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Weight and Metabolic Health

A root-cause approach to midlife weight

The weight is settling around your middle, the clothes that used to fit don’t, and eating less and exercising more isn’t moving the scale. Midlife weight gain is more complicated than calories in calories out. We use a whole person approach to find your unique solution.

older woman cooking healthy food

Does this sound familiar?

Weight gain is often what brings women through our doors, but it’s usually a sign that something deeper has shifted beneath the surface.

  • Weight gain even though you eat well
  • New weight around your waist that was never there before
  • Weight that will not move no matter what you try
  • Energy that crashes mid-afternoon
  • Cravings for sugar or salt
  • Bloating or digestion that is off
  • Poor sleep
  • Feeling cold, sluggish, or foggy
  • Told to eat less and exercise more, and it did not work
  • A sense that your body is working against you
Dr. Polly Watson and Kate Willis, NP-C, IFMCP

What is actually happening

Midlife weight gain is rarely a willpower problem. It is usually a complex interplay of hormone imbalance, insulin resistance, and poor energy use at the cellular level. When those are off, the usual advice about eating less and exercising more does not just fail, it can make you feel worse.

That is why we do not start with calories. We start with why your body is holding on to weight, and we treat that. Our goal is simple: to help you feel strong, confident, and healthy in your body again, focusing on strength over body size.

How we approach weight

Instead of energy in and energy out, we look at what is driving the number on the scale.

1

A nutritional assessment

Your first visit is 60 minutes. We go through your history, how you eat, how you sleep, and everything you have already tried, because what has not worked speaks volumes.

2

Testing for the real cause

Lab testing to find what is in the way: digestive and microbiome imbalance, mitochondrial function, insulin resistance, advanced thyroid testing, and cortisol dysregulation.

3

A plan built for your body

Specific lifestyle, nutrient, and possible pharmaceutical recommendations for you, including resistance training, sleep restoration, and eating strategies to lower cortisol, so weight comes off safely and stays off.

Related concerns

The concerns we most often treat alongside weight. One first visit covers all of them.

PCOS

Insulin resistance and weight around the middle.

Learn more

Perimenopause and Menopause

When the shift in hormones is behind the shift in weight.

Learn more

Adrenal Dysfunction

Cortisol, stress, and cravings.

Learn more

Gut Health

Bloating, digestion, and the microbiome.

Learn more

“Weight training, a cleaner diet, in conjunction with my HRT has really been life changing. Per your suggestion, I have also been taking creatine and it has been a game changer with my muscle recovery. I am finally starting to feel like the person I was before menopause!”

Hormone Wellness MD patient

Keep learning

Two places to start if you want to understand midlife weight before your first visit.

Ready to find out what is going on?

If extra weight is slowing you down and you are looking for a fresh approach, we would like to help.