests that the first step is reflection. Being mindful of what we follow and consume online is essential. Are the accounts and content we engage with making us feel better or worse about ourselves? By being selective in our media consumption and actively avoiding harmful content, we can better protect our body image and mental health from the negative influences of social media.

Taking Control: How to Curate Your Social Media Feed for Better Body Image and Mental Health

While social media algorithms have a strong influence over the content we see, Dr. Jarman emphasizes that we do have some control over our feeds. The key lies in curating what we consume. If you find yourself comparing or feeling bad about your body after viewing certain content, it’s time to take action. Don’t hesitate to unfollow, hide, or block accounts that negatively affect your mental well-being. Instead, fill your feed with content that lifts you up—whether that’s accounts that make you laugh, reflect your hobbies, or celebrate your personal interests.

Another vital tool in reducing the harm of social media is social media literacy. Dr. Jarman encourages us to critically evaluate what we see: Who is posting this content, and why? Are they promoting a product or idea, and how realistic is what’s being presented? Developing these critical skills can help you navigate the often-misleading nature of social media, empowering you to consume content that truly adds value to your life, rather than contributing to unrealistic standards and comparisons.

By being intentional about what we engage with, we can protect ourselves from the detrimental effects of social media on body image and mental health.

Mindfulness in Social Media Consumption: A Personal Approach to Authenticity

Mindfulness is key when engaging with social media. As Dr. Jarman mentioned, it’s not just about the time we spend online, but how we feel when interacting with certain content. When consuming posts, take a moment to check in with yourself: How do you feel after reading this? Does it leave you feeling inspired, or does it trigger negative comparisons? Recognizing your emotional response is an essential step toward curating a healthier online experience.

Personally, I’ve chosen to operate from a place of transparency. I don’t monetize my content, push affiliate links, or promote products for profit. For me, it’s not about selling anything; it’s about sharing information and offering genuine value. I even make my strength training guide available for free to anyone who asks. Why? Because I want to be seen as an expert, but also as a normal, imperfect human. It’s about finding the balance between encouraging people to be open with their own journeys while demonstrating that vulnerability and authenticity are part of what makes us all human.

Dr. Hannah Jarman emphasizes that while fitspiration content can appear motivating, it may unintentionally harm individuals by focusing on unattainable ideals. She notes that before-and-after images, for instance, can imply that the person in the “before” image is unworthy, while the “after” version suddenly seems perfect. Instead, she suggests shifting the focus to how individuals feel, highlighting personal performance or other non-aesthetic milestones.

In response, I throughout the suggestion of fitness coaches adding cover photos to before-and-after images, which could serve as a “trigger warning” for those scrolling through. This small change could offer viewers the opportunity to engage more thoughtfully, especially if they have a tendency to be triggered by such comparisons.

Dr. Jarman agrees, emphasizing the importance of showcasing the entire journey—ups, downs, and all. She advocates for content that highlights authenticity, as it’s often a longer, non-linear process. By focusing on emotional growth, feelings of self-worth, and overall well-being, the goal shifts away from just numbers and aesthetics, promoting healthier perspectives on body image and wellness.


Claudia shares her personal journey with body image and disordered eating, revealing how following fitness influencers who idealized a specific body type negatively impacted her mental health. She explains how curating her social media feed by unfollowing these influencers and instead following those who emphasize strength and science-based training was transformative. This shift helped her focus on performance and appreciation for her body rather than aesthetics or calorie-burning, leading to a healthier and more sustainable approach to fitness and nutrition.

To wrap up, Dr. Hannah highlights the importance of accessible information and shares a resource for listeners: their social media accounts on Instagram and TikTok, The Well-Being Doctors (@the.well.being.doctors), which focus on making research on wellness and mental health easy to understand and implement. She encourages listeners to follow their content for practical tips and evidence-based guidance.

✨Let’s anchor in this transformative message: Your body is an instrument, not an ornament. Positive body image isn’t believing your body looks good; it’s knowing your body is good, regardless of how it looks. This quote from More Than a Body beautifully captures the essence of what we’ve explored today.

💡 The fitness industry often sets standards based on bodybuilding gurus and extreme aesthetics—standards appraised by critical judges or an audience that values visual perfection. But let’s be honest: the behind-the-scenes reality of preparing for these aesthetic ideals often includes extreme measures—severe dehydration, malnutrition, laxative and stimulant abuse, and emergency-level exhaustion. No legitimate doctor would ever recommend these tactics for health. They’re the opposite of health-promoting.

💪 Instead, let’s focus on experience and benefit, not being ornaments to be admired. Metabolic health, strength, and stamina are far more meaningful indicators of well-being than achieving a “perfect” appearance. When we prioritize function over aesthetics, we open the door to a new, more effective, and empowering way to experience health and fitness.

🚨 At first, the idea of letting go of weight goals or aesthetic ideals might feel like giving up on your body or your health. But the reality is, letting go of these pressures frees you to reconnect with your body in a way that truly serves you.

🌟 Your body is how you live, love, and experience the world. It’s the way you savor delicious food, dance to your favorite songs, feel the rain on your skin, and embrace the people you love. By focusing on what your body can do rather than how it looks, you can deepen your relationship with it and rediscover what health and fitness really mean for you.

🎙️ So, let’s commit to shifting our focus. Set goals rooted in function, experience, and well-being—not in unrealistic aesthetic ideals. Because when you change the way you think about your body, you’ll find the freedom to live more fully in it.

LINKS

How to AVOID bad fitness advice

Navigating the Sea of Experts

In today’s digital age, it seems like everyone on social media is an “expert” in health, fitness, and nutrition. With so many voices claiming to have the answers, how can you tell what’s actually beneficial, what’s mediocre, and what might harm your progress? Let’s break it down and help you navigate this complex landscape.

Credentials Matter—But Don’t Get Fooled

While it’s important to consider credentials, they don’t guarantee good advice. Registered Dietitians, Certified Nutritionists, and certifications from organizations like ISSA, ACE, NASM, NCSF, AFFA, ACSM, NETA, and more can show that someone has taken the time to learn. However, even those with certifications can spread misinformation. We’ve seen firsthand how regulatory agencies can be captured by outside interests and how lobbying can influence what gets taught.

If you’re considering working with a coach or trainer, don’t hesitate to ask about their credentials. Slide into their DMs or ask in person: What do those letters behind your name mean?

Educated Recommendations: The “Why” and “How”

Your coach or mentor should have a clear understanding of the “WHY” and the “HOW” behind their recommendations. It’s not just about pushing a workout or diet plan—it’s about making sure you understand the reasoning behind every decision.

When they introduce something new to you, it shouldn’t feel like a sales pitch for their latest product. Instead, ask questions to dig deeper:

  • Why am I doing this?
  • How does this work?
  • What’s happening inside my body to promote these changes?
  • How will this help me achieve my goals while keeping me safe and healthy?
  • Can you teach this to me in another way so I firmly understand it?

These questions will not only help you grasp the concept, but they’ll also weed out anyone who can’t explain their reasoning. If they can’t give you a clear answer, it may be time to move on.

The Bottom Line: Trust Your Instincts

If something feels off, triggering, or harmful to you, trust your gut and ask questions. Don’t let flashy marketing, unrealistic promises, or a push to sell products convince you that something is right for you. Your body and health deserve the best, and that means getting information that is clear, evidence-based, and tailored to your needs.

Remember, the best fitness advice comes from someone who can explain, educate, and empower you, not someone who’s just looking to make a sale. Stay curious, stay skeptical, and don’t be afraid to ask the tough questions. Your fitness journey is too important to leave in the hands of someone who can’t back up their advice.